Ian Battersby's Activities

Congenital colonic vascular ectasia

Allison German — Fri, 24 Apr 2026 11:18:26 GMT

Hello! Please bear with the long post :)

I’m consulting a case I think may be congenital colonic vascular ectasia. It’s a 7yo MN small breed cross with chronic iron deficiency, microcytic anaemia, haematochezia and melaena present since pup, with spontaneous GI haemorrhage resulting in haemorrhagic/hypovolaemic shock requiring transfusion on occasion. Usually, stool consistency is optimal but dietary indiscretion or gastroenteritis trigger a more severe episode. Single source protein and hypoallergenic diets help but do not resolve the problem. Steroids may contribute to more severe haemorrhage.

Further, I wonder whether this dog may have hepatic portal vein hypoplasia as previous investigations have indicated microhepatica, multiple small cystoliths (type unknown), there is the microcytic anaemia present since pup which could be multifactorial, and a recent blood sample showed hypoglycaemia. It is bichon x toy poodle. A bile acid stimulation test is reported as “negative” though this is not definitive and ammonia has not been tested. This may be complicating the picture. Or a red herring!

The dog has had Addison’s ruled out by dynamic cortisol assay.

Coags reported WNL and not hypertensive though no recent checks.

Has anyone had/diagnosed/treated a case? I’m concerned about the mechanical risk for haemorrhage during colonoscopy and the increased risk associated with biopsy. I’m planning to have a transfusion on standby. My temptation would be not to biopsy if abnormal colonic vasculature was present as it seems relatively pathognomonic? Diagnosis of underlying inflammation could be more safely made through histopathology at the time if the dog went for colectomy. The dog looks to have had a recent significant bleed halving the PCV. I was planning to wait until this improved prior to procedure. The dog has had capsule endoscopy but there was too much faecal material present in the colon to get adequate observation of the blood vessels for a diagnosis, just a suspicion. Moderate haemorrhage was present in the colon and in the stomach. Directional assessment is obviously more useful in this case alongside an assessment of the gastric mucosa with haemorrhage being present. The duodenum, jejunum and ileum had no visible lesions via the capsule. I could repeat capsule endoscopy after PEG-3350 cleansing, but may still have these questions to answer.

Has anyone used CT angiography to assess extent of lesions? CT angiography would also be useful in assessment of the liver… Costs are a factor in this case as obviously much is required so I need to choose wisely.

Has anyone used or does anyone perform argon plasma coagulation? Or does the success of this mainly depend on the extent of the lesions? With haemorrhage visible along most of the colon I guess this case is extensive and colectomy may be a wiser approach (dependent on endoscopic guidance).

I’d appreciate some wisdom to help my planning - thanks so much!

Allison

Dog potenitally bitten by a bat

Martin Whitehead — Thu, 12 Mar 2026 10:46:46 GMT

Hello all

All second-hand info, I'm afraid, and not one of our clients: One of our vet nurses asked me about her friend's dog who was seen last night to be "playing with" a bat, which then flew off. Bat species unknown, whether the dog might have been bitten unknown. (How the dog got hold of a bat that was able to fly, unknown!)

Obviously, the risk to the dog - and so, possibly, secondarily to the owner down the line - is very low, but...

For now, I have advised that if the dog is not rabies vaccinated, to get that done ASAP.

Any other advice in this situation?

Thanks

Martin

VSA reform – it’s time for change

Cinzia Gandini — Wed, 28 Jan 2026 22:21:38 GMT

Hello everyone,

I was reading the most recent RCVS Veterinary Board email about the VSA reform. I don’t fully understand the extent of the reform, and I’ve come across several points that I’m unsure how they will translate into practice, such as:

Allowing VNs to work independently of employment by a veterinary surgeon — does this mean opening their own practice and carrying out veterinary procedures?
“Fitness to practise” — will we need to pass additional exams? quote ' Under these reforms, each professional will require a licence to practise for their profession.
Enabling mandatory continuing professional development and revalidation — wasn’t this already the case?

What are your views on this?

PUPD in 4yr old FN Cocker Spaniel with compulsive behaviour disorder

Jon Camilleri — Thu, 20 Feb 2025 18:00:41 GMT

Dear all

4yr old FN Cocker Spaniel

Previous history of extensive specialist investigation for neurological signs - final diagnosis of compulsive disorder. Various treatments tried with no response apart from some improvement with 'clomicalm'

Current problem: PUPD for 4-6 weeks.

She is bright and well. Investigation so far has shown a repeatable USG of between 1015 and 1018. She has discordant SDMA and creatinine results (normal SDMA and creatinine of 127umol/l and 138umol/l with mild elevation in BUN). Remaining haematology and biochemistry normal.

I have hospitalised her for 36hrs to see if a change of environment affects water intake and to measure it. Water intake was just over 100ml/kg/24hrs with consistent USG in the range above. At the same time I have excluded hypoadrenocorticism and performed a bile stim. Post prandial bile acids are mild/moderately elevated at 52umol/l (external laboratory).

Ultrasound shows a normal sized liver and gall bladder (to my ultrasound ability). There is bilateral renal cortical hyperechogenicity with a slight patchy distribution and renal cortical width of 5mm in areas so cortical thinning. She is non-proteinuric (UPC 0.08), negative on single urine culture and normotensive.

I have submitted pooled urine for lepto PCR.

Questions for the enlightened:

She is a Spaniel so could she be in the early stages of glomerular disease but not proteinuric yet??

She is a Spaniel so could chronic hepatitis be a differential - but no elevation in liver enzymes

I wonder if an iohexol clearance study would help differentiate extra-renal causes of PUPD e.g. hepatopathy from intrinsic renal dysfunction which appears to be 'early' stage 2 if no other causes identified and persistent?

Is this patient a candidate for renal biopsy and electron microscopy? If so will it change therapeutic decisions?

Of note bile acid stim results were normal previously but now elevated. However I am not sure I have enough evidence to justify liver biopsy at this point?...

As ever very grateful for any advice

Regards

Jon

Regards

Jon

Re: [SAMSOC Forum] Want a job?

Sean Henney — Sat, 16 Mar 2024 20:42:10 GMT

Oh dear, poor Martin - needing to retire after 25 years !

Having taken the corporate dollar(s), he is desperately looking for a successor - my heart goes out to him!!!

From: Martin Whitehead <bounce-Martin_L_Whitehead@vetsurgeon.org>
Sent: 16 March 2024 18:31
To: samsoc.forum@vetsurgeon.org <samsoc.forum@vetsurgeon.org>
Subject: [SAMSOC Forum] Want a job?

vetsurgeon.org
The community for helping each other

Martin Whitehead

Chipping Norton Veterinary Hospital - www.chippingnortonvets.co.uk/ - is in need of a vet with an interest, ideally an Advanced Practitioner, in small-animal medicine.

Why?

Well, if you really must know, it is partly because I'm getting old and I'd like to go down to part time for a while before retiring, so we need someone to replace the bit of me that will be (less) busy doing something else for part of each week. But, mainly, because we want someone to build-up a 'mid-level' medicine referral service, and that'll be you, with our support.

We already have a very busy radioiodine referral service, and all the kit needed for medicine cases. Well, OK, no, we don't have an MRI machine, but we do have a 64-slice CT which is being replaced with a brand new machine in a couple of months.

If interested, contact me on martincnvets@gmail.com, and I will be at the pre-BSAVA meeting on Wednesday if you'll be there and want to chat.

Martin

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IMHA + tumor enterectomy

Jonay Mendoza — Sat, 24 Feb 2024 00:51:57 GMT

Hi All,

I would appreciate as many opinions on this case as possible, with as much evidence base as you can give of course. If you have been involved in a very similar case I would really appreciate you share it too.

Signalment: 8 year old MN Patterdale Terrier

History: lethargic, possibly breathing faster

PE: possible mild discomfort on Abdominal palpation, palish gums, mildly increased respiratory rate though nervous patient. Jejunal mass diagnosed on ultrasound scan Monday this week . CT scan did not reveal macroscopic mets in thorax nor abdomen. Non reg moderate anaemia 3 days before ultrasound PCV 21% in 2 separate days 2 days apart, blood smear unremarkable . Clinically worsened 2 days after ultrasound more lethargic and faster breathing with more effort, PCV 14%, moderate reticulocytosis, lots of spherocytes, schistocytes, dachrocytes, mild positive Saline agglutination on microscopy. No melena, no effusions, no evidence of bleeding. TS remained unchanged around 70. Volemia stable.

Problems:

1. jejunal mural mass 3.4x2.8cm removed by enterectomy yesterday

2. Severe regenerative IMHA diagnosed 2 days ago (1 day before surgery) . Manual PCV 14%. Treatment started with dexamethasone 0.5mg/kg IV on that day and PRBCs transfused same day. So far only that one shot of dexa given

Progress so far:

1. Manual PCV readings:

- Post 1st transfusion: 30%

- Pre op: 27%

- Post op: 24%

- approx 8 hours post op: 27%

- approx 20 hours post op: 29%

2. Clinically panting on and off nervous but otherwise recovering well, eating, comfortable

Questions:

1. Would you resume immune suppressive steroids (or switch to a different immune suppressant)?

if so how may days post op would you resume steroids and what dose and why? In particular I am interested in your views regarding benefit:risk assessment for the following:

a. Not treating the IMHA with any further immune suppression to avoid a potential increase in risk of dehiscence and peritonitis. This would be I believe in the hope that the IMHA may be a paraneoplastic process in this case and may resolve post surgery.

One report was published were mild to moderate IMHA in a dog was not treated with immune suppression and resolved post bowel tumor removal.

https://doi.org/10.1002/vrc2.465

i.e. How many cases of severe IMHA are you aware of that resolved without immune suppressant after removing a tumor?

Is mortality rate for IMHA still averaging 30% when treated with immune suppression in referral centres?

b. Treating the IMHA with continued immunessuppresant such as steroids or alternative of your choice to:

- reduce risk of repeat transfusions and associated risk of transfusion reaction

- to reduce the risk of mortality due to IMHA

I. e. How many cases of enterectomy treated concurrently with immune suppressants for immune mediated disease are you aware of? Any complications with dehiscence or infection experienced? Was the immune mediated condition diagnosed in the immediate perioperative period? When did you start immune suppressants?

Or if no experience with a similar case... What evidence base would you use for your decision making?

How much do you think the risk of anastomosis dehiscence will increase by starting immune suppressive doses of steroids in the immediate perioperative period and continuing it as usual for a case IMHA like this one?

I found this:

https://doi.org/10.1016/j.amjsurg.2012.11.018

Would not the detrimental chronic effect of high dose steroids on wound healing kick in after the healing period of 10-14 days post op? Any more specific evidence?

Would you use clopidogrel in this case?

Sorry for the convoluted questions but I really would appreciate your opinions in this complicated case.

Kind regards,

Jonay

Anyone have experience of complications with chronic omeprazole administration?

Pauline Jamieson — Mon, 06 Feb 2023 14:41:43 GMT

Dear All,

I have a complex case ongoing, it would take an essay to tell all so I will try to be succinct, but my question relates to the use of chronic omeprazole, in this case being employed as the dog had an intrahepatic cPSS operated on approximately two years ago.

Patient: 2yrs 6months male entire 75% Cocka, 25% Poo. EHcPSS operated on April 2021 at 8 months of age.

Current advice for lifelong omeprazole is being followed at 10mg q. 12 hours in a 11-13kg dog (weight depending on where we are at with inappetance and weight loss). He clearly has hypertrophic mucosa throughout the stomach except for the pyloric mucosa as might be expected - this is visible on ultrasound and quite dramatic on endoscopy.

I cannot find any information on how likely this is to be clinically significant? Human literature suggests concern for hyperplasia>predisposition to gastric neoplasia, but I can't find anything specific related to the benign changes causing clinical signs, and the suggestion is that for patients with GERD stopping PPIs is difficult if not impossible as the clinical signs just return, sometimes with a vengeance due to rebound hyperacidity, and so they tend to just continue and monitor.

If anyone has any experience they can share with the use of chronic (years) PPIs in dogs, I'd be very grateful.

For those with the patience, I have provided more clinical details below.

Thank you for reading!

Pauline

Owners's complaint: intermittent and progressive inappetance over 3 months, gradual weight loss with mild lethargy, then an episode of acute gastroenteritis in early December 2022 requiring hospitalisation prompting referral for further investigations. Diet: Purina HA for the last two years (and carrots to get hm to take medication).

In addition, has always been a thirsty dog, but this had increased over the last 6 months to from 100-150ml/kg/day about 3 months previously, reaching dizzy heights of 300-400ml/kg/day with nocturia.

Nothing in history to suggest hepatic encephalopathy. Physical exam unremarkable. BP 140 mm Hg Doppler.

Bloods: hepatopathy as expected from previous check-ups.

Alk Phos 132 U/L

ALT 268 U/L

AST 123 U/L

GLDH 8 U/L

Gamma GT 1 U/L

Total bilirubin 3.9 umol/L

Bile acids 86.2 umol/L

Mildly low TP, albumin, cholesterol, trigs, mature neutrphilia, monocytosis, raised CRP, all of which resolved within 10 days of the acute gastroenteritis. B12 low-normal 398, folate low 2.9, TLI normal.

Urea (diuresis? Liver function?) and creatinine low consistent with diuresis, USG 1.001, urine analysis otherwise unremarkable.

The dog had a mild nonregenrative anaemia with microcytosis and hypochromasia, and an iron panel constant with true iron deficiency and therefore likely chronic occult gastrointestinal haemorrhage. Iron sulphate 200mg q. 24 hours has almost corrected this (suspect it will shortly). I find it difficult to attribute the ongoing GIT signs to iron medication as the dog did fantastically for 4 weeks after starting it, see later.

Ultrasound: Liver small with normal shape and architecture, amneroid constrictor visualised with small amount of residual flow.

Diffuse thickening of gastric wall (5mm between rugal floods, 10mm in rugal folds.) with multiple anechoic cysts throughout. Increase in vascularisation, mucosa is echogenic and so indistinguishable from submucosa, Pylorus normal.

Kidneys - mid reception in CM definition, bilateral enlargement normal shape, a cyst (7-8mm) in each kidney, pelves 0.18cm (N<0.1cm)

No other significant abnormalities.

Endoscopy: No oesophagiitis, gastric ulceration or outflow obstruction noted on endoscopy, duodenum had minor submucosal haemorrhages. Histological Diagnosis: A. Gastritis, lymphocytic and plasmacytic, moderate, chronic, with suspected glandular hyperplasia or metaplasia, stomach. B. Enteritis, lymphocytic and plasmacytic and neutrophilic, moderate, chronic, duodenum.

While waiting for histopath results, Vit B12 and folate supplementation started, iron supplies,emetaion started, omeprazole continued. O reported a few days later thirst massively decreased (back to 1-2L a day, still polydipsia as per BW, but she feels urination back to normal for her dog - big pees but only normal frequency and no nocturia or asking to go out)

Therefore was keen to monitor and not do too much else at this time.

RV 4 weeks - all going swimmingly despite no 'active' interventions on my part - PCV/RBC now normal with reticulocytosis 326 x 109/l (ongoing haemorrhage seem likely - I am considering capsule endoscopy......), iron status almost normal, dog eating well and put on 2.0 kg (18% increase body weight), thirst and urination still 'normal'.

USG two samples from owner - 1.016 and 1.025.

However, then deteriorated the following week with respect to appetite and demeanour again, maropitant empirically dispensed until could see dog in clinic and advised start cyclosporin 50mg BID = 3.8 mg/kg, due to inflammatory changes on histopath. Did not go well - started vomiting , so reduced dose to 50 mg SID, still vomiting, stopped ciclosporinyesterday, has lost 1.0 kg in weight, due back in clinic tomorrow.

Antibiotic guidelines survey

Fergus Allerton — Tue, 18 Jan 2022 14:04:33 GMT

Dear colleagues

Could you help by completing the following survey: https://30yw.short.gy/ENOVAT . This should take no more than 5-8 minutes of your time and your answers will be really helpful!

ENOVAT is a European organization looking to improve antibiotic stewardship. The survey is seeking feedback from target users of antibiotic guidelines such that future iterations (e.g. of PROTECT ME) can be improved and optimized.

Any and all help is greatly appreciated. Please feel free to circulate this link to other vets and via social media channels. A QR code is attached to facilitate this.

On the website you will also find a league table of countries based on number of responses. Please help make sure that the UK is well-represented in this initiative – this is not Eurovision!!

Thank you all for your help with this study!

Fergus Allerton

Can't clear E.Coli UTI in dog with transitional cell carcinoma

Kara Gibson — Fri, 10 Dec 2021 11:05:27 GMT

Hi,

I have a 11yo, MN, Yorkshire Terrier with transitional cell carcinoma, he is actually doing very well and has already survived a year since his symptoms first started. This is probably because his TCC is not really into his bladder neck yet but more circumferentially in bladder wall. Unfortunately it is not amenable to resection.

I had him on piroxicam and chlorambucil to try and slow the growth but he went into acute renal failure a few months ago so I stopped the piroxicam. He currently has IRIS stage 2/4 CKD and is generally well and eating well but he has an E.coli UTI which I can't seem to resolve. It's sensitive to amoxyclav and cephalosporins. I've given him a 6 week course of BID 15mg/kg amoxyclav and cultured at the end before stopping antibiotics and there was still E coli with the same sensitivity profile. I then tried TID dosing with amoxyclav and that seemed to work but then a few days after abs finish he is positive again.

This time I have tried 3 weeks of 22mg/kg cephalexin BID and cultured whilst still on abs and still E coli with the same sensitivity profile. I know it's likely hiding in the crevices of the tumour but has anyone got any bright ideas? The E coli is also sensitive to nitrofurantoin but the few cases I've used this on have always become unwell so I'm reluctant to try it.

TIA

Opportunity to Join DVS Medicine Team

Ian Battersby — Thu, 18 Nov 2021 09:37:04 GMT

Internal Medicine Position at Davies Veterinary Specialists

Davies Veterinary Specialists is one of the largest and most diverse, small animal veterinary referral centres in the UK, with a team of over 200 people. We are situated in the heart of the beautiful Hertfordshire/Bedfordshire countryside, and within 50 minutes of London by train. Founded over 20 years ago, we are recognised as a leader in the sector offering a diverse range of services to our clients and pioneering sustainability having won the Investors in the Environment Green Award 2020.

We are now offering an exciting opportunity to join our friendly Internal Medicine Team. We are seeking an additional Internal Medicine Specialist to join our multi-disciplinary clinical team and work alongside our experienced team of eight Internal Medics, three medicine residents and one medicine intern. You will be working closely with specialist teams in all the disciplines expected in a multidisciplinary referral practice, with highly skilled nurses and incredible support teams. Our fantastic facilities include a newly re-developed on-site imaging suite with Siemens 1.5T MRI scanner and 64-slice CT, experienced imaging specialists, the full range of medicine diagnostic equipment and access to an on-site specialist clinical pathology lab.

The ideal candidate will hold an ECVIM or ACVIM Diploma, but candidates eligible for Diploma examination after having completed an approved residency programme will also be considered. Applicants must also hold, or be eligible for, membership of the Royal College of Veterinary Surgeons. Experience in complex medicine case management is essential, as is being personable with a good sense of humour. We pride ourselves on being a supportive and friendly team and as a proactive member you will be keen to provide a service of the highest possible standards in a busy, stimulating and supportive environment. Weekend cover is based on a shared rota with other clinicians assuring a healthy work-life balance.

We offer:

Competitive salary
25 days annual leave plus Bank holidays
Birthday leave on or around your birthday
Pension scheme and Life Cover
Up to 5 days to receive CPD (funded)
Private health insurance for you and your family
RCVS, VDS and Specialist Fees paid

For an informal discussion, contact Ian Battersby, Head of Medicine, or Ronan Doyle, Clinical Director, on 01582 883950 or email ian.battersby@vetspecialists.co.uk or ronan.doyle@vetspecialists.co.uk . To apply, please send your CV to joinourteam@vetspecialists.co.uk. References will be requested at a later stage of the application process.

Davies is part of Linnaeus Group, the forward-thinking partnership of highly respected primary care and referral veterinary practices across the UK and Ireland. We are committed to investing in our associates and provide excellent opportunities to network with other like-minded clinicians with a common goal of providing outstanding veterinary care and creating a better world for pets.

Further details about us can be found at www.vetspecialists.co.uk.

Coughing dog, anything I am missing?

Claire Godfrey — Mon, 15 Mar 2021 15:40:48 GMT

The patient is a 7 year old male neutered collie cross spaniel. He presented 2 weeks ago with a 48 hour history of coughing and retching. Owner also noted shallow bretahing. At this point he was well in himself. On examination temp 39.3, respiratory rate 60 with no crackles or wheezes. Quite sensitive around trachea. Heart rate 80 BPM and mm pink. He was started on meloxidyl and amoxicillin clavanate.

2 days later owner reports no change, Temp 39.1, chest as previous. Very unsettled at night and still shallow breathing. Baytril added in at this point.

Seen again another 5 days later. Owner reports appetite now decreasing, respiratory rate now 80bpm, still no crackles of wheezes. Booked in for xrays.

Xrays below, pus present in trachea and on end of ET tube, swabbed and sent away but nothing grown. Have continued on baytril and owner feels is a little better but quite up and down. Have discussed referral to re further imaging BAL? Could be Foreign Body? Any further advice?

Does Metronidazole have an anti-inflammatory action?

Sarah Keir — Mon, 25 Jan 2021 21:20:00 GMT

During a presentation last week to first-opinion vets on chronic enteropathies, I was trying to encourage the reduction in use of antibiotics. However, several were sceptical about stopping using metronidazole because they had been taught it had an anti-inflammatory effect. I thought this had been disproved but doing some searching tonight I found many references to the anti-inflammatory effect of metronidazole. I don't think pointing out the using an important human antibiotic for a function that could be replaced by another drug was well taken either! Anyone got any insight into the anti-inflammatory effects or not of metronidazole?

References found:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5029230/

https://www.researchgate.net/publication/51243935_Metronidazole_and_the_immune_system#fullTextFileContent

Post Operative Conns Cats

Ian Battersby — Thu, 21 Jan 2021 13:19:36 GMT

Hi everyone

Just out of interest how people are navigating this without the florinef - if post operative mineralocorticoid supplementation required.

Off license zycortal ?. Anyone any experience of this or dosages etc ? or are there sources of florinef that you can track down

Cheers

Ian

Internal Medicine Residency Opportunities at Davies Veterinary Specialists

Ian Battersby — Mon, 05 Oct 2020 14:05:52 GMT

Davies Veterinary Specialists - Join Our Team

Residency in Small Animal Internal Medicine (ECVIM-CA APPROVED)

We are an established yet growing large successful referral practice. Situated in the heart of Hertfordshire /Bedfordshire countryside. Founded over 20 years ago, we are recognised as a leader in our sector offering a diverse range of services to clients. We joined the Linnaeus group in 2019 which has allowed us to build on our strong foundations but at the same time maintain the culture and ethos that has sustained our success.

We have the opportunity to appoint 3 residents to be part of a team of 4 medicine residents to undertake our established ECVIM -CA approved residency program providing the opportunity to work with and be trained by diplomats and leading specialists. The medicine team contains 7 European diplomats, two of whom are FRCVS providing a wealth of experience and support for candidates training.

The team manages a range of complex cases working alongside cardiology, ophthalmology, soft tissue surgery, orthopaedic, neurology and dermatology services. We work closely with a specialist led anaesthesia team and diagnostics imagers. In addition, we have a highly skill nursing and support team.

You will need to have completed a multidisciplinary 12 month rotating small animal internship or have worked in a high quality small animal first opinion practice for a minimum of 2 years. You must be highly self-motivated and be able to communicate clearly and effectively with colleagues and clients

We offer a competitive salary plus pension contribution and benefits such as 33 days leave, private health insurance, funded CPD, life cover, RCVS and VDS fees.

For an informal discussion , contact Ian Battersby via e mail ( iab@vetspecialists.co.uk ) . To Apply , please send your CV with a covering letter and 2 references to joinourteam@vetspecialists.co.uk . Closing Date 23rd October 2020. Interviews will be held early /mid November 2020.

Further details about the practice can be found at vetspecialists.co.uk

Locum opportunity at DVS Feb/March 2020

Ian Battersby — Tue, 10 Sep 2019 15:05:08 GMT

Internal Medicine Clinician (Locum Opportunity)

We are a team of over 180 people based in a large practice on the Hertfordshire/Bedfordshire border. Founded over 20 years ago, we are extremely proud of all we have achieved and of the team work that has allowed us to deliver outstanding care year on year.

We are looking for an Internal Medicine Clinician interested in a short-term opportunity to work with our highly experienced Medicine team during February/March 2020. You will be working closely with specialist teams in all disciplines expected in a multidisciplinary referral practice, highly skilled nurses and incredible support teams. We have fantastic facilities, including on-site MRI and CT, which we are continuously developing with exciting plans for the next year.

If you are ACVIM or ECVIM board certified or eligible in medicine, are personable and a good team member who is keen to provide a service to the highest possible standards in a busy, stimulating environment, we would like to hear from you.

For an informal discussion, contact Ian Battersby, Head of Medicine Service on 01582 883950 or email Battersbyi@vetspecialists.co.uk.

To apply, please send your CV to joinourteam@vetspecialists.co.uk.

Further details about us can be found at www.vetspecialists.co.uk.