In this lecture we will begin the journey of building a new project with Andy and Val, two young veterinarians getting started. The site is the first major investment and we will examine the myriad of factors that play a part in the decisions you will make regarding purchasing and developing the site.
In this lecture we will examine the myriad of pros and cons of renovating an existing practice as opposed to building a new building. We will discuss the economics, environmental impact, flexibility in design and the best patient outcomes.
The single most important step in a new hospital is designing the floor plan. Why shouldn’t you love where you work? Why shouldn’t your clients love where you work, and where they come with their animals? Although it seems simple and intuitive, the layout is actually driven by many different and competing interests. The process of design actually begins with a search and accounting of those interests… Also called needs. The first job of your architect is to listen to your needs. We will get down into the weeds with Andy and Val a couple of young veterinarians building their first practice. We will examine each space in a hospital and the way they all fit together to make the perfect jigsaw puzzle.
We will take an exciting look forward with our subjects. 5 years later we want to explore the latest design influences and animal care services. An animal hospital can be a very scary place for your pet. The issues of reducing stress, and enhancing the animal’s connection to the natural world, can and should be fully incorporated into the building design. The facility should assist the staff in lowering the anxiety, stress, and aggression experienced in the animal hospital. What would a Tiny practice look like? The idea of a one or two exam room practice with a staff of 8 or 10 motivated and passionate people doesn’t sounds like a bad option. If we fully consider the tiny hospital concept the first thing to think about is where will it go.
In this session, we will discuss the important steps within a veterinary real estate project as well as the most important roles to have filled on your projects team.
In this session, we will review how to evaluate a dog or cat with suspected vestibular disease in order to confirm the problem and localize the disease to the peripheral or central nervous system. We will review the common causes of both peripheral or central vestbular disease and address how to treat for the treatable in call cases.
We will use a case-based approach to describe the clinical signs, work up and potential causes of inflammation affecting the CNS. The treatment of unknown and suspected cases will be dealt with during this session.
The drugs available, the side effects and how to use them will be discussed for the management of dogs with difficult to control seizures. Adjunctive alternative approaches will also be discussed.
In this session, we will review the types of disc disease that can affect dogs and the clinical signs which result. We will outline the diagnostic work and the treatment options available based upon the severity of the clinical signs.
Adrenal disease can be challenging not only in diagnosis (test selection and interpretation) but also in both acute and long-term treatment and monitoring. This talk will cover Cushing’s disease, Addison’s disease, and other adrenal gland diseases with an emphasis on diagnosis, monitoring, and updated treatment recommendations.
This talk will review current recommendations for diagnosing endocrine disease; which patients, which tests, and how to interpret results. The importance of understanding prevalence, pre-test probability of disease, and assessing and managing comorbidities will be covered. Updated treatment recommendations for the most common endocrine disorders will be discussed.
TopicDescriptionThis talk will provide a holistic approach to choosing the most appropriate diagnostic screening in well and non-well patients. Age-appropriate evaluation and common diseases in each life stage will be covered. The clinical value of establishing individual patient normals and trending to allow early detection of disease will be emphasized. Updated treatment recommendations for selected conditions in each life stage will be reviewed.
All veterinary practices encounter emergency patients. This talk focuses on the value of hematology in the initial assessment and ongoing management of emergent or critical patients. All components of hematology will be covered including quick assessment tests packed cell volume and total solids (PCV/TS), the CBC report, analyzer graphics, and peripheral blood film review. Diagnostic tips and current treatment recommendations for common hematologic problems will be provided.
This talk will provide a practical approach for patient specific preanesthetic screening including diagnostics. Recently published anesthesia guidelines will be reviewed including best practices before, during, and after anesthesia. The importance of preanesthetic laboratory assessment and how results aid in determining whether to proceed, stop, or alter anesthetic protocols will be discussed.
Senior patients present a diagnostic and management challenge due to increased incidence of age-related disorders, presence of concurrent conditions, and decreased physiologic reserves. This talk will provide a practical case-based approach for assessing and treating common diseases in older dogs and cats.
This seminar will focus primarily on the surgical management of GDV patients. Video of clinical cases during intraoperative decision making will be presented. We will focus on the authors’ preferred method for gastric derotation and the technical aspects of performing a 15-minute incisional gastropexy. Extensive use of video of clinical cases will give participants a real-life experience.
Feline perineal urethrostomy has classically been approached with the patient placed in a perineal position. Although this positioning is awkward for the surgeon it has become the standard approach. This lecture will suggest taking another look at patient positioning. Placing the cat in dorsal recumbency allows for a much more ‘ergonomic’ approach for the surgeon and enhances visualization of the regional anatomy. In addition, this positioning allows access to the patients’ urinary bladder. Video of this novel approach will be used to illustrate the advantages of dorsal recumbency positioning.
Placement of a feeding tube is frequently indicated for the management of nutritionally deficient and critically injured patients. This session will describe an easier and safer technique for placing an esophagostomy feeding tube in a dog or cat. Video will be used to illustrate placement technique.
This lecture will focus on a technique used to ‘percutaneously’ place a chest tube in ‘awake’ dogs and cats. New technology has been developed to allow chest drain placement in non-anesthetized patients. Videotape of clinical cases requiring ‘emergency’ chest drain placement will be used to illustrate this new technology.
Anal sacculectomy is frequently performed in veterinary practice. It can be tricky to get all the anal sac epithelium and preserve the external anal sphincter muscle and caudal rectal nerve. I will suggest a ‘novel’ technique that allows the surgeon full control of the perianal anatomy and thus preservation of all vital structures during complete anal sac resection. Video showing this technique in a clinical case will illustrate its potential usefulness in your practice.
Years ago, the anatomist suggested that in order to safely remove the spleen the left gastroepiploic artery and vein must be preserved, or the gastric blood supply would be put at risk. We now know this is not true! I will suggest a way to use this new anatomic information to safely remove the spleen in a non-GDV patient with 4 (maybe 5) ligations. We will then utilize this new knowledge of anatomy to develop a ‘plan’ to rapidly and safely remove the spleen in a dog that is bleeding to death!
Surgical management of gall bladder mucocele varies somewhat depending on the stage of gall bladder mucocele presentation; i.e., early presentation, late presentation, or presentation after gall bladder rupture. Video examples of each presentation will be used to illustrate the impact each stage of presentation has on the difficulty of surgical manipulation during cholecystectomy.
This session will discuss the management of upper airway obstruction in brachycephalic breeds. Emphasis will be placed on nasoplasty and soft palate resection. A novel technique for nasal planum resection will be discussed. There is compelling evidence suggesting that not all everted laryngeal saccules need to be resected! Videotape will be used to illustrate surgical techniques.
Think of the most difficult location to bandage a wound……this seminar will suggest a method of how you can ‘bandage that wound’! Also……can you force a wound to continue to contract….…oh yes you can! Videotape of these selected ‘secrets’ to facilitate wound management will be discussed.
Laboratory interpretation and a basic approach of how to work up a case with acute pancreatitis. Discussion will include risk factors, and how to determine a prognosis.
There has been a paradigm shift in management of acute pancreatitis. Discussion will include therapies that will improve the prognosis for recovery.
Laboratory interpretation and a basic approach of how to work up a case with abnormal liver enzymes will be presented. When is a liver biopsy indicated, how to interpret the results?
The diagnosis and etiologies of hepatitis will be discussed with emphasis on diagnosis and treatment. Dietary, anti-inflammatory, antifibrotic and and supportive care are the key case to management.
A brief review of some newer liver problems including gallbladder mucocele, portal vein hypoplasia (microvascular dysplasia) and ductal plate abnormalities.
A review of feline liver disease with new information on diagnosis or therapy specific to cats including hepatic lipidosis, cholangitis and triaditis. Specific therapy and prognosis will be presented.