Expert Opinion Just Digital Hookup AwayDecember 20, 2010 In the past, obtaining a radiology specialist’s opinion sometimes meant traveling to a veterinary teaching hospital. This required time and money and certainly delayed treatment. Today, telemedicine allows radiologists to diagnose patients without ever placing their hands on the animal. Primary care veterinarians can send X-rays and other medical information electronically and receive a report in a matter of minutes or hours. “Using a telemedicine service means a general practitioner can have a radiology department without having board-certified radiologists on the payroll,” says John Feleciano, DVM, Dipl. ACVR, manager of Idexx/VDIC Telemedicine in Clackamas, Ore. “Veterinarians say they find the service to be professionally and medically enriching and it brings financially tangible and intangible benefits. “Owners are comforted by having a built-in second opinion by board-certified veterinarians.” The days, and sometimes nights, of telemedicine veterinarians are filled with exchanges of medical information and questions. Primary care givers ask specialists to confirm a suspicion or help unravel a complex case. “We have specialists available 24 hours a day, although the cases we receive from midnight to 6 a.m. are generally limited,” says Victor Rendano, VMD, Dipl. ACVR, Dipl. ACVR (RO), president of eVet Diagnostics in …
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Financial Opportunity, Challenges AheadDecember 15, 2010 Albert Einstein had it right when he said, “Necessity is the mother of all invention.” For veterinarians, the Great Recession forced the profession to find a way to become more business savvy and sustainable. Amid the economic crisis, a sharp change in veterinary product sales has had some practice owners concerned about their hospitals’ long-term strength. “Veterinarians want to know where they stand in the eyes of lenders and they want to know what they need to do to keep their practice in the green,” says Michael Andrews, DVM, chairman of the National Commission on Veterinary Economic Issues (NCVEI) and owner of Woodcrest Veterinary Clinic in Riverside, Calif. “Focusing on profitability is what NCVEI is suggesting to owners for maintaining practice revenue and building on it.” Veterinary-exclusive sales of maintenance products is a thing of the past. Building on and marketing procedures and modalities offered is the focus for 2011, experts say. One of the first steps in making a practice profitable and attractive to lenders is demystifying why patient visits have declined, Dr. Andrews says. The results of a Brakke study on that very question are expected to be released this month at the …
Vendors Give Back To The Vet CommunityNovember 22, 2010 The companies that manufacture or supply medications and equipment and provide services to help veterinary practices run smoothly also perform behind-the-scenes philanthropic work on behalf of the profession and the animals it serves. Organizations that have compelling missions often earn the philanthropic nod. For example, in 2009 Nestlé Purina PetCare Co. donated $15 million to animal welfare programs alone. Nestlé looks for the biggest impact when deciding which organizations to donate to, says marketing official Kurt R. Venator, DVM, Ph.D., of Nestlé. “We like to create shared value, which means our contributions will be good for the community and good for the company,” Dr. Venator says. “We have relationships with all of the U.S. veterinary schools, which house the future of the veterinary industry.” Martin Mulroy, vice president of veterinary sales and marketing at Abaxis Inc., says the company maintains a strong relationship with Colorado State University. “We’re participating in the funding of a new avian/exotic animal wing at the veterinary hospital, and we donate equipment to the veterinary school,” he said. “We also sponsor chair positions at several other universities, including the University of Florida, Texas A&M and the University of Pennsylvania.” …
Ask Appropriate Questions When Shopping For MonitorNovember 22, 2010 Choosing the right patient monitor for your veterinary practice can be a daunting task, but the keys are determining what’s right for your needs, doing your homework, and asking a lot of questions before signing on the dotted line, say industry experts. Here are some things to keep in mind while shopping. Determine Parameters Are you looking for something to monitor just blood pressure or something that measures multi-parameters? The American Animal Hospital Association and the American College of Veterinary Anesthesiologists recommend monitoring blood pressure, ECG/HR, CO2 and SpO2 (blood oxygen saturation). It’s also a good idea to check out your state’s Veterinary Medical Association guidelines. The more parameters, the higher the cost, and one of the most expensive parameters to monitor is the end-title CO2 (ETCO2), which measures the amount of carbon dioxide exhaled by the animal, said Dan Kozisek, customer service director of Bionet of Tustin, Calif. “In the past, they’d have to buy a unit with [ETCO2] included, and that would’ve added $3,000 to $4,000 to the price,” he said. A relatively recent advancement is a monitor that is “ETCO2 ready,” making it easy for practitioners to start with …
Animal Welfare Speaker Lays An EggOctober 5, 2010 In August we learned that well over 1,000 people had been sickened by salmonella because of tainted eggs. The subsequent media coverage jangled our profession’s nerves as the poultry industry reeled from accusations of lax oversight and poor sanitation, offering critics easy jugular access on hot-button issues like crowded housing, battery caging and industry ethics. The timing of the crisis, which prompted the largest egg recall in U.S. history, was propitious. I’d just attended an animal welfare symposium at the American Association of Avian Pathologist (AAAP) Conference, and let it suffice to say I was not impressed. “Animal Welfare: Reality, Perception and Thinking Outside the Box” was the symposium’s title. On the basis of this verbiage alone I was prepared to attend a morning-long series of lectures, disagreeable and contentious though many of the concepts and comments might be to a fledgling small-flock consultant like me. Yet it seemed obvious that an organization willing to undertake creative, “outside the box” thinking was interested in progressive approaches to the many welfare problems. Sign me up! Abandon the Bond? In anticipation, I dissected all the AVMA and AAAP position statements on poultry welfare. I devoured …
Do you own a spleen?October 1, 2010BY PHIL ZELTZMAN, DVM, DACVS, CERTIFIED FEAR FREE Dr. M. is a funny woman. When she interviews potential technicians, she knows not to ask illegal questions, such as marital status, ethnic origin and age. Yet without blinking an eye, she asks possible hires if they have a spleen. This was so intriguing to me that of course I had to investigate. Our colleague explained: "I read once in a human morbidity and mortality review that if you do not have your spleen and you are bitten by a dog, the bite has the potential to be fatal. There have been reports of deaths in spleen-less people because of the organ's role in our immunity. Since I've read this article, I thought I should make sure any potential technician does own a spleen." Indeed, an old JAVMA article* describes dysgonic fermenter-2 infections. Since then, the "fastidious, gram-negative, opportunistic" bacterium was renamed Capnocytophaga canimorsus. More recently, Scott Weese, DVM, DACVIM, has written about this topic in his excellent blog (wormsandgermsblog.com). His is an associate professor in the Department of Pathobiology at the University of Guelph, Ontario. Simply said, our internist has become an infectious disease specialist. Here how …
Retire? More Vets Say, ‘No Thanks’August 10, 2010 John Hayes, DVM, has retired twice, but it just never seems to stick. In 1985, after years of foaling mares and taking emergency calls during 18-hour days, he sold a thriving mixed practice in Maryland to a protégée, intending to scale back to part-time work for a colleague. Within months, he was itching for his own practice again. He set up shop in Ruckersville, Va., where his intended part-time clinic grew into a full-time concern. He finally sold that one in 2006, but he still wasn’t done. Now 71, he volunteers spay and neuter services one day a week at a humane society, mentors veterinary students and continues working with a small group of clients, even if it’s to help calve at 2 in the morning. When will he retire for good? He can’t say. “Veterinary medicine wasn’t about making money; it’s something I was born to do,” Dr. Hayes says. “The whole deal is, and I don’t think I’m alone in this, veterinary medicine is your life, and you just don’t want to give it up.” Continuous Career Indeed, Hayes may be on to something: More than …
Do You Have Career Exit Strategy?August 10, 2010 As veterinarians, most of us have not had the agony of having to go to “work.” This is because we love what we do every day. Some of us have been lucky enough to think we would continue doing it even if we were not paid. Some veterinarians have been good businesspeople and have made an excellent income while doing something they love. It doesn’t get much better than that! I have had the good fortune to be a veterinarian for the past 44 years and have little desire to stop what I am doing as long as I have good health and a healthy family. I have sampled many career areas of veterinary medicine in those 44 years: military service, graduate student, resident, practice associate, practice owner, professor, administrator, practice consultant, industry consultant, author and lecturer. I feel blessed to have earned a very reasonable income and done so many things that have been challenging and fun. If you are not as excited about your current activity as you once were, it may be time to consider a change. I have talked with veterinarians who stopped working suddenly and then had great difficulty adjusting …
Treat radiation with respect, not anxietyAugust 10, 2010Many veterinary technicians have an unreasonable fear of the harmful effects of ionizing radiation. Though a healthy concern about the potential harm is expected, an unhealthy concern may adversely affect job performance. All veterinarians should ensure that their technical staff is comfortable working with radiation and educate them about the potential hazards and ways to reduce the harmful effects. Positioning and Technique Count Radiographs are an economical, highly informative tool to diagnosis illness and injury in small-animal patents, but not any old radiograph will do. The best radiographs are obtained when good X-ray technique is combined with good patient positioning," says Anne Bahr, DVM, Dipl. ACVR, MS. "Often, veterinarians have good X-ray equipment but don't take the time to position properly and end up with suboptimal images. Dr. Bahr, a veterinary radiology specialist with PetRays, a telemedicine consulting company in Spring, Texas, says sedating a stressed animal can "do wonders for the quality of the images. John Feleciano, DMV, Dipl. ACVR, is manager of radiology at VDIC, part of the Idexx Telemedicine Division of Idexx Laboratories Inc. of Westbrook, Maine. A well-positioned study gives the veterinarian and interpreting radiologist the best chance to achieve an accurate diagnosis," he says. "Asymmetrical …
Learn To Profit From Social MediaJuly 6, 2010Second of two parts: Social media are evolving rapidly, and their power can help you drive more website and front-door traffic. Earning a social media audience is not difficult. It is fun and effective, but it does take time and an understanding of the tools. In order to decrease the time commitment, many veterinarians are very successfully using a trusted staff member to help them in their social media communications. To make this simple, let’s take a look at six tools that can be used to earn an audience and drive them “home.” Your Website Today, most people will visit your website before ever visiting you in person. Ninety-six percent of the predominant generation (Gen Y) has a social media profile and 71 percent of them has two or more. Consumers of all generations are joining the social media world and using the Web for research, finding recommendations and evaluating a business. The power of a great website and building a social network cannot be overstated. Consequently your home on the ’Net—your hospital website or blog—is your Web foundation. All the other audience-building activities will lead visitors there. Your Web home is where you tell …
