Advocate 2015 Issue 4

F V M A ADVOCATE ISSUE 4 | 2015

President's MESSAGE 7 207 Monetary Drive Orlando, Florida 32809 Phone – (407) 851‑3862 Toll Free – (800) 992‑3862 Fax – (407) 240‑3710 info@fvma.org | www.fvma.org

Officers Dr. Richard M. Carpenter President Dr. Richard C. Sutliff President-Elect Dr. Richard B. Williams Treasurer Dr. Donald H. Morgan Past President Mr. Philip J. Hinkle Executive Director

District Representatives Dr. Alex M. Steverson District 1–Big Bend Dr. Julia Conway District 2–Northeast Dr. Marc A. Presnell District 3–Central Dr. Rachel Klemawesch District 4–Tampa Bay Dr. Marc D. Pinkwasser District 5–Treasure Coast Dr. Marta P. Lista District 6–South Florida Dr. Mary Smart District 7–Southwest Dr. James M. Brechin District 8–Northwest Dr. Kelly J. Sloan-Wade District 9–Space Coast Dr. Ernest C. Godfrey AVMA Delegate Dr. Amanda House FAEP Representative to the FVMA Executive Board Ex Officio Dr. James W. Lloyd, Dean UF College of Veterinary Medicine

FVMA Staff

Jennifer Branch Membership Services Representative Sandra P. Brooks Director of Finance Amber Coon Executive Assistant Ralph E. Huber Industry Relations Representative Alssa Mathews Multimedia Art & Design Director Beni Jean Price Membership Services Representative Betsy Pynes Director of Membership & Certification Jason Smith Meetings and Events Planner Ann Wade Director of Communications

2 | FVMA ADVOCATE

Colleagues: Seems like time races along and it was just yesterday that I was writing an update for you regarding goings on at the FVMA. The big event was the AVMA conference in Boston. Attending the House of Delegates is an experience that one needs to observe because words would not do it justice. After observing that for the second time (first time was last year in Denver) it gives me a new appreciation for the efforts and patience of Dr. Steve Shores and Dr. Ernie Godfery. Both of them deserve our appreciation and gratitude.

The conference itself was well done with some 500 displays in the exhibit hall and a variety of events in concert with the meeting. I was able to attend several scientific sessions and the outstanding sessions were “New Vaccination Protocols” by Dr. Richard Ford and “Feline Vaccines and Injection Site Sarcomas” by Dr. Alice Wolf. Both were very informative and helpful. The other session was the AVMA office of Government Affairs with regard to the current issue of compounding of medications by veterinarians for use and dispensing in a veterinary practice.

Other events have been our quarterly Executive Board meeting and the SW Florida, Caloosa Vet‑ erinary Society annual Peter Piper Memorial Conference.

The Executive Board concurred with the formation of a Taskforce to work on a combination of the FVMA Bylaws and FVMA Committee structures and functions. Remembering that it has been far more than 20 years since both have been evaluated, given the growth and changes of the Association over the last seven years especially, we desperately need to evaluate our organization and be prepared to perform in a manner that supports our membership and veterinary medicine in general in this 21st century. The process is in motion and I will do my best to keep the membership informed as we progress through this task.

And lastly, highest complements to Phil and all the FVMA staff for getting the new FVMA website up and running. It has not been without a bug or two, but for a project as involved and extensive as this, all in all the transition has been very smooth. If you have not visited the site yet, I encourage you to do so and wander around all of the features. Get an Icon on your computer desktop so you have easy access and visit the site often. We will be using this and many of the social media features to keep you informed of events at the FVMA. My best greetings to you all and I sincerely hope to hear from you on your thoughts about our new website or any other matter regarding your Association and its work.

Richard M. Carpenter, DVM

In This Issue 3 | In Remembrance 4 | Member Spotlights 8 | Celebrating our Veterinary Technicians 10 | FVMA Call for Nominations 12 | Student Appreciation Day 16 | Secondary Pentobarbital Poisoning 18 | FVMA Legislative Update 19 | Vigilance and Action Produce Positive Results

20 | Update On FVMA Member Service Partnership With First Data Services 22 | Avian Influenza Planning Efforts 23 | FDA Warns About Illnesses and Deaths in Pets 24 | 53rd Ocala Equine Conference 26 | Practice Pulse 31 | Classified Advertisements

In Remembrance

LUIS ÁNGEL COLÓN, VMD, MSC

Dr. Luis Angel Colón of Toa Baja, Puerto Rico, passed away on June 2, at the age of 70.

Published reports of his passing describe Dr. Colon as a Veterinarian of excellence who shared his knowledge about life and healing and was dedicated to his profession as an equine veterinary practitioner and teacher.

Dr. Colón was born in San German, Puerto Rico and grew up to attend the University of Pennsylvania from where he earned his Doctor of Veterinary Medicine in 1970. He received his Master of Science from the Graduate School of Veterinary Medicine, The Ohio State University in 1988, where he also completed his residency in equine surgery. In 1994, he completed his residency in nonconforming equine theriogenology and became certified by the American Board of Veterinary Practitioners in equine practice.

Dr. Colón was licensed to practice in Puerto Rico, Kentucky, Maryland, Pennsylvania and Ohio, and successfully practiced his profession for forty-five years.

He was a faculty member of The Ohio State University School of Veterinary Medicine, and also taught at other institutions in the United States, Central, and South America.

His passing is mourned by his wife, Holly Colón, children, grandchildren and his many friends in Puerto Rico and the United States.

MONICA C. GARCIA- FERNANDEZ, DVM Dr. Garcia-Fernandez, 40, of Pompano Beach, Florida, passed away March 31, 2015.

A small animal veterinarian, she owned Lakeside Animal Hospital in Plantation, Florida. Earlier in her career, Dr. Garcia-Fernandez practiced emergency medicine at Knowles Animal Clinic in Miami. She is survived by her husband, Robert, and two children.

She joined the FVMA in 2004. A graduate of the University of Florida College of Veterinary Medicine, Dr. Garcia-Fernandez graduated magna cum laude with a Doctorate in Veterinary Medicine in 2000. She earned her undergraduate degree with highest honors in 1996. She moved to Broward County to work at Lakeside Animal Hospital in 2001, and purchased the practice in 2003.

Memorials to honor Dr. Garcia-Fernandez may be made toward the St. Gregory The Great Endowed Scholarship Fund and may be sent to St. Gregory The Great Catholic Church, 200 N. University Drive, Plantation, FL 33324.

MICHAEL S. MITCHEL, DVM Dr. Michael “Mike” S. Mitchel, DVM, of Plant City, passed away at the age of 65 on July 25, 2015.

Born in Fair Lain, NJ, Dr. Mitchel attended the University of Miami, then earned his Doctor of Veterinary Medicine from the University of Illinois College of Veterinary Medicine. He was honored with the University of Illinois CVM’s outstanding surgeon award on his graduation from that institution.

In 1981, Dr. Mitchel opened the Suncoast Veterinary Clinic in Valrico, FL and later served clients in East Hillsborough and West Polk Counties as Mobile Pet Medic.

He was both a scientist and an artisan and enjoyed supporting his daughter, Sarah Rae Mitchel, and Durant High School Thespians by crafting props and scenery for their theatrical events. Dr. Mitchel was also renowned in Plant City for his Halloween and Christmas yard displays which included many handcrafted items, and which attracted thousands of viewers every year. www.fvma.org | 3

Member Spotlights AVMA DECLARES THREE FVMA MEMBERS

AMERICA’S FAVORITE VETERINARIANS DR. CHRISTY LAYTON, DR. LASHONN MCNAIR, & DR. MITSIE VARGAS

Dr. Christy Layton

Honored by Dr. Lashonn McNair

Dr. Mitsie Vargas

the AVMA for their contributions to veterinary medicine and to society Remarkably, three of the 20 finalists from among the 500 veterinarians who were nominated in this year’s American Veterinary Medical Foundation’s competition to identify America’s Favorite Veterinarian, were members of the FVMA. The FVMA is proud to offer its congratulations to Dr. Christy Layton of Plant City, Dr. LaShonn McNair of Miami, and Dr. Mitsie Vargas of Winter Haven.

This year’s top 20 finalists were announced in July during the AVMF’s anniversary celebration held at the John F. Kennedy Presidential Library and Museum. They were all declared America’s Favorite Veterinarians at the end of August by the AVMF. Honoring the 20 finalists in this way departs from the competition’s process in the two previous years, when a winner was chosen by public voting in 2013 and 2014. The AVMF announced on August 26 that it had made a decision to halt the competition to choose one winner, and that it would honor all the finalists, because the 2015 online final voting process had been contaminated by cyber-attacks.

The AVMF said the 20 finalists would be sent special certificates of recognition as America’s Favorite Veterinarians.

America’s Favorite Veterinarian competition was launched in 4 | FVMA ADVOCATE

2013 during the 50th anniversary of the AVMF, and the first winner was FVMA member, Dr. Carlos Campos of San Francis Animal Hospital of Spring Hill, Florida. Tim Hunt, DVM, of Marquette, Mich., was the 2014 winner.

The 20 finalists were selected by a judging committee comprised of animal health industry and association leaders as well as bloggers.

According to the AVMF, the nominees were evaluated on their community involvement, ethical behavior, passion for the profession and their connections to pets and their owners.

The AVMF is the charitable arm of the American Veterinary Medical Association (AVMA). For more than 50 years, the AVMF has been dedicated to embracing and advancing the well-being and medical care of animals. Charitable contributions and support to the Foundation help veterinarians care for animals. Initiatives include: humane outreach-animal welfare, education and public awareness, animal health research support, student enhancement and support of the American Veterinary Medical Association and its initiatives. The AVMF, a four-time, four-star-rated nonprofit by Charity Navigator, has awarded more than $10 million in the last decade.

Dr. Christy Layton

Dr. LaShonn McNair

Dr. Mitsie Vargas

Dr. Christy Layton operates Timberlane Pet Hospital and Resort in Plant City, and is active in the Hillsborough VMA, is a member of the Florida Vet Corps and chairs the FVMA Animal Welfare Committee.

Dr. LaShonn McNair’s profile which is posted by the AVMF reveals that she grew up in the small Mississippi town of Gautier, loving animals and knowing they belonged in her life. She was volunteering at veterinary clinics in middle school and was a kennel attendant throughout her high school years.

Dr. Mitsie Vargas received her DVM from Tuskegee University in 1994. Two years later in 1996, she established Orchid Springs Animal Hospital in Winter Haven, FL, an AAHA accredited animal hospital.

After working her way through high school and college as a veterinary technician, she graduated from the University of Florida with a Bachelor of Science degree in animal biology, minor in agribusiness management and sales, and earned her Doctorate in Veterinary Medicine in 2001. After graduation, Dr. Layton initially worked at Noah’s Ark Animal Hospital in Valrico. She opened her Plant City hospital in October 2006.

Dr. Layton has served as vice president of the Hillsborough County VMS and was its president for two years. She is presently the Treasurer of the Hillsborough Animal Health Foundation, and was the FVMA’s Emerging Leader representative at the 2014 AVMA Veterinary Leadership Conference. She received the FVMA Gold Star Award in 2013.

Describing why she is passionate about veterinary medicine for her AVMF profile, Dr. Layton said: “My passion for veterinary medicine arises from the idea that I can not only help improve the lives of animals but also of the humans that love them by just simply being good at what I do. The Human-Animal bond is such an important part of our lives and provides enrichment for all that have this bond. Unfortunately, in our profession, we are presented with suffering animals on a fairly routine basis. Some are suffering due to disease or conditions that no one could have prevented and for those, I work with the owners to craft a medical treatment plan to do what is in the best interest of the pet based on their condition while helping the owners through the process emotionally. However, many we see suffer from neglect and lack of owner education. This is where my true passion for veterinary medicine stems from.

Nothing gets me moving faster or more vocal than to see an animal needlessly suffering because someone chose to not provide proper care for their pets. This is one of the reasons I work so diligently with our amazing local animal rescue groups. As a veterinarian, I am able to play a vital role in the care of the animals during their time with the rescues. I see my job as someone that is the "voice to the voiceless" and I take that very seriously.”

Today, Dr. McNair is a practicing small animal vet in Miami where she has been serving the Miami-Dade community for over a decade.

She became a member of the FVMA in 2011.

A 2004 Cornell Veterinary College Graduate, Dr. McNair completed an internship in Rochester, NY where she rotated through surgery, internal medicine, cardiology, dermatology, ophthalmology, and emergency and critical care fields of study with some of the top specialists in the country. When she moved to Miami, she worked as an associate at Knowles Animal Clinics for eight years before her present practice at Links of Love Veterinary Clinic, which also provides mobile veterinary services to their clients.

Speaking of her passion for the profession in her AVMF profile, she said: “Some people have said that doctors who don’t want to work with people, choose to work with animals. I never understood that statement. I believe that animals bring out compassion in people.

I rejoice with my families when they receive good news about their pets. I weep in their sadness when I deliver devastating news. I hold their hand every step of the way. It feels so good to know that I make a difference in their lives. The bonus is when a pet meets my eyes with his and sort of smiles when he sees me, or runs over back and forth to play a few times when it’s time to leave the office, as though to say, “I’ll see you later, and I like you, but now I gotta go, Doc.” They take a piece of me with them.”

"

the nominees were evaluated on their community involvement, ethical behavior, passion for the profession and their connections to pets and their owners

"

Dr. Vargas was awarded the FVMA Gold Star in 2011. She has been an active member of Ridge Veterinary Medical Society, and has served on the FVMA Veterinary Assistant/Technician Certification Committee.

As the AVMA spokesperson for the Hispanic market, Dr. Vargas has recorded many PSA's and radio interviews promoting responsible pet ownership. She is a certified veterinary journalist, and has recently commenced writing a new blog series, examining how entrepreneurial mothers can build successful businesses and careers, while maintaining a healthy work-life balance.

Her AVMF profile describes a personality who did not allow poverty and hardships to dampen her determination to be a veterinarian. “I was poor, no one in my family had a higher education (mom was a fourth grade dropout), there were no veterinary schools in Puerto Rico and that would mean a language barrier added to the financial one. Thanks to God's grace, my mother's encouragement and my veterinarian mentor, the late Dr. Hernandez, I overcame all those barriers and graduated from Tuskegee University Veterinary School in 1994.”

As to her profession, Dr. Vargas said she is passionate about using the non-conventional sciences in the service she provides to her clients.

“I am passionate about healing animals by utilizing a more holistic approach to their well-being. After practicing for fifteen years, I discovered Traditional Chinese Medicine in 2009 and have been fascinated ever since.

My challenge at that time was attending classes at the Chi Institute while juggling my family and working in my business. In a few years, I passed every examination with excellent grades and earned certifications in Acupuncture, Tui Na and Food therapy. I am currently enrolled in the Herbology course.

This new Integrative approach transformed the way I practice and has opened career doors I never previously considered. I am now teaching Acupuncture labs at the Chi Institute, speaking at the Lameness Conference and best of all, consulting with Disney Animal Kingdom and offering TCVM to their exotic animals.”

www.fvma.org | 5

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Celebrating our Veterinary Technicians

The FVMA joined the rest of the country in celebration of veterinary technicians during National Veterinary Technician Week, from October 11-17, 2015, with the launch of a sustained campaign to highlight the contributions of veterinary technicians to the practice of veterinary medicine.

Executive Board members and association staff determined that the timing of the observance of Vet Tech Week 2015 presented the perfect opportunity for the FVMA to begin its unique outreach aimed at inclusion of other members of the veterinary team into the affairs of the state veterinary medical association. The campaign for vet techs ties in with the goals set in the Association’s three-year strategic plan to enhance advocacy, education, member support, and the strength of the FVMA. As it stands, the FVMA already serves a sizeable portion of veterinary team members employed in veterinary establishments across Florida, which includes technicians, assistants, managers and administrative staff, through the multiple continuing education events and modalities it offers to enhance skills and career development. FVMA also maintains its certification program for veterinary technicians and veterinary assistants, which has certified 1,120 CVTs and 2,259 CVAs over the past four years.

The FVMA Strategic Plan however, envisions an expansion of services purposed at opening the Association to increased and easy access by technicians and other team members, improved communications and involvement.

8 | FVMA ADVOCATE

The veterinary technician campaign kicked off by celebration of National Vet Tech Week, will continue through the rest of the year, and will include features in the Advocate, on the Association’s website, and on social media. It will emphasize the importance of veterinary technicians to the veterinary team, the excellent care and attention they provide to their patients and owners and caretakers, and their dedication and compassion.

FVMA members are encourage to support the campaign by submitting anecdotal contributions about technicians they work with for consideration to be featured as part of the FVMA campaign.

Submissions should include photographs with identifying captions of the subjects and workplaces.

The theme for National Veterinary Technician Week, "Our Passion Shows With Every Species We Touch," speaks of the diversity in experience and patients in the veterinary profession. The FVMA wishes to express, on behalf of its 3,600 members, great appreciation to all veterinary technicians for their essential services.

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NOMINA T NS IO

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FVMA CALL FOR NOMINATIONS 2016 ANNUAL AWARDS

N

omination for the 2016 FVMA service awards is now open, and the FVMA Awards Committee, chaired by Immediate Past President Donald Morgan, DVM, will receive nominations up until January 8, 2016.

The awards honor veterinarians,

team members and citizens in Florida for providing exemplary service to the veterinary profession and for their contributions towards the enhancement of organized veterinary medicine.

The awards committee, comprising five past presidents of the Association, will

consider all nominations and make their selections for the following awards which will be presented during the 87th FVMA Annual Conference scheduled for Tampa, FL from April 14-17, 2016.

Award categories for which nominations are being received award, a nominee must have been an active member of the Association for at least the past 10 years.

Lifetime Achievement Award

To be awarded to a senior active or retired member who has made outstanding contributions to the Association and veterinary medicine. To be eligible for this award, a nominee must have been an active or retired member of the Association for the last 30 consecutive years and must be at least 65 years old. In exceptional cases, the service requirement may be reduced to 25 years.

2015 Gold Star Recipients with Past President, Jerry Rayburn, DVM Left to right: Dr. Gregory BonenClark, Ocala; Dr. Marta Lista, Miami; Dr. Rachel Klemawesch, St. Petersburg; Dr. James Mosely, Jacksonville; Dr. Jerry Rayburn; Dr. Rick Diaz, Doral; Dr. Bob Encinosa, Riverview; Dr. Amanda House, University of Florida.

Gold Star Awards

To be awarded to members who have contributed much of their time and energy to the Association and/or local association for the advancement of veterinary medicine and the profession. In any given year, no more than two percent of the total membership may be awarded a Gold Star.

To be eligible for this award, the nominee 10  |  FVMA ADVOCATE

must have been an active member of the association for at least the past three years.

Veterinarian of the Year

To be awarded to a member for distinguished and unselfish, dedicated service to the Association for the advancement of veterinary medicine and the profession. To be eligible for this

Distinguished Service Award

To be awarded for exceptional achievements and contributions by a member towards the advancement of veterinary medicine and the profession.

To qualify, a member must demonstrate that he/she has been fully dedicated to veterinary medicine and given time and energy beyond reasonable expectations.

To be eligible for this award, a nominee must have been an active member of the Association for at least the past 15 years.

NOMINATION DEADLINE

January 8, 2016 Distinguished Service Recipient, Dr. Russell J. Snyder, Jacksonville, with Dr. Jerry Rayburn.

Citizen of the Year

Citizen of the Year, Mr. Don Thompson, JD, CVPM being awarded

by Dr. Jerry Rayburn This award is to be awarded to any nonveterinarian who has made an outstanding contribution to the advancement of the Association and veterinary medicine.

Certified Veterinary Technician and Team Member of the Year

or any other special team member to the overall success of the veterinary practice operated or staffed by an FVMA-member veterinarian. The criteria for nomination requires that the individual be a fulltime employee of an FVMA-member practice for a minimum of three years and demonstrate the following: • CARING -- Provides animal health care services in a compassionate and clinically appropriate manner.

• COMMITMENT -- Works in support of the employing veterinarian to achieve a high level of client satisfaction and established annual performance goals of the veterinary practice.

• LEADERSHIP -- Assumes a leadership role in creating and maintaining an efficient and highly motivated animal health care services delivery team among all employees.

• EDUCATION -- Regularly strives to further develop his/her knowledge and skills by participating in continuing education seminars, formal study at a junior college or university, or by undertaking self-directed study through journals, online programs, etc.

Pet Hero

2015 CVT of the Year, Amanda Bouton, of Hidden Hills Animal Hospital, Jacksonville.

These two awards recognize the many outstanding contributions made by Certified Veterinary Technicians (CVT)

There will be one inductee selected for one of the following categories: 1. HERO - Pets who have unselfishly saved or preserved human life (non-professional).

2. COMPANION - Pets who have provided a benefit and contributed to the quality of life of their human companions.

3. PROFESSIONAL - Specialty trained as a physically challenged person's assistance animal or used in law enforcement.

Requirements for Nomination as Pet Hero • Individual FVMA members or organizations having an FVMA-member endorsement may submit nominations.

• Each nomination must be a living, domestic animal that exemplifies the affection, loyalty, security and value of the human-animal bond.

• The owner/caretaker must sign the completed nomination form and the release form.

• Include comments by the nominating veterinarian and others describing why the animal should be awarded.

The FVMA Annual Awards is a longstanding tradition of over fifty years, defined by the FVMA Bylaws. The 2016 Awards will be presented to recipients at an elegant ceremony that will have the participation of the FVMA leadership and members, conference attendees, family and friends.

Members are encouraged to nominate colleagues they believe are worthy of being honored by the Association for their service. Nomination forms for the different categories may be found on the FVMA website, www.FVMA.org.

Nominating procedures are detailed on each form, and each nomination must be accompanied by a high resolution photograph of the nominee.

Deadline for nominations to be received by the FVMA is Friday, January 8, 2016. A separate form must be received for each nomination. They should be mailed to FVMA Awards Committee, 7207 Monetary Drive, Orlando, FL 32809, faxed to (407) 240-3710, or emailed to ann.wade@fvma.org.

www.fvma.org | 11

STUDENT APPRECIATION DAY CLASS OF 2019 FRESHMAN

& ORIENTATION at UFCVM

To begin the new school year at the College of Veterinary Medicine at the University of Florida, FVMA participated in two occasions that demonstrate the close ties that exist between the college and the Association. Student Appreciation Day and Class of 2019 Freshman Orientation were held August in Ocala, FL and the college campus respectively.

Student Appreciation Day is a valued activity of the FAEP to assist students with an equine interest in their preparation to become veterinarians.

With the assistance of FAEP/FVMA members and equine hospitals and businesses in Ocala, student are given a full day of hands-on experience in the field. Equine Medical Center, Florida Equine Veterinary Associates, Ocala Equine Hospital and Peterson & Smith Equine Hospital, GoldMark Farm, Niall Brennan Stables and Ocala Breeders’ Sales Company, all participated to provide the students with a rewarding, full day experience in the “Horse Capital of the World.”

Class of 2019 Freshman Orientation gave the FVMA a valuable opportunity to welcome the newest student members to their association. Executive Director Phil Hinkle traveled to Gainesville for the occasion and to brief students on the benefits of FVMA student membership, and participate in the activities. Student were presented with the brochure, A Guide To Your Complimentary Membership as well as FVMA bags and T-shirts.

Dr./Colonel Noreen Murphy, a 1994 graduate of the University of Florida College of Veterinary Medicine, shown in uniform, was an invited speaker at orientation for the Class of 2019. She spoke to the incoming veterinary class about careers in the military and some of the highlights of her own experiences. (Photo by Sarah Carey)

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CAUTION: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian.

Description: NEXGARD™ (afoxolaner) is available in four sizes of beef-flavored, soft chewables for oral administration to dogs and puppies according to their weight. Each chewable is formulated to provide a minimum afoxolaner dosage of 1.14 mg/lb (2.5 mg/kg). Afoxolaner has the chemical composition 1-Naphthalenecarboxamide, 4-[5[3-chloro-5-(trifluoromethyl)-phenyl]-4, 5-dihydro-5-(trifluoromethyl)-3-isoxazolyl]-N[2-oxo-2-[(2,2,2-trifluoroethyl)amino]ethyl.

Indications: NEXGARD kills adult fleas and is indicated for the treatment and prevention of flea infestations (Ctenocephalides felis), and the treatment and control of Black-legged tick (Ixodes scapularis), American Dog tick (Dermacentor variabilis), and Lone Star tick (Amblyomma americanum) infestations in dogs and puppies 8 weeks of age and older, weighing 4 pounds of body weight or greater, for one month.

Dosage and Administration: NEXGARD is given orally once a month, at the minimum dosage of 1.14 mg/lb (2.5 mg/kg).

Dosing Schedule: Body Weight 4.0 to 10.0 lbs.

10.1 to 24.0 lbs.

24.1 to 60.0 lbs.

60.1 to 121.0 lbs.

Over 121.0 lbs.

Afoxolaner Per Chewable (mg)

Chewables Administered

11.3 One 28.3 One 68 One 136 One Administer the appropriate combination of chewables

NEXGARD can be administered with or without food. Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes to ensure that part of the dose is not lost or refused. If it is suspected that any of the dose has been lost or if vomiting occurs within two hours of administration, redose with another full dose. If a dose is missed, administer NEXGARD and resume a monthly dosing schedule.

Flea Treatment and Prevention: Treatment with NEXGARD may begin at any time of the year. In areas where fleas are common year-round, monthly treatment with NEXGARD should continue the entire year without interruption.

To minimize the likelihood of flea reinfestation, it is important to treat all animals within a household with an approved flea control product.

Tick Treatment and Control: Treatment with NEXGARD may begin at any time of the year (see Effectiveness).

Contraindications: There are no known contraindications for the use of NEXGARD. Warnings: Not for use in humans. Keep this and all drugs out of the reach of children. In case of accidental ingestion, contact a physician immediately.

Precautions: The safe use of NEXGARD in breeding, pregnant or lactating dogs has not been evaluated.

Use with caution in dogs with a history of seizures (see Adverse Reactions).

Adverse Reactions: In a well-controlled US field study, which included a total of 333 households and 615 treated dogs (415 administered afoxolaner; 200 administered active control), no serious adverse reactions were observed with NEXGARD. Over the 90-day study period, all observations of potential adverse reactions were recorded. The most frequent reactions reported at an incidence of > 1% within any of the three months of observations are presented in the following table. The most frequently reported adverse reaction was vomiting. The occurrence of vomiting was generally self-limiting and of short duration and tended to decrease with subsequent doses in both groups. Five treated dogs experienced anorexia during the study, and two of those dogs experienced anorexia with the first dose but not subsequent doses.

Table 1: Dogs With Adverse Reactions.

Treatment Group Afoxolaner

Oral active control

N1

% (n=415)

N2

% (n=200)

Vomiting (with and without blood)

17

4.1

25

12.5

Dry/Flaky Skin

13

3.1

2

1.0

Diarrhea (with and without blood)

13

3.1

7

3.5

Lethargy

7

1.7

4

2.0

Anorexia

5

1.2

9

4.5

1 Number of dogs in the afoxolaner treatment group with the identified abnormality.

2 Number of dogs in the control group with the identified abnormality.

In the US field study, one dog with a history of seizures experienced a seizure on the same day after receiving the first dose and on the same day after receiving the second dose of NEXGARD. This dog experienced a third seizure one week after receiving the third dose. The dog remained enrolled and completed the study. Another dog with a history of seizures had a seizure 19 days after the third dose of NEXGARD. The dog remained enrolled and completed the study. A third dog with a history of seizures received NEXGARD and experienced no seizures throughout the study.

To report suspected adverse events, for technical assistance or to obtain a copy of the MSDS, contact Merial at 1-888-637-4251 or www.merial.com/ nexgard. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or online at http://www.fda.gov/ AnimalVeterinary/SafetyHealth.

Mode of Action: Afoxolaner is a member of the isoxazoline family, shown to bind at a binding site to inhibit insect and acarine ligand-gated chloride channels, in particular those gated by the neurotransmitter gamma-aminobutyric acid (GABA), thereby blocking pre- and post-synaptic transfer of chloride ions across cell membranes.

Prolonged afoxolaner-induced hyperexcitation results in uncontrolled activity of the central nervous system and death of insects and acarines. The selective toxicity of afoxolaner between insects and acarines and mammals may be inferred by the differential sensitivity of the insects and acarines’ GABA receptors versus mammalian GABA receptors.

Effectiveness: In a well-controlled laboratory study, NEXGARD began to kill fleas four hours after initial administration and demonstrated >99% effectiveness at eight hours.

In a separate well-controlled laboratory study, NEXGARD demonstrated 100% effectiveness against adult fleas 24 hours post-infestation for 35 days, and was ≥ 93% effective at 12 hours post-infestation through Day 21, and on Day 35. On Day 28, NEXGARD was 81.1% effective 12 hours post-infestation. Dogs in both the treated and control groups that were infested with fleas on Day -1 generated flea eggs at 12- and 24-hours post-treatment (0-11 eggs and 1-17 eggs in the NEXGARD treated dogs, and 4-90 eggs and 0-118 eggs in the control dogs, at 12- and 24hours, respectively). At subsequent evaluations post-infestation, fleas from dogs in the treated group were essentially unable to produce any eggs (0-1 eggs) while fleas from dogs in the control group continued to produce eggs (1-141 eggs).

In a 90-day US field study conducted in households with existing flea infestations of varying severity, the effectiveness of NEXGARD against fleas on the Day 30, 60 and 90 visits compared with baseline was 98.0%, 99.7%, and 99.9%, respectively.

Collectively, the data from the three studies (two laboratory and one field) demonstrate that NEXGARD kills fleas before they can lay eggs, thus preventing subsequent flea infestations after the start of treatment of existing flea infestations.

In well-controlled laboratory studies, NEXGARD demonstrated >94% effectiveness against Dermacentor variabilis and Ixodes scapularis, 48 hours post-infestation, and against Amblyomma americanum 72 hours post-infestation, for 30 days.

Animal Safety: In a margin of safety study, NEXGARD was administered orally to 8- to 9-week-old Beagle puppies at 1, 3, and 5 times the maximum exposure dose (6.3 mg/kg) for three treatments every 28 days, followed by three treatments every 14 days, for a total of six treatments. Dogs in the control group were sham-dosed. There were no clinically-relevant effects related to treatment on physical examination, body weight, food consumption, clinical pathology (hematology, clinical chemistries, or coagulation tests), gross pathology, histopathology or organ weights. Vomiting occurred throughout the study, with a similar incidence in the treated and control groups, including one dog in the 5x group that vomited four hours after treatment.

In a well-controlled field study, NEXGARD was used concomitantly with other medications, such as vaccines, anthelmintics, antibiotics (including topicals), steroids, NSAIDS, anesthetics, and antihistamines. No adverse reactions were observed from the concomitant use of NEXGARD with other medications.

Storage Information: Store at or below 30°C (86°F) with excursions permitted up to 40°C (104°F).

How Supplied: NEXGARD is available in four sizes of beef-flavored soft chewables: 11.3, 28.3, 68 or 136 mg afoxolaner. Each chewable size is available in color-coded packages of 1, 3 or 6 beef-flavored chewables.

NADA 141-406, Approved by FDA Marketed by: Frontline Vet Labs™, a Division of Merial Limited.

Duluth, GA 30096-4640 USA Made in Brazil.

1050-4493-02 Rev. 4/2014

™NexGard and FRONTLINE VET LABS are trademarks of Merial. ©2014 Merial. All rights reserved.

www.fvma.org | 13

It’s a soft chew.

Kills both fleas and ticks.

It’s prescription only.

Now a pprove d to kill m ore ticks!

NexGardTM (afoxolaner) is the protection you asked for, and patients will beg for.

NexGard is FDA-approved to kill fleas, prevent flea infestations, and kill Black-Legged (deer) ticks, Lone Star ticks and American Dog ticks. NexGard is available only with a veterinarian’s prescription, and features anti-diversion technology monitored by Pinkerton® Consulting & Investigations.

NexGard and FRONTLINE VET LABS are trademarks of Merial. ®PINKERTON is a registered trademark of Pinkerton Service Corporation. ©2014 Merial Limited, Duluth, GA. All rights reserved. NEX14TTRADEAD (06/14).

TM

IMPORTANT SAFETY INFORMATION: For use in dogs only. The most common adverse reaction is vomiting. Other adverse reactions reported are dry/flaky skin, diarrhea, lethargy, and anorexia. The safe use of NexGard in pregnant, breeding, or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures.

SECONDARY PENTOBARBITAL POISONING Posing a Threat to Protected Species and Florida Veterinarians

Liability may be as high as $500,000 and up to 5 years in prison.

The US Department of the Interior Fish and Wildlife Service and the Florida Fish and Wildlife Conservation Commission have jointly sent out a correspondence to Florida veterinarians warning about the improper disposal of animal carcasses after euthanasia, and the possible consequences of such improper disposal.

The letter informs that in recent months, there has been an increase in reported secondary pentobarbital poisoning of federally protected wildlife, in particular, bald eagles and migratory birds at landfills in Florida.

Secondary poisoning they say, occurs when an animal that was euthanized by pentobarbital injection is consumed by other animals. The drug is rapidly distributed throughout the euthanized animal’s body, and poses a threat to scavenging animals. Animals that ingest the carcass, ingest the toxin and suffer from its effects. The letter warns, “Well-vascularized organs, 16 | FVMA ADVOCATE

such as the liver, will have high concentrations of pentobarbital; other tissue throughout the body will contain the toxin as well.”

“Protected birds that ingest poisoned tissue are acutely intoxicated and are sometimes discovered lying dead beside the poisoned carcass. In other cases, the bird is able to walk or fly a short distance and is found staggering around a field, landfill or populated areas.”

The agencies say that because of the ingestion of the toxin, it has been found that protected birds are unable to function well. They wander into traffic and are killed, or they die from predation, drowning, or electrocution because they inadvertently fly into power lines and poles.

When a Bald Eagle or other protected bird species is poisoned as a result of improper carcass disposal, laws that carry stiff penalties are violated.

The Migratory Bird Treaty Act (MBTA), the Bald and Golden Eagle Protection Act (BGEPA) and the Endangered Species Act (ESA) provide for substantial fines and the possibility of imprisonment. Criminal penalties may run as high as $250,000 per individual or $500,000 per organization and up to five years in jail. Civil penalties can be as much as $25,000 per violation under the ESAct and up to $5,000 per violation under the BGEPA. So, could a veterinarian or the owner of an animal be held liable for secondary pentobarbital poisoning? The US Department of the Interior and Florida Fish and Wildlife Conservation Commission say yes.

The MBTA is a “strict liability” criminal statute they say, which means that a finding of intent is not required for criminal conviction. Therefore, they caution, someone that “causes a bird to be harmed, even if that was not their specific intent, can be criminally liable under the MBTA. ESA and EPA apply a "strict liability" standard for civil cases and a "'knowingly" or with ''wanton disregard" for the consequences of actions to assign criminal liability under those statutes.”

The agencies caution that the best way to avoid liability is to prevent secondary poisoning. Prevention begins with the veterinarian, they say, or the other qualified persons who administer pentobarbital for euthanasia.

Preventing Secondary Pentobarbital Poisoning

Proper disposal and improved communication between veterinarians and their clients can prevent secondary pentobarbital poisoning.

Proper Disposal • Incineration/Cremation is the preferred disposal method.

• Immediate deep burial prevents access by scavenging animals and birds. State law in Florida requires that animal carcasses be buried with a minimum of two (2) feet of soil cover. In certain habitat areas, additional amounts or types of exclusionary cover may be required, beyond the local statutory minimum. The total coverage should always be defined by the ability of local scavenging wildlife to access buried carcasses.

• Bagging with heavy duty sacs that are resistant to scavenging animals and labeling of poison carcasses should be the minimum standard at every small animal veterinary clinic, humane shelter, or animal control facility that disposes of, or releases euthanized animals for disposal.

•

•

for burial or incineration. Livestock owners need to be informed by the veterinarian that leaving a carcass exposed to scavenging animals is not appropriate.

Pentobarbital-euthanized carcasses should be prominently tagged with highly-visible "POISON'' warning labels.

Bagged animals should have a label affixed to the carcass and the outside of the bag.

Place a highly visible carcass disposal warning on all copies of the euthanasia consent form to serve as a reminder to both the veterinarian and the client.

Veterinarians can best avoid liability by first taking all the steps listed above that will prevent secondary poisoning.

Serving small animal clients however, who may wish to bury an animal at home may be problematic. While veterinarians have the option of refusing to euthanize for home burial, another option would be to ensure that the owner signs a document that acknowledges that he/she was informed of the hazards if the carcass is not buried properly.

Sharon Gwaltney-Brant, DVM, PhD, consultant for the Veterinary Information Network (VIN), the world's leading online international community for veterinarians, recently posted the following on the matter: “Here is what the US Fish and Wildlife Service (who would prosecute such cases, not the EPA) has to say:

The best way to avoid liability is to avoid an accidental poisoning! This also applies to small animal clients who wish to bury an animal at home. A prominent carcass disposal warning on the client’s copy of the euthanasia consent form might be of help as an additional reminder.

Taken with the fact that many of the cases they have brought against veterinarians have been due to inadequate communication between veterinarian and owner, it makes me believe that if the veterinarian had proof that he/she did inform the owner of the hazards and the owner chose to ignore the warnings, FWS would probably not go after the veterinarian.”

Improved Communication • Veterinarian-Client communication is critical. It is imperative that the client is informed and understands that the pentobarbital-euthanized animal carcass in his/ her custody can poison and kill a scavenging animal, including federally-protected species. The veterinarian must ensure each client understands the requirement www.fvma.org | 17

FVMA UPDATE!

A RECENT UNDERTAKING IN REGULATORY ADVOCACY

The FVMA recently appeared before the Florida Board of Chiropractic Medicine in opposition to proposed revisions to Florida Statutes Chapter 460, Regulation of Professions and Occupations, Chiropractic Medicine. The proposed revisions were for the creation of definitions for “Animal Chiropractic” and “Animal Chiropractic Practitioner.”

Our prompt opposition to the proposed legislative initiative resulted in the Board killing the advance of its proposed legislative initiative.

The law revisions would have allowed chiropractors who practice on humans to practice on animals with a minimal educational requirement of a 200-hour certificate; and without the animal being subject to a physical examination, diagnosis, or referral by a licensed veterinarian.

The FVMA presented written and oral arguments opposing the proposed revisions. The Association’s presentation to the Florida Board of Chiropractic Medicine outlined the threat the proposed statute changes would have on animals and public health.

Arguing that veterinarians possess the unique qualifications of a comprehensive education, professional experience and licensure, the FVMA said they are fully equipped to diagnose and treat animal health problems and to recognize and report public health risks. It also reminded the Board that the vast majority of states that allow non-veterinarians to perform animal chiropractic services require supervision by, referral by, or collaboration with a licensed veterinarian.

It further cited that the Florida Statute is clear that the practice 18 | FVMA ADVOCATE

of medicine for "animals" is exclusively granted to those that are licensed to practice veterinary medicine. ["Animals" definition: Florida Statute 474.202(1)].

Any deviation from this, said the FVMA, would be akin to proposing that veterinarians could take a human chiropractic course of at least 200 hours and be legally allowed to provide chiropractic services to humans; thereby making the point that an insurmountable difference exists between human and animal medicine that could not be bridged by a 200-hour course.

Furthermore, said the FVMA, the manipulation of an animal is considered the practice of veterinary medicine in the Florida Administrative Code Chapter 61018-19.002: Standards of Practice-Complementary or Alternative Veterinary Medicine: 1) Definition - Complementary, alternative and integrative therapies means a heterogeneous group of preventive, diagnostic and therapeutic philosophies and practices, which at the time they are performed may differ from current scientific knowledge, or whose theoretical basis and techniques may diverge from veterinary medicine routinely taught in accredited veterinary medical colleges, or both. These therapies include, but are not limited to, veterinary acupuncture, acutherapy and acupressure, veterinary homeopathy, veterinary manual or manipulative therapy (i.e., therapies based on techniques practiced in osteopathy, chiropractic medicine, or physical medicine and therapy); veterinary nutraceutical therapy and veterinary physiotherapy.

SAVE THE DATE 2016 Legislative Action Days Schedule of Events Wednesday, January 27, 2016 2:00 p.m. – 6:00 p.m.

7:00 p.m. – 9:00 p.m.

FVMA's Legislative Workshop FVMA's Group Dinner

Thursday, January 28, 2016 7:00 a.m. – 8:00 a.m.

8:00 a.m. – 8:15 a.m.

8:30 a.m.

Group Breakfast Final Review of FVMA Legislative Priorities and “Charge to Delegates” Group will drive to Capitol on their own and park at the Kleman Plaza Parking Garage one block from the Capitol.

HOST HOTEL

Holiday Inn & Suites 2725 Graves Rd Tallahassee, FL 32303 Please mark your calendars and make plans to attend the FVMA’s 2016 Legislative Action Days January 27-28, 2016.

VIGILANCE AND ACTION PRODUCE POSITIVE RESULTS

Report Unlicensed Activity The FVMA recently asked the DBPR to act in relation to unlicensed activity that was reported to the Association by members.

A report was made concerning the activities of an individual engaging in the “Unlicensed Practice of Veterinary Medicine” after it was brought to the Association’s attention that he (a chiropractor) was offering treatment to animals in the state of Florida.

Investigations determined that the “Doctor” was not licensed to practice by the Florida Department of Health, and his advertised “treatment” was the unlicensed practice of veterinary medicine. As a result of FVMA action, he was issued a Cease and Desist by the DBPR. Failure to adhere to the Cease and Desist by continuing the unlicensed activity, the FVMA was advised, will result in prosecution of this individual.

The FVMA urges members to report instances of illegal activity to the DBPR. Reporting unlicensed activity protects the health of animals and the veterinary profession.

Complaint forms are accessible from the DBPR at: http://www.myfloridalicense.com/dbpr/reg/ULA-ReportUnlicensed-Activity.html. Complaint forms may be submitted

via fax, email, or mail, or may be emailed to: ULA@myfloridalicense.com.

Call the DBPR if you need assistance with the complaint form or want to request one, at 850-487-1395.

Fax: 850.921.2124; Mail: 1940 North Monroe Street, Tallahassee, FL 32399 According to the Florida Department of Business and Professional Regulation, a non-veterinarian practicing veterinary medicine is subject to a $3,000 – $5,000 fine for each count. A veterinarian who knowingly employs unlicensed persons in the practice of veterinary medicine is subject to both monetary fines and probation or suspension.

Tipsters may remain anonymous, however, please note that under Florida law, e-mail addresses are public records. If you do not want your email address released in response to a public records request, do not send electronic mail. Instead contact the DBPR by phone or in writing. Written communication is also a matter of public record. Omit any information you do not wish to be disclosed. www.fvma.org | 19

Update On Fvma Member Service Partnership With First Data Services A r e

Y

Credit Cards With chip Technology Are Here o u Read y ?

The FVMA partners with First Data Services, a financial services company, to offer electronic payment services to its 3,600 members. This relationship is a long-standing one with First Data providing members with their card payment processing needs, as well as information and advice on the changing payment technologies and the best security measures to enhance businesses and protect them from security breaches.

This partnership has proven to be a valuable member service over the years, and is one of the tangible benefits veterinarians enjoy as members of the Association. Through its member services program, the FVMA provides members with several other discounted business services opportunities.

First Data is a leading provider of electronic commerce and payment processing services. It facilities businesses, financial institutions, and governments in more than 100 markets around the world.

In Florida, FVMA members who subscribe to First Data are serviced by its merchant services consultant based in Oldsmar, FL, Mary Durina. Durina tells the FVMA that First Data has been actively contacting clients this year to ensure they were ready for what is termed “EMV” or “chip card” payment processing.

By being ready, Durina means she has been working to ensure FVMA member customer accounts were set up to accept this new EMV feature in the processing of Visa and MasterCard payments, which became fully operational as of October 1, 2015.

20 | FVMA ADVOCATE

“I have also been contacting existing members/clients to assist with upgrading systems. Please have anyone looking for help or that has questions to contact me directly,” says Durina.

Banks across America have been issuing new EMV or chip cards, and as of October 1, businesses set up to process EMV credit and debit cards were undemnified from liability on fraudulent transactions due to theft. Those not using chipcompliant technology will have to assume all liability on theftrelated fraudulent transactions, she explains.

What Is EMV (Chip Cards)?

EMV technology is the global standard in fraud prevention being deployed across the US this year. The major card issuers, Visa, MasterCard, Discover, and American Express have been issuing a new type of card that is EMV-capable. The new cards contain an embedded microchip which provides an extra layer of security to customers’ transactions, and help businesses reduce loss due to fraud. EMV stands for EuroPay, MasterCard and Visa.

More than 1.25 billion EMV chip embedded cards have been issued worldwide.

What is the benefit of EMV? EMV credit and debit cards help reduce fraud due to the

embedded unique computer chip that is very difficult to replicate.

With total yearly cost of credit and debit card fraud in the US estimated at $8.6 billion, EMV is expected to derive huge benefits.

Why Is October 1, 2015 significant?

As of October 1, 2015, the merchant with EMV compliance are protected from financial liability originating from counterfeit, lost or stolen card transactions. For example, if a chip card is presented to a business that has not adapted to the EMV technology, liability for counterfeit fraud will shift to the merchant’s acquirer who will likely charge the fee back to the non-EMV-compliant business.

If a counterfeit magnetic stripe card (non-EMV chip card) is presented at an EMV-enabled terminal, liability will remain with the issuer of the card.

Is EMV Required?

EMV is not required by law, however, business owners without it may be putting themselves and their customers at risk, as fraud liability migrates to non-EMV-enabled parties.

What’s needed to be ready for EMV? To accept EMV chip embedded cards, a merchant’s credit card terminal and/or pin pad need to have a designated credit card shaped slot that allows the customer to insert the card and then

enter their Personal Identifications Number (PIN). Some EMV chip embedded cards, may allow for a signature, in which case the terminal will detect that the customer must sign for the purchase.

A signature line will be printed on the receipt.

“Ensuring that your POS terminal(s) are chip-capable and that your payment processing application can accept EMV chip card is good business.” says First Data.

In the run-up to the October 1 deadline, however, First Data and some FVMA members were reporting that imposters had been making fraudulent presentations to First Data FVMA member clients, representing themselves as First Data agents.

Miss Durina tells us, “There are thousands of independent Sales Organizations (ISO) out there that are being very deceptive, tricking the Office Managers/Doctors/Practice Owners into believing they are contacting them on behalf of their current provider.” She cautions, “Anytime a company solicits by saying “you qualify for a different program/pricing” it is a different company soliciting business. If processing with the FVMA’s program, the account is set up from the start to receive extremely aggressive pricing. If ever in doubt, do not hesitate to call me directly and I will contact the First Data corporate office to confirm it is our company that is reaching out.”

The FVMA also advises members to contact the FVMA business consultant Mary Durina at Mary.Durina@firstdata. com or by telephone 813.326.5501, if they have any concerns or questions about the new EMV standard.

SOUTH DAKOTA AND WYOMING JOIN COLORADO AND NEW MEXICO AS STATES AFFECTED BY VESICULAR STOMATITIS (VS). ARIZONA, TEXAS AND UTAH ARE VS FREE Commissioner Adam Putnam of Florida Department of Agriculture and Consumer Services has announced that four states, South Dakota, Wyoming, Colorado and New Mexico are now considered VS-affected states after livestock in each state displayed clinical signs and tested positive for the virus.

Meanwhile, Arizona, Texas and Utah, states that had recently been affected by VS were now free of the disease and had been relieved of the additional requirements for livestock importation from the three states into Florida.

There are additional VS import requirements however, for the importation of all hoofed livestock originating from South Dakota, Wyoming, Colorado and New Mexico into Florida. The requirements are stated below, and they must be complied with, in addition to the routine requirements for livestock importing into this state.

VS REQUIREMENTS: All livestock, including horses, imported into Florida from an affected state must meet the requirements of 5C-3.002(5): https://www.flrules.org/gateway/ChapterHome. asp?Chapter=5C-3.

Florida VS Requirements: 5C-3.002(5) Vesicular Stomatitis. (a) Certification for Vesicular Stomatitis (VS).

1. All hoofed animals, including horses, ruminants, swine,

exotic and wild hoofed animals, originating from non-affected premises and not within 10 miles of an affected premises in a VS affected state, must be accompanied by an OCVI, dated within five (5) days of entry or reentry into Florida. The OCVI must be signed by an Accredited Veterinarian.

2. The following statement must be written on the OCVI by the examining Accredited Veterinarian: “All animals susceptible to Vesicular Stomatitis (VS) identified and included in this OCVI for shipment have been examined and found to be free from clinical signs and vectors of VS and have not been in contact with VS-affected animals and have not been within ten (10) miles of a VS-affected premises within the last thirty (30) days.” (b) Prior Permission Number. Animals originating from non-affected premises in a VS- affected state will require a prior permission number. The prior permission number must be written on the OCVI. Prior permission numbers can be obtained by calling 850-410-0900.

For additional information on VS, including a national situation report, please refer to the USDA Website at http://www.aphis.usda. gov/wps/portal/aphis/ourfocus/animalhealth/sa_animal_disease_ informatio n/sa_equine_health/sa_vesicular_stomatitis/ct_vesicular_ stomatitis/!ut/p/a0/04_Sj9CPykssy0xPL MnMz0vMAfGjzOK9_ D2MDJ0MjDzdgy1dDTz9wtx8LXzMjf09TPQLsh0VAZdihIg!/.

www.fvma.org | 21

Florida Department Of Agriculture And Consumer Services Leads Avian Influenza Planning Efforts From the Office of Commissioner Adam H. Putnam

The country has seen the West and Midwest’s poultry industry devastated by highly pathogenic avian influenza (HPAI). While not detected in the state, Florida Commissioner of Agriculture Adam H. Putnam’s department has been working with partners to keep the disease at bay. The Centers for Disease Control and Prevention considers the risk to people from HPAI virus to be low, and no human infections with this virus have been detected.

“Avian influenza has wreaked havoc on the poultry industry in the West and Midwest, and the Florida Department of Agriculture and Consumer Services is going to great lengths to develop and implement plans to prevent an outbreak from occurring here and to respond quickly in the event one does occur,” stated Commissioner of Agriculture Adam H. Putnam. “Surveillance and testing are integral parts of preventing the spread of disease, and at the Bronson Animal Disease Diagnostic Laboratory and in the field, our scientists and disease investigators are on the front lines of protecting animal health in Florida.”

The Florida Department of Agriculture and Consumer Services has been leading planning efforts, including: • Regularly monitoring domestic poultry for evidence of avian influenza viruses; • Testing samples that are regularly collected from backyard flocks, show birds, commercial poultry, and live bird markets at the Bronson Animal Disease Diagnostic Laboratory—Florida’s only approved laboratory to conduct HPAI testing; • Convening HPAI workshops with federal, state and local government officials, as well as the poultry industry; • Providing educational information on HPAI for those with backyard flocks at feed stores throughout Florida, so Floridians with small flocks at home know what to look for and what to do; and 22 | FVMA ADVOCATE

•

Meeting with Director of the Florida Division of Emergency Management Bryan Koon and staff at the Emergency Operations Center to plan for the event that HPAI is detected in Florida and activate the EOC if needed.

Anyone working with birds, not just veterinarians, is required to report sick birds to the Florida Department of Agriculture and Consumer Services, Division of Animal Industry at 850-410-0900 or after hours at 1-800-3425869. Department scientists will investigate each report and work to identify the cause of illness.

Poultry from other countries that have ongoing issues with serious avian influenza virus strains are not permitted to enter the United States. Additionally, poultry from HPAI quarantined areas of the United States cannot be imported into Florida.

Florida’s poultry industry is a 400 million dollar industry with approximately 20 million commercial birds.

For more information about the Florida Department of Agriculture and Consumer Services, visit FreshFromFlorida.com.

FDA Warns About Illnesses and Deaths in Pets

Exposed to Prescription Topical Pain Medication

The FDA has warned pet owners, veterinarians, health care providers and pharmacists that pets are susceptible to certain widely used pain medications, and are at risk of becoming ill or even dying if they are exposed to them.

FDA says that exposure to topical pain medications that contain the nonsteroidal anti-inflammatory drug (NSAID) flurbiprofen can be dangerous to animals. These medications are commonly used by people for pain relief who are not aware they can be harmful to the pets living in their households. When using these medications, the FDA cautions, people should use care when applying them, as even very small amounts could be dangerous to their animals.

The FDA warning came after reports were received by the agency that cats in two households became ill or died after their owners used topical medications containing flurbiprofen on themselves to treat muscle, joint, or other pain.

The pet owners had applied pain relieving cream or lotion to their own neck or feet, and not directly to the pet, says the FDA. It is not known exactly how the cats became exposed to the medication. The products that were used contained the NSAID flurbiprofen and the muscle relaxer cyclobenzaprine, as well as other varying active ingredients, including baclofen, gabapentin, lidocaine, or prilocaine.

Two cats in one household developed kidney failure and

recovered with veterinary care. Two cats in a second household developed signs that included reluctance to eat, lethargy, vomiting, melena (black, tarry, bloody stools), anemia, and dilute urine. These two cats died despite veterinary care, while a third cat in the second household also died after the owner had stopped using the medication.

Veterinarians who performed necropsies on the three cats that died found evidence in the kidneys and intestines that were consistent with NSAID toxicity.

The FDA recommends that people who use topical medications containing flurbiprofen take care to prevent their pets from being exposed to them, even in ways that may seem unlikely to cause problems.

Health care providers who prescribe topical pain medications containing flurbiprofen, and pharmacists who fill these prescriptions, should advise patients with pets to take care to prevent exposure of the pet to the medication.

The full MedWatch safety alert may be found online at: http://www.fda.gov/Safety/MedWatch/SafetyInformation/ SafetyAlertsforHumanMedicalProducts/ucm443386.htm

www.fvma.org  |  23

53

AnnualOcala

rd

Equine Conference January 22-24, 2016 | Ocala, Florida

SAVE THE DATE

Wet Lab Host

Distinguished Speakers

Equine Medical Center of Ocala 7107 West Hwy 326 Ocala, Florida 34482 (352) 873-7830 www.emcocala.com

Wet Lab Fees Include: • • •

Lunch Transportation to and from Hilton Ocala and Wet Lab Venue Rotation through all five stations Sponsored by

Aric Adams DVM, DACVS

Steve brinsko DVM, MS, PhD, DACT

Carol Clark DVM, MS, DACVS

david freeman MVB, PhD, DACVS

Amanda M. House DVM, DACVIM

Taralyn McCarrel DVM, DABVP (Equine) Certified Member, ISELP

Anthony menezes PharmD

Richard D. Mitchell DVM, MRCVS, DACVSMR

Bryan Reynolds JD

Kenneth Sullins DVM, MS,Dipl Am Coll Vet Surg

Wet Lab Only

$795

Wet Lab with

$595

Conf. Registration

Limited Availability

IN-DEPTH IMAGING WET LAB Friday, January 22, 2016 | 8:15 AM - 4:30 PM • • • • •

Station 1: Hind Leg High Suspensory Station 2: Foot Station 3: Fetlock/Distal Metacarpus Station 4: Thorax Station 5: Abdomen

Reserve Your Seat Today!

150 2 ur O o t Special Thanks

ational Partner c u d s 16 E

GOLD PARTNERS ®

LUITPOLD ANIMAL HEALTH

Your Invitation to Attend

Preliminary Schedule At-A-Glance All lectures held at the Hilton Ocala Continental Breakfast 6:30 a.m. - 7:00 a.m.

Registration Desk Opens at 7:00 a.m.

8:50 a.m. 9:40 a.m.

Foot Lameness in the Sport Horse-A Clinical Approach to Diagnosis

Dr. Rick Mitchell

11:00 a.m. 11:50 a.m.

2:25 p.m. 3:15 p.m.

Dr. Rick Mitchell Musculoskeletal Abnormalities in Foals Dr. Aric Adams Case Series of Lameness Evaluations in Performance Horses Dr. Aric Adams

4:35 p.m. 5:25 p.m.

8:50 a.m. 9:40 a.m.

Dr. Steve Brinsko

9:40 a.m. - 10:10 a.m. Break - Visit The Exhibit Hall How to Manage the Challenging Colic when Referral is Not an Option

10:10 a.m. 11:00 a.m.

Dr. David Freeman

11:00 a.m. 11:50 a.m.

Dr. David Freeman

Indications for Bisphosphonates – What is the Evidence?

11:50 a.m. - 12:20 p.m. Lunch

Dr. Taralyn McCarrel

The Icteric Equine: What Next?

Diagnosis and Treatment of Upper Airway Disease

Dr. Amanda House

Creeping Indigo and Other Problematic Pasture Plants

Dr. Kenneth Sullins

12:20 p.m. 1:10 p.m.

1:10 p.m. 2:00 p.m.

Dr. Amanda House

2:00 p.m. - 2:10 p.m. Break - Visit The Exhibit Hall

Treatment of the Big 3 Equine Skin Tumors Part 1

Laws and Rules Governing the Practice of Veterinary Medicine Part 1

Dr. Kenneth Sullins

Bryan Reynolds, JD

Treatment of the Big 3 Equine Skin Tumors Part 2

Laws and Rules Governing the Practice of Veterinary Medicine Part 2

Dr. Kenneth Sullins

5:25 p.m. - 7:00 p.m. Cocktail Reception in the Exhibit Hall

4

Repro Cases - Common But Not Obvious Conditions

Facts and Myths about Medical Treatment of Colic

3:15 p.m. - 3:45 p.m. Break - Visit The Exhibit Hall 3:45 p.m. 4:35 p.m.

8:00 a.m. 8:50 a.m.

Dr. Steve Brinsko

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 Mail:

 Online:

FAEP/FVMA www.fvma.org 7207 Monetary Dr. info@fvma.org Orlando, FL 32809

 Phone:

 Fax:

(800) 992-3862 (407) 851-3862

(407) 240-3710

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www.fvma.org | 25

PRACTICE Got a question? The FVMA can help.

One of the benefits of membership in the FVMA is our Helpline, (800) 992-3862, available to members daily, Monday to Friday, 8:00 am to 6:00 pm.

Our Helpline also provides insight to the FVMA staff, of the challenges and concerns of our members.

In this feature we will highlight topics from the questions we received in preceding weeks, in an effort to keep our members up-to-date on current concerns as well as regulatory and legislative changes.

Question:

Is charging a ten dollar prescription fee a reasonable one for our clients who ask us to write one for their on-line pharmacy purchases?

A: The basic premise is that vets can charge a prescription fee to cover the general costs of verifying that the prescription is medically acceptable for the patient and reviewing the record and issuing the prescription.

So as long as the amount is reasonable considering the amount of time and effort put into writing the prescription, then it would be permissible.

In looking at the circumstances, ten dollars would appear to be a reasonable amount for issuance of the prescription. Anything over that may be questionable.

You may find however, that clients may take exception to being charged for having a prescription written, which may result in negative fallout from a marketing/ PR perspective, and may result in an unjustified DBPR complaint.

Question:

I have an animal’s cremated remains in my clinic after he died under my care and the owner verbally authorized cremation. We have not heard from the owner since the animal passed away. How long do I have to keep the cremated remains?

A: These cases are problematic in many respects.

First, there may be an outstanding bill that the Veterinarian would like paid. In the case of living pets, Florida law provides for a veterinarian to maintain a lien on the pet if the owner doesn’t pay. In a case where the pet is passed away and has no value, the lien law is ineffective. The only other law that the Veterinarian may rely upon is the abandonment statute which allows the practitioner to turn over an abandoned animal to the local humane society or shelter upon 10 days written notice to the owner.

While it may seem absurd in some respects, the abandonment law does not differentiate between living and deceased pets. So in a case like this, if the Veterinarian 26 | FVMA ADVOCATE

wants to be safe, he should send an abandonment letter to the owner and after ten days, contact the local shelter or humane society to see if they will dispose of the animal or if they will give the vet permission to dispose of the body on their behalf.

It is a lot to go through and most likely the pet’s remains could simply be sent to a proper disposal site without much worry that the owner is going to show up later to take the cremains. But in order to follow the letter of the law, the veterinarian is best served by following the letter of the law, and treat the animal (dead or alive) as abandoned.

Question:

Can a veterinarian dispense medication for an animal owned by a seasonal resident, without first examining the animal, simply upon the phone authorization of the animal's regular veterinarian?

A: No. A veterinarian is not a pharmacy, and a veterinarian's authority to make available medicinal drugs is limited to those animal patients for which there is a documented veterinarian/client/patient relationship.

This relationship requires that the veterinarian be personally acquainted with, and has cared for the animal, and that the veterinarian has recently seen the animal.

See §474.214(1)(y), F.S.

Question:

Is giving an oral permission to fill a prescription to an internet service that is based outside the State of Florida considered practicing veterinary medicine in another state?

A: A veterinarian in the State of Florida who is authorizing a prescription for an animal in Florida with whom the veterinarian has a documented veterinarian/ client/patient relationship is practicing veterinary medicine in Florida, regardless of the location of the pharmacy to which he is authorizing the prescription.

Question:

What tasks may a veterinarian delegate to other members of staff who are not licensed veterinarians?

A: There is no rule that lists which tasks can or cannot be delegated. Instead, there is a rule on tasks which require immediate supervision, and it basically states that everything must be under immediate supervision except for (a) and (b) in the rule, 61G18-17.005.

61G18-17.005 Tasks Requiring Immediate Supervision.

(1) All tasks which may be delegated to a veterinary aide, nurse, laboratory technician, intern, or other employee of a licensed veterinarian shall be performed only under the “immediate supervision” of a licensed veterinarian as that phrase is defined in subsection 474.202(5), F.S., with the exception of the following tasks which may be performed without the licensed veterinarian on the premises: (a) The administration of medication and treatment, excluding vaccinations, as directed by the licensed veterinarian; and (b) The obtaining of samples and the performance of those diagnostic tests, including radiographs, directed by the licensed veterinarian.

(2) The administration of anesthesia and tranquilization by a veterinary aide, nurse, laboratory technician, intern, or other employee of a licensed veterinarian requires “immediate supervision” as that phrase is defined in subsection 474.202(5), F.S. (3) The administration of any vaccination by a veterinary aide, nurse, technician, intern or other employee of a licensed veterinarian which is not specifically prohibited by Rule 61G18-17.006, F.A.C., requires “immediate supervision” as that phrase is defined in subsection 474.202(5), F.S.

Question:

What is the isolation and observation period for domestic pets involved in biting incidents?

A: a) Isolation and Observation Periods: Dogs, cats, and ferrets that bite or otherwise potentially expose a person to rabies can be confined for observation for 10 days.

Horses can be confined for a 14-day observation period. b) Dogs, cats, ferrets, horses, cattle, and sheep may be confined and observed when they are bitten or otherwise

potentially exposed to rabies by other animals. The quarantine period is 45 days for vaccinated dogs, cats, ferrets, horses, cattle, and sheep, and 180 days for unvaccinated dogs, cats, ferrets, horses, cattle, and sheep. c) Isolation and Observation Periods -- Suspect Rabid Animal Exposes A Person: 10-Day Isolation and Observation Period for Dogs, Cats or Ferrets: Dogs, cats, and ferrets involved in biting incidents of humans, regardless of their vaccination status should be captured alive, if possible, and confined for a period of 10 days. The observation period is to begin from the time of the bite for a 10-day period, not 10 days from the time of capture. Unvaccinated domestic animals with a history of a potential rabies exposure (i.e. interaction with rabid, feral, or wild animals) that cause moderate to severe face or neck bites to a person, should be immediately tested. If confinement of the animal is not possible or practical, the animal can be euthanized and its brain submitted for laboratory examination at the owner’s expense.

Testing may not be necessary for animals with virtually no rabies risk (i.e. currently vaccinated older animals with a history of multiple rabies vaccinations, strictly indoor pet).

Observation is of value because the length of time that virus may be excreted in the saliva prior to onset of signs can be predicted. It is known that dogs, cats, and ferrets may excrete rabies virus only a few days prior to onset of illness. The observation period is longer to allow for a wide safety margin. If the biting animal is alive after 10 days from the exposure, it was not shedding rabies in the saliva at the time of the bite. Conversely, if the animal exhibits signs of rabies, it should be euthanized and the head submitted for rabies testing immediately. If the sick animal cannot be immediately tested, post-exposure prophylaxis (PEP) should be initiated for persons who were exposed. ***Since counties vary in their rabies handling procedures, be sure to also consult with your new local animal control.

www.fvma.org | 27

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-Dr. William Walsh, A Pet’s Friend Animal Hospital, Venice, FL “Over the years I have referred literally dozens of hyperthyroid cats to the Cat Thyroid Center. Every client I have sent has been very impressed and happy with the service they and their pet has received. The feedback I get is always positive, and I will continue to refer my clients to Dr. Ott for I-131 treatment.”

-Dr. Andrew King, Cat Hospital of Sarasota, Sarasota, FL “The Cat Thyroid Center offers excellent medical care and makes sure the patient and client feel at home. Dr. Ott does an amazing job following up with cases both with the owners and with me. He is always available when any questions arise. His compassion and knowledge make the Cat Thyroid Center superior when it comes to treatment and as a result we highly recommend him.”

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Florida Practices for Sale

e in leased d. $214K

New Listing! Charlotte County: 1.75 doctor, small animal practce in leased 1,100SF facility. No Emergencies, boarding or grooming offered. $214K Personal income to buyer.(FL14P)

ot near up gross. No

Sarasota County. 4000+SF facility on approximately 1 acre corner lot near up and coming new neighborhood. 2 doctor, small animal practice. $1M+ gross. No Emergencies. (FL22E)

Monument

Jacksonville. Solo doctor practice, well equipped leased facility on Monument Road. $675K+gross in 2014. No emergencies or grooming. (FL42J)

in 1,800SF 2 half days

Contract Negotiation: Suncoast. Solo doctor, small animal practice in 1,800SF leased facility. $690K+ gross. No Emergencies. Open 4 full days and 2 half days a week. (FL10C)

ounded by olo doctor, $500K in FL33O)

Contract Negotiation: Pasco County. Elegant 3,500+SF facility surrounded by affluent neighborhoods, commercial properties, and industry parks. Solo doctor, small animal practice with rehabilitation element grossed in excess of $500K in 2013. Minimal boarding, no grooming, and no emergencies offered. (FL33O)

on the sale

Sold! Palm Beach County: Congratulations to Dr. Andrew Faigen on the sale of For Cats Only to Drs. Jeffrey and Stephanie Karpf. (FL28W)

the sale of ni and Dr.

SOLD! Treasure Coast. Congratulations to Dr. Richard Smith on the sale of his practice Hobe Sound Veterinary Clinic to Dr. Jennifer DiTrapani and Dr. Nathan Gimbal! (FL27H)

522

1610 Frederica Road * Saint Simons Island, GA 31522 Toll Free: 800.333.1984 * www.simmonsinc.com Email: southeast@simmonsinc.com Licensed Florida Real Estate Broker

Florida Practices for Sale

e in leased d. $214K

ot near up gross. No

New Listing! Charlotte County: 1.75 doctor, small animal practce in leased 1,100SF facility. No Emergencies, boarding or grooming offered. $214K Personal income to buyer.(FL14P)

ĆŹ

Ready to Sell?

Buy? Need an Appraisal?

Sarasota County.

4000+SF facility on approximately 1 acre corner lot near up and coming new neighborhood.

2 doctor, animal practice. $1M+ gross. No Practices for Salesmall – Nationwide!

Emergencies. (FL22E)

Florida Practice Listings!

North Florida– Solo Dr. small animal, 2014 gross $790k, Well established, well equipped, well staffed. Prx. & RE. West Coast of Fl.– Feline enthusiast, all Cat hospital. Solo Dr. AAHA freestanding office, 2014 gross $840K. Prx.+RE. S.W. Miami– 1.5-2 Dr. SA in retail space with great location. 2014 gross $813K. Very profitable.

West Coast– 24 hr. E-clinic & Specialty Prx. $3.1mm gross.

MRI, CT, Hyperbaric chamber, and more.

Under Contract-North Port– Clinic+equipment+client data base. Owner must sell. Great location.

North Florida– Solo Dr. $750K gross, high net, been in same location for over 30 years. Prx + RE Under Contract-Central Fl. Coast– 1 Dr. in a lease space, 10 minutes to Atlantic beaches. $125k after debt income.

New-Greater Orlando Area-1.5 Dr. Prx + RE Gross $840K New-Polk Co.– 1 Dr. Prx + RE Gross $748K digital X-ray and In house lab, great staff.

Contact Dr. Richard Alker for further practice information.

850.814.9962 or Richard@tpsgsales.com Showcase Properties of Central Florida, Broker

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Monument

Jacksonville. doctor– practice, equipped facility onrooms Monument FL: BrowardSolo County Priced towell Sell!

1,500sfleased SA w/2-exam in Road. $675K+gross 2014.Has No emergencies or grooming. desirable shoppinginplaza. served community for 13(FL42J) years. FL78.

ďƒź

Acquisitions

in 1,800SF 2 half days

Contract Negotiation: Suncoast. Solo doctor, small animal practice in 1,800SF w/3+ acres. Potential to add vet services. Upscale Clientele. FL79. leased facility. $690K+ gross. No Emergencies. Open 4 full days and 2 half days Lee County – Gross Income >$1m. Multi-doctor SA. 6,100sf & aFL: week.

(FL10C)

ďƒź

Start Ups

ďƒź

Construction

ďƒź

Refinancing

ounded by olo doctor, $500K in FL33O)

FL: Hillsborough County – New! A Start-Up Dream! 18,000sf kennel

5,000sf pet resort w/nearly 1-1/4 acres prime RE. 4-exam rooms. FL75.

FL: St Lucie County Pasco -2-doctor AAHA practice.

2,200sf w/nearly ½ by Contract Negotiation: County.

Elegant 3,500+SF facility surrounded acre REneighborhoods, on major hwy.commercial 2-fully equipped exam rooms.

FL71. affluent properties, and industry parks. Solo doctor, small animal practice rehabilitation grossed excess on of major $500K in FL: Volusia Countywith - SA Emergencyelement in desirable areainw//RE 2013. boarding, no grooming, and skilled no emergencies offered.

(FL33O) hwy. Minimal 4-exam rooms.

Long-term, highly support staff.

FL77.

on the sale

Sold! Palm Beach County: Congratulations to Dr. Andrew Faigen on the sale Other Practices Available: Riverside County & San Diego County, of For Cats Only to Drs. Jeffrey and Stephanie Karpf. (FL28W)

the sale of ni and Dr.

Baltimore County, Maryland; to Bay SOLD! Treasure Coast.

Congratulations Dr.County, RichardMichigan; Smith on the sale of Louis, Missouri; Elmira, New York; Charlotte, Carolina; his Saint practice Hobe Sound Veterinary Clinic to Dr. JenniferNorth DiTrapani and Dr. Linn County, Oregon; Orleans County, Vermont.

Nathan Gimbal!

(FL27H)

522

California; Washington DC; York County, Maine;

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30  |  FVMA ADVOCATE

www.veterinaryloans.com 877.288.VETS (8387)

CLASSIFIED ADVERTISEMENTS RELIEF VETERINARIANS

Seeking relief or part-time position: 2-3 days per week – Saturday’s OK. Palm Beach or North Broward area. Former multi-doctor practice owner. Excellent surgical skills, reliable, energetic, professional and a great communicator. Experienced in high volume private and shelter practice settings. Contact; David M. Green, VMD, Home: 561364-2200; Cell: 305-613-4405; Email- davilace@bellsouth.net (Exp. Issue 4/15: 17132) EXPERIENCED SMALL ANIMAL VETERINARIAN: Available anytime, any where! R. A. Swiezy, DVM- (772) 418-1939.

(Exp. Issue 4 &5/15:26336) Relief/Part-Time Veterinarian--Treasure Coast - Smallanimal clinician and former practice owner available for relief or part-time work in Indian River County and surrounding areas. Fully competent in medicine, surgery, and dentistry. ISU '03. Contact Dr. Suzanna Vaino (609) 829-8857 or bestfriendsvet@hotmail.com (Exp. Issue 4 /15:29953) Seeking relief veterinarian: RSVP (Relief Services for Veterinary Practitioners) is seeking veterinarians for full time, part time and sporadic relief work in the state of Florida. Moonlighters are welcome! Choose when and where you work, for premium pay! For more information or to apply, please visit www.reliefvet.com or call 800-256-4078.

(Exp. Issue 4/15: 3041) veterinarian needed: We are growing and expanding! Our combination general practice (St. Francis Animal Hospital) and ER (Best VETS) in Jacksonville, FL is open 7 days a week with all the perks including flat panel DR, digital dental xray, all the IDEXX in-house labs, ultrasound, oxygen cage, hyperbaric oxygen chamber, etc. With ABVP diplomate on staff and supervised by a DACVECC. Flexible scheduling available, full and part time. Our emphasis is on patient care and client service. If you want to practice excellent medicine regardless of the clients’ budget, this may be the position you've been looking for.

Email resume and cover letter to jobs@saintfrancisanimalhospital.org (Exp. Issue 3,4/15:1441) Experienced Veterinarian Available: Small animal veterinarian with 25+ years experience available for relief or parttime work in Seminole, Orange, Lake, and Volusia counties. Excellent communication and interpersonal skills, with a focus on client education and pet care with compassion and integrity. Special interest in dermatology.

References available upon request. Contact Dr. Edward Dworkin at Eddworkin@gmail.comor407-435-3200.www.linkedin.com/in/edward-dworkin.

(Exp. Issue 3,4/15:287)

Associates wanted

Client Services Veterinarian Manager: The State of Florida, Department of Agriculture and Consumer Services, is advertising for a Client Services Veterinarian Manager at our Bronson Animal Disease Diagnostic Laboratory in Kissimmee, FL. Primary duties include serving as the liaison between the Laboratory and veterinarians and the industry; and supervising the Shipping and Receiving Section of the Laboratory. Excellent benefits package. To apply, go to https://peoplefirst.myflorida.com/ and search for Diagnostic Veterinarian Manager-SES, Position #42001077, in Osceola County. An EEO/AA Employer (Exp. Issue 4/15: 30091) Associates Veterinarian Wanted: Looking for a nice and low stress veterinary hospital to work in? Dr. Bob Irelan's is seeking a full-time veterinarian that is dedicated and has a good knowledge of medicine and surgery. We are a 3 veterinarian office with good pay and benefits. The staff is excellent and easy to get along with. The practice is very busy with providing excellent medical and surgical care. Also, the staff is very personable. If you are interested, contact Rhonda at 863-859-9485, or 863-398-6182, or irelanvet@gmail.com. Looking forward to hearing from you.

(Exp. Issue 4 & 5/15: 28422)

general practice veterinary associate: Full-Time Pay for Part-Time Schedule - you choose your schedule-Dunedin, FL We need to add a general practice veterinary associate who wants a regular schedule of anywhere from 2 to 5 days a week. Yes, part-time regular schedule for top dollar pay where a 3 day week can pay $64,000 to $74,000 per year. Dunedin Animal Medical Center (DAMC) is offering a unique approach to your veterinary career that allows you to choose the work schedule that is right for your life style.

DAMC is an AAHA accredited hospital; our facilities are exceptional and our equipment list is extensive. 10,000 sq. ft. facility with 6 exam rooms, dedicated treatment area, surgery suite, dental surgery suite with digital x-ray and high speed air equipment, in-house lab, digital radiography, ultrasound, and more!

Come visit our friendly practice located in sunny Florida near the Gulf beaches. Your extra days off could be spent with your friends and family enjoying all Florida has to offer. Please contact John Hodges at 727-418-4338 (Exp. Issue 4 /15: 28265) Experienced Associate Veterinarian Needed: for a large, 40 year old, small animal practice. Big Cypress Animal Clinic in Naples, FL is a 2nd Generation, AAHA certified, practice with a well established clientele. Position is Full Time including every other Saturday. Please send resume to bigcypressanimalclinic@gmail.com (Exp. Issue 4/15: 2806) Associate Veterinarian wanted: for 3 Doctor small animal practice in Oviedo, Florida. Hospital has been established for 24 years but continues to grow. New and recent graduates will be given prime consideration. Please contact Dr. Bob Moja at 407-366-4535 or cfah1@hotmail.com (Exp. Issue 4,5 & 6/15:15571) Experienced Associate Veterinarian Needed: Tallahassee small animal practice in need of experienced associate DVM 2-3 days per week. Please send resume's to lukeblanton@me.com (Exp. Issue 4/15: 28341)

Technicians and Staff Wanted

OPENING FOR EXPERIENCED VETERINARY TECHNICIAN: in well established small animal practice in the northern part of palm beach county. knowledge of birds a plus. benefits are available. E-mail resume to: superchick1@bellsouth.net (Exp. Issue 4/15: 12565)

practice for sale

veterinary building FOR SALE: 3500 Sq/Ft Veterinary Building on 2½ lots for sale/lease, Pompano Beach, FL-surrounded by busy roads; currently leased until July 2016 for $5,300/month. 954-786-3274, jwwnelson04@aol.com (Exp. Issue 4 & 5/15:2790) SMALL ANIMAL PRACTICE FOR SALE – Collier County: quaint solo small animal practice on main thoroughfare.

High net. 5 minutes from beaches, experienced staff. Updated Avimark, website, OSHA compliance. Leased shopping plaza facility. Great growth potential! Reply to: veet641@aol.com (Exp. Issue 4 &5/15:10972) SMALL ANIMAL CLINIC FOR SALE: Practice & real estate.

Jacksonville FL On the south side. Great potential. 904-724-8866 gowenclinic@bellsouth.net (Exp. Issue 3,4/15:1110)

www.fvma.org | 31

Florida Veterinary Medical Association 7207 Monetary Drive Orlando, FL 32809

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We Have Sold More Veterinary Practices Than Anyone.