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BEHAVIORAL DIFFERENCES IN CATS AND DOGS
Having both a dog and a cat at home isn’t unusual. They are two creatures that can live in harmony together. Pet owners do the same for both as far as caring for them goes. They provide them with food, shelter, and water. Cats and dogs still share a few obvious differences… and not just their size. Here are five ways having dogs is different from having cats.
Classifying Critters
Animals: they come in different shapes and sizes, with varying colors and a breadth of breeds. At last count, a whopping 8.7 million species of animal were noted in the world, with new animals being identified, and others going out of existence all the time.
THE YORKIPOO
The Yorkipoo is a fun-loving, energetic and loving small breed. They are are versatile dogs that can live in a large house or an apartment with equal satisfaction. They’re extremely easy-going and love lounge time just as much as a walk in the park. The Yorkipoo may be petite, but make no mistake, their little bodies pack a ton of energy and agility.
Brief History
The Yorkipoo is a cross between a Yorkshire Terrier and a Toy Poodle and were first bred in the United States. Yorkipoos were bred to be hypoallergenic and make great companion dogs to people of all ages. Due to their mixed breeding, the Yorkipoo is not recognized by the American Kennel Club but is recognized by the American Hybrid Canine Club and the Designer Dog Kennel Club.
Physical Features
The Yorkipoo combines all the favorable physical characteristics of the Yorkshire Terrier and the Toy Poodle. They are small in stature and have a long, smooth and silky coat — either curly or straight. The Yorkipoo has black or brown eyes with an intelligent glint and their noses are typically brown or black.
The Yorkipoo’s coat can be of a wide range of colors such as apricot, brown, white, gray, or a combination of a few. The Yorkipoo’s ears can be straight and upright or floppy. Overall, they’re handsome dogs with a ton of personality.
Average Height:
7 – 12 inches
Average Weight:
3 to 14 lb
Life Expectancy:
10 to 15 years
Temperament
Yorkipoos are full of vitality and are always up to something interesting. Be prepared for their antics to make you laugh a lot! Yorkipoo are confident and comfortable while engaged in active play, but are also quite ready to relax on your lap. This little dog is quite intelligent and can make an ideal playmate for children. Their love and affection also come in handy for more senior owners.
The Yorkipoo is gentle and behaves well with strangers. Thanks to their cool disposition, the Yorkipoo can be socialized easily. Like many small dogs, the Yorkipoo has no idea of its small size and will play with much larger dogs. To avoid any accidents, Yorkipoos should be introduced to larger dogs under strict supervision until they can make friends.
Yorkipoos are extremely smart and always eager to please. This makes them easy to train. While teaching this dog, you should use positive reinforcement. They typically don’t respond well to harsh commands or threats. Instead, enthusiastic praise and treats after good performance will help the Yorkipoo learn quicker.This dog’s innate qualities give it great potential for obedience or therapy training.
Special Needs
Yorkipoos have a strong constituion and can stay healthy over a long period of time with proper care.
Possible Health Concerns
However, they are prone to conditions such as dry eye, retinal detachment, hypoglycemia and endocardiosis. Early diagnosis and treatment can ward off many of these diseases and help the Yorkipoo make a full recovery each time.
Exercise
The Yorkipoo requires regular training to keep their high energy levels in check. A brisk, short walk once a day is enough to keep them healthy and strong. The Yorkiepoo also loves running around with a ball or toy.
Nutrition
The Yorkipoo is known for being a picky eater. To solve this problem, you can experiment mixing wet and dry food together to see what works best.
Grooming
Yorkipoos have long, beautiful, hypoallergenic coats that require regular care. Owners must make sure to brush this pup regularly throughout the week to prevent matting and bathe them once a month. Consult your veterinarian for shampoo recommendations.
A Yorkipoo is a little dog with big energy and a big heart,. They make excellent companion dogs and love to bond with their humans.
THE LAGOTTO ROMAGNOLO
Lagotto Romagnolo
The Lagotto Romagnolo is a rare dog breed that originated during the Renaissance period in Italy and were bred to retrieve waterfowl. “Lago” translated, means lake in Italian. This dog breed was also used to sniff out truffles. Most water retrieving dog breeds are thought to have originated from this dog breed.
Brief History
The Lagotto dog breed goes back many centuries. The Lagotto Ramagnolo worked as waterfowl retrievers and were, for many years, used to sniff out truffles in the Italian countryside. This breed is thought to be the best in truffle sniffing. It is part of the Sporting Group, and was made part of the FSS program in 2001. This dog breed was recognized by the UKC in 2006.
Physical Features
The Lagotto Romagnolo is a small-to-medium-sized dog breed. It is powerfully built, and has a rustic, country feel. This dog breed has a distinctive, dense, curly coat with lots of woolly hair. Their eyes are large and round and can be eye hazel to dark brown. Their ears are medium-sized and triangular in shape. They are also known for having a wiry mustache. Their tails are woolly and their coats have tight, ring-shaped curls with a soft undercoat beneath. Curls are everywhere except on their heads, where they have abundant eyebrows, whiskers, and a beard. Color should be an off-white solid color, white with brown and orange patches, brown roan, different shades of brown, with or without white, orange with or without white.
Average Height:
16-19 inches
Average Weight:
24-35 pounds
Life Expectancy:
15-17 years
Temperament
The Lagotto Romagnolo is an affectionate, and easy-to-train dog breed. It is undemanding, and keen, yet very attached to its dog parent. This dog breed is an excellent guard dog, but is not aggressive. They are famous for having wonderful sniffing abilities. The Lagotto are also known for their gentleness, and for being a great companion. They are good with children, and other animals. This is an indoor dog that needs companionship, and lots of TLC. It is very loyal, and energetic. This dog breed enjoys swimming.
Special Needs
The Lagotto Romagnolo needs an active family that enjoys long hikes, swimming, and plenty of outdoor fun. This dog breed is gentle, and positive dog training needs to be geared with that in mind. Socialization should begin during the first four weeks of puppyhood, and continue throughout a dog’s life. This breed needs plenty of mental stimulation, and does well with organized canine sporting activities like agility, trails, dock diving, and obedience.
These dogs do well with detection of medical conditions, and work well as therapy dogs. These are indoor dogs that benefit from lots of TLC. They need plenty of outdoor activity. That said, the Lagotto enjoys hanging out with the family on the couch at home.
Possible Health Concerns
Bloat. This breed is deep- chested, and thus more prone to bloat. Bloat is a life threatening emergency. It is caused by the twisting of the stomach, together with the accumulation of gas, with or without fluid. It is best to never elevate this dog’s water and food bowls. Stress is also a major factor in causing bloat. Never feed your dog a large meal, followed by exercise. At the first signs of dry vomiting, restlessness and discomfort, contact your emergency veterinarian.
Hip Dysplasia: This is a hereditary developmental disease. HD affects the Lagotto dog breed. HD occurs when the hip joint fails to develop properly. In the Lagotto with HD, the head of the thigh bone does not fall into the hip socket. The imperfect fit results in the joint becoming loose and unstable, and results in osteoarthritis.
Juvenile Epilepsy: This is a recessively inherited disease. In this dog breed, the symptoms occur from 5-9 weeks of age. The dog has seizures of the entire body with loss of consciousness. The seizures go away by 8-13 weeks of age.
The Lagotto Romagnolo dog breed
Exercise
The Lagotto Romagnolo is an energetic dog breed that does well with plenty of regular exercise and canine sporting activities. Keep your Lagotto mentally stimulated when out exercising. Sports like obedience training, field trials, dock diving, tracking, and agility are good options for this dog breed. Swimming at the dog beach and pool at home are also fun activities for the family.
Nutrition
Dogs should be fed the highest-quality food that’s appropriate for their age, activity level and medical conditions. Consult with your veterinarian if you need advice about which food to feed your dog.
The Lagotto Romagnolo
Grooming
The Lagotto Romagnolo has a waterproof coat that is curly. They have a double coat of hair, and shed rarely. Trimming needs to be done regularly on this dog breed. This dog breed is one of the best for allergy sufferers because they rarely shed.
Regular bathing is recommended with natural shampoos and conditioners to promote good skin and coat health. Daily tooth brushing is recommended to prevent gum disease. Twice yearly visits to the veterinarian for dental hygiene maintenance is required. Ears need to be regularly wiped out, and nails trimmed regularly to prevent pain when walking and running.
The Lagotto Romagnolo needs an active family that enjoys long hikes, swimming, and plenty of outdoor fun. This dog breed is gentle, and positive dog training needs to be geared with that in mind. This dog breed needs plenty of socialization, and positive dog training starting during puppyhood.
THE PARSON RUSSELL TERRIER
Parson Russell Terrier
The Parson Russell Terrier originated during the 1800’s in the United Kingdom. This dog breed was bred to chase after foxes above and below the ground. Rev. John Russell bred a strain of terriers for catching foxes in Devonshire, U.K. during the 1800’s. The Parson Terrier is larger than the Russell Terrier, and has longer legs, though the Russell Terrier is stockier than the Parson Terrier.
Brief History
The Parson Russell Terrier comes from the U.K. This terrier breed was named after the Reverend John Russell, who bred terriers to hunt foxes in Devonshire, U.K during the 1800’s. The Parson Terrier is very similar to the original terrier breed that the Rev. John Russell bred. The AKC and the parent club, the Parson Russell Terrier Association of America (PRTAA), calls this breed the Parson Russell Terrier.
Physical Features
The Parson Russell Terrier has a medium-sized body, and is a sturdy and muscular small dog breed. With a flat skull, and a black nose, the Parson Russell Terrier has v-shaped ears, and has intelligent, almond-shaped brown eyes. This is a well-balanced dog breed that has a small chest, and straight legs. Their tails are short, and are carried upright.
They have smooth coats with an undercoat. This dog breed always has 51% white coat coloring, with tan, black, and brown markings. Russell’s have a free and effortless gait. They are a confident and outgoing dog breed that does well with equestrians on horse farms.
Average Height:
10-15 inches
Average Weight:
13-17 pounds
Life Expectancy:
12-14 years
Temperament
The Parson Russell Terrier is a lively, active, and dedicated dog breed that is assertive and fun to be around. They have huge hearts, are extremely active and have a strong work drive fueled by their intelligence. Terriers are generally not good with small animals like cats. Some terriers can be snappy or reactive. This dog breed needs socialization, and positive dog training starting during puppyhood and require plenty of attention. This breed is known for their digging skills, and are passionate diggers that can escape very easily from beneath fences, and out the front door. The Parson Russell Terrier is always upbeat, happy, curious, and friendly.
Special Needs
The Parson Russell Terrier has a passion for living, and enjoys each and every day. Care must be taken that the Parson Russell Terrier does not escape from home, or when out and about. This dog breed requires an experienced and active dog parent. It does not do well with apartment living, and needs an active outdoor lifestyle. The Parson Russell Terrier does well with plenty of attention and exercise. This is a playful and curious dog breed that enjoys travel, being around people, and most especially running around!
Possible Health Concerns
Patellar Luxation: This is a hereditary condition that is caused by the abnormal development of the kneecap(patella).X-rays will aid in seeing the severity of the displacement. Treatment usually involves surgical options.
Congenital Deafness: This is a problem in Parson Russell Terriers. The BAER test is the only 100% reliable method for testing of deafness in dogs. Bilaterally deaf terriers are easier to identify.
Legg-Perthes Disease. This is the deterioration of the top of the femur that is often seen in smaller dog breeds like the Parson Russell Terrier. It is characterized by a lack of blood supply and destruction of the blood vessels of the bone. Veterinary treatment usually involves the surgical removal of the affected femoral head and neck, and physical therapy so as to stimulate limb usage.
Lens Displacement: This is a common inherited eye problem in terrier breeds. It can also be caused by trauma, enlargement of the eyeball due to glaucoma, and degenerative changes that occur from cataracts that have not been treated. Consult with your veterinarian.
Spinocerebellar Ataxia: This is an inherited neurological disease that affects the Parson Terrier. Dogs with this present loss of balance and show signs of incoordination.
The Parson Russell Terrier
Exercise
The Parson Russell Terrier is an energetic dog breed that does well with plenty of regular exercise and canine sporting activities. This dog breed also needs to be mentally stimulated when out exercising for their mental well-being. The Parson Russell Terrier can get very excitable, so plenty of off-leash exercise is necessary.
Nutrition
Without high-quality nutrition, the Parson Russell Terrier can suffer from numerous problems ranging from skin allergies, malnutrition, and other health issues. Work together with your veterinarian and possibly consider high-quality home cooked meals with added vegetables, fruits and supplements.
Grooming
This dog breed is easy to maintain. The Parson Russell Terrier has two types of coats: smooth and broken. A soft brush or hound glove works best for this breed. Regular bathing is required for this active dog breed, most especially if he’s been digging or rolling around in the mud. Nails should be trimmed when needed, and ears should be cleaned frequently. Teeth should be brushed every day, and twice yearly visits for dental cleaning are necessary.
Parson Russell Terriers are some of the most active dog breeds that you can find. Fun-loving, active and incredibly feisty, this breed can be rambunctious if left alone and bored. This breed needs an active and experienced pet parent, but has an immense amount of love and companionship to give.
THE PERSIAN LONGHAIR CAT
The Persian Longhair is one of the oldest cat breeds. They originated in Persia, or Iran, as it is known today. During the seventeenth century, nobility enjoyed the Persian cat breed. Pietro Del Val imported the first Persian cat to Europe in 1626.
Brief History
The Persian Longhair is known for its round face and short muzzle. The “Iranian cat”, as it is called in the Middle East, and the “Shirazi cat” in Iran, were first brought into Italy from Iran around 1620. Breeding of the long haired Persian took place in Italy and France after this cat breed became popular throughout Europe. In 1870 the first Persian cat attended a cat show in London, U.K. The Persian then arrived in the U.S in the early 1900’s.
The earlier Persian breed had a much longer nose than today’s Persian, which has a flat-face. By 2015, the Persian was the second most popular cat breed in the United States. Today’s Persian cats are related to the Western European cats. The Persian differs from the Angora cat breed in that their tails and heads are larger with ears that are less pointy.
Physical Features
With a large round head, and large round eyes, the Persian has a short nose and full cheeks. Their legs are short and thick, with paws that are strong and round. Their tails full and are in proportion to the body. Their necks are powerful and thick. Persians have long and thick coats with long ruffs around their necks. Their front legs typically sport a frill of fur and their ears and toes have tufts of long hair. There are two types of Persians:
Peke-faced Persians (more flat-faced)
Doll-faced Persians (less flat-faced)
There are seven solid color divisions:
White
Blue
Black
Cream
Chocolate (rare)
Lilac (rare)
Red
White Persian cats will have blue or copper eyes or one of each. Silver and Golden Division Persian cats yield chinchilla, shaded silver and golden colors. The chinchilla colored cat is white with black tipping scattered all over the face, legs, tail, and body. Shaded Persians will have black on their backs, with it being distributed evenly down the body. Leg and face tipping on the Persian should match, and yields a darker color than chinchilla. Golden Persians will have chinchilla coloring or shading. Green or blue-green eyes are matched with silvers and Guldens Paw pads are black and are matched with a red nose.
Smoke and Shaded Division Persians yield shell and cameo colors with a red tipping and white undercoat. Shell and shaded tortoiseshell Persians yield black tipping with patches of red tipped hair. Shell and shaded blue Persians will have a blue tipping with patches of cream hair.
Tabby Persian Cats come in classic, mackerel and patched. The Classic tabby will have bull’s eye markings on either side of the body. The mackerel will have narrow penciling throughout the body. There are also bicolor, particolor, and Himalayan Divisions of the Persian cat breed.
Average Height:
10-15 inches
Average Weight:
7-12 pounds
Life Expectancy:
7-15 years
Temperament
The Persian Cat breed is a sweet and kind cat breed that enjoys being pampered. Although super feisty if not exercised or mentally stimulated, the Persian fancies lots of cuddles and cute cat toys. The Persian can be aloof when needing time alone, but are also affectionate with immediate family. Persian cats do well in a quiet home without lots of disruptions. This wonderful cat breed tends to be placid in nature and friendly with strangers.
Persian cats have a compliant nature, and are easy to live with. These beautiful cats are docile, and adapt easily to new environments.
Special Needs
The Persian does best as an indoor cat. This cat breed thrives on affection, and plenty of cat toys. Pet parents should make sure to keep their Persian indoors during the hot summer months, as they can overheat easily. The Persian gets bored when alone for long periods of time. Eye tearing may be a problem with this cat breed. Inactive cats tend to pick up weight, and are prone to more medical conditions like liver disease.
Possible Health Concerns
The Persian is a healthy and moderately active cat breed that may be susceptible to the following health conditions:
Hypertrophic Cardiomyopathy (HCM): This is a heart muscle disorder where the heart walls of the left ventricle thicken. This results in the walls becoming stiffer. This is a common primary heart disease in cats. It tends to noticed at around 3 months to 17 years of age. Most cats will be middle aged when this disorder occurs. This disorder tends to affect males more than females, and it is an inherited genetic defect. Symptoms may include difficulty breathing, weakness or paralysis of the hind limbs. Fluid may also accumulate in the lungs, and in the space between the lungs and chest wall. Veterinary treatment will aim at improving cardiac function, and reducing blood clots. There is a good longterm outlook for mildly affected cats. Consult with your veterinarian for advice.
Progressive Retinal Atrophy: This is a group of diseases that cause degeneration of the retina. This also includes inherited abnormalities of the light-sensitive retina layer. Cataracts are common toward the end of PRA. This results in it being difficult to detect underlying diseases of the retina. Consult with your veterinarian.
Basil Cell Carcinoma: These are malignant tumors that occur most often in elderly cats. The Persian cat breed is very susceptible to this. They will first show up as ulcers on the head, legs, or neck, and are not raised from the skin. Instead they will spread and form new ulcers. Surgery is the best treatment for removal. These tumors will spread to other areas of the skin, but not to organs.
Hip Dysplasia: This is rare in domestic cats, and is common in purebred cats. This occurs when the hip joint is loose, and leads to degenerative joint disease. (osteoarthritis) Symptoms include lameness that can be mild to severe. Cats generally need no surgery for hip dysplasia. Weight reduction can help reduce discomfort.
Heat Sensitivity: Cats will sweat through their foot pads. The Persian needs to be kept indoors during the hot summer months. This cat breed needs lots of fresh water to drink, cool places to lie in, and a cool home during extreme summers. Flat –faced cats and Persians have breathing problems, and don’t pant as well as other cat breeds. Symptoms of heat exhaustion include a fast heart rate, sunken eyes, and excessive panting. If your Persian is a senior cat or is obese, it will be necessary to watch closely for heat exhaustion.
Cherry Eye (Eyelid Protrusion): This is a disorder of the third eyelid, resulting in swollen redness of the eye. It is more common in Persian cats. Consult with your veterinarian for advice.
Entropion: This is the inversion of the lower lid. It is more common among purebred cat breeds like the Persian cat.
Polycystic Kidney Disease. This occurs when the polycystic kidney has numerous cysts within the functioning part of the kidney resulting in enlarged kidneys. Consult with your veterinarian if your Persian vomits frequently, has a decreased appetite, and increased thirst or urination.
Ringworm: This is an infection of the skin, hair, or claws, and is caused by a fungus called dermatophyte. This occurs in 98% of cats. It spreads easily from cats to people. Symptoms include circular, bald patches that scale and have broken hairs in a ring-like fashion. Consult with your veterinarian for advice.
Skin Disorders: The Persian may be prone to skin disorders. Persian cats are prone to idiopathic seborrhea. This is an inherited skin disorder resulting in the overproduction of an oily substance. This clumps in the cat’s fur, and causes it to smell bad. Symptoms include red and irritated skin with excessive scratching. Consult your veterinarian for advice.
Exercise
The Persian cat breed needs daily exercise combined with plenty of mental stimulation through active play and interaction with people. Finding a variety of mentally stimulating cat toys will allow for your Persian to lead a well-balanced life, with the right amount of exercise and cognitive stimulation. Cat harnesses also allow for daily walks.
Nutrition
All cats do well by being fed twice daily. During kittenhood, kittens will need to be fed every few hours. Growing kittens need more calories, nutrients, vitamins, protein, and calories. Your Persian cat should be able to enjoy a peaceful meal in a quiet corner of the house. Some cat parents prefer to leave cat food out 24/7. When looking for a high-quality cat food, here’s what to look out for:
No low-quality fillers
No artificial additives
Low grade ingredients or toxic ingredients
All cat food has to be meat-based because all cats are carnivores.
No garlic
Plant-based ingredients should be listed after the protein-based ingredients
Consult with your veterinarian for the best dietary advice for your Persian cat.
Grooming
The Persian cat needs daily grooming to prevent hair from matting and removing shedding fur to avoid hairballs. Because this breed has a long and wonderfully soft coat, extra grooming care is required. Stainless steel combs help to remove dead hair. Care must be taken when grooming leg hair and body hair to avoid missing spots that could tangle or mat easily. All cat breeds will groom themselves several times throughout the day. Daily grooming is necessary because it limits the amount of hair that your cat will consume.
Daily cleaning with pet wipes beneath the tail is necessary. Ears should be checked weekly for cleanliness and sensitivity. If there is a buildup of wax and dirt, organisms can lead to an ear infection. Consult with your veterinarian about safe and gentle ear cleaning techniques. Nail trimming is necessary every few weeks. Eyes should also be cleaned gently every morning with cotton wool or a soft wipe. Each eye should be cleaned with different wipes or cotton balls to avoid eye infection contamination in both eyes.
Healthy Persians need minimal bathing with a gentle cat shampoo. Your cat will need dental care as well. By feeding dry food, and having professional dental cleanings with your veterinarian throughout your cat’s lifetime, your cat will have less of a chance of developing gingivitis or gum disease.
THE POMERANIAN
The foxy-faced, spunky Pomeranian has the corner on cute. But did you know they were originally bred to pull a sled? This tiny puff of fluff is royalty’s choice of lap dog, but their surprising background belies their petite and carefully-coiffed appearance.
Brief History
The Pomeranian is a descendant of the Spitz, the ancestors of today’s huskies and other sled dogs. The breed’s name comes from the region of Germany and Poland which was, in ancient times, known as Pomerania.
In the mid-1900’s, the Pomeranian was introduced to England. Back then, it weighed around 30 pounds and was most likely white in color. Canine historians think it probably descended from the Deutscher Spitz. It had pragmatic uses, including pulling sleds and herding sheep.
In 1870, the Pomeranian gained recognition through The English Kennel Club. But the breed earned its popularity boom when Queen Victoria took a fancy to it. She imported a Pomeranian from Italy, a red-coated dog named Marco. She became quite passionate about her dogs, who became beloved travel companions, and she maintained her own breeding kennel. She even exhibited her dogs at the famous Crufts Dog Show in London when it opened in 1891.
Thanks to the royal endorsement, the breed was exhibited in dog shows in the United States under the American Kennel Club’s Miscellaneous Class the following year. Eight years later, it earned a regular classification. It was accepted in various colors. The trend of miniaturizing the Pomeranian continued, and it was selectively bred to have a bigger coat and a “puff ball” appearance.
Physical Features
According to the AKC breed standard, the Pomeranian is “long a favorite of royals and commoners alike [and] has been called the ideal companion. The glorious coat, smiling, foxy face, and vivacious personality have helped make the Pom one of the world’s most popular toy breeds.”
The AKC recognizes nearly two dozen color patterns, the most common being orange or red.
Although it is descended from northern sled dogs, the Pomeranian is recognized as a toy breed.
Average Height:
6 to 7 inches
Average Weight:
3 to 7 pounds
Life Expectancy:
12 to 16 years
Temperament
The Pomeranian is inquisitive, bold, and lively.
Special Needs
With a thick double coat, the Pomeranian needs regular brushing to keep clean and free of mats. His undercoat will typically shed heavily twice a year. Like many toy dogs, he can be prone to obesity and needs his diet monitored carefully, as well as given a daily dose of exercise. Unless the Pom is raised with children, he generally does not do well with them. Being a petite toy breed, he can be fragile, and care must be taken to avoid injury.
Possible Health Concerns
Pomeranians can be prone to the following:
Patellar luxation
Dental disease
Tracheal collapse
Patellar luxation
Patent ductus arteriosus
Exercise
Although all dogs benefit from some outdoor time to sniff around and enjoy a leash walk, Pomeranians require a moderate amount of exercise. They do well in apartments and can thrive on an outdoor jaunt a couple of times a day with a game of fetch.
Nutrition
A Pomeranian’s diet should be maintained to avoid overfeeding. He will thrive on quality kibble, with extras such as meat or fish and steamed vegetables.
Pomeranians are ideal companions for a quiet home, and most of them thrive in a lap-dog lifestyle. Once he settles into your lap, it won’t be long before he finds a secure place in your heart.
A Guide to Pet Wellness Programs
Whether you’re new to pet ownership, or you’ve always had a furry friend in the family, one thing’s for sure – you’re going to need good pet healthcare.