Having had a three-month sabbatical working at Fitzpatrick, Jonathan decided to relocate from New Zealand where most recently he'd been Head of the Companion Animal Group at Massey University.
Jonathan said: "My prime passion is working directly with animals and their families in a supportive and exceptional clinical setting. I enjoy pushing boundaries and not accepting the status quo. I want to identify better ways of improving outcomes for patients, and minimising the impact of the disease (or its treatment) on an animal’s quality of life. My sabbatical at Fitzpatrick Referrals exposed me to their tremendous energy and real passion for patient and client care. From the moment the clients walk in the door, I feel there is an embrace that lets people know we truly care and want to do the best for their animal friend. I am looking forward to discovering what we can achieve together. Cancer management is such an important opportunity, with the power to change both animal and human lives positively. The direction and focus of Fitzpatrick Referrals in this area is already incredibly exciting.”
Clinical Director of Oncology and Soft Tissue, Professor Nick Bacon said: "On Jon’s first day of his sabbatical, he jumped right into the team and made an immediate positive impact. He hasn’t looked back. He carries with him such a good energy, which we all absorb and hopefully reflect back. His knowledge of implant design for dealing with defects in the mandible and elsewhere is exceptional and I am looking forward to watching that develop. I am also very pleased that Jon’s wife Sharyn is able to join the team; she is very experienced in the field of advanced imaging in humans, including Fluoroscopy and PET-CT. This is already benefitting our patients as we improve our diagnostic and treatment abilities, and get ready for the future."
Jonathan has active research interests in several clinical areas including soft tissue sarcoma, injection-site sarcoma, endoprosthetics and haemangiosarcoma. He also supports the concept of One Medicine as his PhD research into soft tissue sarcoma, haemangiosarcoma and endoprosthetics has a potential relevance in improving the understanding of treatment paradigms for humans and animals.
Matthew, who holds a European Certificate in Small Animal Surgery, is one of a small group of veterinary dentists in the UK. He has a special interest in the endodontic (root canal) treatment of teeth.
Ray Girotti, Hospital Director at Lumbry Park, said: "The increasing prevalence of oral and dental disease among dogs and cats and its potential to cause significant pain and infection, not just in the oral cavity but within the whole body, highlights the importance of advanced dental care.
"We are delighted to be working with Matthew. He will be accepting referrals for a range of dental problems, including fractured teeth, root canal treatment, prosthetic crowns, fractured jaws, oral tumours and orthodontics.
"In leading our dental referral service, he will work alongside our specialist teams in cardiology, internal medicine, orthopaedics, neurology, diagnostic imaging and anaesthesia to ensure that we are providing a full service and comprehensive approach to the care of our patients."
Matthew added: "I’m excited to be launching a new dental referral service at Lumbry Park. The advanced facilities it offers, including the capability to work with specialist anaesthetists and to utilise the latest in-house 3D CT and MRI imaging equipment, make it a fantastic opportunity and I’m looking forward to working closely with my colleagues to deliver an outstanding dental referral service."
Headed by Stephanie Lalor, a European Specialist in Internal Medicine, the clinic provides initial assessment and treatment - from blood work and blood pressure - to ongoing care.
Suitable for cats with a wide range of medical conditions, including respiratory tract disease, gastrointestinal conditions and endocrinopathies, the clinic is housed in Willows iCatCare certified ‘cat-friendly’ facility, which has its own cat ward and waiting area.
Stephanie, who completed a residency in Internal Medicine at Edinburgh University (funded by International Cat Care) in 2014, and then completed the Diploma of the European College of Veterinary Internal Medicine last year, said: "Here at Willows we do all we can to minimise the difficulties that cats and their owners might encounter when they come to see us.
"Our staff are trained to be aware of their needs and we have put in place not only the necessary facilities but also specific working practices in order to make any visit as stress-free as possible.
"These cat-specific clinics will be yet another string to our bow and we will work closely with referring vets to ensure that we meet each patient’s unique needs – providing a detailed written report following each visit."
For more information about the cat-specific internal medicine clinics taking place at Willows, or to make a referral, call 0121 712 7070.
For more information, visit www.willows.uk.net.
Daniel Calvo Carrasco, an RCVS specialist in Zoo and Wildlife Medicine and a European Specialist in Avian Medicine and Surgery, will be heading up the new service, which opens its doors to patients in January.
Daniel graduated from Universitat Autònoma de Barcelona in 2010. He began his career at first opinion practices in Birmingham and Wiltshire, where he developed his skills as a vet in small animals, while still having the chance to look after small furries from a local pet shop where he was based. He then completed an exotic animal medicine and zoological medicine internship, followed by two years of small animal and exotic practice in the UK.
In May 2016 he gained his RCVS CertAVP(ZooMed) and later that year he completed his European College Zoological Medicine Avian residency.
For the next two years, he worked at Great Western Exotics before joining the Wildfowl & Wetlands Trust in 2018, where he combined conservation work with managing and caring for its living collection.
Daniel said: “I’ve always had a passion for zoological medicine and caring for the more exotic mammals, birds, reptiles and amphibians, and I’m excited to be leading this new service at Southfields.
“I really enjoy all aspects of exotic, zoo and wildlife medicine and have a particularly keen interest in orthopaedics and advanced surgery in exotic species.
“I have treated all sorts of species in my time from parrots and lizards to wading birds such as the Spoon-billed Sandpiper, Aldabra tortoise, Hyacinth Macaw, Toucans, Seriemas and many birds of prey.”
Southfields hospital director Daniel Hogan said: “We are delighted to have recruited Daniel to lead this exciting addition to the services we offer.
“He is highly experienced and will lead our new exotic animal service, which is the first such service in the whole of the South East and will be available 24/7 to offer the best and most comprehensive zoo and wildlife care in the region.”
For more information, visit: https://www.southfields.co.uk/
Mark Morton is an RCVS Specialist in small animal orthopaedics, with a particular interest in cruciate ligament injuries: he developed the RCVS Knowledge ‘Canine Cruciate Registry’, of which he remains clinical lead.
Mark has published peer-reviewed papers in the areas of Achilles tendon injury and clinical outcomes measures, as well as pioneering a novel technique to repair Achilles tendon injuries which is now used internationally.
Prior to joining Movement Referrals, Mark has been the lead clinician at a multi-disciplinary referral centre for the last 3 years.
The other Mark, Lowrie, is RCVS and EBVS European Specialist in Veterinary Neurology.
Mark is a global leader in movement disorders in dogs, and has over 50 peer-reviewed articles to his name.
He has also established novel treatment strategies for meningoencephalitis, a common, disabling brain condition of dogs, which has reduced mortality by over 50%.
Mark Morton (pictured) said: “I am delighted to be joining the management team at Movement Referrals.
"I know the rest of the team very well having worked closely with them all before, I can’t think of a better or more experienced team to develop this practice with.
"We aim to provide exceptional care to our patients, with a real focus on the service we provide and the outcomes we achieve”
The two Marks will join the Board of Directors with Ben Walton and Professor John Innes, both RCVS Specialists, and Dr Brian Beale, an ACVS-boarded Specialist in small animal surgery.
RSA has announced the rollout of its UK-wide network of preferred referral practices.
The scheme caused widespread concern within the profession when it was trialed in the Midlands earlier this year, primarily because of fears that it would reduce general practitioners' freedom to refer an animal to a centre that they felt could provide the most appropriate care for both the animal and the owner. In addition, RSA's claim that it was aiming to provide like-for-like care at a lower cost was undermined by the fact that the network could hardly field a single RCVS Recognised Specialist amongst its numbers. There were also concerns being voiced about the terms under which referral practices could join the network.
However, the underlying challenge of keeping pet insurance affordable remains. RSA says that according to its research, and based on Association of British Insurers averages, 27% of its customers pay more for their pet insurance than the average cost of home insurance; 17% pay more than the average cost of car insurance and 3% pay more than the average cost for private medical insurance.
It does seem as though RSA has been making a concerted effort to adopt a more collaborative approach before the nationwide rollout, having meetings with both the BVA and BSAVA which the respective organisations described as 'constructive'.
The current state of play is that RSA is inviting referral practices to join its network in advance of a launch some time after the end of the year. Thereafter, VetSurgeon.org understands that clients who decide to opt for a non-emergency referral outside its network will be subject to an additional flat fee which has yet to be announced.
Bill Paton, Claims Director for UK and Western Europe said: “The introduction of this new preferred referral network ensures that our customers will receive the most appropriate available treatment as diagnosed by their vet.
"For us, being able to control costs with our vet partners in the network will help us manage our claims cost more effectively and ensure that policy limits last as long as possible.
"Ultimately, this will have a positive effect on premium rates for our customers ensuring that pet insurance remains affordable.”
For more information about joining RSA's referral network, email: rsa.pet@uk.rsagroup.com.
The new scanner takes scans 50% faster and at a far higher resolution than the outgoing model.
It also boasts a wide bore magnet, simple coil arrangement and large number of channels, which means clinicians can scan different organ systems in patients of all shapes and sizes.
Cave says the new equipment allows it to expand into emerging fields such as cardiac MRI and advanced musculoskeletal imaging.
Tom Cardy, head of neurology, said: “It’s not often in your career you get to work with a truly class-leading piece of equipment such as this.
“The new scanner will greatly improve the patient and client experience we provide. This investment significantly increases the capability of our neurology service and the whole team are excited to get to grips with this amazing piece of kit.”
For more information, visit https://cave-vet-specialists.co.uk.
Photo: L-R Radiographer Tracy Down and imaging nurse Staci Finn
Lead surgeon at Roundhouse, Ross Allan (pictured right), an RCVS Advanced Practitioner in Small Animal Surgery, said: "We know many practitioners and clients have been frustrated by the difficulties in availability of TPLO in Scotland and we wanted to change that.
"As with our other Roundhouse Referral offerings, we have done away with long waiting lists, unpredictable pricing, and challenges in clinical continuity. We know that in doing so we will revolutionise access to this service and the experience of its users.
"Our TPLO service offers excellent value and quality – we have invested heavily in the very best DePuy Synthes TPLO plates and implants and, together with our hospital status, standards and track record, we are offering a premier TPLO service in Scotland: a TPLO with a recovery that is as reliable and predictable as our Fixed Price!"
The fixed prices for a TPLO are £3000 for dogs under 40kg and £3100 for dogs over 40kg.
The price includes the consultation, diagnostic X-rays/assessment, pre-surgical blood samples, hospitalisation, anaesthesia, surgery (including implants), follow up consultation and follow up X-rays.
Ross added: "We don’t expect anything to go wrong, but should we need to revise our surgery we would do so at no additional cost to the client – that’s our Fixed-Price Fix!"
To make an enquiry, or refer a patient for a Fixed Price Fix TPLO contact Roundhouse Referrals at 0141 649 1316 www.rhr.vet
Instead of the traditional format, where one expert, perhaps two, come and lecture on a subject, IVC has gathered together experts from different disciplines to give their differing perspectives on a subject, each talking for 30 minutes.
For example, you'll be able to hear about BOAS surgery from the perspective of a Specialist in Small Animal Internal Medicine, an anaesthetist, a Specialist in Small Animal Surgery and a Specialist Surgical Nurse.
Collapse will be covered by a neurologist, a cardiologist and an ECC specialist.
IVC says the aim is to make the sessions as concise and to-the-point, but as practical as possible, and you'll be able to come and meet the speakers on the stand afterwards.
Richard Artingstall (MBA, MA, Vet MB, CertSAS, MRCVS, RCVS Advanced Practitioner in Small Animal Surgery) from Vale Referrals and the IVC Evidensia Referrals Strategy Group, said: "Working our Referrals and Equine streams like this gives delegates the opportunity to gain a real insight, from different disciplines, into how our specialists work up a case.
"The lectures will offer practical, discipline-based guidance, looking at clinical presentations and problems from different discipline perspectives. Our hope is that this will help delegates in decision making and planning case management plans for these more tricky case presentations in practice. I think it will be incredibly useful for them and I can’t wait to be there."
More information: https://london.vetshow.com/ivc-clinical-theatre
The procedure involves introducing a catheter through the jugular, then using fluoroscopy and transoesophageal echocardiography to guide it from the right atrium through to the left side of the heart to relieve abnormal high pressures in the left atrium.
Willows says it is one of only a few centres across Europe equipped to carry out the procedure and that typically, patients who undergo TSP can be discharged from hospital the day after surgery.
Fabio Sarcinella (pictured right), an RCVS and European specialist in small animal cardiology at Willows, said: “Early clinical evaluation of the TSP procedure in humans over the last few years has shown improved quality of life and reduced clinical signs in patients with heart failure.
“The procedure has also been associated with low-risk and a meaningful drop in left atrial pressure of the affected patients.”
Fabio added: “As well as being minimally invasive, the improvement in heart chamber pressures via TSP often allows for a reduction in the dose of water tablets which are used to control the heart failure signs in the lungs.
"Lowering the dose reduces the risk of side effects related to these drugs such as kidney failure.”
Willows says TSP is most commonly used for left atrial decompression in dogs with heart failure and concurrent renal disease or that have advanced heart failure but continue to have symptoms despite optimal medical treatment.
www.willows.uk.net
Adam, who is one of only 17 ECC Specialists in the UK, will be developing an ECC service at Lumbry Park.
Following graduation and an internship at the Royal Veterinary College, Adam worked in hospital and emergency general practice. He completed his residency in Emergency and Critical Care in 2013 becoming board certified the same year. He also completed a Master’s in Veterinary Medicine at the Royal Veterinary College.
Adam became an RCVS Recognised Specialist in Emergency and Critical Care in 2015. In his most recent role, he was Group Head of Emergency and Intensive Care for four RCVS-Recognised hospitals and branches and oversaw standards of out-of-hours provision to 50+ sites. He also led the development of the first specialist 24-hour veterinary intensive care unit in central London.
Ray Girotti, Hospital Director, said: "Adam will be working with our multi-disciplinary team to offer a dedicated point of contact for emergency referrals, a move which will enhance the provision of critical care for our sickest patients. We are delighted to welcome a Specialist of his calibre to Lumbry Park."
Adam said: "The leadership on all issues relating to patient care shown by CVS’ Clinical Advisory Committee was inspiring and, with its full support, I have been offered an unrivalled opportunity to develop a leading ECC service at Lumbry Park. I’m really looking forward to my new role and to participating on the Clinical Advisory Committee to enhance ECC services right across CVS."
Davies says its Cardiac Electrophysiology Laboratory, headed by Pedro Oliveira (pictured right), is one of only four centres in the world to perform the procedure, and it has usually required human medical support. The fact that they've been able to operate independently means the procedure should now start to become more readily available.
The procedure involves introducing special catheters via peripheral veins into the heart, where they are used to record the electrical activity of the heart muscle, thereby allowing the identification of the source and mechanism of cardiac arrhythmias.
Once the abnormal tissue is found, it is destroyed using intense localised energy delivered by another specialised catheter: radiocatheter ablation.
This technique is common in human medicine but very rare in veterinary medicine because of the level of specialisation needed.
In the past, the cardiology team at Davies needed the support of a consultant and a cardiac physiologist from the human field to help carry out the surgery. Having now done it unaided, Pedro is confident that in time Davies will be able to help considerably more patients, promptly after diagnosis.
Pedro said: "In three years we have treated one cat and 19 dogs. Several cases did not survive long enough for surgery despite a waiting time of only a few days to up to two weeks from referral to the procedure. Most of these dogs were puppies. This is incredibly frustrating as if performed early these procedures are curative for most patients."
Davies says that to date it has had a procedural success rate of 100%, with recurrence of the arrhythmia in just one dog. The remaining dogs were cured from their arrhythmias and recovered fully except for two dogs that had sustained too much heart muscle damage and continued to suffer from congestive heart failure.
Pedro added: "Hopefully in the future severe muscle damage can be avoided by early referral when the arrhythmia is detected. If you diagnose a cardiac arrhythmia, especially supraventricular tachycardia, please consider this treatment option because it is very likely to be curative."
The Davies cardiology team can be contacted at cardiology@vetspecialists.co.uk.
Incidentally, Pedro has also co-authored (with Ruth Willis and Antonia Mavropoulou) a new book on electrocardiography. Guide to Canine and Feline Electrocardiography will be published in September 2018 and is available for pre-order on Amazon now, priced at £89.99.
The Cheshire-based specialist referral centre provides advanced surgical procedures and specialist veterinary support to practices in north west England and north and mid-Wales.
Its specialist disciplines include orthopaedics, soft tissue surgery, a specialist diabetes clinic, spinal surgery, anaesthesia and intensive care, cardiology, diagnostic imaging, pain management, neurology (medical and surgical), oncology and internal medicine.
Liz Cousins, Northwest's Hospital Manager said: "Following our recent brand transition from Northwest Surgeons to Northwest Veterinary Specialists we are delighted to receive this accreditation.
"The scheme examines every part of what we do, from customer experience, equipment and facilities right through to clinical governance. In a hospital with more than 85 colleagues, that’s a lot of work to do to meet the high standards.
"Our new brand name reflects the range of specialist services we offer and this accreditation gives confidence to fellow veterinary surgeons and pet owners that we really do offer the very best specialist care for pets.
"We continually strive for excellence across the business, and this is another way of demonstrating just how good the specialists are at Northwest Veterinary Specialists."
Picture shows: Matt Gurney, European Veterinary Specialist in Anaesthesia and Analgesia (centre) with Kathryn Humphreys, Head of Nursing, (right), Jenny Pearson, support Services Manager, (left) with the RCVS Hospital Accreditation.
Headed by Esteban Gonzalez-Gasch, a European Specialist in Small Animal Surgery, the new department enables the practice to undertake a wide range of complex small animal procedures.
Injuries and conditions treated include fracture fixation, including complex and simple fractures; cruciate disease, including tibial osteotomies and extracapsular repair; arthroscopy; arthrodesis of chronically painful joints; elbow dysplasia; lameness investigation in adults and juveniles; treatment of growth deformities including distraction osteogenesis; osteoarthritis and musculo-skeletal neoplasia.
Esteban, who joined Southfields earlier this year from the leading Spanish veterinary hospital Ars Veterinaria, in Barcelona, said: "These new facilities really do put Southfields at the cutting edge of 21st century veterinary science and practice in the UK."
Southfields is also carrying out a full refurbishment of its existing facilities and recruiting a number of additional specialist veterinary surgeons, nurses and support staff.
Southfields’ operations manager Daniel Hogan said: "This is a very exciting period for us. We are growing in every possible area and working more closely with referring practices to continue to develop our bespoke and exceptional service for patients and clients.
"Our aim is aspiring and simple: to create the very best referral centre possible by bringing together the expertise of the very best of veterinary professionals supported by the very latest in technological innovation."
As well as orthopaedics, the practice accepts referrals in soft tissue surgery, internal medicine, oncology, neurology, feline medicine and cardiology. For more information, go to www.southfields.co.uk.
The clinic is being run by Liz Leece, an RCVS and EBVS Specialist in veterinary anaesthesia and analgesia, to offer bespoke pain management plans for clients.
Liz has more than 20 years’ experience in specialist anaesthesia and analgesia and has extensive experience managing dogs and cats with complex problems causing chronic pain.
Liz said: "Our pets are similar to humans in the sense that the longer they live, the greater the chance they will develop conditions causing chronic pain.
"The clinic is available for any pet referred by their primary care vet for management of chronic pain, including osteoarthritis and other orthopaedic conditions, neurological and cancer pain.
"Animals will be assessed and advice given on how the pain can be managed, including monitoring a pet’s response to different treatments and what to expect."
For more information, visit www.paragonreferrals.co.uk.
A group of some of the best-known referral practices in the country has issued a formal response to the recent announcement by pet insurance underwriter RSA that it is building a network of preferred referral practices to direct its clients to.
Whilst RSA has clarified the contents of a letter it sent to practices in the Midlands and North West, and apologised to the profession for the confusion it caused, it has not yet responded to any of the other concerns raised by the profession.
Perhaps chief amongst those is the claim by RSA's Head of Pet Claims, Keith Maxwell, that the company is looking to provide like-for-like treatment at a lower cost from its list of preferred referral practices.
Referral vets from Anderson Moores Veterinary Specialists in Hampshire, Cave Veterinary Specialists in Somerset, Davies Veterinary Specialists in Hertfordshire, Dick White Referrals in Suffolk, North Downs Specialist Referrals in Surrey, The Veterinary Cardiorespiratory Centre in Warwickshire and Willows Veterinary Centre in the West Midlands say that RSA's current list is simply not representative of the RCVS Recognised Specialist expertise and advanced therapies available within the veterinary profession, thereby making it impossible for RSA to offer like-for-like treatment, let alone at a lower cost.
Clive Elwood, Managing Director of Davies Veterinary Specialists in Hertfordshire, speaking on behalf of the practices who have expressed concern about the move, said: "An approach that focuses on cost-cutting rather than quality of patient care and lacks any genuine or objective process to benchmark clinical standards is inappropriate. Many multi-disciplinary centres place enormous value on the importance of Recognised Specialists being involved at every level of care including consultation, anaesthesia and imaging assessment and the proposed restrictions may preclude this level of service in some instances. We understand that balancing high standards of care and affordability for owners and insurance companies is an important issue and we hope insurers will work with all sectors of the profession to find constructive workable long term solutions."
Mike Martin of the Veterinary Cardiorespiratory Centre in Warwickshire added: "Owners buy pet insurance to ensure that they can access the best available expertise when their animals are ill. I don't think any owner wants to have their choice of practice restricted by insurance companies who are primarily concerned with encouraging shortcuts to reduce costs."
The British College of Veterinary Specialists has invited RSA to attend a meeting to discuss issues of concern, but says it hasn't thus far received a reply.
The new Chestergates ophthalmology service will offer a wide range of treatments for eye conditions, including: cryotherapy, corrective lid surgery, rhytidectomy, nasal fold ablation, cherry eye and scrolled cartilage, keratotomy, keratectomy, pedicle conjunctival graft, corneo-conjunctival transposition, bioimplants for corneal reconstruction, glaucoma diagnosis and monitoring, management of dry eye (KCS) and neurological dry eye, retro-bulbar disease investigation and treatment, cataract assessment, and intracapsular lens extraction.
The service will be led by Chestergates Advanced Practitioner in Ophthalmology, Endika Garcia MRCVS DVM PGCertSAOphthal.
Endika graduated in 2016 from the University of Valencia, completed a rotating internship, then worked for a few years in different hospitals in Spain, before moving to the UK, enrolling on the BSAVA Certificate in Small Animal Ophthalmology and being awarded Advanced Practitioner status.
Endika will be supported by a 25 strong specialist nursing team, four nurse students, one lab technician, two sterile technicians and a team of receptionists and support colleagues.
Consultations and surgical procedures will be offered at Chestergates Veterinary Specialists on Mondays and Thursdays between 8am and 5pm.
https://chestergates.org.uk/referral-services
CVS says the new hospital, which will be based at Central Park, Avonmouth, will be custom-built with uniquely designed facilities, state-of-the-art diagnostic tools such as MRI and CT scanners, and a cutting-edge stereotactic linear accelerator for radiotherapy in cancer treatment, the only one of its kind for pets in England.
The hospital, which will open next summer, will employ over 100 people led by a team of Specialist veterinary surgeons and supported by residents, interns and registered veterinary nurses.
Planning permission has been granted for the project, and CVS is now appointing building contractors.
Richard Fairman, CEO of CVS Group, said: "We are extremely excited to be developing this innovative new specialist veterinary hospital in Bristol, providing the best animal care to pet owners across the South West. With state-of-the-art equipment and some of the highest qualified veterinary professionals, we are confident that the site will act as a centre of excellence in the veterinary world, and be a leader in Europe for cancer treatments.
"The new hospital signals our commitment to investing in cutting-edge technology to bring cancer treatment in pets to the next level. It will provide a number of employment opportunities and secure specialist veterinary skills in the Bristol area. We look forward to finalising development plans and opening the doors to pet owners in 2022."
For the study1, which was conducted from March 2011 to August 2021, the cases of 50 puppies aged 3 to 6 months with unicondylar fractures were reviewed.
The sample included 30 fractures in 29 dogs treated with transcondylar bone screws and K-wires.
All fractures healed successfully.
The study included 24 male and 26 female puppies, with French Bulldogs representing 50% of the cases, ages ranging from 11 to 30 weeks and bodyweight varying from 1.5 to 16.9 kg, with a median of 5.5 kg.
Short-term outcomes were excellent in 77% of cases and good in 23%.
No catastrophic failures occurred, and the four complications encountered were resolved with further minor surgery.
The author says that while recent studies have raised concerns about the stability of using K-wires, rather than bone plates, this one suggests that for puppies at least, the combination of a transcondylar bone screw and K-wire is effective.
The incidence of implant-related complications was lower than in adult dogs, and the short-term outcomes were excellent or good in all cases with follow-up data.
The research underscores the need for further multicentre studies with longer-term follow-up to confirm these findings and compare them with other fixation techniques.
However, this study concludes that while epicondylar plates have become accepted practice for adult dogs with such fractures, they may not be necessary for puppies aged 3 to 7 months.
Study in full: https://cgrp01mstr8u1x2prod.dxcloud.episerver.net/globalassets/stock-images/humeral-condylar-paper---weighbridge-referral-centre---cvs.pdf
www.weighbridgevets.co.uk
Reference
Instead of conducting major open surgery, Chris Shales, an RCVS and European Specialist in Small Animal Surgery, Andrew Kent, a European Specialist in Internal Medicine, and the cardiology team at Willows are using coil embolization, a minimally invasive technique which they say is far safer and less likely to lead to post-operative complications.
The procedure involves threading tiny coils, via the jugular vein, through the venous system and positioning them in the blood vessel that needs to be closed. The coils encourage the blood to form a clot and so, over time, seal the vein.
Chris said: "This procedure of treating intrahepatic portosystemic shunts is associated with a lower risk of mortality and a lower surgical morbidity rate when comparted to open surgery. The overall outcome of the two approaches is similar in terms of reduction of flow through the shunt vessel.
"Access is gained via a small incision in the neck to allow the team to operate on the liver via the jugular vein using fluoroscopy to visualise the placement of a stent within the vena cava and embolization coils within the abnormal vessel.
"Intrahepatic shunts can be extremely challenging for the surgical team to access with the result that standard, open surgical treatment of these abnormal vessels can risk life-threatening complications and animals can require a significant time to recover."
For more information about shunt surgery at Willows, contact Chris Shales or Small Animal Internal Medicine Specialist Andrew Kent on 0121 712 7070 or email enquiries@willows.uk.net.
Photo: Chris Shales, left, with Andrew Kent, centre, and cardiologist Mike Martin ('pass me a gin and tonic, would you').
According to Davies, Sharpsmart is the world’s safest and most environmentally responsible sharps and clinical waste management system, proven to:
Ellie West, anaesthetist at Davies and Green Group leader said: "We are really excited to have the opportunity to be the first veterinary centre to be working with Sharpsmart and are already seeing great results in carbon reduction and we look forward to sharing our results later in 2019."
Adrian Giles, Total Waste Program Manager for Sharpsmart added: "Working with Davies has enabled us to showcase our safety engineered sharps system in a new and exciting arena where sharps safety and sustainability are a priority.
"The transition to Sharpsmart was seamless and was completed across the centre in a day without any challenges. Face-to-face training was provided to staff along with touch point education material. We look forward to strengthening our partnership with Davies over the coming months and years."
As part of its green drive, Davies will be hosting 'Sustainability CPD' for referring vets on May 2nd 2019 at its HQ in Higham Gobion, Hertforshire.
Ellie West said: "Run by the Sustainability Leads at DVS, this evening aims to increase your carbon literacy, explore the challenges and barriers to improving sustainability in your daily practice and find some positive solutions to implement sustainability. The challenges which we have faced at DVS will be explored, along with the co-benefits of sustainability to our business, and useful resources to help your practice to be more environmentally friendly and resilient will be highlighted."
You can book your place here https://vetspecialists.co.uk/events/davies-first-sustainability-cpd-for-referring-vets/ or contact Ellie.West@vetspecialists.co.uk if you are interested in attending or would like more information.
Davies has also produced a suite of Waste Segregation Posters which are proving popular with their referring practices. You can find out more and view the posters here https://vetspecialists.co.uk/sustainability/sustainability-initiatives-at-davies-your-questions-answered/.
For more information or to receive print ready PDFs, contact marketing@vetspecialists.co.uk
The original TATE elbow replacement was first in clinical use in the 2010s and the revised 3rd generation version is apparently a much-improved implant, something which the clinical evaluation trial should demonstrate.
Andy Moores, head of the joint replacement programme at The Moores Orthopaedic Clinic, said: “Canine elbow replacement can be a game-changer for dogs living with chronic elbow pain but up until this point the elbow replacement systems have not been as reliable as we would like.
"The third-generation TATE implant has been in use with a small number of US surgeons for several years now and the results so far have been very promising.
"We are delighted that Biomedtrix have invited us to join the evaluation trial for this implant and that the RCVS Ethics Review Panel have approved this.
"We look forward to offering this surgery as an option for some of our most painful canine patients.”
www.mooresortho.com
Virtual Vet Derms has been set up to be able to give advice to veterinary surgeons on any aspect of skin or ear disease whether it is allergy, otitis media, cutaneous neoplasia or endocrine-based in any species, including dogs, cats, small furries, exotic pets including raptors, birds and reptiles, horses, camelids, zoo and farm animals.
Sue, herself an RCVS Recognised Specialist in Veterinary Dermatology, is supported by a team of veterinary dermatology colleagues as well as veterinary specialists in exotic medicine, internal medicine (including endocrinology) and consultants with expertise in oncology.
Sue said: "We recognise that not every veterinarian has got access to a local dermatology specialist and that not all clients can or want to travel to a referral centre. The aim of the service is to formalise the advice that dermatology clinicians give to veterinary surgeons to allow them to get detailed help to manage difficult or challenging dermatology cases within their own practice."
The service has been set up under the RCVS Vivet initiative, is approved by all of the major insurance companies and supported with Veterinary Defence Society Insurance cover.
Virtual Vet Derms offers support in a range of ways.
Quick questionsShort questions that veterinary surgeons can submit via the online form on the Virtual Vet Derms website that just require a brief reply. This may be a dose of a drug, a parasite you want identifying, or the interpretation of a blood sample such as an ACTH stimulation test.
Veterinary reportsVeterinary surgeons can use online request forms on the Virtual Vet Derms web site to submit a brief history of the animal and the problem and some good quality photos of the skin condition. There is also the ability to upload histopathology reports, blood samples and any other pertinent information. A detailed written report is sent back to the vet within 48 hours which will describe clinical signs, differential diagnoses, recommended diagnostic tests and treatment option where appropriate. Where possible, Virtual Vet Derms aims to pass the advice request to the nearest dermatologist but vets can ask for advice from any of its specialists.
Telemedicine consultationsFor new cases or for cases where initial advice has been sought, in the client's own primary care veterinary practice via the internet. The Virtual Vets Derms specialist can consult with the owner to provide even more specific advice and support. After each teleconsultation the Virtual Vet Derms specialist will produce a report in the same format as the veterinary report to allow the primary care veterinary surgeon to continue to manage the case more effectively.
Face to face consultationsCan also be arranged via the owner’s vet at the specialist's own practice if there is the need for more specialist investigation that may not be available in the primary care veterinary surgery. In these cases, the specialist will take on the direct care of the case and work with the owner and vet on the best course of action.
General advice Also possible if the vet wishes to direct an owner straight to Virtual Vet Derms.
For more information, visit: https://virtualvetderms.com
Stefano qualified in Parma, Italy and has a Master’s in Clinical Oncology. He has worked in a number of referral practices, managing and treating small animal oncological cases. He also has an interesting history of working with animals across the globe: he has a Master’s in Tropical Veterinary Medicine and worked with the United Nations in Somalia, Malaysia and Guyana in wildlife management.
Founder, CEO and Clinical Director of The Ralph, Shailen Jasani said: "We had always planned to include an oncology service here at The Ralph though not quite this soon after opening. However, over the last eight months, this has been one area of veterinary medicine where we have not been able to serve our patients, their carers or our referral community. This did not sit well with us. Serendipity being what it is, our path crossed with Stefano's and we were able to extend our services."
For more information, visit www.theralph.vet
Paragon’s head of neurology, Massimo Mariscoli, says it will deliver better results for pets, improve the health and well-being of the surgeons using it, and improve the hospital’s ability to deal with complex spinal and brain surgeries.
Massimo, an EBVS and RCVS specialist in veterinary neurology said: “The operative microscope is an essential piece of equipment in the modern neurosurgical theatre.
“It delivers good magnification, good illumination without significant aberration or production of excessive heat and has a great internal stability which allows operational flexibility.
“There is also direct visual control of the instrumentation with the possibility to have magnifications up to 10 times with a good depth of field allowing a more natural three-dimensional vision.
“In addition, surgical microscopes allow multiple different magnifications while maintaining constant working distances which leads to excellent flexibility and versatility during surgical procedures.
“For example, low magnification is used during the drilling of the vertebral laminar or the skull and to ensure that the whole surgical field is clean before suturing the muscle layers.
“Higher magnification is used while dealing with delicate structures such as the spinal cord or brain.
“The higher magnification coupled with a good depth of view and stable three-dimensional vision also increases the security and safety when manipulating micro-surgical instruments near the nervous tissue.”
Massimo says that while the microscopes are not common in veterinary practices, he strongly believes they are an essential piece of equipment when dissecting close to the brain or spinal cord in small animals.
He also says that veterinary surgeons benefit from the technology: "The operative neurosurgical microscope is fixed to a self-levelling tripod, allowing multiple spatial configuration to ensure a perfect vision of the surgical field.
“This has a positive outcome on the health and well-being of the surgeons, with a 2013 study showing that, for nearly 85% of the time spent operating, surgeons have symmetrical, non-neutral, head-neck posture.”