New bill allows Florida veterinarians to report suspected abuseMay 7, 2019The Florida Senate has passed a criminal justice bill allowing veterinarians to report suspected animal cruelty to authorities without notice to or authorization from the client. Bill 7125 would permit veterinarians to notify law enforcement officers; animal control officers who are trained in animal cruelty investigations, search and seizure, animal handling, courtroom demeanor, and civil citations; or agents dedicated to protecting animals and preventing any act of cruelty, of signs of mistreatment. Currently, veterinarians are required to inform an owner if they are suspicious of animal abuse before going to law enforcement. Under the new bill, the only time veterinarians would be required to inform the client first is if suspected cruelty occurred at a commercial food-producing animal operation on land classified as agricultural. The next step is for the bill to be signed or vetoed by Florida governor, Ron DeSantis.
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Surgical endodontics: When all else fails...May 6, 2019In my previous two columns, we looked at conventional (orthograde) root canal therapy, along with vital pulp therapy. This time, we will discuss surgical (retrograde) endodontics. In instances where orthograde root canal therapy has failed, a decision needs to be made to either perform a second orthograde root canal therapy or to proceed to the next step: surgical endodontics. Extraction would be a third option for a failed root canal procedure if the owner no longer chooses to salvage the endodontically diseased tooth. Besides its use as a treatment when orthograde root canal therapy fails, retrograde root canal therapy may be the chosen course of action when an instrument breaks off while performing an orthograde procedure. Instruments most likely to break off in the canal include Lentulo spiral paste fillers, barbed broaches, and rotary files. Sometimes the detached instrument portion can be entombed in endodontic filling material during orthograde obturation, but if not, a retrograde procedure may be warranted. The procedure What is surgical root canal therapy? A surgical approach is made over the apical portion of the root, and bone is carefully removed to expose the root area (Figure 1). The apical 4 mm of the root is surgically …
How to improve your surgical skillsMay 6, 2019What can you do to improve your surgical skills? Assuming your career path does not include a surgery internship or a residency and board certification, here are some tips to raise the surgical bar. Prerequisites Some traits are self-understanding. In order to perform surgery, you need to have dexterity and think in 3D. You'll also need the following: "Good hands"—no shaking allowed. A keen sense of observation. Observe the patient. Observe the tissue. Observe others perform surgery. Some will teach you what to do, while others will teach you what not to do. Use the correct suture material, the correct needle, and the correct size. Know and apply the seven principles of William Stewart Halsted, MD, our 19th-century forefather (see The basics of surgery). Speaking of forefathers… believe the sayings they crafted: "Measure twice, cut once." "If it's worth taking out, it's worth turning in" (i.e. masses belong in the lab, not the trash). "There are routine surgeries, but there is no routine anesthesia." "Dilution is the solution to pollution." It is critical to thoroughly understand anatomy, indications, and surgical approaches. Reading books to acquire a good understanding of anatomy and a great knowledge of approaches is a must. But …
WSU receives accreditation for veterinary simulation programMay 6, 2019Washington State University (WSU) College of Veterinary Medicine's (CVM's) veterinary-only simulation program is the first to be accredited by the Society for Simulation in Healthcare (SSH). The simulation-based education program offers hands-on simulated training, from administering anesthesia to performing surgery to client interaction. "We are delighted to see simulation-based education being practiced in veterinary medicine at WSU in an effort to improve the quality of care delivered to the patients we often consider family, our pets," says SSH's Kristyn Gadlage. "We applaud WSU for its dedication to educational excellence in its training of future veterinarians." WSU introduced integrated simulation into its curriculum through the clinical communication program 11 years ago. An elective course for anesthesia simulation was also created, allowing students to gain more experience and receive feedback from experts. "We understand simulation is a key component to training some of the most prepared and competent veterinary graduates in the country," says program director, Julie Cary. "We use simulation to enhance student exposure and experience while building their confidence, which adds to patient safety."
Human-animal bond the focus of National Pet WeekMay 6, 2019In honor of National Pet Week, the Texas Veterinary Medical Association (TVMA) is reminding veterinarians to advise their clients to cherish the human-animal bond and to embrace responsible pet ownership. National Pet Week runs from May 6 to May 12 and this year's theme is a "Lifetime of Love—The basics: Seven days to a happier, healthier pet." Each day is dedicated to a specific pet-related topic: May 6 emphasizes the importance of selecting pets that mesh well with people's lifestyles and making a firm commitment to caring for pets May 7 encourages pet owners to socialize their companion animals early and prep them for various interactions with places, activities, animals, and people May 8 urges pet owners and their pets to engage in regular exercise May 9 recommends regular visits to the veterinarian May 10 celebrates the human-animal bond May 11 provides tips for developing emergency kits for unexpected incidents, such as natural disasters May 12 summarizes the week's advice TVMA says its goal for this week is to remind pet owners to give pets' a lifetime of love and improve their quality and length of life by taking them in for regular veterinary exams and by providing regular …
Telemedicine from the frontline: A practicing veterinarian's perspectiveMay 3, 2019Over the last decade, countless interactions with clients and patients have convinced me veterinarians must embrace telemedicine, both to remain relevant as care providers in an increasingly digital world and to compete successfully in today's on-demand economy. Given the change in generational demographics, today's clients view their pets as family members and insist on immediate gratification. To survive, we must adapt, otherwise pet parents will rely on Dr. Google, rather than wait to consult their family veterinarian for advice and guidance. It was an incident with a friend and client that convinced me veterinarians, as well as pet owners and patients, can benefit enormously from the integration of telemedicine. A tale of teletriage Four years ago, I received an evening call from a family friend whose dog Bodhi, a mixed breed, two-year-old neutered male Labrador, suffered what seemed to be a mild seizure. While my friend was in transit to a nearby emergency animal hospital, I advised him the episode wasn't as serious as he feared and he could wait until the next morning to bring Bodhi to my practice. That experience of utilizing the most basic form of telemedicine—the telephone—sparked the idea of bringing the benefits of a …
Zoetis becomes first Human-Animal Bond-certified companyMay 3, 2019Zoetis is the first company to become Human-Animal Bond certified. More than two dozen company employees completed the program, and were taught the science behind the human-animal bond. The employees were also shown how this science supports the practice of veterinary medicine. The certification program was created by the North American Veterinary Community (NAVC) and the Human Animal Bond Research Institute (HABRI). "For years, Zoetis has been a leading advocate of the bond between humans and animals, and we are honored to have earned this important certification," says Zoetis Petcare marketing executive director, J. Michael McFarland, DVM, DABVP, chair of the HABRI board of trustees. "Veterinarians play a key role in strengthening the relationship between animals and people, and Zoetis is committed to helping them, their clients, and the animals they care for experience the benefits of the human-animal bond." In its first year, more than 500 professionals have signed up for this certification, which offers 22 hours of RACE-approved continuing education credit. Zoetis also developed educational resources related to the program for its own employees, for the veterinary community, and for pet owners. "With its long-term commitment to funding human-animal bond research, education, professional development, and programming, Zoetis …
Declawing cats may soon be illegal in New YorkMay 3, 2019Legislation is currently moving through New York's state assembly in an effort to ban the declawing of cats. Declawing is already banned in several cities in California, as well as many countries around the world, including Switzerland, Israel, and the U.K. If Bill A01303 is passed, it would make New York the first state to ban the practice. "Claws play an important role in various aspects of cats' lives. They use their nails to assist in climbing and maintaining balance, to help them fully stretch, to relieve stress through kneading, and to escape danger," reads a state assembly memorandum memo. The memo goes on to say, "When the claws are removed, the animal tends to shift its gait and where it places most of its weight, causing strain on its leg joints and spine, which can lead to early onset arthritis and prolonged back and joint pain." Should the bill pass, anyone who performs an onychectomy, a partial/complete phlangectomy, or a tendonectomy procedure on a cat faces a fine of up to $1,000. Declawing will be permitted when it is necessary for therapeutic purposes, including: an existing or recurring illness; infection; disease; injury; or an abnormal condition in the …
How a fixer-upper practice might be just what the veterinarian orderedMay 2, 2019It's tough out there for buyers of veterinary practices and it seems to be getting worse. Every year, a few new investors and/or corporate consolidators call me looking to spend way too much money on two-plus doctor practices. So how can you, the young, ambitious associate, compete for one of these? You can't, unless you get lucky enough to find a seller morally opposed to corporate veterinary medicine, or who likes you well enough to give up $500,000 to $1,000,000-plus on the asking price. Thankfully, there's another way. If you're willing to live in a smaller town, you could find a true gem of a clinic with little competition from other buyers. Alternatively, if you start thinking like an investor and look for a poorly performing clinic, you could build it into your dream practice. The marketplace is flooded with underperforming clinics, their owners anxious to find a buyer like you, particularly if they are retiring and want to solidify a succession plan. In this article, I'll focus on what you need to know when buying a fixer-upper with real upside potential. I'll also offer tools on how to spot and fix the most common issues that can drain …
10 tools every superachiever needsMay 2, 2019Without battle-tested systems, healthy habits, and proven strategies, it's difficult to grow beyond a certain plateau. To get better, superachievers typically use the following 10 tools, at the very least. Let's see how they can apply to our profession. 1) An idea-capturing device You have a brilliant idea. It's so amazing you're certain you'll remember it. After all, it's going to change lives! Five minutes later, you are wracking your brain and retracing your steps to remember it. Ideas often come at the most inconvenient time, which means you should have a way to capture them in real time as they come to you. Keep a small notebook on your nightstand or in your pocket. Surely you can download all kinds of apps, although any smartphone or tablet has a "note" function where you can jot down ideas. What about a waterproof marker in your shower? The idea is to avoid walking around with all kinds of mental clutter. Write things down so you can focus on other stuff. 2) Keep a calendar Many people have multiple calendars: one on the wall, one on their desk, an organizer, and a digital calendar. Some may even have a personal calendar …
