The BSAVA has shared 18 ways veterinary surgeons can manage time more effectively.

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

• Measure what’s happening now. Double appointments, vets running over, late closing time; pinpoint the problem and get insight into its scale by analysing the current situation.
• Measure how long it takes to do routine procedures from start to finish. Is everyone sticking to their roles and fulling utilising their expertise?
• Keep to time in consults by prioritising and not always doing those extras. When a client comes in for a vaccine but also wants you clip claws, empty anal glands and look at a lump, assess which is urgent and what needs to be dealt with in a second appointment. This does need to be a team-wide approach, otherwise you tend to hear ‘but the other vet will do it.’
• Cluster appointments.  For example, have a morning of cat spays rather than bouncing from a dental to a castration to a spay.  It’s more efficient and has the advantage of giving you, and the nursing team, comparable outcomes to monitor, making anomalies easier to spot.
• Learn to say ‘no’. Focus on what is possible, rather than what’s not.  Instead of ‘we’re fully booked today, the next appointment is tomorrow,’ try ‘the next available appointment is tomorrow.’ Don’t rearrange your schedule to fit theirs.  It’s doesn’t work in the long term.
• Introduce firebreaks. A good technique that stems from human medicine accounts for emergencies. Another tip, which requires a team-wide approach.
• Make clients aware of the length of appointments. ‘We’ve booked you in for a 15min appointment at 4pm on Thursday,’ for example.  It sets expectations at the start.

Alan's tips

• Simplify the jobs and their outcomes. In consults, outsource non-clinical elements, to other internal teams. Vets are compassionate and will take on the responsibility for the management of emotions when they don’t have too and without due regard for their own needs.  Compliance is another area which doesn’t necessarily need to fall to the vet.  Multi-functional teams can support and assist, offering an ‘ecosystem of care’.  The financial side of consults can be moved outside of the clinical sphere through pet clubs, insurance and full subscription models.
• Develop efficient systems. Draw from other businesses, lean, six sigma and business design reengineering processes are efficient and proven.  Do things you have to do well, delegate, outsource or automate other elements. Simply stop doing those things you don’t need to do.
• Consider reducing the number of active clients per vet.  We’ve found the optimum is between 500-700.  It means more time with fewer people. While it is hard to say no to the ever-increasing demand, there are ways to develop a strong client base. Healthy pet clubs ensures you’ve clients who are engaged in preventative care and are committed to the well-being of their animals, for example.
  “There’s a lot of work happening in the realm of mental health at the moment,” notes Alan. “But we’re treating stress as an individual problem not an organisational or system one.”

Rebecca's tips

• Set long-term goals for you and your business. One important aspect of effective time management is knowing that you’re achieving the right things.
• Invest in your team. By building a team and using it in a constructive way, I’ve found it’s helped my own time management.  I’ve gone from trying to organise me and my time to realising that by helping others, I can improve my own work life.
• Prioritise your own tasks. By prioritising what I need to do, I can help my team feel more valued and motivated to prioritise what they need to do.  It means we end up with a more productive team.
• Try not to get embroiled into the other’s to-dos. While they might be both important and urgent, it doesn’t necessarily mean that you have to action them. Helping them to do it themselves has made a massive difference to them and me.
• Set SMART goals and boundaries for achieving them. Make sure everybody knows the outcome that you are working towards.  It prevents people from going off in a completely different direction to the one you’re expecting.
• Don’t rely on your head to remember everything. It’s too busy, so write it down. Likewise, draft your case notes at the time of the consultation.
• If it takes less than 2 minutes, just do it. Don’t try and remember the to-do all day, it requires a lot of energy and means you’ll be actioning it when you’re already feeling exhausted.  
• Take time for a little self-care. Rather than trying to keep going until you grind to a halt, make a little time for yourself.  You’ll be more productive overall.

The RCVS Disciplinary Committee has adjourned a hearing for a Gloucestershire-based veterinary surgeon after it refused his application to undertake to remove himself from the Register and to never apply to be restored.

David Chalkley MRCVS faces four alleged charges:

• That between 2011 and 2018 he was dishonest, misleading and had risked undermining government animal testing procedures by claiming to have subjected up to 16 animals to an ICT tuberculosis (TB) test when in fact some of these animals had died prior to the date he was supposed to have conducted the tests and that, furthermore, he had fabricated skin measurements for animals which had died before the date of the supposed test;
• In respect of TB tests conducted at a farm on 5 March 2018 and 23 March 2018, he failed to identify some or all of the animals tested;
• That on or around 23 March 2018 he was dishonest, misleading and had risked undermining testing procedures when he certified he had tested 280 animals to a TB test when he had not subjected them all to the test and that, in fact, between 16 and 127 of the animals had died before 5 March 2018, and that he had also fabricated the recorded measurements for some of those 280 animals;
• That between 2011 and 2018, he received payment of approximately £20,000 for TB tests when, as a result of the conduct set out above, he was not entitled to such payment.

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.

Virbac has launched Marfloquin, a marbofloxacin-based antibiotic indicated for the treatment of multiple infectious diseases in cats and dogs. 

Marfloquin is presented as a palatable, divisible tablet for once daily administration and is available in three tablet strengths:

• 5 mg for cats and small dogs
• 20 mg for medium sized dogs
• 80 mg for large dogs

Virbac Companion Animal Marketing Manager Simon Boulton MRCVS said:  "Marbofloxacin is valued by practices for its efficacy in treating a wide range of skin, soft tissue, urinary tract and respiratory tract infections. The launch of Marfloquin gives them a cost-effective alternative and strengthens our existing antibiotic range, which includes Rilexine (cefalexin) and Enrox (enrofloxacin)."

For more information, contact your territory manager or call Virbac on 01359 243243

Professor Steve Dean MRCVS has been elected as the 14th Chairman of the Kennel Club. He is the first veterinary surgeon to hold the post.

Professor Dean has been a Member of the Kennel Club since 1992 and has been a member of the General Committee since 2005. He has served on the Crufts and Finance & General Purposes Sub-Committees for the past two years and previously spent four years on the Disciplinary Sub Committee.

Professor Dean said: "I am honoured to be elected as Chairman of the Kennel Club and to be given the opportunity to help improve the lives of dogs by ensuring that they live healthily and happily with responsible owners.

"I am aware of the scale of some of the challenges that we face but am excited about the opportunities that exist to help us make a real difference for dogs. I look forward to supporting and working with the millions of responsible dog breeders and owners that there are in this country, and to standing shoulder to shoulder with vets and other individuals and organisations, who are dedicated to improving the health and welfare of dogs."

Professor Dean, who turns 60 in August, is currently the Senior Veterinary Surgeon at Crufts each year. He is a breeder, exhibitor and judge of Border Terriers and has been involved in the breed for 30 years. He is currently Chairman of the Southern Border Terrier Club as well as the overall breed health co-ordinator for all seven breed clubs. He is also President of Windsor Dog Show Society.

Away from the world of dogs, Professor Dean is a keen reader and gardener and is an avid supporter of rowing, treasuring his Henley Regatta medal equally to his achievements in the show ring.

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

Creature Comforts, the start up which promises to revolutionise veterinary care using tech, has opened its first clinic in Notting Hill Gate, London. 

The new, four storey, architecturally-designed clinic is full of natural light and includes calming and spacious staff breakout areas. 

By combining a beautiful work environment with seamless technology, the company believes it can transform working conditions and job satisfaction for vet teams.

On the tech side, the Creature Comforts has created a proprietary app which allows triage to be handled online and for staff to work flexibly.

The company says the app also reduces the administrative burden, a contributory factor for staff burnout.

Creature Comforts says most clients subscribe at a cost of £20 per pet per month, giving them unlimited consultations, instant bookings and live chat via the app (as well as annual vaccinations and discounted routine treatments).

This should mean animals are seen more frequently, and conditions can be identified and treated earlier.

Memberships will be capped to control vet team caseload and to ensure a good customer experience.

The company is also addressing Competition and Markets Authority concerns, with prices for routine treatments listed on its website, upfront estimates for procedures, and a business model hinged on unlimited access to expertise (i.e. consultations, instant in-app bookings and live chat) at no extra cost for subscribed members.

Creature Comforts says its vet team benefits from a share of their clinic’s profits, above industry-standard pay, compensated overtime, a well-balanced staffing ratio, manageable working hours and scheduled breaks. 

Dr Russell Welsh, COO and co-founder of Creature Comforts, said: “It’s an incredible feeling to see a plan come together in a sector that’s so ripe for transformation.

"We want to bring the passion, joy and fun back to our profession, and this is an opportunity to do things differently and vastly better, with a fresh and carefully-considered business model founded on the principles of health and happiness.

"This is vet care as it should be."

https://www.creaturecomforts.co.uk

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:

• Practice of the Year: Aberdeen Veterinary Referrals in Foveran
• Veterinary Nurse of the Year: Helen Russell of Woking Vets4Pets
• Practice Support Staff of the Year: Hollie Sawyer of Vets4Pets in Braintree
• Practice Manager of the Year: Carol Hudson of Millennium Veterinary Practice in Braintree
• Rising Star of the Year: Coral Blew of Spring Lodge Veterinary Hospital in Essex

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.

Ceva Animal Health, manufacturer of Logic Dental Hygiene Gel and Logic Orozyme Dental Chews, is running a competition amongst veterinary surgeons and nurses to raise awareness of the importance of pet dental hygiene and toothbrushing.

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.

Cambridge-based Nebojsa Petrovic MRCVS has been suspended by the RCVS Disciplinary Committee for six months for dishonestly providing false information related to the export of horses.

Nebojsa Petrovic faced eight charges, although charge four was withdrawn at the start of the hearing.

At the outset of the hearing, Dr Petrovic admitted a number of allegations, including:

Charge 1 - that in November 2021, he falsely represented to the Animal and Plant Health Agency (APHA) that blood samples he submitted in respect of four horses were from the same horses as the samples he submitted on 1 November 2021.

Charge 2 – that in November 2021, he told APHA’s Veterinary Head of Border Control that he had checked the microchips and/or passports of the four horses when he hadn’t done so;

Charge 3 – that in November 2021, he signed Export Health Certificates for the four horses, in which it was stated that blood samples taken from these horses on October 2021 had been submitted to the Veterinary Laboratories Agency laboratory, Weybridge, with a negative result for Leptospirosis when in fact those samples had tested positive;

Charge 5 – that he failed to send the APHA’s Centre for International Trade, within seven days of signing, certified copies of the export health certificates;

Charge 7 – that in January 2022, he told an APHA officer that he was satisfied that he had properly identified the horses for which you had submitted the two samples when he had not done so;

Charge 8c – that he risked undermining government procedures designed to promote animal health and international relations in relation to the charges he admitted; and

Charge 9 – that in February 2022, he failed to have in place any or any adequate Professional Indemnity Insurance (PII).

Dr Petrovic, who was at the time of all the allegations carrying his duties as an Official Veterinarian on behalf of the APHA, denied charge 6 – that in November 2021, he failed to take sufficient steps to prevent the four horses being exported to Serbia, when he had been informed that there were concerns and/or doubts about whether those horses had tested negative for Leptospirosis.

He also denied charge 8 – that in relation to the allegations relating to his submitting the blood samples to the Veterinary Laboratories Agency on 8 November 2021, certification of the Export Health Certificates on 16 November 2021 and his subsequent conversations with members of APHA staff regarding both sets of documentation he had acted in a misleading (Charge 8a) and/or dishonest (Charge 8b) way.

The Committee considered evidence presented by the College including hearing from APHA staff witnesses called by the College and also hearing from a witness and character evidence presented by Dr Petrovic. Dr Petrovic also gave evidence to the Committee.

It found most charges proven with the exception of Charge 6, and also found that Dr Petrovic had not acted dishonestly in submitting the blood samples or certifying the EHC’s as alleged in charges 1 and 3.

The Committee concluded that Dr Petrovic had acted in a dishonest and misleading way in his conversations with the APHA staff as detailed in charges 2 and 7.

The Committee then considered whether the individual proven charges amounted to serious professional misconduct, determining that, with the exception of charges 3 and 5, all proven charges amounted to disgraceful conduct.

Paul Morris, chairing the Committee and speaking on its behalf, said: “In the Committee’s judgement, the respondent’s position as an Official Veterinarian also meant that he had a responsibility to ensure that the trust which was delegated to him was not breached.

"In his role, the respondent was acting in a position of trust, as a representative of the government, and the Committee found that he had breached that trust…. It took these matters into account when determining that the respondent’s behaviour cumulatively amounted to disgraceful conduct in a professional respect.”

Regarding the sanction for Dr Petrovic, the Committee considered his request that it consider suspension, rather than removal, from the Register.

In terms of aggravating factors – the Committee found that Dr Petrovic had acted without integrity, recklessly and without regard for the APHA’s systems relating to the export of animals.

In mitigation, it took into account: the fact that no animal was harmed by his conduct, albeit there was risk of harm; his long and unblemished career in the UK since 1994; admissions he had made to the APHA and Disciplinary Committee at the first day of the hearing; had remediated his lack of professional indemnity insurance by putting in place a retrospective policy; the significant amount of time that had elapsed since the conduct; and six positive character references from experienced fellow veterinary surgeons who held him in high regard.

Paul Morris added: “The Committee took into account that the respondent had continued to work as a veterinary surgeon with no subsequent complaints and that he had a previous long and unblemished record and there was support by several positive character references.

"The Committee also took into consideration the pressures of Brexit and the pandemic which the respondent had faced at the time, but which were unlikely to occur again.

“The Committee had concluded that the respondent was unlikely to repeat similar behaviour or to pose a risk to animals, particularly because he was no longer involved in certifying animals for export.

"Furthermore his admissions to most of the matters it had found proved showed that he had some insight.

"The Committee was also satisfied that the respondent had a genuine concern for the welfare of animals and it noted that the Respondent did not require any further training to continue in practice as a veterinary surgeon.

 “The Committee therefore concluded that a suspension from the Register was the proportionate sanction in this case taking into account the seriousness of the conduct it had found proved but also all of the mitigating factors.”

The Committee recommended that Dr Petrovic be suspended for six months to reflect the seriousness of the conduct and the damage it could do to public confidence in the profession, while meeting the public interest and sending a clear message of deterrence.

www.rcvs.org.uk/disciplinary

Surrey-based North Downs Specialist Referrals reports that it has had 'extraordinary' results using electrochemotherapy, a form of targeted chemotherapy, after it eradicated all traces of disease in its first tranche of eight patients since the start of last November.

In one case, Tigga, a 17-year-old cat with an itchy and destructive tumour on her nose, was in complete remission within 44 days. In another case, a tumour vanished in a dog where the aim of the treatment was only to shrink the mass before an operation to remove it.

NDSR, which is based in Bletchingley, is the only referral centre in the UK and one of very few in the world offering electrochemotherapy in pets.

Electrochemotherapy is given in two stages.

First, the patient is given a mild dose of intravenous chemotherapy in the normal way and then, using a probe, a precise electrical charge is given to the area on or around the tumour.

This temporarily opens up tiny holes in the cells, big enough to allow the drug to enter, which then close again in microseconds. This means the drug will only attack cancerous cells, unlike normal chemotherapy, which also kills healthy cells. 

Gerry Polton, clinical director of oncology at NDSR, said: "Normal chemotherapy works on the principle of being more damaging to cancer than non-cancerous tissue. Some cancers are more resilient, so there are differences in how they respond to treatment, and this can cause more harm to the patient. 

"Electrochemotherapy involves clever anatomical targeting of a specific site and is an effective way of protecting healthy cells.

"The results we are seeing in cases like Tigga’s are unprecedented and we are learning about the procedure all the time. We are always looking for better ways of treating cancer without the effect of harming the patient indiscriminately and this has proved to be a very effective way of doing this."

According to NDSR, the results could help inform the development of the targeted treatment in humans, where electrochemotherapy is used in a small number of cases in the NHS.

At present, many clinical trials are carried out on laboratory animals which are bred with no immune system – but dogs have similarities in genetics to humans and have working immune systems, meaning they can provide a more accurate parallel for how the treatment may work in people.

Gerry said: "A pet dog would be a good model for human cancer studies. It's a mammal with a heartbeat, blood supply and working immune system.

"Progress with electrochemotherapy in animals is being made in parallel with progress in electrochemotherapy in the human field, and what we are learning may even inform what is happening in people.

"Electrochemotherapy is a form of treatment which Cancer Research UK describe as 'fairly new' on its website, with limited information about its effectiveness. So maybe something would be gained from learning together."

The BSAVA is reminding small animal practice staff to make sure they know how to work safely with bats, after Defra published its latest stats on rabies in UK bats.  

The most recent case of rabies in a bat in Great Britain was in July 2020 in Wimbourne, Dorset and there were four cases in 2019.

Like many wild animals, bats can carry a number of different pathogens, including European Bat Lyssaviruses (EBLVs) 1 and 2 – also referred to as bat rabies. The rabies virus is present in the saliva of infected bats and is usually spread to humans or other mammals by the bite of an infected bat. The virus may also enter the body via open wounds or mucous membranes.

The BSAVA says that whilst the risk of transmission to humans is considered low, those handling bats may be at an increased risk of contracting the disease and those who regularly handle bats should be vaccinated against rabies.

Those who are not vaccinated against the disease should assume that all bats are possible carriers of rabies. Individuals handling bats should wear gloves of a suitable thickness for the species of bat they are handling to avoid being bitten or scratched. Further information on how to safely contain and handle a bat can be found on the Bat Conservation Trust website.

In the event that an individual is bitten or scratched by a bat or exposed to bat saliva or nervous tissue in any other way, they should seek immediate medical advice. The contact area should be washed with soap and water, and any wounds must be disinfected. Further information can be found on the APHA, PHE and NHS websites.

In 2008, a case involving an injured bat carrying EBLV type 2 was treated by a vet and her staff, who were unaware of the potential of rabies risk from bats. The bat handlers had previously been vaccinated as recommended by the Department of Health but despite sustaining a needlestick injury during surgery, the vet and her staff had neither sought nor received post-exposure prophylaxis.¹

Professor Ian Ramsey, president of the BSAVA, said: “Although this case was 12 years ago it is a pertinent reminder of why we need to be well-prepared when handling bats. Whilst the risk of human rabies infection from bats is low, the publication of the new statistics show that EBLVs are circulating in a small number of wild bats. Injured bats are often presented to small animal vets, so we have taken this opportunity to remind our members and others of the potential risks of rabies transmission, and how to mitigate against these.

"For more advice on the handling and treatment of wildlife casualties including bats, we advise vets to consult a reference book such as the BSAVA Manual of Wildlife Casualties."

Reference

1. Veterinary Record 18 October 2008 https://veterinaryrecord.bmj.com/content/163/16/491.2

The BVA, the Mayhew Animal Hospital, Dogs Today magazine and the Kennel Club are amongst various organisations that have criticised Morrisons for its Christmas advert - which can be seen here - in which a child is seen passing a slice of Christmas pudding to the family dog.

BVA President Peter Jones said: "It is vital that advertisers use animals responsibly and we are disappointed to see the Morrisons Christmas desserts TV commercial depicting a small boy feeding Christmas pudding to his dog. Christmas pudding, Christmas cake and mince pies - because they contain raisins or sultanas - are potentially harmful to pets and in some cases can lead to kidney failure.

"While we accept that many pet owners understand what is and what is not appropriate to feed their pets, children watch adverts and can be easily influenced by what they see. Veterinary organisations and animal welfare charities work really hard to promote messages about responsible pet ownership and TV adverts such as this one, with huge audiences, can undermine this work."

But hang on a second. Watching the advert, the child isn't actually feeding the dog anything. Rather, the dog is passed a bit of pudding which it then goes and places in a flowerpot, causing the plant to wilt. The dog isn't being fed the stuff, it's being asked to get rid of it.

Surely what this advert is really saying is: nobody likes Christmas pudding, least of all children and dogs.

Mind you, it does look like all this fuss is proving a very effective public awareness campaign about the danger of feeding a dog raisins or sultanas.

A study published in the Journal of Small Animal Practice (JSAP) has shown that the urine dipstick test is not accurate for detecting proteinuria, either when used alone or when combined with the urine-specific gravity (USG) in cats.  

The study, titled “The utility of combined urine dipstick analysis and specific gravity measurement to determine feline proteinuria”, assessed the utility of the urine dipstick alone and combined with the urine-specific gravity (USG) for detecting proteinuria in cats.

For the study, the clinical records of cats presenting to a referral hospital between January 2011 and January 2017 were reviewed retrospectively.

To be eligible for inclusion, feline urine samples had to have undergone a complete urinalysis including dipstick evaluation, USG and urine protein-to-creatinine (UPC) measurement.

A total of 121 urine samples were included and diagnostic agreement and test accuracy were calculated for the dipstick test alone and in combination with the USG, using different cut-off values for proteinuria. Receiver-operating characteristic (ROC) curves were also calculated.

Jorge Pérez-Accino, corresponding author for the paper, said: “The diagnostic agreement between the urine dipstick and UPC ratio was poor and did not improve if the USG was considered together with the dipstick.

"A dipstick result of equal or greater than “Trace” (0.1-0.3g/L) had a sensitivity of 81% and a specificity of 31% to detect proteinuria.

"With regards the ROC curves, the area under the curve (AUC) of the urine dipstick alone was poor (0.57). When combined with the USG results, this improved to fair (0.78) but the specificity and negative predictive value (NPV) were still low.”

Nicola Di Girolamo, Editor of JSAP said: “These findings indicate that clinicians should not rely on the results of the urine dipstick test in combination with USG in cats for detecting proteinuria. Instead other quantitative methods, such as UPC ratio, should always be performed to detect proteinuria in cats.”

The full article can be found in the September issue of the Journal of Small Animal Practice which is free for BSAVA members. It can also be read online here: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13184

The BSAVA has put together a collection of resources relating to urinalysis and proteinuria, available here: https://www.bsavalibrary.com/content/urinalysis--160 

Reference

1. J. Pérez-Accino, L. F. Bernabe, E. G. Manzanilla and J. Puig. (2020) The utility of combined urine dipstick analysis and specific gravity measurement to determine feline proteinuria. Journal of Small Animal Practice, 61 (9). Available at: https://onlinelibrary.wiley.com/doi/10.1111/jsap.13184