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').
I invited Marc Abraham to come and answer some of the concerns raised on VetSurgeon about the ITV Pets Undercover programme.
His PR agency has instead pointed me in the direction of a response he has posted on his own website this morning. Click the link below.
http://www.marcthevet.com/response-to-%e2%80%98pets-undercover%e2%80%99/
According to the College, other research suggests that comorbidities - such as anxiety and cognitive impairments - are common in dogs with epilepsy, meaning there is a need for new epilepsy management options which help to control seizures and improve behavioural and cognitive comorbidities.
Led by canine behaviour and welfare scientist Dr. Rowena Packer from the RVC and veterinary neurologist Professor Holger Volk from the University of Veterinary Medicine Hannover (TiHo), alongside RVC PhD student Dr. Benjamin Andreas Berk, the team of researchers tested the effects of an oil supplement on seizure frequency in dogs with drug-resistant epilepsy.
Multiple studies from the RVC have shown that medium chain triglyceride (MCT) oils-enriched diets can improve seizure control in difficult to treat, drug-resistant dogs with epilepsy. This controlled clinical study used non-invasive cognitive tests and a validated psychometric tool to show that dogs had improved spatial and working memory when treated with MCTs.
Dr Rowena Packer, Lecturer in Companion Animal Behaviour and Welfare at RVC, said: "Our ground-breaking research into the behavioural and cognitive comorbidities of canine epilepsy was the first to identify cognitive impairments in this population. We have now gone one step further and found a promising way to boost the impaired memories of these patients and reduce their seizure frequency, by a simple dietary change."
Professor Holger Volk, Department Chair for Small Animal Diseases at the University of Veterinary Medicine Hannover, said: "Our guts influence how well we think – this study highlights the importance of diets and the power of the gut-brain axis. We are just at the beginning of understanding how diets can influence complex diseases such as epilepsy and dementia. MCT oil could offer a promising addition to our management tool-kit."
Reference
The tips, put together by Tessa Plagis (communication advisor at St. Anna Advies), Alan Robinson (director of VetDynamics) and Rebecca Robinson (coach at VetDynamics and senior clinician in veterinary anaesthesia at the AHT), are being shared to set the scene for Congress 2023, where international experts will be exploring how time management at organisational, systems, teams and an individual levels can lead to drastic improvements in performance, job satisfaction and wellbeing.
The Association points to the demands on the profession caused by the fact that veterinary professionals have been saying 'yes' to everything for years: yes to more clients, more patients and more overtime.
This, says BSAVA, is taking its toll: experienced practitioners and recent graduates are leaving the profession, and many more are suffering mental and physical health issues associated with sustained high stress.
Tessa Plagis, communication advisor at St. Anna Advies, said: “We are at a tipping point and can’t keep doing what we’ve always done. If we want sustainable veterinary businesses going forward we need to change the structure of how we work.”
Tessa says the issues are both organisational and individual: “Many veterinary professionals struggle to give boundaries.
"We are people pleasers and tend to say ‘yes’, even if that means compromising other important aspects of lives, such as family.
"This set against a background of too few vets, which means that there’s nobody to help us out when there’s too much to-do.”
To find out more about time management, book your ticket for BSAVA Congress at: https://www.bsavaevents.com/bsavacongress2023/en/page/home, and in the meantime, here are Tessa, Alan and Rebecca's time management tips.
Tessa's tips
Alan's tips
Rebecca's tips
Cognitive aids are visual prompts that aim to reduce human error in critical processes by providing a supportive framework that ensures tasks are performed and communicated appropriately. They are designed for use whilst a task is being undertaken and enable individuals to concentrate on problem-solving and decision-making.
The BSAVA Cognitive Aids for Anaesthesia in Small Animal Practice, written by veterinary anaesthesia specialist Matt McMillan, includes both routine checklists, such as pre-anaesthetic assessment, equipment checks and postoperative handover, and crisis checklists for potential complications that may be encountered during surgery, such as hypotension, bradycardia and haemorrhage.
The guide also includes downloadable forms, which can be used in practice to ensure safety checks are completed and help improve clinical outcomes (available from www.bsavalibrary.com).
Ian Self, Principal Clinical Anaesthetist at the University of Cambridge Department for Veterinary Medicine said: "This handbook should be viewed as a ‘second pair of eyes’ throughout a procedure, especially if an anaesthetised patient deteriorates; consider it as having an experienced anaesthetist looking over your shoulder offering words of advice… I am very happy to endorse this exciting new BSAVA resource."
The BSAVA Cognitive Aids for Anaesthesia in Small Animal Practice is now available from the BSAVA website (www.bsava.com/shop) or by phone on 01452 726700 (£25; BSAVA members: £15).
In the study titled “Outcomes of treatments for keratomalacia in dogs and cats: a systematic review of the published literature including non-randomised controlled and non-controlled studies”, a systematic review of the current literature was undertaken to determine the evidence base for the various treatments of keratomalacia in dogs and cats.
The aim of the review was to assess the evidence base and identify recommended treatment(s) based on globe survival, visual outcome, and time to resolution (while maintaining a globe).
An online literature search found 18 relevant studies which were then reviewed and assigned a level of evidence base as described in the Oxford Centre for Evidence-Based Medicine (OCEBM) Levels of Evidence Working Group.
Each study was assessed for type of study described (e.g. retrospective, prospective, controlled, random/non-random, cohort study, case series/study), the number of animals included, criteria for assessing outcome (e.g. vision, corneal clarity, anatomic repair) and duration of follow-up and time to resolution.
Systematic reviews of randomised trials, randomised trials or observational studies with dramatic effects would have provided the most reliable evidence on which to base recommendations for treatment(s) but none were available for inclusion.
Only one study was classified as level 3 evidence (non-randomised controlled trial) and considered the use of corneal cross-linking (CXL) in the treatment of keratomalacia.
Most studies were level four evidence reporting the outcome of a single treatment, with three prospective studies and seven retrospective studies.
The remaining seven studies were level five evidence (mechanism-based reasoning) and were considered not to provide good evidence for answering the particular study question.
The findings of the study suggest that the evidence for improved outcome of one proposed treatment over another proposed treatment for keratomalacia in dogs and/or cats is very weak.
A combination of treatments – both medical and surgical – may be the most appropriate depending on the individual case.
Studies utilising mechanism-based reasoning would suggest that medical treatment with anti-collagenase treatment is a minimum requirement for keratomalacia cases to prevent globe loss through perforation, with associated pain and suffering.
Nicola Di Girolamo, Editor of JSAP, said: “The findings of this study highlight once more the infrequency of randomised controlled trials in the veterinary literature, and the need for such studies to expand the evidence base in this field.
“Focussing on collecting available evidence in well-conducted systematic reviews is a critical step in order to improve accessibility of the literature for general practitioners and specialists alike.”
The full article can be found in the October issue of the Journal of Small Animal Practice and can be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13326. It is open access and can be freely accessed by anyone.
Photo courtesy BSAVA
The BVA officer team consists of BVA President, Senior Vice President (SVP) and Junior Vice President (JVP).
BVA Officers collectively, and working closely with the Chief Executive and his team, provide leadership to BVA to help ensure the Association fulfils its mission to be the leading body representing, supporting and championing BVA members and the whole UK veterinary profession.
The BVA says it's looking for applications for the next JVP (2018/2019), becoming BVA President in 2019/20, from BVA members:
Nominations for the next JVP are confidential and will be assessed by the BVA Electoral College, which assesses nominations and formally selects members for election to BVA officer status.
Each officer role (JVP, President, SVP) is for one-year term from BVA’s Annual General Meeting (AGM) in September to the AGM the following September.
Candidates for JVP and President must be elected by the membership at the AGM to serve the coming year. The total commitment is therefore three years as a BVA officer, plus a further three years serving as a past president on BVA Council (four meetings per year).
BVA President John Fishwick said: "As a BVA officer, it is a huge honour to represent the UK’s veterinary profession however it is not simply an ‘honorary role’, particularly during this time of professional, social and political upheaval when BVA is supporting and championing the vital role vets play more than ever before.
"I have been a BVA officer for 15 months now and it is a privilege to be so involved in a profession that is pivotal to animal health and welfare, and public health too. Part of the role is representing the views of our profession clearly and concisely to policymakers, politicians and the media and, although this may seem daunting, you have the full support of the BVA team and are given invaluable training. I would encourage anyone with a passion to promote the value of the veterinary profession, and who is seeking a fulfilling role, to apply to help ensure BVA continues to be a strong voice for our profession."
BVA members who are interested in applying for, or nominating a fellow BVA member with their consent to become part of the BVA officer team, can apply before 9am on 15 January 2018 at www.bva.co.uk/elections
Dechra Veterinary Products has announced that Intubeaze Oromucosal Spray is now back in stock.
Intubeaze is used for local anaesthesia of the laryngeal mucosa of cats to facilitate endotracheal intubation by preventing the stimulation of the laryngeal reflex.
The product had gone out of stock due to a temporary manufacturing problem which has now been fixed.
Intubeaze is a clear solution containing 2% w/v lidocaine hydrochloride, with 0.1% w/v chlorocresol as an antimicrobial preservative. Intubeaze is now available through all wholesalers.
For further information on Intubeaze please contact Dechra on 01743 441 632 or visit www.dechra.co.uk.
The RCVS Disciplinary Committee has dismissed a case against Duncan Davidson MRCVS, a South London veterinary surgeon accused of clinical failings in relation to his treatment of a cat and of keeping poor and misleading clinical records.
The Committee heard the case against Dr Davidson, who was the sole practitioner and owner of Mitcham Veterinary Clinic until his retirement from clinical practice in November 2014, at a hearing which concluded on 22nd January.
The first charge against Dr Davidson alleged that, between 7 November 2013 and 13 December 2013, he had failed to provide adequate care to Ameira, an Egyptian Mau cat. The charge was in four parts: that he had inappropriately administered corticosteroids; had failed to administer adequate fluid therapy; discharged the cat to its owner suggesting a referral when he should have suggested or arranged a same-day referral; and that he failed to communicate the urgency of referral/ further investigation of the cat’s condition to her owner.
The second charge was that, between 7 November 2013 and 17 January 2014, he dishonestly made retrospective alterations to Ameira’s clinical records and failed to keep clear, accurate and detailed clinical records.
From the outset Dr Davidson, who attended the hearing, did not admit the charges against him and denied that his conduct, if found proven, constituted serious professional misconduct.
A summary of the circumstances of the case were that the cat had been admitted to Dr Davidson’s practice on 8 November 2013 with poor appetite and a piece of thread in its mouth. The cat was later admitted, on 21 November, with dehydration and was diagnosed with a linear foreign body (ie the thread) on 25 November 2013. Dr Davidson continued to treat Ameira with corticosteroids and rehydration fluids at the practice but a second opinion was sought by Ameira’s owner from a nearby veterinary practice. This practice referred the cat to the Royal Veterinary College for treatment. Surgery to remove the linear foreign body was undertaken on 13 December 2013, albeit with a poor prognosis, and Ameira subsequently suffered two cardiac arrests and died on 14 December 2013.
In terms of its findings on the first charge, the Committee heard from an expert witness, Mr Hurst, regarding the use of the corticosteroids which were administered to the cat by Dr Davidson on 22, 27 and 30 November 2013 and 5 and 12 December 2013. Although Mr Hurst said that a minority of veterinary surgeons may have provided corticosteroids when the cat was first presented to Dr Davidson on 8 November; when it was determined by Dr Davidson’s colleague Mr Holden that the cat’s condition was due to it having ingested thread, the use of corticosteroids was inappropriate from then on and would be considered contra-indicated. The Committee found this charge proven.
The Committee did not find the charge against Dr Davidson that he failed to provide adequate fluid therapy proven. When the cat was presented to the practice on 21 November 2013 suffering from dehydration, fluid rehydration was given but not administered intravenously. The Committee concluded that intravenous hydration was not necessary because the clinical records from both Dr Davidson and the Royal Veterinary College indicated that Ameira was only moderately dehydrated.
Regarding the referral of Ameira, the Committee could not be sure that the cat was sufficiently unwell on 23 November that it required immediate referral. Dr Davidson had sent Ameira home with her owner on that date on the basis that she was stable and that he would arrange a referral for her on 25 November. There was conflicting evidence from Dr Davidson and Ameira’s owner on the matter of whether, on 23 November, Ameira’s owner was advised that the cat’s condition was critical or that a referral was urgently required. Dr Davidson accepted that he did not seek to make an urgent referral. The charge was not proven.
Regarding the communication of the urgency for further investigation of Ameira’s condition, the Committee found that there was insufficient evidence to suggest that Dr Davidson did not adequately communicate with Ameira’s owner after the diagnosis of a linear foreign body was made on 25 November. According to Dr Davidson, he explained the risk of further damage to the oesophageal and gastrointestinal tract and offered further radiography. This was strongly contested by Ameira’s owner. However, ultimately the Committee were unable to be satisfied as to which version was correct to the necessary standard of proof required.
Regarding the retrospective amendment of clinical records, the Committee found that although there were some “troubling aspects” about the case, particularly evidence of a telephone call with the RCVS Professional Conduct Department in which Dr Davidson said that no retrospective alterations had been made, it was unable to be satisfied so as to be sure of his motivation for changing the records. His contention was that changes had been made as he was concerned he would be subject to civil litigation by Ameira’s owner. However, the Committee found the charge not proven, also taking into account Dr Davidson’s good character and unblemished professional record over 40 years.
However, the Committee did find that Dr Davidson’s clinical records were illegible. Dr Davidson recognised the poor quality of his handwriting, which the veterinary surgeons to whom Ameira was referred were unable to understand. The Committee found this charge proven.
Taking into account the charges it found proven, the Committee then considered whether they constituted serious professional conduct either individually or cumulatively. Judith Webb, who chaired the Committee and spoke on its behalf, said: "It does not consider that on the facts of this case the administration of corticosteroids amounted to disgraceful misconduct."
She added: "The Committee has already emphasised the importance of making legible handwritten records but it does not consider that the failure to do so in this case amounts to disgraceful misconduct.... The Committee has found that Dr Davidson was wrong to make retrospective entries in this case without making it clear when such alterations were made. The Committee does not consider that in this case the making of those alterations was capable of being disgraceful misconduct. The case is dismissed."
The new tool uses aggregated data from Banfield Pet Hospital medical records to identify whether a dog has a high, medium, or low risk of having PD based on the breed size1,2,3,4,5, age, and body condition the owner has stated3,4.
It also makes oral care recommendations based on the dog's history (e.g., diet, previous extractions, halitosis), clinical signs (e.g., bleeding gums) and current dental routine (e.g., tooth brushing).
Global Petcare R&D VP at Mars Pet Nutrition, Dr. Elise Malandain said: “This new risk assessment tool will help indicate to pet owners what level of risk their pet is at for developing this disease to help inform conversations with veterinary professionals about prevention or treatment.”
https://www.uk.pedigree.com/gum-disease-risk-checker
References
Zoetis has launched a 4ml vial of the antibiotic, Convenia.
Zoetis says Convenia gives veterinary surgeons control by providing an assured injectable treatment course, relieving clients of the burden of daily dosing. This avoids missed or mistimed doses, lost tablets, or courses stopped too soon, thereby eliminating a major reason for treatment failure, non-compliance. Poor compliance is also a significant factor in the development of antimicrobial resistance.
Convenia is licensed for skin, soft tissue and urinary tract infections in dogs and cats, as well as severe gingivitis/periodontitis in dogs (as an adjunct to mechanical or surgical periodontal therapy). A 4ml vial can treat up to 40kg of bodyweight, making it appropriate for treating cats and smaller dogs.
Zoetis says that the launch of the new vial demonstrates its commitment to the 'Respect Antibiotics' campaign launched last year. The Respect Antibiotics campaign encourages careful and informed selection of appropriate antibiotic therapies for the treatment of dogs and cats.
Product Manager, Andrew Page, said; "We are committed to encouraging responsible antibiotic usage, and reducing the incidence of antibiotic resistance. Non-compliance plays a key role in the development of antibiotic resistance and we hope that by making Convenia more accessible through the introduction of a 4ml vial we can help alleviate compliance issues."
For further details about Convenia please contact your Zoetis Account Manager.
Ceva Animal Health has added to its joint care range with the launch of Meloxidyl Oral Suspension for Cats, licensed for the treatment of musculoskeletal disorders and alleviation of post-operative pain.
Meloxidyl Oral Suspension for Cats is available in 15ml bottles containing 0.5mg/ml meloxicam. Each pack contains a tailored maintenance dosing syringe with a 'kg scale' for all sizes of cat. In addition, Meloxidyl's sweet tasting formulation helps to maximise ease of administration.
Meloxidyl Injection complements Ceva Animal Health's joint care range, which also includes Meloxidyl Injection for dogs and cats and Meloxidyl Oral Suspension for dogs.
For further information, please contact your Ceva Animal Health representative or call 01494 781510.
Ceva says this is the first time it has advertised Feliway Friends - designed to help cats live together in harmony - on television. It will be rotating the Feliway advert with one explaining the benefits of the Adaptil Calm On-the-Go Collar.
Both advertisements are 30 seconds long and the campaign runs until the end of June. It will target 24.5 million pet owners and will air on all Channel 4 and Channel 4 partner channels, including Channel 4, E4, More4, Film4, Drama, Good Food, Really, W and Home.
Abigail King, product manager for Feliway and Adaptil at Ceva, said: "Our summer TV advertising campaign will raise awareness of how Feliway Friends and Adaptil Calm On-the-Go Collar can help pets with behavioural issues and drive customers to veterinary practices for further information and to purchase product."
For further information, visit www.feliway.com or www.adaptil.com.
David Chalkley MRCVS faces four alleged charges:
At the start of the hearing Mr Chalkley made no admissions as to the charges but he had made an application for an adjournment based on undertakings to remove himself from the Register and never to apply to be restored to the Register.
In addressing the Committee on behalf of Mr Chalkley, his counsel said that Mr Chalkley denied all charges of dishonesty, that there was no evidence of harm to animals as a result of the alleged conduct, that there had been no complaint from the client and that he had repaid all the sums he had received for tuberculin testing on the farm in question.
His counsel also submitted that a full hearing would be expensive and time-consuming, and that it would serve no useful purpose as animal welfare and the protection of the public would be served by Mr Chalkley’s proposed undertakings.
Counsel on behalf of the RCVS confirmed that the College did not oppose the application and confirmed that the Animal Plant and Health Agency did not object.
However, the Disciplinary Committee concluded that because the case concerned issues of alleged dishonesty in veterinary certification over a prolonged period of time and the importance of public trust in the accuracy and reliability of that process, there was a need to hold a full, public hearing into Mr Chalkley’s alleged conduct.
Ian Arundale, chairing the Committee and speaking on its behalf, said: “The Committee expressed no view as to whether the allegations could be substantiated or not and it recognised that the process of determining the allegations would be burdensome for many, particularly the respondent.
"It was satisfied, however, that a reasonable and fully informed member of the public would be disturbed to learn that allegations of this kind had not been the subject of a formal determination by the Disciplinary Committee. The respondent’s own interests had to take second place to this important public interest.
“The Committee therefore declined to accept the application to adjourn this inquiry [until an unspecified date] and directed that arrangements should now be considered for the listing of a hearing in this case.”
It is expected that the full hearing will take place in spring 2021.
Petplan has announced that Richard Williams MRCVS from the Vale Veterinary Centre in Barry has won its Vet of the Year award.
The award is one of a number handed out each year to celebrate exceptional veterinary surgeons, nurses, practices, practice managers and vet support staff who have gone above and beyond the call of duty in keeping pets healthy and giving owners peace of mind.
The independent panel of judges was particularly impressed with Richard’s tireless dedication to veterinary care. They said: "He is considered by both clients and colleagues to be a great communicator, is constantly researching new and improved techniques, is brilliant at motivating staff and proactively encourages the professional development of his team – he truly leads by example."
On receiving the award, Richard said: "I’m completely surprised, overjoyed and humbled that my clients have taken the time out of their busy days to vote. It’s a great feeling."
Other winners included:
Isabella von Mesterhazy, Head of Marketing at Petplan, said: "Through the annual Petplan Veterinary Awards we’re able to pay tribute to the incredible work carried out by members of the veterinary profession across the UK. Their dedication allows pet owners to rest safe in the knowledge that, whether it’s for a routine check-up, an unexpected illness or injury or a simple procedure, their much-loved pets are in safe hands when they visit their vets. We’re elated to be able to announce the deserving winners, and congratulate them on such a fantastic achievement!"
For more information about the awards and to learn more about the winners, please visit http://www.petplan.co.uk/vetawards/winners.asp.
The AWF funds research, supports veterinary education, provides pet care advice and encourages debate on animal welfare issues.
AWF trustees are responsible for facilitating the achievement of the charity’s mission, providing strategic direction and safeguarding AWF’s brand and reputation.
The charity is now inviting applications from veterinary professionals with current or recent experience in production animal practice.
Trustees are expected to attend at least two meetings a year during their three-year term, as well as AWF’s annual flagship event in Westminster, the AWF Discussion Forum. They are also encouraged to engage with one or more of AWF’s Sub Committees focussing on particular areas of the charity’s activity, such as grant making and public education.
AWF Trustee Nicola Martin said: "Being an AWF Trustee gives you a fantastic opportunity to work on a wide range of welfare issues facing a variety of species rather than just those in your area of expertise. I enjoy discussing and debating issues, sharing my views and understanding those of others, as well as having the chance to shape the future of this great charity."
Simon Doherty, BVA Junior Vice President and AWF Trustee, said: "As a vet with a long-standing interest in research that provides an evidence base for animal welfare policy decisions, my involvement with AWF has given me the opportunity to promote research not only within my specialist fields of livestock and aquaculture but also learn more about welfare research in the companion animal sector.
"AWF does excellent work in engaging members of the public and the profession with crucial animal welfare topics, so I’d urge my colleagues to apply as Trustees to help direct the charity’s work in the future."
The deadline for AWF Trustee applications is 9am on 20 August 2018. For more information, visit: https://www.animalwelfarefoundation.org.uk/about-us/become-a-trustee/
Equip Artervac is indicated for the active immunisation for horses against equine arteritis virus to reduce the clinical signs and shedding of virus in nasal secretions following infection.
Zoetis says it is working hard to resolve the situation and apologises for any convenience caused.
For more information, contact your Zoetis Account Manager or the Zoetis Technical Team on customersupportUK@zoetis.com or 0845 300 9084 choosing option 1.
Eurovet Animal Health has launched a new product, Bovocycline 2000 mg pessary for cattle.
Bovocycline 2000 is the only veterinary licenced antibiotic pessary for the treatment of retained foetal membranes in cattle. It is licenced for the treatment of post parturient disorders in cattle, for administration after dystocia, retained foetal membranes (RFMs) and endometritis.
According to Eurovet, the incidence of retained foetal membranes in cows varies from zero to 25 per cent, but the average is around 4 per cent in most herds. RFMs result in reduced cow fertility and a higher risk of culling due to poor fertility. Pessaries are still considered the preferred treatment for vulval discharges in cattle by farmers.
Ruth Vernon, Technical Services Manager for Eurovet said: "The control of post partum problems in cattle is rarely straight forward, but it is great to have a veterinary licensed treatment designed specifically for this purpose, in one pessary that contains 2000mgs tetracycline".
For more information please contact Eurovet Animal Health. Tel: 01223 257933. E-mail: office@eurovet-ah.co.uk www.eurovet-ah.co.uk
The strange phenomenon was spotted by Veterinary Vision's clinical director Chris Dixon when he examined Dachshund called Margo, which had been referred for the treatment of a corneal ulcer and fungal infection.
Chris said: “I was assessing Margo’s eye and was very surprised to see a face smiling back at me.
"It perhaps doesn't bear quite the same resemblance as the Turin Shroud. Still, I've never seen anything like it before.
"The good news is that it does not appear to have affected her vision at all.”
Apparently the smiling face is still there, even after Chris performed a corneal graft.
Chris added: "I think we can safely say that Margo is a very happy dog, both inside and out!"
The Best UK Vets Awards are given to the practices that accumulate the largest number of positive reviews from clients on vethelpdirect.com and any-uk-vet.co.uk over the course of the year.
Penmellyn Vets achieved 839 positive ratings; 200 more than their nearest rivals, reflecting the tremendous level of engagement they have with their clients, something which also shone through in the sentiments expressed in their client reviews.
Penmellyn Vets is an independent practice owned by six veterinary surgeons, who are all based in Cornwall. They have been providing veterinary care to the pets and horses of Cornwall for over 130 years. They still cover their own out of hours’ care and their services include preventative healthcare packages for their cat and dog-owning clients, ‘LifeCare’ and ‘LifeCare+’. The latter grants clients access to unlimited vet and nurse consultations 6 days a week – something that is currently only offered by Penmellyn Vets in Cornwall.
Philip Harris, one of the partners at Penmellyn Vets said: "We are absolutely delighted to have won this award and want to say thank you to each and every one of our clients who took the time to leave a review. And my thanks to the Penmellyn staff for their hard work and commitment to providing the outstanding customer service that has been recognised by this award. I couldn’t be more proud of them. We’re an independent practice and very traditional in many ways, so I think as we’ve grown as a group, with a goal of excellence always in patient care, our values have kept us grounded and very client-centric. We look forward to celebrating the award with our team at the awards ceremony in the coming weeks."
Blacks Vets in Dudley were awarded the Silver award after receiving a very commendable 620 qualifying client reviews.
Tracey Jewkes, Managing Director, said: "We are delighted to have been awarded Silver in the Best UK Vet 2017 Award and would like to take this opportunity to send a heartfelt thank you to our wonderful clients for voting for us again this year. Our consistency at the top of this award for the past 3 years is a reflection of both the calibre and heart Team Blacks give to pets, clients and each other year after year. We could not be more proud of each and every team member here, nor could we feel more privileged to take great care of so many much loved pets in our local community."
Inglis Veterinary Hospital in Dunfermline, Scotland received 358 qualifying reviews and received the Bronze award. They also went on to win the Best Scottish Vet Award 2017.
The full list of winners is:
This year’s winners of the small category awards are:
Elanco Companion Animal Health has launched a new ordering process for Recuvyra, its transdermal fentanyl solution for the control of postoperative pain relief in dogs.
The new process will enable veterinary practices to purchase Recuvyra, which is a Schedule Two Controlled Drug, without having to complete the online training programme which was has been mandatory since the launch of the product in April 2013.
The company says that training is still highly recommended for every veterinary professional that handles Recuvyra due to its new delivery system. This can be via the short online training course available at www.recuvyratraining.eu or by reading the training leaflet provided with every vial of Recuvyra. The training leaflet includes information on instructions for use, correct administration of the product and special precautions. In addition, client leaflets and other support materials will continue to be available to vets via the website.
Alice Laurens, Recuvyra product manager at Elanco Companion Animal Health, said: "Veterinary practices will still need to follow their wholesalers' procedures for ordering Schedule Two Controlled Drugs when purchasing Recuvyra, however any vet from the practice can now order and sign for delivery of the product making it easier to purchase."
For further information about Recuvyra or Elanco's surgery and pain management range, contact your Elanco Companion Animal Health key account manager or email elancocah.uk@elanco.com.
The expansion, which was completed last year, added a whole floor dedicated to emergency and critical care, a new specialist oncology treatment area and additional theatre space.
Davinia Arnott (pictured right), a European and RCVS Specialist in Small Animal Surgery, is leading the new residency programme. She said: "To be awarded the ability to run a residency, you have to be accredited to the highest possible standard, and there is a range of stringent ECVS criteria that we needed to meet.
"We were able to put ourselves forward following the expansion of our hospital and all the new facilities we have added. We are all really proud to be in a position to offer this new small animal surgical residency.
"We now have four theatres so we can do multiple surgeries at the same time, allowing us to greatly increase our caseload. We can also do fluoroscopy for orthopaedics and soft tissue. We just didn’t have that capability before.
"To achieve specialist status, the standard is exceptionally high so we’ll only have one resident every three years. This is to ensure they’re mentored and guided properly throughout."
Leo Roses is the first small animal surgery resident to join the new Vets Now programme. She began her three-year tenure in January after completing a surgical internship in the hospital. Leo, who is originally from Majorca and has also worked for Vets4Pets, Fitzpatrick and PDSA, is realising a long-held dream by embarking on a surgery residency.
She said: "I realised during my degree that I wanted to specialise in surgery. I did two surgical internships before coming to Glasgow to do a third. I applied for a position here because I was aware of the incredible reputation of the surgeons and had been told they were really keen to teach."
The research took the form of a voluntary survey asking those voluntarily leaving their registers to explain why.
643 veterinary surgeons in the survey were leaving the UK-practising category, mostly to be close to family or friends, whilst 306 were leaving the Register altogether.
The next most common reason for veterinary surgeons leaving the UK-practising category was retirement (23%), most of whom were retiring before the state pension age.
Of those retiring before state pension age, one-third cited health and wellbeing reasons.
Vets were asked to explain in greater detail their decision to leave either the UK-practising category or the Register altogether in free text boxes at the end of the survey.
Those leaving the UK-practising category were most likely to mention health and wellbeing issues, closely followed by issues in the profession such as the demands of working in clinical practice.
A third of the comments left by those leaving the Register altogether mentioned issues to do with RCVS regulation, such as cost and continuing professional development (CPD).
Vicki Bolton, RCVS Research Manager, said: “This data is invaluable to us in understanding the reasons why people choose to leave the RCVS Registers.
“The reasons given don’t always make for easy reading, especially when they are to do with dissatisfaction over the direction the professions are taking, physical and mental health and wellbeing, financial pressures and concerns about regulation and its costs.
“However, it is important to remember that, overall, relatively few veterinary surgeons and veterinary nurses leave the professions each year.
"There is no mass exodus from the professions and the numbers joining the UK Register annually well exceed those leaving, as demonstrated by consistent year-on-year increases in the number of veterinary surgeon and veterinary nurse registrants.
“That being said, these results will form an invaluable part of our ongoing work on veterinary workforce and gives the RCVS food for thought about how and where we can better support veterinary surgeons and veterinary nurses to stay in the professions rather than leave prematurely.”
https://www.rcvs.org.uk/news-and-views/our-consultations/exit-survey-2022-2024/
Photo: AI generated.
A free copy of the compendium has been sent to every veterinary practice in the UK, and it is also available online at: www.noahcompendium.co.uk. A special edition of the book commissioned by AMTRA will also be available for its SQPs shortly.
NOAH chief executive Dawn Howard said: "The NOAH Compendium, in all its formats, remains a major part of NOAH’s efforts to ensure appropriate access and responsible use of medicines for all animals. We are pleased it is even more comprehensive this year, as we continue to expand its list of contributors.
"Every NOAH member, as well as the non-member participants in the NOAH Compendium, is a signatory to the NOAH Code of Practice on Promotion, which demonstrates their commitment to operate above and beyond any regulatory requirements."
She added: “As well as product datasheets, the Compendium includes another vital resource – the contact details for each participating company. Company veterinary and technical advisors have detailed knowledge about their company’s medicines. The NOAH Code includes the requirement for NCAH qualification for NOAH staff in technical dialogue with prescribers and users of animal medicines – meaning their advice can be regarded as a valuable and trusted resource. They are ready to talk to prescribers about the use of a medicine in a particular animal or in a particular situation, as well as to explain any queries about the data sheet."
Veterinary practices that have not yet received a copy, perhaps because they are new or have changed address in the past year should contact NOAH (noah@noah.co.uk).
Extra copies are also available to order, for £47.50. Special prices are also available for bulk orders.
To enter the competition, which will run during National Pet Dental Health Month in February, you need to share a picture of a dog or cat having its teeth brushed during a consultation or share a tip to make it easier for owners and pets to enjoy dental care at home.
The first 100 entries in each category will receive 10 finger brushes for their clinic, with Ceva’s favourite top five pictures and tips winning £50 Love2shop vouchers.
To share your photograph or tip, email it with your practice name and address to cevauk@ceva.com, post it on the Logic for Pets Facebook page or enter using the form on www.logicforpets.co.uk.
Make sure you have the owner’s permission before posting pictures. The competition closes on 1st March 2019.
Incidentally, Ceva provides free Logic samples to veterinary practices to offer to clients; contact your local Ceva territory manager or email cevauk@ceva.com for more information.