Pet insurance--essential option?

As Hawn (2) says, "insurance is about risk and peace of mind." She reports that the American Humane Society supports pet insurance because companion animals are able to be treated for disease or accidents that are life-threatening where, otherwise, they would have been euthanized. For veterinarians, she suggests that pet insurance allows them to practice veterinary medicine "as if it were free." It is inevitable that pet insurance will grow as a recourse for veterinary fees. This may be a savior to some families whose budget is stretched to the limit at a critical moment in the health care of their cherished pet. We in the veterinary profession have an advantage over other professions. We have seen the good, the bad, and the ugly of insurance, as it applies to human health and dental care. If we work hand-in-hand with our own industries, collectively we may be able to develop a system that wins for everyone, with fees that allow practice to thrive and growth strategies that accommodate new treatment and diagnostic modalities, as well as consistent and exemplary customer service. The path ahead is always fraught with bumps and potholes. We can be a passive passenger and become a victim of the times or an active driver to steer the profession to a clearer route. Pet insurance is but one of the solutions for the profession; the others are a careful assessment of our fees--charging what we are worth, not what we think the client will pay; business management; customer service; leadership of our health care team; lifelong learning; and more efficient delivery systems. Let us stop being a victim, stop shooting ourselves in the professional foot, and seize the day!     

Nerve Stimulator–Guided Sciatic-Femoral Block in Pet Rabbits (Oryctolagus cuniculus) Undergoing Hind Limb Surgery: A Case Series

This article describes the clinical applicability of a nerve stimulator–guided technique, previously described in dogs, to block the sciatic and the femoral nerves in 4 pet rabbits (Oryctolagus cuniculus) undergoing hind limb surgeries. Preanesthetic intramuscular doses of medetomidine (0.08 mg/kg), ketamine (15 mg/kg), and buprenorphine (0.03 mg/kg) were administered to the rabbit patients. The rabbits were intubated and general anesthesia was maintained using isoflurane in oxygen. The sciatic-femoral nerve block was performed with 2% lidocaine at a volume of 0.05 mL/kg/nerve. Sciatic-femoral block was feasible in rabbits, and the motoric responses following electrical stimulation of both nerves were consistent with those reported in dogs after successful nerve location. Iatrogenic complications, namely nerve damage and local anesthetic toxicity, did not occur. Based on these results, the authors conclude that the sciatic-femoral nerve block described in dogs can be safely performed in rabbits. Clinical trials are required to assess the analgesic efficacy of the combined sciatic-femoral nerve block in rabbits as a part of multimodal pain management.     

Evidence‐Based Infection Control In Clinical Practice: If You Buy Clothes for the Emperor,Will He Wear Them?

In the fabled story of the Emperor's New Clothes, nakedness is ignored, denied, and accepted despite its obviousness. Similarly, we seemingly have ignored, denied, and accepted the risks of healthcare‐associated infections (HCAI) in veterinary settings, despite common occurrence and obvious importance. Risks for HCAI in veterinary medicine cannot be denied and are increasingly apparent because of improved surveillance and reporting. We have an ethical responsibility to take all reasonable precautions to minimize foreseeable infectious disease hazards, and provide an environment in which personnel and patients are protected from infectious disease hazards so that care can be optimized. Yet, there is often a pronounced mismatch between what we know about risks for infectious disease and our actions. Veterinarians often fail to act on well‐known, universally accepted risks for infectious disease in patients and in people contacting these animals. We must educate personnel so they are well‐versed regarding agents commonly causing HCAI (including zoonotic infections), can identify patients with higher risks for shedding agents and for developing HCAI, have awareness of which procedures and management practices are associated with higher rates of HCAI, and have skill in applying effective prevention methods. We need to develop standardized benchmarks for risks of HCAI in veterinary settings, better understand efficacy and cost‐effectiveness for prevention practices, and develop good educational materials that will promote an effective understanding of risks and prevention methods for HCAI among personnel and the public. We need to buy new clothes for the emperor and be sure he actually wears them!     

“You are not always what you eat”: diet did not override intrinsic nestmate recognition cues in Argentine ants from two supercolonies in South Africa

Nestmate recognition in ants is based on cuticular hydrocarbons (CHCs), which are heritable and may also be acquired from the environment (i.e. diet and nest environment). In Argentine ants (Linepithema humile), diet and a homogenous environment have been shown to affect nestmate recognition by altering the CHC profile and consequently intraspecific aggression. In our study, Argentine ants were collected from field nests representing two supercolonies in South Africa. Individuals were paired in aggression assays and their CHC profiles analysed. The same nests used in the aggression assays were maintained in the laboratory for five months on a shared diet of crickets and sugar water, in soil-free nests. We predicted that aggression between previously aggressive paired individuals from different nests would decrease over time through the homogenisation of CHCs as a consequence of the shared diet and similar nesting environment. Our data showed that ants maintained in the laboratory readily absorbed prey-derived hydrocarbons and experienced a loss in the number of cuticular compounds compared with their original CHC profiles. However, the changes in CHCs did not impair nestmate recognition with non-aggressive paired interactions maintained while previously aggressive paired interactions persisted. The persistence of aggression between previously aggressive pairs despite environmental homogeneity supports the notion that intrinsic nestmate recognition cues are not overridden by extrinsic cues in the recognition system of Argentine ants.