Arizona Animal–Massage Therapists Sue for Access to Veterinary PatientsJune 2, 2014 Despite the growing popularity of the One Health movement to “forge co-equal, all-inclusive collaborations between physicians, osteopaths, veterinarians, dentists, nurses, and other scientific-health and environmentally related disciplines,”1 practitioners must reckon with regulatory requirements regarding who can practice on which species, in which state and with what modality. The laws on this are confusing, continually evolving and differ between states, especially when it concerns practices such as anesthesia-free dentistry, farriery and complementary/alternative therapy (e.g., chiropractic, massage,2 etc.), unless one also has a license to practice veterinary medicine in that state.3 Thus, those joining forces in the spirit of One Health must at the same time recognize regulatory requirements instated with the goal of safeguarding the health and welfare of people, animals and public health. Or alternatively, as three massage therapists have decided to do in Arizona, sue the state board in order to gain access to animals.4 Arizona defines the practice of veterinary medicine as including veterinary surgery, obstetrics, dentistry, acupuncture, manipulation and all other branches or specialties of veterinary medicine. It exempts from this definition certified equine dental practitioners who work under the general supervision of a licensed veterinarian, animal owners or employees, and …
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10 Ways To Improve Post-Op CareMay 30, 2014Just because a patient is out of the operating room doesn’t mean we’re out of the woods. In fact, most deaths occur after, not during surgery: 50 percent of canine and 60 percent of feline deaths occur in the postop period. It is important to avoid becoming complacent, despite the busyness of the day. Here are 10 steps to improve the care given to your postop patients. 1. Extubation The proper time to extubate is often based on a widespread misconception, sometimes called the “two swallow” rule. This is a very unfortunate urban legend that can lead patients to serious trouble. “Two swallows” may not mean that the patient is alert enough to continue swallowing and breathing efficiently on its own. The more appropriate time to extubate is when a patient is alert, preferably has lifted its head up at least once, and begins to chew. The next challenge it to pull the tube before the patient chews it in half. Ideally, each patient recovering from anesthesia and/or surgery should be under direct supervision of a technician until extubation. We still need to remain alert afterward: Being extubated doesn’t mean that recovery is over. It is just one step of …
Vet Shares His Story Of Putting His Dog To SleepMay 23, 2014 Douglas Palma, DVM, DACVIM (SAIM) spoke in empathetic tones when any of his clients lost a pet. But he couldn't truly feel that empathy. He had never gone through that loss. As a veterinarian, Dr. Palma dealt with the difficulty of euthanasia every day. Part of his job is to help clients come to the best decision regarding their pets, and to help them when that decision involves loss. Chances are the day that decision was made will be stuck in his clients' minds for years to come. Three years ago this August, Palma received a call at work from his wife Eileen. Their beloved yellow Lab-Border Collie mix hadn't eaten that morning. A pet skipping a meal may provoke concern in some pet owners; some may wait to see if their dog eats later on then opt to take them to the vet that evening or perhaps even the next day. But Palma's response was a little more urgent. "Bring him to the hospital," he told Eileen, according to ABC News. It's been said that parents who are also doctors hear their child cough and fear …
Moist Food, Environmental Enrichment Can Fight FIC In Your Cat PatientsMay 6, 2014 Follow Veterinary Practice News on Twitter at @vetpetnews. For cat-owning clients, caring for a pet with feline idiopathic cystitis (FIC) can be frustrating. As one type of feline lower urinary tract disease, FIC causes a range of aggravating clinical signs in cats, signs that often lead to trips to the veterinary office—or to the local shelter. "FIC is an unfortunate disease," says Kara Burns, MS, MEd, LVT, of Wamego, Kan., president of the Academy of Veterinary Nutrition Technicians. "Owners don't quite understand what's happening when their pets [eliminate] outside the litter box. It ends up being one of the top reasons owners bring their cats to the veterinarian, and then why they relinquish them to shelters." Besides describing signs like urinating outside the litter box, clients with FIC-afflicted pets may also report frequency or straining when their cats urinate, vocalizing or perceived pain when they urinate, or blood in the urine, says Claudia Kirk, DVM, PhD, Dipl. ACVIM, Dipl. ACVN, head of the department of small animal clinical sciences at the University of Tennessee in Knoxville. Veterinarians and their health care teams can help, Burns says. "We in the profession can help …
Interpret The Signs Of FLUTD In Feline PatientsMay 6, 2014 Are your feline patients trying to tell you something? When they visit the clinic with their owners, who bring them in with complaints about their pets' irritable moods and poor litter box habits, the cats may be presenting with a one of several medical conditions associated with feline lower urinary tract disease, or FLUTD, says Jacqueline Neilson, DVM, Dipl. ACVB, of Animal Behavior Clinic LLC in Portland, Ore. "FLUTD is a catch-all term to describe any disorder affecting the urinary bladder or urethra," she explains. "It's quite common. In fact, for years some kind of lower urinary tract disease sign has been the most common medical reason policy holders of pet insurance take their cat to the vet." Dru Forrester, DVM, MS, Dipl. ACVIM, associate director, scientific affairs and technical information services for Hill?s Pet Nutrition in Topeka, Kan., adds that for veterinarians, the signs associated with FLUTD can be linked to a number of underlying issues—and that makes pinpointing the cause and treating it a challenge. "No matter the cause, they often have the same signs, and that's the frustrating part about [FLUTD]," Dr. Forrester says. "Any disease that affects the lower …
Dog And Cat Allergies DemystifiedMarch 19, 2014 Natures Variety - Dog and Cat Allergies Demystified brightcove.createExperiences(); 1/3/2012 12:49 PM
Additive Manufacturing—or 3D Printing—helps Create new Knee Joint for a CatMarch 13, 2014 For quite some time, Mr. Cyrano L. Catte II, an orange and white cat, had the perfect life. He had a nice home in Upperville, Va., more than adequate food and owners who loved him very much. Then, in 2012 at age of 9, he got bone cancer in his left hind leg. Cyrano’s owners spared no expense or effort. They took him to the University of Colorado, where he became the first cat to receive stereotactic radiation (focused beams aimed at the tumor) therapy. Two sets of radiation cured his cancer—full remission—but one of the side effects was bone deterioration of his distal femur and some on the upper end of the tibia, as well. The normal procedure for such a condition would be to amputate the leg. In Cyrano’s case, that was not recommended: He weighed 26 pounds and movement on three legs would be difficult. One potential alternative would be total knee arthroplasty (TKA), complete replacement of the cat’s knee (stifle) with an artificial one. To explore this option—a first in the U.S. for cats—Cyrano’s intrepid owners took him to the veterinary facility at North Carolina State University in Raleigh. Once …
Non-Healing Facial Wounds: A Tale of Two TerriersMarch 13, 2014Endodontic disease has long been known as a common cause of a non-healing facial wound.1 The most common manifestation of this is the slab fracture of the maxillary fourth premolar tooth, which often results in pulp exposure, endodontic infection and a draining cutaneous tract below the medial canthus of the ipsilateral eye. This column compares two persistent cases I’ve seen recently that presented with similar problems but different etiologies. Jasper the Westie Case No. 1: Jasper, a 5-year-old male neutered West Highland white terrier, was presented to me with a three-month history of a non-healing wound beneath his left eye. The wound resolved when the primary care veterinarian placed Jasper on antibiotics, but recurred once antibiotics were discontinued. One year earlier, Jasper had received a dental cleaning and extraction of the left maxillary first molar due to severe periodontal disease. Jasper was presented to me for evaluation of any other dental issues that might be causing the non-healing sinus tract and scabbing beneath the left ventral eyelid. On conscious examination, Jasper was reluctant to allow for a good evaluation of the left maxillary quadrant, but I determined that the left maxillary fourth premolar (tooth 208) was present and did …
A Disaster Turns Into A Happy StoryMarch 13, 2014 Daisy, a 9-year-old diabetic miniature Schnauzer was diagnosed with a mucocele. Four months prior, Daisy had been seen for a splenic mass. We performed a c. Sadly, the biopsy revealed malignant histiocytosis. She recovered well from this procedure, but never 100 percent, according to the owner. She returned for an abdominal ultrasound after the referring veterinarian noticed an enlarged liver on palpation. In addition, the owner complained of Daisy's abdominal discomfort, decreased appetite and abnormal demeanor. Ultrasound confirmed hepatomegaly. The gallbladder was mildly distended and a small amount of free fluid was noticed around the liver. Blood work was supportive of liver disease with gallbladder involvement. Among others, she had an elevated bilirubin and high liver enzymes: alkaline phosphatase (alk. phos.), gamma-glutamyltransferase (GGT), alanine aminotransferase (ALT) and aspartate aminotransferase (AST). Exploratory surgery was recommended for what was considered by the ultrasonographer to be an early mucocele. A standard laparotomy and cholecystectomy were performed. Patency of the common bile duct was reestablished through a duodenotomy. All other abdominal organs appeared within normal limits. After lavage of the abdomen, closure was standard. Daisy recovered uneventfully and went home the next day. It was that simple. Overall …
Certain Cats, Dogs Deemed Best Pets for Allergy SufferersFebruary 13, 2014 Sneezing, runny noses and itchy eyes are the bane of people allergic to their pets. Now, an air purifier manufacturer and an environmental consulting firm have released their list of the top allergen-friendly pets. Making the cut this week for the Allergen All-Star Pet Awards was: • Bedlington terrier • Javanese cat • Schnauzer • Devon Rex cat • Labradoodle • Yorkshire terrier • Irish water spaniel • Labrador retriever • Maltese • Italian greyhound • Iguana The effort was sponsored by Kaz Inc. of Southborough, Mass., which makes the Doctor’s Choice True HEPA Air Purifier under the Honeywell trademark. The Asthma and Allergy Foundation of America found that 15 to 30 percent of Americans are allergic to cats or dogs, said Ted Myatt, a senior scientist at Environmental Health …
