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
The procedure, called transcatheter edge-to-edge repair (TEER), is a minimally invasive alternative to open heart surgery.
TEER is performed on a beating heart using a specially designed “V-Clamp” device which brings the mitral valve leaflets together, reducing the severity of mitral regurgitation.
The procedure is guided by real-time 3D echocardiography and performed via a small thoracotomy, typically 6–8 cm in length.
CVS, which owns Bristol Vet Specialists, says dogs undergoing TEER generally experience a rapid recovery, with most discharged within 48 hours and minimal need for intensive care.
The company says that once heart failure is diagnosed, the average survival time is between nine and 12 months, but that after TEER surgery, 95% of dogs are discharged successfully, and 85% survive for two years post surgery.
The procedure costs £12,000.
http://www.bristolvetspecialists.co.uk
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.”
For more information, visit www.paragonreferrals.co.uk.
First opinion practices can refer dogs and cats for routine echocardiography, ECG analysis and full cardiac work-up. In addition, orthopaedic and neurological cases referred with a pre-existing murmur, arrhythmia or cardiac condition will also benefit from screening at the centre.
Andrew was awarded the ECVIM-CA diploma in Small Animal Cardiology in 2013 and brings with him a wealth of experience from both referral practice and the pharmaceutical industry. He said: "I am delighted to be joining the expanding team at Hamilton Specialist Referrals. The desire for the team to provide patients, clients and staff with the best experience possible is close to my heart and I'm looking forward to being a part of that journey."
Director, orthopaedic surgery specialist Michael Hamilton, said, "We're excited to welcome Andrew to the team. His expertise and experience will be invaluable for providing a comprehensive cardiology service, not only to our referring practices, but also for our existing caseload where a cardiac problem is suspected."
For more information, visit: www.hamiltonspecialists.vet.
Dr De Decker is the RVC’s Professor in Neurology and Neurosurgery and has led the QMHA Neurology and Neurosurgery service since 2016.
A Ghent University graduate (2005), Dr De Decker completed a rotating internship and a PhD focused on diagnosing and treating disc-associated cervical spondylomyelopathy (wobbler syndrome) in dogs.
He joined the RVC in 2010 and is a European- and RCVS-Recognised Specialist in Veterinary Neurology.
His clinical and research interests include spinal cord disorders, neurosurgery and clinical reasoning in dogs and cats.
His published work has included studies on thoracic vertebral malformations in French Bulldogs, Pugs and English Bulldogs (with and without neurological deficits), diagnostic imaging in intervertebral disc disease, and immune-mediated inflammatory brain disorders.
Alongside clinical work, Dr De Decker teaches BVetMed and postgraduate MVetMed students and delivers continuing professional education nationally and internationally.
He is Past-President of the British Veterinary Neurology Society and currently chairs the Education Committee of the European College of Veterinary Neurology.
Dr De Decker said: “It is an enormous privilege to take up the role of Clinical Director… I look forward to contributing to the further development and growth of the QMHA and its community.”
The award has been granted to only a handful of practices and requires the achievement of high standards of care and a detailed understanding of the species.
Highcroft has three dedicated exotic species veterinary surgeons, including a European small mammal Specialist and four exotic species nurses, who have either obtained or are studying for their City and Guilds Exotic Species Veterinary Nursing Certificate.
The practice has a dedicated exotic species consulting room, waiting room, ward and an operating theatre, containing state-of-the-art equipment.
In addition to treating rabbits, both vets and nurses in the exotic species team lecture widely to promote the importance of providing a high standard of care to rabbits and to ensure that their welfare is optimised.
Dr Elisabetta Mancinelli DVM CertZooMed Dipl ECZM (Small Mammal) MRCVS heads the exotic species team at Highcroft. A European Veterinary Specialist in Zoological Medicine (Small Mammal Medicine and Surgery) and a RCVS Recognised Specialist in Zoo and Wildlife Medicine, she said: "We are very proud to have been awarded Gold Status by the RWAF. We will continue to enhance the level of care we provide, not just to rabbits but to all exotic species and strive to improve the welfare of all animals under our care, in hospital and at home."
The clinic will offer referrals in orthopaedics, internal medicine, soft tissue surgery, neurology and advanced imaging from a team which includes Rory Bell, an RCVS and European Recognised Specialist in Internal Medicine, and Jonathan Bell, an EBVS and RCVS Specialist in Small Animal Surgery.
The practice says it has some of the most advanced equipment in Europe, including a Siemens 128 slice CT scanner and a Siemens 1.5T Aera MRI scanner. The clinic also has three environmentally-controlled theatres, with CT and MRI scanning capabilities.
Dr Stuart Cooke BVetMed CertSAS MRCVS, one of Swift Referrals founders said: “We’re delighted to launch Swift Referrals, and would like to thank everyone who helped us get here. We are proud to be able to say that we house some of the most advanced equipment in the continent, from the very best advanced imaging machines, to specialist treatment and aftercare rooms. We also have some of the most skilled veterinary experts operating in them, day in and day out. Our clinicians are leaders in their field of expertise, with years of experience and very advanced training."
For more information: www.swiftreferrals.co.uk/.
The event will explore how referral and second-opinion care fit within the contextualised care model and how the profession can strengthen delivery of compassionate and sustainable specialist care.
The meeting is aimed at veterinary specialists, general practitioners, veterinary nurses, practice managers and others interested in referral practice, ethics, patient welfare and professional wellbeing.
Sessions include a presentation by Dr Rachel Dean FRCVS of VetPartners examining whether the concept of a veterinary “gold standard” can act as a barrier to contextualised care.
Other talks will explore how market structures influence veterinary care, the impact of changing ownership models on client relationships, and ethical dilemmas in practice.
Additional sessions will cover story-based approaches to contextualised care, collaborative contextualised care, clinical communication tools, and whether contextualised care differs within corporate practice settings.
The programme will also include discussion of RCVS Knowledge research alongside workshops and networking opportunities.
https://www.vsavet.org/events/contextualised-care-in-a-changing-veterinary-landscape
Called 24/7 Pet Hospital, the 10-part series will be broadcast every weekday morning at 10am until Friday 17 February.
Ben Harris, Wear’s Clinical Director, said: “Opening our doors to the BBC will help us to show the public what happens in a specialist veterinary hospital when a pet is unwell – and highlight the incredible care they receive by vets, nurses and support staff.
"The programme follows all aspects of our work, from initial consultations to the moment pets are reunited with their owners."
You will be able to view all 10 episodes on iPlayer here: https://www.bbc.co.uk/programmes/m001hz7n/broadcasts/upcoming.
Visitors will be given a behind-the-scenes look and have the opportunity to chat with Specialist surgeons Andy Moores and Chris Jordan.
Andy said: “We have had a fantastic first six months, and to say thank you to those who have referred cases to us, and to show off our facilities to those who haven’t seen the clinic, we are thrilled to be holding an open evening.
"I’m looking forward to providing tours of the clinic and having a chance to talk to vets about our services and how we can help.”
All veterinary professionals and their families, and pet owners are welcome.
The clinic is situated just off the M3 and 30 minutes from the M25, in the village of Upton Grey, near Basingstoke.
To register your interest and book a place at the open day please contact Marie at Marie@mooresortho.com or 01256 632100.
The clinic is led by Sebastien Behr MRCVS, an RCVS Specialist in Neurology. Patients will benefit from access to the referral centre's MRI scanner and its specialist imaging, anaesthesia and neurology teams.
Dr Behr said: "We are very excited to have launched this specialist clinic. Following detailed consultations with pet owners, the animals will be treated to the very highest level and bespoke care designed for each patient."
The practice is offering a fixed price package for routine diagnostic procedures.
For more information, visit www.willows.uk.net or contact the neurology team on 0121 721 7070.
Sylvie, a four-month-old Maine Coon, was referred to NDSR with a loud heart murmur. Scans revealed she was suffering from a severe obstruction on the right side of her heart which was steadily becoming worse.
Her condition, double chambered right ventricle, is very rare and, until now, could only be corrected by open heart surgery. However, NDSR specialist cardiologist João Loureiro believed this would be too much of a risk for frail Sylvie, so he opted for a cutting balloon angioplasty which had never been applied to cats before because their hearts are so small.
He and fellow cardiology specialist Joel Silva carried out the procedure, which involved inserting two balloons on a wire into a vein in Sylvie’s neck and on to her heart. The first had four cutting blades, which were manipulated to score the obstruction before the second was gently inflated in order to relieve it. After the wire and balloons had been removed, the incision in Sylvie’s neck required just two stitches and within 48 hours she was well enough to return home.
A subsequent scan showed the level of obstruction had been reduced from severe to mild and her owner, Dr Bob Baxter, described her as “much more lively”.
João, who has a special interest in the treatment of congenital heart disease in small animals, said the decision to perform the interventional ballooning was made because of the risks of open heart surgery and the recent development of veterinary applications of the cutting balloon technique.
João said: "As Sylvie’s condition was so rare, wider application of the technique is limited in terms of the number of cats which could benefit from it. However, it is extremely relevant to those individuals who are affected and could be of use in the treatment of other, more common, conditions."
Joel said: "Cutting balloon angioplasty is routinely used in human medicine for treating narrowed and stiffened blood vessels and has recently been adapted to treat a heart condition in dogs but we believe this may be the first time it has been used to treat this condition in a cat."
The improvements include a new cat ward designed to offer a quieter, more relaxing area away from other animals, and a new walk-in dog ward which will allow staff to treat larger breeds of dogs more easily. The intensive care unit has been expanded and the practice has developed a new chemotherapy area.
John Turkington, the partner at Scarsdale Vets responsible for overseeing the work said: "We are already really proud of the state-of-the-art facilities we have at Pride, but we are not complacent and that is why we have made this significant investment to improve our facilities and ultimately the services we offer our clients and patients. Patient comfort is paramount, which is why we’ve invested in an additional walk in ward for our larger breeds, and a new cat ward with a separate feline examination and treatment area."
As well as the changes to improve clinical care, the practice has also invested in its kennelling services, increasing the number of 'suites' for cats and dogs to stay in its 'hotel' areas whilst their owners go on holiday.
John added: "We want Pride to be recognised as one of the best veterinary hospitals in Europe and to make that a reality we have increased our ward capacity for patient comfort and clinical treatment areas, as well as improving facilities behind the scenes for our staff, to create a better working environment. Alongside that the improvements to our Pet Resort will also meet the growing demands from clients for those services."
Researchers say that whilst widely discussed, many in the profession may not be aware that prevalence of the disease has been steadily increasing across all regions of the UK.
Since November 2012, 177 cases have been reported, with more than 90% between November and May. However, the cause of CRGV, which often presents as ulcerations to the dog’s skin and can lead to acute kidney injury (AKI) and potentially death, remains unknown.
Practices are being now asked to report suspect cases in a bid to gain vital insight into the disease and what may be causing it.
David Walker BVetMed (Hons) DipACVIM DipECVIM-CA from Anderson Moores (pictured right) is helping lead the research: "CRGV is a disease that impacts lots of breeds across the UK. Reports show there is seasonality to the disease and therefore an environmental cause is a possible component in its development.
"This research is part of the puzzle and will hopefully help to guide further work on this disease. By collecting more information on confirmed cases, such as walking habits and diet, we hope to build more understanding in order to better protect pets and inform treatment decisions."
To gather this information, Anderson Moores is asking practices to share a 10-minute online survey with the owners of dogs in which CRGV has been confirmed, as well as some control dogs following criteria provided with the survey link.
David said: "Many pet owners are aware of this disease and are concerned for their pets; if they are asked to help they are usually happy to do so. By offering a direct link to the survey, very little of the veterinarian’s time is needed to collate the information."
If you have a suspected case of CRGV, contact Anderson Moores on 01962 767920 or email medicine@andersonmoores.com
If the pet does not survive, then histopathologic assessment of tissue will be performed free of charge to confirm the diagnosis.
In confirmed cases the veterinary surgeon will be sent a link to a 10-minute survey to be completed by the owner.
Along with encouraging the owner of the confirmed case to take part, four unaffected control cases from the same clinic, on the same day, will also need to be recruited.
When a set of five qualifying surveys (one confirmed case and 4 control cases) are provided, practices can claim an Amazon Echo Dot, provided by Bayer, as a thank you for helping with the research.
Andy Moores said: "Elbow replacement surgery, despite advancements in both the implant and technique, remains a complex procedure with a demanding rehabilitation process.
"However, for the right candidates, elbow replacement offers the potential for significant improvement in joint function and pain relief, transforming the lives of dogs that would otherwise suffer from permanent discomfort."
The third generation TATE elbow has had a complete redesign to overcome some of the issues associated with the first and second generation models, and the Iowa State system which preceded them.
There are around 15 surgeons qualified to perform the procedure in the world, three in the UK, and Andy is the only one in the South East.
Andy added: "The advancements in the TATE Elbow system represent a significant leap forward in veterinary orthopaedic surgery.
"End-stage elbow osteoarthritis is a horrible condition which can leave dogs in chronic pain and with no good treatment options.
"Being certified to perform third-generation TATE elbow replacements allows us to offer our patients the most advanced treatment options available, giving them the best chance for a pain-free, functional life."
www.mooresortho.com info@mooresortho.com
Vita Referrals has been set up by Rob Quinn, an RCVS and EBVS Specialist in Small Animal Surgery, and Nick Blackburn and Stuart Cooke, both RCVS Advanced Practitioners in Small Animal Surgery.
They say that their aim is to ensure every pet owner has access to reasonably priced surgical care.
To that end, the clinic lists fixed costs for all of its major surgical specialities on its website, where it says clients should notice a significant reduction compared to other providers.
It also offers a 12-month post-surgical complications warranty.
Rob said: “Many pet-owners are unaware that there are three major companies which own the vast majority of veterinary practices in the UK.
"That is not necessarily of benefit to those using the services, as prices can rise when competition is low.
"Myself, Nick and Stuart felt very strongly that there was a different way to do things.
“No one becomes a vet to see animals suffer or pet-owners struggle to make tough financial decisions.
"We knew it was possible to offer a top quality service, with the best facilities and equipment available, whilst also keeping prices at a realistic level – and that is where the vision for Vita Referrals came from.
"We also wanted the freedom to offer collaborative decision-making, the removal of complex forms and bureaucracy and what we believe is an industry-leading 12-month complications guarantee on routine surgeries.
"It’s time there was more disruption and competition in the sector – and that will, ultimately, only be a good thing for pets, owners and vets.”
www.vitareferrals.co.uk
The 18,000 sq ft centre's facilities include a £1 million imaging suite with state-of-the-art MRI and CT scanners, five operating theatres and extensive kennelling facilities and cat wards. It is also equipped with fluoroscopy equipment with additional mobile C-arm, mobile digital radiography, a Phaco machine and Mindray WATO anaesthetic equipment.
A total of up to 80 staff will be employed at Paragon, including up to 18 referral veterinary surgeons and 32 nurses. Treatment will include ophthalmology, orthopaedics, soft tissue surgery, cardiology, neurology, medicine, oncology and dermatology.
The centre, which is part of Dewsbury-based Calder Vets, which has 12 practices across Yorkshire, is being led by managing director Ian Monteith and clinical director Adam Bell.
Adam said: "The opening of Paragon is the culmination of an 18-month project to bring the very best quality referral veterinary centre here to Wakefield.
"We’re delighted to open our doors and the team here at Paragon Veterinary Referrals are totally committed to, and looking forward to, providing excellent care for patients using the latest veterinary techniques."
For more information about the services Paragon will be offering, and for details of the vacancies on offer at the vet centre, as well as Continuing Professional Development (CPD) opportunities, visit www.paragonreferrals.co.uk.
CVS says there has been a steady increase in the number of clinicians offering peripatetic services on the premises of host practices in almost every area of clinical work, including surgery, cardiology, diagnostic imaging and dermatology. It's a model for improving patient access to more advanced levels of clinical care.
The company has appointed Ben Walton BVSc DSAS(Orth) MRCVS (pictured right), an RCVS Specialist in Small Animal Surgery (Orthopaedics) at Chestergates Veterinary Specialists, to head up the new network (called the Advanced Clinical Services Network, or ASCN). In a previous life, he offered a peripatetic surgery service in the North West of England and North Wales for several years.
Ben said: "I believe that the new network will deliver huge advantages to a number of stakeholders. The peripatetic model is an attractive proposition from a number of perspectives.
"For the host practices, is allows cases to be managed to a greater depth in-house, improving their service offering, and increasing opportunities for development of the practice team. It also allows the retention of revenue from these cases, which in turn justifies investment in facilities.
"For the client and patient, it improves the level of care that they receive at their home practice. Visiting clinicians bring expertise into practices through their own knowledge and experience, but also through development of the practice team, thus improving standards across the board."
Ben believes the model also offers better clinical career progression for experienced vets: "I believe that clinically-satisfying roles can be hard to come by at the moment.
"As a profession, we tend to be good at looking after our recent graduates. CVS, other large groups and independent practices have worked really hard on this over the last few years. There are also plenty of opportunities to develop your career on a management track, especially in the large groups.
"What there is a real lack of, though, are jobs that allow genuine clinical development. Many vets are well-supported to gain certificates and Advanced Practitioner status, but often there isn’t a satisfying caseload at the end of it.
"Within the new network, experienced vets will have a caseload that is predominantly or exclusively within their preferred discipline, and as they will be performing higher-value work than they would in a GP position, better remuneration packages will be justifiable. Ultimately, we want to be able reward experienced vets well, for doing a job that is clinically satisfying, and provides a valuable service to host practices and their clients."
CVS says it intends to develop the Advanced Clinical Services Network in multiple disciplines nationwide over the next few years.
Ben added: "Primarily, the ACSN is being established to service CVS practices, but we envisage that many of the services will also be available to non-CVS practices."
For more information, visit careerswithcvs.co.uk
João, who graduated from Portugal’s Oporto University in 2009, was recruited from the University of Liverpool, where he was a lecturer in Small Animal Cardiology.
Willows Clinical Director Toby Gemmill said: "This is an exciting time for us. As part of our new extension, our state-of-the-art cardiology suite is now open and fully operational, while we have also appointed a hugely knowledgeable and experienced cardiologist to join the team.
"It is further evidence of our continued commitment to invest in top talent and the best facilities so we can provide the highest standards of care and treatment."
João said: "I’m very pleased to have joined a centre of excellence like Willows and to be working in the fantastic new cardiology suite.
"I enjoy all aspects of medical and interventional cardiology but I have a particular interest in feline cardiomyopathies, cardiorenal syndrome and atrial fibrillation."
B&W operates an integrated practice based around a multi-disciplinary referral hospital in Breadstone, Gloucestershire, with additional clinics in Cardiff, Gloucestershire and Bristol. The group employs more than 30 veterinary surgeons, including seven diploma holders, and offers a full range of services, including what it says is the most comprehensive equine imaging service in the UK.
Ian Camm, Managing Director of B&W, will continue in the role of Equine Regional Director for the South West at CVS. He said: "We are excited about life within CVS and see many opportunities for our staff both within B&W and within the wider Equine Division at CVS. We look forward to working with the CVS team to realise the potential the partnership offers to members of our team and to further developing B&W as an equine veterinary centre of excellence."
Simon Innes, Chief Executive at CVS, said: "Our Equine Division has grown rapidly over the last 18 months because we offer an ambitious and exciting vision for the future of equine practice. B&W is one of the UK’s premier equine practices and we are delighted to welcome the team to CVS and look forward to working with them to help them build an even more successful future."
The extension includes a new diagnostic imaging suite with both CT and MRI scanners, a fourth operating theatre, two more consulting rooms, an additional ward for dogs and an expanded office for clinicians.
North Downs hospital director Terry Emmerson said: "This significant investment illustrates our commitment to providing the highest standards of medical and surgical care for our pets in a caring, compassionate environment.
"It has provided us with a number of important new facilities, allowing us to continue to build on our services and our level of care.
As part of the expansion, North Downs has also recruited five more clinicians, two specialising in small animal surgery, one in neurology, one in ophthalmology and one in anaesthesia.
Mr Emmerson said: "All the investment in facilities and technology is very important and exciting but we also recognised the need to invest in recruiting more talented staff to help us make the most of it all.
"That’s why we have added five new clinicians in several key disciplines and in turn increased the size of our clinicians’ office to help incorporate those additional staff.
"It all means we can now offer an even better service, leading facilities and treatment within a far more structured and organised layout which helps makes everything more efficient and user-friendly for staff and patients."
For more information about North Downs Specialist Referrals, visit www.ndsr.co.uk.
Ian, who qualified from Melbourne University in 2004 after completing a neuroscience degree at Edinburgh University, first joined Rowe as a general practitioner in 2007.
He said: “Personally this achievement is incredibly rewarding, but I also see it as an important step for veterinary neurology in the UK.
"It’s a fast-growing field with an increasing need for expert treatment and care so it’s exciting to see it recognised at this level.”
https://www.rowereferrals.co.uk
Alabama rot, properly known as Cutaneous and Renal Glomerular Vasculopathy (CRGV) first emerged in Alabama in the 1980s, hence the nickname. The lack of understanding on how it spreads or can be stopped has led to high fatality rates for dogs who develop it.
The reason for its sudden appearance in the UK six years ago also remains a mystery.
The disease causes small clots in blood vessels, which eventually result in skin ulcers, tissue damage, and kidney failure in many cases.
Many theories have been put forward about the cause; anything from E. coli-produced toxins to parasites and bacteria. However, without knowing the exact source it is impossible to develop an effective cure.
The treatment offered by QMHA is known as Therapeutic Plasma Exchange (TPE) or ‘plasmapheresis.’ This method involves filtering all the patient’s blood so that toxic substances, including whatever causes CRGV, are removed. Once filtered, the blood is returned to the patient.
The development of this treatment was made possible by the discovery of the similarities between Alabama Rot in dogs and thrombotic microangiopathy in humans, which is also treated with plasma exchange.
The QMHA academics reported that two out of six dogs who underwent plasmapheresis made a full recovery.
The full findings of the research have been published in Frontiers in Veterinary Science1.
Dr Stefano Cortellini, an author of the study and Lecturer in Emergency and Critical Care at the RVC, said: "Despite the fact that only a third of dogs treated with TPE recovered from their disease, this is the first time that dogs so severely affected by CRGV have been reported to survive and so we remain optimistic that TPE may play an important role in the treatment of this deadly disease."
Reference
In their report, RCVS assessors highlighted the calm and professional environment at Lumbry Park, which they said, taken together with the enthusiasm of the team provided a very positive overall feel. Its provision of separate dog and cat patient visiting rooms was also singled out as a good use of space and support for clients, especially with the potential for long stay cases.
Lumbry Park Hospital Director Ray Girotti said: "We wanted to participate in the Practice Standards Scheme to benchmark the service we offer to our patients and their owners against the best veterinary hospitals in the country. The whole team has worked together to get us to this stage and we are delighted that our efforts have been recognised by the RCVS with the award of Hospital status."