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2016 CVC Virginia Beach Proceedings Virginia Beach Convention Center Virginia Beach, VA May 12-15, 2016 CVC Virginia Beach brought to you by TM The 2016 CVC Virginia Beach Proceedings Book is also available to attendees on a CD-ROM or in a downloadable format. For ordering or for more information, contact The CVC Group at (800) 255-6864, ext. 6. The ideas, content, and conclusions presented in the 2016 CVC Virginia Beach Proceedings, in whole or part, are those of the speakers and do not necessarily represent the viewpoint, position, or endorsement of the CVC Group or UBM. ©2016 UBM. All rights reserved. Published by UBM Americas, Veterinary, 8033 Flint, Lenexa, KS 66214. All rights reserved. None of the content of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means (electronic, mechanical, photocopying, recording, or otherwise) without the prior written permission of the publisher. ISBN13: 978-1-60759-291-4 ISBN10: 1-60759-291-6 ii DEFEND AGAINST ENVIRONMENTAL STRESSES VF ANTRONEX® Build the Body’s Defenses with Whole Food Nutrient Solutions* WHOLE FOOD NUTRIENT SOLUTIONS S TA N D A R D P R O C E S S .CO M ©2016 Standard Process Inc. All rights reserved. 03/16 *These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. Table of Contents Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR Small Animal Anesthesia Hindlimb lameness: Where do we start? ............................ 64 How to incorporate platelet rich plasma therapy into your practice .................................................................... 67 How to incorporate stem cell therapy into your practice ... 69 Forelimb lameness: Where do we start? ............................ 72 Ralph Harvey, DVM, MS, DACVAA 10 best things about feline pain management ..................... 1 Clinical pain: How to prevent or manage pain and suffering ...................................................................... 4 Favorite techniques: Yours and mine for restraint, sedation, and brief anesthesia .......................................... 9 Highly successful techniques simply using local and regional anesthetics ................................................. 11 High-risk cases: Anesthesia for patients too sick for anesthesia .................................................................. 13 Implementing the AAHA Anesthesia Guidelines for Dogs and Cats in your practice ....................................... 15 New drugs and clinical techniques: What’s working for your hospital ............................................................... 18 What to worry about: Anesthetic emergencies and crisis management ......................................................... 21 Cardiology Neal Peckens, DVM, DACVIM Feline myocardial disease: Prevalence, detection, and diversity..................................................................... 75 Pulmonary hypertension in canine patients ....................... 77 The coughing canine: Cardiac vs. respiratory .................... 81 Cardiac biomarkers: The clinical utility of NT-proBNP ....................................................No Proceedings Required Steven Rosenthal, DVM, DACVIM Acute management of heart failure ....................................................No Proceedings Required Beyond the big 3: Additional therapies in patients receiving furosemide, an ACE inhibitor, and pimobendan ....................................................No Proceedings Required Nutritional management of the cardiac patient ....................................................No Proceedings Required Diagnosing and managing cardiac arrhythmias ....................................................No Proceedings Required Case studies in cardiac disease ....................................................No Proceedings Required Backyard Poultry Medicine Marcy Souza, DVM, MPH, DABVP, DACVPM Backyard poultry biosecurity and zoonoses ...................... 24 Backyard poultry cases....................................................... 26 What to do when that chicken becomes a pet ................... 27 Behavior E’Lise Christensen DVM, DACVB Get lost! Stranger-directed aggression in cats................... 29 Hit yourself with a newspaper: Practical treatment of house soiling in dogs ....................................................... 31 It’s not you, it’s me: Redirected aggression in cats and dogs .......................................................................... 33 Make it stop! Unruly behaviors and how vets, clients, and bad trainers accidentally make them worse ............ 34 Out the window: Multi-modal treatment options for thunderstorm phobia ....................................................... 37 Safe at home: Quick and practical tips for ownerdirected aggression in cats and dogs............................. 39 Trigger time! Medication options for situational anxiety, panic, and phobia .............................................. 40 Clinical Pathology Craig Thompson, DVM, DACVP Big, bad bag of blood: Cytology of the liver ................................................ Proceedings Not Submitted Cytology for every practitioner ................................................ Proceedings Not Submitted Monkey business: Patterns and algorithms in pathology ................................................ Proceedings Not Submitted Pitfalls! Top clinical pathology air balls ................................................ Proceedings Not Submitted When to delve deep: Indications for and interpretation of bone marrow aspirates ................................................ Proceedings Not Submitted When to panic: Clinical pathology red flags ................................................ Proceedings Not Submitted Gary Landsberg, DVM, DACVB, DECAWBM Abnormal repetitive behavior: Circle, snap, and stare oh my! ..................................................................... 42 Dementia in dogs and cats: How to identify it and what you can do to improve pets’ behavioral health ............... 46 Stress: Its effects on pet health and behavior .................... 49 Clinical Pharmacology Melissa Clark, DVM, PhD, DACVCP Adverse drug reactions common and lesser known .......... 84 Antibiotic review: Things you wish you remembered from vet school, and things you might never have learned .... 86 Can I substitute? Ensuring your patients get the right drugs in the clinic or at a human pharmacy.................... 88 Puppies, kittens, and drugs: What’s safe for pediatrics .... 91 Canine Sports Medicine Debra Canapp, DVM, CCRT, CVA, DACVSMR Diagnostic musculoskeletal ultrasound: A guide in rehabilitation of soft tissue surgery injuries .................... 53 Rehabilitation of forelimb conditions .................................. 55 Rehabilitation of hindlimb conditions.................................. 58 Rehabilitation therapy of the orthopedic patient, how important is it? ................................................................. 61 v The Right Dose for Every Condition, Every Patient, Every Time Accuracy, Engineered by Companion ® Meet the Future of Laser Therapy The NEW feature-rich Companion CTX combines advanced features with re-designed approaches to dosing that give you an unmatched level of versatility and control over your treatments. Featuring 0.5 to 15 watts of therapeutic power and three different dosing solutions, the CTX is the perfect platform for the new, intermediate, and expert therapy laser user. See the new CTX in Booth 913 CompanionAnimalHealth.com 1.877.627.3858 | [email protected] ANIMAL HEALTH , James Noxon, DVM, DACVIM Critical Care Managing chronic otitis: The keys to getting started on the right foot .........................No Proceedings Required Managing chronic otitis: Tips to maximize the value of your treatment ......................No Proceedings Required Managing chronic otitis: Treating the difficult case and preventing recurrence .......No Proceedings Required Garret Pachtinger, VMD, DACVECC Acute abdomen and the FAST approach ........................... 93 Conquering common coagulopathies .............................. 100 Derailing the pain train: Analgesia and inflammation in the ER ......................................................................... 103 Emergency management of hepatic lipidosis .................. 107 Practical fluid therapy: It’s more than just water and salt .113 Sweet! Emergency management of DKA ..........................116 Take your own pulse, and then save some lives: ER lifesaving procedures ............................................... 122 Top 20 emergency medicine pearls .................................. 127 dvm360 Full Circle Sue Ettinger, DVM, DACVIM and Andrew Roark, DVM, MS Cancer and communication .........No Proceedings Required Erica Reineke, VMD, BS, DACVECC Garret Pachtinger, VMD, DACVECC and Eric Garcia Emergency management for the polytrauma patient....... 131 Traumatic brain injury ........................................................ 134 Urethral obstruction: Emergency treatment and stabilization ............................................................. 137 Andrew Roark, DVM, MS and Meghan Leigh Pierson Technology tips and tricks for the efficient veterinary team ....................................................No Proceedings Required “Because I’m the boss”: How to end staff vs. management drama .................No Proceedings Required Technician/DVM conflict: Different jobs, same problems .........................No Proceedings Required Why can’t we be friends? Staff-on-staff drama .................No Proceedings Required Vince Thawley, VMD, BS, DACVECC Approach to respiratory distress ...................................... 140 Approach to the poisoned patient .................................... 144 Emergency management of acute kidney injury ...............147 Erica Reineke, VMD, BS, DACVECC and Vince Thawley, VMD, BS, DACVECC dvm360 Leadership Challenge Pearls of emergency medicine .......................................... 151 Ernie Ward, DVM Dentistry Tomorrowland today: My future vision of practice .......No Proceedings Required Matthew Lemmons, DVM, DAVDC Endocrinology Basics for practitioners: Oral anatomy and pathology..... 156 Feline dentistry: Cats are not small dogs ......................... 159 Periodontal disease treatment strategies ......................... 161 Pitfalls in veterinary dentistry ............................................ 164 Root canal therapy: What it is, when it’s needed, and why it works ............................................................ 166 Taking the bite out of tooth extractions ............................ 168 The missing two-thirds of dentistry: Fundamental dental radiograph interpretation ................................................171 Things that make bumps in the mouth: Oral neoplasia and cysts ................................................174 David Bruyette, DVM, DACVIM A sure-fire approach to cases of canine thyroid disease ........................................................................................ 210 Resolving feline thyroid problems ..................................... 213 Solving the puzzles of puddles: PU/PD ............................ 217 The art and joy of identifying and treating canine hyperadrenocorticism ................................................... 220 The keys to identifying and treating acromegaly in cats .. 222 What adrenal disorders affect cats? ................................. 225 What to do when insulin therapy stops working in diabetic pets ................................................ 229 Dermatology Exotic Animal Medicine Darin Dell, DVM, DACVD Marcy Souza, DVM, MPH, DABVP, DACVPM Canine Atopic Dermatitis: Integrating new therapies into your strategy ........................................................... 177 Clinical update on dermatophytosis: Better ways to fight the fungus among us ............................................. 180 CPR for sewer ear: How to improve your outcome in otitis externa............................................................... 183 Feline allergy: Beyond Depo-medrol ................................ 185 How to win friends and influence people with shampoo .....188 Unusual doesn’t mean uncommon: Skin diseases you don’t want to miss ......................................................... 191 Basics of ferret medicine................................................... 231 Dental diseases of small mammals .................................. 234 Evidence-based medicine: Drug dosing in exotic animals ....................................... 237 GI diseases of small mammals ......................................... 238 Respiratory diseases of small mammals .......................... 240 Feline Medicine Robin Downing, DVM, DAAPM, DACVSMR, CVPP, CCRP Melissa Hall, DVM, DACVD Building an acute pain management pyramid for cats..... 242 Building a chronic pain management pyramid for cats ... 245 CRIs for cats: Yes you can! ............................................... 248 Finding feline pain where it lives: Perfecting your pain palpation plan ........................................................ 251 Non-pharma options for feline pain: Nutrition, nutraceuticals, and rehabilitation .................................. 253 Crusted cats ...................................................................... 194 Endocrine alopecia ............................................................ 197 Methicillin-resistant staphyloccus .................................... 200 Pemphigus foliaceus ......................................................... 203 Practical cytology .............................................................. 206 Updates on canine atopic dermatitis ................................ 208 vii Make every dog a GARD dog. ®HEARTGARD, NexGard, and the Dog & Hand logo are registered trademarks, and ™FRONTLINE VET LABS is a trademark, of Merial. ©2015 Merial, Inc., Duluth, GA. All rights reserved. MER15NAVCSIGNAGE (1/16). Pain and fear in felines: Linked more often than you think ......................................................................... 257 Palliative care and hospice care for cats .......................... 259 Pharma and feline pain: Making the best choices ........... 261 They don’t deserve to hurt: Fundamentals of feline pain ....................................................................... 264 The changing role of the upper GI series (Part 1): Cases ................................................................ 324 The changing role of the upper GI series (Part 2): Cases................................................................ 324 Top ER imaging diagnoses (Part 1): Cases ....................... 325 Top ER imaging diagnoses (Part 2): Cases....................... 325 Howard Seim III, DVM, DACVS Internal Medicine How to assess and address linear foreign bodies, plus what to do about abdominal trama in your feline patients ................................................................. 265 Relieving distress and obstruction: Cystic and urethral calculi excision ................................................. 267 Surgical successes: How to place an esophagostomy tube, plus a novel approach to perineal urethrostomy . 272 The innards and outs of feline GI surgeries ...................... 274 When and how to repair a diaphragmatic hernia ............. 277 David Bruyette, DVM, DACVIM Internal medicine case investigations ................................................ Proceedings Not Submitted In this Case: Real Discussions, Real Results David Bruyette, DVM, DACVIM and Ellen Behrend, VMD, PhD, DACVIM Hormones from hell: So you thought Cushing’s was easy? ..................................No Proceedings Required Kelly St. Denis, DVM, DABVP Feline-friendly handling: The lightest touch is the strongest hold ................................................................ 280 Senior cats: What to expect when they’re aging .............. 282 The senior cat: Managing quality of life ............................ 284 The vomiting cat: A quirky feline trait or a sign of disease? ..................................................................... 286 The vomiting cat: From diet to dexamethasone making therapeutic decisions .................................................... 289 The vomiting cat: Working your way to a diagnosis ......... 292 David Dycus, DVM, MS, DACVS, CCRP and Laura D’Amico, DVM, MS, DACVS It’s a cruciate rupture: Now what? .................................... 327 Gary Landsberg, DVM, DACVB, DECAWBM and Sagi Denenberg, DVM, DACVB, DECAWBM, MACVSc, MRCVS Do these fearful and aggressive dogs need drugs? ........ 331 Gastrointestinal Medicine Learn then Earn Scott Owens, DVM, MS, DACVIM E’Lise Christensen DVM, DACVB and Karen Felsted, CPA, MS, DVM, CVPM Beyond the bloodwork: Diagnostics for liver disease ...... 295 Colorectal disease in dogs ................................................ 298 Diagnosing and treating canine pancreatitis .................... 301 It’s just a gallbladder, what could go wrong? ................... 303 Management of PLE in dogs ............................................. 305 Your guide to the vomiting dog ......................................... 307 C’mon back, kitties: How to increase your cat visits (and your bottom line) .................................................... 334 Melissa Clark, DVM, PhD, DACVCP and Karen Felsted, CPA, MS, DVM, CVPM Therapeutic drug monitoring: Good for your patients, good for your practice these phenobarbital levels? ..... 336 Katie Tolbert, DVM, PhD, DACVIM Dysphagia and dysmotility: Recognizing it early and correctly .................................................................. 310 Feline constipation: Novel treatment strategies ............... 312 Feline vomiting: New tactics for identifying the cause and treating it ................................................................. 314 New evidence for using gastroprotectants in cases for ulcers and other pains in the gut ................................... 316 The hows and whys of using gastric acid suppressants . 318 David Bruyette, DVM, DACVIM and Karen Felsted, CPA, MS, DVM, CVPM Diabetes mellitus in dogs: Acute care and long-term management and helping clients pay for it ................... 339 Low-Stress, Pet-Friendly Practice Marty Becker, DVM Apples and oranges: Significant differences between Fear FreeSM and fearful practices .................................. 344 Fear FreeSM practice: With it you’ll thrive. Without it, you may not survive ..................................... 346 The top ten ways to get started with Fear FreeSM practice ...................................................... 347 Hematology Mary Anna Thrall, DVM, MS, DACVP and Heidi Ward, DVM, DACVIM Canine Anemia Case Challenge....No Proceedings Required Feline Anemia Case Challenge .....No Proceedings Required Practical approach to the Diagnosis of Anemia ....................................................No Proceedings Required Mikkel Becker, CPDT Lead the way! Use client education to show your community how your practice is a behavior and training friendly clinic that enhances pets emotional well-being ..................................................... 349 Imaging Rachel Pollard, DVM, DACVR How to perform the complete abdominal ultrasound examination ................................................. 320 Expert2: The Power of Interaction Imaging coughing dogs (Part 1): Cases ............................ 321 Imaging coughing dogs (Part 2): Cases ............................ 321 Jonathan Bloom, DVM Fear FreeSM low-stress handling (in) action ....................... 350 ix i/d® Low Fat i/d® Stress i/d® Sensitive i/d® Clinically tested to lower serum triglycerides, a risk factor for pancreatitis FIRST and ONLY GI nutrition to help alleviate stress-related GI upset in dogs up to 30 lbs Single nutritional solution to manage food sensitivities with GI upset Clinically proven to resolve diarrhea in as little as 3 days Also available for cats Nothing helps you work harder on tough GI cases than the power of Prescription Diet® GI solutions For more information, talk to your Hill’s Representative. ©2015 Hill’s Pet Nutrition, Inc. ®/™ Trademarks owned by Hill’s Pet Nutrition, Inc. HillsVet.com Fear FreeSM, low-stress handling: thank you for coming. Have a nice stay! ............................................................ 352 Corneal surgery ................................................................. 430 Reuben Merideth, DVM, DACVO Jonathan Bloom, DVM and Karen Felsted, CPA, MS, DVM, CVPM Fundamental Ophthalmic Surgical Skills for Primary Practitioners ............. Proceedings Not Submitted Learn then Earn Never fear, low-stress is here! How to cash in on calmness ........................... Proceedings Not Submitted Anne Weigt, DVM, MS, DACVO Ralph Harvey, DVM, MS, DACVAA Eyelid disease: Medical and surgical therapy .................. 432 Eyelid reconstructive techniques ...................................... 434 The dilated pupil: What are the causes?........................... 436 The big goal: Reducing fear, pain, and stress in veterinary patients ......................................................... 354 Orthopedics David Dycus, DVM, MS, DACVS, CCRP Gary Landsberg, DVM, DACVB, DECAWBM A surgeon’s perspective on current trends for the management of osteoarthritis ....................................... 438 Fixation techniques for patella luxations .......................... 441 Fracture management: Diagnosis and choice of a fixation technique .......................................................... 444 Hip dysplasia: Treatment from the young to the old ........ 447 It’s a cruciate rupture: Now what? .................................... 450 It’s a puppy, what could possibly go wrong? Developmental orthopedic conditions .......................... 454 Behavioral management of fear and aggression in your patients .................................................................. 358 Happy cats and happy dogs = Happy vets, staff, and owners .................................................................... 361 Neurology Theresa Pancotto, DVM, MS, DACVIM Central vs. peripheral vestibular disease .......................... 364 Conservative management of IVDD: When the money’s just not there .................................................................. 367 Neurolocalization of intracranial disease .......................... 370 Neurolocalization of spinal cord disease .......................... 373 New anti-epileptic medications: When and how to use them .................................................................... 376 Rehabilitation for neurologic patients ............................... 380 Pain Management Stephanie Kube, DVM, DACVIM, CVPP, CCRT Chronic pain: It’s giving me a headache! Traditional treatments to temper it .................................................. 457 Chronic pain: My headache is back! Alternative therapies and new treatments to ponder...................... 458 Healthier together: Pain management and physical rehabilitation .................................................... 459 Neuropathic pain: How to identify when pangs, twinges, stings, and tingles have gone awry ................ 460 Neuropathic pain: Prescribing relief.................................. 461 Taking the bite out of fierce, acute pain a neurologist’s perspective .............................................. 462 Nutrition Cailin Heinze, MS, VMD, DACVN Battling the bulge: Treating obesity in dogs and cats ...... 382 Evidence-based cancer nutrition ...................................... 385 Nutritional management of common gastrointestinal diseases ............................................... 388 Nutritional management of diabetes: It’s not just all about carbs ............................................................... 392 Renal diets: What to feed and when to start .................... 395 They are feeding what? Unconventional diets ................. 398 Parasitology Emilio DeBess, DVM, MPVM Canine leptospirosis .......................................................... 463 Disease and infection prevention practices: Is your clinic up to snuff? .......................................................... 467 Parasite prevalence in off-leash dog parks ...................... 470 Oncology Sue Ettinger, DVM, DACVIM Canine lymphoma: Review and what’s new ..................... 401 Feline GI lymphoma: High-grade, low-grade, vs. IBD ...... 405 How to talk to clients about cancer: Things you didn’t learn in vet school .......................................................... 408 My top tips for managing cancer patients in your practice ...................................................................411 Treating advanced cancer like a chronic disease: Use of metronomic chemotherapy for metastatic cancer ........414 What to do with lumps and bumps. See something. Do something. Why wait? Aspirate! ...............................416 Public Health Jenifer Chatfield, DVM, DACZM Do captive wildlife put veterinary team members at risk for disease? ............................................................. 472 Ebola and pets: What we know ......................................... 473 How do feral cats impact public health? .......................... 475 Practitioners and the flu .................................................... 476 Veterinary practice ownership and disaster response responsibilities ............................................................... 477 Jason Stull, VMD, MPVM, PhD, DACVPM Ophthalmology Antimicrobial stewardship: Optimal treatment decisions for your patients and our future ..................................... 478 Disease surveillance in veterinary practice: How this benefits you and your patients ...................................... 481 What’s new with pet-associated zoonotic diseases: MRSA, MRDOs and MORE ........................................... 485 Zoonoses: Protecting your immunocompromised clients and staff ............................................................. 488 Ken Abrams, DVM, DACVO Cataract confusion clarified ...............................................419 Mysterious yet common eye diseases.............................. 421 Sudden blindness and pseudo-sudden blindness .......... 423 Jennifer Hyman, VMD, MA, DACVO Corneal exam and medical treatment............................... 426 Current glaucoma techniques ........................................... 428 xi here’s to success. 30 save % B2015 ENCHMARKS A STUDY OF WELL-MANAGED PRACTICES FEES: PRICE YOUR SERVICES RIGHT REVENUE: REJUVENATE YOUR GROWTH CENTERS EXPENSES: BE MORE EFFICIENT STRATEGIC PLANNING: YOUR BLUEPRINT FOR SUCCESS Numbers don’t lie. And they’re all here. Get your hands on the latest revelations from Wutchiett Tumblin and Associates and the dvm360 team. Benchmarks 2015 is the study full of the fees, revenues and cost control key to running a well-managed practice! Fees. Survey’s in, with more than 200 median fees for services and procedures animal hospitals perform every day — plus data and analysis putting it all into context. Revenues. Bringing in revenue can be like completing a puzzle. We lay all the pieces out for you. See what opportunities well-managed practices are tapping to make more money. Expenses. From wages & compensation and facility costs, to fixed and variable items and capital improvement, up-to-date figures from practices are in one place. Benchmarks 2015 has been flying off the shelves. Get yours now! Buy at the Relax and Recharge Lounge or go to industrymatter.com/benchmarks or call 1-800-598-6008 USE CODE CVCSAVINGS — OFFER GOOD THRU MAY 20, 2016 TM Suzanne Tomasi, DVM, MPH, DACVPM Urology Client exposures to veterinary pharmaceuticals: Concerns for clinicians and public health ....................................................No Proceedings Required Infection control and biosecurity in veterinary practice: The toolkit for your practice ....................................................No Proceedings Required Leigh Perry, VMD, DACVIM Before azotemia: How to use urinary biomarkers as early indicators of renal disease ........No Proceedings Required FLUTD: Pathophysiology and treatment considerations ..........................No Proceedings Required Phosphate homeostasis: Why it’s so important in patients with CKD and how to manage it ....................................................No Proceedings Required Practical considerations for patients with chronic kidney disease ..............No Proceedings Required Treating urethral sphincter mechanism incompetence: Medical and mechanical options ....................................................No Proceedings Required Ureteral obstructions: Diagnosis and treatment.............................No Proceedings Required Shelter Medicine Philip Bushby, DVM, MS, DACVS More of what you need to know about the 2016 revisions to the Veterinary Medical Care Guidelines for Spay-Neuter Programs: Surgical and postoperative care; operations management .................................................................. 492 Safe and efficient canine and feline spay-neuter techniques used by shelter DVMs (and general practice DVMs): Discussion and video demonstrations ............. 493 What you need to know about the 2016 revisions to the Veterinary Medical Care Guidelines for Spay-Neuter Programs: Patient care and clinical procedures; preoperative care and anesthesia ................................. 496 USDA/ NVAP Cassidy Rist, DMV, MPH Module 4: Preventing disease introduction and spread .................................No Proceedings Required Module 7: Foreign animal disease detection in Category 1 animals ....................No Proceedings Required Module 9: Interstate and International health certificates for Category 1 animals ....................................................No Proceedings Required Soft Tissue Surgery Sara Colopy, DVM, PhD, DACVS Cystotomy, OVH for pyometra, and GDV: What you need to know ................................................. 497 Hit-by-car repairs: Diaphragmatic hernias, hip luxations, degloving injuries, and more ......................................... 505 How to handle postsurgical complications: Persistent bleeding, dehiscence, and odd oozing ......................... 512 E. Scott Weber III, VMD, MSc, DACVPM, CertAqVet Module 13: Aquatic animal health regulations and health certification .............No Proceedings Required Module 18: Avian influenza and Exotic Newcastle Disease ........No Proceedings Required Module 21: Animals’ fitness to travel ....................................................No Proceedings Required Matthew Keats, DVM, DACVS Airway obstruction: Crisis averted! Tracheotomy or tracheostomy saves the day ..........................................517 Brachycephalics: How can we protect them? .................. 520 Gallbladder mucocele: Incidental or surgical? ................. 523 Your Practice Presence: Get Online and Go Off the Chart Jennifer Wardlaw, DVM, MS, DACVS Eric Garcia Getting started with physical rehabilitation in your practice .................................................................. 526 Postoperative care for the neurologic patient .................. 527 3 things every successful marketing program must have ....................................................................... 529 Communicating to a new generation of clients ................ 532 How to unplug: Taking a digital sabbatical ....................... 535 Toxicology Tim Evans, DVM, PhD, DACT, DABVT Veterinary Hospice and Palliative Care Everything you didn’t think you’d need to know about mycotoxins affecting small animals ................................................ Proceedings Not Submitted Everything you didn’t think you’d need to know about plants toxic to small animals ................................................ Proceedings Not Submitted Is it toxic and how toxic is it? Electronic toxicology resources available to practitioners ................................................ Proceedings Not Submitted Prescribed, OTC, and recreational drugs associated with small animal intoxication ................................................ Proceedings Not Submitted So many pet food recalls...Is manufactured pet food actually safe? .......... Proceedings Not Submitted The neighbor did it! Common malicious poisonings and how to prove it ................................................ Proceedings Not Submitted Dani McVety, DVM Avoiding career burnout .................................................... 537 Don’t burn the bridge: Body language with difficult clients ................................................................ 538 Ethics and euthanasia: What “convenience euthanasia” truly is and how it can ruin our profession .................... 539 The art of euthanasia and the science of death ............... 540 The myth of compassion fatigue from a hospice veterinarian ...................................................... 546 Veterinary hospice care: Comfort beyond a cure............. 547 WVLDI-Veterinary Leadership Karen Bradley, DVM and Sarah Wooten, DVM Minion, Martian, or overlord? Choose your own adventure ...........................No Proceedings Required xiii BEYOND THE BRUSH O R A L H E A LT H S U P P O R T VF BIODENT® Systemic Nutritional Support for Oral Health • Nutritionally complex food-based ingredients • Healthy bone and connective tissue support* WHOLE FOOD NUTRIENT SOLUTIONS S TA N D A R D P R O C E S S .CO M ©2016 Standard Process Inc. All rights reserved. 03/16 *These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease. The great fake out: Imposter syndrome in veterinary medicine ...................No Proceedings Required Women as bitches leaders: The struggle is real ....................No Proceedings Required Denise Tumblin, CPA Better alternatives to across-the-board fee changes ...... 618 How associates earn more by producing more without selling their souls ........................................................... 621 How to get 16% ROI on your practice .............................. 623 Mine your data: Medical and financial payoffs just waiting to happen .......................................................... 627 The “LEAN” system: Be more efficient without cutting corners............................................................... 630 What team members today want: How to get it and give it ................................................. 632 Practice Management Brian Conrad, CVPM Ask for more: Building better relationships with vendors and suppliers ........... Proceedings Not Submitted Client trust: Where did it go, and how do we get it back? .................................. Proceedings Not Submitted Creating the “easy” experience for clients ....................... 553 Interactive case studies: Management scenarios gone wrong ............................ Proceedings Not Submitted Make your next team meeting work .................................. 555 Preparing your hospital to be ready for change ............... 557 Ernie Ward, DVM Management Happy Hour .............No Proceedings Required 5 physical exam hacks for better accuracy and client talk ........................................................................ 635 Kittens and 10 million deaths: Talking to clients and staff about antibiotic resistance .................................... 637 Make your peace between profit and charity in practice ...................................................................... 639 Sheila Grosdidier, BS, RVT Sarah Wooten, DVM HR trends and what to do now to get the team you need (Part 1) ............................................................ 558 HR trends and what to do now to get the team you need (Part 2) ............................................................ 558 Introverts unite...separately: 10 tips to survive and thrive in an extroverted profession................................ 641 Say this, not that: How to get clients to say “yes” more .. 642 Tips from the trenches: Subtle ways you sabotage client relations ................................................................ 643 Sheila Grosdidier, BS, RVT and Mark Opperman, CVPM Kimberly Pope-Robinson, DVM, CCFP Brian Conrad, CVPM and Andrew Roark, DVM, MS How to be happy in veterinary medicine: Excise the obstacles! ..................................................... 644 How to be happy in veterinary medicine: Where’s the obstruction? .............................................. 644 How to manage emotions in tough conversations ........... 645 Behind the camera: What video in practices has taught us and will teach you ..................................................... 561 Bash Halow, LVT, CVPM 2016’s hottest tools to grow your practice ....................... 564 Build a receptionist team that grows your business ........ 567 Front vs. back: A truce and healing .................................. 569 How to sell the most flea and tick products ..................... 571 How to talk to clients about money .................................. 572 Increasing compliance with wellness profiles .................. 576 Technician Program Mikkel Becker, CPDT Putting the treat into treatment: Teaching pet owners to get pets from the living room to the exam room in a calm state ................................................................ 646 Laurie Hess, DVM, DABVP Crazy good client compliance: Taming the beast every doctor chases ...................................................... 578 How any veterinarian can add revenue with exotics ........ 581 Who’s treating this patient? GPs and specialist can practice better together ................................................. 585 Jonathan Bloom, DVM Fear FreeSM, low-stress handling- understanding the art, design, and feel of this fashion tech-style.............. 647 David Bruyette, DVM, DACVIM Thyroid disease in dogs and cats ..................................... 648 Dani McVety, DVM Platinum level communication and body language to recruit and retain exceptional employees ..................... 589 Debra Canapp, DVM, CCRT, CVA, DACVSMR Shawn McVey, MA, MSW Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR A technician’s role in hydrotherapy ................................... 654 How to hire winners using emotional intelligence tools ... 590 How to assist with orthopedic surgeries .......................... 656 Managing change: 10 steps to get everyone on the bus ........................................................................... 594 Service 101: Building client relationships ......................... 598 Service 201: How to focus on the client ........................... 602 Service 301: Managing the client service puzzle ............. 606 Jenifer Chatfield, DVM, DACZM Do I need a flu shot?.......................................................... 659 Sara Colopy, DVM, PhD, DACVS Surgical assist pearls for technicians ............................... 660 Mark Opperman, CVPM 10 “must” things I would do in practice (Part 1) ............... 610 10 “must” things I would do in practice (Part 2) ............... 610 Kristen Cooley, BA, CVT, VTS (Anesthesia) Insights into anesthetic drugs ........................................... 666 Lights out! The anesthetic induction period ..................... 670 xv 3 active ingredients + 2 ears + 1-dose regimen = ZERO homework Introducing the only veterinarian-administered, single-dose regimen for canine otitis externa. CAUTION: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian. CONTRAINDICATIONS: Do not use in dogs with known tympanic membrane perforation. CLARO™ is contraindicated in dogs with known or suspected hypersensitivity to florfenicol, terbinafine hydrochloride, or mometasone furoate. ©2016 Bayer, Shawnee Mission, Kansas 66201 Bayer (reg’d), the Bayer Cross (reg’d) and Claro™ are trademarks of Bayer. CL16854 OneDoseZeroHomework.com xvi (florfenicol, terbinafine, mometasone furoate) Otic Solution Antibacterial, antifungal, and anti-inflammatory For Otic Use in Dogs Only CAUTION: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian. DESCRIPTION: CLARO™ contains 15.0 mg/mL florfenicol, 13.3 mg/mL terbinafine (equivalent to 15.0 mg/mL terbinafine hydrochloride) and 2.0 mg/mL mometasone furoate. Inactive ingredients include purified water, propylene carbonate, propylene glycol, ethyl alcohol, and polyethylene glycol. INDICATIONS: CLARO™ is indicated for the treatment of otitis externa in dogs associated with susceptible strains of yeast (Malassezia pachydermatis) and bacteria (Staphylococcus pseudintermedius). DOSAGE AND ADMINISTRATION: Shake before use. CLARO™ should be administered by veterinary personnel. Administer one dose (1 dropperette) per affected ear. The duration of effect should last 30 days. 1. Clean and dry the external ear canal before administering the product. 2. Verify the tympanic membrane is intact prior to administration. 3. Remove single dose dropperette from the package. 4. While holding the dropperette in an upright position, remove the cap from the dropperette. 5. Turn the cap over and push the other end of the cap onto the tip of the dropperette. 6. Twist the cap to break the seal and then remove cap from the dropperette. 7. Screw the applicator nozzle onto the dropperette. 8. Insert the tapered tip of the dropperette into the affected external ear canal and squeeze to instill the entire contents (1 mL) into the affected ear. 9. Gently massage the base of the ear to allow distribution of the solution. 10. Repeat with other ear as prescribed. Cleaning the ear after dosing may affect product effectiveness. CONTRAINDICATIONS: Do not use in dogs with known tympanic membrane perforation (see PRECAUTIONS). CLARO™ is contraindicated in dogs with known or suspected hypersensitivity to florfenicol, terbinafine hydrochloride, or mometasone furoate. WARNINGS: Human Warnings: Not for use in humans. Keep this and all drugs out of reach of children. In case of accidental ingestion by humans, contact a physician immediately. In case of accidental skin contact, wash area thoroughly with water. Avoid contact with eyes. Humans with known hypersensitivity to florfenicol, terbinafine hydrochloride, or mometasone furoate should not handle this product. PRECAUTIONS: Do not administer orally. The use of CLARO™ in dogs with perforated tympanic membranes has not been evaluated. The integrity of the tympanic membrane should be confirmed before administering the product. Reevaluate the dog if hearing loss or signs of vestibular dysfunction are observed during treatment. Use of topical otic corticosteroids has been associated with adrenocortical suppression and iatrogenic hyperadrenocorticism in dogs (see ANIMAL SAFETY). Use with caution in dogs with impaired hepatic function (see ANIMAL SAFETY). The safe use of CLARO™ in dogs used for breeding purposes, during pregnancy, or in lactating bitches has not been evaluated. ADVERSE REACTIONS: In a field study conducted in the United States (see EFFECTIVENESS), there were no directly attributable adverse reactions in 146 dogs administered CLARO™. To report suspected adverse drug events and/or obtain a copy of the Safety Data Sheet (SDS) or for technical assistance, contact Bayer HealthCare at 1-800-422-9874. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or online at http://www.fda.gov/AnimalVeterinary/SafetyHealth. PHARMACOLOGY: CLARO™ Otic Solution is a fixed combination of three active substances: florfenicol (antibacterial), terbinafine (antifungal), and mometasone furoate (steroidal anti-inflammatory). Florfenicol is a bacteriostatic antibiotic which acts by inhibiting protein synthesis. Terbinafine is an antifungal which selectively inhibits the early synthesis of ergosterol. Mometasone furoate is a glucocorticosteroid with anti-inflammatory activity. MICROBIOLOGY: The compatibility and additive effect of each of the components in CLARO™ solution was demonstrated in a component effectiveness and non-interference study. An in vitro study of organisms collected from clinical cases of otitis externa in dogs enrolled in the clinical effectiveness study determined that florfenicol and terbinafine hydrochloride inhibit the growth of bacteria and yeast commonly associated with otitis externa in dogs. No consistent synergistic or antagonistic effect of the two antimicrobials was demonstrated. The addition of mometasone furoate to the combination did not impair antimicrobial activity to any clinically significant extent. In a field study (see EFFECTIVENESS), at least 10 isolates from successfully treated cases were obtained for S. pseudintermedius and M. pachydermatis. EFFECTIVENESS: In a well-controlled, double-masked field study, CLARO™ was evaluated against a vehicle control in 221 dogs with otitis externa. One hundred and forty six dogs were treated with CLARO™ and 75 dogs were treated with the vehicle control. All dogs were evaluated for safety. Treatment (1 mL) was administered once on Day 0 to the affected ear(s). Prior to treatment, the ear(s) was cleaned with saline. The dogs were evaluated on Days 0, 7, 14, and 30. Blood work and urinalysis were obtained on Day 0 pre-treatment and Day 30 at study completion. Four clinical signs associated with otitis externa were evaluated: erythema, exudate, swelling, and ulceration. Success was based on clinical improvement at Day 30. Of the 183 dogs included in the effectiveness evaluation, 72.5% of dogs administered CLARO™ solution were successfully treated, compared to 11.1% of the dogs in the vehicle-control group (p=0.0001). ANIMAL SAFETY: In a target animal safety study, CLARO™ was administered aurally to 12-week-old Beagle puppies (4 dogs/sex/group) at 0X, 1X, 3X, and 5X the recommended dose once every 2 weeks for a total dosing period of 28 days (3 times the treatment duration). No clinically relevant treatment-related findings were noted in hearing tests, body weight, weight gain, or food consumption. CLARO™ administration was associated with post-treatment ear wetness or clear aural exudate, increased absolute neutrophil count, decreased absolute lymphocyte and eosinophil counts, suppression of the adrenal cortical response to ACTH-stimulation, decreased adrenal weight and atrophy of the adrenal cortex, increased liver weight with hepatocellular enlargement/cytoplasmic change, and decreased thymus weight. Other potentially treatment-related effects included mild changes to AST, total protein, inorganic phosphorus, creatinine, and calcium. STORAGE INFORMATION: Store between 20ºC-25ºC (68ºF-77ºF), excursions permitted 10ºC-30ºC (59ºF-86ºF). HOW SUPPLIED: CLARO™ solution is supplied in a single-use dropperette in a blister. Each dropperette contains one 1 mL dose. CLARO™ is available in cartons of two, ten, or twenty dropperettes. Bayer (reg’d), the Bayer Cross (reg’d) and CLARO™ are trademarks of Bayer. ©2015 Bayer HealthCare LLC. Distributed by: Bayer HealthCare LLC Animal Health Division Shawnee Mission, Kansas 66201 USA NADA 141-440, Approved by FDA. Monitoring without monitors ............................................. 674 On PAR: Perils of postanesthetic recovery....................... 677 The cool observer: Monitoring anesthesia with confidence.............................................................. 681 The ins and outs of the anesthesia machine .................... 685 David Dycus, DVM, MS, DACVS, CCRP Splinting basics for orthopedic patients ........................... 688 Sue Ettinger, DVM, DACVIM My top tips on managing cancer patients ........................ 690 Ralph Harvey, DVM, MS, DACVAA High-risk cases: Anesthesia for patients too sick for anesthesia ......................................................... 693 Cailin Heinze, MS, VMD, DACVN Pet food: Interpreting labels and understanding regulations............................................. 695 Candice Hoerner, CVT, VTS (Dentistry) 2th-1-1 Dental emergency! Trauma to the oral cavity....... 698 Dirty mouth? Clean it up! A complete periodontal cleaning ...................................................... 700 Getting owners to consent to dentistry in your practice .. 703 No bones about it! An intro to oral anatomy ..................... 705 Save a tooth! Advanced periodontal treatments .............. 708 Say ahhhh! Oral examination and charting....................... 710 Gary Landsberg, DVM, DACVB, DECAWBM Feisty felines: Bringing up the behaviorally challenging kitten........................................................... 713 Matthew Lemmons, DVM, DAVDC Take dentistry beyond prophies .........................................717 Tasha McNerney, BS, CVT, CVPP A painless career choice: Careers for technicians in pain management ...................................................... 720 Pain management and profitability: Stop the hurt............ 722 What’s your role? A team approach to talking to pet owners about pain management .................................. 723 Oriana Scislowicz, BS, LVT Breed positivity in your practice ....................................... 725 Bring fast success to your practice with modern marketing tactics ........................................................... 727 Going back to work after baby-and beyond: Tailor your career to fit your life ..................................... 729 Dani McVety, DVM Avoiding career burnout .................................................... 731 Garret Pachtinger, VMD, DACVECC Puppies are not small dogs: Pediatric emergencies ........ 732 Kenichiro Yagi, BS, RVT, VTS (ECC, SAIM) Anemia: It’s not only about bleeding ................................ 735 CPR: The RECOVER guidelines ........................................ 738 Just breathe! Respiratory emergencies............................ 742 Place that lifeline! Advanced vascular access .................. 746 Shock has two faces: The keys to perfusion .................... 750 The bloody truths: Myths and facts of transfusion medicine ..................................................... 754 MeetThe Speakers Anesthesia Critical Care *Ralph Harvey, DVM, MS, DACVAA University of Tennessee Knoxville, TN *Garret Pachtinger, VMD, DACVECC Veterinary Specialty and Emergency Center Levittown, PA Behavior E’Lise Christensen, DVM, DACVB Veterinary Behavior Consultations of NYC and CO Castle Rock, CO **Sagi Denenberg, DVM, DACVB, DECAWBM, MACVSc, MRCVS Langford Veterinary Services Langford, Bristol *Gary Landsberg, DVM, DACVB, DECAWBM North Toronto Veterinary Behaviour Specialty Clinic Thornhill, Canada Canine Sports Medicine and Rehabilitation *Debra Canapp, DVM, CCRT, CVA, DACVSMR Veterinary Orthopedic and Sports Medicine Group Annapolis Junction, MD *Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR Veterinary Orthopedic and Sports Medicine Group Annapolis Junction, MD Cardiology Erica Reineke, VMD, BS, DACVECC University of Pennsylvania Philadelphia, PA Katherine Tolbert, DVM, PhD, DACVIM University of Tennessee Knoxville, TN Dentistry Hematology *Matthew Lemmons, DVM, DAVDC MedVet Indianapolis Carmel, IN Dermatology Heidi Ward, DVM, DACVIM Gulfcoast Veterinary Oncology and Internal Medicine Sarasota, FL Melissa Hall, DVM, DACVD Animal Dermatology Clinic Tustin, CA Imaging James Noxon, DVM, DACVIM Iowa State University Ames, IA Endocrinology *David Bruyette, DVM, DACVIM VCA West Los Angeles Animal Hospital Los Angeles, CA Steven Rosenthal, DVM, DACVIM CVCA – Cardiac Care for Pets Towson, MD Exotic Animal Medicine Clinical Pharmacology Melissa Clark, DVM, PhD, DACVCP Animal Medical Center New York, NY Mary Anna Thrall, DVM, MS, DACVP Ross University School of Veterinary Medicine St. Kitts, West Indies Darin Dell, DVM, DACVD Animal Dermatology Clinic Indianapolis, IN **Ellen Behrend, VMD, PhD, DACVIM Auburn University Auburn, AL Craig Thompson, DVM, DACVP Purdue University West Lafayette, IN Scott Owens, DVM, MS, DACVIM MedVet Indianapolis Carmel, IN Vince Thawley, VMD, BS, DACVECC University of Pennsylvania Philadelphia, PA Neal Peckens, DVM, DACVIM CVCA – Cardiac Care for Pets Vienna, VA Clinical Pathology Gastrointestinal Medicine Marcy Souza, DVM, MPH, DABVP, DACVPM University of Tennessee Knoxville, TN Feline Medicine Robin Downing, DVM, DAAPM, DACVSMR, CVPP, CCRP The Downing Center for Animal Pain Management Windsor, CO Kelly St. Denis, DVM, DABVP Charing Cross Cat Clinic Brantford, Canada Howard Seim III, DVM, DACVS Colorado State University Fort Collins, CO Anthony Pease, DVM, MS, DACVR Michigan State University East Lansing, MI *Rachel Pollard, DVM, DACVR University of California Davis, CA Robert Toal, DVM, DACVR VCA Southpaws Veterinary Specialists and Emergency Center Fairfax, VA Low-Stress, Pet-Friendly Practice Marty Becker, DVM North Idaho Animal Hospital Sandpoint, ID *Mikkel Becker, CPDT VetStreet.com Seattle, WA *Jonathan Bloom, DVM Willowdale Animal Hospital Ontario, Canada *Ralph Harvey, DVM, MS, DACVAA University of Tennessee Knoxville, TN *Gary Landsberg, DVM, DACVB, DECAWBM North Toronto Veterinary Behaviour Specialty Clinic Thornhill, Canada Neurology Theresa Pancotto, DVM, MS, DACVIM, CCRP Virginia Maryland College of Veterinary Medicine Blacksburg, VA *Participating in the Technician Program **Online collaborator 64 xviii *Cailin Heinze, MS, VMD, DACVN Cummings Veterinary Medical Center at Tufts University North Grafton, MA Oncology *Sue Ettinger, DVM, DACVIM Dr. Sue Cancer Vet Tarrytown, NY Ophthalmology Ken Abrams, DVM, DACVO Eye Care for Animals Warwick, RI Jennifer Hyman, VMD, MA, DACVO Eye Care for Animals Annapolis, MD Reuben Merideth, DVM, DACVO Eye Care for Animals Tucson, AZ Anne Weigt, DVM, MS, DACVO Eye Care for Animals Annapolis, MD Orthopedics **Laura D’Amico, DVM, MS, DACVS Miami Veterinary Specialists Miami, FL *David Dycus, DVM, MS, DACVS, CCRP Veterinary Orthopedic and Sports Medicine Group Annapolis Junction, MD Pain Management Stephanie Kube, DVM, DACVIM, CVPP, CVPM Veterinary Neurology and Pain Management Center of New England Walpole, MA Parasitology Emilio DeBess, DVM, MPVM Oregon Health Authority Portland, OR Practice Management Brian Conrad, CVPM Meadow Hills Veterinary Center Kennewick, WA Karen Felsted, CPA, MS, DVM, CVPM PantheraT Veterinary Management Consulting Dallas, TX Eric Garcia Simply Done Tech Solutions Lutz, FL Sheila Grosdidier, BS, RVT Veterinary Management Consultants Evergreen, CO Practice Management (cont’d) Bash Halow, LVT, CVPM Halow Tassava Consulting New York, NY Laurie Hess, DVM, DABVP Veterinary Center for Birds and Exotics Bedford Hills, NY Shawn McVey, MA, MSW McVey Management Solutions Austin, TX Mark Opperman, CVPM Veterinary Management Consultants Evergreen, CO Meghan Leigh Pierson Greenville, SC Kimberly Pope-Robinson, DVM, CCFP 1 Life Connected Consulting San Clemente, CA Andrew Roark, DVM, MS Cleveland Park Animal Hospital Greenville, SC Denise Tumblin, CPA Wutchiett Tumblin and Associates Columbus, OH Ernie Ward, DVM E3 Management LLC Ocean Isle Beach, NC Sarah Wooten, DVM Sheep Draw Veterinary Hospital Greeley, CO Public Health and General Practice *Jenifer Chatfield, DVM, DACZM 4J Conservation Center Dade City, FL Jason Stull, VMD, MPVM, PhD, DACVPM The Ohio State University Columbus, OH Suzanne Tomasi, DVM, MPH, DACVPM The Ohio State University Columbus, OH Shelter Medicine Philip Bushby, DVM, MS, DACVS Mississippi State University Mississippi State, MS Technician Program Kristen Cooley, BA, CVT, VTS (Anesthesia) University of Wisconsin Madison, WI Candice Hoerner, CVT, VTS (Dentistry) Big Sky Veterinary Dentistry Education Columbia Falls, MT Tasha McNerney, BS, CVT, CVPP Veterinary Anesthesia Nerds Glenside, PA MeetThe Speakers Nutrition Oriana Scislowicz, BS, LVT CVCA – Cardiac Care for Pets Richmond, VA Kenichiro Yagi, BS, RVT, VTS (ECC, SAIM) Adobe Animal Hospital Los Altos, CA Toxicology Tim Evans, DVM, PhD, DACT, DABVT University of Missouri Veterinary Health Center Columbia, MO Urology Leigh Perry, VMD, DACVIM BluePearl Veterinary Partners Virginia Beach, VA USDA/NVAP Cassidy Rist, DVM, MPH USDA-APHIS Veterinary Services Richmond, VA E. Scott Weber III, VMD, MSc, DACVPM, CertAqVet USDA-APHIS Veterinary Services Richmond, VA Veterinary Hospice and Palliative Care *Dani McVety, DVM Lap of Love Lutz, FL Veterinary Leadership Karen Bradley, DVM Onion River Animal Hospital Middlesex, VT Sarah Wooten, DVM Sheep Draw Veterinary Hospital Greeley, CO Soft Tissue Surgery *Sara Colopy, DVM, PhD, DACVS University of Wisconsin Madison, WI Matthew Keats, DVM, DACVS Chesapeake Veterinary Surgical Specialists Annapolis, MD *Jennifer Wardlaw, DVM, MS, DACVS Gateway Veterinary Surgery St. Louis, MO 65 SA N D IE G O DECEMBER 8-11, 2016 AUGUST 26 -29, 2016 MAY 18-2 1, 2017 ©2016 UBM. All rights reserved. K A NSAS CITY VIRGINIA BEACH 800.255.6864, ext. 6 UBM Americas, Veterinary TheCVC.com cvc@advanstar. com Predator. Prey. Protection: Help protect your canine patients against: Lyme disease by vaccinating with RECOMBITEK Lyme ® ®RECOMBITEK is a registered trademark of Merial. ©2016 Merial, Inc., Duluth, GA. All rights reserved. REC16LYMECONFAD (03/16). xxi VaccinateYourPet.net ™ MMP & OrthoFoam An evolution of the TTA technique Researched and manufactured in partnership with the National Research Council of Canada (STVZ[\ZLYZNSVIHSS`PUJS\KPUNWYPTHY`JHYLWYHJ[PJLZYLMLYYHSOVZWP[HSZ :`TWH[OL[PJTLJOHUPJHS characteristics encourages early and ]L[ZJOVVSZHUK\UP]LYZP[PLZ <ZLZKPZ[HS;;Ä_H[PVU\ZPUNLP[OLY [[P[HUP\TZ[HWSLVY^PYL[LUZPVUIHUK sustained bone ingrowth YLTV] YLTV]PUN[OLULLKMVYIVULNYHM[VY ZPTPSHY ,_[LUZP]LZ[\K`PUKVNZ )VI`UHUK6[OLYZ 4PUPTPZLZJVTWSPJH[PVUZ ZPTWSPÄLZZ\YNLY` 4VYL[OHUJHZLZ WLYMVYTLK Shorter surgery and Sho JVU]HSLZJLUJL[PTL JVU )PVJVTWH[PISLW\YL 6WLUHUKVW[PTPZLK pore structure [P[HUP\TMVHT :L]LYHSPUKLWLUKLU[JSPUPJHSHUK L_WLYPTLU[HS[YPHSZ\UKLY^H` *SPUPJHSV\[JVTLZ JVTWHYHISL^P[O;;( J HUK;736 Sound evidence supporting the MMP procedure “Three-dimensional growth of differentiating MC3T3-E1 pre-osteoblasts on porous titanium scaffolds” “The Modified Maquet Procedure (MMP) in dogs: technical development and initial clinical experience” - Publication: Biomaterials, (2009) - Publication: JAAHA (2015) in Press “Effect of Oxygen Content on the Static and Cyclic Deformation of Titanium Foams” “The Modified Maquet Procedure (MMP) to treat lameness due to cranial cruciate ligament failure in 131 dogs.” - Publication: Materials in Medicine (2009) - Data presented at VOS, Crested Butte, (2012) “Direct Visualization and Quantification of Bone Growth Into Porous Titanium Implants using Microtomography” “Is the 90 degrees PTA a valid endpoint for TTA surgery?” - Publication: Journals of Material Science (2011) - Ness (2015) VOS Conference, Sun Valley, Idaho. - Won best Podium Presentation >LY\UYLN\SHYOHUKZVU^VYRZOVWZOLSKI`PUK\Z[Y`L_WLY[Z[OH[[LHJO[OLILULÄ[ZVM447HUKOV^[VWLYMVYT[OLWYVJLK\YL-VYTVYLPUMVWSLHZLNP]L\ZHJHSSVY]PZP[\ZVUSPUL The home of Veterinary Orthopaedics www.orthomedusa.com Orthomed North America Inc 1179 18th Place, Vero Beach, FL 32960 Tel: +1 772-562-6044 Fax: +1 772-562-6046 Email: [email protected] To watch Dr. Casuccio’s story, visit vet.abaxis.com/beinspired “What I really like about Abaxis is that they’re a step above in Quality, and the customer service is extraordinary.” Dr. Alex Casuccio Scottsdale Animal Healthcare | Scottsdale, AZ. Abaxis customer It’s not just better diagnostics, it’s a Better way. 800.822.2947 vet.abaxis.com/beinspired #beinspired #beinspired GLOBAL DIAGNOSTICS Abaxis and VetScan are registered trademarks of Abaxis, Inc. © Abaxis 2016. Learn more about all of our products and services at www.abaxis.com xxiii [email protected] 2016 CVC Virginia Beach Thank You to our Sponsors The CVC Group recognizes the generous support of these companies for their sponsorship of activities, events, and programming at CVC Virginia Beach. Premier Sponsor Distinguished Sponsors Elite Sponsors Supporting Sponsors Participating Sponsors xxiv List current at time of printing.
