Theilen Tribute To Go Beyond The ExpectedApril 17, 2009 I have been working a University of California, Davis, group on fund raising for a spectacular cancer symposium at UC Davis. It is truly going to be one of a kind. Nothing like this has ever been presented in veterinary medicine in this country. Honoring an esteemed colleague on his 80th birthday is somewhat traditional in Europe but not so common in the U.S. The Theilen Tribute Symposium will be held May 30 and June 1 at Gladys Valley Hall on the UC Davis campus in honor of Gordon Theilen, the father of modern veterinary oncology. The occasion marks Dr. Theilen’s 80th birthday. Title of the symposium is “50 Years of Cancer Research: From Retroviruses to Cancer Genetics.” Important findings in comparative oncology reserach and genetics will be highlighted. Dr. Max Essex of the Harvard School of Public Health, the keynote speaker, will discuss AIDS in Africa. Dr. Theilen is a legend. He gave the world its first comprehensive veterinary oncology reference text, “Veterinary Cancer Medicine.” He also did research on cancer-causing viruses in horses, turkeys, cows, cats and primates and studied in Germany and …
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Honoring The Bond Of A LifetimeApril 17, 2009 Aging is an inevitable and normal process of living. It should not be considered a disease. Aging is expressed as physical weakening, reduced stamina and deterioration of the organs and connective tissues in the body. It is associated with gradual changes in the body's phenotype the entire physical, biochemical and physiological makeup of an individual as determined both genetically and environmentally. Changes such as wrinkles in the skin and gray hair are due to the normal phenomenon of cellular senescence, the process of growing old. Many diseases, including cancer, involve a multi-step process that accumulates genetic damage over time. As our pets enjoy a longer lifespan, their bodies provide the time needed for the expression of senescence, disease and cancer. Living Long The human-animal bond grows stronger with the passing of time. People are very proud of their older pets and they want them to live as long as possible in good health. One of the biggest fears of caregivers of senior pets is that their pet will get cancer. The most common concurrent problems afflicting older pets are arthritis, dermatitis, dental disease, endocrinopathies, organ failure and obesity. The dilemma for caregivers …
Convenience Euthanasia? Just Say NoApril 17, 2009 His face was flushed and his ears were red. He was leading two big, beautiful German shepherd dogs toward the back of the clinic. I knew something was wrong. He was upset, exasperated, frustrated. He said that the owners of these dogs were going on a long vacation and they wanted the dogs put down. It was 1972, my first job, my boss. What could I say? What should I say? Something like this came from my heart: “You shouldn't do this if you don't want to. They can take their dogs to the pound where they might have a chance to be adopted. A pet hospital is not the place for healthy pets to be conveniently killed. If it is against your personal ethics, tell them to take their dogs elsewhere.” But he looked at me wistfully. Then he dutifully shrugged his shoulders and continued walking to the back, closer to the freezer. Death was in the air that day. Since foreclosure fever has added to the meltdown of the U.S. economy, more animals are being dumped in the nation’s shelters and veterinary hospitals. I will never forget that moment and the look in …
Grappling With Quality Of Life And Over-treatment IssuesApril 17, 2009 I was asked to speak on some tough topics at the Human-Animal Bond Track and at the Personal/Professional Development Track Ethics Sessions during the 144th AVMA Meeting in DC. The assigned topics for me were: Maintaining Quality of Life at The End of Life during the Human-Animal Bond (HAB) Sessions and Preventing Over-treatment at a Veterinary Cancer Referral Clinic during the Ethics Sessions. Dr. Richard Timmins, President of the American Association of Human-Animal Bond Veterinarians, selected the theme of Quality of Life (Q of L) for the HAB track. The Bustad Memorial Lecture was given by Dr. Richard Meadows and titled, Practical Ways to Improve Q of L in Dogs. Dr. Frank McMillan compared the scientific view with the intuitive view in his papers, What Do We Mean by Q of L?, and Research Questions Regarding Q of L. Dr. Melissa Bain discussed Behavioral Management to Promote Q of L. Dr. Marsha Heinke, CPA, spoke on Making Q of L the Focus of the Practice Team. Dr. Timmins clarified O of L for Animals in Confinement. Dr. Bernie Rollins, Ph.D. of Bioethics at CSU, organized the Ethics theme at AVMA meeting, which dealt with conflicts and ethical …
Dealing With Issues Of Children At The PracticeApril 17, 2009 The American Assn. of Human-Animal Bond Veterinarians presented a daylong symposium, "Conundrums with Kids, K-9's and Kats at the Klinic," at January's North American Veterinary Conference in Orlando, Fla. I served as facilitator for the panel discussion at the end of the day. Here are some highlights. Relationships Merry Crimi, DVM, former American Animal Hospital Assn. president and current Delta Society board member, identified many issues that veterinarians encounter with children at the veterinary practice. Dr. Crimi cited these issues: handling childrens' normal curiosities; safety issues in the clinic; handling children's behavioral problems; pet selection for success and handling poor choices for pets; discussing a pet's illness with children; separation of children from their pets for hospitalization; families surrendering a problem pet (due to allergies, behavior, moving, etc.); death of a pet; euthanasia; and pet replacement. She emphasized that the skills used to handle these conundrums affect the health of every practice, in terms of client and staff retention, stress management, career satisfaction, client compliance and the bottom line. Interaction Karen L. Overall, VMD, Ph.D., Dipl. ACVB, from the University of Pennsylvania's Center for Neurobiology and Behavior, presented the second session. …
After Retiring, Give Work Another TryDecember 1, 2008America’s baby boomers are starting to retire—or at least they’re daydreaming about it. While the economy is discussed at every turn, some veterinarians are wondering if they’re in for surprises once they take the plunge into retirement. But seasoned retirees say, “Come on in, the water’s fine.” Some retired veterinarians say they suspect the media are making matters worse by keeping economic talk in high profile. They say retirement is still the same–it’s all common sense. “Don’t put all of your eggs in one basket,” says Everett Macomber, DVM, a Centralia, Wash., native and a 2006 retiree. “Eliminate all debts and try living on the budget you’ll rely on once your earnings have decreased. If you can survive financially, the rest will smooth itself out.” All the veterinarians contacted for this story said the mental preparation of retirement is more important than financial concerns. Veterinarians, known to be wise financial planners, probably have all their ducks lined up. The big surprises will come once the traveling and golfing envisioned during long workdays gets old and the retiree needs to find something more structured and feasible to fill daily life. The American Assn. of Retired Veterinarians (AARV) helps new retirees transition …
A Measure Of Sample IntegrityAugust 29, 2008It seems innocuous enough—draw some blood, perform some tests and take a giant leap toward an accurate diagnosis. Just don’t forget about the potential red flags—even the ones that present as yellow or opaque. Hemolysis, lipemia and icterus are three common endogenous interferants that can sabotage precise blood chemistry analysis. That’s true whether you perform blood work in-house our send out for analysis. “All hematology is affected by sample-integrity issues, whether you have a $10,000 analyzer or a $150,000 one,” says Craig Tockman, DVM, director of professional services for Abaxis, a leading maker of point-of-care blood analyzers in Union City, Calif. Dr. Tockman also owns and operates two veterinary hospitals in St. Louis. Threats to Test Results There are two overriding considerations when dealing with these interferences, experts say. The first is to ensure your system provides an alert when hemolysis, lipemia and icterus occur at levels that threaten the dependability of test results. The second key step is to employ clear and strict methods to prevent interferants from compromising otherwise reliable findings. Care in drawing, handling and storing blood should always be a primary consideration. “A lot of it is education on the proper way to draw and to …
Alta, Utah Beyond The Bond?March 21, 2007Darlene Arden, the author of "Small Dogs, Big Hearts," e-mailed me an article that revealed a human-animal bond dilemma in one of my favorite ski towns, Alta, Utah. She writes: Dear Alice: I don't know why they haven't voted to overturn this, but is there something that the American Assn. of Human-Animal Bond Veterinarians can do to turn this ugly situation around? It made me sick. The Associated Press article published in the New York Times on Dec. 31 was titled "A Ski Town with 42 Dogs and Many Lonely Dog Lovers." The article said that a city ordinance limits the number of dogs to 12 percent of the human population in an effort to protect the city's alpine watershed. The article said that, "No canine visitors are allowed, even inside cars, and violators can go to jail. Alta occupies four square miles inside a national forest where an act of Congress left Salt Lake City in charge of the water supply. City and county officers police the canyons, keeping out nonresident and unlicensed dogs to curb bacterial contamination of streams and protect Salt Lake's drinking water." The city limits the number of dog licenses to 42 and, according to …
A Labor Of Love For The Human-Animal BondMarch 21, 2007A few years ago, I was asked to write a textbook for Iowa State Press on geriatric oncology. I asked David Rosenbaum how many chapters and contributors he wanted. He said no contributors; he wanted me to be sole author and write in my "clinically breezy" style, similar to the tone of the Oncology Outlook articles that I wrote for Veterinary Practice News from 1999 through 2004. At first, I was shocked, humbled and filled with dread just thinking of taking on such a monumental task. So I mentally declined the offer but told David that I would think about it. David kept after me to remove the walls of my exam rooms and let veterinary students and practitioners in on consultations and decision -making. He wanted this to be a legacy book based on my 33 years of real-world experience. I recalled the grueling job that my University of California, Davis, oncology mentor, Dr. Gordon Theilen, and his wife, Carolyn, endured as they verified the numerous references for his landmark textbook, "Veterinary Cancer Medicine," published by Lea & Febiger. David agreed that I could emphasize the bond and use source books without citing specific references. After I sold my …
A Journey To Spain And PortugalMarch 20, 2007In November I participated in a European symposium with Robert M. Miller, DVM, author of "The Revolution in Horsemanship." In Spain, Dr. Miller presented seminars at the Barcelona Veterinary College and the Royal Andalusian School of Equestrian Art in Jerez. In Portugal, we held a symposium at the Royal Veterinary College in Lisbon and at the Equuspolis Center at the world-famous National Horse Fair in Golega. This traditional equestrian show began in 1571 on St. Martin's Day. It features the best Lusitanos for international buyers. Our mission was to acquaint horse enthusiasts with the concept of imprint training of foals followed by habituation training. Imprinting occurs most efficiently within the first hour of the foal's life. One hour of imprint training directly after birth, while the foal is still recumbent, removes fear of humans forever. The technique requires the trainer to touch the foal's entire body, with special attention to rubbing the ears, mouth, inside the nostrils, and legs and feet. On the following days, the foal is taught by habituation to tolerate blankets, saddles, noises, vehicles, other animals and anything that could potentially scare or "spook" an adult horse. Dr. Ron Fuller, who organized the symposium, demonstrated how he …
