Vet Feb 2019

Page 1

FEBRUARY 2019 $6.95 GST INCL.

CLINICAL CASE STUDY Small animal spinal surgery

page 9

MEASURING SUCCESS

What's a good marketing result? page 21

SPECIALIST OR GENERALIST? Choosing your career direction

WIN BIG Just by filling out our Reader Survey page 18

page 15

HOME

& AWAY Pawssum has built a nationwide network of vets on house calls page 24


SuprelorinÂŽ

Dog owners want non-surgical castration.

17%

of owners who had their dogs surgically castrated say they would have preferred Suprelorin as an option.*

Mar 2018

Suprelorin. The benefits of surgical castration. Without the surgery.

*Virbac pet owner (n=955) survey 2016

For more information about Suprelorin contact technical@virbac.com.au 1800 242 100 au.virbac.com


Don’t miss our reader survey on page 18 for the chance to

WIN!

Contents February 2019

9

12

Cover story

House calls

24

Pawssum champions the concept of on-demand vet services delivered directly to the consumer’s front door.

News + events

The latest in the veterinary world

5

Mars Petcare and WSAVA partner up; Sure Petcare launches Animo tracker; vet crossword; and more.

Clinical

Case study

9

Small animal spinal surgery.

15

Your world

Transition to happiness

12

Dr Kate Toyer believes that embracing diversity and inclusion is of huge value to the veterinary profession.

Your business

Which way to go?

15

If you are a junior vet unsure whether to generalise or specialise, here are some things to consider. Measure for measure

21

Creating a marketing campaign is one thing. But how do you determine what marketing success actually looks like?

21

Digital wave

29

Technology is changing the veterinary landscape. Here’s what’s on the horizon and why you need to keep up.

Your tools COVER PHOTOGRAPHY: SUPPLIED

Osteo and joint care product guide

31

Vet Practice magazine brings you the latest products for osteo and joint care. Tools of the trade

44

Reviewed by vets around Australia.

Your life

Life cycle

24

46 Editor Rob Johnson

PRACTICE For all editorial or advertising enquiries: Phone (02) 9660 6995 Fax (02) 9518 5600 info@vetpracticemag.com.au

Associate Editor Kathy Graham

Art Director John Yates

Sales Director Adam Cosgrove

Editorial Director Rob Johnson

Contributors John Burfitt, Frank Leggett, Kerryn Ramsey, Rachel Smith, Angela Tufvesson

4,836 - CAB audited as at September 2018.

46

A 100-kilometre bike ride is just a warm-up for longdistance cyclist Dr Warren Foreman.

Vet Practice magazine is published 12 times a year by Engage Media, PO Box 92, Pyrmont NSW 2009. ABN 50 115 977 421. Views expressed in Vet Practice magazine are not necessarily those of the publisher, editor or Engage Media. Printed by Webstar.

Commercial Director Mark Brown


Give your best friend the

all

AVAILABLE NOW! ✓ Trusted combination of imidacloprid and moxidectin ✓ Make year round parasite protection affordable for your clients

Fleas

Heartworm

Sarcoptes mites*

Ear mites

✓ Simple spot-on formulation for compliance ✓ Stops fleas feeding in 3-5 minutes

Speak to your Norbrook territory manager to find out more! *Registered for the treatment and control of sarcoptic mange in dogs. APVMA approval number: 83601, 83604, 83619, 83620, 83621, 83622. Norbrook Laboratories Australia Pty Ltd A.C.N. 080 972 596 Unit 7, 15-21 Butler Way, Tullamarine, VIC 3043 Customer Care: (03) 9339 4611 Email: moxiclear@norbrook.com.au

Intestinal worms


news

Animo tracker Pet product specialist Sure Petcare recently launched Animo, the lifelong activity and behaviour monitor which learns and accurately interprets the unique behaviour and activity patterns of a dog. Animo delivers insights into a dog’s activity and sleep, as well as problem behaviours. These insights help owners to understand the changing needs of their pet over its lifetime, enabling them to provide proactive and personalised pet care. Animo connects to the Sure Petcare – Animo app via Bluetooth Low Energy (BLE), where owners can set and monitor daily activity goals for their pet, as well as view their pet’s activity and behaviour reports by day, week, month or year. “We can’t be with our pets 24/7, so we have created Animo to give dog owners a window into their dog’s day—not only to tell them what he gets up to when they’re not around, but more importantly to spot changes in behaviour and activity over time, which may signal changes in their pet’s health and wellbeing,” Sure Petcare’s founder and CEO Nick Hill said.

SPARKLING NEW PARTNERSHIP

Clockwise, from top left: Dr Renee Hoynck & Dr Ellen van Nierop, WSAVA; Marta Monetti, Mars Veterinary Health Group; Dr Shane Ryan, WSAVA; Dr Karyl Hurley, Mars Incorporated.

55

Mars Petcare has become a Diamond Partner of the World Small Animal Veterinary Association, building on a long-term relationship with the global veterinary association established by the Waltham Centre for Pet Nutrition, the company’s scientific HQ Diamond Partnership is the premier level available under the WSAVA’s Partnership Program. Under the terms of the new partnership, individual divisions of Mars Petcare will support the work of four of the WSAVA’s key clinical committees. “We are delighted at the opportunity to build an even closer relationship with the team at Mars Petcare and have exciting plans for our partnership,” WSAVA president Dr Shane Ryan said.


news WHERE HAVE ALL THE VETS GONE? Australia’s growing rates of pet ownership coupled with record numbers of veterinarians abandoning the profession has prompted industry leaders from the Lincoln Institute in Sydney to ask the question: is it possible that the veterinary industry simply won’t be able to meet

marketplace demand within the foreseeable future? Nearly 90 per cent of veterinary business owners and managers surveyed as part of a recent industry Think Tank initiated by the Lincoln Institute reported unprecedented difficulty filling vet vacancies, with 41 per cent waiting longer than

six months to fill positions and 18 per cent waiting up to two years or more to find new vets to work in their clinics. A parallel survey of working vets found almost half were considering leaving their current job within the next 12 months, and 37 per cent were

contemplating leaving the industry altogether within the next year. “Vets cited stress in their role, poor work conditions and insufficient remuneration as the leading reasons for their unhappiness,” Lincoln Institute co-director and veterinary surgeon Dr Gary Turnbull said.

VETERINARY CROSSWORD

Test yourself and your knowledge with our Veterinary Crossword! Solutions are on our website at vetpracticemag.com.au/crossword 9. An indicator of pain. (13) 10. Respiratory mucus containing pathogens or debris which is yet to be expectorated. (6) 11. An Allium which some believe to repel fleas. (6) 14. Device to measure urine specific gravity. (13) 16. Structure of incomplete cartilagenous rings joined by annular ligaments. (7) 17. Suffix: Toxic plant containing Atropine so named because a solution made from it was used to make ladies beautiful by dilating their pupils: Bella-. (5) 18. Macula _____; the thickening where the distal tubule meets the glomerulus. (5) 19. Suffix: the fluid which nourishes tissue, or the tissue itself (e.g. par-_____). (7)

ACROSS 1. An ornimental pigeon originating from India, known for its feathered hood. (7) 5. To _____ - an indication for Aglepristone. (5)

7. Cushions soft tissue structures from boney contact. (5) 8. _____ to effect - how one should administer Propofol. (7)

6

DOWN 2. Pertaining to the part of the eye which has two thirds of the total refractive power. (7) 3. Congenital mandibular issue. (13) 4. Scientific journal. (6) 5. e.g Butylscopolamine (Buscopan). (13) 6. Suffix: a scientist would use to describe Goldilocks’ Porridge: Hyper-, Hypo-, Normo-. (7) 7. Author and busker James Bowen’s cat. (3) 10. Salivary gland. (7) 12. Period of infection before clinical signs (e.g. FIV). (7) 13. Facilitates the hydrolysis of Adenosine Triphosphate (abbreviated form). (6) 15. “Bring them straight down.” (1,1,1)


2019 AVA Annual Conference

Super early bird NOW OPEN

• • • • • • •

KNOWLEDGE


UP TO 25 MILLION DOGS WORLDWIDE HAVE URINARY ISSUES AND MORE THAN 50% OF DOGS GLOBALLY ARE OVERWEIGHT 1

2

DO YOU HAVE A NUTRITIONAL OPTION FOR BOTH?

IMMIJ35146/0119

NEW

Veterinary Medical Database Prevalence Analysis, 2008. Association for Pet Obesity Prevention. https://petobesityprevention.org. Accessed July 20, 2018.

1

2

™ owed by Hill’s Pet Nutrition Inc., © 2019 Hill’s Pet Nutrition Pty. Limited. HIMA-CA-18377183

35146 Hills Meta Urinary Stress Trade Ad Canine a4 R5_January 16, 2019 10:09 AM_KH


CLINICAL

*

Case study

Small animal spinal surgery

Dr Marvin Kung BVSc MANZCVS Dip ACVS-SA

Dr Marvin Kung BVSc MANZCVS Dip ACVS-SA, originally from Malaysia, is one of the key board-certified surgeons at Brisbane Veterinary Specialist Centre. He is highly trained and adept at all areas of small animal surgery but has a special interest in surgical oncology and spinal surgery. Dr Kung has performed many delicate spinal surgeries and with his meticulous approach to surgery, and specialised individual patient care, has established his high reputation. Dr Kung is a member of the Australian and New Zealand College of Veterinary Scientists in Small Animal Surgery, a Diplomate of the American College of Veterinary Surgeons and a registered specialist with the Queensland Veterinary Surgeons Board. His special interests in neurosurgery (especially surgery for spinal disease) and surgical oncology are supported by the facilities, equipment and staff at BVSC.

COCO IS A NINE-YEAR-OLD, spayed female Pomeranian from Rockhampton. Dr Marvin Kung had spoken to the referring vet who said she had a history of right thoracic limb lameness for several weeks and had presented unable to bear weight on her pelvic limbs. Dr Kung recommended she be flown to Brisbane Veterinary Specialist Centre (BVSC) immediately. Her neurological condition deteriorated prior to travel to the point where she developed proprioception deficits in her thoracic limbs along with poor bladder function. By the time Coco arrived at BVSC, she was non-ambulatory, laterally recumbent and unable to maintain herself in a sternal recumbency. Neurological examination revealed normal cranial nerve function. She was painful on direct palpation of her cervicothoracic junction, and also painful on lumbosacral palpation. She had superficial sensation present in all limbs. She was unable to wheelbarrow and could hop moderately well in the left thoracic limb, but poorly on her right.

9

Her paw placement reflex was markedly delayed in both thoracic limbs with the right worse than the left. She had good withdrawal reflexes and voluntary motor function in both her thoracic limbs. Her pelvic limbs had poor withdrawal reflexes which was worse in the right. Her patella reflexes were normal to mildly reduced bilaterally. There was good tail tone, and slightly reduced anal tone. The thoracic limb signs were consistent with a spinal cord lesion in the cervical region with upper motor neuron (UMN) signs to both thoracic limbs, but a lesion in this location did not tie in with the lower motor neuron (LMN) signs seen in the pelvic limbs. One of the differentials for the findings would be two separate lesions; one at the L4-S1 region and another at the cervical region of the spinal cord. To confirm these neurological examination findings and to further refine the localisation a contrast enhanced CT of Coco’s entire spine was obtained. This study showed evidence of multiple extradural compressions of the spinal


CLINICAL

*

Coco had a history of right thoracic limb lameness for several weeks and had presented unable to bear weight on her pelvic limbs.

Figure 1: Note the large disc protrusion/extrusion at C6-C7 (yellow arrows) cord over intervertebral disc spaces. The most significant ones were at C6-C7 and L7-S1 (see Figures 1 to 3). Coco’s serious neurological diagnosis was explained to the owners and they agreed that delicate surgery was the only option. It was important to relieve Coco of the pain and discomfort as soon as possible, so Coco underwent immediate surgery to decompress both the C6-C7 and the L7-S1 disc protrusions. A ventral slot surgery was performed at C6-C7 and a large amount of firm disc material was retrieved. A dorsal laminectomy was then performed at L7S1 to allow removal of the protruded disc in that area. The surgery was complex. Foraminotomy was not required as there was adequate decompression post removal of the disc protrusion at L7-S1. Coco’s pain management started as soon as possible and was maintained with a balanced and carefully designed protocol prior to, during and after surgery. Pain control is of paramount importance for spinal cases and this also helps the rehabilitation process. Coco recovered well from surgery and commenced a tailored and intensive physiotherapy and rehabilitation program at BVSC the following day, and in time was able to walk in the hospital’s enclosed grassed area. Coco had rapid and marked neurological improvement after surgery and was able to stand and walk 5 - 10 steps just days after surgery. She went home after a short stay in hospital since her recovery was so rapid, and she continued to improve at home. She is now pain free and active. Good communication and early intervention enabled BVSC to be well prepared for Coco and to ensure she had the best possible care upon arrival and throughout her stay at the hospital.

Figure 2: Sagittal view of the caudal spine – note the multiple disc extrusions (yellow arrows) with the most significant one at L7-S1

Figure 3: Transverse view of L7-S1.Yellow arrows show soft tissue compression at the foramina.

10


Options... Everyone likes having them. Heska is excited to announce that you will soon have more options for your in-house lab. We are bringing our proven money-saving programs and industry-leading technology to Australia. We believe you are spending too much, and we know we can help. Change is always scary, but Heska has been terrific. Not only is testing easier, but we are saving money. Ooltewah, Tennessee USA

Call 1 300 HESKA AU to learn more. Š2019 Heska Corporation. All Rights Reserved. Specifications and appearance may be changed without notice. HESKA is a registered trademark and Element is a trademark of Heska Corporation. AU19AD0302

www.heska.com 1.300.437.522


YOUR BUSINESS

Drs KateToyer and Tara Cashman, with vet student, Erin , intubating a dog in preparation for surgery.


YO U R W O R L D

Dr Kate Toyer passionately believes that embracing diversity and inclusion is of immense value to society, business and the veterinary profession. By Kerryn Ramsey

Transition happiness to

DR KATE TOYER IS A VETERINARIAN, wife and father of three children. For the past three years, she has been living as a transgender woman while running a thriving practice. “I had been conflicted about my gender for most of my life,” says Dr Toyer. “It got to the point where it was simply unbearable and I could no longer keep it a secret. It was a difficult moment when I told my wife—and at that stage she had no idea—that I was not a regular male.” Dr Toyer is now helping others in the profession as the president of the Australian Rainbow Vets and Allies (ARVA), a support and advocacy group for LGBTQI vets in Australia and New Zealand. While ARVA is focused on LGBTQI issues, they also support efforts to promote cultural, physical and neurological diversity. “We know from numerous studies that embracing diversity dramatically improves business, emotional intelligence and happiness of employers, employees and clients,” says Dr Toyer. “At a macro level, embracing a culture of diversity enables new and emerging leaders who contribute different and often novel approaches to problems.” Dr Toyer is putting the word out in one of the wildest, glitziest ways—on a float at the upcoming Sydney Mardi Gras on 2 March. “When the committee approved our float application, that was a real positive for us,” says Dr Toyer. “The Mardi Gras Parade is a

huge deal within the LGBTQI community and a huge deal generally. It will really help spread our message.” Dr Toyer and her wife, Dr Tara Cashman, own and run Eurocoast Veterinary Centre in Batemans Bay, NSW. They started and completed their veterinary degree together at the University of Sydney, dating during their fifth year at university before getting married one year after graduating. Now, after 22 years of marriage, they have three children, aged 18, 12 and eight. Moving to Batemans Bay in 2000, they entered into partnership with a local practice owner. In 2013 they bought out the original owner and have run their small animal practice ever since. Kate had struggled with gender her entire life. She did what a lot of transgender people do—buried her feelings deep. “Finally, in 2011, I had a very, very long conversation with Tara,” she recalls. “There were tears, more conversations, more tears and a lot of soul searching. It was a confusing time but the one thing of which I was convinced was that I was still desperately, completely and absolutely in love with Tara.” The couple reached a point in 2014 where Kate decided to fully transition. The process is fairly gradual with a number of social and medical processes undertaken. Kate began testing the waters, as it were,

13

and started going out in public, presenting as a female. “Towards the end of the transition process, there was a time where I was very much living a dual life,” says Dr Toyer. “At work I was a person called Adam but at home I would be myself, Kate. It became a very difficult dichotomy to maintain.” By early 2015, Kate began taking hormone therapies. The plan was to live as her true self by January 2016. However, things were progressing so well that she started a soft transition in September 2015 by handing out a letter to visiting clients and speaking with her staff. “The letter explained to clients what was happening and what was going to happen. Apart from that, we would look after their animals in exactly the same way. The only difference would be that Adam will now be known as Kate.” The question was, how would the people of this small town on NSW’s South Coast react? “The reaction was overwhelmingly positive,” says Dr Toyer. “In particular, our older clients were fantastic. They’d give me hugs. The most negative reaction I received was people saying, ‘Oh, okay’, because they weren’t quite sure what to say.” Then a little country gossip about the vet started down at the shops. The stories were quite impressive. Adam had left Tara and his sister had come to work at the clinic.


YO YO UU R RB W U SOI R N LEDS S Dr Kate Toyer and her wife, Dr Tara Cashman

Kate was actually Adam’s new wife. “People were trying to construct a narrative from a limited amount of information,” says Dr Toyer. “At this point, Tara and I were not prepared to be on the receiving end of rumours so we emailed our entire client base and put up an explanatory post on Facebook.” From that day forward, everyone knew Adam as Kate. This is not to say that there were no negative reactions. The practice lost a few clients and there were certainly people who expressed their negative opinions. “We hoped that everyone was on board but we also understood that not everyone would be comfortable,” says Dr Toyer. “We made it clear we were quite happy to forward on clinical records to a veterinarian of their choice.” Dr Toyer feels she is now a happier and more empathetic vet who’s much better at communicating with people. Twelve months ago, she set up the Australian Rainbow Veterinary Allies as a support group for LGBTQI people in the industry. The ARVA has been instrumental

in getting the Australian Veterinary Association (AVA) to adopt an Equality Inclusion and Diversity Policy. This policy also includes ethnic, racial, religious and physical diversities. “If you’re a vet or a nurse or a front-office staff member who’s struggling with gender identity or sexuality, I encourage you to be

true to yourself,” says Dr Toyer. “Stop trying to be what you think other people want you to be. Know that you are not alone.” With a successful business, a supportive family and local community, Dr Toyer is like the poster child for transition. As she says, “You’ve only got one shot at this life, so why would you not try to be happy?”

World 1st from

The Stethee Vet, the world’s first AI digital stethoscope… For more information contact Vepalabs on: Ph. 1300 837 252 Email. orders@vepalabs.com.au Web. www.vepalabs.com.au Vepalab-VPM-July-18.indd 1

14

4/7/18 2:28 pm


YO U R B U S I N E S S

If you are a junior vet unsure whether to generalise or specialise, here are some things to consider. By Angela Tufvesson

Which way

to go AFTER AT LEAST FIVE YEARS of university study you’ve finally graduated as a fully qualified vet. Qualified to work in general practice upon registration in your state, that is. For some vets, the completion of undergraduate studies marks the beginning of a career in general practice, while for others it’s a precursor to further study and a specialist career path like feline medicine or radiology.

All things to all animals Most newly minted vets, as well as those who’ve been in the profession for years, work in general practice. Dr Paula Parker, president of the Australian Veterinary Association, says the generalist route offers exposure to a wide range of clinical

experiences as well as a significant amount of independence. “One of the benefits of going into general practice or mixed practice is you get a lot of hands-on experience and you get to see lots of different types of practice,” she says. “You get to see a relatively high case load if you’re in a busy practice and have the chance to be a primary decision-maker on cases.” For vets concerned that a generalist career offers little chance to stand out from the masses, Professor Margaret Reilly, head of veterinary science at James Cook University, says vets working in general practice have a lot more opportunities to upskill than in previous generations. “These days you can practise at a very high level,” she says. “You can get more

15

qualifications as a general practitioner now— there’s more choice than ever. I graduated 31 years ago, and I don’t remember having all these options to obtain extra credentials and memberships.”

Drilling down Professor Peter Irwin, principal of the College of Veterinary Medicine at Murdoch University, estimates about five per cent of vets pursue specialty training, but the numbers are increasing. “The rise of specialists has occurred in the last 10 or 15 years driven by greater affluence of the pet-owning public and the need, interest and capacity to take diagnosis and treatment further,” he says. “This goes hand in hand with a huge increase in


YO U R B U S I N E S S

“One of the benefits of going into general practice or mixed practice is you get a lot of hands-on experience and you get to see lots of different types of practice.” Dr Paula Parker, president, AVA

scientific knowledge about animals.” Vets with a very strong interest in a particular area are attracted and best suited to specialist practice, says Professor Reilly. “They have a passion for something; for example, horses, surgery or feline medicine,” she says. “In my experience, the passion comes first then they think, ‘Maybe I could just do this and nothing else’. I don’t think anyone decides to be a specialist and then decides what it’s going to be in—it’s the other way around.” Specialising, especially in something like small animal surgery or equine medicine, is often perceived as more glamourous than working in general practice but getting there is no picnic. Professor Reilly says a residency—required training that takes an additional three to four years—is as academically rigorous as a PhD. “It is a very tough gig to do a residency and achieve specialist qualifications,” she says. “It’s all-consuming and at the expense of everything else in your life. It’s not an easy undertaking by any stretch. For some people, it’s all they want to do, and they’re driven to

do it but if there’s any doubt in your mind, you would struggle because of how hard it is.”

A starting point Ultimately, most industry experts agree that it’s beneficial to begin your career with a stint in general practice, even if the end goal is specialisation—and especially if you’re unsure which path to pursue. “What we’ve seen a little bit of a trend towards over the last few years is people entering into the specialist pathway earlier in their careers so potentially spending less time in general practice or going down the internship path directly from university,” says Dr Parker. “I found my experience working in mixed practice in a regional town to be incredibly helpful for all of the later roles I’ve had, particularly the experience with a high caseload and also being a person who’s the decision-maker and the driver.” In fact, Professor Irwin says it can be a disadvantage if young vets begin specialty training without working in general

16

practice. “We say to our students to try and work in general practice for a few years to get used to veterinary science and clinical practice, and to meet all the different sorts of people and animals that make the job so interesting,” he says. And once you’ve sharpened your skills in general practice, regardless of whether you choose to generalise or specialise there’s no need to limit your experience to practice environments. Indeed, Dr Parker says a growing number of veterinary careers follow a ‘leapfrog model’ with practitioners applying their skills and experience in a variety of nonclinical settings. “One of the best things about a veterinary degree is it opens up a wide variety of career pathways,” she says. “A lot of specialists, rather than working directly in clinical practice, work in industry, such as in pharmaceutical companies, consultancy roles, management roles and corporate leadership, and there’s a few that work in government roles. Similarly, general practitioners pursue other ways to use their career as well.”


Supported by:


WIN

$1,000 in gift cards for use at JB Hi-Fi

or $2,500 worth of professionally written content for your website, email newsletter and social media. You can choose Simply complete our industry survey for your chance to WIN! We want your feedback to make Vet Practice magazine even better. This is your chance to help us improve and make Vet Practice the best resource it

can be for you. Don’t forget to tell us in 25 words or fewer about a problem in your role or business you’d like us to explore solutions to in an upcoming article. The best answer will receive their

choice of $1,000 in gift cards to spend at JB Hi-Fi or a set of 12 professionally written blog posts, developed from a phone interview with you, to use to market your practice online.

You can take the survey online at vetpracticemag.com.au/survey Terms and conditions are available at www.vetpracticemag.com.au/survey


PRACTICE

Industry Survey TO SUBMIT THIS SURVEY, visit

www.vetpracrice.com.au/survey

to complete online OR fax to 02 9518 5600, or post to PO Box 92, Pyrmont, NSW 2009 1. Name _______________________________________________________ Company name __________________________________________________ Job title ________________________________________________________ Phone number ___________________________________________________ Email__________________________________________________________ 6. Regarding the topics we cover, what you’d like to see more of.

2. What is your age group?

 19 or under  20-29  30-39  40-49  50-59  60-69  70 or over?

Content type

Less

More

Practice marketing (using social media, emailing patients, website, advertising, etc.) Managing staff (recruiting the right team, training, managing staff conflicts, etc.) Equipment guides and reviews

3. Tell us about the veterinary magazines you receive, and how much you read? Title

Don’t receive

Receive but don’t read

Flick through

Read most

Read coverto-cover

Vet Practice The Veterinarian

 Print magazine  Email news on a Friday  Partner offer emails on a Tuesday  vetpracticemag.com.au

Very Useful

Indispensable

Vet Practice The Veterinarian Australian Veterinary Journal Provet Parnters in Practice

8. How often do you access veterinary content online?

 Daily (or more frequently)  Weekly  Monthly  Very rarely or not at all 9. Do you use any of the following social media for reading veterinary content or marketing?

5. Total number of readers per copy of Vet Practice magazine in your practice.

 One  Two  Three  Four or more

 Have a blog on your website  Other ____________________ 11. Have you ever enquired about products or services you’ve seen in Vet Practice?

 Never  Once  Twice  Three or more times.  Check this box if you’d like to receive more information about how to produce content for patients to grow your practice. We’ll also send you ideas for every month of the year FREE of charge.

(tick all that apply)

Somewhat useful

patients and/or prospects

Topical feature such as the business case for being open on weekends, working with patients who are nonEnglish speaking, caring for ageing patients, etc.

ProVet Partners in Practice

Not at all useful

 Buy keywords and online ads  Post content to social media  Buy ads or boost your posts on social media  Send email newsletters to a database of

our content marketing for vets ebook with content

7. Which of Vet Practice's products do you read?

Title

apply).

Profiles of industry thought leaders

Australian Veterinary Journal

4. Please rate the industry magazines according to how useful you find them.

*For terms and conditions go to www.vetpractice.com.au/survey

Industry news

10. To market your practice do you (tick all that

 Facebook  Twitter  LinkedIn  Pinterest  Instagram

12. Lastly, for your chance to win either a $1,000 JB Hi-Fi voucher or $2,500 worth of blog posts for your practice, tell us in 25 words or less your best idea for something we can include or cover in Vet Practice magazine (think about a problem in your job role or business you would love solutions to). The best answer, judged to be the most creative and original, will win.

___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________


Vet-Tome® The atraumatic extraction system that greatly reduces extraction time and saves bone!

The Vet-Tome with its patented technology is unlike any other periotome or Luxator! Today, with the Vet-Tome, I had one of the most satisfying professional experiences of my career! Thank you.” Dr Nick Taylor BVSc(Hons) GPCert(SAP) Dip. Mgt. ESVPS MRCVS (N7011)

See the video of the Vet-Tome in use:

https://youtu.be/UEejzbWjpFY

Vet-Tome®

The iM3 Vet-Tome is an automated electric periotome with foot pedal operation that offers precise tooth extraction with minimal or no alveolar bone loss and less trauma. •

Ultra-thin tips allow easy insertion into the periodontal ligament space on all canine & feline teeth

The flexible tip bends (unlike rigid tips) and follows the curve of the root, the tip (40mm long) will reach the apex of most canine teeth, making it ideal for canine extraction.

The mechanical in and out action of the tip generated by the electric handpiece advances the tip into the PDL reducing the physical work normally associated with extractions

The replaceable tips come from the end of the handpiece (straight out) allowing better access to the tooth unlike other systems where the tip functions at right angle to the Handpiece

The non-twisting action of the Vet-Tome results in minimal tissue damage (see video below) compared to units that reciprocate or use gentle vibration. The Vet-Tome tip does not generate heat

10 adjustable power settings and different sized veterinary specific tips for small cats to large dogs (even lions)

The Vet-Tome operates independently from your air driven dental unit allowing both units to function at the same time, increasing overall dental efficiencies

Educational extraction videos performed by Dr Anthony Caiafa BVSc BDSc MANZCVS are supplied with the system.

Satisfaction guaranteed or your money back -

manufactured by iM3

V2000 Vet-Tome extraction system Complete with 2 standard and 2 heavy S/S tips.

Cat. No V2000

iM3 Pty Ltd - The Veterinary Dental Company | www.im3vet.com.au | Tel 02 9420 5766


MARKETING

Creating a marketing campaign for your practice is just part of doing business. But how do you determine what marketing success actually looks like? By John Burfitt

Measure for

measure THERE’S NO SHORTAGE of effective ideas when it comes to marketing a veterinary business, with initiatives including direct mail, eNewsletters, Facebook advertising, Google AdWords and native content. All of which can work brilliantly, says Carolyn Dean of the veterinary and marketing consultancy Vetsites. But it has to be clear what kind of a result is necessary to make the whole effort worthwhile.

“It’s not rocket science, but the need to track the results of a campaign is something that still confuses many veterinary practices,” Dean says. “The main mistake I see is people put their marketing out there without any idea if it is working or not. “It’s a matter of focusing on two numbers—the cost of your campaign and the return it gives you. You can’t do one without the other, as it won’t tell the true

21

story if your marketing has paid off. There is no point doing the shiny and flashy new campaign if you don’t track the number to determine how it performed.” Dean claims marketing needs to follow a 3:1 ratio—for every $1 spent, it needs to return $3 to make it worthwhile. “This provides a realistic base to work with,” she advises. “You may have spent $200 on a letterbox


MARKETING

drop, and only got new one client, but if that new client is worth $600 of business in that first year, and then becomes a lifetime client in the years to come, then that campaign was a great success—and yet, only attracted one new client.” Dean suggests keeping a comprehensive spreadsheet for each campaign. “The spreadsheet details what the marketing is, what it costs, how many clients it got in, the value of that client and the return on the investment,” she says. With online campaigns, tracking can be as simple as looking at clicks on a ‘Contact Us’ page, what traffic social media is to the practice website. Dean adds, “This is why taking a long look at the numbers you are dealing with is so vitally important.” Dr Diederik Gelderman of the Turbo Charge Your Practice consultancy estimates most well-managed practices usually spend one per cent of their annual turnover on marketing, and yet many businesses he deals with spend far more. “And they don’t need to,” Dr Gelderman says. “It’s a matter of having a system so that every piece of marketing you’re putting out there is trackable. It could be a Facebook offer, a Google ad or a direct mail coupon, but you should know when each new client arrives on your doorstep how they found you. Most practices don’t do that, and so there is a lot of guessing going on with how their marketing efforts perform.” One recent campaign Dr Gelderman says has achieved great results with his veterinary clients is that targeting new home buyers in the area surrounding a clinic, through a direct mail offer. Included in the mailout is coupons, each with a particular offer for the family pet, like a free worm tablet or $20 off a vaccination. When the new client arrives to take up the offer, they hand over the coupon with a code on it. “We are seeing a result of an average of 3.5 new clients coming in the door a week, and that is wonderful as all it costs is printing, an envelope and the stamp,” he says. “Through the coupon colour and its particular code, we can track exactly how those people found their way to the clinic. By then offering great service, the vet should do everything they can to turn that person and their pet into a lifetime client so they keep coming back—that’s where value is.” It is understanding how the cost of the campaign compares to the financial results brought in by new clients that is key, Dr

“The need to track the results of a campaign is something that still confuses many veterinary practices. The main mistake I see is people put their marketing out there without any idea if it is working or not.” Carolyn Dean, Vetsites

Gelderman adds. “Your campaign may have been a great success, but the problem is in how those figures are interpreted,” he says. “I have had some practice owners send out 100 letters and want 40 people rushing through the door, which is totally unrealistic. This is when you need to look at the numbers and if you find that for every $1 spent, you got $10 through the doors, then you’ve done well.” Caroline Ucherek of CJU Medical Marketing believes tracking online results is far easier due to the analytical data that is available through Google and other social media platforms. “Where this can fall down, however, is with the lack of tracking of that lead once it’s landed internally and determining the conversion level,” she says. “This can be a sticking point with good leads that are delivered but then there’s a failure to follow through. Ideally, we want to see a client converting around 40-50 per cent of their online leads into new business.” Having one person in the practice whose job it is to track campaign results can centralise the whole experience, Carolyn Dean adds. It also makes maintaining the data for future campaign analysis more streamlined. “Whoever is responsible for dealing

22

with clients needs to make it part of the procedure, finding out how the clients who ring in, send an email or walk through the doors are communicated with,” she says. “There has to be a system in place, maybe as part of the management software system or even a tally on a piece of paper next to the phone. If your staff have kept good records, you can clearly tell what the return on that investment has been and how that campaign has worked, or not.” Being flexible is essential to achieving success, adds Sonia Ceri of the consultancy Four Drunk Parrots. Ceri says it’s a matter of paying attention to the tracking to see what is working and responding appropriately. “Testing is probably one of the most powerful tactics in marketing, so you might have two different landing pages or two different email subject lines, and then you determine which has the higher conversion rate,” Ceri says. “You ditch the one you don’t need and move forward with the one that works. You do the same with your ads, whether that is online or offline. “If something doesn’t work, have enough alternatives to work with to find success. Then keep testing different ad copy or images or target audiences until you find that sweet spot that resonates, leads to enquiries and ultimately converts into sales.”


Over 2500 Veterinarians can’t be wrong! That’s the number of Veterinarians that chose an iM3 CR7 for their practice. The number 1 choice worldwide for CR Veterinary Dental Imaging is as clear as the images from our CR7. •

Highest resolution at 25 lp

Largest range of image plate sizes inc size 5.

Ideal for extremities & orthopedic surgery

Veterinary dental software with 10 network licences

iM3 unlimited technical support and in clinic training

Made in Germany

#1 CHOICE WORLDWIDE

I have used a number of DR systems in the past, both in veterinary and human practice (Schick, Sirona, Kodak and Genoray), but I would have to say that the results and image quality that I am getting with the iM3 CR7 Vet is the best so far. The advantages of the CR7 Vet over other DR systems when used in the veterinary environment include a unique range of plate sizes from size 0 up to size 5, which covers all pets from small to large. There is even an intraoral plate for rabbits.”

Dr. Anthony Caiafa

BVSc BDSc MACVSc (SA Surgery and Veterinary Dentistry)

VET DENTAL UNITS | VET DENTAL X-RAY | ULTRASONIC SCALERS | HAND INSTRUMENTS | ACCESSORIES & CONSUMABLES

iM3 Pty Ltd - The Veterinary Dental Company 21 Chaplin Drive, Lane Cove, Sydney NSW 2066 Australia p +61 2 9420 5766 | f +61 2 9420 5677 | e sales@im3vet.com | www.im3vet.com.au


C O V E R S T O RY

Pawssum, a nationwide mobile vet network, champions the concept of on-demand vet services delivered directly to the consumer’s front door. By Frank Leggett

HOUSE A REGURGITATING DOG was the catalyst behind the mobile vet network, Pawssum. In 2016, Guy Sharabi was talking to a friend who was telling him about her stressful day. Her teenage son was at home and their dog was vomiting. Despite ringing around many vets, none could make a house visit. “This astounded me,” says entrepreneur and software engineer Sharabi, who went on to co-found Pawssum with IT developer Barry Green. “These days you can get almost anything delivered to your home on demand so why not veterinary care? I did some research and found there was a gap in the industry for widely available, affordable vet home visits and so Pawssum was born.” Pawssum connects pet owners with home vet services by partnering with local vets. While there was some initial reluctance by vets and clinics to join the platform, they now have more than 150 vets signed up and numbers are growing strongly. At present, the company has a presence in Adelaide, Perth, Brisbane,

Melbourne, Sydney, the Gold Coast and Canberra. One vet who had no reluctance in joining Pawssum was Dr Louisa Fenny. After graduating from Perth’s Murdoch University in 2005, she gained experience at a number of different practices scattered around the north west of Western Australia. She then worked as a locum in London for a couple of years, had a stint in Sydney, returned to Perth and then back up to the north west again. During this time Dr Fenny also worked as a mobile vet and even though she enjoyed the experience, she never had the time to market herself properly in order for it to be a viable business. Then, while living in Fremantle, Dr Fenny came across Pawssum. “The idea made perfect sense,” says Dr Fenny. “It took the hassle out of setting up the business, finding the clients, and doing all the booking and invoicing. Pawssum does all that for you. I signed up on the day I read about it and I was getting clients the following day.”

24

Photography: Supplied

CALLS Dr Louisa Fenny joined Pawssum as soon as she heard about it.


“Working as a vet with Pawssum really suits me. I love the flexibility to work the hours I want and to develop the business as my own, but with the full support of Pawssum.� Dr Louisa Fenny, vet, Pawssum


C O V E R S T O RY

How it works Pawssum looks after all the marketing while prospective clients can email or call to organise a house call from a vet. All the vets who have signed up with Pawssum, and who have indicated they are available at that time, have an opportunity to take the job. There’s no compulsion to commit to a particular client, unless the vet chooses to do so. “The Pawssum concept offers absolute flexibility for vets,” says Guy Sharabi. “They can do as many or as few Pawssum house calls as they wish. Many of our vets have stated they have finally found the work-life balance they craved.” Pawssum actively encourages feedback from their participating vets and have discovered they are attracting many who had previously left the veterinary industry to work in other sectors. It is also popular with underemployed vets who can’t fit in with the working hours of a traditional clinic. Similarly, established mobile and full-time vets have signed up to the platform as a way to generate extra income. Even though mobile vets have been around for a long time, Pawssum’s integrated national network is a first. “The general public are aware that mobile vets exist but it can be quite difficult to physically find one,” says Dr Fenny. “When a mobile vet operates independently, the client needs to match up with their availability and location. When clients use the Pawssum call centre or the app, our bookings person has a whole network of veterinarians at their fingertips. Clients can quickly be matched with whichever vet has the availability in that specific area. It makes the booking process incredibly streamlined.” Dr Fenny was so impressed by the Pawssum concept, organisation and usability that she’s now working as the WA state manager for the organisation. “We knew setting up this national mobile vet network would be no easy task,” says Sharabi. “We succeeded thanks to our extensive IT experience. Now Pawssum is being embraced by pet owners and vets who were looking for a new way of working.”

Transforming the industry Guy Sharabi believes that Pawssum is

transforming, and even disrupting, the industry—in the best possible sense of that word. He sees the future of the vet care profession in a composite-style structure where mobile vets cater to the growing demand from pet owners for athome care. When on-demand services and traditional services successfully coexist, consumers are provided with better options in the one market. “We’re an adjunct to the veterinary industry,” says Sharabi. “There will always be a need for conventional vet practices and we work hand in hand with them. The industry is evolving because consumers are demanding convenience and flexibility in the way they seek health care for their pets. The growth in demand for home vet visits is a natural progression.” Of course, not all veterinary situations can be resolved with a house call. In some cases, the animal must be transferred to a clinic, surgery or hospital. “Pawssum has relationships with a number of vet clinics that we use for referrals,” says Dr Fenny. Sharabi explains, “Pawssum’s referral clinics also receive a new income stream by being in partnership with us so there’s a big upside for those who embrace our platform. Some partner veterinary clinics have increased their bottom line by about 30 per cent which is very positive.” Vets have complete freedom in the way they choose to treat the animal. They are free to use their own medications and to develop their own charging scale, depending on agreement by the client. The control stays in the hands of the vets, not Pawssum. The Pawssum model offers a fundamental change in the way veterinarians see themselves in the profession—a natural progression based on consumer demand. “We’re a new choice for vet employment,” says Sharabi. “Due to the demand from consumers to get goods and services of all types delivered to their front door quickly, we’ll be able to provide many more veterinarians with this new work option.” In the future, vets will no longer need to own a bricks-and-mortar building or a mobile vet clinic. Pawssum makes it simple to work for yourself without the associated stresses of business ownership.

26

Pawssum co-founder Guy Sharabi says vets can enjoy absolute flexibility.

“The Pawssum concept offers absolute flexibility for vets. They can do as many or as few Pawssum house calls as they wish.” Guy Sharabi, co-founder, Pawssum


Freedom of choice “Ultimately, many vets just want to get back to what they love doing best— treating pets and supporting their owners,” says Sharabi. “The on-demand economy is the norm these days, and consumers are expecting it with almost any goods or services they consume. Additionally, as our vets go into the home, they can identify health and behavioural issues linked to that particular environment. Often this connection can be missed during a visit to a clinic.” Working as WA state manager while undertaking house calls on the platform certainly gives Dr Louisa Fenny an accurate insight into how the company works for their many vets. “As state manager, I support the vets and vet clinics as they come on board,” says Dr Fenny. “I’m also involved with business development, helping to improve the way the business operates to look after our vets and also our clients. “Working as a vet with Pawssum really suits me. I love the flexibility to work the hours I want and to develop the business as my own, but with the full support of Pawssum. It’s also really nice to be able to take my time with the pets and the client. It’s almost impossible to get to know an animal in the rush of a 15-minute consultation that is required at most clinics.” Another big advantage of the Pawssum model is the ability to access and share an animal’s medical records. Sharabi explains, “Sharing a pet’s medical information securely between practitioners is one of our commitments to improve pets’ wellbeing and assist vets with diagnostics. It means that even if your local vet is not open when your pet needs care, all your pet’s medical records are able to be accessed. The information is stored and accessible on the Pawssum app and associated technology. Guy Sharabi says he sees the future as very positive. “Our model is bringing back established vets into the industry who’d left their careers behind," he explains. "It’s giving established and underemployed vets more options in the veterinary industry. The fact they can now choose when to work and what type of work they undertake is driving this trend and we’re proud of that.”


A 97% LIKELIHOOD OF WEIGHT LOSS 1, 2*

ROYAL CANIN速 SATIETY速 DIETS The weight management diets backed-up by the most scientific evidence Peer-reviewed field studies, performed with the University of Liverpool UK have shown ROYAL CANIN速 SATIETY速: > induces successful and safe weight loss > promotes satiety and reduces

begging behaviour

> preserves lean body mass

during weight loss

> maintains stable body weight

after weight loss

> improves quality of life

www.royalcanin.com.au *On completion of a 3 month weight loss programme 1. Flanagan J et al. Success of a weight loss plan for overweight dogs: the results of an international weight loss study. PLoS One 2017;12(9):e0184199. 2. Hours MA et al. Factors affecting weight loss in client owned cats and dogs: data from an international weight loss study. Proc of 16th Annual AAVN Clinical Nutrition and Research Symposium; Denver (USA); June 8, 2016.


T EC H N O LO GY

It’s no secret that technology is changing the veterinary landscape. Here’s what’s on the horizon and why you need to keep up, writes Rachel Smith

Digital

wave ASK ANY VET WHO’S been in business over 30 years or more, and they’re likely to have seen a lot of changes in their time—not least on the tech side. A growing pet wearables industry, hi-tech in-clinic monitoring, an expansion in telemedicine and on-the-ground technological advances to help your practice run more smoothly mean the veterinary industry is undergoing a rapid transformation. That said, technology and the internet has also put a huge amount of information at the fingertips of pet owners, and that’s not always a good thing—so it’s even more imperative that veterinarians stay one step ahead of the curve.

The importance of a tech-savvy practice While adopting new technology in your

practice can be a learning curve, it’s key in maximising profit and boosting efficiency. New systems might include using cloud technology for online bookings, staff rosters and patient records (accessible both in the practice and on a device if you’re working on an emergency call-out). It might mean putting automated customer reminder SMS messages in place. And if you’re yet to get a website—well, you should, says Darren Hobbs from Vet Web Marketing. “Ten years ago, you’d maybe find a handful of veterinary practices that had a website,” he explains. “Now, having a website is like making sure you have a front door at your business. In terms of other tech, I do think more practices could benefit from using email marketing and ensuring their clinic’s website is SEO-optimised. Overall, it’s paramount these days to use technology

29

to advertise your business and streamline your backend processes. If you don’t, you run the risk of falling behind. Remember Toys “R” Us? Their lack of online presence and under-utilising technology to provide a better customer experience was a contributor to their downfall—and we all know what happened there.” (If you missed it, this time last year, Toys “R” Us went into liquidation and closed thousands of stores around the world.)

The rise in telemedicine Telemedicine for pets is nothing new, but better broadband services and the rise of the smartphone has meant the industry is expanding quickly—and savvy vets who offer Skype consultations for remote clients or those who can’t make it into the clinic can open up another potential income stream for


T EC H N O LO GY

their practice. “In the ‘human’ space it’s estimated that six billion people will have access to telehealth services by 2025, so it’s only natural they’ll want the same convenience and value for their pets,” says Dr Claire Jenkins, CEO and founder of Vetchat, an online vet consultation service which employs seven vets who work from home (outside of their clinic hours) fielding calls from pet owners with an issue. Dr Jenkins started Vetchat in a bid to make quality pet care more accessible. “There’s no doubt that a hands-on examination of a patient is the gold standard—and in emergency situations telehealth isn’t appropriate, but it’s a complementary offering to bricks and mortar services,” she explains. “And, in areas or times when there is no contactable vet, at least pet carers can receive support that is not available otherwise.”

Wearables It’s a fact that we’re all more data obsessed than ever—and the global demand for pet wearables isn’t going away any time soon. In fact, the market is projected to be worth US $2.3 billion by 2022—thanks to advancements in wireless area networks, sensors, and smartphone digital maps. Could pet owners start to demand that vets personalise care for Fluffy the dog based on her Fitbit data? Dr Jenkins thinks so. “As wearables technology improves and cost reduces, pet parents will have easy access to these monitoring devices to detect changes in lifestyle and vitals even earlier, leading to veterinary intervention and further improving health outcomes for pets.”

Perioperative monitoring A B2B tech solution is also on the way that’s set to take the guesswork out of hi-tech animal monitoring in a clinical environment. Founder Gabrielle Browne from The Wireless Zoo is soon to launch a perioperative monitoring device that she says is set to solve a big problem for vets. “Forget probes, lineal clips or trying to find a place on the animal to connect the device,” she explains. “The pet wearable we’ve developed will enable vets to monitor animals while they’re awake. They can put the device on the animal when it comes in and measure key vital signs wirelessly such as heart rate, pulse oximetry, and internal

“The pet wearable we’ve developed will enable vets to monitor animals while they’re awake. They can put the device on the animal when it comes in and measure key vital signs wirelessly.” Gabrielle Browne, founder, The Wireless Zoo

temperature and get better baselines on that animal. The device can stay on through surgical procedures to compliment current monitoring methods and will continue to monitor post-surgical in recovery or remote recovery at home.” Currently this type of monitoring might be done by staff, so it’s set to make your practice more efficient, explains Browne. The other plus is that device will collate breed or drugspecific data, surgery-specific trends and other analytics which will all feed into a global cloud database. “We’ll then be able to gear research and treatments towards certain things that might be breed-specific—so you might

30

find a certain medication works better on a certain breed.” The device will also create a better revenue stream for vets as they can show the owner why there’s a monitoring charge. If the monitoring continues remotely at home, vets can still charge a fee and receive instant alerts which will also save on staffing costs. Pet owners will also save money on overnight vet stays. “There are so many more opportunities these days thanks to technology cloud-based services, and remote wi-fi,” says Browne, “and because all of this is now getting more streamlined and accessible, it’s a given that it would filter into the animal industry.”


A DV E RTO R I A L

Osteoarthritis and joint care product guide Vet Practice magazine brings you the latest products for osteo and joint care 31


A DV E RTO R I A L

Osteoarthritis and joint care product guide

MultiRadiance ACTIVet Pro Laser – A success story! The appeal of REM SYSTEMS’ MultiRadiance ACTIVet Pro Laser could be seen on the condition of Barry the Dalmatian, a resident at Noah’s Crossing Vet Clinic. Five months previously, Barry had suffered an injury that rendered him paraplegic. One side effect of his condition was incontinence and bowel control issues. “We were doing things like massage and physical therapy, but Barry’s general condition was quite poor and he was a bit stressed too,” explains head nurse and practice manager Joanna Chaplin. REM SYSTEMS representatives demonstrated the Unwinding technique, which is a five-minute technique involving the MultiRadiance ACTIVet Pro Laser. Unwinding can help relax animals that are feeling unhappy or anxious through helping the body release its natural endorphins. “We did find that it worked really well in helping him relax more,” Joanna said. At the end of the five-minute session, Barry was much more relaxed and a little playful. He became interested in a blanket hanging up so one of the nurses got it down and put it in front of him. He dropped his front legs down so he could rub his face in the blanket and began playing with it. Joanna said that this was the first time since Barry’s accident he’d showed any signs of playfulness. The MultiRadiance ACTIVet Pro Laser can also improve post-surgery recovery through pain management, reducing swelling and inflammation. It can also improve range of movement, help with osteoarthritis treatment, hotspots, lick granulomas, lumbosacral disease, muscle spasms, functional strength, oedema, otitis, anal sacculitis, and tissue repair. As Joanna explains, “On Barry’s surgical site, months down the track, he still didn’t have hair growing. But, once we started using the laser we got hair regrowth. He also seemed to be fuller in his muscles and did start to show promise in that he had a better kick sensation. His perception of touch had come back as well.” Jo and her team gave Barry daily treat-

Barry the Dalmatian receiving rehab at the Noah’s Crossing clinic. Above: The ACTIVet Pro laser. ment and he responded very well. His demeanour improved almost immediately and more importantly after several weeks, Barry was able to hold his bladder and would signal that he needed to use his bowel. Noticeably, muscle tone that had been loss started to come back. The range of positive results come from an increase in circulation prompted by the laser, Joanna explains. “My understanding is it’s helping nerves at that cellular level. I think it helped with that firing and that cellular feed to the muscles. When you’re stationary, you’re not getting oxygen and blood supply to the muscles, so I think it helps with that as well.” Joanna and her rehab team also had excellent successes with animals they used laser on from osteoarthritis cases, cruciate ligament surgery recovery, general pain and other cases. Dr Chris, the owner, saw the excellent successes in improving

32

patient outcomes in rehab, post-surgery and osteoarthritis cases his team had been obtaining with the same ACTIVet Pro Laser. As a result, he decided to invest in an ACTIVet Pro for the clinic plus two My Pet Lasers which can be rented to clients to do home based treatment that is prescribed by the vets. “In our rehab centre, we see a lot of cases where dogs can’t rely solely on medications for pain management during therapy,” says Joanna. “The gold standard is always to do surgery, but there are always cases where that can’t happen, and we’ve got to manage those dogs. A combination of hydrotherapy, weight management and the laser is working very well for us. ” For further information on how the ACTIVet Pro can work for you, please call REM SYSTEMS on 1800 737 222 or Email: info@ remsystems.com.au


PRO

TM

LEARN MORE ONLINE

50W

300%

900%

OF PEAK SUPER PULSED LASER POWER

MORE TOTAL POWER THAN THE ORIGINAL ACTIVET

OF PEAK SUPER PULSED LASER POWER

VALIDATED Multi radiance technology has proven its technology works without limitations!

OPTIMISED The ACTIVet Pro has been optimised to safely deliver the most light to deep tissue and facilitate absorption.

UNRIVALED In clinical studies, Super Pulsed Lasers beat Class IV Lasers in safety, controlling inflammation, pain mitigation, infection control and wound care.

300

Placebo 200 Super Pulsed Laser

Post

100

1h

12h

24h

36h

48h

* An elevation of CK levels is an indication of muscle damage De Marchi, T. et al (2014). Phototherapy in skeletal muscle performance and recovery after exercise: Comparison between three different devices commercially available. J ATHL TRAINING [in preparation]

*

Class IV Laser

CK Activity (U.L -1)

400

Please call

1800 737 222 to schedule a demonstration today!

Super Pulsed Lasers are highly effective Class IV Lasers perform worse than placebo

Proudly supplied by


A DV E RTO R I A L

Osteoarthritis and joint care product guide

Hill’s j/d™ – Evidence you can see It is estimated that osteoarthritis (OA) affects up to 20% of dogs over one year of age, and 50% over the age of 10.1 Risk factors include increasing age, rapid growth, being of a large breed, genetic predisposition, lifestyle factors, obesity and trauma.1 Given the widespread nature of the problem and the extensive range of products available, all claiming to help, where do we start? As veterinary professionals, we combine evidence with our clinical experience to determine the best treatment for each individual pet. All of this was very much top of mind for Rebecca, a veterinary nurse in Queensland, who was faced with this very circumstance with her own dog, Bella. Bella is a 9 year old Bull Arab that has had spine and hip issues since she was six weeks old. By by the age of 3 years she had damaged both cruciate ligaments. Recently while looking for additional ways to help Bella and after considering the evidence provided to her by her Hill’s Territory Manager, Rebecca decided to try Hill’s™ Prescription Diet™ j/d™. After 6 weeks, this is what she had to say: “This is the first time in six years that Bella has not needed additional antiBelow: Lexi has been able to maintain her quality of life despite having Osteoarthritis.

(Above left): Bella the Bull Arab had spine and hip issues her whole life. (Above right): Bella is now able to exercise comfortably without the need for extra pain relief. inflammatory or pain relief after exercise. I truly believe j/d™ has given Bella more bounce. She looks years younger already.” Michelle, a nurse in Adelaide was looking for long term management options for her Boxer Lexi. “Lexi was diagnosed with elbow dysplasia at just one year of age and having already developed osteroarthirits we were looking at having to put her on long term medication,” Michelle says. “She has now been eating j/d for five years and is still acting like a puppy, with no signs of discomfort! j/d has meant that Lexi has been able to maintain her quality of life.” For those not familiar with the ‘why’ behind j/d—it is the eicosapentaenoic acid (EPA) technology and high overall Omega-3 levels are the reason the Hill’s foods (Hill’s™ Prescription Diet™ j/d™, Hill’s™ Prescription Diet™ Metabolic plus Mobility, Hill’s™ Prescription Diet™ k/d™ plus Mobility) work so well. In high concentrations, EPA switches off the genes coding for the production of aggrecanases, the enzymes responsible for breaking down cartilage in arthritic joints. EPA thus helps limit ongoing

damage in arthritic joints, as well as having good anti-inflammatory properties. A recent independent review2 looked at the efficacy of nutraceuticals commonly used for the treatment of OA in horses, dogs and cats. It found that the only nutraceutical with convincing evidence was eicosapentaenoic acid (EPA) for the management of OA in dogs.3 There were four canine EPA studies, and they were the only ones which met the authors’ criteria for quality and evidence—all of the other studies, including those on glucosamine, chondroitin and green-lipped mussel, either had design flaws or inconsistent results, or both. It just so happens that all of the EPA studies were conducted by Hill’s when researching the benefits of Hill’s™ Prescription Diet™ j/d™ Canine. To find out more about the studies supporting the efficacy of j/d, check out the blogs written by Dr Annabel Robertson, Hill’s Technical Services Veterinarian at https:// www.myhillsvet.com.au/blog/2018/06/ or contact the Hill’s HelpLine (1800 679 932) or your local Hill’s Territory Manager.

References: 1. Pfizer Inc. research, www.rimadyl.com. Data on file at Hill’s Pet Nutrition, Inc. 2. Vandeweerd J, Coisnon C, Clegg P et al. Systematic review of efficacy of nutraceuticals to alleviate clinical signs of osteoarthritis. J Vet Intern Med 2012;26:448-456 3. Roush JK, Cross AR, Renberg WC et al. Evaluation of the effects of dietary supplementation with fish oil omega-3 fatty acids on weight bearing in dogs with osteoarthritis. J Am Vet Med Assoc 2010;236:67-73

34


Arthritis Care When You’re Not There in 2 simple steps

1. Provide Provide patients with your usual osteoarthritis treatment in clinic

2. Support Support your management plan TM TM with Hill’s Prescription Diet TM j/d at home

For more information go to MyHillsVet.com.au or speak with the Veterinary Consultation Service: 1800 800 733

™Trademarks owned by Hill’s Pet Nutrition, Inc. ©2018 Hill’s Pet Nutrition Pty Limited. HIMA-HB-1883C73E


A DV E RTO R I A L

Osteoarthritis and joint care product guide

Antinol® wins over vets Since its launch onto the Australian market in early 2018, Antinol® has become a keystone in arthritis management protocols for hundreds of veterinary practices. Antinol® is the latest advancement for a multimodal approach to canine osteoarthritis management, offering veterinarians an effective, safe and versatile long-term option. Randomised controlled trials have demonstrated the efficacy of Antinol®. Research is ongoing with force-plate gait analysis alongside NSAIDs being a priority in the last few years and into the future. A major benefit of Antinol® is safety studies have shown no side effects for longterm use. There are no contraindications* for Antinol®, so it can be combined with NSAIDs, Cartrophen and other osteoarthritis products for enhanced case management options and patient mobility outcomes. The

Feedback received from Australian vets has shown that Antinol® is being used in the following ways: 1. As a first line choice for patients newly diagnosed with osteoarthritis 2. To enhance osteoarthritis management for patients receiving cartrophen 3. For any current patient with known joint disease 4. To reduce the reliance on long-term use NSAIDs. 5. Prophylactic use for patients predisposed to osteoarthritis development, such as those with conformation issues like hip dysplasia 6. Pre- and post-operatively for orthopaedic surgery patients 7. As an additional layer of management for patients receiving diets and supplement for joint health 8. For patients starting or currently undertaking a rehabilitation program 9. To improve mobility for facilitating exercise and weight loss in overweight patients 10. For senior and palliative care patients to improve quality of life and comfort

“Over the last 18 months Antinol® has been trialled extensively within my two small animal practices in Sydney with a focus on patients presenting with osteoarthritis and joint pain. My colleagues and I were sceptical of its efficacy to begin with, however we have been pleasantly surprised by the feedback provided by clients witnessing dramatic improvement within the first 7 to 10 days.” Dr Agnes Chiu, Casula Veterinary Hospital active ingredient of Antinol®, PCSO-524®, is a unique marine lipid concentrate extracted from the New Zealand green lipped mussel (GLM) Perna canaliculus. Decades of published peer-reviewed research firmly establishes Antinol® as superior to other natural joint products. The efficacy of Antinol® is due to the patented extraction and stabilisation process used to acquire PCSO-524®. Production is tightly monitored by both government and internal protocols, with full traceability from raw material to finished goods. This proprietary process ensures Antinol® is free of contaminants, such as heavy metals, toxins and pesticides. Antinol® is 100% lipids, so there are no seafood proteins that may result in allergies. It is also salt free, and free of other controversial ingredients such as shark cartilage. Antinol® gives veterinarians an effective, safe and versatile option when it comes to best practice multimodal management of their osteoarthritis patients.

36

Vets have also shared some successful off-label uses for Antinol®. With a unique combination of free fatty acids, sterol esters, polar lipids and carotenoids the anti-inflammatory properties of the lipid profile is being applied by vets to manage skin and coat health, as well as other inflammatory conditions. The use of Antinol with cats suffering osteoarthritis and other inflammatory conditions has also been reported by vets, especially for cases where NSAIDs cannot be used. Antinol for cats is widely used in overseas markets, but it is considered an off-label use in Australia. Antinol® helps vets to deliver gold standard patient care, while also providing the veterinary team additional touch points with clients. Antinol® is available through Cenvet Australia. For any technical queries about Antinol®, contact Dr Cybele May on 0437 214 026, or Dr Adele Blow on 0418 699 106. *Not tested in pregnant and lactating dogs


Discover the possibilities.

www.antinol.com.au * If you are not 100% satisfied with your initial purchase, then please return the product to your veterinarian for a full refund within 45 days.

CV/VPANT-0219

A safe and effective option for managing your osteoarthritis cases‌ and more.


A DV E RTO R I A L

Osteoarthritis and joint care product guide

Happy K-Laser customers look forward to their monthly treatments.

What about breaking the routine in your practice?

K-Laser AU was founded in 2015 by Dr Laurence Oner, a veterinarian with expertise in therapeutic laser and rehabilitation. Trained in the EU and the USA, her vision is to promote the next generation premium veterinary lasers in Australia and New Zealand in order to help pets enjoy higher standards of care. In 2017, K-Laser AU expanded into surgical lasers for human treatment. New affordable options, enhancing happiness and gratitude Nearly all existing patients of your practice, should they be exotics, small animals or horses, will benefit from K-Laser. It also means increased referrals for specific conditions as well as attracting new pet owners looking for the cutting-edge technology they read about on social networks. Faster healing reduces post-surgery complications, enhances pain management for more effective rehabilitation and accelerates recovery of musculoskeletal or sport injuries. K-Laser’s analgesic and antiinflammatory effects offer complementary options to reduce or delay the use of pain relief drugs in chronic cases such as back or neck pain, osteoarthritis, dysplasia and otitis. What better than a client’s gratitude for improving the quality of life of their elderly pet with CKD without side effects?

“K-Laser has become an important part of our practice. It made a big difference clinically and financially. Our nurses are happily getting involved with it. I would not be without it in general practice.” Dr Robert Williams Arundel Vet, Gold Coast Effortless implementation and strong compliance Unlike vaccination and other standard treatments involving needles, treatment using the K-Laser is a comfortable, relaxing and non-invasive experience. Pets love the warm and pleasant feeling of the K-Laser beam. Each treatment session typically lasts around 5 minutes with minimal disruption to pets and owners alike. Good knowledge of photobiomodulation (aka Laser Therapy) is essential. Another decisive factor for a successful implementation is to involve enthusiastic staff in charge of promoting the therapy throughout the practice and educating the clients. Although the K-Laser is designed to be quick to configure, safe and easy to use, a full on-site training with our specialised veterinarian is provided. Staff learn core photobiomodulation principals, safety procedures and practises, covering clinical applications such as recommended protocols, dosage, power, wavelengths and pulsing settings for specific applications. Additional K-Laser training videos, marketing material, continuous education and ongoing clinical support are also available. To learn more about K-Laser contact Erol Oner: Mobile: 0421 169 107 Email: erol@k-laser.com.au www.k-laser.com.au

38

“The K-Laser has been a great additional treatment option for use in our performance horses. It is proving incredibly useful to help keep them in peak condition by managing daily problems such as back and neck pain. It is also a fantastic tool to aid in the rehabilitation of tendon and ligament injuries.” Dr Rachel SALZ Randwick Equine, Sydney “It has helped us grow our practice by bringing new clientele and income streams. K-Laser customer support and service is 5 Stars.” Dr Baron Jonsson Kedron Vet, Brisbane “The K-Laser dramatically speeds up wound healing and aids in pain control in post-surgery applications. Its compactness, portability and interface make it a great device for our nurses to use. The K-Laser is probably one of the fastest return on investment that I have ever bought. I can’t imagine working without laser anymore.” Dr Malcolm Ware The Vet Practice, Melbourne


LASER T H ER APY - K-Laser Performance v2.0 Relief in such cases as back or neck pain, osteoarthritis, dysplasia and otitis.

Laser Expertise

|

P ro d u c t E xc e l l e n c e

|

Dependable Service

LASER S U R G ERY - K-Laser Blue Vet Oral surgery, Dermal surgery, Dermal therapy, Dentistry, Oto-endoscopy surgery Oral Surgery, Dermal Surgery The K-Laser Blue Vet allows improved control of bleeding, greater visibility of surgical sites, reduced surgery times, more precise incisions and fewer complications. Most of the time no sutures are needed due to instant coagulation. Dermal Therapy The K-Laser Blue Vet laser at 445nm offers antiseptic properties while 660nm and 970nm enhances wound healing and increases local vasodilation through photobiomodulation.

Dentistry Dentistry is a growing field in veterinary practice as more owners expect human-grade care for their pets. Polymerisation, endodontics and periodontology are all possible with the K-Laser, offering an increased number of new options to pet owners. Oto-endoscopy Surgery With a specific handpiece the K-Laser Blue Vet can be effectively used for ear surgery.

w w w. k- l a s e r. c o m . a u +61 421 169 107

|

s a l e s @ k - l a s e r. c o m . a u

|

w w w. k - l a s e r. c o m . a u


A DV E RTO R I A L

Osteoarthritis and joint care product guide

Cartrophen Vet :The disease modifying osteoarthritis drug longest on the market Exciting News Biopharm Australia pioneered the veterinary development of sodium pentosan polysulfate as a disease modifying osteoarthritis drug (DMOAD) under the well-known name CARTROPHEN VET. We are a world leader in osteoarthritis treatment with high standard of safety and efficacy. Our products are acknowledged internationally, being approved as veterinary medicines by regulatory authorities around the world in more than 22 countries, where other disease modifying osteoarthritis drug have failed to obtain registration.

Development Biopharm heavily invests in the development of new technologies and employee training. Three members of staff - Íde Kennedy, Conor Nolan and Vivek Bewley— have completed a course in Pharmaceutical and Medical Devices Development. David CullisHill, the Managing Director, has also a Masters in pharmaceutical manufacturing technology. Our Facility We have a state of the art microbiological testing facility. This allows us to perform all microbiological tests involved in the manufacturing of our products. This will

mean a faster turnaround time and a greater reliability on the results. Some of the tests we will be carrying out are Total Aerobic Microbial Counts, Total Yeast & Mould Counts, Pharmaceutical Waters, Bioburden Integrity Testing and Sterility Testing. The testing will be conducted according to British, European and US pharmacopoeias. For more information Call: 02 9389 0000
 Email: info@biopharm.com.au or cartrophen@gmail.com or visit www.cartrophen.com www.twitter.com/CartrophenVet www.facebook.com/cartrophenvet/


Osteoarthritis and joint care product guide

The Parnell difference. Over the last fifty years Parnell has become a leading global veterinary pharmaceutical business marketing products in 14 countries. We have built a fully integrated animal health platform and offer unique digital technology platforms that integrate with our innovative products to offer veterinarians and animal owners superior solutions to their animal health needs.We currently market novel cattle breeding programs as well as osteoarthritis solutions for dogs. Parnell is committed to continued development of innovative products at the highest standard. Our value-added approach establishes us as a business partner with our customers, not a commodity provider. That is the Parnell difference.

Restore your dog’s youthful mobility with Zydax. Zydax is an injectable medication that helps recapture the youthful mobility of dogs with OA. Zydax is a true Disease Modifying Osteoarthritis Drug that targets 2 key signs of OA: cartilage degeneration and inflammation. l Zydax has been shown to protect proteoglycan levels in cartilage and inhibit ADAMTS4. l Safe to use with NSAIDs. l Zydax can be used safely after surgery, upon discharge. Made in Australia. After giving dogs a jump on relieving of the signs of OA with Zydax, we recommend Glyde as a dual joint care treatment for OA.

Support your dogs’ youthful mobility with Glyde. Glyde Chews and Powder is a proven alternative that not only controls the clinical signs of osteoarthritis, but also aids in the improvement of joint health and function in dogs. All-natural environmentally sustainable ingredients proven to relieve the painful signs of osteoarthritis; New Zealand Green Lipped Mussel (GLM), Glucosamine and Chondroitin. l Vet Only APVMA registered nutraceutical. l No shark cartilage. l Made in Australia. Glyde can be taken daily long term to help control the clinical signs of OA between courses of Zydax.

Preserve your dog’s youthful mobility with Glyde! The Glyde Difference:

• Only APVMA registered nutraceutical containing a therapeutic dose of Glucosamine, Chondroitin, and Green Lipped Mussel • Glyde’s ingredients have been scientifically proven to be effective at controlling the signs of osteoarthritis, reducing inflammation, slowing disease progression and restoring the health of the joint. • Natural, environmentally sustainable ingredients • No Shark Cartilage • Tasty, heart-shaped chew for simple dosing • 100% Palatability Guarantee • Only available through veterinarians Want to come and see the difference for yourself? Contact us at infoanz@parnell.com to schedule your opportunity to visit and tour our facility or to organise a lunch and learn for your clinic with our Territory Managers! Phone 1800 665 882

Vet Practice Ad_v1.indd 1

3/27/18 12:36 AM


A DV E RTO R I A L

Osteoarthritis and joint care product guide

ilium Meloxicam: most approved uses across registered species in Australia When providing expert advice to your clients, you need to ensure that you’re offering their animal the best treatment available for pain management. Treatment of pain can be challenging as signs can differ between individual animals, even animals within the same species. It’s important that the behavioural changes are monitored by your clients so that you can tailor the best possible pain-management program for their animal. The newest member of the ILIUM MELOXICAM family is ILIUM BUCCALGESIC OTM, for the alleviation of pain associated with routine husbandry procedures on any occasion where the animal will benefit from pain relief including mulesing, castration, tail docking, lameness, surgical procedures, and even injuries sustained during

shearing. The routine husbandry procedures performed on livestock are necessary,
not just for ease of handling and the convenience of the veterinarian and farmer, but importantly for the productivity and long-term welfare of the animal. The use of BUCCALGESIC OTM has been shown to increase productivity and aids in animal recovery. The responsibility in clinic is to ensure that the animal’s wellbeing is maintained once discharged or in recovery. Due to induced hypersensitisation and neuroplasticity, pain is more difficult to control once it occurs. Administration of ILIUM MELOXICAM before surgery, i.e. at the time of premedication, maximises and extends its efficiency, reduces the overall analgesic requirement, eases patient handling and reduces post-surgical morbidity.

42

ILIUM MELOXICAM has the most approved uses across registered species
in Australia with multiple delivery methods making it a market innovator for NSAIDs in Australia. ILIUM MELOXICAM is available as an injection and oral suspension for dogs and cats, an oral suspension for horses and foals, an injection for cattle and pigs and a solution for oral trans-mucosal (OTM) absorption for sheep and cattle. ILIUM MELOXCAM is proven to alleviate both acute and chronic musculoskeletal disorders and to reduce post-operative pain and inflammation.


That moment when you help best friends reunite There’s nothing else like that moment. That moment when the patient is headed home, and you know his family will follow through on your treatment plan. Because they read it already on your website. They’re the stories you’d like to tell every day.

The team at Engage can help you tell those stories. We create unique content and a strategy tailor-made for your clinic. It gives you a chance to counter the wild opinions of Dr Google. And more than anything else, it helps new patients find you.

Go to engagecontent.com.au or call us on (02) 9660 6995 to find out more.

We’ll help you tell your best stories


YOUR TOOLS

TOOLS TRADE

This month, our vets and nurses review a high-end ultrasound, a portable ECG, a non-invasive laser and a transilluminator.

of the

Philips IU22 xMatrix ultrasound by Dr Mark Booth, Kiama Veterinary Hospital, NSW This is a high-end ultrasound unit that’s commonly used in human ultrasonography practices. The image quality is great and it comes with a multitude of probe options. What’s good about it We most frequently use it for reproductive work, abdominal ultrasonography and guided biopsies. The results can be easily emailed to clients, other staff members and to specialists. If the client is present, we’re happy to let them watch the ultrasound. It’s a simple matter to save all the images so when the client returns to pick up their pet, they can have a look at the results. It’s a nice way to show them value in the procedure they are paying for. Even though it’s designed for human use, the principle is all the same. Compared to some other veterinary units I’ve used, the image quality and depth is far superior. We’re a small, three-vet, mixed practice but we probably use this machine at least twice a day. It even makes simple things, like a cystocentesis on a bladder, much easier. It’s also used regularly to scan abdomens for foreign bodies and tumours. If we’re draining a chest with a pleural effusion, we’ll ultrasound to assist in draining the fluid and to scan the lungs for cancers. It’s a relatively expensive machine to buy but the quality’s there. If you’re using it regularly, it’ll pay for itself. What’s not so good The only difficulty is the cost of probes. We don’t have a specific cardiac probe simply because they are too expensive to purchase. Where did you get it We purchased the machine second hand but new models are available from Phillips Australia (www. philips.com.au).

Veterinary Heart Monitor (ECG) by Dr Nick Hobson, Jonora Animal Hospital, Kurrajong, NSW This is a small ECG unit that fits onto an iPhone or Android device. It allows you to do an ECG instantaneously on any animal you wish. What’s good about it There are no clips, pads or wires. It’s simply placed on the chest of the animal and it starts taking a reading. The ECG trace can be sent straight to your clinical records via the email on your phone. It’s essentially a case that fits onto a smartphone with two contacts on the back. You just need to download an app to make it work. It’s a very good, simple piece of kit. If a dog has a long coat, you may need to take off a little fur to get a reading. However, for the vast majority of dogs, you don’t need to do anything at all. Just hold it against their chest and away you go. It’s very good at not picking up interference and providing you with an excellent trace. It records the results and saves them as a PDF. Then you can just email that to anyone you like. It actually comes with a direct link to the manufacturer, AliveCor, who will have a cardiologist look at the trace if you think there is anything unusual. This unit has been a game changer for me. There’s no need to go through all the hassle of getting an animal in for an appointment and setting up an ECG to get a trace going. I just do it on the spot. What’s not so good This model is only designed to fit iPhone 4s and 5s. I’m ready to update, and newer versions are available but I’m hanging on to my old iPhone until it dies. Where did you get it I purchased mine from Blackmores (www.blackmores.com.au). The new version, KardiaMobile, is available from Alive Technologies (www.alivetec.com).

44


K-Laser CUBE 4 VET

Welch Allyn Finnoff Transilluminator

by Kirra Pearce VN, Kedron Veterinary Clinic, QLD

by Dr Cale Weston, Nairne Vet, SA

The K-Laser is a non-invasive way to give the patient pain relief and encourage increased circulation. It reduces inflammation, enhances tissue healing and works very well with musculoskeletal pain and injuries.

This transilluminator produces a very focused beam of light that we use for eye examinations. It’s such a direct fine beam that it allows us to see very small details in and around the eye.

What’s good about it We frequently use the K-Laser with osteoarthritis patients and for postsurgery pain relief. When there’s an incision, we’ll run the K-Laser over it to increase circulation to the site so it heals faster. Chronic arthritic patients get quite a desirable effect that really helps alleviate joint pain. The laser uses infrared wavelengths that induces a particular photochemical reaction, giving therapeutic benefit to the patient. It interacts on the cells in the immediate area to assist in metabolic recovery. The K-Laser works particularly well on very clean straight incisions by enhancing the tissue healing and encouraging good circulation. There is very minimal risk in terms of safety. The results vary between patients and it can be difficult to tell if the improvement is due to the laser or, say, the therapeutic value of pain injections each month. Some of our clients prefer not to use drugs with their animals and often turn to this first. I’ve found if we start using the laser early in the treatment schedule, the results are very good. It’s definitely been beneficial for my dog who is an osteoarthritis patient at our clinic.

What’s good about it It easily picks up particles on the cornea, abnormal eyelashes, ingrown hairs, and scratches on the eye. It allows us to examine the clear structures and see through the tear film all the way to the back of the eye. We can run a retroillumination test by looking back to the reflective tapetun and watching if the light reflects back normally. If it does, we can be confident that the clear structures of the eye are okay. It uses fibre optics so the light is cool and consistent. The base is a small rechargeable battery to which different heads can be attached. We frequently use the otoscope attachment to examine ear canals. It is actually a multi-use product. The battery has plenty of life and even though we always put it back on the charger after use, it has never gone flat. Generally, the eye examinations only last a couple of minutes but I have used it continuously for over 30 minutes. Most dogs and cats tolerate the light of the transilluminator very well. We start the test at arm’s length, well away from their face and move slowly so they are not too threatened.

What’s not so good Even though it’s a non-invasive treatment, there is a lot of study and training to become adept with the instrument. It’s actually quite a lengthy process.

What’s not so good The only negative is that it is handheld so it can be a bit of a juggling act during the examination. When examining a cat, the light can be positioned right next to your eyeball so you need to be alert.

Where did you get it K-Laser Australia (www.k-laser.com.au)

Where did you get it VetQuip (www.vetquip.com.au)

45


YOUR LIFE

“I rode bikes everywhere from the time I was a school kid until I finished university. I stopped cycling when I started working as a vet and became a real running addict. I was training for a marathon when I sustained major knee damage and that was the end of that. Then I turned 40 and decided I needed to get fit again so I started swimming and undertook a scuba course. “It was one of my daughters who got me back into cycling. We bought her a mountain bike and she requested that I fix up an old bike from my uni days so I could accompany her. We started cycling the local bike paths and I joined some school parents who had a cycling group. When I purchased a new road bike, I felt like I was turbocharged. I joined another cycling group who were a bit more serious. “This was when I really discovered the joys of cycling. It keeps you fit and there’s a real camaraderie among cyclists. Wearing lycra is a great leveller when you’re meeting different people from all walks of life. “Eventually I started entering long-distance cycling events of at least 200 kilometres. In 2015 I entered the Paris-Brest-Paris race which is a

distance of 1200 kilometres. We completed the event in 88 hours and that included sleeping, eating and any breaks. Some people finish in under 50 hours as they choose not to sleep. “For three years in a row I’ve entered the Transalp with a mate. That’s a seven-day race from Germany to North Italy across the Alps. “For me, long-distance cycling is a form of mindfulness. It’s almost like a meditation when you get in a rhythm and focus on your breathing. By the end of the first day, your brain will clear and you can solve all those problems that have been bugging you. As a veterinarian, cycling is great stress relief and helps me deal with the hurly-burly of day-to-day practice. “My cycling adventures have now taken me all over the world—including Khardung La, the highest road in the world at 5800 metres! A while ago, I was discussing an upcoming cycling event with a friend and I said, ‘Is it really worth entering? It’s only 100kms’. That was when I realised I’ve got this disease pretty bad!”

Life cycle

Interview: Frank Leggett

A 100-kilometre bike ride is just a warm-up for long-distance cyclist Dr Warren Foreman of Adelaide Vet in SA.

46


You slog it through the mud. We’ll wade through the numbers

We may not have walked in your shoes but, after 25 years of specialising in the veterinary profession, we certainly understand what you are going through. This experience has enabled us develop a range of products and services that have been designed to meet your specific needs. And in working so closely with you, we’ve learned to be nimble, flexible and innovative. It’s a partnership. While you’ve been honing your skills to help animals, we’ve been honing our know-how to help you.

Car loans | Commercial property | Credit cards | Equipment finance | Fit-out finance | Foreign exchange | Home loans | Personal loans | Practice purchase | Practice set-up | Savings accounts | SMSF | Transaction accounts | Term deposits | Vehicle finance The issuer of these products and services is BOQ Specialist - a division of Bank of Queensland Limited ABN 32 009 656 740 AFSL no. 244616 (“BOQ Specialist”).

BOQS001653 V2 03/18

Visit us at boqspecialist.com.au/vets or speak to your local finance specialist on 1300 131 141.


THEY DON’T CARE WHO’S BEHIND INNOVATIONS THAT MAKE LIFE EASIER Of course not, that’s our job. At Boehringer Ingelheim, we’re committed to developing products that make a difference to animal wellbeing. Take Protech® Bronchi-Shield® ORAL, the only orally administered mucosal canine cough vaccine, for protection against

Bordetella bronchiseptica. Helping take the stress out of vaccinations. Now that’s something we all care about.

Boehringer Ingelheim Animal Health Australia Pty. Ltd. Level 1, 78 Waterloo Road, North Ryde NSW 2113. ABN 53 071 187 285. ProTech® Bronchi-Shield® ORAL® is a registered trademark of the Boehringer Ingelheim Vetmedica GmbH – used under licence. All rights reserved.