Moving and Your Pet.

Moving is a stressful time for everyone, your pet included. We have recently moved, though only for the academic year, so we simply packed clothes and books for the time we will be gone. That alone was stressful for Zuzu, who could not understand why the suitcases were out, my office was suddenly filled with boxes, and her toys were being washed. She is a sensitive individual to begin with, so I tried to be extra attentive to keeping her stress low and her routine as normal as possible, and I made sure that her most favorite bed went with us to New Jersey as well as her most important toys, particularly her beloved blobby. 

Having moved several times with an assortment of dogs, I have found that the best way to help your dog cope with the stress of moving, is to: 1) try and keep things as normal as possible; 2) be sure to take time to play with and walk your dog every day and; 3) keep her with you as much as possible.  

  1. Keeping things normal. If you feed your dog twice a day in the kitchen, continue to do so, making sure the area around her bowls is kept as clutter free as possible. If her breakfast comes in an intelligence toy, or as a game you play, continue to do that even if it seems to takes up time you need for packing. Keep beds and toys in their normal places, and try to make sure they are packed last of all.
  2. Play with your dog! You may feel as if there are way too many things to do and way too little time to do them, but playing with or walking your dog will give her a sense of normalcy and it might even lower your stress as well as hers when you take a moment to breathe and focus on something other than the next box. Be sure to do this on moving day as well as when you get to your new home.
  3. Keep your dog with you as much as possible. This becomes especially important during the actual move. On the day the movers come, designate a family member to be pet supervisor for the day. An article at I Heart Dogs about moving says this,

A lot of people think it’s better to leave their dog at a boarding facility while they move, but this can cause even more stress. Your dog knew something was up prior to the moving day, and now you are dropping them off somewhere and driving away. This can make the situation much worse, so make your plans to allow your dog to stay with you.


This is also important to keep in mind if you are stopping over night along the way. On the way to our new destination, we went to visit my husband’s cousin for a couple of days, and I was sure that she was not left alone in a new place until we had been there for a few hours and we’d had a chance to play ball outside, and she was calm, tired and ready for a nap. We also stayed away less than 2 hours.

Other things that I have found to be helpful in keeping my dog’s stress lower during times of flux:

a) Lactium (most commonly known as Zylkene) is a milk based product that can be helpful with anxiety. It is slow acting (like prozac, it takes awhile to build up to full dosage), but appears to have no side effects and can be used with most prescription anti anxiety drugs. L-theanine (most commonly known as Composure) can also be effective in reducing anxiousness. There are two varieties of Composure, regular and Pro. The difference is that the pro also has tryptophan in it and I have found it to be more effective. Unfortunately, that also makes it more expensive.
b) D.A.P collar, diffuser, or spray. This pheromone imitates the smell of a lactating female dog and is very comforting to most dogs. It aids in helping a dog to relax and be more comfortable. The spray can be put on a bandana, as well as sprayed onto the dog’s bed. The collar lasts for 30 days and gives a steady supply of DAP which can be useful especially during the prolonged period of packing and moving. Be careful not to get it wet and be sure to get the Adaptil or Comfort zone brand as that is the only one which has the patented pheremone. The diffuser is great to put next to his crate and is most effective in small rooms. I have one in my office over my dog’s bed as part of her safe haven. Bring it along to put next to his bed in a hotel room.
Here is a link for DAP:
c) Through a Dog’s Ear music. This music is designed to be relaxing to dogs and it should be played for him at various times so that he learns to relax under a variety of circumstances, and so that he doesn’t just associate it with you leaving or some other stressful event. I have Volume 1, Senior and the driving edition, all of which are available on Amazon. Another option for calming dogs is audio books. Some dogs really respond well to the voice of someone reading and find it very relaxing, even more so than music. I like audio books because they are useful on a long car trip to keep the dog calm and me entertained! 
c) Lavendar. This can be very relaxing for dogs. I recommend sprinkling it on her bedding or putting a few drops between the shoulder blades. Some dogs also find peppermint oil relaxing and that can be dapped onto her paw pads with a cotton ball.

With a bit of effort on your part moving does not need to be overly stressful for your dog. Besides, keeping his stress level lower, may help to make moving a bit easier for you as well!

Zuzu waiting to play ball in her new back yard.


*For more information on visiting with your dog see our podcast on Your Family Dog: New Places, Happy Facesand here is an article from the Whole Dog Journal, Moving with Dogs: Everything you need to know

General0 comments

Seasonal mindfulness.

According to a friend, summer has officially ended. It’s not because she has tucked away her white shoes until next Memorial Day, nor because OSU football has taken over central Ohio like a crimson and grey hurricane. It’s because the season for allowing her dogs to be off leash on their 4 acre property has ended. Acorns have littered the woods around their house and the deer arrived to gorge on them. Like so many places, the Bambis of the world have learned that they have little to fear from suburbanites and are quite bold in their pursuit of these carb laden nuts. Since the deer are not fazed at the sight of people within 30 feet or so, their dogs now have to be on lead so that they do not engage in a 5K deer run. 

So why do deer love acorns? Are there some types they prefer over others? And can people and dogs eat them? These are the questions that came to my mind when she told me about the all you can eat Quercus* buffet. According to the Whitetail Journal on Grand View, ” Deer love these nuts because they’re large in size allowing deer to consume them quickly, and they’re packed with nutrition. It’s like a protein bar for wildlife.” The author goes on to add that 100 grams of acorns (3.5 ounces) contains “40 grams of carbs, 23 grams of fat and 6 grams of protein. (For comparison, a boiled egg and a half cup of black beans each have 6 grams of protein also, but zero carbs).” Pretty good stuff if you are trying to fatten up for winter!

Deer also have preferences for certain acorns, based primarily on the tannin content of the acorn. Tannins make the acorns bitter and at higher levels can make the protein harder to metabolize** Acorns with lower tannin levels are preferred. Here the “Recognized Acorn Priority Preferences” according to (listed from most (1) to least (5) favorite):

  1. White Oak: Low tannic acid level makes this the sweetest of all acorns. Generally, they produce a heavy mast crop every third year and a decent crop every year.
  2. Pin Oak: Low to medium tannic acid level. Typically produces a crop every other year.
  3. Water Oak: Low to medium tannic acid level. Typically produce a crop every year.
  4. Red Oak: Medium tannic acid level. Deer usually won’t feed entirely on red oak acorns because of their bitterness.
  5. Black Oak: Produces a crop every other year. Medium to high tannic acid level. Usually a good spring food after winter thaw.
  6. Bur Oak: This is a very large acorn with medium to high tannic acid level. The large size makes them more attractive for consumption.
  7. Live Oak: Typically produces a crop every year. Lower in preference due to high tannic acid levels

Can people eat acorns? Yes. But tannins are not tasty for people either and can also cause kidney problems in humans. “Native Americans depended on acorns as part of their diet, particularly the Yurok and Karuk tribes of California. The shelf-life of an acorn – which Native Americans would store up to two years to compensate for off years when the mast crop wasn’t abundant – made these nuts useful as an insurance food staple.” (Whitetail Journal).

Tannins can be removed from acorns. According to The Old Farmer’s Almanac you can do it one of two ways: repeatedly boiling the acorns in pots of water until the water runs clear. “This may take an hour or more, depending on the variety of acorn.” Or, alternatively, “you can soak the raw acorns in cold water to leach the tannins out. Change the water when it turns a darker color. This process may take several days, depending on how long it takes for all the tannins to leach out of the acorn meat.” Obviously this is not a project for the “need something in a hurry ’cause the kids are starving” crowd. But, once you make the flour, it seems to me that you are one step away from acorn bread, acorn encrusted chicken fingers, acorn coffeecake (served with chicory coffee), but I digress…*** 

The final question is: Is it okay for my dog to eat acorns? The answer is (as you have probably guessed): no, not really. According to Banfield Pet Hospital: “Acorns can be toxic to pets if ingested. They contain tannins, which can cause stomach upset and diarrhea in some pets, and in particularly bad cases acorn ingestion can cause abdominal obstruction, internal damage, and kidney disease. Keep your dog from eating them if at all possible.”  Yet another reason to keep your dog on a leash in the fall!

Squirrels have many uses for acorns besides making acorn potpies…



*Quercus is the genus for oak trees.

** This why you should not feed acorns to cows! The tannin levels can cause ulceration and kidney failure. 

***I do remember that in the book, My Side of the Mountain, (which I last read in the 4th grade, some 100 years ago) the hero made acorn pancakes. I don’t remember if he leached the tannins out, but I think not, so he probably needed a lot of syrup…

General Informational or Doggie Demographics Toy Box or stuff that doesn't fit neatly elsewhere0 comments

Canine Cognitive Dysfunction

Does your elderly dog walk into a corner and just stand there? Does she just stare into space? Does she pace in circles? Go to the hinge of the door to be let out? Not respond to her name?  She might have Canine Cognitive Dysfunction (CCD), commonly referred to as doggie Alzheimer’s or dementia. 

Eileen Anderson is an award winning blogger (eileenanddogs) and dog owner. She knows all about CCD as her beloved rat terrier, Cricket, had it and she was able to manage Cricket for two years with CCD. Ms. Anderson has written a book, Remember Me?  Loving and Caring for a Dog with Canine Cognitive Dysfunction, which has garnered praise from experts such as Dr. E’Lise Christensen, board certified veterinary behaviorist, and Jean Donaldson, author of Culture Clash. One of her goals, with the book and website, is to help owners diagnosis CCD early because “there is medical help for cognitive dysfunction in dogs.” She also wants to provide owners with information that will make their lives and that of their dogs more manageable. I have not read the book, yet, but her website dedicated to canine dementia is filled with valuable information about CCD, including photos, videos, a printable symptoms checklist, treatment options, suggestions on caring for a senior dog, and more.*

One of the pages I found to be the most helpful was on symptoms. Ms. Anderson lists types of symptoms as well as specific ones. (She includes pictures and a couple of videos to illustrate the symptoms.) Here is her list of types of symptoms:


Changes in social interactions
Sleep disorders
Loss of house training
Changes in activity level
Memory loss
Inability to learn

She goes on to list 29 specific symptoms of canine dementia, and at the bottom of the page is a link for a printable checklist of symptoms that you can take to your vet. In addition to the four listed at the beginning, here are some others to look for:

  1. Failing to get out of the way when someone opens a door.
  2. Failing to remember routines, or starting them and getting only partway through.
  3. Performing repetitive behaviors.
  4. Having trouble with eating or drinking (finding the bowls, aiming the mouth, keeping food in mouth).
  5. Losing appetite.
  6. Trembling for seemingly no reason.
  7. Falling off things. 
  8. Getting trapped under or behind furniture.
  9. Sleeping more during the day and less at night.

Under Treatment she lists prescription drugs as well as supplements that may be helpful. Food and enrichment are discussed on the treatment page as well as on the Enrichment page. The resources page has tips from other owners as well as links to books and articles that can help you manage your dog. And, she also has a kind and sensitive page devoted to how to decide when the time has come that “you need to help your dog with dementia leave this world.”*

Watching our dogs age is never easy, but having a dog develop dementia can be especially painful. But, by diagnosing early and effectively managing it, we can provide our senior buddies with a good life for however long they have with us. 



* On Your Family Dog, Colleen Pelar and I have a two part series with Dr. Alicia Karas, of Tufts Veterinary School, on elderly dogs. Part 1 is Giving Older Dogs the Good Life, and part 2 is Knowing When It’s Time to Say Goodbye.

Also, just after publishing this blog, this link about a potential new drug to treat CCD came through my email. Let’s hope the trial goes well and we have another tool for helping our elderly dogs.

Behavior or "What the heck?" Blogs with book recommendations Care and management or living together in harmony General0 comments

Dr. Zazie Todd: Eight Tips to Help Fearful Dogs Feel Safe

Dr. Zazie Todd is the brilliance behind the Companion Animal Psychology blog, and Colleen Pelar and I loved having her as a guest on Your Family Dog to talk about making happy dogs happier. This week, however, she has a post on Companion Animal Psychology about Eight Tips to Help Fearful Dogs Feel Safe. As per usual, Dr. Todd is spot on in her approach to helping a dog overcome its fears, and she has some wonderful recommendations on books that might be helpful as well.

Here are her 8 Tips (For details, see the blog post. All quotes are from the blog):

  1. Recognize the dog is fearful.  This may seem like an obvious step, but sometimes owners don’t recognize some of the subtler signs of fear their dogs exhibit. Learning your dog’s particular signals will help you to better discern your dog’s mood and allow you to intervene sooner rather than later. *
  2. Help the dog feel safe.  Helping your dog feel safe is your first priority with a fearful dog. What safe looks like depends on the dog. One pup may need a place of his own to regroup, another dog may need to hold a beloved toy, and yet another may find solace in a predictable daily routine
  3. Don’t use punishment.   “[I]f your dog is fearful, it is especially important to stop using punishment because the risk is your dog may become more fearful or even become afraid of you. Your dog is already stressed by whatever they are afraid of. You don’t want to add to that stress by using aversive methods.” Positive reinforcement is the best way to reassure your dog and teach her that the world is actually a good place to be.
  4. It’s okay to comfort your dog.  When you are scared, does it help to have someone comfort you, offer you something else to focus on and give you a reason to not be so afraid? The same may be true for your dog as well. If he solicits your attention and comfort when scared or stressed, go ahead and reassure him, because “you are a secure base for your dog  – meaning your presence can help them in a stressful situation.”
  5. Don’t force your dog to face his fears.  “Some people think forcing your dog to face the thing they are afraid of will make them get used to it. But what can happen instead is they sensitize to it and get more and more afraid.” You can help your dog become less fearful, but it is a slow desensitization process whereby the dog is gradually exposed to what scares him. And, it is generally best done with the help of a professional trainer or behaviorist so that the process does not become overwhelming to you or the dog.
  6. Seek professional help.  A professional trainer who works frequently with fearful or aggressive dogs can help to expedite the process of desensitizing your dog and make sure you are on the right track. “And don’t forget to consult your veterinarian too and find out if medication can help your dog. In some cases they may refer you to a veterinary behaviourist.”
  7. Be in it for the long haul.  Resolving anxiety and fear can take a long time, and in some cases it may improve, but never fully resolve. “So it’s important to understand that it may take a long time to help your pet, and that fearful dogs can still have a happy life.”
  8. Make the most of available resources. There are a lot of books and blogs out there on helping your dog to overcome his fear. Be sure you get one that employs positive reinforcement training and lots of tasty treats. She lists a lot of books, all of which are excellent resources, but one I have used with success is: The Cautious Canine – How to Help Dogs Conquer Their Fearsby Dr. Patricia McConnell.**

And, don’t despair! Fearful dogs can have long and happy lives, especially if we give them the support and tools they need to feel safe and be successful in their world.


*I have several blogs on body language, here are a few: Can you hear me now?, Being Anxious is no Fun for You or Your DogThis is not the dog I wanted… And if you prefer your information orally, Your Family Dog has a lot on body language, but here are   two: What Does Friendly Look Like?, Growling–Is It a Good Thing?

**For more books by Dr. McConnell see these blogs. We also did a couple of podcasts on Your Family Dog with Dr. McConnell, one of which was on trauma in dogs, click here to listen.

General0 comments

Intelligence and Positive Reinforcement Training.

There are innumerable videos on the internet featuring animals, many of which make me cringe. But, there are terrific examples of positive reinforcement training in a variety of species, which show the incredible (and unpredictable) intelligence of a variety of animals, as well as the power of positive reinforcement training. Here is one that I found on Reisner Veterinary Services of a very smart fish who can recognize a picture of an object and match it to the object itself. Amazing!


Trained Fish Show Extreme Intelligence

These fish can recognise and remember shapes and objects!

Posted by ViralHog on Monday, May 28, 2018


So, you may ask, what does a smart fish have to do with family dog training? Great question! Here’s my somewhat convoluted answer:

I think that we have only just begun to see and understand the diverse intelligence of a variety of animals. I doubt that 30 years ago many people would have thought that fish had any ability to discriminate between images of no relevance to their lives, much less associate a picture of some random object with that object. And, I could be very wrong here, but I also don’t think that many zoos and aquariums were bothering to train fish to do anything at all. 

With the rise of food based, positive reinforcement training, however, a whole new window into the animal mind has opened.* Why? My theory is that it is because animals feel safe. Punishment based training is not conducive to creative exploration of the world because the threat hangs over you that if you do the wrong thing, then it will hurt. If animals do not know if a new behavior will bring punishment or praise, then the world is not predictable or safe, and they may avoid trying anything novel.** When dealing with undomesticated animals it is critical to avoid punishment as these animals may completely shut down, unwilling to initiate or even try new things, too spooked to work with any trainer, or they may become aggressive.  According to the Wolf Park website:

Wolves will also avoid at all costs anything that they experienced as unpleasant. So using any aversive on a wolf will have lasting consequences that will be very time consuming to overcome. If a wolf is spooked at all during a physical examination, he/she will be very difficult to handle in the future. When working with an animal that will have such reactions to aversives, it becomes critical for the staff to learn how to shape and reward any desired behavior and stay away from any punitive methods.

This applies to the family dog as well. Dogs who are punished are much more likely to be aggressive. Moreover, as I mention in my blog on The Five Freedoms, “with forced based methods (such as shock collars) many dogs learn not to do try new things as it hurts to do so, so they don’t do anything. This lack of behavior is not the same as good behavior, nor is it normal behavior for canines.” 

On the other hand, if the only downside for trying something new is simply no treat, then the animal will generally give up on that behavior and try something else. As long as the new behavior is not reinforced, it will quickly fade away, without trauma to the animal. Thus, animals who are not punished for trying new things, but are rewarded instead, remain more curious and inventive. My dog Bingley, for example, picked up a clicker one day and discovered that if he put it between his front teeth, he could click it.  This became a great source of fun for him. Whenever he found a clicker, and I was in my office, he would poke his head around the door and click at me. This inevitably resulted in me chasing him down the hall to give him a treat in exchange for the clicker. I doubt very seriously if he would have tried this game if he’d been punished into obedience. Since Bingley knew it was safe to try new things, he remained inquisitive, innovative, and playful, to end of his days.

I have seen the results of both adversive and positive training. Subsequently, I truly believe that for anyone, canine, lupine, piscine, hominid, etc., to be able to engage with it’s surroundings in a curious, intelligent, and robustly satisfying way, it must be safe from fear and harm. Then and only then, can it be free to become the very best version of itself. 

My sweet and curious Mr. Bingley learns what “Right paw green” means…



For some of my blogs on positive reinforcement please see: “Clicker Training 101” Why Family Dog Training?, Love the dog you’re withand, Another post just for fun!

** Blogs on punishment: Why be positive, or what’s wrong with a correction?  Another blog relating to the effects of punishment: Ouch! That really hurt!, and Trauma, trust, and your dog.

Behavior or "What the heck?" Care and management or living together in harmony General Philosophy of training or "Why be positive?" Training or "Why, Why, WHY?"0 comments

More summer fun!

Having blogged and podcasted about summer and your dog, I thought it might be handy to have in one spot my resources and suggestions about summertime with your pooch. If I had to summarize what I have learned it would be this: pay attention to your dog in the heat! He can dehydrate, get sun burned, burn his paw pads, or suffer heat stroke quicker than you might suspect!

One of my favorite summer traditions is the local farmers’ market (not to mention the many markets, street fairs, festivals, and music fests). Many, if not all, of these occur outside and can be hard for your dog to manage for a variety of reasons: heat, noise, and/or overwhelming numbers of people, dogs, smells, etc. I wrote a blog What I saw at the Farmer’s Market which addresses some of the things that your dog may find difficult during these dog days of summer: hot pavements, tantalizing smells, close spaces, inappropriate dogs, and overly excited children. Learn what you can do to make a visit to the Farmer’s market, or other outdoor events successful for both of you.

Summer fun for your dog can include swimming or lounging in a kid’s baby pool (See: Summer fun in the sun and water!) or in streams, rivers, or lakes. If your dog is not a strong swimmer, consider a Dog Life Jacket to help your dog stay afloat and safe in the water. As I mention in my blog, Summertime fun!, this life jacket helped my dog Bingley to swim more effectively, efficiently and comfortably, allowing us to have a lot more fun!

Cool treats are also a great way to help your dog beat the heat. Fill your dog’s bowl with ice cubes (or toss several on the porch, deck, patio, or lawn) to play with in the heat. Our Bernese Mountain Dog, Bear, loves to bat them around with his paws as well as crunch them into smithereens. If ice cubes don’t thrill your pooch, try making a tray of ice cubes made from chicken or beef broth! Or, get a Popsicle mold and make beef-scicles using carrots for the sticks. (Check out Summer fun in the sun and water for other ideas of cool treats for your dog).

A few words of caution: Heatstroke is a real danger for dogs in the summer. 

Dogs cannot sweat through their skin so they regulate their temperature by panting and by sweating through their paw pads. Panting is how dogs “circulate the necessary air through their bodies to cool down. If you’re near a body of water (like the beach), your dog can also regain her ‘cool’ by jumping in.” (Why do Dogs Pant?) While panting can also be sign of arousal or stress, pay close attention to your dog when he plays in hot weather. Make sure he takes plenty of breaks, has a cool place to relax, and plenty of water to rehydrate. (Summer fun in the sun and water.)

Another condition to be aware of is water intoxication. While this is rare, it is a deadly condition whereby a dog (or person) takes in more water than it can handle. When excessive amounts of water are ingested the sodium levels outside cells are depleted and the body responds by increasing fluid intake in the cells. This causes organs, including the brain to swell. When playing with your dog in lakes, ponds, (or even with the hose), make sure he gets breaks from being in the water, pees frequently to get rid of excess water, and when your dog begins to tire, keep him out of the water for awhile as tired dogs tend to swim lower in the water and are at a higher risk of water ingestion. (For more information see: Summer fun in the sun and water).

Summer is half over, but there are still plenty of languid days to enjoy being outside with your pup. For more summer ideas try listening to our podcast,  Summer Fun For You And Your Dog  And, if you are traveling with your dog you might want to check out our podcast, Let’s Take A Road Trip. Have a great summer and remember that a few precautions will help to insure that this summer remains fun and memorable for everyone. 

Zuzu and me kayaking!

General0 comments

Emergency Preparedness: what you can do to prepare for a pet’s emergency.

If you own a dog, it’s highly likely that you will have an emergency at some time in your dog’s life. In a recent edition of the Whole Dog Journal, there was a article titled, “Emergency Preparedness, Five things to do to be ready for a canine health emergency.” Unfortunately, this is one of the articles that you need a subscription to access online, but as I have mentioned in the past, it is worth considering a subscription.

In this article, written by Dr. Catherine Ashe, an emergency room vet, she recommends the following 5 things (along with my observations or notes):

  1. Start an emergency fund. Create a savings account for your pet! Emergencies are usually sudden, and often expensive so be prepared by having some money set aside. You might also consider pet insurance for your dog. There are many options now for pet insurance, so I recommend talking to your vet to see what he/she recommends and is comfortable using. 
  2. Contact the ASPCA Poison Control (888-426-4435) or the Pet Poison Helpline (855-764-7661) for advice on what to do should your dog injest a potential toxin or foreign object.  I have called the Pet Poison Hotline (See: Raisins are not a dog’s best friend…) and found it to be very helpful. The cost is approximately $65. The immediacy of the advice made all the difference for me and helped me to chart an effective course of action. I highly recommend that you post these numbers on your frig, put them in your phone, and have them with your dog’s vet records. When an emergency strikes, you want these numbers at your fingertips.
  3. Do not administer medications to your pet without consulting a veterinarian first. Medications that are safe for humans, may have serious side effects in dogs and could impede a vet’s ability to treat your dog’s emergency. Also, make sure the vet you are seeing or talking to knows the medications your dog is currently taking, as it could make a difference in the treatment of your dog’s emergency condition. 
  4. Don’t forget your pet’s records! I mentioned in #3 that you need to tell the vet any medication that your dog is on, but even better would be to bring the medication with you. Also, be sure to tell the vet anything that you have given to the dog: over the counter meds, supplements, remedies, and when/if the dog last ate. As Dr. Ashe puts it, “It is imperative that we know everything in the pet’s system, especially when treating a possible toxin injection.” She also suggests that you download “a pet medical record app for your phone such as VitusVet or PawPrint.
  5. Be prepared to wait! If you have to wait, this is a good thing, as it means that your pet’s condition is not life threatening. Veterinary emergency rooms triage patients just like human ERs do, taking the most serious patients first. Unfortunately, waits can be long, so try to be patient. On the other hand, if you think your pet is getting worse and needs attention, don’t hesitate to mention it to the staff.* 

Being prepared for emergencies will help you to respond quickly, efficiently, and hopefully, it will also reduce the stress for both you and your pet as you deal with the emergency at hand.


*I was in the emergency room with Mr. Bingley once and we were put into a room and asked to wait. I literally watched him get worse as we waited and finally told a staff member that I thought his fever was rising and his lethargy was worsening. They sent in a nurse and she agreed that he needed more immediate attention. He wasn’t in a crisis state, but he was bumped up the treatment list. Be polite, but if needed, be proactive.


General2 comments