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Ask The Expert

Greg Lewbart answered selected viewer questions about fish medicine, being a vet, and other topics on October 21, 2005. Please note we are no longer accepting questions, but please see our links and books section for additional related information.

Q: How different is it to do surgical procedures on saltwater fish compared to freshwater fish?Kenny

A: Dear Kenny,

That's an interesting question. The short answer is that it's not that different. There are some species-specific issues regarding anesthesia concentrations (some species like eels may require more and other species less) but in general it's very similar to freshwater fish surgery. Of course, you need to make sure you have plenty of clean seawater available for the procedure and to recover the fish after the surgery.

Q: Dear Dr. Lewbart,

I am 11 and I love animals, especially fish. I want to be a veterinarian. When did you decide you wanted to be a vet, and do you have any advice for me about how to study the right things to become a good vet?James, Wichita, Kansas

A: Dear James,

I'm very glad to hear that you want to be a veterinarian! And it sounds like you're a bit ahead of me when I was younger! I decided I wanted to be a vet when I was about 14. Our cat Patches was hit by a car, and I was very impressed by the care she received by our veterinarian, Dr. Bookman, and how well she recovered. I ended up volunteering and later working for Dr. Bookman before I went to college.

As or studying advice, I would say study hard and get good grades, especially when you get to college. At the same time, it's important to be well rounded, so playing sports and being active in extracurricular activities like clubs and service organizations is important. Finally, it's important to be persistent! It took me three times to get into veterinary school (I was rejected twice), but I kept at it. Once you have a goal, and a dream, you can achieve it if you work hard! By the way, you have an excellent school of veterinary medicine (KSU) in your state.

Q: Hi Doc,

I really enjoyed the segment about your practice. You mentioned a book that instructs fish owners how to train their pets. What is the name of it or any other related resources for fish-human bonding?James, Miami, Florida

A: Dear James,

Yes, I'm glad you asked about the book. It's called How to Train Goldfish Using Marine Mammal Training Techniques. It's written by a man named C. Scott Johnson but is now out of print. The ISBN# is: 0533112923. You may be able to find it on the Internet or though a used book store. Good luck!

Q: I heard that you could give a sweet pea to a fish that has swim bladder problems. The pea is supposed to counteract buoyancy disorder. Is this true? Is this something fish owners can try at home without harming the fish?Lea Griffis, Conyers, Georgia

A: Dear Lea,

Ah yes, the green pea treatment. I recommend it frequently (it's inexpensive and is unlikely to harm the fish). I first learned of this many years ago from someone in a pet store. Fancy goldfish in particular are frequently afflicted with buoyancy disorders (usually they are positively buoyant and float either on their back or their side). Sometimes this condition improves or worsens shortly after eating. There are many theories as to why this occurs, and it's possible that a number of causes are to blame. Certainly in some cases the swimbladder is abnormally shaped or diseased. Excess gas in the gastrointestinal tract could also cause the problem.

We think green peas might help because they are high in fiber and are probably denser than floating flake or pelleted foods. Also, since they tend to sink, it's less likely that a fish eating peas will ingest air from the surface at the same time.

Just this past week I read an e-mail from a veterinarian whose client was feeding a lot of green peas and the goldfish actually started to turn green! Now, this is an anecdotal report, but I guess it's possible. We normally recommend one green pea per fish per day. Frozen and thawed or canned peas seem to work well and it helps to lightly squash them so the fish can get to the inside of the pea.

Q: Are there any diseases that humans can catch from their pet fish or fish can catch from humans? If so, how common are they?Mary Barron, Albuquerque, New Mexico

A: Dear Mary,

I don't know of any diseases that pet fish can catch from their owners but there are some diseases that people can catch from pet fish. We call these diseases, those that can go from animals to humans, zoonotic diseases or zoonoses.

The first and probably most common is mycobacteriosis. This condition is sometimes called "aquarium finger." Although related to the organism that causes tuberculosis in humans, the species of Mycobacterium that fish can carry does not cause tuberculosis in humans. Sometimes fish mycobacteriosis is incorrectly referred to as "fish TB." Humans are most susceptible to this disease when they have open cuts or sores on their hands when they handle or touch fish. It's also possible to contract this disease by coming in contact with contaminated water. Finally, people who are immuno-compromised (have weak immune systems) are more likely to contract "aquarium finger" than young, healthy people.

The disease can be treated but it can take several months to cure. Generally, the lesions are restricted to the hands and extremities. This is because the fish bacteria grows best at fish temperatures (temperature of the aquarium or pond) and not human body temperature (98.6 F). Since our hands and fingers are cooler than our core body temperature, the bacteria can survive and multiply in the extremities. Here are some tips to prevent this problem (which I have never observed by the way):

  • Always wash your hands well after touching fish or aquarium water.

  • Wear latex gloves when handling fish (you may have noticed we were always wearing gloves when working with the fish in the NOVA segment).

  • Don't handle fish or aquarium water if you have an open cut or sore.

  • Aquarium water has been linked to other bacterial disease (e.G., shigellosis) of humans but this is pretty rare. Overall, fish are very safe pets for people and the incidence of zoonotic disease is low.

    Q: I have a pair of goldfish. They are six years old and have a baby that is one. The adults are extremely big—Koi-sized—and have had no health problems so far. Should I take the young fish out of the tank before the adults mate again? My tank is about 75 gallons, and they are the only fish in the tank. Thank you for your time.Stephanie Selznick, Quincy, Massachusetts

    A: Dear Stephanie,

    Are you trying to raise more goldfish? I can't think of a good reason to remove the juvenile, unless you think the adults might injure/consume it or that having more fish (the adults plus the juvenile) in the tank might reduce the number of eggs once the adults spawn. I don't think having the one-year-old fish present would present any problems, but with the size of the adults, you'll probably want to minimize the bioload on this aquarium at some point.

    I hope this is helpful.

    Q: Do fish feel pain? I noted in the broadcast segment that they were being treated with anesthesia during surgery, but is this merely to keep them calm or can they actually feel pain?Anonymous

    A: Dear Anonymous,

    I think fish feel pain. At least I'm convinced they can perceive noxious stimuli and react accordingly (e.G., flipping or flopping when injected with an antibiotic or other drug). A lot of research is ongoing in this area and sometimes the results aren't conclusive. Nevertheless, we were giving an analgesic (pain medication) for pain management and not to calm the fish.

    Q: Dr. Lewbart,

    How common is it now for vets to have expertise with fish? Is it likely that in any major city you could find a vet who treats fish?Anonymous

    A: Dear Anonymous,

    I would estimate there are between 50 and 100 veterinarians in the United States that regularly (at least once a month) treat or consult on pet fish clinical cases. I would say that there should be at least one of these veterinarians in or within close proximity to most major metropolitan areas. I know in North Carolina both Raleigh and Charlotte (the largest cities in the state) have private practitioners that treat pet fish on a regular basis.

    Q: What is the cause of high mortality in recently imported Hatchetfish characins (Carnegiella strigata) and pygmy Corydoras pygmaeus at the wholesale level? Do you have any information on this?Bill Thomas, Olympia, Washington

    A: Dear Bill,

    Good but tough question. I worked in the wholesale pet fish industry for almost five years so I saw a lot of recently imported wild South American fishes. However, without performing a thorough physical examination or necropsy, I can't comment on any specific causes of mortality in these species. I can tell you that these wild-caught fishes, during the sometimes lengthy time interval from capture to a holding aquarium in the United States, are subjected to a variety of stressors that may include crowding, poor water quality, temperature extremes/fluctuations, net trauma, malnutrition, and contact with other fishes that may be infected with a contagious disease.

    For specific answers, your best bet would be to submit fresh samples to a local diagnostic laboratory. I would be happy to help locate one for you in your area.

    Q: Dr. Lewbart,

    How do you think Hurricane Katrina affected nondomestic animals in the Gulf region? Are animals able to naturally protect themselves in weather situations like this, or do they suffer as much physically as humans do during and in the aftermath of a major storm?Carrie Oaks, Shreveport, Louisiana

    A: Dear Carrie,

    I'm certainly no expert, but my general impression (having been through a couple of Category 1 storms), is that wild animals fare remarkably well during hurricanes. Think about this: they don't rely on electricity, grocery stores, plumbing, motor vehicles, mail delivery, etc. And they don't have houses and apartments that can be flooded or washed away. Of course, some tree-dwelling species certainly suffer, but I think that overall wild species are adapted quite well to hurricanes and other natural disasters.


    5 Anti-Inflammatory Eats That Will Help Ease Your Pain

    You may have noticed increased body aches and pains after eating certain meals. Food can either aggravate or reduce inflammation.

    Inflammation is part of the body's natural immune response. Infection, wounds, and tissue damage wouldn't be able to heal without it. But inflammation also causes discomfort, pain, swelling, and heat.

    Keeping inflammation to a minimum is especially important for people with chronic pain or conditions like rheumatoid arthritis (RA), Crohn's disease, and other autoimmune diseases. In fact, inflammation can not only increase joint stiffness and exacerbate pain for people with RA but also speed the progression of the disease.

    Instead of reaching for an anti-inflammatory medication, here are five soothing foods that may reduce inflammation and make your pain more manageable.

    Try adding hot peppers to your diet if you have joint pain.

    Capsaicin, the compound in peppers that makes your mouth feel hot, produces an anti-inflammatory effect and has potential antioxidant properties.

    Try: Spice up your favorite dishes with jalapenos, habaneros, cayenne, serrano, and cherry peppers. Even bell peppers work if you prefer a milder flavor.

    Need to know: Hot peppers may cause indigestion, especially if you don't normally include them in your diet.

    Turmeric is a bold, orange-yellow spice and is a great food to incorporate into your diet to reduce inflammation.

    "Turmeric has been found [to be] as effective in reducing inflammation as some anti-inflammatory medications, thanks to the compound curcumin," says Erin Palinski-Wade, RD, CDE, author of "Belly Fat for Dummies."

    Curcumin is the main active ingredient in turmeric. It's been found to have powerful anti-inflammatory effects and is a very strong antioxidant.

    Try: People use turmeric heavily in Indian and Southeast Asian cooking. You can also use it in salad dressings, soups, or your own anti-inflammation tonics and smoothies.

    Need to know: Turmeric contains oxalate. When consumed in high doses, oxalate may contribute to kidney stones. Also, not all commercial turmeric powders are pure. Some may have additives that aren't as beneficial.

    It can also help to start eating less of — or eliminating — some foods from your diet that can exacerbate inflammation.

    "When you consume more added sugars than the body can process at one time, it increases the release of pro-inflammatory compounds, cytokines, and may elevate the inflammatory biomarker C-reactive protein," says Palinski-Wade.

    Choosing fibrous, nutrient-dense carbohydrates over refined and processed carbs can have an effect on decreasing inflammation. Opt for lower-sodium foods, too. Excessive sodium in the diet can lead to water retention, which can increase joint pain.


    What's The Kindest Way To Kill A Lobster?

    Lobsters may not exhibit recognisable symptoms of pain, but that doesn't mean they don't experience it, say some scientists

    "Lobster is one of those rare foods that you cook from a live state," the recipe says.

    It's the tried-and-trusted method for many of us with any experience of cooking lobster - and there are dozens of similar recipes online.

    But on Wednesday Switzerland banned the practice and ordered that lobsters be stunned before being despatched to our plates to avoid unnecessary suffering in the kitchen.

    It comes amid growing scientific evidence that lobsters - and other invertebrates, such as crayfish and crabs - are able to feel pain.

    So what's wrong with the traditional method? And what are the alternatives?

    Can lobsters feel pain?

    Animal welfare scientists define pain as "an aversive sensation and feeling associated with actual or potential tissue damage", explains Jonathan Birch, assistant professor in philosophy at the London School of Economics.

    In a series of experiments at Queen's University in Belfast, crabs gave up a valuable dark hiding place after repeatedly receiving an electric shock there.

    "They were willing to give up their hideaway in order to avoid the source of their probable pain," said Prof Robert Elwood, who led the team carrying out the experiments. He told the BBC that numerous experiments showed "rapid avoidance learning, and [crustaceans] giving up highly valuable resources to avoid certain noxious stimuli" - consistent with the idea of pain.

    This might explain why they are excluded from many countries' legislation on animal welfare - though decapod crustaceans are protected in countries like Norway, New Zealand and Switzerland, and there are campaigns for change elsewhere.

    So how should you kill them?

    Humanely, say activists - whereby they are killed immediately or put into a state of continuous unconsciousness until death occurs.

    But neither stunning nor killing crustaceans is necessarily a simple business when compared, for example, to fish.

    This is because crustaceans have decentralised nervous systems, meaning that unlike fish, they can't be rendered unconscious with a single blow to the head.

    To "spike" a lobster to death, again unlike fish, you have to pierce the body in more than one spot.

    So the best ways to achieve a quick death are, according to animal welfare charity RSPCA Australia:

  • Stunning it electronically with a device such as the Crustastun before killing or cooking - but with the device reportedly retailing at £2,500 ($3,400), this is unlikely to appeal to the domestic cook
  • Stunning the crustacean by chilling it in cold air or an ice slurry - saltwater or freshwater, according to the species - for at least 20 minutes
  • Once the lobster is stunned, it should be mechanically killed as quickly as possible, says the RSPCA, by splitting it along the longitudinal midline on its underside. This can be done without first stunning the animal, but it cannot be considered as entirely humane as it takes even the most experienced person several seconds to carry out
  • Using the aquatic fish anaesthetic AQUI-S, which studies suggest kills without causing pain or distress
  • How shouldn't they be killed?
  • Boiled alive and sentient (either in boiling water or cold water that is brought to the boil)
  • By separating the tailpiece from the thorax without first destroying the nervous system (even if the lobster is unconscious)
  • Cutting the animal up while sentient
  • Microwaving or drowning
  • For Prof Elwood, the major concern is not the domestic cook or even restaurant kitchens, but major food processing plants, where animals are commonly dismembered without being killed.

    He also says labelling crustaceans with relevant welfare information could help consumers make informed choices.

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