Pug with tremours - help with referral

RE: Pug with tremours - help with referral

Gillian Mostyn — Mon, 30 Sep 2019 09:34:48 GMT

[quote user="Kate Richardson"]Also try Rowe referrals, Bristol- Ian Jennings- not a specialist but I believe keen interest in neurology and AP in diagnostic imaging esp MRI[/quote]

Maybe not an RCVS specialist, but pretty good lettering after his name though!

BSc BVSc CertVDI MRCVS RCVS Advanced Practitioner in Diagnostic Imaging

RE: Pug with tremours - help with referral

Hannah Munns — Fri, 27 Sep 2019 16:39:32 GMT

Thank you both for your replies. Very useful to know about Willows for future. Worth keeping Rowe referrals and Ian Jennings on the radar too.

Blood work was going to be one of our first steps but some of the referral centres we use prefer blood results from their own lab so we were holding off until we knew where the client was likely to be going.

RE: Pug with tremours - help with referral

Andrew Kent — Fri, 27 Sep 2019 11:47:40 GMT

Hi Hannah,

We (Willows) will do direct insurance claims - ideally they need to be set up in advance of the appointment but it is relatively easy to do so.

From a medical point of view I would suggest that some investigation would be sensible prior to referral to make sure the dog is referred to the right people. Comprehensive blood work plus a bile acid stimulation test would be sensible in this breed to make sure there is nothing to suggest a metabolic cause (ie a portosystemic shunt) and if thats normal then neurology would certainly be your best bet.

Would also get the owner to video any episodes to show the the neurologist at the time as otherwise these cases can be frustratingly normal.

Andy

RE: Pug with tremours - help with referral

Kate Richardson — Thu, 26 Sep 2019 22:05:28 GMT

Also try Rowe referrals, Bristol- Ian Jennings- not a specialist but I believe keen interest in neurology and AP in diagnostic imaging esp MRI

RE: Pug with tremours - help with referral

Hannah Munns — Thu, 26 Sep 2019 13:34:02 GMT

Hi Kate,

Yes we have. They wouldn't do a direct payment without a pre-authorisation form and the clients insurance company (can't remember which one) said they don't do pre-authorisations.

In case it's of any use to anyone else, we have since found that Cave Veterinary Specialists will do direct claims. They phone the insurance company at the time of booking the appointment to ask questions to check that they are happy the client has enough cover.

RE: Pug with tremours - help with referral

Kate Richardson — Wed, 25 Sep 2019 20:43:45 GMT

Have you tried Lumbry Park?