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SigridW
04-08-2014, 12:12 AM
I want to recap how my 2014 season started off in hopes that it prevents more needless deaths.

On 24 March I received 3 neonate squirrels just over 10 days old. Temps were 22F, cold wind, they had fallen on bare ground when the man cut the apple tree down. Mom ran in the woods and did not return. The babies were lying exposed for as long as it took him to call Dispatch, for Dispatch to get a hold of Animal Control, for Animal Control to call him back to tell him she doesn't touch wildlife but might know somebody, and for her to finally call me. When I realized the babies were lying totally exposed I hung up on her and called him immediately and told him to get them off the ground and keep them warm. It was too risky to try and reunite, they were already compromised, so I took them in. I started protocol treatment and then eased them into FV 32/40. First two days, all was fine, then they started diarrhea. I switched formula to Esbilac/FV32/40 50/50 and added cream which had worked like a charm last year. It did not work. The diarrhea took on a moss green color and then started to show a gel like texture. I pulled out every trick of the trade but could not get the smallest boy on a 24 hour electrolytes only fast because he was already running on empty. NOTHING worked. I pulled out Albon, nothing. By now the diarrhea had changed to a rather bright yellow which left flecks all over the white fleece and was sticky where it touched their bodies. I changed the bedding hourly and cleaned them diligently. Last Friday I lost the largest boy, he went down fast. In a frenzy I went on FB to get some input. I was beyond tired, hadn't seen my bed in nearly a week, just snoozed on the couch and kept up the hydration regimen, yet they still looked like parchment. Saturday I was in no condition to drive to Tufts wildlife clinic which is an hour away, but Sunday morning I screeched down there. The intern insisted that this is strictly a food issue and to get away from Fox Valley and use Zoologic Milk Matrix instead. I asked for a fecal and she said it will show nothing, so they did not do one. Sunday night the little boy died. And Monday mid morning the one remaining girl also passed away. She weighed only 48 grams by then and should have been around 65-70.
I was furious with Fox Valley because this is my second year of diarrhea issues on their food although there had been no deaths the previous year. Called Nick and left a message, probably not very political, but understandable considering my exhaustion and anger over this lost battle that had lasted so long.
Then I contacted Shirley Casey of eWildAgain.org in Colorado and explained to her my situation because on their website I saw the flag on Zoologic. What IS safe to feed, I wondered? And who is accountable if formulas are messed with and wildlife is paying the price with their lives? Shirley had published an analysis in June 2013 on PetAg's Esbilac, KMR, Zoologic and Matrix, and Fox Valley 32/40 and 20/50. I needed to know what to feed.
Shirley called me back and we spent nearly 3 hours on the phone. I gave her a detailed description of how things had gone down and my observations about the poop. Below is a brief synopsis of our conversation. I hope this helps other rehabbers prevent such tragedy!

I just spent nearly 3 hours on the phone with Shirley Casey of eWildAgain.org. Here is a short recap of our conversation.
I will submit a sample of my FV 32/40 to her with a copy of the label and lot number for testing. eWildAgain contracts with the top laboratory in the country, they are what one could call the Consumer Reports for wildlife formula. They provide us with facts and are constantly searching for the ideal formula, but they also are the experts on squirrel rehabilitation for the country. Period.
My babies most likely died from Giardia. We discussed in detail the progression of the diarrhea and she concluded that death was inevitable without treatment, and it wasn't anything I did or caused. A fecal may or may not have detected the microscopic parasite, but the description I gave her and what she told me fit 100%.
How did they get it? Several possibilities, but most likely from shock due to the fall and exposure to the cold temperatures that day which cause a buildup of bacteria in a neonate's system. Only immediate treatment could have saved them, and since I had never dealt with Giardia before I did not recognize the problem.
Giardia is recognizable by moss green diarrhea which then turns gel-like and eventually a bright yellow, and it is continuous. A prolapsed rectum is also often the case. Mine didn't have that, but there was a lot of irritation and of course pain. Coccidia is an on again, off again situation with pasty yellow stool that smears all over everything.
I will make damn sure that I have the treatment drug of choice, Panacur, on hand from now on. It would have saved them...
As for the current squirrel formula, based on their research, it goes as follows, and I am using a 1 part basis here:
1/2 part FV 32/40
1/2 part Esbilac
2 parts water, at exactly 165-175F
1/4 part heavy whipping cream
How to mix:
Combine the dry ingredients.
Add 1 part of the water, stir with a wire wisk until you have a paste.
Add the remaining part of water and mix well.
Add 1/4 part of heavy cream.
IMPORTANT: LET THIS FORMULA SIT FOR A MINIMUM OF 4 HOURS, BETTER YET, 8 HOURS.
All the information can be found on their website which is chock full of how to information and reasons why the formula needs to be mixed that way. Look at the charts they publish, there is a wealth of info on their site, lots of videos, geared towards us rehabbers who don't have time to go on a long search.
The jury as to how much the formula is to blame is still out until the analysis is in. I ran into problems with it last year and these babies were not exposed to extreme cold like the triplets.
Conclusion: FV 32/40 is still in, but there is a right and a wrong way to mix it. I will update as I continue to receive new information. And if any of you ever receive a batch with dirt in it like I did a few years ago, preserve it, preserve the label which has the lot number, and send it to Shirley!!!

island rehabber
04-08-2014, 12:42 AM
Sigrid I am so terribly, terribly sorry about these three precious little ones lost.
As soon as I read "moss green color" and "gel-like texture" I said "Giardia". Once you've dealt with it in a baby you never forget that mess....:(
I belive that giardia, like coccidia, lives in the body and is able to flourish when the system is stressed or compromised, as yours were. The last little giardia case I got in had been trapped at the bottom of a drain pipe for two days.....she made it, yes, but she was much older than your pinkies.

Thank you for bringing this sad story to all of us to remind us of giardia's danger, and what it looks like, and what is used for treatment. Again, so sorry you lost them. :grouphug

psychobird
04-08-2014, 08:17 AM
Hi Sigi!!
I think what Sigi is saying about diet is really important too
I haven't been on much and not sure how many people are still having problems with formula.
Jodi :)

pappy1264
04-08-2014, 08:41 AM
I am so very sorry. Thank you for taking the time to post this. I am sure Jodi told you all about Frank, Furter and Bean from three years ago. This sounds very much like what they went through. Five weeks of diarrhea. How they survived is beyond a miracle. I will mix the formula as you state, (I am already using it, but was not mixing this way.) What is the reason for mixing this way?

SigridW
04-09-2014, 12:54 PM
Pappy, it has to do with the milk solids needing time to hydrate, I believe. Shirley Casey from eWildAgain.org has sent me a bunch of links to their site and PDF's for quick reference, all are public info for rehabbers, because she knows what it's like to be up to your eyebrows in diarrhea or another mess and having no time for long searches.

I went to a friendly veterinarian who helps me with wildlife yesterday to get Panacur so I have it on hand and he explained this a little further: the protozoa are already present in a squirrel's body, as are others, but they generally balance each other out and the animal lives a perfectly normal life. In case of extreme stress or shock, as my neonates experienced, that balance can get out of whack and the Giardia protozoa can get the upper hand, and the result is runaway diarrhea and death if not treated quickly.

Now that I know that, no way in hell will I lose any more babies to this! Even the Tufts Wildlife Clinic intern dropped the ball when she refused to do a fecal claiming that babies that young do not have parasites. WRONG! It probably would not have made a difference in the babies' chance of survival at that stage, but at least I would have known what I had been up against. The problem with Giardia is that only during the runaway diarrhea stage will there be any protozoa in the diarrhea to see in a fecal, in the earlier stage they don't shed. There is a test, I think it is called Eliza, that detects it anyway, but I think one has to test specifically for Giardia. I am not a vet or lab technician, so don't quote me on this test explanation.

I felt it important to post this so other rehabbers will know that this can and does happen and to not wait for a fecal to test positive but treat the animal before it's too late.

Ha, and because I think that during 8 days of hardly any sleep and hourly dealings with diarrhea I may have slipped up and infected myself. Went to the doctor yesterday and am awaiting the (probably still negative at this stage) test results. But I was up against an MD who INSISTED that the only way one can get Giardia is from contaminated water or from an infected person. That shows you how much an MD knows...

island rehabber
04-09-2014, 05:47 PM
Ha, and because I think that during 8 days of hardly any sleep and hourly dealings with diarrhea I may have slipped up and infected myself. Went to the doctor yesterday and am awaiting the (probably still negative at this stage) test results. But I was up against an MD who INSISTED that the only way one can get Giardia is from contaminated water or from an infected person. That shows you how much an MD knows...

Yes, we can get coccidia and giardia from our baby squirrels, unfortunately. Hope you're ok! Also: leptospirosis, a respiratory disease, can be transmitted between species. I know of a rehabber that was sick with lepto from her squirrels and voles for literally months before her doc figured it out. :shakehead

sqrlmum
04-20-2014, 11:23 AM
I want to recap how my 2014 season started off in hopes that it prevents more needless deaths.

...IMPORTANT: LET THIS FORMULA SIT FOR A MINIMUM OF 4 HOURS, BETTER YET, 8 HOURS. ...[/I]

Thanks so much for this, Sigrid. After last year's 24/7 diarrhea with the 32/40 FV, I'm only using the 20/50 with a boost - even on the pinkies. I got two littles in recently that were well under 40g each, and never even considered the 32/40 like I would have automatically before last season in order to help get their weight up. But now that I see your formula mix, I'll consider the 32/40 the next time I get the pinkies or greybies in. A few weeks ago I had to order a big bucket of 20/50 and spoke with Nick on the phone; he (unsolicited) reiterated that he hadn't changed his formula at all, no matter what others said about it. My rehabber has actually switched back over to the Goat's Milk Esbilac and doesn't order FV anymore. I'll keep with the FV as all of my guys are complete piglets. I am so sorry to hear about your littles' deaths. Thanks again for sharing your experience, as well as the formula mixture! Much appreciated. :)

stosh2010
04-20-2014, 12:42 PM
I just spent nearly 3 hours on the phone with Shirley Casey of eWildAgain.org. Here is a short recap of our conversation.
I will submit a sample of my FV 32/40 to her with a copy of the label and lot number for testing. eWildAgain contracts with the top laboratory in the country, they are what one could call the Consumer Reports for wildlife formula. They provide us with facts and are constantly searching for the ideal formula, but they also are the experts on squirrel rehabilitation for the country.
Thanks for the link--I just read their "NUTRITION" pages and was impressed. So many Variables in measuring, mixing preping feeding...& especially the squirrel's condition to begin with.
[I]A lot to consider....