This manual is the second in the diagnostic imaging series. It begins by providing the reader with a grounding in the various imaging modalities: radiography, ultrasonography, computed tomography, magnetic resonance imaging, nuclear medicine and interventional radiological procedures. The second section is devoted to the individual body systems and includes chapters dedicated to the heart and major vessels, the lungs, the mediastinum, the pleural space and the thoracic boundaries. To aid the reader with information retrieval, each anatomical region is approached in the following way: radiographic anatomy and variations; interpretive principles; and diseases. Information on diseases is further subdivided into sections covering radiographic findings and the results and interpretation of other imaging studies. Each of the chapters is accompanied by a wealth of images, demonstrating both the normal radiographic appearance of structures and the abnormalities associated with disease. Specially commissioned illustrations provide an extra dimension. The BSAVA Manual of Canine and Feline Thoracic Imaging, edited by Tobias Schwarz and Victoria Johnson, is available direct from BSAVA (member price £52, non-member price £80) and from all good bookshops.
Ceva Animal Health has added a new presentation to its Cardio Academy CPD website, entitled: Echocardiography: Common Views.
In the 30 minute multimedia presentation, cardiology specialist Anne French discusses the most common echocardiographic views used in the diagnosis of the cardiac patient.
Veterinary professionals can then receive a CPD certificate by completing a quiz about the session.
In addition, you can still access the the first five sessions, covering the Pathophysiology of Mitral Valve Disease, by Adrian Boswood, Clinical Examination of the Cardiac Dog, by Gérard Le Bobinnec and three sessions discussing Thoracic X-rays by Nicole Van Israël.
For further information, please contact your local Ceva account manager.
Bayer Animal Health, maker of Profender, has released the results of some market research conducted amongst cat owners.
The survey, which was conducted by OnePoll amongst 1000 cat owners, found that:
As regards worming:
When it comes to the relationship they have with their veterinary surgeon:
When it comes to the Internet:
Ceva Animal Health is joining forces with Dog's Trust to carry out a radio campaign to educate owners on the importance of preparing their pets for the firework season.
The series of interviews - which will go out on both BBC and local radio on Tuesday 26 October - will cover the precautions that owners can take to help, comfort and reassure their pets while fireworks are going off, together with the benefits of using the leading veterinary behaviour products, DAP and Feliway. Chris Lawrence from the Dog's Trust and Lucy Brett, key account manager for charities at Ceva will be interviewed during the campaign, which will advise owners to seek further information from their local veterinary practice.
For further details on the radio campaign, please contact your local Ceva Animal Health representative or call 01494 781510.
StreetVet won over £70,000 worth of funding through Purina's Better with Pets prize in 2021 and 2023.
In addition, the company is donating therapeutic and maintenance petfood free of charge, and will be supporting new projects in 2024.
Purina has also published a podcast in which Libby Sheridan, Veterinary Scientific Affairs Manager sat down with Jade Statt, co-founder of StreetVet (pictured), to talk about the work of the charity: https://open.spotify.com/episode/44O5ax83xay3Ht8l02MJPf, and how veterinary professionals benefit from volunteering to work with it.
Jade said: “Volunteering and giving back is incredibly gratifying but it’s more than that…you’re able to just be a vet or a nurse helping a pet and their human. People tell us it helps them remember why they wanted to do the job in the first place.”
https://www.streetvet.co.uk
The webinars will include a presentation by Peter Geldhof, Professor of Molecular Veterinary Parasitology at Ghent University in Belgium, who will focus on the development of novel diagnostics and vaccines for parasitic infections in pigs, and share the results of some of his research and academic projects.
Tuesday: https://www2.dechra.com/l/877972/2023-05-11/2f43x8p
Thursday: https://www2.dechra.com/l/877972/2023-12-19/2f4ll1q
The badger culls planned to take place in West Somerset and West Gloucestershire this year have been postponed until 2013.
The postponement came at the request of The National Farmers Union (NFU), following new survey results which revealed higher than anticipated badger numbers in the two pilot areas (4,300 in West Somerset and 3,600 in West Gloucestershire ).
The NFU informed Defra that in light of these new figures they could not be confident of removing the required minimum 70% of the badgers in the two pilot areas this autumn.
Defra agreed to postpone the pilot culls until summer 2013 to allow farmers to continue their preparations and have the best possible chance of carrying out the cull effectively.
Environment Secretary Owen Paterson said: "Despite a greatly increased effort over the last few days and weeks, the farmers delivering this policy have concluded that they cannot be confident that it will be possible to remove enough badgers based on these higher numbers and considering the lateness of the season. It would be wrong to go ahead if those on the ground cannot be confident of removing at least 70% of the populations. Today I have received a letter from the President of the NFU, on behalf of the companies coordinating the culls, explaining why they do not feel they can go ahead this year and requesting that they be postponed until next summer. In these circumstances, it is the right thing to do and, as the people who have to deliver this policy on the ground and work within the science, I respect their decision.
"The Government is determined to tackle bovine TB by all the means available to us. Now, in the next few months, we will ensure that the pilot culls can be implemented effectively, in the best possible conditions, with the right resources. Having looked at all the evidence over many years, I am utterly convinced that badger control is the right thing to do, and indeed the higher than expected badger numbers only serve to underline the need for urgent action. I remain fully committed to working with the farming industry to ensure that the pilot culls can be delivered effectively, safely and humanely next summer."
The Government and NFU say they will now continue to plan so that the pilots can go ahead in Summer 2013.
The RCVS is seeking applications for a paid, part-time parliamentary internship from veterinary surgeons and students who have completed the third year of a veterinary degree.
Applicants are also required to demonstrate a commitment to the advancement of the veterinary profession in the UK.
The internship is to support the activities of Professor the Lord Trees, with the successful applicant expected to work three days a week whilst Parliament is sitting (around 150 days a year). The role is for one year, starting in October, and is London-based, with a salary of £15,000 (not pro-rata). A housing allowance may also be available.
Applicants should send a CV and covering letter to Lesley Evans, Royal College of Veterinary Surgeons, 62-64 Horseferry Road, London SW1P 2AF or email l.evans@rcvs.org.uk. The deadline for applications is 22 April 2013, with interviews taking place in late May/early June.
Further details about the role are available at www.rcvs.org.uk/about-us/work-for-us.
Ceva Animal Health, maker of Vectra 3D, has released the results of some market research which gives a little insight into current levels of owner compliance with veterinary flea treatment advice.
Of the 228 owners surveyed:
When selecting a flea treatment:
Looking at the first set of stats, it seems like the year-round message is getting through, but that perhaps with greater awareness of fleas' prodigious egg-laying habits, and the difficulty of eliminating an infestion once established, might just help improve monthly compliance.
Congress offers two days of lectures and workshops and up to 14 hours CPD delivered by experts on the most cutting-edge OA management, treatment, techniques and technology.
There is also a large trade exhibition showcasing many of the latest products and services, not to mention a happy hour and gala dinner.
The organisers say veterinary surgeons and nurses, physiotherapists, hydrotherapists, and anyone working to prevent, treat and manage osteoarthritis will find the congress hugely rewarding.
This year there’s a focus on comparative disciplines, including human and equine practice.
Tickets cost from £190 to £370, plus VAT.
www.vet-oa.com/voacon
The RCVS has announced that it is to host an open day on Monday 15 December for those members of the veterinary and veterinary nursing professions who are interested in joining the College’s Preliminary Investigation Committee (PIC), Disciplinary Committee (DC) or Veterinary Nurse Preliminary Investigation Committee (VN PIC).
In January 2015 the College will be looking to recruit veterinary members for PIC and DC following a legislative reform order last year to reconstitute them separately from RCVS Council. This means that the committees must be made up of veterinary and lay members who are not on Council and members will be appointed on the advice of an independent selection committee.
The RCVS will be seeking to recruit four veterinary surgeons for DC as well as three veterinary surgeons for PIC. At the same time the College will be recruiting two registered veterinary nurses and a veterinary surgeon for VN PIC. Applications are particularly sought from practising or recently retired clinicians.
The Open Day (at Belgravia House from 9.30am to 4pm) will provide the opportunity for those who are interested in applying to hear from current members of each committee about what being a committee member is really like and the type of cases dealt with. Recruitment consultants will also be on hand to explain the hiring process and attendees will have the opportunity to put questions to Gordon Hockey, RCVS Registrar.
Those who are interested in attending the Open Day should contact Peris Dean, Executive Secretary, on p.dean@rcvs.org.uk or 020 7202 0761 to register an interest or request an agenda.
Topics include the pathogenesis of OA, the importance of personalised treatment plans, and practical tips for supporting both pets and caregivers.
The first podcast centres around understanding the pathogenesis of the condition and the importance of thorough clinical examinations, diagnostic imaging and early intervention, all of which can greatly influence long-term outcomes.
Stuart said: “We often see pain as a problem, but it’s also a signal that gives us the opportunity to act early and prevent further progression.
"By the time pain is obvious, the disease is often so advanced that our ability to make a meaningful impact is limited.
"Acting early can change this pattern, and that’s a critical message we need to communicate to pet owners.”
Stuart is joined in the series by Krka’s technical veterinary adviser, Renzo Di Florio.
In subsequent episodes they share their thoughts on the latest advances in osteoarthritis treatment, creating an effective management plan that is individualised for each patient and tips for engaging with caregivers.
Renzo said: “Our goal with this podcast series is to empower veterinary professionals - whether they are new graduates or experienced practitioners - with evidence-based knowledge they can trust and apply.
"We’re excited to share these insights and have more planned for 2025, so stay tuned!”
https://open.spotify.com/show/0uphORU03q29WncwmN2EIa
The initiative seeks to understand the barriers and enablers to delivering contextualised care in companion animal practices, and to set out what contextualised care looks like when done well.
As part of the initiative, RCVS Knowledge is gathering perspectives from across the veterinary community and from pet owners to design a roadmap for the profession.
The work started last week at the National Forum for Contextualised Care in London, which brought together more than 60 people from across the veterinary sector, including leaders from veterinary associations, veterinary educators, students, practice staff, veterinary charities and rescues, pet insurers, regulators, representatives from corporate and independent practices and animal owners.
RCVS Knowledge will now be working with an independent research partner to conduct focus groups, surveys and interviews to gather a representative range of views from across the sector and pet owners.
The work will culminate in a summit in the summer that will use the findings of the research to design recommendations on:
Sally Everitt, Clinical Lead – Evidence at RCVS Knowledge said: “Contextualised care is the way of delivering veterinary care that acknowledges that there are different ways to approach the diagnosis and treatment of an animal, depending on the circumstances of the individual animal and their caregivers and the context in which the care is delivered.
"The term has been used increasingly over the past year, and is now the subject of much debate, alongside other aligned terms such as ‘spectrum of care’ and ‘pragmatic medicine’.
"However, we need to better understand what constitutes good-quality contextualised care, and the barriers and enablers to its delivery in practice.”
Katie Mantell, Chief Executive of RCVS Knowledge, said: “As an independent charity with a mission to advance the quality of veterinary care, we believe RCVS Knowledge is well-placed to bring together all parts of the veterinary community to seek consensus on what good-quality contextualised care looks like and how it can be delivered in practice.
"Our aim is to take a collaborative, robust approach to co-producing a roadmap for contextualised care that will support its widespread delivery for the benefit of animals, the veterinary professions and animal owners.”
To be updated about the progress of this work, and to hear about opportunities to take part in the focus groups, interviews and surveys to follow, sign up to receive RCVS Knowledge’s monthly email newsletter intheKNOW.
CPD Solutions has launched a new training CD to help vets refine their skills in the examination of neurological cases.
Authored by neurology expert Simon Platt of the University of Georgia, the multimedia CD gives information and advice on localising the site of a lesion, determining the severity of the disease process and assessing the prognosis for the patient. It includes video footage to show how to perform a full neurological examination and to test for specific spinal reflexes and postural reactions, as well as cranial nerve evaluation and gait evaluation. Examples of normal and abnormal responses are also given.
CPD Solutions’ Dr Susie Coughlan adds: “The video clips, together with the extensive illustration and images that are on the CD will help vets to develop their skills and enable an effective examination to be carried out and interpreted, every time a neurological patient enters the consulting room.”
The Neurology CD is the latest addition to the CPD Solutions range of Keysteps™ training CDs. Already available are CDs on head and neck surgery and joint surgery. More CDs and DVDs are to be launched later this year.
The Keysteps™ CDs, each cost £95 + VAT. For more information, contact CPD Solutions on tel: 0151 328 0444, visit the website http://www.cpd-solutions.com/, or visit the company at BSAVA on stand number 903.
The BVA has announced the results of a survey which found that 64% of small animal veterinary surgeons have been injured in the line of duty in the past year alone.
By far the most common injuries were scratches and bites (90% and 78% respectively), however 17% rated their injuries as either 'quite' or 'very' severe.
Whilst small animal vets were shown to be at the greatest risk of injury in clinical practice (compared to 61% of equine vets and 53% of production animal vets), the injuries sustained by production and equine vets were predictably more severe. 19% of production vets and 27% of equine vets rated their injuries as either 'quite' or 'very' severe.
BVA President John Blackwell said: Vets accept the daily risk of injury at work, but these figures highlight just how common injuries are for vets who care for pets. Rather than simply accepting this as an ‘occupational hazard’, veterinary teams should ensure they are taking all appropriate measures to mitigate the risks of working with animals whenever possible. BVA provides guidance for vets, for example on preventing and dealing with dog bites in the practice."
The BSAVA has launched a new guide to help practices navigate compulsory canine microchipping legislation which comes into force on 6th April.
The 18-page guide provides information on all aspects of microchipping, including the differing implications of the legislation across England, Scotland, Wales and Northern Ireland.
It explains exemption certificates that veterinary surgeons may be asked to sign, provides clarity on roles and responsibilities and more details on adverse event reporting, which will become a legal requirement under the new rules.
It also contains advice on when it is required or advisable to scan a dog in order to read the microchip and links to the updated RCVS guidance on microchips, microchipping and animals without microchips.
The guide has been accepted by the VMD and is supported by the RCVS.
The new microchipping legislation is aimed at improving animal welfare, promoting responsible ownership and tackling the illegal puppy trade. It is also hoped compulsory microchipping will improve collection of data on inherited diseases and disease outbreaks.
BSAVA President Tricia Colville (pictured right) said: "The BSAVA supports the permanent identification and registration of all dogs and cats, and other companion animals as appropriate, since the ability to individually identify an animal and trace the owner has the potential to improve animal welfare.
"Responsible pet ownership is at the core of the new legislation so as a profession we need to be clear on our responsibilities and do all we can to inform pet owners. We acknowledge that it may take time for the profession to adapt to the changes but this guide brings clarity and will prove helpful to vet practices across the UK."
The BSAVA is inviting members to report any problems they encounter to the BSAVA's Scientific Policy Officer Sally Everitt - s.everitt@bsava.com. The Association plans a further consultation at the end of the year to discover how the legislation enforcement has been received.
The guide will be available to members from the BSAVA website: www.bsava.com
Nutramega contains omega-3 fatty acids, specifically EPA and DHA, which the company says are critical for the overall health of animals, with many health benefits, including joints & mobility, skin & coat, heart health, the kidneys and brain health.
Nutramega comes in two sizes, 100ml and 200ml, with prices starting from £20.00.
Pet Ready LifeStages are health chews designed to provide daily support for puppies, adult dogs and senior dogs.
Each LifeStage product comes in 30 and 90 chew packets and prices range from £19.99 to £34.99.
www.nutravet.co.uk
To mark the end of his presidential year at BSAVA, Julian will be strapped to the top of a vintage biplane while dressed in a full feline (Cheshire Cat) costume, to support the research that BSAVA PetSavers funds to improve the health and wellbeing of pets across the UK.
BSAVA PetSavers is one of the UK’s few funding bodies focused solely on clinical research into diseases affecting companion animals.
To date, it has invested more than £2.7 million in vital studies addressing conditions such as cancer, heart disease, neurological and joint disorders, gastrointestinal issues.
Julian said: "Every day, vets face the heart-wrenching task of managing the distress and pain our pets suffer due to disease or poor health.
"With your support, we can ensure that they have access to the latest knowledge and resources needed to provide the best care possible.
“The need for advanced research is more pressing than ever and our pets deserve every chance at a healthy life.
"If dressing up as a cat and flying on the wing of a plane makes people take notice of the vital need for pet health research, then it will be worth it.”
Alison Selby, Fundraising Manager for BSAVA PetSavers said: “No one has ever been quite so daring in their fundraising efforts for us, so we are thrilled that Julian has decided to take this on to raise awareness and funds for BSAVA PetSavers.
“For every grant application that we fund, at least two or more are declined due to lack of funds. Fundraising events like this helps to land more funding in the hands of researchers who make a real difference in the veterinary community and directly impact the lives of countless pets and their families.”
Julian’s wing walk is on the 29th May and his target is to fundraise £1,000.
https://www.justgiving.com/page/julian-hoad-2
A live eight-foot snake has been found in a cardboard box sent from Harlow to Exeter by post.
The albino reticulated python was spotted through an X-Ray machine at Stansted Airport, where it was due to be put onto a plane last Friday to complete its journey. The reptile is commonly kept as a pet and had already spent eight hours in the postal system.
As Royal Mail will not allow the transport of live animals by post, RSPCA inspector Steve Reeves was called to rescue the snake. He said: "It may sound strange, but it would have been easy to miss the fact that there was such a large snake in this parcel. It was just curled up and was very still - so the mailmen picking up the parcel would have had no reason to know what was inside.
"All the machine picked up was that there was something organic in the shape of a snake - so they must have got quite a shock when they opened up the package. It makes you wonder what could go undetected."
Luckily this snake was unharmed, and was taken to a wildlife centre in Essex while its owner was traced. It had been bought via the internet and the new owner has since organised for a specialist courier to pick the snake up.
Arden Grange has launched new Adult Sensitive with ocean white fish and potato, specially developed to meet the growing demand for grain free pet foods.
Arden Grange Sensitive is a nutritionally complete dry food. According to the company, it is ideally suited to dogs susceptible to digestive disorders and skin irritation. Ocean white fish provides a primary protein source that is easily metabolised for efficient bodily functioning. Completely cereal and grain free, Arden Grange Sensitive provides all breeds of dog with a hypoallergenic, wholesome diet full of natural goodness. Potato, as the carbohydrate source, ensures a sustained energy release throughout the day providing all dogs with the health and vitality they need.
Arden Grange also highlights its ‘Not Tested on Animals’ guarantee, found on all its packaging, company literature and on its website. The company guarantees it has not and never will fund any invasive research projects conducted in relation to the development or refinement of pet foods manufactured or sold by Arden Grange.
Visitors to BSAVA Congress 2010 can navigate the commercial exhibition stands and lectures more effectively this year, thanks to a free iPhone app developed by IT provider, AT Veterinary Systems.
The app includes floor plans of the ICC and the NIA, a list of all the exhibitors and stand locations, details of the presentations being held and the ability for users to create a customised list of 'favourite' lectures.
AT Veterinary Systems says the Congress App is its fifth successive release of software in the last six months and marks a prolific year of development for the company. AT's latest software releases include VISION Email Server, Insurance Claims Manager and the latest SPECTRUM Release (1L). Further products are also in the pipeline and will also be launched at this year's BSAVA.
To find out more about the BSAVA app, please visit: http://vetsystems.co.uk/vetcongress/
Edinburgh-based charity the Global Alliance for Livestock Veterinary Medicines (GALVmed) has announced three drug discovery contracts in an effort to combat animal African Trypanosomosis (AAT), a disease which is estimated to cost Africa US$5billion a year.
Animal African trypanosomosis, transmitted by the tsetse fly, is a parasitic disease which affects livestock, resulting in a chronic illness which often ends in death. An estimated 50 million cattle and 70 million sheep and goats are at risk, with around 3 million cattle dying annually from the disease.
AAT causes economic losses in livestock, reducing meat and milk production and leaving animals so weak they are unable to help cultivate land. It affects over 10 million square kilometres of fertile land spread across nearly 40 countries in Africa and therefore has a huge impact on food and nutritional security and livelihoods across the continent.
The drugs that are currently used were developed in the 1950s and 60s and drug resistance is now a commonly reported problem. With few other options available, these drugs are the most important method of controlling the disease.
In May 2011 the Department for International Development (DfID) awarded GALVmed 30 month grant for £8million to facilitate the development of drugs, diagnostics and potential vaccines for the control of AAT.
The first contract was awarded to Anacor Pharmaceuticals Inc., a California based biopharmaceutical company established in 2002.
As part of a Drugs for Neglected Diseases Initiative (DNDi) supported project, Anacor and their partners discovered a series of compounds to combat the human form of AAT, Human African Trysanosomsis (HAT). A number of compounds produced under this programme have properties which could make them suitable for the treatment and prevention of animal AAT. These relevant compounds will now be screened for efficacy and safety under the GALVmed contract.
The second and third contracts have both been awarded to the College of Life Sciences at the University of Dundee, one of Europe's top-ranked universities for life science research.
Dr Kevin Read, who is Head of Drug Metabolism and Pharmokinectics at the drug Discovery Unit is leading a piece of drug discovery and development research, which aims to develop new drugs for the treatment and possible prevention of AAT in cattle, and also a diagnostic test for use in the field. This builds on the university's work on HAT and drugs that were unsuitable for human treatment are now being re-evaluated as potential drugs for cattle.
Dr Read said: "I am very excited to be working in partnership with GALVmed to apply our extensive drug discovery expertise in HAT to identify and bring forward new potential drugs for the treatment and prevention of AAT. The new project offers an exciting opportunity to reposition compounds showing great promise for the treatment of first stage HAT into AAT, thus improving food security in some of the poorest countries in sub-Saharan Africa."
The RCVS has announced that 19 people are standing in this year's RCVS Council elections, including, for the first time, more women than men, and a much lower average candidate age.
Of the 19 candidates - believed to be the highest number since records began - ten are women. Not only is this the most women ever to stand, but it is in direct contrast to last year where all 13 candidates were men. Additionally, whereas the average age of all elected Council members in March 2013 was 56.5 (57 for women and 56 for men), the average age of this year's candidates is 47 (45 for women and 48 for men).
The RCVS Council candidates are:
Last year, the all-male candidate list prompted concern from the profession and calls for the College to investigate the reasons behind the lack of women and to take steps to redress the balance. The then RCVS President Jacqui Molyneux invited feedback from the profession about the barriers to joining Council, and set up a working party, chaired by Council member Amanda Boag, to look at how participation could be widened, not only to women, but also younger members of the profession and those actively engaged in clinical practice.
The working party suggested a number of initiatives, including a mentoring scheme, providing more practical information about being a Council member (see www.youtube.com/rcvsvideos), and inviting prospective candidates to the RCVS to discuss the role in more detail.
Amanda said: "The College's efforts to broaden participation in its election process seem to have paid dividends. I'm delighted there is so much more diversity amongst the election candidates this year, and that so many women have decided to throw their hat into the ring, especially as women now form over 50% of the profession. I'm very much looking forward to the outcome of the elections, and hope that this dramatic increase in candidates in turn prompts an excellent turnout."
In a slightly later start to the voting period this year, ballot papers and candidate details will be posted on 19 March 2014, and all votes must be cast, either online or by post, by 5pm on Friday, 25 April 2014.
In the meantime, the College is inviting all voters to think about the one question they would like to put to the candidates and submit it in time for this year's 'Quiz the Candidates', to be broadcast by the Webinar Vet on the evening of 20 March. All questions received will be put to the candidates, who will each then answer two questions of their choice, as well as explaining what they consider sets them apart as a potential Council member. The candidates' answers will be pre-recorded (due to the large number of candidates) and made available online at around 8:00pm on 20th March.
Questions (one per person) for RCVS Council should be submitted to the RCVS by 12 March via its dedicated election websites, available soon at www.votebyinternet.com/vetvote14, on twitter using the hashtag #vetvote14, or by email to vetvote14@rcvs.org.uk.
Mike Brampton, inventor of the CAT Doppler blood pressure system and Managing Director of Thames Medical, is to start the 'Tour de Vet', a 1,300 mile tour of the UK during which he'll be stopping to give BP CPD and coaching to veterinary surgeons and nurses in return for a donation to the charity Canine Partners.
Mike says the CAT Doppler system is the most widely used in the UK. He also lectures at Nottingham Vet School and normally charges something in the order of £600 for talks and training sessions.
During the 'Tour de Vet', however, he'll be giving his talks free, in exchange for a donation to the charity of £250-£300.
Mike said: "At a recent BVNA Congress, 85% of nurses said they would like more skills and information in BP techniques. This is your chance to book some quality, certified, hands-on CPD at a massively reduced price, which will benefit not only your staff and practice but also help train a puppy for Canine Partners".
Mike's target is to raise £10,000.
The tour starts in Worthing on May 19th 2014. It ends three weeks and 1300 miles later at the Vettrust Conference in Stirling.
To book your blood pressure monitoring CPD or nurses' coaching, call Mike on 01903 522911 or email mike@thamesmedical.com.
Alternatively, if you just want to support his efforts, text 70070 with the code TDEV55 and your donation or visit http://www.justgiving.com/Tour-De-Vet