The owner of the pet with cancer

Cancer is an emotionally charged disease. During treatment, it is not uncommon for pet owners to engage veterinarians in frank discussions and emotional confrontations based on their fears and anxieties about cancer. Pet loss counseling skills are invaluable when dealing with clients after the death of their companion animal. Incorporating pet loss counseling into a veterinary practice is pragmatic as well as compassionate because clients who feel that they have received good emotional care in addition to medical care return to the veterinarian with new pets and recommend the practice to others.     

Small animal practice: billing, third-party payment options, and pet health insurance.

Rising veterinary costs can keep some people from accepting necessary medical care for their pets. This article discusses viable alternative financing options. Each alternative comes with its own pros and cons. Practice owners will want to study the offerings carefully to find the best match for their practice and clients.     

Emergency care of invertebrates.

Invertebrate species are commonly kept as pets as well as display and research animals. Clinicians interested in zoologic medicine should be prepared to provide veterinary care for these interesting creatures. This article provides an overview on the critical care of commonly encountered invertebrate species.     

Effectively communicating with your clients

The successful ability to efficiently collect diet histories, convey appropriate health messages, and discuss client concerns about the safe feeding of pets requires excellent communication skills. In addition to understanding what the client wants for their pet, thorough nutritional interviewers gather information pertaining to animal factors, dietary factors, and feeding management factors. With the expansion of the Internet, increasing advances in medical care, and the health concerns associated with pet food recalls, small animal clients are looking to veterinarians for guidance and information on dietary recommendations in ever increasing numbers. Evaluating current information on changes in the pet food industry should be a periodic learning objective for all members of the veterinary health care team. Consistent, effective communication between veterinarians, their staff, and their clients can improve compliance, increase satisfaction levels, and improve patient outcomes.     

Use of complementary veterinary medicine in the geriatric horse.

The use of complementary and alternative veterinary medicine continues to grow within the veterinary community. As more clients seek out complementary and alternative medicine for their own health care, they begin to seek out these forms of therapy for their animals. For the equine practitioner, this includes those clients with geriatric animals. It is hoped that this article provides some insight into what conditions may be helped with CVM (complementary veterinary medicine) and when an equine practitioner may want to consider CVM as a form of therapy for the geriatric horse.     

Home care for the veterinary dental patient

There is a dizzying array of home care products and aids available for veterinary clients to use for their pets. Although it can be confusing for veterinarians to determine which products to use and when, do not leave it up to your clients to decide for themselves. For those animals that need home care, take the time to discuss the situation with the owner and explain what they need to do. Listen to their thoughts and concerns, consider the animal involved, and then customize a program based on the individual situation.     

Understanding feline behavior and application for appropriate handling and management

Feline handling in the veterinary hospital is important to protect both people and cats. Restraint has been used to enable us to perform our duties as veterinarians. With increased knowledge of feline behavior and how cats react to fear, newer information provides us with safer handling techniques. With safer and more respectful handling based on understanding the nature of cats and their communication, we can improve feline health care in our hospitals, the human-animal-veterinarian bond, and the welfare of both cats and people. This article explains important aspects of feline communication and how our actions affect cats. By understanding the cat, we can improve our handling techniques to prevent fear and pain for our feline patients, and thus make our veterinary practices more feline friendly and safer for our clients, their cats, and veterinary staff.     

Promoting the exotic pet practice.

The marketing and promotion of an exotic pet veterinary practice allows the use of strategies that are not necessarily available in other veterinary disciplines. The advantage that an exotics practice enjoys is that it is able to capitalize not only on the unique nature of the species being attended but also on the specialized features of the hospital itself that make it specifically appropriate in caring for exotic pets. Before marketing, however, comes the responsibility that the practice live up to the claims made in promotional materials. A practice cannot ethically be presented as an "exotics" practice if it is nothing more than a dog and cat facility that is willing to attend to exotic pets. It is the competence of the veterinary staff and the appropriateness of the facility that determines the suitability of the practice for exotics management.     

Exocrine Pancreatic Insufficiency in Dogs and Cats: Online Support for Veterinarians and Owners

Pet owners increasingly refer to online sources before, during, and after seeking veterinary advice for their pets. Although some online information is inaccurate or unhelpful, there is much useful material, and we believe much is to be gained by directing owners to online material that supports and complements veterinary advice. With regard to managing veterinary patients with exocrine pancreatic insufficiency (EPI), there is an excellent online community that not only offers moral support and practical advice, but also facilitates clinical research and fundraising. For genetic diseases like canine EPI that affect primarily young animals, but for which a decade or more of treatment can reasonably be expected, online support can greatly facilitate optimal lifelong management. In this article we provide some information that may be of value when veterinarians consider which web sites to recommend to their clients managing patients with EPI.     

Physical examination and preventive care of rabbits.

As rabbits gain increasing popularity as house pets, more rabbit owners are seeking basic preventive veterinary care. Although a knowledge of the unique anatomic and physiologic characteristics of pet rabbits is essential, annual examination and review of diet and husbandry are as important as with any other species. Many disease states can be detected or prevented with routine veterinary care. Despite all the advances in diagnostic testing in veterinary medicine, there will never be a substitute for a complete physical examination.     

Equipping the reptile practice.

Reptile medicine and surgery has advanced so much in the last 15 years, and clients are becoming increasingly aware of the needs of their reptile pets. As such, it is important for veterinary practitioners to advance their education in reptile medicine if they intend to add reptiles as patients to their clinics. Equally important is to realize one's limitations and to not only know when it is time to refer but to find out which practices near them are the best prepared for referral of these unique pets.     

Factors associated with client, staff, and student satisfaction regarding small animal euthanasia procedures at a veterinary teaching hospital

OBJECTIVE: To identify factors influencing satisfaction with procedures for small animal euthanasia and to compare the relative importance of those factors among clients, staff, and students at a veterinary teaching hospital. DESIGN: Survey. SAMPLE POPULATION: 18 nonclinical hospital staff members, 13 clinical staff members, 10 veterinary technicians, 19 veterinary students, and 91 clients. PROCEDURE: Participants were asked to complete a survey that was designed to assess satisfaction with various aspects of the euthanasia procedure. RESULTS: Overall response rate was 48% (151/313). Respondents most strongly agreed with the statements that clients should have the option to be present, that having a private place was important, and that employees should be trained to attend to the emotional needs of the client. When asked to place factors in order of importance, those that were ranked the highest included compassionate and caring attitudes of the hospital employees, the option for the client to be present during the euthanasia, and the client being informed and well prepared. CONCLUSIONS AND CLINICAL RELEVANCE: Overall, all groups (nonclinical staff, clinical staff, veterinary technicians, veterinary students, and clients) identified the same factors as being important in the euthanasia of a pet. Results may help facilitate healthy euthanasia experiences.     

A survey of teaching and implementation: the veterinarian's role in recognizing and reporting abuse.

Many families seeking assistance from domestic violence agencies are known to local humane societies or animal control officials because of previous incidents of animal abuse. This is because pets are often the first victims of family disputes that erupt into violence. Analysis of domestic violence statistics indicates that veterinarians potentially treat hundreds of thousands of abused pets each year. Because veterinarians may be the first or only individuals to have access to abusive family situations, it is it important for veterinarians to be aware of potential signs of abuse of pets and their owners and to be familiar with the mechanisms for reporting suspected incidents of abuse. Thirty-one North American veterinary schools and a sample of large and small animal practitioners in Indiana were surveyed to understand to what degree current veterinary curricula prepare students to recognize abuse of animal patients and human clients and to what extent practitioners recognize and report their suspicions of abuse to appropriate authorities. The data indicate a discrepancy between beliefs about prevalence of abuse and the amount of time spent educating veterinary students to recognize and report that abuse. I hypothesize that: 1) practicing veterinarians are reluctant to report suspicions of domestic family violence directed against animals, children, or spouses for various reasons (e.g., lack of adequate training, fear of litigation, time constraints, fear that violence will escalate, belief that it is not their place to intervene, lack of contact information, fear of losing a client's business); 2) practicing veterinarians (in large and small animal practices) may not be aware that animal patients and human clients may have been abused and being unfamiliar with this diagnosis, are unfamiliar with the mechanism for reporting the abuse, especially when it involves human victims; and 3) veterinary school curricula could be modified so that veterinary students are trained to recognize human and animal abuse, thereby reducing risks to animal patients, other animals in the household, and human clients. I believe that recognition of animal and human abuse is in line with veterinarians' responsibilities to protect animal health, relieve animal suffering, and promote public health.     

Current Trends in Avian Pediatrics

This article is a current overview of the common presentations of avian pediatric cases. The number of avian pediatric cases as well as the sources of the birds has changed dramatically in the last 5 years. The number of pediatric avian cases has substantially decreased and the source has changed from aviculturists to major pet store chains. Four of the more common avian pediatric disease conditions that are treated in veterinary hospitals are reviewed as well as lesser-identified presenting complaints. Behavior as an important aspect of avian pediatrics is also discussed.     

Future directions in training of veterinarians for small exotic mammal medicine: expectations, potential, opportunities, and mandates

Small exotic mammals have been companions to people for almost as long as dogs and cats have been. The challenge for veterinary medicine today is to decipher the tea leaves and determine whether small mammals are fad or transient pets or whether they will still be popular in 20 years. This article focuses on pet small-mammal medicine, as the concerns of the laboratory animal are better known and may differ profoundly from those of a pet. Dozens of species of small exotic mammals are kept as pets. These pet small-mammal species have historically served human purposes other than companionship: for hunting, for their pelts, or for meat. Now, they are common pets. At present, most veterinary schools lack courses in the medical care of these animals. Veterinary students need at least one required class to introduce them to these pets. Currently, there are no small-mammal-only residency programs. This does not correspond with current needs. The only way to judge current needs is by assessing what employers are looking for. In a recent JAVMA classified section, almost 30% of small-animal practices in suburban/urban areas were hiring veterinarians with knowledge of exotic pets. All veterinarians must recognize that pet exotic small mammals have changed the landscape of small-animal medicine. It is a reality that, today, many small-animal practices see pet exotic small mammals on a daily basis.     

Abdominal surgery in ferrets.

Surgical procedures in ferrets share similarities with those performed in other species, but attention must be paid to important anatomic and physiologic differences. As the numbers of these endearing animals kept as pets is steadily increasing, veterinary practices are presented with more requests for a greater variety of surgical procedures.     

Potbellied pig husbandry and nutrition.

Vietnamese potbellied pigs, when appropriately cared for, make excellent pets for some people. However, their proper housing, care, and training is more challenging to the average person than that required for most traditional pets, such as dogs and cats. Failure to feed and house the pet pig appropriately results in the most common health and behavior problems. The obese, intractable pet pig gives little pleasure to a pet owner and appears to lead a very poor-quality life, frequently leading to the pet pig being given away or worse. Preventing health and behavior problems is easy if pet owners are armed with correct information early, either before or immediately after their acquisition of a pet pig. A veterinarian prepared to share this information can save the lives of many pigs as well as keep clients happy and coming back.