Spay and Neuter on a budget Spay and Neuter on a budget Spay and Neuter on a budget Spay and Neuter on a budget

Dr Jeffrey Young graduated from Colorado State University School of Veterinary Dr Jeffrey Young graduated from Colorado State University School of Veterinary Medicine in 1989. He established Planned Pethood Plus, Inc (PPP) in 1990. PPP is Medicine in 1989. He established Planned Pethood Plus, Inc (PPP) in 1990. PPP is best know for its low-cost mobile neutering services, Native American Reservation best know for its low-cost mobile neutering services, Native American Reservation work, and training of veterinarians from around the world in more efficient surgical work, and training of veterinarians from around the world in more efficient surgical techniques. Dr. Young has served on numerous Humane Society boards and has techniques. Dr. Young has served on numerous Humane Society boards and has been an advisor from mobile surgical units all across America. He has also founded been an advisor from mobile surgical units all across America. He has also founded his own non-profit group called Planned Pethood International. Planned Pethood his own non-profit group called Planned Pethood International. Planned Pethood International was established to International was established to help fund help fund spay/neuter work and veterinary training spay/neuter work and veterinary training from it’s new state of the art veterinary hospitals in Bratislava, Slovakia and Merida, from it’s new state of the art veterinary hospitals in Bratislava, Slovakia and Merida, Mexico. Dr. Young believes his humane ethics come from being an Animal Control Mexico. Dr. Young believes his humane ethics come from being an Animal Control Officer during his veterinary college training. He is most proud of having personally Officer during his veterinary college training. He is most proud of having personally sterilized over 165,000 animals in the last 20 years, and he is an outspoken proponent sterilized over 165,000 animals in the last 20 years, and he is an outspoken proponent of early age neutering for companion animal population control. Dr. Young is driven of early age neutering for companion animal population control. Dr. Young is driven by a simple underlying mission “to significantly reduce companion animal by a simple underlying mission “to significantly reduce companion animal overpopulation throughout the world.” overpopulation throughout the world.”

““Think Globally Act Locally “Think Globally Act Locally “

No euthanasia of No euthanasia of healthy, adoptable healthy, adoptable animals.animals.

Dogs and Cats will be Dogs and Cats will be valued as true valued as true companion animals. companion animals.

Paradigm shift in social attitudes.

The Only Real Solution The Only Real Solution toto

Companion Animal Companion Animal Overpopulation.Overpopulation.

Spay/neuter all surplus and Spay/neuter all surplus and non-breed standard animals. non-breed standard animals. All adoptable animals All adoptable animals must be neutered prior to be neutered prior to adoption.adoption.

Reproduce only to enhance Reproduce only to enhance the breed, allow only the best the breed, allow only the best of breed to reproduce, homes of breed to reproduce, homes secured in advance. secured in advance.

Dogs VS Cats

Economics 101: Supply vs. DemandEconomics 101: Supply vs. Demand

Human Education and Animal Human Education and Animal Legislation Legislation

Human Education and Animal Human Education and Animal Legislation Legislation

Animal ControlAnimal ControlGovernment AgenciesGovernment Agencies

Veterinary ProfessionVeterinary Profession

Humane OrganizationsHumane Organizations

Humanitarians Educational Institutions

FriendSupply vs Demand

FoeLower the Standard

Addressing Animal Abuse

Behavioral Modification and

counseling

Environmental sociology

The Cold Harsh FactsThe Cold Harsh FactsThe Cold Harsh FactsThe Cold Harsh Facts Between 30 – 60 % of adopting owners Between 30 – 60 % of adopting owners Do NotDo Not abide by spay/neuter abide by spay/neuter

contracts.contracts.

Humane Societies provide 25-30 % of companion animals to Humane Societies provide 25-30 % of companion animals to households each year.households each year.

Dogs are 15 X and Cats 45 X more prolific than Humans. Dogs are 15 X and Cats 45 X more prolific than Humans.

There is around 80 million dogs and 86 million cats and countless There is around 80 million dogs and 86 million cats and countless millions feral/stray cats in America. millions feral/stray cats in America.

85 + % of cats and 70 + % of dogs in households today have been 85 + % of cats and 70 + % of dogs in households today have been neutered, but about 20 % produce at neutered, but about 20 % produce at leastleast one litter prior to being one litter prior to being sterilized. sterilized.

Number “1”cause of Death for companion animals remains Number “1”cause of Death for companion animals remains EuthanasiaEuthanasia..

Cause of death for feral/stray animals is far worse! Cause of death for feral/stray animals is far worse! HBC, disease, poisoning, predation and starvation.HBC, disease, poisoning, predation and starvation.

Humane OrganizationsHumane Organizations Must be the Leaders Must be the Leaders

Humane OrganizationsHumane Organizations Must be the Leaders Must be the Leaders

Warehousing companion animals will never solve overpopulation.Warehousing companion animals will never solve overpopulation.

Must have active educational campaigns. Must have active educational campaigns.

Must not except euthanasia as the cornerstone of population control.Must not except euthanasia as the cornerstone of population control.

Must confront and educate the veterinary profession. Must confront and educate the veterinary profession.

Must invest in behavioral modification and counseling.Must invest in behavioral modification and counseling.

Must promote and advocate for prepubertal neutering.Must promote and advocate for prepubertal neutering.

Must have a successful spay/neuter program.Must have a successful spay/neuter program.

Must spay/neuter all companion animals prior to adoption. Must spay/neuter all companion animals prior to adoption.

Must have an active feral/stray cat program. Must have an active feral/stray cat program.

Our feline friends average 2.1 litters/year and 4.5 kittens per litter 70% rule does Our feline friends average 2.1 litters/year and 4.5 kittens per litter 70% rule does

not apply.not apply.

Creating a Neutering Brigade, While Creating a Neutering Brigade, While Meeting Humane ObligationsMeeting Humane Obligations

Creating a Neutering Brigade, While Creating a Neutering Brigade, While Meeting Humane ObligationsMeeting Humane Obligations

““Regional Captains” every Regional Captains” every area has “animal people” area has “animal people” find them, use them, find them, use them, empower them.empower them.

Can organize events.Can organize events.

Can approach local contacts.Can approach local contacts.

Can pinpoint problem areas.Can pinpoint problem areas.

Can provide an educational Can provide an educational network.network.

Can help with fundraising.Can help with fundraising.

Can be a political force.Can be a political force.

Can work with local Can work with local veterinarians.veterinarians.

Minimizing Overhead While Minimizing Overhead While Maximizing Long Term GoalsMaximizing Long Term Goals Minimizing Overhead While Minimizing Overhead While

Maximizing Long Term GoalsMaximizing Long Term Goals

Money is Money is limited so limited so spend your spend your $$ Wisely.$$ Wisely.

How many animals can you warehouse per year? How many animals can you warehouse per year?

How many animals can you spay/neuter per year?How many animals can you spay/neuter per year?

What impact are you having in your community?What impact are you having in your community?

Limited Funds Require Each Humane Limited Funds Require Each Humane Organization to Reflect on How to Best Organization to Reflect on How to Best Spend Their Money, Spend Their Money, toto Achieve Their Achieve Their

Desired GoalsDesired Goals

Limited Funds Require Each Humane Limited Funds Require Each Humane Organization to Reflect on How to Best Organization to Reflect on How to Best Spend Their Money, Spend Their Money, toto Achieve Their Achieve Their

Desired GoalsDesired Goals• Behavioral modification and counseling provided.Behavioral modification and counseling provided.• Adoption Facility- foster homes.Adoption Facility- foster homes.• Educational programs.Educational programs.• Legislative Initiatives.Legislative Initiatives.• Stationary neuter clinic.Stationary neuter clinic.• Traditional Mobile unit.Traditional Mobile unit.• Task Force Mobile set-up.Task Force Mobile set-up.• Combinations.Combinations.

Peter Kiraly The Rex Foundation (Dog Shelter Hungary)

Be Aware !!Be Aware !!• Money spent on warehousing animals is money not going Money spent on warehousing animals is money not going

into a spay/neuter program.into a spay/neuter program.• You must decide on your priorities and the less money You must decide on your priorities and the less money

available to you the more this is true.available to you the more this is true.• Warehousing of companion animals doesn’t reduce over Warehousing of companion animals doesn’t reduce over

population and is not usually in the long term interest of the population and is not usually in the long term interest of the individual animal.individual animal.

THERE ARE THINGS WORSE THAN DEATH!!THERE ARE THINGS WORSE THAN DEATH!!

You Have A Facility: Mobile Or Stationary You Have A Facility: Mobile Or Stationary

Were Are Your Every Day Costs. Were Are Your Every Day Costs.• The VeterinarianThe Veterinarian

• Anesthetics Anesthetics

• Surgical Equipment Surgical Equipment

• Suture Material Suture Material

• Surgical TablesSurgical Tables

• Sterilization EquipmentSterilization Equipment

• The ExtrasThe Extras

• The Support StaffThe Support Staff

The VeterinarianThe Veterinarian

• Must develop good Must develop good surgical techniquesurgical technique

• Not be afraid of Not be afraid of criticismcriticism

• Be involved in Be involved in educational campaignseducational campaigns

• Should believe in the Should believe in the causecause

Good Surgical Technique Allows Good Surgical Technique Allows For Early Age Neutering.For Early Age Neutering.

Surgical Conditions Vary Surgical Conditions Vary WorldwideWorldwide

AnestheticsAnesthetics

• Injectables vs Gas anestheticsInjectables vs Gas anesthetics

• Injectable are newer ones safer ?Injectable are newer ones safer ?

• Telezol, Pentothal, Xylazine, Telezol, Pentothal, Xylazine, Ketamine, Dexdomitor, Propofol, Ketamine, Dexdomitor, Propofol, Valium, Acepromazine, Valium, Acepromazine, Buprenorphine, Butorphanol Buprenorphine, Butorphanol

AnestheticsAnesthetics

AnesthesiaAnesthesia• Is only as good as the person using itIs only as good as the person using it• Anesthesia is always to effectAnesthesia is always to effect• Golden Rule of Injectable anesthetics :Golden Rule of Injectable anesthetics :

Once you give it, you can’t take it Once you give it, you can’t take it back, but you can always give moreback, but you can always give more

• When in Rome do as the Romans doWhen in Rome do as the Romans do

Surgical EquipmentSurgical Equipment

• High quality vs Economy gradeHigh quality vs Economy grade

• Monitoring equipment:Monitoring equipment:

- does it effect the outcome ?- does it effect the outcome ?

Basic Surgical PackBasic Surgical Pack

Prices of Monitoring Prices of Monitoring Equipment Vary From 5 to Equipment Vary From 5 to

5,000 USD5,000 USD

Suture MaterialSuture Material

• Absorbable vs Non-absorbableAbsorbable vs Non-absorbable• Braided vs Monofilament vs SteelBraided vs Monofilament vs Steel• CatGut, Vicryl, – cheap, but more post-op CatGut, Vicryl, – cheap, but more post-op

complicationscomplications• Maxon, Monocryl, Biosyn – good, but more Maxon, Monocryl, Biosyn – good, but more

expensiveexpensive• Steel Steel

Suture MaterialsSuture Materials

Surgical TablesSurgical Tables

• Stainless steel vs HomemadeStainless steel vs Homemade

• Extra tables are goodExtra tables are good

- one of the limiting factors for large - one of the limiting factors for large amounts of surgeriesamounts of surgeries

Surgical Tables : 60 To 1800 Surgical Tables : 60 To 1800 USD USD

Surgical TablesSurgical Tables

Sterilization of EquipmentSterilization of Equipment

• Cold vs HotCold vs Hot

• Sanitation vs SterilizationSanitation vs Sterilization

• Keeping things CleanKeeping things Clean

• Preparation of AnimalsPreparation of Animals

• Cold tray sterilization (Nolvasan Cold tray sterilization (Nolvasan diacetate in distilled water)diacetate in distilled water)

Sterilization Is Always Sterilization Is Always ImportantImportant

Better Sanitation – Better Better Sanitation – Better ResultsResults

Little Things Can Help Make You Little Things Can Help Make You More EfficientMore Efficient

• Increase safety to Increase safety to animalsanimals

• Endotracheal tubes, Endotracheal tubes, Belly boards, E-Belly boards, E-collars, Bungee leg collars, Bungee leg ties, Mayo stands ties, Mayo stands

Life Made SimpleLife Made Simple

The The SupportSupport Staff Staff

• One good technician is worth a One good technician is worth a veterinarianveterinarian

- Another limiting factor for large Another limiting factor for large amounts of surgeriesamounts of surgeries

• 2 support staff per veterinarians is 2 support staff per veterinarians is usually minimum usually minimum

You Must Customize To Your You Must Customize To Your NeedsNeeds

• But the basic But the basic principles principles remains the remains the samesame

• Learn from Learn from other peoples other peoples mistakesmistakes

Know Your Cost Per Know Your Cost Per AnimalAnimal

• A basic principal to remember:A basic principal to remember:

- if you are loosing 1 cent per - if you are loosing 1 cent per surgery, doing more surgeries does surgery, doing more surgeries does not make you more moneynot make you more money

Key PointsKey Points• Good Surgical TechniqueGood Surgical Technique

• Better Sterilization And SanitationBetter Sterilization And Sanitation

• Less Reactive Suture Material Is BestLess Reactive Suture Material Is Best

• Good Support Staff MandatoryGood Support Staff Mandatory

• Know your cost so you can Maximize your Know your cost so you can Maximize your outcome and have the greatest effectoutcome and have the greatest effect

• When in Rome do as the Romans do , If you are When in Rome do as the Romans do , If you are traveling, you can almost always do a good job traveling, you can almost always do a good job with what is locally availablewith what is locally available

• You are smarter than you think you are, You can You are smarter than you think you are, You can do more than you think you cando more than you think you can

Jeff Young D.V.M.Jeff Young D.V.M.

Planned Pethood Plus Inc.Planned Pethood Plus Inc.

4170 Tennyson St.4170 Tennyson St.

Denver, CO 80212Denver, CO 80212

720-937-5082720-937-5082

drneuter@hotmail.comdrneuter@hotmail.com

Plannedpethoodplus.comPlannedpethoodplus.com

Montanaspayneutertaskforce.orgMontanaspayneutertaskforce.org