Correct Body Temp During Surgery Speeds RecoveryDecember 30, 2013Anesthesia is a very fragile time for animals because they easily can become hypothermic, putting them at risk of infection and delaying their recovery. "When you anesthetize a patient, one of the functions it loses is its ability to affect thermoregulatory control," explained Kelson Danielson, DVM, Dipl. ACVS, a surgeon at Blue Pearl Veterinary Partners in New York. "For instance, as you get cold, you shiver to help keep warm, but under anesthesia, they are unable to do that. "In addition, their brain loses its ability to keep that set point that keeps the temperature normal. They are also less metabolically active, so the body is burning less energy during anesthesia and that will decrease the amount of heat that is produced." Many of the drugs used during anesthesia compound the problem because they cause vasodilation, which the body normally uses to stay cool when it is overheated. So, if it is already cool and drugs cause vasodilation, the body will become hypothermic. "Human research shows that once surface cooling occurs, blood moves from the extremities to the core blood compartment, which can make it very difficult to rewarm the patient," explained Sandra …
SPONSORED CONTENTThe Reality of Veterinary Surgery ErgonomicsOne of the greatest challenges of Work-Related Musculo-Skeletal Disorders (WRMSD) is that they can come on slowly. They can be easy to ignore initially. The American Veterinary Medical Association (AVMA) issued ergonomic guidelines to help veterinarians catch problems early. + Learn More
Rapid Growth Seen For Pet Health InsuranceDecember 30, 2013 The rising cost of veterinary services and Walmart’s likely entry into the market should help push U.S. sales of pet health insurance toward the $1 billion mark by 2020, the market research firm Packaged Facts stated in a new report. The Rockville, Md., firm predicted enormous potential for an industry that started in 1980 with Veterinary Pet Insurance (VPI) of Brea, Calif., a company that today is fighting to maintain an estimated 47 percent market share amid growing competition. U.S. sales of pet health insurance were expected to reach $536 million in 2013, which would represent a 16 percent jump in one year, Packaged Facts reported. Among the reasons for the spike, and a 12 percent increase the previous year, are post-recession consumer optimism, greater competition and rising support from veterinarians, Packaged Facts added. Pet owners learn about insurance most often from a veterinarian or clinic staff, who reveal to clients a means to help pay for a growing menu of costly procedures such as pacemaker implantations, radiation therapy and CAT scans, according to the report. Younger veterinarians tend to be more enthusiastic about pet health insurance, the report’s authors, George Puro and David Lummis, …
2014 Brings Promise Of Technological AdvancesDecember 30, 2013 Two researchers believe the status quo will soon go out the window in veterinary medicine, and they are advising veterinarians to consider updating their education if they’ve been out of vet school very long. Individualized veterinary medicine, or IM, is a game changer, they say. IM is the use of a pet’s genetic information to optimize drug therapy or to institute preventive measures suited to that patient, according to researchers Katrina Mealey, DVM, and Michael Court, BVSc. Both are professors and endowed chairs in the Washington State University College of Veterinary Medicine. They are also key parts of the WSU Individualized Medicine Program, which is studying hundreds of animals with the goal of identifying predictors of drug effects. Why is this so important? They say such research will help veterinarians more safely and effectively treat patients with drugs. It’s common knowledge that there is high variability in drug efficacy and safety in many drugs used in veterinary patients. Some cancers, for example, can be fought with a drug to which 50 percent of patients will respond well, while other cancer drugs can positively affect 90 percent of the patients. For other drugs, most …
Aggressive Appearance Can Mimic NeoplasiaDecember 3, 2013 Why do we love encountering zebra diagnoses? They are real-world tests that walk through our door at any given moment. They add variety to the more frequently presenting conditions. Accurate assessment of the zebra diagnosis allows us to utilize our years of training for the good of our patients. A question for those of you who are veterinarians: When was the first time you heard of the disorder sublingual linear foreign bodies? Was it when you worked in veterinary practice before veterinary school? Or was it during veterinary school? I vividly remember learning about sublingual linear foreign bodies in a second-year course of veterinary school. The professor described this as a common occurrence when cats ingest a piece of string or thread, which wraps beneath the ventral surface of the tongue. This results in sublingual/lingual swelling and often vomiting if the piece of string is long enough to cause irritation of the stomach or plication of the intestinal tract. I recall thinking, "This has got to be a rare occurrence. I doubt I will see many cases of this throughout my veterinary career.” …
Confused About ACA? So Are The Insurance ExpertsDecember 3, 2013 When it comes to the Affordable Care Act, widely known as Obamacare, there has been a lot of confusion of late. But there are some options that small businesses, such as veterinary practices, can explore. Gary Glassman, a CPA who works for Burzenski & Co. in East Haven, Conn., advises veterinary clinics and hospitals to look carefully at health plan options and try and find benefits among the sweeping changes being ushered in by the Patient Protection and Affordable Care Act. "Hospitals with under 50 employees have lots of options,” Glassman said. "The issue is the uncertainty related to the cost. Unfortunately, no one at this point knows how this will turn out, so employers can continue to do what they have done in the past and continue to provide health coverage with coverage purchased through their past carriers, or they can buy employer-provided coverage through the employer-provided exchanges.” He also encouraged employers who want to receive tax credits for health insurance coverage to continue providing coverage or those credits will lapse. "For those that have received small-employer tax credits for health insurance coverage, the only way to …
Wellness Plans Allow Vet Clients To Budget For Pets’ Preventive CareDecember 3, 2013 In the minds of most veterinarians there’s a plan for just about every pet they see to ensure that pet’s immediate and long-term medical needs. But the reality, according to proponents of wellness plans, is that those details too often go unrelated to pet owners. "We really do have a full-year plan for their pets in our head,” said Carol McConnell, DVM, MBA, chief veterinary medical officer with Veterinary Pet Insurance of Brea, Calif. "When a pet comes in you look at the age, where they live, and other factors, and you formulate a plan.” It’s a detailed plan, Dr. McConnell said, adding, "But we’re clearly not good an explaining it to clients.” VPI in January launched a wellness service for veterinarians to offer clients called "Preventive & Wellness Services, which McConnell pronounces as "paws.” "We are basically positing ourselves as a silent partner with veterinarians,” McConnell said. She said the service is proving popular, with between 2,000 and 3,000 plans across the U.S. in place through more than 100 practices. Jeffrey S. Klausner, DVM, MS, Dipl. ACVIM, senior vice president and …
Monitoring The Monitor MarketNovember 15, 2013 The veterinary monitor market seems to be steering away from aging human hand-me-downs, and there are more choices today than ever before. Variety is usually a good thing, but not always, warned Andrew W. Schultz Jr., director of business development for Midmark Animal Health in Versailles, Ohio. "Quality [can be] an issue because there are no regulatory requirements or manufacturing standards that must be adhered to,” Schultz said. When Schultz talks about monitor quality today he’s referring to not just how well those products are made but the quality of everything in the monitor market from the sales experience to the user interface. While some monitors may fall short of Schultz’s expectations, he does believe some recent monitors provide an ever-improving experience for the buyer. Neonatal medicine has contributed greatly to improvements in veterinary monitors. SystemVet The better companies continue to improve the customer experience, Schultz said, "from intuitive menus, better functioning accessories and veterinary-specific instructions, to professional clinical technical support that helps to train staff on monitor set-up and more quickly diagnose and fix trouble when it occurs.” Monitor Hand-Me-Downs The market …
Obamacare Brings Changes To AVMA’s GHLITNovember 15, 2013 The starting gun for the Patient Protection and Affordable Care Act, more commonly known as Obamacare, sounded Oct. 1, but the race began in earnest months earlier for the American Veterinary Medical Association. Set up in 1957 to manage "insurance coverage for veterinarians by veterinarians,” AVMA’s Group Health and Life Insurance Trust (GHLIT) learned in late 2012 that underwriter New York Life would soon cease medical coverage to AVMA members because of what the insurer called "evolving market conditions and the regulatory environment.” As a result, AVMA GHLIT has a new mission today: steering members toward a medical insurance exchange—a process millions of Americans are simultaneously experiencing. "While we are saddened at the prospect of ending medical insurance as a benefit to our members, our top priority is ensuring that they do not experience any gaps in coverage,” said AVMA GHLIT chairman James H. Brandt, DVM. Libby Wallace, CEO of the Tampa, Fla.-based trust, responded to questions about what AVMA members can expect because of changes wrought by Obamacare. How many AVMA members are affected by the discontinuation of the medical plan? "Approximately …
They Ate What? Pet X-Ray Contest 2012 WinnersNovember 5, 2013 Follow Veterinary Practice News on Twitter at @vetpetnews It’s that time of year again. Veterinary Practice News puts out the call for radiographs relating to animals that have eaten weird things. And veterinarians have responded in kind. As usual, the entries didn’t disappoint. Veterinary Practice News team members, who judged the contest, selected Gary Sloniker, DVM, of Spooner Veterinary Clinic in Spooner, Wis., as this year's grand prize winner. He submitted a radiograph of a Lab puppy who chowed down on a fishing pole. "This year’s entries show once again how important radiography is to the veterinary practice,” said Greg Stoutenburgh, director of marketing for Sound-Eklin of Carlsbad, Calif., contest sponsor. Dr. Sloniker wins a digital single lens reflex camera and the two runners-up each win a digital point-and-shoot camera. Be sure to check out all of the winners below. And if you enjoy this article, please check out these other contest winners: They Ate What? 2011 Pet X-ray Contest Winners 2013 Pet X-ray Contest Winners: They Ate What? Grand Prize Winner Gary Sloniker, DVM Spooner Veterinary Clinic Spooner, Wis. The clients …
They Ate What? 2011 Pet X-ray Contest WinnersNovember 5, 2013 Veterinary Practice News would like to thank everyone who sent radiographs in for this year’s competition. Each year we’re amazed at the images and stories that come in. We would also like to thank the judge, Matt Wright, DVM, Dipl. ACVR, who had the tough task of selecting a winner. And If you enjoy this article, please check out these other contest winners: They Ate What? Pet X-Ray Contest 2012 Winners 2013 Pet X-ray Contest Winners: They Ate What? This year’s winner, Vanessa Hawkins, DVM, will receive a digital single-lens reflex camera courtesy of contest sponsor Sound-Eklin of Carlsbad, Calif. The runners-up will receive a point-and-shoot camera. Grand Prize Winner Vanessa Hawksin, DVM Bayshore Animal Hospital Warrenton, Ore. Vanessa Hawksin, DVM The dog was presented for lameness in a hind leg, and while taking radiographs looking for musculoskeletal abnormalities, nine handballs were discovered as an incidental finding. Runners Up Lisa Anne Attanasi, DVM Eaglewood Cliffs Veterinary …
