Former president of AVMA and WVA dies at 64March 29, 2019The former president of the American Veterinary Medical Association (AVMA) and the World Veterinary Association (WVA), René Carlson, DVM, has died. She was 64. A resident of Chetek, Wis., Dr. Carlson graduated from the University of Minnesota College of Veterinary Medicine in 1978 and practiced as a small-animal veterinarian for many years. She was involved in many leadership roles within the AVMA, including as a member of the House of Delegates (HOD), the council on education, as vice president, as director of international affairs, and as chair of the association's committee on international veterinary affairs. From 2011 to 2012, she served as AVMA president. In 2014, Carlson was elected president of the WVA. "René was an exceptional leader and voice for our profession," said AVMA president, John de Jong, DVM. "She had been incredibly strong these past few years as she battled her illness and fought with the optimism and dignity we will always remember her for. Personally, I will always remember her positive energy, her humility, and her love of her husband, the AVMA, and the profession." At the 2018 AVMA convention in Denver, the AVMA presented her with the Global Veterinary Service Award for promoting veterinary medicine worldwide. …
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Telehealth and telemedicine and teletriage… Oh my!March 29, 2019The idea of implementing telehealth within a veterinary practice may be confusing or even downright scary to some. However, when there is understanding of what it is and its governing laws, it can become exciting. We hope to clear some muddy waters for veterinary team members who are eager to support and participate in the delivery of telemedicine to clients. Believe it or not, you're probably already doing some of it. Just by picking up the phone and checking on the status of a patient, you've delivered virtual care. Further, incorporating telemedicine's tools and technology allows the veterinary team to provide even more services and care. Today's pet owner wants more than just the traditional veterinary hospital experience. The best advice is to first understand your own state's veterinary board (i.e. examiners) and the federal laws governing telehealth. Some of these are newly applied laws that are taking effect at different times in various states. Teams are encouraged to discuss, as a group, the hospital's philosophy related to virtual care, the importance of a veterinarian-client-patient-relationship (VCPR),1 and the different roles when offering the services and care. We want your experience in providing these new benefits to be a great …
More than one third of pet owners open to vegan pet dietsMarch 29, 2019A study by Canada's Ontario Veterinary College (OVC) has found 35 percent of pet owners are interested in feeding their pets vegan diets. Conducted in collaboration with researchers in New Zealand, the international online survey of 3,673 dog and cat owners looked at what kind of food they fed themselves and their pets. Of the 35 percent of owners, 55 percent said they would require proof a vegan diet would meet their pets' nutritional needs, would want endorsement from their veterinarian, and would want the pet food to be easily available. "While only a small proportion of pet owners are currently feeding plant-based diets to their pets, it is safe to say interest in the diets is likely to grow," says lead author, Sarah Dodd, currently a PhD candidate at OVC's department of population medicine. "People have been hearing about how vegan diets are linked to lowered risks of cancer and other health benefits in humans." The survey also found the following: • A little under six percent of owners were vegan and more than 27 percent of them already fed their pets a vegan diet; and • Seventy-eight percent of vegan pet owners were interested in …
Seven options to provide life-saving oxygenMarch 28, 2019There is arguably nothing more heart-wrenching than a patient who is suffocating. How you handle these patients could be the difference between life and death. Some colleagues can be hesitant to admit these patients and may advise clients to take them to an emergency or referral facility that may be much farther away. It doesn't have to be that way. Short-term, there really is no risk to oxygen therapy. So even if the disease process were not oxygen-responsive, there is no harm in providing therapy while you figure things out, assess the severity of the disease, and obtain diagnostics. Providing oxygen is an easy way to buy time. Empower your nurses to start some sort of oxygen therapy when your patient is exhibiting any of the following situations: • dyspnea of any kind; • shortness of breath; • abnormal respiratory sounds; • cyanotic gums; • severe anemia or hemorrhage; • increased respiratory rate; • head trauma; and/or • lateral recumbency. Although arterial blood gas analysis would be the most accurate way to assess pulmonary function, it is rarely available in general practice. Pulse oximetry is a cheaper and more available option. You …
Stoner news: Struvite diets for cats and dogsMarch 28, 2019While struvite uroliths may in some cases require surgical intervention, the recommended standard of care by the American College of Veterinary Internal Medicine (ACVIM) is medical dissolution with a therapeutic diet formulated to alter urine acidity and encourage water consumption. Dietary dissolution of struvite stones is both effective and inexpensive. Therapeutic diets limit calculogenic compounds (e.g. phosphorus and magnesium) and acidify urine. That makes the urine a less welcoming environment for stone formation and dissolves stones that are present. Concerns medical dissolution places pets at risk of urethral obstruction are not borne out by the literature, according to the ACVIM consensus statement, published in the Journal of Veterinary Internal Medicine (JVIM) in 2016. Dietary management itself has changed as well. The shift from struvite-only dissolution or prevention diets to combination struvite dissolution/prevention and calcium oxalate prevention diets is the biggest change in management of these uroliths, says Cailin Heinze, VMD, Dipl. ACVN, assistant professor of nutrition at Cummings School of Veterinary Medicine at Tufts University. Causes differ Struvite uroliths occur in both dogs and cats, but have different causes. In dogs, struvite stones—the most common type seen—develop almost exclusively as a result of urinary tract infections (UTIs) caused by …
Students participate in a yearlong veterinary innovation competitionMarch 28, 2019Three teams of veterinary students were awarded a total of $17,500 from VetPrep's third annual live finale of The IDEA, a veterinary student innovation competition. The yearlong competition was hosted by VetPrep in partnership with Merck Animal Health and was also supported by the Veterinary Innovation Council (VIC) from Texas A&M and Hill's Science Diet. The IDEA was created to provide veterinary students the opportunity to bring their ideas to life. "We created The IDEA to support young veterinary entrepreneurs because we started our company when we were veterinary students and our business allows us to interact with veterinary students frequently," says VetPrep cofounder, Ira Gordon, DVM. "Students have so many great ideas, but oftentimes lack the confidence, resources, and mentorship they need to turn their ideas into reality. The IDEA can help with all three. It is an opportunity for us to provide the type of assistance we wish was available to us back when we were students." The competition comprised 43 students from North America, the U.K., and New Zealand. The chosen semifinalists then worked with Aaron Massecar, PhD, from the VIC to fully develop their ideas. After being narrowed down, the three remaining teams competed in the …
Asymptomatic bacteriuria—To treat or not to treat?March 28, 2019Veterinarians and pet owners are highly motivated to find discrete, fixable problems when pets are unwell. Owners want the reassurance and sense of control that comes with knowing what the problem is and taking action. Veterinarians want to help our patients, while also satisfying clients. Their expectation is that we offer some clear preventive or therapeutic intervention justifying their time and the expense of coming to see us, as well as reassure them about their pets' condition. Finally, our medical training often emphasizes diagnosis and treatment as the core responsibility for a doctor; the importance of knowing when not to take action is frequently underemphasized.1,2 Such inherent bias toward finding and treating problems creates discomfort and resistance when scientific evidence suggests we should avoid some tests or treatments. Though there is widespread awareness of the risks of overdiagnosis and overtreatment in human medicine, these are relatively new and controversial concepts in the veterinary field.3,4 My own efforts in this column and elsewhere to suggest we might sometimes do better not to run a test (e.g. pre-anesthetic bloodwork)5 or prescribe a treatment (e.g. lysine)6 have generated the kind of pushback often greeting such suggestions. Nevertheless, we have a responsibility to …
Gulf Coast Veterinary Specialists opens new hospital following Hurricane HarveyMarch 28, 2019Texas-based Gulf Coast Veterinary Specialists (GCVS) has opened its new veterinary practice after its previous hospital was severely damaged during Hurricane Harvey. The new hospital replaces a temporary location set up in the wake of the 2017 storm. "We are finally at a stage where we can actually celebrate," says Ryan Buck, group president for Compassion-First Pet Hospital's Texas clinics. "While we have continued to provide care to the area pets, our people have been displaced and it is an important moment for us to all be under one roof." The new GCVS hospital will staff more than 50 veterinarians, including 30 board-certified specialists. It will continue to provide emergency care all year-round 24-7. The new building features 39 exam rooms, nine operating rooms, a 1.5-Tesla magnetic resonance imaging (MRI), 64-slice computer tomography (CT), digital radiography, and a varian halcyon linear accelerator. The hospital specializes in: • anesthesia and pain management; • avian and exotics; • cardiology; • dentistry and oral surgery; • dermatology and allergy; • diagnostic imaging; • 24-7 emergency and critical care; • internal medicine; • neurology and neurosurgery; • oncology; • ophthalmology; • …
UF Small Animal Hospital to provide free eye and heart screening to service animalsMarch 27, 2019Service animals near the University of Florida's (UF's) Small Animal Hospital will be able to receive free eye and heart screenings, come May 3. Sponsored by the American College of Veterinary Ophthalmologists (ACVO) and StokesRx National Service Animal Eye Exam, the event will only provide free exams on active working animals that have been certified by or enrolled in a formal service animal training program/organization. "Healthy eyes and vision are critical for a service animal to be able to perform to the best of its ability," says Caryn Plummer, DVM, who will perform the eye examinations. "Regular screening may help detect problems early, which are potentially sight- or comfort-threatening, so intervention may be possible." UF veterinary cardiology faculty members will do the heart screening exams. Should veterinarians decide further examination is required, the owners will be able to make a secondary appointment at the event. To participate in the event, service animal owners can register on the website from April 1 to April 30. They must also call UF Small Animal Hospital at (352) 392-2235 to schedule an appointment. (Ask for Holly Kitchen or Katherine Devine of the ophthalmology service.)
Laser therapy—Indications and contraindicationsMarch 27, 2019Photobiomodulation—a.k.a laser therapy—has become commonplace in veterinary medicine, with knowledge gained over the last eight to 10 years coming from evidence-based data and shared clinical experience. Achieving predictable and reproducible results with laser therapy is dependent on properly managed treatments, proper dosing, effective use of therapy laser hardware and software, and appropriate treatment technique.1 Low-level laser therapy (LLLT) applies low-level (low-power) lasers to the surface of or in orifices of the body. Whereas high-power lasers are used in laser medicine to cut or destroy tissue, application of low-power lasers is said to relieve pain or stimulate and enhance cell function. Laser therapy is a unique and extremely gentle form of treatment with the ability to stimulate tissue healing, virtually without side effects. It is very different from laser surgery, as it avoids heating the tissue, which can cause cell and tissue damage. As such, photobiomodulation is often called "cold laser" therapy.2 What's it for? Laser therapy has been postulated to exert three main effects: reduction of pain, modulation of inflammation, and acceleration of healing.3 The primary categories with the strongest support—largely via experimental studies—include its use in pain, wounds, musculoskeletal conditions, neurologic pathology, and in conjunction with complementary medicine techniques …
