Practice Owners Still Cautious About Incurring More DebtDecember 30, 2009 Editor’s note: Dr. Mark Crootof recently finished an 18-city lecture tour sponsored by Abaxis Inc. of Union City, Calif., on recession-proofing the practice. This article is based on his talks to hundreds of hospital owners and associates about the state of their businesses. Are lenders lending? Do veterinarians want loans? What has changed? These are some of the questions I am asked every day as a veterinary practice consultant. Seeking input from a variety of people in the banking industry is the best way to get a good perspective. So, I took this question to some lenders and from their responses, I’ve concluded that the money is there and they’re willing to lend it. Take a look at what they said. Are Lenders Lending? Brian Faulk of Live Oak Bank, Wilmington, Del.: “We continue to be aggressive, lending to all subsegments of the [veterinary] industry … with the exception of startup leasehold facilities and boarding facilities. Our loan funding on a month-to-month basis has remained relatively constant from year to year.” Melissa Edwards of Bank of America Practice Solutions: “Veterinarian lending continues to deliver solid growth …
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Getting A Boost From SupplementsDecember 30, 2009 When the sign is a general absence of vitality, Ava Frick, DVM, recommends supplements she trusts. For the patient, yes, but also for the practice. “There are times in a veterinarian’s career when you’re just going along and you start asking yourself, ‘Am I having as much fun?’ and ‘What is my purpose?’ ” says Dr. Frick, who owns and operates the Animal Fitness Center in Union, Mo. “This is an opportunity to see that turn around.” Veterinarians who research the effects of supplements and make them available to clients say the benefits go beyond aiding patients. Supplements can help improve the financial health of practices and sometimes even the outlook of practitioners. “If you like nutrition and you’re interested in how the body works from a nutritional perspective, integrating supplements into your practice can be very rewarding,” says Frick, who has three decades of experience in veterinary practice and who recommends and promotes Standard Process supplements. “For me, seeing the results is both enjoyable and rejuvenating.” Interest in supplements appears to be at an all-time high these days. Many clients use them to safeguard their own health and are eager to …
Anti-Pain Options AboundSeptember 1, 2009 Relying on an animal’s physical cues to determine its level of pain and educating clients to detect the pain can be a challenge. Experts say the best route to achieving pain control in the non-verbal patient is a thorough and accurate diagnosis coupled with veterinary and client education. Keeping an open mind on all avenues of pain relief is essential. While one patient may have an unfavorable response to a drug or therapy, the same option could alleviate discomfort in another patient. Experts say so many pain control options are available that close to 100 percent of patients can be helped through a multimodal approach. “Pain control has been available in the industry for quite some time, but veterinarians and owners sometimes miss out on opportunities,” says Robert Stein, DVM, CVA, CCRT, Dipl. AAPM. “Quite a few clients don’t let you go all the way with pain control, which is why veterinarians must be educating clients on ways to determine pain in the canine and feline patient and be open-minded in offering a variety of pain control options.” Difficulty in assessing the degree of pain has long been a problem. Clients often don’t …
Predictive Value Of Glucose MonitoringAugust 31, 2009 Over the past decade, as studies shed new light on blood glucose testing in human and veterinary medicine, veterinarians have responded with varying degrees of enthusiasm and caution. Greet Van den Berghe, M.D., Ph.D., and her team at the Catholic University of Leuven in Belgium, have been studying the topic for the better part of 10 years. Dr. Van den Berghe’s original study, published in the New England Journal of Medicine in 2001, showed that intensive insulin therapy to maintain blood glucose at or below 110 milligrams per deciliter reduced morbidity and mortality among critically ill patients in the surgical intensive care unit. This therapy was compared to the previously standard therapy, which involved responding only when insulin levels exceeded 215 milligrams per decileter and a maintenance of glucose levels between 180 and 200. This new therapy was called intensive insulin therapy. Reid Nakamura, DVM, Dipl. ACVECC, of Red Bank Veterinary Hospital in Red Bank, N.J., says further veterinary research increased the excitement among veterinarians when it showed that patients with higher blood sugar levels had worse outcomes and longer hospitalizations. “In 2008, though, the same Belgian group basically ran the study again on a …
Some Disturbing Food For ThoughtAugust 6, 2009 The Centers for Disease Control and Prevention estimates that food-borne illness affects 76 million Americans annually; 325,000 adults and children become sick enough to be hospitalized and 5,000 die. Reading List “Fast Food Nation,” . “The Omnivore’s Dilemma” and “In Defense of Food,” . “Stuffed and Starved: The Hidden Battle for the World Food System,” Daily headlines often include stories about: Food poisoned with e. Coli and Salmonella. . Pesticides and feedlot runoff causing pollution by methane and greenhouse gas emissions. . Food animal and immigrant labor abuses. . World hunger, malnutrition, obesity and the diabetes epidemic becoming rampant. The documentary film “Food Inc.” shows how industrial food is making people sicker, fatter and poorer, and how it negatively affects the environment, the economy and workers’ rights. David Servan-Schreiber, MD, Ph.D., in his well-documented book “Anticancer,” confronts the hazards of our traditional Western diet. Thirty million Americans are …
Planning Pet Care Can Help Clients Pay BillsJuly 10, 2009 Follow Veterinary Practice News on Twitter at @vetpetnews. Most veterinarians didn’t go to school to become financial planners. Yet, many spend lots of time discussing finances with their clients. After all, veterinary care costs money, and when that money isn’t available, the pets ultimately suffer. Making a Case for Insurance On the surface, pet insurance may seem like a monthly expense that pet owners could trim in lean times. But Chris Edgar of The Hartville Group Inc., says clients should be reminded that they’ll be even less likely to afford sudden, significant expenses during an economic recession. “The most compelling aspect of pet insurance value remains its service as a means to prevent unexpected veterinary costs, which can total hundreds or thousands of additional dollars,” Edgar says. Jules Benson of Petplan says veterinarians can encourage customers to plan for the health of their pets—and their pocketbooks—in many ways. For example, he says, reminding owners of healthy pets about common conditions that could arise years into the future can help set expectations and …
Vets Offer Tips On Keeping Pets Calm For July 4 FireworksJune 26, 2009With the Fourth of July around the corner, a day of energetic festivities often involving fireworks and loud noises, veterinarians are promoting tips on how to keep pets calm during the holiday. For instance, Rolan Tripp, DVM, founder of the Animal Behavior Network, has made available to veterinarians free lobby posters and hand outs outlining canine fireworks noise phobia. Dr. Tripp defines noise phobia as “an excessive, unreasonable fear response to specific loud noises. It is more common in dogs than cats and the most common noise phobias are to fireworks and thunder.” For mild cases (somewhat anxious) or as prevention to fireworks phobia, Tripp suggests what he calls a “Fireworks Party.” Starting around July 2 to 3 either fast, or feed only ¼ of the early meal. Then at the first faint of fireworks, pet owners respond with a happy, “It’s a fireworks party!” The pet owner then gets a treat for the dog. From there on out, every boom triggers a “party snack” until the dog “happily” waits for the next boom. “The idea is to turn the fear into joy,” Tripp said. A dog appeasing pheromone collar can also be added, he said. For …
80% Reimbursement: A Straightforward Model For Pet Health InsuranceJune 25, 2009Pets Best Insurance In an 80:20 insurance plan, the insurance carrier reimburses 80 percent of eligible veterinary costs to the insured client after the deductible. The client is responsible for his 20 percent co-payment and deductible. There may also be per-incident, annual and lifetime limits, and the client is responsible for payment if these are exceeded. An 80:20 plan provides all parties with easy to understand rules regarding how much is being covered by the insurance provider. Only then can insured pet owners adequately plan and make prudent decisions regarding pet care based on their current financial situation. This simple approach avoids surprises on reimbursement to the client and the care giver supplying the veterinary services. “Out of pocket” payments by the insured, in the form of the deductible, co-payment and over-policy limits, is necessary and vital to the entire process. Otherwise, the insured would not care about cost. A financial involvement by the insured is critically beneficial to curbing the amount and cost of services. The insured becomes a partner in the financial transaction. If, as with some human HMOs, the doctor or hospital bills the HMO provider and the patient has little or no out-of-pocket expense, there is …
Learn About Continuing EducationJune 10, 2009 When it’s time for veterinarians and staff members to log required continuing education hours, they have multiple options and even more opportunities for professional development in their areas of interest. Large national and regional conferences are wonderful places to acquire a lot of CE in a short time while networking with peers. But for those who can’t get away from the practice, there are other options as well. Short Hops Most state veterinary medical associations schedule annual conferences that may be close to home. In larger states, local associations bring the information even closer, often with evening sessions. Variety may be somewhat limited, but if your interest fits the agenda, you can spend an evening or a day or two absorbing some good education. Click here for a directory of links to state veterinary groups. Across Town Local referral practices can be a good place for CE. Emergency and specialty practices often host monthly events for their referring community, bringing in experts from sponsor companies or spotlighting their emergency clinicians and specialists. These are often evening or afternoon sessions that can easily fit the schedule of the veterinary team. John Thompson, CEO …
