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Home My WebLink AboutAlbert Sardinas 8.18.211 Danielle Marshall From:Albert Sardinas <albertsardinas@fmsglobalstrategies.com> Sent:Wednesday, August 18, 2021 4:43 PM To:Danielle Marshall Subject:RE: Planning Commissioners Attachments:Guyette Shiba Inu.pdf; Customer Testimony.pdf; Breeder Testimony.pdf; Legislative Testimony.pdf; What Do You Know About Puppyland.pdf Danielle, Thank you. Our submission for public comment is included. Albert Sardinas VP of Public Policy & Community Engagement Phone: (206) 482‐7100 Email: albertsardinas@fmsglobalstrategies.com Website: www.fmsglobalstrategies.com WBBBA: www.fmsglobalstrategies.com/wbbba LinkedIn: www.linkedin.com/in/albertsardinas Confidentiality Disclaimer: The content of this email is confidential and intended for the recipient specified in the message only. It is strictly forbidden to share any part of this message with any third party without the written consent of the sender. Unauthorized dissemination of the email is considered a breach of confidence, for which you may be legally liable. If you received this message by mistake, please reply to this message and follow its deletion to ensure such an error does not occur in the future. From: Danielle Marshall <DMarshall@Rentonwa.gov> Sent: Wednesday, August 18, 2021 4:20 PM To: Albert Sardinas <albertsardinas@fmsglobalstrategies.com> Subject: RE: Planning Commissioners Hello Albert, I have you, Paula, Kayla and Justin down on the list to speak at the Planning Commission Meeting tonight. The meeting information and zoom link can be found HERE. Thank you, Danielle Marshall CAUTION: This email originated from outside the City of Renton. Do not click links, reply or open attachments unless you know the content is safe. On 8/4/21 Breanne Guyette spoke to you as a Puppyland customer who purchased a puppy that passed away. She told you that Puppyland hasn’t helped her and refuses to. Attached you fill find all vet notes and claim notes our team has taken while staying in communication with Breanne. Since our last communication, Breanne has ceased all communication with us and refuses to provide additional information for her claim. We let Breanne know that we were happy to help her with another puppy at no charge, but after reading vet notes in depth we have decided to not honor that option as we see her home as an unsafe home for a puppy. The puppy was left unattended to eat objects not meant for consumption, it states that the puppy presented with all symptoms of THC exposure, and the puppy was left unattended with the customer’s children. Children have been found to hurt and sometimes kill their pets on accident without telling their parents. For example, a child can drop a puppy on it’s head on accident resulting in trauma that causes seizures. Breanne Guyette Shiba Inu 3/9/21 Customer purchased pup 3/22/21 1st exam (13 days after purchase, we require a vet visit within 3 days. This voids warranty) 3/23/21 Customer calls vet to tell them that after visit puppy was shaking its head and was unable to walk straight. Vet mentioned to customer that the pup was very dehydrated and that at this time they couldn’t rule out neurological episode, seizure, head trauma, or toxin exposure 3/24/21 Customer called to tell clinic she saw her pup eat a dryer sheet she was told to call pet poison help line No further follow up noted on the status of dryer sheet (Did it pass? What chemicals does it have? What brand dryer sheet? Some chemicals can cause neurological damage) 4/19/21 Pup has Kennel cough Pup hasn’t had seizure since 4/9/21 and was told by regular vet at Banfield to take pup to ER (No evidence they took pup to ER until 4/24/21 Olympia Vet Emergency) On this visit Customer declines blood work (This seems unusual given that if seizure is due to metabolic disease such as a liver shunt it would have been appropriate to know liver values) 4/24/21 (Last reported seizure by customer) Seizure behavior cause undetermined can be caused by epilepsy, head trauma, toxins, and metabolic diseases (like liver shunts) Vet notes: No mushrooms in yard. Owner says no THC access (patient really looks quite classic for THC) Vet recommends blood work and potential for MRI BW pending results Was told to keep log of seizure behavior Pup seems ataxic and slightly mentally altered in presentation. Recommended Drug test, BW, neuro consult Dr. notes states that customer went to vet initially for toxic infestation concerns Pup is given seizure meds 4/24/21 Olympia Vet Emergency vet receipt (No Notes or itemized Invoice) 5/10/21 Blue Pearl stated pup was taken to Olympia Vet Emergency during episode and BW was WNL 3 seizures total Diagnosis open Was again told to keep log of seizure behavior (No Record) “He was initiated on medications and sent home. he has otherwise been doing well at home. He is bright and apparently healthy.” Testing came back normal 5/18/21 Explained we need diagnosis to move forward since everything is inconclusive will contact when liver test is done. Vet recommended "comprehensive work-up to determine a cause of seizures. This starts by completing the metabolic work-up (bile acids test, fasting serum ammonia testing). If this comes back normal, we recommend MRI and spinal fluid testing to screen for structural disorders." 5/26/21 Bile acids are normal- no metabolic disorder is present to cause seizures. Vet recommends comprehensive workup to determine if there is a structural disorder that may be causing seizures. Informed to continue seizure medication 6/25/21 Called Puppyland Puyallup to notify puppy passed away. 6/26/21 I will need to know if additional testing was done and gather most updated documents. It's relevant to know if puppy was taken off medication since seizure medication can lead to deadly withdrawals. Ultimate goal is to find out the cause. Breanne says she will call Monday I will reach out to her and be available for this. Please feel free to reach out to me if you have additional questions regarding this case. Warmest regards, Kayla Kerr Puppyland WA kayla@puppylandwa.com 720-581-8894 Luna was presented on 3/22/2021 for: Preventive Care-New Puppy/Kitten Exam Subjective See 'Plan and Other Notes' section for patient history documentation, if pertinent. Visit Info:Luna's visit began at 10:03 AM on 3/22/2021 and ended on 3/22/2021 Doctors Assisting or Consulting with Care: Medical Authorization Release Signed? Future appointment(s) scheduled for: None agreed to by client Dr. Amanda McGarry Gerboth Yes Patient Information on 3/22/2021 Name: Luna Species: Canine Breed: Shiba Inu Gender: Male Description: orange and white Date of Birth: 12/31/2020 Optimum Wellness Plan: None Microchip #: 991001003871994 Home Again Luna has visited this Banfield Hospital 1 time. Luna's first visit on 3/22/2021 at this hospital Weight: 8.77 Lbs/3.98 Kgs Preventive Care Given Due Date Preventive Care Given Due Date Heartworm Prevention 3/22/2021 4/21/2021 Roundworms 3/22/2021 4/21/2021 Flea Prevention 3/22/2021 4/21/2021 Hookworms 3/22/2021 4/21/2021 Tick Prevention 3/22/2021 4/21/2021 Temperature: 102º F - Heart Rate: 170/min - Respiration: Unable To Evaluate Capillary Refill Time: Under 2 Seconds Exam was certified by Dr. Amanda McGarry Gerboth, DVM on 3/22/2021 Physical Exam Findings on 3/22/2021 Objective Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 1 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, March 22, 2021 10:03 AM Care Provided at Lacey WA on Abnormal Findings: Coat and Skin Swelling Mass - Ventral Abdominal Midline Musculoskeletal Left Rear Leg - Lameness Pain and/or Musculoskeletal Lesion - Found Right Rear Leg - Lameness Pain and/or Musculoskeletal Lesion - Found Normal or Not Selected Findings: Overall Condition Nutritional Evaluation Complete Overall Evaluation Complete Body Condition Score - Ideal Ocular Ocular Normal Otic Otoscopic Normal Oral/Nasal Oral/Nasal Normal Respiratory Respiratory Normal Cardiovascular Cardiovascular Normal Abdominal Abdominal Normal Urogenital Urogenital Normal Perineal Perineal Normal Neurological Neurological Normal Assessment Tentative Diagnosis Status Date Hospital Team Member Hernia, Umbilical Stable/Persistent/Chronic 3/22/2021 0371 Lacey Patella Luxation, Medial, Grade 1 Stable/Persistent/Chronic 3/22/2021 0371 Lacey Plan and Other Notes Prescribed and Administered Therapy for this visit/hospitalization: (Reported by most recent date first) 3/22/2021 Physical Exam: First Pet - Completed Simparica Trio Purple (5.6-11lbs) Single Dose - Completed Office Visit - Completed Sales Tax at 9.30% - Completed Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 2 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, March 22, 2021 10:03 AM Care Provided at Lacey WA on Additional Medical Notes documented for this visit/hospitalization: (Reported by most recent date first) Date Type Note Doctor VT/VA CSC Hospital 3/23/2021 10:03 AM Miscellaneous Batsel, K.0371 Lacey O called in with concerns regarding P since appt on 3/22. O stated that around 10:30pm last night P vomited and then began shaking his head. O then said P went to sleep and woke up this morning acting normal with normal food/water intake. Around 9:50AM this morning P started to shake his head again, then was unable to walk straight. O is unsure if P could have gotten into something. Reviewed medical notes and no vaccines were given at appt on 3/22. Spoke to Dr. Gerboth who said P didn't have anything in the ear at time of exam, but believes the issue could be related to the inner ear. Dr. Gerboth said P could come in today around 3PM for her to take a look at inner ear for P. Relayed this information to O. O said that P had since begun gagging as we were talking. Informed O that if condition worsens before 3pm appt to take to an emergency clinic for evaluation. -KLB 3/23/2021 10:02 AM Miscellaneous Batsel, K.0371 Lacey 3/22/2021 10:20 AM Plan Gerboth, A. Batsel, K.0371 Lacey Patient: Luna (Canine) Client: Breanne Guyette Prescription Filled On: 3/22/2021 Prescription #: 0371-14579094 Rx: Simparica Trio Purple (5.6-11lbs) Single Dose Manufacturer: Zoetis Instructions: Give 1 chewable tablet one time Providing Doctor: Amanda McGarry Gerboth Quantity: 1.00 Discard By: 9/20/2021 Number of Refills: 0 Refill Expiration Date: 9/22/2021 3/22/2021 10:15 AM Plan Gerboth, A. Batsel, K.0371 Lacey Updated microchip information for Luna: Original Microchip ID: Original Manufacturer: New Microchip ID: 991001003871994 New Manufacturer: Home Again 3/22/2021 10:03 AM Assessment Batsel, K.0371 Lacey Hernia, Umbilical Stable/Persistent/Chronic Patella Luxation, Medial, Grade 1 Stable/Persistent/Chronic 3/22/2021 10:03 AM Objective Gerboth, A. 0371 Lacey Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 3 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, March 22, 2021 10:03 AM Care Provided at Lacey WA on Attitude: BAR Weight: 8.77 lbs/ 3.98 kg BCS: 5/9 CRT/MM: < 2 seconds/pink and moist Coat/Skin: Hair coat healthy, no external parasites seen, no lesions present or masses palpated Eyes: Clear and bright, no discharge Ears: Clean and free of debris/inflammation Nose/Throat: No abnormal nasal discharge/ No cough elicited on tracheal palpation Oral: Teeth and gingiva clean and healthy Heart/Lungs:No murmur or arrhythmia auscultated/ Lung sounds are clear in all lung fields GI/UG: Abdomen soft and nonpainful, no masses or organomegaly noted/no urogenital discharge. Very small firm swelling in region of umbilicus M/S: All limbs ambulatory, good range of motion in all joints, gait normal, muscle mass normal. Grade 1 MLP bilaterally Neuro: Appropriate mentation, cranial nerves appear intact 3/22/2021 10:03 AM Plan(Notes)Gerboth, A. 0371 Lacey 1. Prognosis: Good 2. Client Education: Discussed exam findings. Went over MLP and long term concern for arthritis/ injury. Also discussed monitoring the hernia. It is very small, but if it persists I rec surgical correction at time of neuter. O says that pt is not due for any vx today. Discussed the importance of staying on HW prevention year around. Discussed pet’s vaccine schedule, puppy potty training, puppy nutrition, and desensitization of the face/feet/paws. Recommended training class. Advised client to avoid dog parks and other places dogs socialize until their pet is fully vaccinated to reduce the risk of disease transmission. Discussed when to spay/neuter. Discussed OWP as follows (O declines today): * The Wellness package includes preventative care. This is not insurance so if the pet gets ill there may be additional charges and/ or referral to an emergency hospital. * The Wellness package is a full year package, will automatically renew, and is non transferable. * If there are any unforeseen circumstances and you need to cancel the package before the year you will just pay for the retail value of the services rendered. Discussed wellness plans with client and which one we would recommend and what the plan offers. Explained 72 hr cancellation and how they have 72 hours to sign up on the plan and have today's covered services credited back towards the sign up fee and first month's payment. a/o that OWP is not insurance and does not cover injury or illness. Let O know that medications, dental extractions, additional diagnostic are not covered by owp. 3. Recheck: PRN 4. Follow-Up Therapy: Vaccine boosters AG DVM *********************************************************************** 3/22/2021 10:03 AM Subjective Gerboth, A. Batsel, K.0371 Lacey Pet presented for an examination per agreement with puppyland adoption. Client reports no concerns at this time. Client may want to breed pet. Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 4 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, March 22, 2021 10:03 AM Care Provided at Lacey WA on Home Care Instructions documented for this visit/hospitalization: (Reported by most recent date first) Date Type Note Doctor VT/VA CSC Hospital None Therapy presented & declined by the client for this visit/ hospitalization: None Therapy considered but not medically necessary for this visit/hospitalization: None Therapy postponed by the client or doctor this visit/hospitalization: None Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 5 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, March 22, 2021 10:03 AM Care Provided at Lacey WA on Luna was presented on 3/23/2021 for: Follow Up Exam-Ear/Eye/Nose, Ear check Subjective See 'Plan and Other Notes' section for patient history documentation, if pertinent. Visit Info:Luna's visit began at 10:37 AM on 3/23/2021 and ended on 3/23/2021 Doctors Assisting or Consulting with Care: Medical Authorization Release Signed? Future appointment(s) scheduled for: None agreed to by client Dr. Amanda McGarry Gerboth Yes Patient Information on 3/23/2021 Name: Luna Species: Canine Breed: Shiba Inu Gender: Male Description: orange and white Date of Birth: 12/31/2020 Optimum Wellness Plan: Early Care Microchip #: 991001003871994 Home Again Luna has visited this Banfield Hospital 2 times. Luna's first visit on 3/22/2021 at this hospital Luna's last visit on 3/23/2021 at this hospital Weight: 8.84 Lbs/4.01 Kgs Preventive Care Given Due Date Preventive Care Given Due Date Heartworm Prevention 3/22/2021 4/21/2021 Roundworms 3/22/2021 4/21/2021 Flea Prevention 3/22/2021 4/21/2021 Hookworms 3/22/2021 4/21/2021 Tick Prevention 3/22/2021 4/21/2021 Temperature: 101.2º F - Within Normal Limits Heart Rate: 140/min - Within Normal Limits Respiration: Unable To Evaluate Capillary Refill Time: Under 2 Seconds Exam was certified by Dr. Amanda McGarry Gerboth, DVM on 3/23/2021 Physical Exam Findings on 3/23/2021 Objective Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 1 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Tuesday, March 23, 2021 10:37 AM Care Provided at Lacey WA on Abnormal Findings: Overall Condition Dehydration Level - 10% Dehydration Level Coat and Skin Dewclaw - Too Long Swelling Mass - Ventral Abdominal Midline Nail - Too Long Laboratory Results:(é = above normal; ê = below normal; ********** = could not be evaluated) Recorded on 3/23/2021 1:27:07 PM Test Name Result Units Range Canine Parvo Virus (fecal antigen)NEGATIVE Assessment Tentative Diagnosis Status Date Hospital Team Member Dehydration Undergoing Therapy 3/23/2021 0371 Lacey Gastritis, Acute Undergoing Therapy 3/23/2021 0371 Lacey Hernia, Umbilical Stable/Persistent/Chronic 3/23/2021 0371 Lacey Malaise Undergoing Therapy 3/23/2021 0371 Lacey Patella Luxation, Medial, Grade 1 Stable/Persistent/Chronic 3/23/2021 0371 Lacey Plan and Other Notes Prescribed and Administered Therapy for this visit/hospitalization: (Reported by most recent date first) 3/23/2021 Physical Exam: Follow Up (OWP) - Completed Cerenia 10mg/ml Injectable (per ml) - Completed MRX PPVD Canine EN - Completed Proviable Forte Sprinkle Capsule (per capsule) - Completed IV Extension Set (Each) - Completed Needle 20 Gauge - Completed Medical Waste Disposal Fee - Completed --Wellness Plan: First Month Payment-- - Completed Office Visit: Follow Up - Completed Cerenia 16mg (4-pack) - Completed Parvo Virus SNAP Test - Completed Subcutaneous Fluid Therapy In-House Administration Required Items - Completed IV Fluid Administration Set (Each) - Completed Subcutaneous Fluid Admin.- Lactated Ringer Solution - Completed --Wellness Plan Membership Fee-- - Completed Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 2 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Tuesday, March 23, 2021 10:37 AM Care Provided at Lacey WA on Additional Medical Notes documented for this visit/hospitalization: (Reported by most recent date first) Date Type Note Doctor VT/VA CSC Hospital 4/9/2021 1:10 PM Plan Spears, B.0371 Lacey Client called to report pet appeared to be having seizures and went on to describe pet would make strange, twitching facial expressions and would occasionally vomit, and that she had received a call from her son at home who said pet had started to suddenly shake and twitch and was lethargic. I was sympathetic to O's concerns and told her that based on pet's described symptoms and the high volume of sick pets scheduled today I recommend having pet seen at the soonest available ER. 3/24/2021 9:49 AM Miscellaneous Wilkins, D.0371 Lacey Client called to state that she did see pet eat a dryer sheet and was wondering if that is why he was sick. Let O 'know that we wouldn't know the chemicals involved with her specific dryer and suggested O' call the pet poison helpline. 3/23/2021 1:27 PM Plan Gerboth, A.Shoemaker, R.Hoidysz, K.0371 Lacey The Lab Results for Parvo Virus SNAP Test were manually entered. 3/23/2021 11:26 AM Plan Gerboth, A.Shoemaker, R.Hoidysz, K.0371 Lacey Patient: Luna (Canine) Client: Breanne Guyette Prescription Filled On: 3/23/2021 Prescription #: 0371-14581039 Rx: Proviable Forte Sprinkle Capsule (per capsule) Manufacturer: Instructions: Give 1 capsule every 24 hours for 15 days Providing Doctor: Amanda McGarry Gerboth Quantity: 15.00 Discard By: 9/21/2021 Number of Refills: 0 Refill Expiration Date: 9/23/2021 3/23/2021 11:26 AM Plan Gerboth, A.Shoemaker, R.Hoidysz, K.0371 Lacey Patient: Luna (Canine) Client: Breanne Guyette Prescription Filled On: 3/23/2021 Prescription #: 0371-14581035 Rx: MRX PPVD Canine EN Manufacturer: Instructions: Providing Doctor: Amanda McGarry Gerboth Quantity: 1.00 Discard By: N/A Number of Refills: N/A Refill Expiration Date: N/A 3/23/2021 11:26 AM Plan Gerboth, A.Shoemaker, R.Hoidysz, K.0371 Lacey Sales Tax at 9.30% - Completed Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 3 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Tuesday, March 23, 2021 10:37 AM Care Provided at Lacey WA on Patient: Luna (Canine) Client: Breanne Guyette Prescription Filled On: 3/23/2021 Prescription #: 0371-14581037 Rx: Cerenia 16mg (4-pack) Manufacturer: Instructions: Give 0.5 tablets every 24 hours for 4 days Start tomorrow. Providing Doctor: Amanda McGarry Gerboth Quantity: 1.00 Discard By: 9/21/2021 Number of Refills: 0 Refill Expiration Date: 9/23/2021 3/23/2021 10:37 AM Assessment Hoidysz, K.0371 Lacey Hernia, Umbilical Stable/Persistent/Chronic Patella Luxation, Medial, Grade 1 Stable/Persistent/Chronic Malaise Undergoing Therapy Gastritis, Acute Undergoing Therapy Dehydration Undergoing Therapy 3/23/2021 10:37 AM Objective Gerboth, A. 0371 Lacey Pt is responsive but acts dull/ lethargic Wt. 8.84 lbs/4.01 kgs BCS: 5/9. TPR: 101.2/140/ MM pink/tacky, CRT <2 sec. 10% dehydration Oral cavity: teeth clean. Eyes/Ears: no debris au, eyes clear. Integument: skin/coat healthy. CV: No evidence of a murmur. No arrhythmias, strong synchronous bilateral femoral pulses. Resp: auscultated; lungs clear. Abd: Soft abdomen.No masses, ascites, or organomegaly noted. MS: No gait abnormalities noted. Ambulatory x 4. Neuro: CN intact; no obvious neurological deficits. Urogenital/Rectal: external structures wnl. Peripheral Lymph Nodes: symmetrical, no swelling. 3/23/2021 10:37 AM Plan(Notes)Gerboth, A.Shoemaker, R.Hoidysz, K.0371 Lacey Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 4 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Tuesday, March 23, 2021 10:37 AM Care Provided at Lacey WA on Physical Exam Parvo snap- Negative 200 ml SQ fluids in hospital 0.4 cc Cerenia SQ Cerenia tablets tgh Proviable tgh 1 Prognosis: pending response to therapy 2 Client Education: PE findings, Went over recommendations and medications. AO that pt is very dehydrated. AO that parvo test was negative today, but it is still possible that pt is in early stages of parvo. Rec SQ fluids, injectable cerenia, cerenia tablets TGH and probiotics. Rec bland diet. AO to closely monitor pt and return immediately if he declines. We cannot r/o a neurologic episode, such as a seizure or head trauma, or toxin exposure. AO that ref to neuro may be indicated if symptoms persist past tx of symptoms. 3 Recheck: PRN 4 Follow-Up Therapy: PRN AG DVM *********************************************************************** 3/23/2021 10:37 AM Subjective Hoidysz, K.0371 Lacey Pet presents for lethargy, shaking head and wobbling. Last night around 10:30 V dinner, food, just the once. This morning dry heaving, bile in V. Offered breakfast but pet did not eat. No marijuana in the home, no medications that pet could have gotten into, nothing in the yard that could cause any issues that O is aware of. No vaccines yesterday but pet went home with SD simparica but O has not given it yet. No other concerns at this time. Home Care Instructions documented for this visit/hospitalization: (Reported by most recent date first) Date Type Note Doctor VT/VA CSC Hospital None Therapy presented & declined by the client for this visit/ hospitalization: None Therapy considered but not medically necessary for this visit/hospitalization: None Therapy postponed by the client or doctor this visit/hospitalization: None Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 5 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Tuesday, March 23, 2021 10:37 AM Care Provided at Lacey WA on Luna was presented on 4/19/2021 for: Preventive Care-Adopted Pet Exam, OWP sign uo, vaccien boosters MJ Subjective See 'Plan and Other Notes' section for patient history documentation, if pertinent. Visit Info:Luna's visit began at 8:38 AM on 4/19/2021 and ended on 4/19/2021 Doctors Assisting or Consulting with Care: Medical Authorization Release Signed? Future appointment(s) scheduled for: None agreed to by client Dr. Merinda McGrath *This is a preliminary report-invoice is still open and/or lab results have not yet been entered. Yes Patient Information on 4/19/2021 Name: Luna Species: Canine Breed: Shiba Inu Gender: Male Description: orange and white Date of Birth: 12/31/2020 Optimum Wellness Plan: Early Care Microchip #: 991001003871994 Home Again Luna has visited this Banfield Hospital 3 times. Luna's first visit on 3/22/2021 at this hospital Luna's last visit on 4/19/2021 at this hospital Weight: 12.20 Lbs/5.53 Kgs Preventive Care Given Due Date Preventive Care Given Due Date Heartworm Prevention 3/22/2021 4/21/2021 Hookworms 4/19/2021 10/16/2021 Flea Prevention 3/22/2021 4/21/2021 DAPP 4/19/2021 5/10/2021 Tick Prevention 3/22/2021 4/21/2021 Leptospirosis 4/19/2021 5/10/2021 Roundworms 4/19/2021 10/16/2021 Fecal Exam 4/19/2021 10/16/2021 Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 1 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, April 19, 2021 8:38 AM Care Provided at Lacey WA on Abnormal Findings: Overall Condition Body Condition Score - Above Ideal Coat and Skin Swelling Mass - Ventral Abdominal Midline Normal or Not Selected Findings: Overall Condition Dehydration Level - No Dehydration Overall Evaluation Complete Overall Condition - Good Nutritional Evaluation Complete Ocular Ocular Normal Otic Otoscopic Normal Oral/Nasal Oral/Nasal Normal Respiratory Respiratory Normal Cardiovascular Cardiovascular Normal Abdominal Abdominal Normal Urogenital Urogenital Normal Perineal Perineal Normal Musculoskeletal Musculoskeletal Normal Neurological Neurological Normal Laboratory Results:(é = above normal; ê = below normal; ********** = could not be evaluated) Temperature: 101.2º F - Within Normal Limits Heart Rate: 200/min - Within Normal Limits Respiration: Unable To Evaluate Capillary Refill Time: Under 2 Seconds Exam was certified by Dr. Merinda McGrath, DVM on 4/19/2021 Physical Exam Findings on 4/19/2021 Objective Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 2 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, April 19, 2021 8:38 AM Care Provided at Lacey WA on Laboratory results have not yet been recorded for the following test(s): WISDOM PANEL™ Health Canine DNA Test- RefLab (ES) (Lab: Wisd Recorded on 4/19/2021 6:03:39 PM Test Name Result Units Range Fecal - Roundworm Eggs NEGATIVE Fecal - Hookworm Eggs NEGATIVE Fecal - Whipworm Eggs NEGATIVE Fecal - Giardia NEGATIVE Fecal - Coccidia Oocysts NEGATIVE Fecal - Tapeworms NEGATIVE Fecal - Abnormal Bacteria NEGATIVE Fecal - Significant Blood NEGATIVE Fecal - 'Other' Eggs NEGATIVE Assessment Tentative Diagnosis Status Date Hospital Team Member Hernia, Umbilical Stable/Persistent/Chronic 4/19/2021 0371 Lacey Kennel Cough Undergoing Therapy 4/19/2021 0371 Lacey Dehydration Undergoing Therapy 3/23/2021 0371 Lacey Gastritis, Acute Undergoing Therapy 3/23/2021 0371 Lacey Malaise Undergoing Therapy 3/23/2021 0371 Lacey Patella Luxation, Medial, Grade 1 Stable/Persistent/Chronic 3/23/2021 0371 Lacey Plan and Other Notes Prescribed and Administered Therapy for this visit/hospitalization: (Reported by most recent date first) 4/19/2021 Office Visit - Completed Comprehensive Exam (Introduction) - Completed Exam - Dental - Completed Otoscopic Exam - Complete - Completed DNA Swab Sample Collection - Completed Intestinal Parasite Fecal Exam - Completed Physical Exam: Wellness Plan - Completed Day Care for Optimum Exam - Completed Ophthalmic Exam - Complete - Completed Rectal Exam - Brief - Completed Fecal Sample Collect / Prep - Completed Pyrantel Pamoate 50mg/ml (per ml) - Completed Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 3 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, April 19, 2021 8:38 AM Care Provided at Lacey WA on Additional Medical Notes documented for this visit/hospitalization: (Reported by most recent date first) Date Type Note Doctor VT/VA CSC Hospital 4/19/2021 9:04 AM Plan McGrath, M.Mason, M.Batsel, K.0371 Lacey Administered at: 04/19/2021 8:59 AM Preventive Care: Vaccine - Distemper Parvo DAPP Route: Subcutaneous Site: Right Front Leg Producer: Elanco Expiration Date: 5/10/2021 Lot Number: Lot Expiration:/ / Combination/Product Given: DAPP/Lepto (Duramune Max 5/4L) 4/19/2021 9:04 AM Plan McGrath, M.Mason, M.Batsel, K.0371 Lacey Administered at: 04/19/2021 8:59 AM Preventive Care: Vaccine - Leptospirosis 4-way Route: Subcutaneous Site: Right Front Leg Producer: Merck Expiration Date: 5/10/2021 Lot Number: Lot Expiration:/ / Combination/Product Given: DAPP/Lepto (Duramune Max 5/4L) 4/19/2021 8:59 AM Plan McGrath, M.Mason, M.Batsel, K.0371 Lacey Patient: Luna (Canine) Client: Breanne Guyette Prescription Filled On: 4/19/2021 Prescription #: 0371-14618207 Rx: Pyrantel Pamoate 50mg/ml (per ml) Manufacturer: Apexa Instructions: Give 1.5 mls one time Providing Doctor: Merinda McGrath Quantity: 1.50 Discard By: 10/18/2021 Number of Refills: N/A Refill Expiration Date: N/A 4/19/2021 8:38 AM Assessment McGrath, M.Mason, M.Batsel, K.0371 Lacey Kennel Cough Undergoing Therapy 4/19/2021 8:38 AM Objective McGrath, M.Mason, M.Batsel, K.0371 Lacey Vitals Observations: BAR Coat & Skin Observations: small lump possible closed umbilical hernia 4/19/2021 8:38 AM Vaccine - Distemper Parvo DAPP - Completed WISDOM PANEL™ Health Canine DNA Test- RefLab (ES) (Lab: Wisdom Health c/o GeneSeek Samples, 4131 N 48th St, Lincoln, NE 68504; (888) 597-3883; Cost: $38.73; Analysis & Interpretation: $62.57) - Completed Vaccine - Leptospirosis 4-way - Completed Medical Waste Disposal Fee - Completed Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 4 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, April 19, 2021 8:38 AM Care Provided at Lacey WA on Plan(Notes)McGrath, M.Mason, M.Batsel, K.0371 Lacey intro comp DAPP/Lepto - right shoulder SQ 1.5 ml pyrantel gave PO Fecal obtained via loop. Wisdom panel - sent out/pending Recommend Clavamox - O postpones for now states P has been improving. 1 Prognosis: Good 2 Client Education: Went over exam findings. Discussed services that were performed today. O states seizure like activity has not happened since last time noted - O declines blood work today, Discussed kennel cough. 3 Recheck: 3 weeks 4 Follow-Up Therapy: vx boosters *********************************************************************** 4/19/2021 8:38 AM Subjective McGrath, M.Mason, M.Batsel, K.0371 Lacey P presents today for vx. O states P has been coughing for the last two week. O states she thought P was trying to cough up bark but noting is coming up. O suspects kennel cough. P is eating and drinking fine. O states last few days coughing back been getting better. Home Care Instructions documented for this visit/hospitalization: (Reported by most recent date first) Date Type Note Doctor VT/VA CSC Hospital None Therapy presented & declined by the client for this visit/ hospitalization: None Therapy considered but not medically necessary for this visit/hospitalization: Superchem / CBC - Not Medically Necessary Complete Blood Cell Count (CBC/5 part machine differential) - Not Medically Necessary Blood Sample Collect / Prep - Not Medically Necessary Internal Organ Function Screen - Not Medically Necessary Electrolytes (K, Na, Cl, Na/K) - Not Medically Necessary Therapy postponed by the client or doctor this visit/hospitalization: Vaccine - Canine Bordetella - Postponed Clavamox 125mg Chewable Tablet - Postponed Time Printed: 4:58 PM Date Printed: 4/28/2021 Report ID: MedSummary.en.x Page 5 of 5Hospital #0371 719 Sleater-Kinney Rd SE Ste. 160 Lacey, WA 98503-8503 (360) 459-8242 Banfield Pet Hospital Breanne Guyette 4542 Rochelle St SE Lacey, WA 98503 Home Phone: (360) 888-2309 Cell Phone: (360) 888-2309 breannekadrmashair@yahoo.com Medical Summary Report Monday, April 19, 2021 8:38 AM Care Provided at Lacey WA on DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Visit Summary "Luna" Date:5/10/2021 Patient:4 Mos. 1 Wks. 3 Days, Male, Shiba Inu Owner:Breanne Guyette Email: breannekadrmashair@yahoo.com Primary Veterinarian:Banfield Lacey #0371 (360) 459-8242 Handouts: __ Midazolam/MAD kit, seizure log, Written Rx - zonisamide Recheck: __ For recommended testing - call to schedule Case Summary: Luna arrived on: 5/10/2021 Referral: Banfield Lacey #0371 Referral doctor: Colleagues at Banfield in Lacey, Emergency Services at Olympia Pet Emergency History: Luna presented today for a neurologic evaluation. Luna has been exhibiting seizure activity since late March, when he was roughly 12 weeks old. He was adopted from Puppyland with no reported neurologic history. His seizures entail initial trembling, then his eyes roll back and he loses consciousness for a few minutes. His last seizure was on April 24th, when he was taken to Olympia Pet Emergency during an episode. Regular bloodwork was performed and returned within normal limits. He was initiated on medications and sent home. he has otherwise been doing well at home. He is bright and apparently healthy. Main Problem(s): Seizures Hx umbilical hernia Current Medications(s): Zonisamide 50mg PO q 12 hr Preferred pharmacy:Costco Lacey Any coughing, sneezing, vomiting, diarrhea? None Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None Initial Vitals: 5/10/2021 10:36 AM Vital Sign ALG Weight 6.8 kilograms Temp 102.3 Pulse 150 Resp 40 CRT <2 sec Alert BAR MM Pink Neurologic exam: Admission Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbilical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY Seizures:GENERALIZED REPORTED TO HAVE OCCURRED 3X, STATUS AT OPE Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper Left Right Comments Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL Bladder tone:NORMAL Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. Lab tests: None today Imaging tests: None today Other tests: None today. Diagnosis: Open. Seizure disorder reported. History from primary veterinarian and Olympia Pet Emergency indicate treatment for seizures and normal blood work. Initiated zonisamide for treatment. Rule out metabolic, structural, and primary causes of seizures. Comprehensive work-up is indicated. Patient was stable and clinically normal today. Comments/Discussion: I recommend a comprehensive work-up to determine a cause of seizures. This starts by completing the metabolic work-up (bile acids test, fasting serum ammonia testing). If this comes back normal, we recommend MRI and spinal fluid testing to screen for structural disorders. Primary (Idiopathic) seizures are still possible. This is mainly diagnosed when other causes are excluded. Due to the history of cluster seizures, I recommend a daily anti-seizure medication. For now, zonisamide is OK. If bile acids are normal, I may recommend changing this to phenobarbital. Additionally, as Luna grows, doses will need to be increased (meds are dosed based on weight). Each month, please check in with your primary care vet for a weight check and medication adjustment as needed. If you cannot get into your regular vet, please schedule a recheck appointment here. Call at the next seizure event for guidance. Home Care Instructions: Medications: For acute seizure control: ITEM DESCRIPTION QUANTITY DIRECTIONS Midazolam 5 mg/ml Inj (ml) 3.00 Give 1 ML intranasally using syringe adaptor at time of seizure. Repeat in 1 minute if needed. Draw up only at time of use. Store out of light. Continue: Zonisamide (generic) 50MG cap Disp: Sixty - 60 Sig: Give 1 cap by mouth every 12 hours to treat seizures. Do not crush or break cap. Refills: Five - 5 Diet: Normal at this time. For dogs that have certain metabolic disorders (ie liver issues), a special diet is needed. Additionally, there are special diets for dogs with seizures. This would be prescribed as additional information is gathered. Exercise: Regular. Seizure monitoring: Please monitor for further seizure activity or new neurologic symptoms. These may include change in attitude/behavior such as hiding, agitation, restlessness prior to seizures, stiffening up of limbs, falling onto her/his side, paddling, urination, defecation, vocalization, dilated pupils, losing responsiveness to surroundings, and/or change in behavior after the convulsion. Pets can over-heat if she/he is in direct sun light, thus should be moved away from sun light. The involuntary body movements can result in injury such as falling off staircase and kicking objects over. If the convulsion lasts more than 3-5 minutes, wrap the pet in a cool, wet towel and he needs to be taken to the nearest emergency clinic. What NOT to Do Do not place your hands near the pet's mouth. (They do not swallow their tongues.) You are at risk of being bitten. Techniques such as hitting, slapping, throwing cold water on pet, etc have not been shown to stop seizures. These can result in unintended harm. Hyperthermia (elevated body temperature) can occur following seizure activity. You should purchase a rectal thermometer and be prepared to take body temperature upon termination of seizure activity. Seek veterinary consultation if temperature is > 104 F (normal canine rectal temperature is 101.5-102.5 F). Also please begin keeping a log of seizure activity. Record what he was doing immediately prior to onset of activity, duration of seizure activity, whether loss of consciousness or bowel or bladder occurs, and the duration of time before he returns to "normal." If possible, video recording is also advisable to confirm seizure activity. Recheck/Follow-up Please schedule bile acid testing. 12-hour fast at arrival for appointment. 2-3 hours needed to complete tests.• Keep seizure log.• Call at next seizure.• Call if there is a problem. We are open 24/7.• The Neurology/Neurosurgery Service at Bluepearl Veterinary Partners, Tacoma, would like to thank you for allowing us to assist in the care of Luna. Please call if you have any questions or concerns. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM Neurology Department: info.tacoma@bluepearlvet.com Daniel G. Hicks, DVM, MS, DACVIM (Neurology/Neurosurgery), Jessica Chavera, DVM, Practice Limited to Neurology Jenna Esteves, LVT, Amanda Gumtow, LVT, Allana White, LVT, Jessy Yount VA Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History 5/26/2021 C DGH Neurology - Dr. Hicks, Referral Letter (Portal) - CLOSED 05/31/2021 DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Wednesday, May 26, 2021 Banfield Lacey #0371 719 Sleater Kinney Rd SE Ste 160 Lacey, WA 98503 Phone: (360) 459-8242 Fax: (360) 459-9123 Client: Breanne Guyette Patient: Luna Patient ID: 391194 Client Phone: (360) 888-2309 Dear Doctors at Banfield Lacey #0371: This letter is to provide you an update on Luna who was recently evaluated at Bluepearl, Tacoma. The following is a summary of exam findings, tests, treatments, and recommendations. Any pending tests or reports will be forwarded to you promptly. Comments: Please see the attached summary for details of this visit. Thanks so much. Stay healthy. Thanks again for allowing me this opportunity to meet Luna and Breanne Guyette. If you have any more questions regarding Luna's case or any others, please feel free to call. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 1 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Visit Summary "Luna" Date:5/26/2021 Patient:4 Mos. 3 Wks. 5 Days, Male, Shiba Inu Owner:Breanne Guyette Email: breannekadrmashair@yahoo.com Primary Veterinarian:Banfield Lacey #0371 (360) 459-8242 Handouts: __ Recheck: __ Case Summary: Luna arrived on: 5/26/2021 Referral: Banfield Lacey #0371 Referral doctor: Colleagues at Banfield in Lacey History: Luna presented today for a drop-off bile acids testing. Main Problem(s): Seizures Current Medications(s): Zonisamide 100mg PO q 12 hr Preferred pharmacy:__ Any coughing, sneezing, vomiting, diarrhea? None Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 2 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Initial Vitals: 5/26/2021 8:28 AM Vital Sign HAF Weight 7.8 kilograms Temp 103.6 Pulse 160 Resp 36 CRT <2 sec Alert BAR MM Pink Neurologic exam: Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbilical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY Seizures:GENERALIZED REPORTED TO HAVE OCCURRED 3X, STATUS AT OPE Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, Left Right Comments B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 3 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History 2=normal, 3=hyper Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL Bladder tone:NORMAL Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 4 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. Lab tests: Bile acids, fasting: 2.8 (ref 0-10) Normal. Bile acids, fed: 2.9 (ref 0-10) Normal. Diagnosis: Open. Seizure disorder. Treatment: Blood sampling performed for bile acid testing. Comments/Discussion: No seizures occurred while here. Bile acids are normal. A metabolic disorder has not been identified through blood work. Structural and idiopathic (primary) causes of seizures remain. A comprehensive work-up is indicated. This would include MRI and spinal fluid analysis. In the meantime, it is indicated to continue with zonisamide in attempt to control seizures. Changes to medications would be made if seizures restarted. Home Care Instructions: Medications: Zonisamide: continue giving 50MG twice daily. Dose should be increased to 75MG when she gains 2 additional pounds. Today she was 15 pounds. At 17 pounds, please increase to 75MG twice daily. Midazolam: use as directed if needed. Diet: Regular. No indication to switch at this time. Exercise: Regular. Recheck/Follow-up Please schedule MRI/CSF if elected for comprehensive seizure work-up.• Please provide update at next seizure event.• Call if new neurologic symptoms develop.• B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 5 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Call if there is a problem. We are open 24/7.• The Neurology/Neurosurgery Service at Bluepearl Veterinary Partners, Tacoma, would like to thank you for allowing us to assist in the care of Luna. Please call if you have any questions or concerns. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM Neurology Department: info.tacoma@bluepearlvet.com Daniel G. Hicks, DVM, MS, DACVIM (Neurology/Neurosurgery), Jessica Chavera, DVM, Practice Limited to Neurology Amanda Gumtow LVT, Allana White LVT, Holly Froning LVT, Jenna Esteves LVT, Jessy Yount VA, Antonia Chantel VA 5/26/2021 L Immunoassay results from Heska Requisition ID: 391194 Posted Final Test Result Reference Range Bile Acid 2.9 umol/L 0.0 - 10.0 Species: Dog AnalyzerType: Elementi AnalyzerName: Elementi_1 5/26/2021 C DGH Neuro - TAC Visit Summary - CLOSED 05/31/2021 DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Visit Summary "Luna" B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 6 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Date:5/26/2021 Patient:4 Mos. 3 Wks. 5 Days, Male, Shiba Inu Owner:Breanne Guyette Email: breannekadrmashair@yahoo.com Primary Veterinarian:Banfield Lacey #0371 (360) 459-8242 Handouts: __ Recheck: __ Case Summary: Luna arrived on: 5/26/2021 Referral: Banfield Lacey #0371 Referral doctor: Colleagues at Banfield in Lacey History: Luna presented today for a drop-off bile acids testing. He has not had any seizures since initiating medications, and has been doing well at home. Main Problem(s): Seizures Current Medications(s): Zonisamide 50mg PO q 12 hr Any coughing, sneezing, vomiting, diarrhea? None Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None Initial Vitals: 5/26/2021 8:28 AM Vital Sign HAF Weight 7.8 kilograms Temp 103.6 Pulse 160 Resp 36 CRT <2 sec Alert BAR MM Pink B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 7 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Neurologic exam: Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbilical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY Seizures:GENERALIZED REPORTED TO HAVE OCCURRED 3X, STATUS AT OPE Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper Left Right Comments Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 8 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL Bladder tone:NORMAL Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. Lab tests: Bile acids, fasting: 2.8 (ref 0-10) Normal. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 9 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Bile acids, fed: 2.9 (ref 0-10) Normal. Diagnosis: Open. Seizure disorder. Treatment: Blood sampling performed for bile acid testing. Comments/Discussion: No seizures occurred while here. Bile acids are normal. A metabolic disorder has not been identified through blood work. Structural and idiopathic (primary) causes of seizures remain. A comprehensive work-up is indicated. This would include MRI and spinal fluid analysis. In the meantime, it is indicated to continue with zonisamide in attempt to control seizures. Changes to medications would be made if seizures restarted. Home Care Instructions: Medications: Zonisamide: continue giving 50MG twice daily. Dose should be increased to 75MG when he gains 2 additional pounds. Today he was 15 pounds. At 17 pounds, please increase to 75MG twice daily. Midazolam: use as directed if needed. Diet: Regular. No indication to switch at this time. Exercise: Regular. Recheck/Follow-up Please schedule MRI/CSF if elected for comprehensive seizure work-up.• Please provide update at next seizure event.• Call if new neurologic symptoms develop.• Call if there is a problem. We are open 24/7.• The Neurology/Neurosurgery Service at Bluepearl Veterinary Partners, Tacoma, would like to thank you for allowing us to assist in the care of Luna. Please call if you have any questions or concerns. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM Neurology Department: info.tacoma@bluepearlvet.com Daniel G. Hicks, DVM, MS, DACVIM (Neurology/Neurosurgery), Jessica Chavera, DVM, Practice Limited to Neurology Amanda Gumtow LVT, Allana White LVT, Holly Froning LVT, Jenna Esteves LVT, Jessy Yount VA, Antonia Chantel VA B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 10 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History 5/26/2021 L Immunoassay results from Heska Requisition ID: 391194 Posted Final Test Result Reference Range Bile Acid 2.8 umol/L 0.0 - 10.0 Species: Dog AnalyzerType: Elementi AnalyzerName: Elementi_1 5/26/2021 C DGH Neuro - TAC Check-In - CLOSED 05/31/2021 Referral doctor: Colleagues at Banfield in Lacey History: Luna presented today for a drop-off bile acids testing. Luna has not had any seizures since her last visit. He is otherwise doing well at home. Main Problem(s): Seizures Current Medications(s): Zonisamide 50mg PO q 12 hr Preferred pharmacy:__ Any coughing, sneezing, vomiting, diarrhea? None Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None Initial Vitals: 5/10/2021 5/26/2021 10:36 AM 8:28 AM Vital Sign ALG HAF Weight 6.8 kilograms 7.8 kilograms Temp 102.3 103.6 Pulse 150 160 Resp 40 36 B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 11 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History CRT <2 sec <2 sec Alert BAR BAR MM Pink Pink 5/26/2021 C DGH Neuro - TAC Neuro exam seizures - CLOSED 05/31/2021 Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbillical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY Seizures:GENERALIZED REPORTED TO HAVE OCCURED 3X, STATUS AT OPE Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper Left Right Comments Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 12 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL Bladder tone:NORMAL Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 13 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. 5/26/2021 TC DGH BP - Intake Form - TENTATIVE DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Client & Patient Intake By signing below, I am confirming that my personal information listed below is accurate. Referring Hospital & Doctor Referring Hospital: Banfield Lacey #0371 Referring Doctor: Banfield Lacey #0371 Client Information Patient Information Name: Breanne Guyette Name: Luna Address: 4542 Rochelle St SE Species Canine Lacey,WA 98503 Breed: Shiba Inu Phone List: Cell: (360)888-2309 : Age: 4 Mos. 3 Wks. 5 Days Email Address: breannekadrmashair@yahoo.com Sex: Male Consent to Treat I, the undersigned, do hereby certify that I am over the age of 18 and am the owner (or authorized agent) of the above-described patient. I authorize BluePearl Specialty & Emergency Pet Hospital (and its affiliates, employees, agents and contractors) to receive, examine, prescribe for and treat the above-described pet. I further understand that no guarantee of successful treatment is made and I will not hold BluePearl Specialty & Emergency Pet Hospital (or its affiliates, employees, agents, or contractors) responsible for my pet’s recovery. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 14 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Payment Policy A deposit will be required prior to treatment and/or hospitalization. Full payment for services rendered is required prior to discharge of your pet from the hospital. I am aware that all diagnostics, treatment and medication charges are in addition to any examination fee and agree to pay all charges incurred at the time of service. In the event of a check returned NSF or stop payment, a $25 fee will be added to the account. Late payments are subject to a late charge of 1.5% each 30 days or less. Any collection costs including reasonable attorney's fees will be borne by me, the customer. Records and Communication Policy BluePearl Specialty & Emergency Pet Hospital is part of your pet's continuum of care, and we may provide your family veterinarian, any specialists, and or a reviewing body information regarding your pet's treatment and/or condition. By signing below, you are authorizing BluePearl Specialty & Emergency Pet Hospital to share your pet's medical record with a third party (such as your family veterinarian) or its agent necessary for us to provide continuous veterinary care to your pet. You agree that we (or our agents) may send you communications to your contact information provided above regarding your pet. 5/26/2021 Client Signature Date Data Privacy Notice BluePearl Specialty + Emergency Pet Hospital and our affiliated entities are committed to providing quality and informed services to and for you and your pet. We aim to be your partner in your pet's long-term health and happiness through a variety of means, including by considering clinical studies, diagnosis and analysis from across our veterinary hospitals and brands. As part of this mission, we work with our affiliates, parent and subsidiaries (https://www.mars.com/made-by-mars/petcare) to provide the services you request and to analyze and evaluate the patterns of diagnosis and treatment of the pets treated at our facilities. From time to time we, BluePearl Specialty + Emergency Pet Hospital, and our affiliates, may also use the data collected from you and your pet for advertising and promotion of goods and services that may be of interest and beneficial to you and your pet. In addition, we may use such data and/or any residual biological samples collected from your pet for clinical studies to advance veterinary knowledge. Please visit our privacy policy, available at (https://bluepearlvet.com/bluepearl-privacy-policy/), for more information about the collection and use of your data and how to opt out of some forms of sharing. 5/18/2021 C GBD Client Communication - CLOSED 05/23/2021 Date: 5/18/2021 Time: 17:54 Entering Staff ID: GBD Client Name: Breanne Guyette Patient Name: Luna Patient ID: 391194 Left message requesting owner to call back. Spoke with owner regarding the case - see notes below. Called owner post-operatively. Left message on machine. Unable to leave message. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 15 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Surgery went well. Pet is in recovery. Will call with another update. Emailed Client O is trying to get reimbursed by Puppyland for visits concerning Luna's Neurological issues. She has been corresponding with Puppyland and they said they cannot reimburse her due to the fact that Luna does not have an official diagnosis from DGH. They are asking for proof or a diagnosis that Luna has been having neurological issues from birth that stem from genetics rather than outside factors/reasons. O is at a loss trying to get Puppyland to see that Luna has been having seizures since birth and that they were not caused by outside factors and would like to see if DGH can help/write an official diagnosis of some kind that she can show to Puppyland. Please call O at 360-888-2309 5/11/2021 C TYM BP - RDVM Paperwork (Attachment) - FINAL 05/11/2021 RDVM Paperwork (Attachment) 5/10/2021 C DGH Neurology - Dr. Hicks, Referral Letter (Portal) - FINAL 05/10/2021 DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Monday, May 10, 2021 Banfield Lacey #0371 719 Sleater Kinney Rd SE Ste 160 Lacey, WA 98503 Phone: (360) 459-8242 Fax: (360) 459-9123 Client: Breanne Guyette Patient: Luna Patient ID: 391194 Client Phone: (360) 888-2309 Dear Doctors at Banfield Lacey #0371: B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 16 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History This letter is to provide you an update on Luna who was recently evaluated at Bluepearl, Tacoma. The following is a summary of exam findings, tests, treatments, and recommendations. Any pending tests or reports will be forwarded to you promptly. Comments: Luna was evaluated for seizures. Please see the attached summary for details of this visit. Thanks so much. Stay healthy. Thanks again for allowing me this opportunity to meet Luna and Breanne Guyette. If you have any more questions regarding Luna's case or any others, please feel free to call. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 17 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Visit Summary "Luna" Date:5/10/2021 Patient:4 Mos. 1 Wks. 3 Days, Male, Shiba Inu Owner:Breanne Guyette Email: breannekadrmashair@yahoo.com Primary Veterinarian:Banfield Lacey #0371 (360) 459-8242 Handouts: __ Midazolam/MAD kit, seizure log, Written Rx - zonisamide Recheck: __ For recommended testing - call to schedule Case Summary: Luna arrived on: 5/10/2021 Referral: Banfield Lacey #0371 Referral doctor: Colleagues at Banfield in Lacey, Emergency Services at Olympia Pet Emergency History: Luna presented today for a neurologic evaluation. Luna has been exhibiting seizure activity since late March, when he was roughly 12 weeks old. He was adopted from Puppyland with no reported neurologic history. His seizures entail initial trembling, then his eyes roll back and he loses consciousness for a few minutes. His last seizure was on April 24th, when he was taken to Olympia Pet Emergency during an episode. Regular bloodwork was performed and returned within normal limits. He was initiated on medications and sent home. he has otherwise been doing well at home. He is bright and apparently healthy. Main Problem(s): Seizures Hx umbilical hernia Current Medications(s): Zonisamide 50mg PO q 12 hr B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 18 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Preferred pharmacy:Costco Lacey Any coughing, sneezing, vomiting, diarrhea? None Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None Initial Vitals: 5/10/2021 10:36 AM Vital Sign ALG Weight 6.8 kilograms Temp 102.3 Pulse 150 Resp 40 CRT <2 sec Alert BAR MM Pink Neurologic exam: Admission Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbilical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 19 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Seizures:GENERALIZED REPORTED TO HAVE OCCURRED 3X, STATUS AT OPE Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper Left Right Comments Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 20 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Bladder tone:NORMAL Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. Lab tests: None today Imaging tests: None today Other tests: None today. Diagnosis: Open. Seizure disorder reported. History from primary veterinarian and Olympia Pet Emergency indicate treatment for seizures and normal blood work. Initiated zonisamide for treatment. Rule out metabolic, structural, and primary causes of seizures. Comprehensive work-up is indicated. Patient was stable and clinically normal today. Comments/Discussion: I recommend a comprehensive work-up to determine a cause of seizures. This starts by completing the metabolic work-up (bile acids test, fasting serum ammonia testing). If this comes back normal, we recommend MRI and spinal fluid testing to screen for structural disorders. Primary (Idiopathic) seizures are still possible. This is mainly diagnosed when other causes are excluded. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 21 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Due to the history of cluster seizures, I recommend a daily anti-seizure medication. For now, zonisamide is OK. If bile acids are normal, I may recommend changing this to phenobarbital. Additionally, as Luna grows, doses will need to be increased (meds are dosed based on weight). Each month, please check in with your primary care vet for a weight check and medication adjustment as needed. If you cannot get into your regular vet, please schedule a recheck appointment here. Call at the next seizure event for guidance. Home Care Instructions: Medications: For acute seizure control: ITEM DESCRIPTION QUANTITY DIRECTIONS Midazolam 5 mg/ml Inj (ml) 3.00 Give 1 ML intranasally using syringe adaptor at time of seizure. Repeat in 1 minute if needed. Draw up only at time of use. Store out of light. Continue: Zonisamide (generic) 50MG cap Disp: Sixty - 60 Sig: Give 1 cap by mouth every 12 hours to treat seizures. Do not crush or break cap. Refills: Five - 5 Diet: Normal at this time. For dogs that have certain metabolic disorders (ie liver issues), a special diet is needed. Additionally, there are special diets for dogs with seizures. This would be prescribed as additional information is gathered. Exercise: Regular. Seizure monitoring: Please monitor for further seizure activity or new neurologic symptoms. These may include change in attitude/behavior such as hiding, agitation, restlessness prior to seizures, stiffening up of limbs, falling onto her/his side, paddling, urination, defecation, vocalization, dilated pupils, losing responsiveness to surroundings, and/or change in behavior after the convulsion. Pets can over-heat if she/he is in direct sun light, thus should be moved away from sun light. The involuntary body movements can result in injury such as falling off staircase and kicking objects over. If the convulsion lasts more than 3-5 minutes, wrap the pet in a cool, wet towel and he needs to be taken to the nearest emergency clinic. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 22 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History What NOT to Do Do not place your hands near the pet's mouth. (They do not swallow their tongues.) You are at risk of being bitten. Techniques such as hitting, slapping, throwing cold water on pet, etc have not been shown to stop seizures. These can result in unintended harm. Hyperthermia (elevated body temperature) can occur following seizure activity. You should purchase a rectal thermometer and be prepared to take body temperature upon termination of seizure activity. Seek veterinary consultation if temperature is > 104 F (normal canine rectal temperature is 101.5-102.5 F). Also please begin keeping a log of seizure activity. Record what he was doing immediately prior to onset of activity, duration of seizure activity, whether loss of consciousness or bowel or bladder occurs, and the duration of time before he returns to "normal." If possible, video recording is also advisable to confirm seizure activity. Recheck/Follow-up Please schedule bile acid testing. 12-hour fast at arrival for appointment. 2-3 hours needed to complete tests.• Keep seizure log.• Call at next seizure.• Call if there is a problem. We are open 24/7.• The Neurology/Neurosurgery Service at Bluepearl Veterinary Partners, Tacoma, would like to thank you for allowing us to assist in the care of Luna. Please call if you have any questions or concerns. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM Neurology Department: info.tacoma@bluepearlvet.com Daniel G. Hicks, DVM, MS, DACVIM (Neurology/Neurosurgery), Jessica Chavera, DVM, Practice Limited to Neurology Jenna Esteves, LVT, Amanda Gumtow, LVT, Allana White, LVT, Jessy Yount VA 5/10/2021 C DGH Neuro - TAC Visit Summary - FINAL 05/13/2021 B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 23 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 Visit Summary "Luna" Date:5/10/2021 Patient:4 Mos. 1 Wks. 3 Days, Male, Shiba Inu Owner:Breanne Guyette Email: breannekadrmashair@yahoo.com Primary Veterinarian:Banfield Lacey #0371 (360) 459-8242 Handouts: __ Midazolam/MAD kit, seizure log, Written Rx - zonisamide Recheck: __ For recommended testing - call to schedule Case Summary: Luna arrived on: 5/10/2021 Referral: Banfield Lacey #0371 Referral doctor: Colleagues at Banfield in Lacey, Emergency Services at Olympia Pet Emergency History: Luna presented today for a neurologic evaluation. Luna has been exhibiting seizure activity since late March, when he was roughly 12 weeks old. He was adopted from Puppyland with no reported neurologic history. His seizures entail initial trembling, then his eyes roll back and he loses consciousness for a few minutes. His last seizure was on April 24th, when he was taken to Olympia Pet Emergency during an episode. Regular bloodwork was performed and returned within normal limits. He was initiated on medications and sent home. he has otherwise been doing well at home. He is bright and apparently healthy. Main Problem(s): Seizures Hx umbilical hernia Current Medications(s): Zonisamide 50mg PO q 12 hr Preferred pharmacy:Costco Lacey B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 24 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Any coughing, sneezing, vomiting, diarrhea? None Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None Initial Vitals: 5/10/2021 10:36 AM Vital Sign ALG Weight 6.8 kilograms Temp 102.3 Pulse 150 Resp 40 CRT <2 sec Alert BAR MM Pink Neurologic exam: Admission Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbilical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY Seizures:GENERALIZED REPORTED TO HAVE OCCURRED 3X, STATUS AT OPE B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 25 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper Left Right Comments Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL Bladder tone:NORMAL B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 26 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. Lab tests: None today Imaging tests: None today Other tests: None today. Diagnosis: Open. Seizure disorder reported. History from primary veterinarian and Olympia Pet Emergency indicate treatment for seizures and normal blood work. Initiated zonisamide for treatment. Rule out metabolic, structural, and primary causes of seizures. Comprehensive work-up is indicated. Patient was stable and clinically normal today. Comments/Discussion: I recommend a comprehensive work-up to determine a cause of seizures. This starts by completing the metabolic work-up (bile acids test, fasting serum ammonia testing). If this comes back normal, we recommend MRI and spinal fluid testing to screen for structural disorders. Primary (Idiopathic) seizures are still possible. This is mainly diagnosed when other causes are excluded. Due to the history of cluster seizures, I recommend a daily anti-seizure medication. For now, zonisamide is OK. If bile acids B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 27 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History are normal, I may recommend changing this to phenobarbital. Additionally, as Luna grows, doses will need to be increased (meds are dosed based on weight). Each month, please check in with your primary care vet for a weight check and medication adjustment as needed. If you cannot get into your regular vet, please schedule a recheck appointment here. Call at the next seizure event for guidance. Home Care Instructions: Medications: For acute seizure control: ITEM DESCRIPTION QUANTITY DIRECTIONS Midazolam 5 mg/ml Inj (ml) 3.00 Give 1 ML intranasally using syringe adaptor at time of seizure. Repeat in 1 minute if needed. Draw up only at time of use. Store out of light. Continue: Zonisamide (generic) 50MG cap Disp: Sixty - 60 Sig: Give 1 cap by mouth every 12 hours to treat seizures. Do not crush or break cap. Refills: Five - 5 Diet: Normal at this time. For dogs that have certain metabolic disorders (ie liver issues), a special diet is needed. Additionally, there are special diets for dogs with seizures. This would be prescribed as additional information is gathered. Exercise: Regular. Seizure monitoring: Please monitor for further seizure activity or new neurologic symptoms. These may include change in attitude/behavior such as hiding, agitation, restlessness prior to seizures, stiffening up of limbs, falling onto her/his side, paddling, urination, defecation, vocalization, dilated pupils, losing responsiveness to surroundings, and/or change in behavior after the convulsion. Pets can over-heat if she/he is in direct sun light, thus should be moved away from sun light. The involuntary body movements can result in injury such as falling off staircase and kicking objects over. If the convulsion lasts more than 3-5 minutes, wrap the pet in a cool, wet towel and he needs to be taken to the nearest emergency clinic. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 28 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History What NOT to Do Do not place your hands near the pet's mouth. (They do not swallow their tongues.) You are at risk of being bitten. Techniques such as hitting, slapping, throwing cold water on pet, etc have not been shown to stop seizures. These can result in unintended harm. Hyperthermia (elevated body temperature) can occur following seizure activity. You should purchase a rectal thermometer and be prepared to take body temperature upon termination of seizure activity. Seek veterinary consultation if temperature is > 104 F (normal canine rectal temperature is 101.5-102.5 F). Also please begin keeping a log of seizure activity. Record what he was doing immediately prior to onset of activity, duration of seizure activity, whether loss of consciousness or bowel or bladder occurs, and the duration of time before he returns to "normal." If possible, video recording is also advisable to confirm seizure activity. Recheck/Follow-up Please schedule bile acid testing. 12-hour fast at arrival for appointment. 2-3 hours needed to complete tests.• Keep seizure log.• Call at next seizure.• Call if there is a problem. We are open 24/7.• The Neurology/Neurosurgery Service at Bluepearl Veterinary Partners, Tacoma, would like to thank you for allowing us to assist in the care of Luna. Please call if you have any questions or concerns. Sincerely, Daniel G. Hicks, DVM, MS, DACVIM Neurology Department: info.tacoma@bluepearlvet.com Daniel G. Hicks, DVM, MS, DACVIM (Neurology/Neurosurgery), Jessica Chavera, DVM, Practice Limited to Neurology Jenna Esteves, LVT, Amanda Gumtow, LVT, Allana White, LVT, Jessy Yount VA 5/10/2021 C DGH Prescription Pad - CLOSED 05/15/2021 - Zonisamide 50MG BluePearl Veterinary Partners - Tacoma PRESCRIBER: Daniel G. Hicks, DVM, MS, DACVIM 2510 84th Street South Suite 30D, Lake TELEPHONE: (253) 474-0791 Lakewood, WA 98499 DEA: ==================================================================================================== PATIENT: Guyette, " Luna" Canine PATIENT DOB: 12/31/2020 SEX: Male ADDRESS: 4542 Rochelle St SE TELEPHONE: (360) 888-2309 Lacey, WA 98503 DATE: Monday, May 10, 2021 B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 29 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Rx Zonisamide (generic) 50MG cap Disp: Sixty - 60 Sig: Give 1 cap by mouth every 12 hours to treat seizures. Do not crush or break cap. Refills: Five - 5 _______________________________________ ___________________________________ GENERIC SUBSTITUTION PERMITTED DISPENSE AS WRITTEN SIGNATURE OF PRESCRIBER SIGNATURE OF PRESCRIBER VOID IF NOT FILLED 30 DAYS VOID IF NOT FILLED 30 DAYS 5/10/2021 C DGH Neuro - TAC Check-In - CLOSED 05/15/2021 Referral doctor: Colleagues at Banfield in Lacey, Emergency Services at Olympia Pet Emergency History: Luna presented today for a neurologic evaluation. Luna has been exhibiting seizure activity since late March, when he was roughly 12 weeks old. He was adopted from Puppyland with no reported neurologic history. His seizures entail initial trembling, then his eyes roll back and he loses consciousness for a few minutes. His last seizure was on April 24th, when he was taken to Olympia Pet Emergency during an episode. Regular bloodwork was performed and reutnred within normal limits. He was initiated on medications and sent home. he has otherwise been doing well at home. He is bright and apparently healthy. Main Problem(s): Seizures Hx umbilical hernia Current Medications(s): Zoinisamide 50mg PO q 12 hr Preferred pharmacy:Costco Lacey Any coughing, sneezing, vomiting, diarrhea? None B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 30 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Did this pet travel outside of WA last 12 months? No If yes, where? Fasted: Yes Food Allergy: None Medication Allergy: None Initial Vitals: 5/10/2021 10:36 AM Vital Sign ALG Weight 6.8 kilograms Temp 102.3 Pulse 150 Resp 40 CRT <2 sec Alert BAR MM Pink 5/10/2021 C DGH Neuro - TAC Neuro exam seizures - CLOSED 05/15/2021 Exam:MM/CRT: Pink/moist; <2s LN: normal size/shape H/L: pulses synchronous, lungs clear, no murmur or arrhythmia Abd: Soft compliant, non-painful, no palpable masses Integument: Umbillical hernia MS: NSF Ears: Ears and pinnae have no evidence of inflammation and no visible abnormal discharge. Eyes: NSF Oral cavity: No oral masses observed. BCS: 3 /5 (1=severely underweight 2=underweight 3=Ideal 4=overweight 5=severely overweight) Pain level: 0 /10 (0= none; 10=high) Mental Status:NORMAL/ALERT/RESPONSIVE Neurologic Posture:NORMAL/NON-SIGNIFICANT Gait:NORMAL Urination:VOLUNTARY Seizures:GENERALIZED REPORTED TO HAVE OCCURED 3X, STATUS AT OPE Postural Reactions : (0=ABSENT, 1= REDUCED, 2=PARTIAL REDUCED, 4= NORMAL)Left Right B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 31 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Knuckling Front 4 4 Back 4 4 Ex. Post Thrust Back 4 4 Hopping Front 4 4 Back 4 4 Cranial Nerves: (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper Left Right Comments Vision & Menace (II)2 2 Pupil Size (II, III, sym)2 2 Corneal (V, VI, VII)2 2 Palpebral (V, VII)2 2 PLR (II, III, sym)2 2 Strabismus (III, IV, VI, VIII)2 2 Spont. Nystagmus (VIII)2 2 Physio nystagmus (VIII)2 2 Sensation, face (V)2 2 Sensation, pinnae (VII)2 2 Mastication (V)2 2 Facial mm, symmetry (VII)2 2 Swallowing (IX, X, XI)2 Tongue (XII)2 Segmental Spinal reflexes : (0-4) 0=absent, 1=hypo, 2=normal, 3=hyper, 4=clonus Left Right Flexor, Fore (C6-T2)2 2 Patellar (L4-6)2 2 Flexor, hind (L5-S1)2 2 Cranial Tibial (L6-7)2 2 Gastrocnemius (L6-7)2 2 Perineal (S1-2)2 2 Crossed Extensor 2 2 Nociception:Superficial pain (Cutaneous) PRESENT Deep pain (bone)NP Panniculus Cutoff:NORMAL Anal tone:NORMAL Bladder tone:NORMAL Muscle Atrophy:NOT PRESENT Muscle tone:NORMAL Root signature:NONE Spinal pain: NO B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 32 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Neuroanatomical localization: Prosencephalon, generalized. Seizures can be triggered by numerous causes. Therefore, we break them down into three broad categories – Reactive, Symptomatic, and Primary. Reactive (Metabolic): main consideration is portosystemic shunting, rarely organic acidemia/uria. Preferred testing - paired bile acids, +/- serum ammonia testing, +/- urine metabolic screening. Symptomatic (Structural) disorders: DFDX - neoplasia,encephalitis (immune-mediated vs. infectious), malformation, hydrocephalus (primary vs. secondary), vascular accident, trauma. Preferred testing - MRI, +/- CSF testing, +/-infectious disease testing. Primary causes: primary dfdx – Primary epilepsy (ie Idiopathic - younger patients) vs. Cryptogenic (older patients). Preferred testing - diagnosis of exclusion. Can base diagnosis on results of other testing (best), or based on signalment and history (presumptive diagnosis). Goals: 1. Seizure mitigation - appropriate use of anti-seizure medications. 2. Diagnosis underlying cause of seizures and treat directly when possible. 4/24/2021 C KJW BP - RDVM Paperwork (Attachment) - CLOSED 04/29/2021 RDVM Paperwork (Attachment) 4/24/2021 C KJW BP - Patient Referral Form TAC - FINAL 04/24/2021 PATIENT REFERRAL Date_______________ Please check the hospital you are referring to: DOWNTOWN SEATTLE 805 Madison St., Ste 100 Seattle, WA 98104 Phone 206.624.9111 Fax 206.467.1495 KIRKLAND 11814 115th Ave. NE, Bldg J Kirkland, WA 98034 Phone 425.823.9111 Fax 425.823.4008 NORTH SEATTLE 13240 Aurora Ave. N Seattle, WA 98133 Phone 206.364.1660 Fax 206.364.3667 RENTON 4208 Lind Ave. SW Renton, WA 98057 Phone 425.496.1000 Fax 425.251.1652 TACOMA 2510 84th St. S, Ste. 30D Lakewood, WA 98499 Phone 253.474.0791 Fax 253.474.6057 ____________________________________________________________________________________________ B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 33 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Acupuncture Avian & Exotics Cardiology Critical Care Dentistry & Oral Surgery Diagnostic Imagining Emergency Medicine Internal Medicine Neurology Neurosurgery Oncology Radiation Oncology Rehabilitation Surgery ____________________________________________________________________________________________ Owner name Breanne Guyette Pet's name Luna Owner phone _________________________ Breed______________ Sex ____________ Referring veterinarian ________________________ Pet's age ________ Pets's weight ________ kg lbs Referring clinic ________________________________________________________________________________ Preferred method of communication: Email ___________________________ Phone ___________________ Fax ____________________ I am transferring this patient to: the emergency service and then, if needed, to a speciality service the emergency service and, as appropriate, discharge the patient to go home or back to my hospital the emergency service for overnight care/observation and then transfer back to my hospital in the morning Reason for referral ____________________________________________________________________________ _____________________________________________________________________________________________ Immediate history/medications _________________________________________________________________ _____________________________________________________________________________________________ Concurrent conditions _________________________________________________________________________ _____________________________________________________________________________________________ Previous diagnostics* (please fax or email) Date last performed ____________________________ B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 34 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Laboratory Radiographs Ultrasound CBC Chem UA Coagulation Panel Histopathology Cytology Thyroid Panel Thorax Abdomen Limb Other _________________ Abdomen Echocardiogram Other__________________ Other________________________________________________________________________________________ *Please enclose copies of all pertinent diagnostics B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 35 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History 4/24/2021 C DGH Records Request - Tacoma (Portal) - FINAL 04/24/2021 DOWNTOWN I 805 Madison Street Suite 100, Seattle WA 98104 KIRKLAND I 11814 115th Ave NE Bldg J, Kirkland WA 98034 RENTON I 4208 Lind Ave SW, Renton WA 98057 SEATTLE I 13240 Aurora Ave N, Seattle WA 98133 TACOMA I 2510 84th Street South Suite 30D, Lakewood WA 98499 P 206.624.9111 P 425.823.9111 P 206.364.1660 P 206.364.1660 P 253.474.0791 F 206.467.1495 F 425.823.4008 F 425.251.1652 F 206.364.3667 F 253.474.6057 RECORDS REQUEST FORM Return to: 253.474.6057 or info.tacoma@bluepearlvet.com (preferred) B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 36 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Thank you very much for referring your clients to us. We would appreciate at your earliest convenience to fax over any history and lab work related to the patient's condition. Thank you very much. Let us know if you have any questions 253.474.0791. Regarding patient: Luna Guyette Owner: Guyette, Breanne Their initial consultation is scheduled for 5/10/21 at 10 am with Daniel G. Hicks, DVM, MS, DACVIM in the Neurology Department. All patients who are placed on our cancellation list are prioritized according to a variety of factors. We appreciate you making your records available as soon as possible so that we can see your patient sooner should we have a cancellation on short notice. Please include the following: # of Pages sent: __________ # of Radiographs/Diagnostic Images sent: ________ sent via ________ The attached referral form Detailed medical records DIAGNOSTIC IMAGES and REPORTS (digital or film x-rays, ultrasound, MRI, CT) Please courier current x-ray images AND reports via Phoenix, email or give to owner. DICOM Images: IP: 74.92.229.129 Port: 104 AE Title: KEYSTONETAC Biopsy and/or cytology reports Any other lab work- (CBC, chemistry panel, urinalysis, other) including old blood work for comparison. B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 37 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Please let us know if you have any questions. Thank you, Specialty Services BluePearl Veterinary Partners PATIENT REFERRAL Date_______________ Please check the hospital you are referring to: DOWNTOWN SEATTLE 805 Madison St., Ste 100 Seattle, WA 98104 Phone 206.624.9111 Fax 206.467.1495 KIRKLAND 11814 115th Ave. NE, Bldg J Kirkland, WA 98034 Phone 425.823.9111 Fax 425.823.4008 NORTH SEATTLE 13240 Aurora Ave. N Seattle, WA 98133 Phone 206.364.1660 Fax 206.364.3667 RENTON 4208 Lind Ave. SW Renton, WA 98057 Phone 425.496.1000 Fax 425.251.1652 TACOMA 2510 84th St. S, Ste. 30D Lakewood, WA 98499 Phone 253.474.0791 Fax 253.474.6057 ____________________________________________________________________________________________ Acupuncture Avian & Exotics Cardiology Critical Care Dentistry & Oral Surgery Diagnostic Imagining Emergency Medicine Internal Medicine Neurology Neurosurgery Oncology Radiation Oncology Rehabilitation Surgery ____________________________________________________________________________________________ Owner name Pet's name Luna Owner phone _________________________ Breed______________ Sex ____________ Referring veterinarian ________________________ Pet's age ________ Pets's weight ________ kg lbs Referring clinic ________________________________________________________________________________ Preferred method of communication: B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 38 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History Email ___________________________ Phone ___________________ Fax ____________________ I am transferring this patient to: the emergency service and then, if needed, to a speciality service the emergency service and, as appropriate, discharge the patient to go home or back to my hospital the emergency service for overnight care/observation and then transfer back to my hospital in the morning Reason for referral ____________________________________________________________________________ _____________________________________________________________________________________________ Immediate history/medications _________________________________________________________________ _____________________________________________________________________________________________ Concurrent conditions _________________________________________________________________________ _____________________________________________________________________________________________ Previous diagnostics* (please fax or email) Date last performed ____________________________ Laboratory Radiographs Ultrasound CBC Chem UA Coagulation Panel Histopathology Cytology Thyroid Panel Thorax Abdomen Limb Other _________________ Abdomen Echocardiogram Other__________________ Other________________________________________________________________________________________ *Please enclose copies of all pertinent diagnostics B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 39 of 40 Date: 6/30/2021 3:24 PM Patient History Report Client:Guyette, Breanne (261430)Patient:Luna (391194) Phone:(360) 888-2309 Species:Canine Breed:Shiba Inu Address:4542 Rochelle St SE Age:6 Mos. 0 Wks. 0 Days Sex:Male Lacey, WA 98503 Color:red Date Type Staff History B:Billing, C:Med note, CB:Call back, CK:Check-in, CM:Communications, D:Diagnosis, DH:Declined to history, E:Examination, ES:Estimates, I:Departing instr, L:Lab result, M:Image cases, P:Prescription, PA:PVL Accepted, PB:problems, PP:PVL Performed, PR:PVL Recommended, R:Correspondence, T:Images, TC:Tentative medl note, V:Vital signs BluePearl Veterinary Partners - Tacoma Page 40 of 40 Date: 6/30/2021 3:24 PM Dear committee members, I am Dr. Brandon Sinn, a veterinarian in Southeast Nebraska. I am currently licensed in 12 states and provide expertise to breeders from the single dog to breeders with over a hundred licensed breeding stock. I visit kennels, provide expertise and knowledge for all things veterinary related, and perform health evaluations on much of the breeding stock using Orthopedic Foundation for Animals (OFA) procedures and databases. These OFA health clinics have been a source for many breeders to maintain the high standard of males and females through tests such as hip, elbow, and spinal radiographs, patellar luxation, and cardiac auscultation to name many of the tests. I have tested over 17,000 dogs and performed over 50,000 individual tests on these dogs in the last 4 years. JAKS values these clinics and has partnered with me several times to perform these clinics for their breeders. I have visited many kennels of all sizes, types, and breed of dog. While no one kennel is the same, they all rely on a kennel owner’s management and attention to detail to work well. I have noticed breeders do well with many different sizes and types of operations and putting a number on this number has never worked. When looking at criteria for a good breeder putting a number on their breeding stock is the last thing I would look at. Dog breeders as with many other industries that thrive in doing superior work often grow their businesses. The larger dog breeders make their dogs their only business and spend more time with them and often have access to resources smaller breeders do not know of or cannot afford. Brokers play a major role in keeping breeders who are otherwise engaged in the day-to-day operations of their kennel informed of pertinent information. They spend time engaging in news of the industry from new vaccines and protocols, cleaners and disinfectants, and supplies and kennel design to laws and regulations and latest technology. Brokers help funnel information to kennel owners who would otherwise be unaware of current news and technology in their industry. This empowers breeders to do what they do best, raise healthy dogs. Being regulated is important to show compliance of the laws by breeders so consumers can have trust their puppy was raised in a humane manner and dogs are treated appropriately. Both state and USDA have regulations our breeders abide by in order to sell puppies. I applaud the verification of these breeders by their respective state and USDA agencies. These breeders do a wonderful job and have continued to upgrade their care and facilities as science has shown what is beneficial versus what is rhetoric. Thank you for your time and understanding of both sides of this issue. If I can be of further assistance, please reach out to me. I would like to strongly urge you to oppose this bill, as it severely limits the ability for pet stores to work with quality breeders due to an irrelevant number Sincerely, Brandon Sinn, DVM Chairman Mullet and Committee Members, Thank you for taking the time to read my written testimony regarding SHB 1424. My name is Jolyn Noethe. I am the President and co-founder of J.A.K.’s Puppies, Inc., a USDA and State of Iowa licensed wholesale distributor of puppies. I strongly oppose this bill as I believe it is based on inaccurate information being given to you by animal rights activists. It will directly affect close personal friends of mine, who are also clients, that own Puppyland – Justin and Kayla Kerr. Due to the length of my testimony, I thought it best to submit it directly to each of you via email. Animal rights activists are becoming much more aggressive in targeting members of the pet industry. They don’t understand what, how, or why we do what we do. Instead of trying to work with members of the pet industry to better the health and quality of the animals being offered to consumers across the United States, they believe that no one (except people of their own liking) should be able to raise animals for profit. In the past, members of our industry have kept their heads down and mouths closed (myself included), knowing that no matter what we did it was never good enough. If we speak publicly or catch the public’s eye, our words and actions are twisted to fit the activist’s agenda. The fear of being physically and verbally harassed, attacked, and tormented is a constant, as is the case for the Kerr’s and myself. Gone are the days where breeders, brokers, and pet stores can be silent. Now, we must stand up as an industry and show everyone that we believe in what we do, why we are great at what we do, and why what we do is necessary for consumers across the United States, specifically, in this case, the consumers of the State of Washington. Many industry professionals have been rallied to testify against this bill, with verbal and/or written testimony. I ask that you acknowledge that each of them, including myself, are doing so knowing we could be risking our personal and professional safety, since the probability of being harassed by activists is high. You will hear from veterinarians, virologists, breeders, brokers, kennel clubs, pet stores, industry workers, and other industry affiliates in the quest to help detail to you what the pet industry is truly about. Some of those testifying are affiliated with J.A.K.’s and some are just industry professionals. Every one of them are extremely passionate about their role in this industry, as am I. This may not be the first time that J.A.K.’s has been thrust at you and I will try to be as brief and clear as I can to discuss some of the myths that might have been told to you in regards to J.A.K.’s and give you the facts as I know them to be: 1. First, I’d like to address the Humane Society of the United States’ (HSUS) “Horrible 100” list. I urge you to realize this is a simple piece of negative propaganda that activists compile yearly in an attempt to shine the pet industry in a negative light. There is no science or methodology to determine who gets a “spot on the list.” It is compiled by HSUS and I believe it is based on emotion and hatred for those that do not share their views. That being said you are being shown that in 2019, my company made the list for the first time since its inception in 2009. Although I personally put zero merit in this so called “Horrible 100” list, I will say that historically the title holders have been those that have been found to be in violation, of either state or federal regulations, in regards to animal welfare. HSUS uses their own discretion to determine is one breeder, and not the next, with the same infractions, will make the list. My entry on the list had absolutely nothing to do with infractions pertaining to the welfare or care of any animals, but instead J.A.K.’s was placed on the list due to animal rights driven, non-animal related, litigation between the State of Iowa and J.A.K.’s Puppies, Inc. 2. To briefly touch on the aforementioned controversial lawsuit, I want to clarify that J.A.K.’s, past and present, has not been found guilty of any crime or of any of the allegations made by the State of Iowa. In fact, we maintain that the allegations made were unfounded. The lawsuit ended in a consent judgment, as J.A.K.’s worked out an agreement with the State. The agreement included a prohibition against certain activities which we maintain we were not previously doing, and thus, were agreeable to continue refraining from doing them. It included more transparency for the State – something about which we did not previously object. A lump sum payment to the Consumer Education & Litigation Fund (CELF) was also included in the settlement, but is/was not classified as a “fine.” Between paying our attorneys and fighting the State in what could be endless litigation, the payment to the CELF was deemed more economical for J.A.K.’s. It was decided that the resources J.A.K.’s would have used in litigating this lawsuit would be better used to promote and improve the welfare of animals instead. The consent judgment was agreeable and maintainable for J.A.K.’s and each provision has been and will be upheld. 3. Activists have accused J.A.K.’s of being a “puppy mill” broker, with myself and our breeders being inhumane. Not only is the “puppy mill” term highly offensive and derogative, it’s an out-right lie. That term is used freely by animal rights activists to stir up emotions and anger. J.A.K.’s has held a violation free USDA license since November of 2009. We are subjected to unannounced inspections, a minimum of once a year, but typically more frequently than that. J.A.K.’s has always adhered to, and in many cases surpasses, all aspects of the Animal Welfare Act (AWA) and all of its amendments. Not only is J.A.K.’s licensed by Iowa Department of Agriculture And Land Stewardship (IDALS), we are also licensed in the following states: Pennsylvania, Ohio, Illinois, Wisconsin, Missouri, and Kansas. No regulatory agency has ever found J.A.K.’s in violation of their regulations. J.A.K.’s sets very high standards for our breeders, and we are selective in who we will buy from. We work with our breeders to ensure they are in compliance with all of their governing agencies, as well as help them meet all of our standards. The Kerrs and I are happy to discuss with any member of this committee these standards and show you, if you have the time, several of our breeders facilities (please watch the video of some of J.A.K.’s breeder facilities that was submitted on behalf of Puppyland by their lobbyist). The pictures and videos the activists like to claim are breeders that source to J.A.K.’s are either outdated (and no longer depict the current circumstances) or are not a breeder of J.A.K.’s. The pictures of animals shoved in filthy, stacked cages they show you are not of J.A.K.’s breeder’s facilities. Many professions evolve and adapt and improve with the times and new technology. Activists desire that you believe that professional, commercial kennels and the pet industry have not evolved, and such assertions are false. The professional commercial kennels and small hobby breeders that J.A.K.’s sources animals from have evolved and strive to excel in their craft and profession. 4. The activists claim that the commercially bred puppies that J.A.K.’s places in pet stores are over vaccinated, over wormed or full of worms (claims that are inconsistent on their face), unhealthy, and “ripped” from their mothers before they are 8 weeks old. These are absurd accusations. To wean puppies too early from their mothers (which I assume is what the activists are referring to by using the term “ripped”) would be careless and of zero benefit to the big picture. Not to mention, J.A.K.’s cannot obtain any animal under the age of 56 days, which is usually 1-2 weeks after they are fully weaned off of their mothers. If a breeder feels that a specific puppy is not ready to be in its new home yet, they hold that puppy in their facility until it is ready to be transferred. As for over or under vaccinating & deworming, in order for a breeder to source puppies to J.A.K.’s, they must follow a very strict vaccination and deworming protocol developed by the veterinarians and virologists at NeoTech Industries, a leading vaccine developer and manufacturer. J.A.K.’s also follows a protocol for their facility that was established by those at NeoTech, and approved by our attending veterinarian. Not only do I and J.A.K.’s employees confer and consult regularly with our attending vet (who is available to us 24/7 as needed), we work closely with numerous other veterinarians for different consulting purposes. Our facility protocols were and are created and approved by veterinarians. The same holds true for each of our breeders individually. 5. Another false claim the activists make regarding J.A.K.’s is that we “cram underage puppies into semi’s & truck them coast to coast.” Again, please note that a licensed USDA transporter or dealer cannot take possession of any animal until it is 56 days old, which discredits their accusations of them being underage. By the time our puppies are transported to pet stores, they are very close to 9 weeks of age or older. Also, J.A.K.’s has never owned a semi or used a transporter that utilizes semi’s to transport animals. J.A.K.’s uses an independent transporter that is also USDA licensed and inspected. The transporter uses climate controlled Transit vans that have unfettered access from the cab of the van to the rear of the van. Each van is equipped with everything necessary to get each puppy to its predetermined location. All drivers are properly trained in the care of the animals during transit and the regulations for transporting animals. No more than 4 animals can be placed in enclosures for transport, and each animal in that enclosure must be able to stand up, lie down, and move around freely. Cramping animals in cages would be a violation of the laws and regulations regarding the transportation of animals set in the AWA, and the transporter J.A.K.’s uses has never been in violation. The AWA requires enclosures to be cleaned daily, animals must be checked on every 4 hours, and offered feed & water every 12 hours. Our transporter cleans its enclosures several times each trip; the drivers have access to the puppies at all times but do thorough checks of all animals at a minimum of every four hours (usually more frequently and it is documented when done). All puppies have food and water at their disposal at all times during transit to the pet stores. J.A.K.’s is located in the Midwest – no animal is in transit typically for more than 40 hours (start to finish) to its final destination, with exception of rare mechanical and nature delays. We do not transport animals coast to coast. The transporter owns and operates several vans weekly to get the puppies to their predetermined pet stores. The company that we use has vans and drivers used to exclusively transport J.A.K.’s. animals to Washington, greatly reducing the undue burden of added stress and external contaminants. 6. The claim that our industry is very secretive and J.A.K.’s is cloak and dagger is also false. J.A.K.’s offers full transparency with all of our breeders and pet stores and facilitates the transparency between breeders and pet stores. All of our pet stores have access to our facility and to each of our breeders facilities as well. Our breeders know that when sourcing puppies to J.A.K.’s we will be bringing stores to tour their facilities. The Kerrs routinely come to and travel with us across the Midwest to visit J.A.K.’s and our breeders. They were just here last week and we visited 6 different facilities. Attending continuing education seminars that J.A.K.’s holds for our breeders and helping facilitate OFA health testing clinics that we routinely hold for our breeders is another thing the Kerrs are active in. They are very hands on in helping set and hold the standards for our breeders. The insight the Kerrs offer not only J.A.K.’s, but our breeders when visiting with them, helps us all be progressive. When pet stores visit with our breeders, it helps all of us see the others point of view & to see the passion each of us have in what we do. This makes us all strive to do better and be the best at what we do! 7. The claim that breeders serial breed with no regard to the health of their animals is also an absurd claim, as is the claim that breeders euthanize the animal once it no longer produces. All of J.A.K.’s breeders have rehoming resources and practices for placing their retired adults. J.A.K.’s also works with our breeders to help facilitate rehoming their retirees if needed. 8. If a puppy is found to be unfit it is NOT automatically euthanized as the activists claim. If an animal cannot be sold, our breeders have people they work with to adopt out those puppies, as does J.A.K.’s All animals find homes, unless otherwise recommended by a licensed veterinarian. The activists also lay claim that we just dispose of puppies that can’t be sold – fit or unfit. Again, J.A.K.’s and all of our professional breeders find homes for EVERY puppy unless a veterinarian recommends differently! There is no such thing as unwanted puppies – they all find their homes. 9. Activists state there is a pet overpopulation problem in the U.S. There will surely be other testimony to give you researchable data to refute this and show you that puppies purchased in pet stores are a very small, minuscule percentage of the animals that end up in shelters. If there is an overpopulation problem (which I do not personally believe there is or has ever been), commercial breeders, brokers, and pet stores are not the source of that problem. If this were true, in 11 years, I would have been contacted by at least one person that obtained one of our puppies from a shelter or rescue. However, I have not. I think that I have touched base on most of the myths versus facts that the activists claim about J.A.K.’s, other brokers, professional breeders, and pet stores. If there is any of the points above I can help add more clarity to please feel free to ask and I will do my best to provide you with any additional information (facts) that I can. In summary, this bill would eliminate consumer choice and prohibit further legal, regulated businesses from entering your great state of Washington. Puppyland and J.A.K.’s agree that legislation should be written and passed that helps offer more transparency and protection for their consumers, but to carefully not eliminate the consumers right to choose where their pet comes from or harming any current or future businesses in the State of Washington. Thank you for taking the time to read my testimony and if I can be of any further assistance please let me know. Jolyn Noethe, President J.A.K.’s Puppies, Inc. P.O. Box 245 Britt, IA 50423 PH: (641) 843-3103 Cell: (319) 239-4455 To Whom it May Concern: My name is Jenna Waymire. I have been employed full-time by J.A.K.S’s Puppies, Inc., located in Britt, Iowa, since July of 2015. I started in the office with general clerical duties and have since been promoted to the kennel as a lead animal technician that works directly with the puppies. I would like to offer this as my official testimony in opposition of WA HB 1424. In recent years, my employer has come under fire by animal rights activists making erroneous accusations about the care that we and our breeders provide for the animals in each of our charge. I’ve seen the CAPS video with footage of breeders utilizing dilapidated buildings that house grossly neglected animals. “Puppy mills” are against everything we believe in and this video absolutely does not reflect our breeders who work tirelessly with the dogs that they love and who strive to raise happy, healthy puppies. We work closely with our breeders and hold them to high standards of care. As employees, we have all been to various breeders of various sizes (large scale and small scale) to tour, learn, and help them meet our standards. Employees, myself included, have firsthandedly witnessed the passion our breeders have in regards to the specific breeds they raise. Regardless of the number of animals they have, each of our breeders knows their dogs personalities and it is evident that their breeding dogs are handled and cared for on a daily basis. J.A.K.’s breeders ensure that each puppy is well socialized and healthy, by giving each of them the specific vaccinations and dewormings that are required before we pick them up. Often times, our breeders call and check on the welfare of their puppies to make sure they are transitioning well. The activists exaggerated claim that our puppies are in cramped, dirty cages and left to fend for themselves for 3-5 days is disgusting and insulting. Between myself and my co-workers, we spend several hours, every day, with the puppies that are in our kennel. They have human interaction 10-12 hours out of each day. They have plenty of room to run around, play, & stretch their legs. All puppies are removed from their cages several times a day for individualized care, human socialization, and for proper cleaning/sanitzation of their cages, blankets, & toys, which is done daily. The daily care that each puppy receives while they are in our kennel is quite extensive. Employees of J.A.K.’s are expected to maintain and promote the health of each puppy. One thing that helps us ensure each puppy’s health is to keep them groomed and clean. The grooming process helps us to do thorough hands on daily examinations of each puppy. While doing so, we pay close attention to their personalities and their health to ensure they are ready for their journey to our stores. We make daily observation notes to help communicate with coworkers who come in at different times of the day to make sure nothing is overlooked and every puppy is consistently monitored. These observations are shared among all staff members and with our veterinarian who comes to our kennel each week to examine every single puppy. She is very thorough and easily accessible to answer any questions we may have. Our vet has worked with our bosses and all employees to ensure that everyone is trained on everything we need to know pertaining to general care and treatment of puppies 8 weeks of age or older. But the love and extra care each of us gives our puppies isn’t something that can be taught. It is for these reasons I feel that brokers, specifically the one I work for, plays an essential part in ensuring that all of their puppies will thrive and easily transition to the pet stores. I have personally purchased 3 of my own dogs from J.A.K.s and I have a retired breeding dog from one of our breeders. My dogs are happy and healthy. When they were brought home, there was no issues or adjusting needed. I have other friends and family who have also obtained puppies from J.A.K.’s and have said the same thing. They continue to look to us in adding additional puppies to their homes and homes of their loved ones. Not only do we provide people with happy, healthy puppies but we make sure they get their complete medical records, microchip forms, and the lineage for their dogs. They have peace of mind in knowing they are acquiring quality and professionally bred puppies. Thank you for reading my testimony in regards to WA HB 1424 and I urge you to understand how this bill will negatively affect animals and people in your state. Jenna Waymire Animal Care Technician J.A.K.’s Puppies, Inc. Bob Page, DVM and his vaccine company have been producing vaccines for dogs for over 30 years. Dr. Page and I (Ben Hatler, Ph.D. of NeoTech, LLC) attend multiple canine educational meetings a year. At these meetings we present seminars pertaining to various strategies to promote the health of dogs and puppies raised in kennels. These health promoting strategies have been designed and revised throughout Dr. Page’s 40-plus years of consulting with kennel all across the country. These seminars include a wide range of topics but focus mainly on raising healthy puppies that will become good candidates for vaccination. Representatives of JAK’s Puppies are fixtures at these seminars. It was through these seminars that NeoTech, LLC and JAK’s Puppies forged a relationship. Representatives of JAK’s Puppies noticed that many successful breeders were using NeoTech, LLC’s vaccines. Therefore they sought our advice as to how NeoTech vaccines could be used in their business. We explained that the best way to minimize contagious disease outbreaks at the broker’s facility and pet stores is to properly vaccinate the puppies prior to arriving at the broker’s facility or pet store. So we designed a vaccination strategy for JAK’s Puppies’ breeders. Through my many consulting sessions with JAK’s Puppies and their breeders, I know JAK’s Puppies holds the breeders accountable for the execution of this vaccination program. JAK’s Puppies will not accept puppies from breeders that have not strictly followed the vaccination program and JAK’s Puppies require documentation. Dr. Page and I have had many conversations with JAK’s Puppies’ representatives on the factors that prevent vaccine-induced immunity. The #1 factor that prevents vaccine-induced immunity in young puppies is the presence of intestinal parasites. Intestinal parasites cause inflammation in the gut, suppress the immune system, make the puppy more susceptible to intestinal viral and bacterial infections and less likely to develop immunity after vaccination. JAK’s Puppies’ representatives appreciate that the intestinal parasite load must be minimized prior to vaccination. Therefore JAK’s Puppies require that breeders administer dewormers, anti-giardia drugs and coccidiastats. These medications are administered early and frequency in the puppy’s life to ensure they have a healthy gut and will respond to vaccination. JAK’s Puppies holds the breeders accountable for this anti-intestinal parasite program. They know the anti-parasite and vaccination program go hand-in-hand. JAKS’s Puppies will not accept puppy from breeders who do not document their strict adherence to the anti- parasite program. When I travel to various dog breeder seminars, I have the opportunity to visit with different types of dog breeders with various sized operations. Breeders range from small show breeders that raise a few puppies a year to large scale commercial breeder that sell over 100 puppies a month. In my experience most large scale commercial breeders are USDA licensed. Generally speaking the USDA licensed breeders are very knowledgeable concerning preventative health measures. USDA licensed breeders are required to have a program of veterinary care for each and every scenario that may arise. USDA licensed breeders are required to document administration of medications and treatments. USDA licensed breeders are required to keep track of the expiration dates of all medications. USDA licensed breeders are also required to document health abnormalities and any environmental conditions that may be detrimental to the dog’s health. USDA licensed breeder are also required to sanitize and disinfect their facility on a routine basis. Furthermore, USDA licensed breeder are subject to surprise inspection. This basically ensures that the USDA breeder adheres to a higher level of animal husbandry as required by the Animal Welfare Act. In my experience working with breeders, I believe that larger kennels tend to a high level of medical care than small scale operations. Larger kennels have record keeping systems that are crucial in organizing, scheduling and executing the necessary task. Larger kennels also require more interactions with veterinary professionals that create learning opportunities and kennel visits and inspections. Larger kennels also rely on hired employees or family members to help with daily kennel operations. This creates a scenario where different individuals are caring for the dogs each day and reduces the chance that an abnormality will be accepted as typical. Larger kennels also tend to have full time employees who are not distracted by other vocations. As opposed to small scale operations, larger scale operations tend to be structures that were specifically designed for raising dogs. These structures incorporate manure removal systems, HVAC systems, appropriate lighting, surfaces that are easily sanitized and disinfected and dedicated areas for treatment and quarantine of dogs. In summary it is my opinion that larger facilities provide a higher level of care than smaller facilities. Time and time pet store operator have fewer health issue from large scale USDA licensed facilities than small part time breeders. The idea that a facility with more than 50 dogs cannot properly care for animals is contrary to my observations. From: Senator Sonnenberg <senatorsonnenberg@gmail.com> Date: March 25, 2021 at 12:46:55 PM PDT To: Kayla@puppylandwa.com Subject: Re: Vote NO on HB21-1102 Hi Kayla, Thanks for your note regarding the sale of dogs and cats. Unfortunately, the animal rights groups are not being completely honest with their intentions in this bill. There are legitimate dog breeders, some near you, that raise and train dogs for hunting as well as working dogs for livestock. This bill would make it illegal for these dogs to be sold in some venues including at an event in our small communities. The unintended consequences (or intended consequences) are that an animal shelter will have almost exclusive ability to sell pets. This will also drive more breeders undergound and create situation where many will just simply breed and sell their animals without any oversight because the regulations will become unreasonable. Will these groups next steps be to eliminate livestock auctions for our cattle, horses, hogs and sheep? Many of these same groups have publicly stated they want to end animal agriculture. Our rural communities continue to die by a thousand cuts and this is just another one of those cuts. Thanks again for reaching out to me on this important issue. Thank you, Jerry Sonnenberg Colorado Senate District 1 4465 CR 63 Sterling, CO 80751 970.581.8648 www.ElectSonnenberg.com What Do You Know About Puppyland? Justin & Kayla Kerr had a vision for creating the finest pet experience in the “Best Friend” industry and opened their first store in 2018. Kayla’s experience comes from working for a puppy store in California for many years. The one thing she considered often was a way to make it more of an experience and choosing the best puppies she could for her customers. Her focus became knowing who the breeders were, what they did to better themselves, and how well they took care of their puppies. She made it her top priority to make sure the store had the highest cleaning standards and understood the importance of taking care of their customers long term, as this leads to healthy, happy puppies that are a part of their forever home. Finally, she wanted to be supportive and involved in the day-to-day operations of the puppy store, as well as involved in promoting the industry and making it better! These factors are what truly sets Puppyland apart from the rest of the pack! Where Our Puppies Come From Puppyland puppies come from licensed and professional breeders that love what they do and have clean inspection reports for a minimum of two years. We look for things like exercise, socialization, veterinary care, and retirement programs when we choose which breeders to work with. In addition to these breeder requirements, we partnered with a company named JAKS to ensure we are receiving the healthiest puppies from our top-notch breeders. After working with NeoTech closely, our companies have implemented a strict deworming and vaccination protocol that has, essentially, eradicated viruses from being spread or entering our stores. Each breeder must also follow this protocol in addition to the many standards for their puppies to be a part of Puppyland. Together, both JAKS and the Kerr’s attend continuing education seminars with our breeders and assist hands-on with veterinarians that perform OFA health testing on the parent dogs. All Puppyland breeders must be willing to participate in this health testing. This helps to ensure to our customers, and the general public, that our breeders love their dogs and only want to produce healthy puppies! Once a breeder is chosen by Puppyland, we reserve the puppies within weeks of them being born. All the puppies that we get for that week go to JAKS’s central holding facility, or “broker”, to be vet checked, microchipped, vaccinated, and to have their paperwork turned into a digital copy that can be imported into our software system. They are in this holding facility for a few days to complete the above and make sure they are ready for transport to our store. Our transport system is like no other! On the outside, it looks like a normal sprinter van, but on the inside, it is built out to provide the best of comfort with unique ventilation and temperature control systems. The puppies’ safety and comfort are our top priority while transporting our precious cargo. These transport vehicles have kennels that are secured in place and puppies have unlimited access to clean food and water. For the health and safety of our puppies, our transport even drives straight through so that our babies are not in transit longer than they need to be! The cab and carrying part of the vehicle is open so the trained kennel technicians can keep an eye on the puppies, feed them wet food when needed, make sure their water and kibble are topped off, and clean up their potty pads as needed. Once the transport arrives our kennel team meets them at any time of day or night to ensure our puppies come into our store as quickly as possible to decompress from their journey and get settled into their new space. Puppy Care In-House Puppyland has three main teams - cleaners, kennel, and sales. Each team is vital to our operation and without one we would not be able to operate! Early every morning before anyone else comes into the store, the cleaners completely break down everything you see in the store and disinfect it. All puppies are taken out of their enclosures, and the enclosure is deep cleaned and filled with fresh bedding and water. The Puppyland meaning of DEEP CLEANING is that every speck of poop particle, paper, and even dust must be removed, and the area disinfected. This preventative protocol allows us to keep our puppies healthy and eliminates the spread of any kind of cross-contaminants. In addition to having an in-depth cleaning regimen as mentioned above, Puppyland also has a special ventilation system installed to keep our puppies healthy! The main space and each wall kennel are connected to this system to ensure all air is pulled up and out of the building to allow for fresh, clean air. Our kennel team exclusively takes care of our puppies. Each puppy gets a head-to-toe check daily and their information is logged on their chart. Our kennel team proactively works with our veterinarian, so they are protected to the best of their ability when they go home with their new family. Our kennel team feeds, cleans, bathes, grooms, facilitates playtime, and is the backbone of our store in providing healthy, happy puppies. Finally, the sales teams’ responsibility is to find our sweet puppies their new fur-ever homes! They work with and counsel our guests to make sure the breed they are looking for is the right fit for them. They openly listen and assist with educating the clients on puppy care, breed, temperament, size, and various training topics. This helps to ensure that our customers are happy with their new puppies and understand how, why, and what they need to provide the best care for their new furry member of the family. We Want Happy Customers Many will ask what makes Puppyland so different, or better, than other pet stores or breeders. We can proudly answer because we care about our puppies and our customers. We believe in forming a partnership from the very beginning with them so that we can be a lifelong resource. To accomplish this, we first believe in an experience that allows the guest to feel as if they are heard and understood from the time they walk in the door, to the time that they take their new fur-baby home. We believe in our breeders and have implemented some of the best health guarantees in the industry to show our customers we are confident in the health and breeding of our puppies. If our customers are not happy, we will do anything in our power to rectify the situation! Doing the right thing is the most important thing to us. We are good people before we are business owners. When our puppies go to their new homes, it is our truest intention that it will be there for a lifetime. However, like many other life circumstances, issues sometimes arise, and their forever family needs to find their puppy a new home. This can be quite stressful for both the family and the puppy as there was an emotional attachment and the puppy was a part of their lives. We truly do not want to happen is to contribute to shelter overpopulation. Because of this and how much we care about our puppies, we created the Furever-A-Home re-homing program to prevent our puppies from being surrendered to an animal shelter and our customer can have peace of mind knowing that they can fall back on us if they need to. Let’s Get Involved and Better the Industry! Kayla and Justin are continually active in legislation and bettering the pet industry. They advocate for higher standards to be required on a state level so that consumers are protected and so that other stores are not promoting bad breeders. Using Puppyland’s breeders and their rigorous policies the Kerr’s can educate legislators and fight pet sale bans across the country. But it’s not just about the bans, it’s about pushing legislation to implement higher standards for the sales of all animals. This is just another of the many reasons Puppyland is above the rest. The Kerr’s are involved in the day-to-day processes of the business to ensure that their high standards are being met, their guests are receiving the best experience possible, and that their hard-working dedicated employees have what they need for their well-being. The Kerr’s personally care about each employee and puppy that are in every store. You will not see any other pet store owner be as involved or roll up their sleeves to help with these rigorous routines, taking care of their employees, guests, and fur-babies. We hope you are as excited as we are for Puppyland to be a part of the community; making the world a happier place, one puppy at a time! ---------- Forwarded message --------- From: Tal Altman <tal.altman@gmail.com> Date: Mon, Jan 27, 2020 at 9:27 PM Subject: Re: Puppyland To: Tal Altman <tal.altman@gmail.com> January 27, 2020 To whom it may concern: We would like to take the time to tell you a little history about our family pets, and how we came about purchasing our two dogs at Puppyland. Our family has never been the same since our family dog Bamba passed away almost 4 years ago on March 11th, 2016. We had Bamba for 16 years. She was like our ﬁrst child rather than a dog. A year after she passed we rescued a poodle, we named Bolt, that was two years old. It was the worst experience we ever had to train a dog, as Bolt was not obedient, would run away, chew on our carpets, pee everywhere, and ﬂooded our upstairs bathroom when he chewed on the braided hose connected into the toilet. In 2018 we knew that we wanted a family dog. We started doing some research on where to rescue or purchase a dog here in Puyallup. We knew that we wanted a puppy due to our experience with Bolt. Many of our acquaintances were buying dogs online and having horrible experiences either with people stealing their money, or them getting puppies that were very sick. We looked online for dog shelters to see if we could ﬁnd a poodle, Maltese or Bichon Frise breeds, but we had no luck. We meet some people at our daughter’s school that purchased a Maltese from a breeder here in Puyallup. They warned me not to bother purchasing from them since their puppies had a list of health problems that cost them a lot of money in veterinarian bills. I continued to do research to buy a puppy from another state. After six months of looking, we bought our ﬁrst puppy from Puppyland in February 2019. No one ever told us about Puppyland. We had no idea that there was a local puppy store where we could purchase our new little family member. We drove down the street and saw a lot of people with large signs saying something about Puppyland. Thanks to the protesters we were aware of the store! At ﬁrst, we thought it was people advertising for the store. It’s like G-d answered our prayers to have a puppy store so close to home. We fell in love with our Malshi, Maltese Poodle mix. Puppyland owners were so patient with our girls and welcoming us into their store to spend time with all of their puppies. We felt so comfortable in such a clean and beautiful store. We did not feel pressured at all to buy a puppy. I really wanted a Maltese, but our daughters wanted a Shih-tzu. To our luck the puppy that we fell in love with was a Maltese and Shih-zhu breed. That day we brought Fluffy home. Puppyland provided us Fluffy’s health records, genealogy and breed information. They also gave us information for veterinarian, a kit with food, vitamins, probiotics, a folder with the puppies eating habits, times and care instructions. Fluffy was already Microchipped, had multiple vaccinations already provided, and we were reminded that we had 3 days to schedule Fluffy’s ﬁrst veterinarian appointment. They also provided us with information on how to get Fluffy trained or participate in dog shows. In our ﬁrst veterinarian visit, the vet was so impressed with how healthy Fluffy was, including having her ﬁrst series of vaccinations already taken care of, that she was already microchipped, and was in great health. They ran some fecal test to check for worms, and three days later they called us to let us know that Fluffy was healthy and there was no evidence of any worms. For preventive measures they prescribed some additional medication to ensure that no new symptoms would be present? We were very happy and pleased with our new puppy and we couldn’t have bought here from a better place that meet all of our requirements to bring a new family member into our home. The process was so easy, professional and we never felt pressured to make a purchase. We feel that every penny we spent on our dog was worth it because we bought such a beautiful healthy well behaved easy to train puppy. Puppyland made our dreams come true and made our family complete and made our two little daughters extremely happy. It wasn’t long after that we let our friends and acquaintances know that we had a new little puppy in our home. My children, wife and I could not believe the negative backlash we received from several people when we told them that we bought Fluffy from Puppyland. There are people going around spreading lies about Puppyland making them seem that they are horrible to the puppies, and that the dogs are unhealthy and mistreated. We went on yelp and read some of the reviews. It was sicking! Some of these people have never been to Puppyland and they were making up all these lies. We as consumers have even felt the backlash of all these false accusations, about Puppyland. Even in our children’s elementary school, the kids are shaming our daughters for owning a store purchased puppy. Acquaintances of ours have also given us the third degree for purchasing an expensive puppy and making Puppyland rich, instead of saving the money and adopting a shelter dog. I think as a consumer we are all entitled to do what we want with our own money, to purchase a puppy from the store or a shelter if we choose to. We rescued our previous dog, Bolt, which we had a horrible experience trying to train, and it cost us a lot of money to repair all the damages to our home. It is so sad how one person, and a group of people, have a vendetta against Puppyland to go to such extremes to badmouth them in so many different ways, where the consumers are feeling the backlash of their harassment towards Puppyland. As consumers we are somewhat afraid to tell people now where we purchased our puppy, even to different veterinarians, as they also make us feel uncomfortable once they ﬁnd out that our puppy comes from Puppyland. For example, when Fluffy needed to get surgery to get spayed, we noticed that quotes for the surgery would go up more if we told the veterinarian that we purchased Fluffy from Puppyland. My friend took her dog, named Pipper to the veterinarian one week before I did. Pipper was spayed for $120 and the surgery went well without any complications. My wife and I took Fluffy to several other veterinarians and once we explained that Fluffy was purchased from Puppyland they started pressuring us to get health care insurance, and other services. With or without the insurance the quotes we received were in excess of $1000 for spay and another $800 for tooth extraction services. My friend told us to go to her veterinarian and not to disclose that we purchased Fluffy from Puppyland, in order for us to get a low-cost quote. Fluffy was spayed by the same veterinarian as Pipper for only $325 which included the tooth extraction. As a consumer we have also felt harassed, we only can imagine how the Puppyland owners must feel. We purchased Fluffy in February 2019. We were so impressed with Puppyland’s customer service and we are so happy with our Mal-shi Puppy, that we decided to go back to purchase another puppy to love. We love how Puppyland advertises on social media even though there are always people trying to leave negativity. We didn’t let that affect us. We kept looking on Facebook at the new arrivals, and we stopped periodically in the store to see if we can ﬁnd our newest family member. My wife and the girls fell in love with a Bichon teddy bear that was on Puppyland’s Facebook page. We went in November 2019 several times to see the puppy. We were the lucky ones to ask about the new Bichon, and they actually had her in the back in her own little playpen with a staff member present because she was recuperating after having a little surgery due to an umbilical cord hernia. After playing with her several times we knew that she was the one. We asked Puppyland if we could purchase her and take her home even though we noticed she had a little incision in her belly that was still healing. We were so ready to make her ours and take care of her. Puppyland wanted to make sure that Bella-Mia was cleared by the vet and had met all the prerequisites before releasing her to us. Although we were saddened that we couldn’t take her home that night we appreciated how professional they were, and that they wanted to make sure that the puppy was healthy, had healed correctly, and had the clearance from the vet, had her shots before they would let us purchase her. They asked us to wait about a week for the veterinarian to release her. The veterinarian had to administer a few more vaccinations along with inspecting how she was recovering from her hernia procedure. Throughout that week the staff and the owners from Puppyland were so accommodating to us that they would welcome us to come and spend time with our new puppy, which we named Bella-Mia, so she could get acquainted with us. They would let us play with her and visit her and they took great care of her to make sure that she healed quickly. We were so grateful and so thankful to Puppyland for making us so incredibly happy to have such healthy puppies. We took Bella home, and on the third day we took her to the Vet. To no surprise we had another healthy little puppy. Bella-Mia has a huge appetite and was growing very rapidly. The vet told us to monitor her feedings due to her having a previous hernia surgery, and that it was common in puppies for them to need a second hernia surgery. On Bella’s third vet visit the vet noticed that although she was healthy, but her hernia had opened up a little bit and recommended surgery to be scheduled in the month of January 2020 which we could do at the same time of doing her spay surgery. We went back to Puppyland to purchase a kennel for Bella-Mia since she had already outgrown her previous kennel that we purchased on Amazon. We are so content with Puppyland that they provide healthy beautiful puppies, but also have other Dog related merchandise such as dog carriers and kennels for the puppies. As we were talking to the owner about how our puppies were doing, my wife mentioned that Bella-Mia will be needing a second hernia surgery. To our surprise, Kayla the owner, told us that she was sorry to hear that, and not to worry about the cost. That she would be happy to reimburse us once Bella-Mia had her surgery. If that is not great customer service, then I don’t know what else these people want from Puppyland. I know our puppies are expensive, but they are worth every penny. As a consumer you get what you pay for, and we should have the freedom to spend our money wherever we like. Here are some pictures of our happy family thanks to Puppyland. -- /Tal 1-408-921-2940 (m) tal.altman@gmail.com -----Original Message----- From: "Sue Ellen Kenyon" <skenyon4@yahoo.com> Sent: Wednesday, January 29, 2020 4:52pm To: info@puppylandwa.com Subject: Re: Reaching out for help! I oppose HB 2322. I purchased my Toy Pom from you right after you opened about a year and a half ago. She came with papers, is fully AKC registered and has been in nothing but perfect health. The entire experience with Puppyland has been terrific. You have knowledgeable staff, are immaculate in cleanliness. At Puppyland vs. almost anywhere else you have the history of where the puppy came from and exactly what it is. Some people have a heart for a rescue dog and that’s great, some people want something specific and are willing to pay what they will and that should be great too. It should be my choice to buy or not and believe or not believe in a store. Sue Ellen Rush Skenyon4@yahoo.com To Whom It May Concern, I’m writing on the behalf of Puppyland who is facing being banned as a pet store. I understand there may be pet stores that are not up to state standards. But that is not the case of Puppyland. They provided me with a puppy that has completed our family. A year ago, my teenage son was struggling with anxiety and depression. He was asking for a puppy and we have never had a pet and had no desire to own one. I did a lot of research and talking to others to find the right dog for our family as a breeder we trusted. When a coworker shared, she had got a similar breed we wanted at Puppyland, I started asking questions. The things she shared about the company made me feel this wasn’t a regular pet store. I reached out to Puppyland and they were professional and answered all my questions. Then we did a visit and I was impressed in the cleanest of the store and the expectations of those coming into the store. The owners and workers were making sure their puppies were protected. Our son fell in love with our Mini Goldendoodle, Louis. Puppyland knew all about this little guy from eating habits to potty schedule. We were given details of our puppy’s history and current veterinarian visits for shots and check-up as well as the next steps for him. Puppyland knows the details of their breeders. They shared and provided the basics our puppy would need to be healthy. They went over the expectations of our puppy getting checked out in the next couple of days of taking him home. And the paperwork we did to even be eligible for our puppy was thorough. I left Puppyland feeling confident that my puppy was well taken care of. Puppyland has continued to follow up on the care of Louis. Louis has not only been therapeutic to my son, but also to me and my husband. We both lost our fathers and Louis has brought us so much joy and love. We couldn’t imagine our lives without him. And we know that he was in good care before we got him and Puppyland continues to make sure Louis is being well taken care of. To me that isn’t a pet store that is foster care system. Making sure is dog is proper cared for until they have found the perfect home. With that said, please do not take away the gift Puppyland is providing for families. They love these animals and want the best for them just like you. We need more places like them because they are more than a pet store. Sincerely, Keva Jordan Proud owner to a dog from Puppyland 1/28/2020 To Whom it May Concern, I have lived in the state of Washington since 1991. I have been a pet owner for much of that time. I have always applauded the ethic treatment of animals to include clean living quarters and prompt medical care. In 2013, I finally succumbed to injuries incurred while serving in the U.S. Air Force. The year before I had lost my son due to muscular dystrophy. A few months after my son’s death, I started to consider getting a pet for companionship. My family and I spent the next 5 years looking for suitable pets in our state. The “rescues” we encountered were filthy, poorly managed and many of the animals were either unsuitable as a pet because they were not as described, or the rescue was so filthy we wouldn’t go into their house. It was never an actual facility. Some looked as bad as some of the cases depicted on “Hoarders” which is extremely sad. We rescued 3 cats at the “best” one, a groomer that always has rescue kittens and puppies. Come to find out, in front of my family member, she made up the adult cats shot record. She claimed all the animals had been wormed. She also stated the adult had recently had a cesarean section to my family member but kept changing the story. We later found out that other folks have outed her grooming store as a pet mill where she breeds “rescue” animals. The kittens died while we were arranging vet care. Fortunately, the cat that had been used to breed rescues survived and is a loved member of my family. I bring this story up because the few folks who keep trying to shut down Puppyland claim that the public should only be allowed to have rescues as pets. They claim it’s in the pets’ best interest. Really? Unlike my cat, which was underweight and wormy, my Puppyland puppy saw a vet the day I picked her out. I saw the vet at the facility and waited until he gave her a clean bill of health. I then followed up with my personal vet who was impressed with my pet’s health. The facility she was kept in was clean, comfortable and she was playing with other puppies when we arrived. I have been in health care for over 20 years and Puppyland is cleaner than most of the health care facilities that house our elderly in this state. My puppy was already micro chipped and AKC already knew about her. Unlike my cat, hidden in a back room, producing “rescue kittens”. Funny, I don’t see the protester out in from of the groomer’s complaining that she is selling pets, yet a facility such as Puppyland that is selling healthy animals is somehow evil? I have the right as a responsible adult to decide for myself what is the most suitable pet for me. It is my right to choose. I choose a happy, healthy puppy. I reject the notion that I can’t make this decision for myself and that I somehow need some oversight from Olympia to do it. I am so pleased with my pet’s wellbeing that once her one on one training is complete; I plan to purchase from Puppyland again. I look forward to seeing my dog’s breed at Westminster Dog show in the future. I look forward to buying another healthy puppy from Puppyland. Sincerely, Dr. Michelle J. ComesLast, N.D., L.P.N. (RET) From: "JENNI COLE" <LilFerret@msn.com> Sent: Saturday, January 25, 2020 4:36pm To: "kayla@puppylandwa.com" <kayla@puppylandwa.com> Subject: Happy customer My name is Jennifer Cole, and my husband Jeffery and I have visited Puppyland many times since they opened in Puyallup, WA. We've rescued many dogs and cats over the years, but we wanted to add a Boston Terrier to our family. When we visited to see one, however, one wasn't available, and we ended up falling in love with a little Pug instead. Rygel (or Dominar Rygel XVI, as he's papered) is easily the goofiest, silliest, squishiest, lovable dog we've ever had. He's healthy and happy, and we cannot picture our family without him. Once he was about 8 or 9 months old, we went back to Puppyland to see a little Boston girl who had recently arrived. It was love at first sight, and we knew she was going to be ours. She hadn't had her full vet workup yet, however, and Puppyland advised she'd need to stay with them until they could have her checked out, and ensure her health was perfect. She got the stamp of approval the next day, and came home with us. Molly (Molly's Moody Blue) is a precious little girl, who loves to sit on your chest to be snuggled, and give you kisses. She loves her brother, and they're inseparable. We're not sure where we'd be without both of our babies. Rygel is 15 months old now, and Molly is 8 months old. The folks at Puppyland were patient, kind, were able to answer all of our questions, and we wouldn't hesitate to go back to them for another dog. The store is always immaculate, there are stations to sanitize your hands so that you don't spread any unwanted germs to the precious puppies, and the areas where the puppies are kept are clean and safe. They don't even want the puppies picked up if they're sleeping, as puppies need their rest, and they want to make sure they don't get overly tired. I've never seen such care for animals, even at a shelter. Both of our Puppyland dogs are very well-adjusted, and great family pets. I trust Puppyland and would love to see them continue to provide wonderful pets for such a pet-friendly state. Here's hoping they're around in the future when we look for our next family member. Sincerely, Jennifer Cole Dear WA State legislators, I am writing to you to give you, as one of your constituents, my outlook on your pending legislation concerning the sale of puppies in pet stores. Your proposed legislation is deficient on several grounds. First, your bill contains factual errors of how retail stores operate and where they obtain their puppies. While regulation of puppy mills may be problematic, small retail outlets do not rely on them. It is also false that “no legitimate breeder” would sell animals through a retail outlet. In fact, many breeders are assisted with selling their animals through small retail stores because it removes the burden of doing their own advertising and marketing. My personal experience highlights this. I purchased an Irish Setter through a Puppyland retail store in Puyallup in 2018, that was directly from a breeder. My puppy had thorough veterinary checkups, came with 4 OFA health certificates on the parents for issues like hip dysplasia, and even a pedigree line from the breeders. I was even able to contact the breeders as a follow up to verify these documents. My dog is registered under AKC and her line verified. Puppyland had thorough follow up in the days and weeks following our take home day of our fur-baby, to check on our puppies’ health and to make sure there were no issues with our purchase. Secondly, your legislation is too restrictive to a legitimate service provided to our community. The criticisms of these stores seems to stem from an activist base that wants to stop all sale of animals in stores as if this is a modern day slave trade. Their position is to restrict purchase to only breeders or through the adoption process at shelters. This position is extremely limiting and short sighted. Although breeders can be one source of buying a pet, they often have limited availability locally to certain breeds and waiting for a litter can take months or years of waiting for the dog you feel your family wants. Again, my experience was an excellent one at Puppyland’s retail store. I looked for months to find an Irish Setter through breeders. None were available in my state and the possibility of transporting a puppy across the country without ever having met the animal didn’t appeal to my family. Puppyland had the breed I was looking for, allowed several interactions with our puppy in an extremely clean and safe environment and they were very forthright about the cost and commitment that went with the care of our dog. Lastly, your legislation attempts to solve a problem that doesn’t exist. Again, I would point out the activist nature as the basis of many of the arguments outlined in your legislation. One of the activists interviewed in the Tacoma News Tribune said, “Pet stores have no policies in place to ensure their puppies are going to a qualified home. They have no application process and allow anyone and everyone to purchase a puppy.” I find this statement insulting and arrogant. It is not the job of activists or government, or even the pet store to determine who has the right to own a pet. This draconian attitude that we need gate keepers to our purchase is not in line with economic free trade nor American liberty. If the activists had their way, they would have stopped my family from having a new family member we love. Breeders and shelters were not an option for us, yet your legislation would restrict my choice and the choices of others in our community. Putting safety requirements might be a viable alternative but an outright ban should not be a consideration. In summary, your proposed legislation does not consider all the facts, is too restrictive and panders to an activist ideology that should not be determining our laws. As a satisfied and informed consumer, I encourage you to either abandon this course or severely alter your legislation to find a course forward that allows small businesses to thrive in WA. Thank you for your time and attention, Eric Anderson Spanaway, WA Cell: 253-230-8047 I do not support this new bill. I would like to continue to support breeders that deeply care about safe breeding and the bloodlines rather than those that do not. I have both adopted from a shelter and purchased a puppy from puppy land, and I hope that the choice to buy a pure bred puppy in a store would not be banned. Knowing your dogs breed , bloodlines, and its breed needs is a great way to know how to best care for your family member, and supporting those that do careless breeding is not something I wish to ever support. Charitie Jane Sent from my iPhone Dear Washington Legislator, Puppyland is a great place to have because they care for their puppies. The ﬁrst time I ever walked in I was greeted with kindness. They do not push animals on you and they let you decide if you want a puppy or not. They care for their animals with the highest amount of care that I have ever seen. I got a shiba inu puppy from there over a year ago and she has been the greatest dog that a person could ask for. If it was not for them I would not haven been able to ﬁnd the puppy that I wanted. I understand that y’all want everyone to adopt and not shop but please understand some people would like to buy their dream dog and most times you can not ﬁnd them at a shelter. I am someone who personally has bought a puppy but I also have rescues and I believe that puppyland should be able to stay because they bring in something that other places can not give you! Please do not ban them for something that they love to do. Everyone that works there loves these puppies and makes sure they have no problems! These people are caring not only to their puppies but also to every person that walks in the door. Please do not shut them down with out walking in there atleast once to see that they have a great atmosphere and are cleaned then the animal shelters! Thank you, Alexia and Dillon Emert. Good Morning Committee members I would like to introduce myself. I am Nancy Magnusson. I am a full-time breeder that has a kennel of over 50 dogs. I am the president of the Iowa Pet Breeders Association, secretary of the national organization Breeder Leadership Council, breeder adviser to the Canine Care Program at Purdue University and committee member to Pet Industry Joint Advisory Council (PIJAC) in Washington, DC. I am extremely passionate about animal care and welfare. I have been USDA & State licensed kennel for over 20 years with a clean record of no non-compliances. I am a full-time breeder which means I do not have another job. My husband and I along with 3 employees see to the day-to-day operation of our kennel. I spend 10 to 12 hours per day in my kennel. I do many tasks with the help of my employees, from socialization of dogs and puppies, meeting their medical needs, paperwork, phone calls and meetings with the organizations I volunteer for. I want to address bill HB1424 Sec. 2 I am concerned on the 50 dogs per kennel limit you have placed in this bill. I need to stress that low numbers do not equal better care. There are many instances of neglect from people owning 1 animal. The ability for a person to care for animals is not based on a number, but the knowledge of that individual. A professional licensed kennel should be given preference over a hobby kennel. If you really care about the welfare of animals, a better solution would be to require a breeder to have CEUs, (continuing education units). Sincerely Nancy Magnusson February 10, 2021 Chairman and Members of the Committee: My name is Michelle Russell. I am a professional breeder, licensed by the USDA and the Great State of Kansas. I currently serve as President of Kansas Pet Professionals and I also serve on the board of various other breeder groups. Being a breeder is a labor of love, our dogs are priority, they are our life. My day begins sometime where the night before left off. Meaning that I am not on a time clock, I do what needs to be done every day; from caring for my animals, to staying up all night with a whelping momma. We sacrifice much of our personal life for what we do, we miss family events, and our circle of friends has slowly disappeared. A vacation is something we dream about. We do all this for the love of the breeds we raise and for the smiles and happiness that we bring to the families that we provide pets for. We do this by different avenues, we home our puppies through our own marketing as well as using brokers and pet stores. Our customers are just as satisfied regardless how they choose to purchase their new puppy. In my state, I am required by law to hold an animal breeder license. I am also required to be USDA licensed. To meet these qualifications the number is irrelevant. The animals I have all require the same standards of care, including housing, veterinary care, and exercise requirements. We, along with most every USDA Licensed breeder, exceed all of the requirements that you have included in HB 1424. I am going to elaborate a little on what it means to hold a USDA License. Our inspectors give no notice as to when they will inspect or how often they will come. It is always a surprise inspection. Our kennels must meet the requirements each time. Cleaning and sanitizing is an ongoing, every day process. The care of our animals comes before everything. We do grooming 4 times a year, we have our adults teeth cleaned depending on breed, both twice a year or yearly. Each dog has its own vet care plan. This includes a thorough, head to tail physical by their veterinarian which includes: heartworm checks, fecals, body score, teeth, coat, eyes, rabies vaccinations and heart sounds. Every puppy that leaves our facility also receives a similar examination that also includes a hip and patella exam. We do DNA Genetic testing on our adults as well as OFA certifications. We believe by doing this we are bettering the breed by reducing the risk of genetic disabilities. It is our desire to make the best effort humanly possible to produce the healthiest and most amazing puppies possible! I would ask that you consider HB1424 and vote No. Breeders, Brokers and Pet stores are a reliable team for families wishing to purchase puppies. They provide pets that have a known history, a known medical program, and are regulated and inspected. I belive the people of Washington should have the right to choose where their next pet comes from. Thank you for considering my recommendations. Sincerely Michelle Russell AJ’s Angels, Inc. 24302 US Hwy 10 Cushing, MN 56443 P: 320-360-7667 My name is Angie McDuffee, I am the proud owner of AJ’s Angels Inc. which is a large commercial breeding facility in Minnesota. I am writing today to testify on how this bill can affect mine and other people’s lives negatively. Let me first tell you a little more about myself. I am 40 years old and have been working in the commercial dog breeding business for almost 18 years. When I was younger my family was huge into pets of all different sorts from horses to rabbits! My mother and father raised us to always take the best care of our animals because they cannot care for themselves. Our father would make sure that our animals’ chores where properly done before dinner, if they were not done, he would hold off on dinner so that we would finish them properly. He would always say, “The animals are hungry and waiting, therefore, you will wait to eat as well until your chores are done. They depend on you.” At that time, being a child, we were not quite sure why we could not eat before we fed our animals, but as we got older, we understood. If you are going to have an animal, they always come first for caring and welfare, as a parent does for their own child. That was one of the amazing lessons in life that our parents instilled in us. At the age of 22 trying to find my place and passion in the workforce I ended up running into an ad that was looking for an animal caretaker. I thought this just may be my calling after all the years of trials and tribulations of places of work that just were not a fit for me. After the interview I was offered the job! All I knew about the job was that it was working with dogs and puppies and who would not want to play with dogs and pups all day! On my first day, another employee at the time had said to me, “Angie, when you walk through these doors you will see a lot of dogs that are excited to meet you!” I was not sure what she meant until I walked in and saw all the dogs and how happy they were! I fell in love right at that time with my new job, it was not just a job anymore it was total love and passion for these dogs. Just like a lot of people that are not familiar with this business, I thought, how is it possible for them to care, love and give these dogs everything that they deserve and need to live a happy and healthy life? As weeks passed my passion for the dogs grew, I learned that there is a system that we all need to follow a certain way to make sure that they would stay happy and healthy! I finally found the place where I belonged! As the years passed my passion for these dogs kept growing and I also figured out that I was falling in love with my boss’s son! After 8 years of working with Jason we found ourselves walking down the aisle to say, “I do!” What a perfect life! The man of my dreams and the career of my dreams! As the years went by things happen, life changes, regulations change and my mother-in-law, Wanda was ready to sell her business. I cried for a week trying to figure out something that we could do to save the business and my love for these dogs. I realized that maybe this was the time for me to step up and take over the family business! We had talked about it as a family then my mother-in-law and I worked out a business arrangement so my dream of working with my dogs could go on! That night AJ’s Angels Inc was born! I was excited to take on the next journey in life! In early 2016, we had our pre-licensing inspection with the USDA, we passed all the government’s requirements, and everything went great and we were on our way. AJ’s Angels is licensed under my name with the USDA, Morrison County and the State of Minnesota. It does not matter if you are a large or small commercial breeder all government rules and regulations apply. We are regulated and are incompliance with each of them. Since the beginning of the breeding industry, things have come along way with changes in the rules and regulations for the protection of our animals. We, at AJ’s Angels continue to strive for the best care and treatment of our animals. Currently, we have 14 employees that take care of all our dogs. We provide care seven days a week much like a dairy farmer. They also know the dogs well enough to spot a problem by either their physical or personality change. Each one of my employees have a passion and love for those dogs just like I do! I could not be prouder of them! Our dogs have the freedom to choose to go inside or outside through self-activated door as they please. All enclosures accommodate each animal’s height and length. The dogs always have food and water in front of them 24/7. The food and water are always kept on the inside of the building where it is temperature regulated. The housing units are cleaned daily inside and outside as well. Our pregnant mommas get groomed and moved into what we call a puppy room 2 weeks before their possible due date. Each puppy room is heated and cooled with their own thermostat to regulate the temperatures for the comfort of mom and pups. In that pen they have a heated basket in which they will comfortably have and raise their babies. All pens and trays are cleaned daily. Our pups get weaned at the age of 6 weeks and then are measured and split into two pens to meet federal regulations and give them more room to run and play! I will now go over with you some of the things that we do to better our dogs and puppies that some people may not aware. • Each of our adult dogs has a microchip for proper identification. • Each our dogs have their own personal names in which they respond to. They are not just a number to us they are our fur babies and personalization is huge to us! • We are hands on with our dogs and pups daily. Proper socialization is also extremely important to us and our animals. • This is achieved by daily chores, treatments, grooming and just a good old petting! We have had may compliments from inspectors and pet stores on how friendly and happy our adults and puppies are! • Our veterinarian is physically at our facility once a week and is on call 24/7 just in case of emergencies. By federal regulations, our vet only must be on premise once a year. We believe that having our vet once a week at our kennel is better only because she then can also make sure that the animals are happy and healthy! • Annual veterinarian protocol regarding care of the dogs. This let us know how to medically treat a dog that may just not be feeling well or something nonemergency. We document these non- emergencies in what we call a vet book in which our vet also looks at weekly. Obviously, if a dog has a bigger problem going on we call our vet and bring them up to the vet’s office right away! • Veterinarian care is done on a weekly basis. This includes puppy wellness check. Proper state veterinarian and federal paperwork is gone over and signed for the pups to leave the property. This also includes a review of the vet book and checking for any issues. • All our dog’s nails get trimmed once every 3 weeks or more if needed. • Our dogs have a dental plan set up to be cleaned once every 18 months or more if needed and completed by a veterinarian. • This past year we have had all our dogs examined by our veterinarian and certified by the Orthopedic Foundation Association. This certification is for a dog’s knees and hearts. It is not a mandatory certification. We just try to go up and beyond for our customers. • All the adult dog’s shots are kept up to date per UDSA and our veterinarian guidelines. • New breeders must have a brucellosis test done by a vet. Once that first test comes back and it is negative that animal will then be quarantined for 45 days. After the 45 days the vet will do another test, at that time if negative the dog gets to go out with the other breed stock. There is absolutely no tolerance of any animal to be brought into our kennel for the safety of our breeders. • Anytime we rehome one of our breeders they must have a brucellosis test done and cleared by our vet. Thankfully, we have never had any problems with brucellosis do to our own strict regulations. • We have taken the time to take pictures of our adult dogs and provide them to brokers should their customers want to see the parents of the pup they may be getting. We do some showing of some of our males through American Canine Associations (ACA) shows. All our purebred adults and pups are registered though ACA. Most of our adults are also dual registered with American Pet Registry. I love to show some of our breeders! It is a great time, and we got some champion blood lines now! The males that we show took first in their breed and my schnauzer Hershel took best in show! I am super excited and proud of my boys and how well they did. I even had some people come up to me because they could not believe that these were not house dogs! I look forward to showing again once COVID is under control. We do allow the stores that purchase our puppies to come and look at our facility. We want them to be comfortable and be able to see how their pups are raised and how our adults are happy, healthy and clean! Being knowledgeable about the pups that you are selling is a key factor. I want them to sell our pups with confidence in knowing how they are raised with their own two eyes and not by what I just tell them. I do have stores that only feel comfortable buying our puppies. To them it does not matter how many or little breed stock you own it is how social and healthy the adults and pups are. The owners of PuppyLand whose names are Justin and Kayla Kerr have been purchasing our pups since they had opened in 2018. Just this past summer they came out to our facility with the broker, Jolyn Noethe, which is the owner of J.A.K.S Puppies. I was more then happy to show them around and how our day- to-day chores and care are done. I was more then pleased to find out that they were amazed on how clean the facility is and how happy and well socialized our adults and puppies are! Being a larger breeder unfortunately we are attacked by animal activists, media, and social media. I do believe that rules and regulations need to exist, but all in all there needs to be a line between regulations and we as American people to have the freedom of choice of where and whom we want to purchase our animals from as long as they are federal and state licensed. In California they have already passed a law that all pet stores are banned for any licensed dog breeder and they can only go through rescue organizations. The rescue organizations are not licensed federally and not regulated has hard as we are, quite unfortunate and sad if you ask me. I do agree that not everyone should be in the commercial breeding business due to their lack of real love, passion, and healthy welfare of the animals, but that is not the case for us. This proud family business has been around for over 40 years and with trials and tribulations as all businesses have, we strive for better for our animals. Our adult breeders and pups do have more hours of healthy interaction with the employees each day then most 9 to 5 average American workers do with their own pets at home, and I am proud of that! If I could help the world see what true love and work that go into all my dogs I would. Unfortunately, that is near to impossible to ever change a person’s mindset. All I can do now is to pour my heart out and help you see that changing the regulations in Washington only shows people that is ok to teardown other people’s dreams just because they may not understand. We larger breeders have been stereo typed for many years by being called Puppy Mills which is very offending. There are breeders out there that have under 50 breeders and may not take as well of care of them as I do with my larger number of dogs. It should never be about the quantity is all about the quality of the animals. All I can do now is to hope and pray that this testimony may have helped you understand what hard work and love can equal out to be one woman’s passion in life. Sincerely, A Woman With A Dream, Angie McDuffee Chairman and members of the committee, I just wanted to take a moment to urge you to oppose HB 1424. My name is Allison. I, along with my husband and two children, raise puppies at our USDA licensed kennel. I grew up on a dairy farm, developing my love for animals at a young age. Growing up around cows, calves, horses, cats and dogs; I knew I wanted my future to involve animals. I went to school to become a veterinary assistant. I was able to work in that role for 6 years until 2016 when our son was born. Since then I have been a stay at home mom giving my time to care for our children and our animals. Raising dogs does take commitment. We have a sun porch on our house where our new moms are able to care for their puppies with me within earshot to assist if any such need arises. Being close also allows our children to interact with the puppies from a young age, exposing our puppies to a wide variety of sights, sounds and stimulations prior to leaving our home. I could take this time to tell you about some of the hardships of being a breeder; but I would rather tell you that not only do I love what I do, I am proud of what we do. We spend many hours every year to attend continuing education classes. In our program, the animals come first. We focus on the health and wellbeing of our dogs and puppies. Providing them with climate controlled facilities built with their happiness, comfort and enrichment as priority. Veterinary care is a top priority for us. We have our dogs checked by a veterinarian on a regular basis as well as having them pass OFA examinations for breeding soundness. We feed a quality food as well as offer a variety of treats and chews to provide our dogs a healthy diet. Health, happiness and enrichment for our dogs and puppies is not simply a goal for us, it is a standard that we work to exceed. I encourage you to think of me and my family when you are listening to the opposition tell you how horrible I am and falsely tell you how poorly I treat my animals. I realize that they may not be talking directly about me, but when they refer to where the puppies come from, it is me or others like me. I do once again ask you to oppose HB 1424 Thanks you, Allison Kroger 2 Administrative Assistant City of Renton I Community and Economic Development 425.430.7272 COVID‐19 UPDATE City Hall is currently closed to the public but we are still available to assist you.  Pay Invoice and Apply for Over‐the‐Counter Permit: Permitting Portal  Schedule an Inspection: Permitting Portal ‐OR‐ Building: 425‐430‐7202; Civil/Site: 425‐430‐7203  Contact Staff: Customer Service Hours: Monday through Friday 8 a.m. to 4 p.m. o Building or General Permitting: permittech@rentonwa.gov or 425‐430‐7200 o Planning: planningcustomerservice@rentonwa.gov or 425‐430‐7294 o Public Works Permitting: pwpermitting@rentonwa.gov or 206‐402‐8626 o Code Compliance: Renton Responds or 425‐430‐7373 From: Albert Sardinas <albertsardinas@fmsglobalstrategies.com> Sent: Wednesday, August 18, 2021 4:01 PM To: Danielle Marshall <DMarshall@Rentonwa.gov> Subject: RE: Planning Commissioners Danielle, Thank you. We have not wanted to overload the commissioners with emails. We will be speaking on item D‐194 this evening and I will send a separate email with all public comments from our group. Paula Sardinas – paulasardinas@fmsglobalstrategies.com Albert Sardinas – albertsardinas@fmsglobalstrategies.com Kayla Kerr – kayla@puppylandwa.com Justin Kerr – justin@puppylandwa.com Thank you. Albert Sardinas VP of Public Policy & Community Engagement Phone: (206) 482‐7100 Email: albertsardinas@fmsglobalstrategies.com Website: www.fmsglobalstrategies.com WBBBA: www.fmsglobalstrategies.com/wbbba LinkedIn: www.linkedin.com/in/albertsardinas CAUTION: This email originated from outside the City of Renton. Do not click links, reply or open attachments unless you know the content is safe. 3 Confidentiality Disclaimer: The content of this email is confidential and intended for the recipient specified in the message only. It is strictly forbidden to share any part of this message with any third party without the written consent of the sender. Unauthorized dissemination of the email is considered a breach of confidence, for which you may be legally liable. If you received this message by mistake, please reply to this message and follow its deletion to ensure such an error does not occur in the future. From: Danielle Marshall <DMarshall@Rentonwa.gov> Sent: Thursday, August 12, 2021 2:43 PM To: Albert Sardinas <albertsardinas@fmsglobalstrategies.com> Subject: RE: Planning Commissioners Hi Mr. Sardinas, The members of the Planning Commission do not have city issued emails, they use their private emails as they are in a volunteer position. I will pass along any correspondence to them if you’d like to send it my way. You are also welcome to email planners directly. Please let me know if I can be of any assistance! Thank you, Danielle Marshall Administrative Assistant City of Renton I Community and Economic Development 425.430.7272 COVID‐19 UPDATE City Hall is currently closed to the public but we are still available to assist you.  Pay Invoice and Apply for Over‐the‐Counter Permit: Permitting Portal  Schedule an Inspection: Permitting Portal ‐OR‐ Building: 425‐430‐7202; Civil/Site: 425‐430‐7203  Contact Staff: Customer Service Hours: Monday through Friday 8 a.m. to 4 p.m. o Building or General Permitting: permittech@rentonwa.gov or 425‐430‐7200 o Planning: planningcustomerservice@rentonwa.gov or 425‐430‐7294 o Public Works Permitting: pwpermitting@rentonwa.gov or 206‐402‐8626 o Code Compliance: Renton Responds or 425‐430‐7373 From: Albert Sardinas <albertsardinas@fmsglobalstrategies.com> Sent: Thursday, August 12, 2021 2:33 PM To: Danielle Marshall <DMarshall@Rentonwa.gov> Subject: Planning Commissioners Danielle, Good afternoon, do the members of the planning commission have public, city email addresses where they can be reached? CAUTION: This email originated from outside the City of Renton. Do not click links, reply or open attachments unless you know the content is safe. 4 Albert Sardinas VP of Public Policy & Community Engagement Phone: (206) 482‐7100 Email: albertsardinas@fmsglobalstrategies.com WBBBA: www.fmsglobalstrategies.com/wbbba LinkedIn: www.linkedin.com/in/albertsardinas Website: www.fmsglobalstrategies.com Confidentiality Disclaimer: The content of this email is confidential and intended for the recipient specified in the message only. It is strictly forbidden to share any part of this message with any third party without the written consent of the sender. Unauthorized dissemination of the email is considered a breach of confidence, for which you may be legally liable. If you received this message by mistake, please reply to this message and follow its deletion to ensure such an error does not occur in the future.