m i c h i g a n v e t e r i n a r y m e d i c a l a s s o c i at i o n
DR. THERESE BURNS
Meet MVMA’s New President
in this issue . . . 2
Bovine TB Update
Pug Myelopathy Study
President’s Honor Roll
Drs. Krehbiel and Stinson Receive Awards
Doc, My Cow Has a Headache!
A Closer Look at Canine Brucellosis
Animal Welfare Conference a Great Success
Creating the Client Experience for Dentistry
Mackinac Island Veterinary Conference
Be a Member and Save!
MVMA Helps You Explain Veterinary Costs to Clients
eing a veterinarian, mom, practice owner, and volunteer is challenging. Some days I just want to escape to a tropical island and throw my phone in the ocean. We all need time for some fun, right? I ﬁnd myself thinking a great deal about young veterinarians as they graduate from veterinary school. It’s not easy to overcome obstacles to advance your career, particularly when you’re dealing with signiﬁcant ﬁnancial debt, thinking about getting married and having children, and juggling multiple priorities. Our new graduates want advice on obtaining a job and how to advance in the profession. They need information on what opportunities exist that will provide them with some actual experience. They crave relational communication opportunities with their peers and want direct interaction with leaders. There are two ways that we can help these young doctors. octors. The ﬁrst is by encouraging them to be a part of MVMA. MVMA is working king hard to develop a wide variety of resources to assist them. The website has a “New Docs” area which includes information on transitioning to practice, actice, licensure, ﬁnancial planning, communication strategies with clients, nts, career information, and more. MVMA can put them in touch with experts on ﬁnances and attorneys who will help them—for free.. They can also sign up to be a part of MVMA’s free Power of Ten Leadership eadership Academy which provides a series of leadership training g modules to help them improve their skills at work and in other venues. ues. As more experienced veterinarians, we can assist our ur recent graduates by mentoring and supporting them. Provide them with hands-on opportunities to learn in your practice and give ve them the opportunity to interact with leaders in the profession through hrough supporting their participation in organized veterinary medicine. icine. Your practice will beneﬁt as they develop their leadership skills. kills. Give them paid time oﬀ to attend these opportunities that will ill ultimately improve your practice. You can make a diﬀerence in the life of a young veterinarian! As a busy mom of four children, four dogs, s, and multiple other critters, I can tell you ﬁrst-hand thatt they need your help. I can also tell you that my time on the MVMA Board of Directors, Executive Committee, Public Health Committee, and Leadership Developmentt Committee have made a huge diﬀerence in helping me become a veterinary leader. As Mahatma Gandhi once said, “Be the change you wish to see in the world.” continued co ccon on o nttin in nu ueeed ued d on on p pa page age ge 22 2 . .
IMPORTANT PHONE NUMBERS
DECEMBER 18, 2013 MEETING
board update Professional excellence. Compassionate care. 2144 Commons Pkwy., Okemos, MI 48864-3986 tel (517) 347-4710 · fax (517) 347-4666 email firstname.lastname@example.org web www.michvma.org facebook www.facebook.com/ilovemyvet twitter www.michvma.org youtube www.youtube.com/michiganvma pinterest http://pinterest.com/michvma Published quarterly in March, June, September, and December. Deadlines are the ﬁrst of the preceding month. editors Karlene B. Belyea, MBA
2014 mvma officers & directors officers Dr. Therese Burns, President Dr. Julie Cappel, President-Elect Dr. Kevin Stachowiak, 1st Vice President Dr. Bruce Cozzens, 2nd Vice President Dr. Ralph Huﬀ, Immediate Past President Dr. Nancy Frank, AVMA Delegate Dr. Kathleen Smiler, AVMA Alternate Delegate Karlene Belyea, MBA, Chief Executive Oﬃcer directors representing districts Dr. Matthew Taylor, (1) Southern Vacant, (2 & 3) Michiana & Southwestern Dr. Melissa Owings, (4) Jackson Dr. Lauren Gnagey, (5 & 9) Washtenaw & Livingston Dr. Christian Ast, (6 & 8) Wayne & Oakland Dr. Tari Kern, (7) Macomb Dr. Jamie Snow, (10) Mid-State Dr. Chad Ackerman, (11) Western Dr. Kurt Dunckel, (12) Saginaw Dr. Rebeca Barr, (13) Thumb Dr. Jessica Christensen, (14) Northeastern Dr. Marcia Izo, (15) Northern
PROGRESS ON STRATEGIC PLAN
n Mandatory Continuing Education (CE) is on hold since the administration is currently working to downsize government entities through the Ofﬁce of Regulatory Reinvention (ORR). The Michigan Department of Community Health was asked by Governor Snyder to conduct a high-level review of the Michigan Public Health Code to identify opportunities for improving the health-care regulatory environment in Michigan. The intent of the project is to provide the Governor with a set of recommendations as to which parts of the Public Health Code would beneﬁt from a more in-depth review in the future. To assist, MDCH and the Public Health Code Advisory Committee are seeking input from individuals and organizations with expertise or interest in the requirements of the Public Health Code. The Committee will review and analyze suggestions and develop a set of recommendations. MVMA’s Executive Committee and CEO submitted comments on mandatory CE for consideration. n The Strengthening CE Task Force met on November 27. The focus of this meeting was on alternative CE delivery formats and evaluating the existing structure of MVMA’s CE Committees. Online CE of current and past Michigan Veterinary Conference (MVC)
recordings will be provided to 2014 MVC attendees at no charge so that MVMA can gather data and track usage for future planning. Webinars are also being discussed to assist recent graduates with a variety of relevant topics. MVMA INVESTMENT UPDATE & 2014 BUDGET
Wells Fargo Advisors consultants shared information on MVMA’s investments. The value of the portfolio as of December 17, 2013, was $801,281 with approximately 62% in equities, 22% in ﬁxed income, and 16% in cash and other alternatives. Net of fees, MVMA’s annual return was 13.5%. MVMA has taken a diversiﬁed, balanced approach with a focus on growth while mitigating risk. The Board approved the 2014 budget. SALES & USE TAX FOR VETERINARIANS
MVMA continues to be very concerned about sales and use tax audits occurring in Michigan. The State has a new treasurer who may be helpful with the Sales and Use Tax issue and MVMA’s lobbyist has met with him. A preliminary meeting has also occurred with the Lt. Governor. MVMA has hired a tax consultant to assist with analyzing the way various practices are handling these taxes. We hope that he will ultimately assist in developing information for veterinarians on how to best handle Sales and Use Tax.
directors representing associations Dr. Mike Thome, MI Equine Practitioners Dr. Steven Bailey, Southeastern Michigan VMA at-large directors Dr. Erin Howard, Food Animal Dr. Charles DeCamp, MSU CVM Dr. Lori Penman, Lab Animal Medicine layout/design Charlie Sharp/Sharp Des!gns, Lansing, MI printing & mailing BRD Printing, Lansing, MI ▪ The Michigan Veterinary Medical Association represents the veterinary profession in Michigan, advances the knowledge and standards of its membership, and promotes the science, practice, and value of veterinary medicine for the beneﬁt of animal and human health.
MVMA Now Offers Podcasts! MVMA member Dr. Jenna Corbett is recording a series of podcasts which are available on the MVMA website. The ﬁrst is “Genetics in Veterinary Practice” and the second will be a mini-series entitled “Before Buying a Practice.” Many thanks to Dr. Corbett for her eﬀorts!
STATE VETERINARIAN’S MESSAGE
Bovine TB Update n early January 2014, the Michigan Department of Agriculture and Rural Development (MDARD) announced the culmination of a bovine tuberculosis (TB) investigation in the Saginaw County area that had started in March 2013 when a Saginaw County dairy farm was discovered to be bovine TB positive. A cull cow with lesions suggestive of TB went through slaughter channels and United States Department of Agriculture (USDA) Food Safety Inspection Service (FSIS) examiners identiﬁed and removed the cow for human consumption.
Samples were submitted for laboratory testing and later found to be positive for TB. In March 2013, MDARD quarantined the Saginaw dairy farm as part of the bovine TB response plan and started a trace investigation into where the farm’s cattle went to, or came from, in the past ﬁve years. Nearly 26,000 cattle were tested as part of the trace investigation. Veterinarians have quarantined and tested 373 farms in the past nine months. We could not have accomplished this without the help of accredited private practice veterinarians and cattle producers. This partnership is of utmost importance in the state and I appreciate your willingness to collaborate when we ask for assistance. The investigation found three additional TB positive farms—one each
in Midland, Gratiot, and Arenac counties. No other positive cattle have been revealed. As a result, the special surveillance areas in Saginaw, Midland, and Gratiot counties have been released and the area is considered TB-free. Slaughter surveillance is an important part of the food safety net, since bovine TB is primarily spread through respiration—the bacterium is generally found in lung tissue. As a reminder, to kill any bacteria, all meats should be thoroughly cooked to an internal temperature of 165° F for 15 seconds and all milk should be pasteurized before consumption. —James Averill, DVM, PhD, State Veterinarian
Pug Myelopathy Study
ichigan veterinarians are encouraged to assist the MSU College of Veterinary Medicine in the study of spinal cord disease in Pug dogs. Recently, a previously ly y unreported condition termed “constrictive myelopathy” was described in adult ltt Pug dogs (J Am Vet Med Assoc 2013; 242: 223–229). The condition involves a progressive incoordination rd dination and weakness of the hind limbs resulting from a constriction of the spinal cord at the thoracolumorracolumbar junction. Case histories of ataxic Pugs encountered in Michigan practices are sought to identify tthe prevalence, and potentially unique diagnostic features of constrictive myelopathy and other spinal piinal diseases seen in purebred Pugs. Lead faculty at MSU CVM are Jon Patterson, DVM, PhD, DACVP, and n Elizabeth nd Ballegeer, DVM, DACVR. Please contact Dr. Patterson at (517) 353-9471 or email@example.com ah h.msu.edu for more information. We will provide a questionnaire for description of clinical cases, and/or or instructions for donation of postmortem specimens. the michigan v vee tterinarian e r i n ar a r ia ian • s spring pr pr rii n g 2 2014 0 14
for & about members
In Memoriam n Andrew A. Catey, DVM, died on July 6, 2013, at the age of 58. He graduated from Michigan State University’s College of Veterinary Medicine and had been a member of MVMA since 1984. Dr. Catey practiced small-animal medicine at All Paws and Claws Veterinary Clinic in Angola.
Dr. Hank Vaupel (center) was honored to receive the Rooker Award for Excellence in Equine Practice by the Michigan State University College of Veterinary Medicine and the Michigan Equine Practitioners’ Association. The Rooker Award was established in 2012 as the highest honor bestowed upon a Michigan Equine Practitioner that has devoted their career to advancement of veterinary medicine, and training of future generations of practitioners and professionals.
Stuart Thrush, DVM, died on December 30, 2013, at the age of 79. He graduated from Michigan State University’s College of Veterinary Medicine and was a life member of MVMA. Dr. Thrush practiced small-animal medicine and opened Waverly Animal Hospital in Lansing in 1963. The MVMA extends its sympathy to the friends and families of departed members. In memory of deceased members, the MVMA contributes $50 to the Michigan Animal Health Foundation. Friends of deceased members may send memorial contributions to the Foundation. When contributions reach $500, the member’s name is entered on a memorial plaque displayed in the MVMA ofﬁce. The MVMA staﬀ thanks those thoughtful members who take time to notify the ofﬁce and send obituaries of our recently deceased members.
FREE LEGAL AND FINANCIAL ADVICE
MVMA often gets calls from members seeking legal advice on a variety of issues. Consequenly, MVMA has retained the services of White, Schneider, Young & Chiodini, P.C. to assist our members with questions. Members receive free 15-minute telephone consultations as often as necessary. In addition, if a member decides to pursue legal action using the ﬁrm, they receive a 10% reduction on the attorneys’ customary billing rates. Do you need guidance on how to best handle your student loans, or help deciding if you can aﬀord to buy a practice and someday retire? Let MVMA’s accountant and ﬁnancial consultant help you. Members receive free 15-minute telephone consultation as needed. Call the MVMA oﬃce at (517) 347-4710 or email us at firstname.lastname@example.org for more information.
DISCOUNTS ON PRACTICE MANAGEMENT WEBINARS
MVMA has partnered with Wendy Myers and Communication Solutions for Veterinarians to oﬀer monthly webinars that let you train your entire team for an aﬀordable price. Live one-hour webinars are the third Thursday of each month at 12 and 3 p.m. Eastern time. If your team isn’t available on a webinar date, buy the archived session and then set a training date that ﬁts your schedule. Each webinar is a MVMA member rate of $89 per hospital, a savings of $10 oﬀ the regular price. An annual membership includes 12 webinars for $1,068 paid at enrollment, a savings of $120. To enroll, call 720/344-2347 between 10 a.m. and 7 p.m. Eastern time and mention you’re a MVMA member. 4
the michigan veterinarian • spring 2014
the michigan ve terinarian â€˘ spring 2014
michigan t veterinary conference
his year’s Michigan Veterinary Conference attracted over 1,500 attendees. In addition to the excellent educational program and outstanding exhibit area, attendees were treated to a variety of receptions, social events, and new CE venues. The MVMA Annual Meeting included informative presentations and awards. Immediate Past President Dr. Ralph Huff spotlighted the “President’s Honor Roll” to recognize the hard work of MVMA supporters. Watch for information on the 2015 Michigan Veterinary Conference. You won’t want to miss it!
PLATINUM Zoetis GOLD BluePearl Veterinary Partners Boehringer Ingelheim Vetmedica CareCredit Companion Therapy Laser Dechra Veterinary Products Dogwood Veterinary Referral Center Merial Ltd. Patterson Veterinary Supply SILVER CEVA Animal Health Dan Scott & Associates Diagnostic Center for Population & Animal Health Kinetic Vet MSU Federal Credit Union Nestlé Purina PetCare Novartis Animal Health United Dairy Industry of Michigan Veterinary Dental Products Wedgewood Pharmacy
Drs. Chris Juroszek, Lisa Kutchins, and Sarah Abood
Drs. Paul Mesack and Gay Gira
BRONZE Animal Neurology, Rehabilitation & ER Center Faithful Companion Pet Cremation Services Oakland Veterinary Referral Services Drs. Bryan Cornwall and Steve Steep 6
the michigan veterinarian • spring 2014
President Pres Pr esid es iden id ent en t Dr Dr. Ra Ralp Ralph lph lp h Hu Huff Huff’s ff’s ff ’s s HO HONO HONOR NOR NO R RO ROLL LL Dr. James Averill, leadership as our State Veterinarian Dr. Sarah Abood, leadership on the Membership Development Committee Dr. Cathy Anderson, assistance with “Building Bridges” between veterinarians and animal care and control agencies Dr. Steve Bailey, leadership on the Strengthening CE Task Force Dr. Marcie Barber, leadership on the Animal Welfare Committee Ms. Karlene Belyea, management of all aspects of the MVMA Dr. Jeremy Boge, leadership on the Food Animal Practice Committee Dean Chris Brown, leadership of our college of veterinary medicine Dr. Kim Buck, coordination of the small animal seminar series Dr. Therese Burns, leadership on the Executive Committee Dr. Julie Cappel, leadership on the Executive Committee Dr. Frank Carmona, leadership on the Power of Ten Leadership Academy
Mr. George Carr, service in political and legislative arenas Dr. Renee Coyer, coordination of the Upper Peninsula Miracle of Life Dr. Jeﬀ Dizik, leadership on the Michigan Animal Health Foundation Ms. Sheri Fandel, coordination of MVMA operations and as a tremendous resource for members Dr. Nancy Frank, leadership in representing Michigan in the AVMA HOD Dr. Steven Halstead, Senior Livestock Liaison at MDARD Dr. Jean Hudson, leadership on the Legislative Advisory Committee Ms. Jan Hodge, coordination of administrative services Dr. Gail Hoholik, coordination of the Upper Peninsula Miracle of Life Dr. Lana Kaiser, coordination of the MVMA Animal Welfare Conference Dr. Tari Kern, coordination of People, Pets & Vets Dr. Joe Kline, leadership on the Public Health Committee
Dr. Jan Krehbiel, leadership as AVMA District V Representative Dr. Larry Letsche, leadership on the Board of Veterinary Medicine Dr. Angela Lusty, leadership on the Power of Ten Leadership Academy Ms. Amy Morris, leadership in MVMA Public Relations Dr. Pat O’Handley, leadership on the Ethics and Grievance Committee Dr. Pete Prescott, leadership on the Ethics and Grievance Committee Ms. Kara Henrys, management of member beneﬁts and student programs Dr. Ed Rosser, leadership on the Joint CE Committee and MVC Dr. Mary Seager, leadership on the Awards Committee Dr. Kathy Smiler, leadership in representing Michigan in the AVMA HOD Dr. Kevin Stachowiak, leadership on the Executive and Legislative Advisory Committees Dr. Mike Thome, leadership on the Leadership Development Committee
the michigan ve terinarian • spring 2014
Drs. Krehbiel and Stinson Receive Awards AT THIS YEAR’S MICHIGAN VETERINARY CONFERENCE, THE ASSOCIATION GAVE TWO OF ITS MOST PRESTIGIOUS AWARDS TO OUR SPECIAL MEMBERS.
Dr. Ralph Huﬀ presents Dr. Janvier Krehbiel with the Distinguished Lifetime Achievement Award.
the michigan veterinarian • spring 2014
DISTINGUISHED LIFETIME ACHIEVEMENT AWARD Established in 1970, the Distinguished Lifetime Achievement Award is conferred upon only a few individuals of the highest professional caliber who have completed thirty-ﬁve consecutive years of active membership and have partaken actively in association obligations and otherwise served the veterinary profession in an exemplary fashion at the state and/or national levels. This is the highest award conferred by the MVMA. Dr. Janver Krehbiel worked at MSU CVM for almost 40 years. During his early years at the college, he earned his master’s degree and later his PhD with a National Institute of Health Special Post Doctoral Fellowship in the department of pathology where he continued as an instructor. After earning higher education degrees, Dr. Krehbiel moved through the professional ranks to full professor and served as director of the clinical pathology laboratory. In 1983, he was appointed acting associate dean for professional and undergraduate education and then became dean for academic and student aﬀairs in 1989. In 1998, he was appointed senior associate dean for administration and associate dean for academic programs. In addition, he twice served as acting dean and in 2006 he was appointed Director of International Programs for CVM. Dr. Jan Krehbiel’s leadership has had a signiﬁcant and lasting impact upon MVMA, the college, and students, faculty, staﬀ, alumni, and friends. His duties required him to manage the delicate balance of acting as an advocate for both faculty and students. In addition to his stellar career, Dr. Krehbiel is a member and Diplomate of the American College of Veterinary Pathologists (boarded both in anatomic and clinical pathology)
and has received numerous awards for his incredible service. Dr. Krehbiel has served as President of MVMA, President of the American Society for Veterinary Clinical Pathology, Chairperson of the Association of Academic Deans, Chairperson of the AVMA Informatics Committee, Chairperson of the National Board of Veterinary Medical Examiners and six years as a member of the AVMA Council of Education and the Committee on Veterinary Technician Education and Activities. In 2007, Dr. Krehbiel was elected as the AVMA District 5 representative on the AVMA Executive Board. In 2012, the AVMA Board elected him as its chair. He did an amazing job on this Board representing organized veterinary medicine and MVMA was proud to thank him with the Distinguished Lifetime Achievement Award for his progressive work, tremendous dedication, and many years of service.
W. KENNETH McKERSIE SERVICE AWARD TheW. Kenneth McKersie Service Award is conferred upon a member of the MVMA for cumulative service and accomplishments beneﬁting the profession of veterinary medicine, the community, and the Association. In 1964, Dr. Al Stinson was a professor at MSU until he retired in 1994 as Professor Emeritus. During that 30-year period, he taught microscopic anatomy and animal behavior to thousands of Michigan veterinarians, supported Michigan dog breeders with his legislative lobbying, and raised over a million dollars to support research of purebred dogs at MSU. After his retirement, he continued to be active in the support of the veterinary and dog breeding industries and
Dr. Ralph Huﬀ presents the W. Kenneth McKersie Service Award to Paul Stinson, accepting the honor for his father, Dr. Al Stinson.
was an active member of MVMA’s Legislative Advisory Committee until 2012. Dr. Stinson’s accomplishments in Michigan’s dog industry included being Vice President of the Obedience Training Club of Greater Lansing, President of the Ingham County Kennel Club, President of the Huron River Labrador Retriever Club, President of the Michigan Association for Pure Bred Dogs, Founder and Director of Legislative Aﬀairs for the Michigan Hunting Dog Federation, and Co-founder and Executive Director of the Michigan State University Pure Bred Dog Endowment Fund, an endowed fund with a current value of more than $1.5 million. He also served on the Board of Directors of the American Dog
Owners Association for a number of years and as Michigan’s legislative liaison for the American Kennel Club. In 2001, the United Kennel Club presented Dr. Stinson the ﬁrst Fred T. Miller Memorial Award. He received this award in recognition of his work lobbying for the rights of dog owners, particularly in his tireless ﬁght against breed-speciﬁc dangerous dog laws, dog limitation laws, and anti-breeder laws. For his outstanding contributions to veterinary science, MVMA’s Legislative Advisory Committee, Michigan dog breeders and owners, and pure-bred dog research, MVMA was pleased to recognize Dr. Stinson with the W. Kenneth McKersie Service Award. the michigan ve terinarian • spring 2014
Doc, my cow has a i headache! Dr. Lana Kaiser
tthe th h e michigan mic mich m ic ich ch c h igan i ga ig iga gan g a an n v ve vet veterinarian e terin et t eer eri erin rin r in na ari aria ar riia r ria ian • s spr sp spring p pr rii n g 2 r 2014 0 14 14
magine you are a human with a headache—you reach into your medicine cabinet, select a pain reliever approved for use in humans, read the label, take a pill— and your headache is gone. Now imagine you are a cattle veterinarian about to perform a painful procedure on a calf. You reach into the medicine cabinet— and it is empty. In the US, currently, there are no medicacurr tions approved for use in cattle for pain fo relief. That means that any time we choose to mitigate pain in cattle we are using drugs in an extra label manner. In addition, unlike extra label use in small animals, cattle veterinarian veterinarians need to be concerned about violative re residues in meat and milk. You might ask, isn’t isn Banamine (ﬂunixin meglamine) used for pain relief in cattle? Banamine and the generics Indeed, B have b been used for a long time to relieve reliev (or we think to relieve) pain pai in cattle, but the label for fo Banamine use in cattle states that it “is indicated for st the control of pyrexia associated with bovine respiratory disease, disea endotoxemia and acute bovine mastitis,” and it b is “also indicated for the control in of inﬂammation in endotoxemia.” inﬂammat Banamine has a ffour-day slaughter withhold when given IV an and because it appears that it is often not given by that route, it is a major cause of violative residues in dairy cattle. There was a time tim when very few, including veterinarians, considered the relief of pain in cattle, a and which may not be surprising as there ther was also a time when surgery was perfo performed on newborn infants with little conside consideration for pain. Today it is diﬀerent, or at lleast it should be, because now we know that tha cattle are capable of perceiving and reacti reacting to pain. We also know that the bovine ne nervous system involved in emotions, like pain pa and fear, is very similar to ours, and that mitigating pain is a good m thing for the animal. anim
In general, dehorning should be done early in life and with consideration given to mitigate pain. While in several European countries administration of local anesthesia before dehorning is legislated, in North America we prefer to follow “codes of practice.” Following the code is voluntary, thus the use of pain control for disbudding or dehorning is voluntary. The Canadian Code of Practice requires that “Pain control must be used when dehorning or disbudding,” but again following the code is voluntary. Dehorning is painful and we have a responsibility to mitigate the pain associated with the procedure. While there are no approved drugs for pain relief in cattle, extra label use of nonsteroidal anti inﬂammatory drugs, especially meloxicam, combined with local anesthesia (cornual nerve block) and or sedation can be used to mitigate the pain associated with disbudding/dehorning. Hans Coetzee and his group have done extensive studies evaluating the efﬁcacy of meloxicam on mitigating pain in cattle. They have demonstrated that plasma drug concentrations are maintained in an
PERCENT OF VETERINARIANS USING ANALGESIA
Gone are the days when we thought that if the animal was in pain it would be quiet and heal faster. Expansion of the moral circle, feminization of the profession, and a greater awareness of the neurobiology of pain all play a part in our increasing desire to improve animal welfare and provide pain mitigation for cattle. We can use disbudding/dehorning strategies as an example of improving welfare and mitigating pain. Research, as well as common sense, supports the notion that it is better to do it earlier. Disbudding (removal of the horn cells before they become attached to the skull at approximately 2 months of age) is preferred to dehorning, and ideally should be done within the ﬁrst few days of life. Disbudding uses heat (hot-iron), chemicals (caustic paste), or amputation to remove the horn cells while dehorning requires physical methods which result in the amputation of the horn. In all cases there is pain. The most welfare-friendly and least painful way to dehorn calves is genetic—use a homozygous polled bull. Polled is dominant and horned is recessive; all calves sired by a homozygous polled bull with be polled. While in beef cattle a high percentage (approx 75%) of calves are born polled (without horns), currently most dairy calves are born horned. In beef operations slightly more than half of calves born horned will be dehorned before leaving the farm or ranch, the remainder are not dehorned because the horn is valuable, or a breed characteristic, or someone forgot! Most dairy calves are separated from their dam within 24 hours of birth, generally placed in individual hutches, and could be dehorned relatively easily within the ﬁrst week of life. Some dairy farms have started using paste applied while the calf is nursing colostrum. While beef calves may be tagged at birth, in some operations they are not handled again until near weaning. Thus the management of dehorning may be diﬀerent in beef and dairy calves.
eﬀective range for 3–5 days after a single administration of 1 mg/kg and that this dose is useful in mitigating the pain of dehorning. In addition they have demonstrated that meloxicam may be useful in lameness, decreasing stress associated with long travel, and if given prior to castration in feed lot cattle prevention of respiratory disease. Further, a single dose of meloxicam is effective if given 12 hours before dehorning or at the time of dehorning. Meloxicam is given orally at a dose of three 15 mg tabs per 100 lbs. While Banamine (ﬂunixin meglumine) is an approved NSAID for use in cattle, when used for relief of pain, it is considered an ELDU and must comply with AMDUCA regulations. Diﬀerences between the two drugs, including meloxicams purported COX-2 selectivity, four time longer half-life, and ease of administration (oral vs. intravenous), may make meloxicam a more attractive choice in pain management in cattle. Dr. Kaiser is a physician and bovine veterinarian who has a beef cattle practice, raises registered Maine-Anjou and Red Angus cattle and is a member of the MVMA Animal Welfare and Food Animal Practice Committees.
UNITED STATES CANADA UNITED KINGDOM
Percentage of veterinarians using analgesia before and/or after castration in diﬀerent animals and countries. From 2012 Schwartzkopf-Genswein, Fierheller, Caulkett, Janzen, Pajor, González, and Moya, “Achieving pain control for routine management procedures in North American beef cattle,” doi:10.2527/af.2012-0049
the michigan ve terinarian • spring 2014
the michigan veterinarian â€˘ spring 2014
the michigan ve terinarian â€˘ spring 2014
A Closer Look at Canine Brucellosis — Not Just a Dog STD
Courtney Chapin MSU Diagnostic Center for Population and Animal Health
inset photo, right, above: Testicle, dog. Interstitial hyperplasia markedly expands the interstitium and separates and surrounds degenerate seminiferous tubules (hematoxylin and eosin, 200×).
the michigan veterinarian • spring 2014
n late November 2013, the State Veterinarian issued a warning to dog owners: test for canine brucellosis. This came as a result of three investigations into canine brucellosis over the course of four months, spanning late summer into fall. Canine brucellosis is a reportable disease in Michigan but not in all states. Testing for canine brucellosis sounds like a simple solution to avoid an outbreak, but tests are not necessarily a deﬁnitive method to determine the presence of the bacterial infection. Veterinarians and owners need to be aware of the insidious nature of Brucella canis as it poses a serious health risk for all dogs as well as the general human population and it is incredibly difﬁcult to conclusively diagnose.
PHOTO COURTESY OF THE JOINT PATHOLOGY CENTER
Tackling Misconceptions In dogs, there are many misconceptions about brucellosis infection. Most of the time, the animals are asymptomatic carriers of the disease. They often do not show clinical signs of infection yet, if positive for Brucella, they shed organisms into the environment. The organism is shed through any body ﬂuid—including saliva, blood, urine, semen, and vaginal ﬂuids. Once the organisms are in the environment, all dogs (castrated, spayed, or intact) and people are susceptible to infection. Transmission commonly occurs via ingestion of contaminated material or through the venereal route; however, infection also occurs via contact with the oral/ conjunctival mucosa. nasal or con Canine b brucellosis is often associated only with breeding animals because the easbr clinical signs of infection ily recognized recog infertility, abortion, or stillbirth. are in However, in a group or kennel How situation, infected breeding sit dogs also expose non-breeding d animals to the disease primarily a because urine and aborted tissue/discharge contaminate the general environment. Owners and breeders often do not cona sider this type of environmental s exposure and should be counseled ex be aware of the risks. to b Canine brucellosis should be susCa pected when dogs present with a variety w of condition conditions, such as uveitis, discospondylitis, infertility infertil (in males or females), abortion, and orchitis/epididymitis. Contrary to much of the information present online, it is not easy to diagnose, it is not limited only to breeding dogs, it is very difﬁcult to treat/ cure, and humans are at risk of infection.
Conclusive Testing Canine brucellosis is difﬁcult to diagnose because the majority of available serologic diagnostic tests are not conclusive. In addition, in asymptomatic carriers, the bacteria are sequestered in the bone marrow and lymph nodes once it enters the body. Dogs may only show symptoms immediately after infection.
Brucella canis is a fastidious organism. Increasing Awareness It grows slowly and is easily overgrown by Veterinarians can help increase awareness other organisms in culture. Therefore, a among dog owners and breeders by being routine 48-hour bacterial isolation may be mindful of where dogs are being procured, deemed “negative” when, in fact, brucelwhether or not the animal has been in losis is present. Veterinarians need to tell transit, and by looking at the sources of their diagnostic laboratory that they suspect “pet” quality dogs (where did your client brucellosis so the sample is cultured for a buy/receive their pet?). Keep an open longer time period (up to 14 days). dialog with clients, test all animals that Because the organism is challenging may be used for breeding, and counsel your to culture, serologic testing is often used. clients to never acquire a dog with known However, dogs may be infected for as long reproductive problems. as 8–12 weeks before the antibodies are high enough to be detected. Contrary to much of the information A recently infected dog present online, [brucellosis] is not easy to could have negative diagnose, it is not limited only to breeding serologic results despite dogs, it is very difﬁcult to treat/cure, and being infected with Brucella canis. humans are at risk of infection. Additionally, when dogs present with conditions that could pinpoint brucellosis In Michigan, the majority of positive infection (uveitis, discospondylitis, etc.) dogs are coming from kennels that may they often are empirically treated with anbe referred to as “puppy mills” (often tibiotics. Unfortunately, antibiotic therapy selling dogs to pet stores), “designer” dog may interfere with culture. However, even breeds, establishments that breed multiple if antibiotics clear the organism from the varieties of dog breeds, rescue groups, blood stream, the antibody titer may still be and shelters. These are dogs intended to detected via serologic testing. be pets, not the show dogs or performance Dogs with positive serologic test results dogs veterinarians usually associate with should be quarantined until the diagnosis is dog breeders. conﬁrmed (or refuted) by a culture. Veterinarians need to ask their clients The Diagnostic Center for Population and about their dog’s history, especially with Animal Health (DCPAH) oﬀers three options new dogs and puppies. for Brucella canis testing: Brucella culture, Because Brucella canis is a zoonotic Brucella canis antibody/slide agglutination organism, veterinarians play a critical role (90009), and a Brucella canis IFA titer test in protecting the health of their human cli(60067). ents (and the public) by diagnosing canine In addition to providing a numerical brucellosis in dogs. titer, IFA is a sensitive test that may identify Veterinarians are encouraged to keep weak infections earlier than the in-house canine brucellosis on their list of difslide agglutination test. The IFA can be used ferentials for uveitis and discospondylitis on both acute and convalescent samples. regardless of the dog’s breeding status, Although it requires more set-up than the neutered or intact, and to submit samples slide agglutination (more than one hour as to a diagnostic laboratory for additional opposed to two minutes), the IFA test has testing as needed. virtually the same turnaround time and Please contact DCPAH’s Immunodiagnosprice. While the IFA does not satisfy most tics/Parasitology lab at (517) 353-1683 with export requirements, it is recommended any questions about which testing method for screening cases in which Brucella canis for Brucella canis may be most appropriate infection is suspected. for a particular case.
the michigan ve terinarian • spring 2014
animal welfare conference a great m success!
VMA held an Animal Welfare Conference on November 25, 2013. The conference featured a wide variety of speakers and focused on how veterinarians work together with producers and others for humane treatment of animals at every stage of life. Topics included assessing canine behaviors in shelters, understanding the disconnect between society and high-tech agriculture, the historical perspective of animal welfare, facial expressions of animal pain, who has the better welfareâ€”4-H chickens or the small commercial ďŹ‚ock, the unwanted horse issue, and a live pig handling demonstration. There were approximately 300 attendees at the event including DVMs, LVTs, industry representatives, farmers, producers, shelter personnel, animal welfare enthusiasts, and members of the public. MVMA plans to hold another conference on November 24, 2014, Dr. Lana Kaiser and Cathy Anderson were honored for their work in the animal welfare arena. Stay tuned for more information on the upcoming 2014 Animal Welfare Conference!
the michigan veterinarian â€˘ spring 2014
Dr. Lana Kaiser Dr. Lana Kaiser was recognized at the MVMA Animal Welfare Conference with a certiﬁcate of appreciation for her work on the event. The MVMA’s Animal Welfare Conference has been taking place since 2010 and is one of the best in the country. The event brings experts in animal behavior and welfare from across the country for a full day of educational sessions and networking at Michigan State University. “Dr. Kaiser’s eﬀorts to make this conference an unprecedented experience have been astonishing,” said Karlene Belyea, MVMA’s Chief Executive Ofﬁcer. “The ultimate results of this are improved animal well-being and a higher level of knowledge among practitioners and others who work with animals.” Dr. Kaiser is a 1995 graduate of Michigan State University’s College of Veterinary Medicine and she resides on a farm in Mason. She raises Maine-Anjou and Red Angus cattle and has a beef cattle veterinary practice. She is involved in issues of animal behavior and welfare at the county, state and national level. She is also a graduate of Michigan State University’s College of Human Medicine, is a Board Certiﬁed (Human) Internist, and was a professor in the departments of physiology and medicine in the College of Human Medicine at Michigan State University.
“Dr. Anderson has made a tremendous contribution with this program that will have lasting eﬀects on the veterinary community and on many professions that have a direct impact on the well-being of animals in the state,” said Karlene Belyea, MVMA’s Chief Executive Ofﬁcer. “This program has improved relationships between private practitioners and animal welfare organizations and our hope is that it will continue.”
Dr. Anderson’s primary position is as Jackson County Animal Shelter’s shelter medicine veterinarian. She is a member of the Animal Welfare and Legislative Committees of the MVMA. She is an adjunct professor at Baker College of Clinton Township where she teaches in the veterinary technology program, and is one of the founding members of PAWS Pet Rescue out of Brighton.
Dr. Cathy Anderson Dr. Cathy Anderson was also recognized at the MVMA Animal Welfare Conference with a certiﬁcate of appreciation for the Building Bridges presentations she has been giving across the state and country on behalf of the organization. Building Bridges is a program intended to improve relationships between private practitioners and animal welfare organizations. Dr. Anderson has presented to classes at Michigan State University’s College of Veterinary of Medicine, at the Michigan Partnership for Animal Welfare Conference, at Michigan’s No-Kill Conference, to the Pennsylvania Veterinary Medical Association, and to numerous local groups in Michigan. the michigan ve terinarian • spring 2014
Share dental x-rays with clients to show value for professional services. IDEXX I-Vision MobileTM Application allows you to show radiographs on tablets and iPads as well as email them to clients or specialists.
creating the client experience for dentistry Wendy S. Myers
lthough your team recommends the best medical care for pets, sticker shock may prevent some clients from accepting dental treatments. The average dental case totals $427, according to the 2013 AAHA Veterinary Fee Reference, 8th edition (see sidebar).1 To get more clients to accept dentistry, we must communicate its value. “Clients want optimal dental care—a higher quality service,” says Dr. Ed Eisner, Diplomate AVDC, at Animal Hospital Specialty Center in Highlands Ranch, Colo. “We must oﬀer competence, service, and value for dentistry. When we communicate value, clients will appreciate our dental services, pay their bills, tell friends, and return for annual or semi-annual dental care.” Here’s how you can create a great experience for dentistry that makes clients smile.
CREATE PHOTO BOOKS OR SLIDESHOWS
Most pet owners have never seen an animal’s dental procedure from start to ﬁnish. To make a photo list, use your dental treatment plan template as a guide. Match the order of your photos to the order 18
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of the procedure. For example, your ﬁrst picture would be of a veterinarian performing an oral exam and assessing the pet’s grade of dental disease. Be sure that photos are kid-friendly because children will want to see the images you’re showing to their parents. Take a photo of a smiling technician in your in-clinic lab to demonstrate preanesthetic testing—don’t show a jugular blood draw on a patient (scary!). Professionally print your photo books. Create dental photo books using websites such as Shutterﬂy, Walgreens, or Costco. Place photo books in each exam room and your lobby. Use photos books when presenting dental treatment plans to clients. For a digital option, create slideshows on digital photo frames, tablets, or exam room computers. When computers hibernate, your slideshow becomes the screen saver. The American Animal Hospital Association (AAHA) oﬀers a book to use in exam room conversations, Healthy Mouth, Healthy Pet: Why Dental Care Matters (www.aahanet. org). Dr. Jan Bellows, Diplomate AVDC, of All Pets Dental Clinic in Weston, Fla., has a series of ﬁve smile books that can be viewed on his website at www.dentalvet.com. Veterinary Information Network members can download his books at no charge at www. vin.com. DESCRIBE ANESTHESIA SAFETY PROTOCOLS
“Once an animal reaches age 10, more clients are afraid of anesthesia,” says Kathy Pershing, CVT, a dental technician at Animal Hospital Specialty Center. “I explain that three people are actively involved in the pet’s dental procedure: two certiﬁed veterinary technicians and Dr. Eisner. We also use sevoﬂurane, monitoring equipment, and warming blankets.”
language, compared to a confrontational posture of talking across the table with a physical barrier between you and the client. Because clients need to understand service ﬁrst, cover prices with an educational brochure such as Virbac’s dental report card (brochure #VP028) or preanesthetic testing brochure. Explain each item, pointing to the left column that lists medical services. After you’ve shared photos and discussed medical services, reveal the price. Educating clients before showing prices helps them make informed decisions. Clients may jump to judgment if they see the price ﬁrst without understanding the comprehensiveness of professional dental care. SCHEDULE ADMISSION APPOINTMENTS
Avoid using the term “drop oﬀ,” which implies the admission process takes seconds. Schedule a 15-minute admission appointment with a technician or veterinarian. In the privacy of an exam room, you can have the client sign consent forms, collect contact phone numbers, answer questions, and explain when you will call following the procedure. If technicians admit patients, make sure a veterinarian is available in case the client has additional questions. When client care coordinators make conﬁrmation calls, they would explain fasting instructions and then tell clients, “Your dental admission appointment is scheduled for 7:45 to 8:00 a.m. with a technician, who will spend 15 minutes reviewing the consent form, answering your questions and getting phone numbers where we can reach you on the day of the procedure. Please allow at least 15 minutes for your pet’s admission to the hospital. If you have questions, please call us at (555) 555-5555.” GIVE CLIENTS YOUR BUSINESS CARD
PRESENT SERVICE FIRST, PRICE LAST
When recommending dental treatments, avoid saying “estimate,” which centers on price. “Treatment plan” emphasizes needed medical care. Stand at the end of the exam table, forming L-shaped body language, or position yourself shoulder-to-shoulder with the client. This is collaborative body
During the admission appointment, give clients business cards of the veterinarian and technician who will perform the procedure. This instills conﬁdence and communicates your professionalism. A technician would say, “We will call you after 1 p.m. when we have ﬁnished your pet’s dental procedure. If you have questions before then, here’s my
Use Google Voice’s free service to text a client when a patient wakes from dentistry. The text has a time and date stamp and the client’s cell number for documentation in medical records.
business card and the doctor’s.” Clients also may use the business card if they have questions about home-care instructions after the patient is discharged. Watch my video on using business cards at www.YouTube.com/ csvets. USE A DENTAL CONSENT FORM
Once the pet is under anesthesia, a comprehensive oral exam and dental x-rays may
AVERAGE DENTAL CASE TOTAL
The average dental case is $427, according to AAHA Veterinary Fee Reference, 8th edition.1 This includes a preanesthetic exam, CBC with diﬀerential, chemistry panel with eight chemistries, dental x-rays, 30 minutes of anesthesia, IV catheter and placement, IV ﬂuids, dental scaling and polishing, subgingival curettage, ﬂuoride application, electronic monitoring, post-procedure pain medication, post-procedure injectable antibiotics, hospitalization, and one-week supply of antibiotics.
the michigan ve terinarian • spring 2014
When presenting the dental treatment plan, use collaborative body language. Stand at the end of the exam table to form L-shaped body language (left) or stand shoulder-to-shoulder next to the client (right).
reveal additional care. In addition to the anesthesia consent form, have clients sign to authorize additional dental services if necessary. Always call to update the client on any additional services and prices. If you can’t reach the pet owner, this consent form tells you whether to perform all necessary dental procedures, add services up to a speciﬁc dollar amount, or if the client declines any unforeseen dental procedures. TEXT CLIENTS AFTER DENTAL PATIENTS ARE AWAKE
Add this statement to your anesthesia consent form: “How would you like to hear from us when your pet wakes from the procedure?” Then list text, email, or phone call. If a complication occurs, always call the client. Expect up to half of clients to choose text notiﬁcation. Never use a practice cell phone to text 20
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clients because you can’t print the text to document it in medical records. Another danger: Clients may expect you to answer the practice’s cell phone 24/7. Google Voice and Gmail Chat oﬀer free texting services that time and date stamp conversations, which you could print for paper medical records or save as PDFs in electronic medical records. Gmail Chat also allows you to attach photos. Dental technicians would log into Google Voice or Gmail Chat as patients are recovered to update clients and remind them about discharge appointments (see photo). TAKE BEFORE-AND-AFTER DENTAL PHOTOS
Few clients look at the back of their pets’ mouths. Photos often show dramatic improvements and communicate value for dental services. Incorporate photos and x-ray images into discharge instructions.
PROVIDE A DENTAL REPORT CARD
“Write a pictorial case summary report with photos and x-rays,” advises Dr. Eisner. “Create a template in Word so it’s easy to format and revise.” In addition to showing value, a dental report card helps family members who were not present understand the procedure. See my book, The Veterinary Practice Management Resource Book & CD, for a dental report card (www.csvets.com/ books/). SHARE DENTAL X-RAYS
The 2013 AAHA Dental Care Guidelines for Dogs and Cats recommend taking radiographs of the entire mouth, which are necessary for accurate evaluation and diagnosis. Intraoral radiographs revealed clinically important pathology in 28% of dogs and 42% of cats when no abnormal ﬁndings were noted during initial exams.2
AAHA also oﬀers a dental radiology poster to help educate clients about the importance of dental x-rays (www.aahanet.org). DISCHARGE FIRST, PAY LAST
Clients need to understand all of the services that were performed before they see the ﬁnal bill. During discharge, explain the procedure and potential complications such as vocalization, bleeding, coughing or signs of pain to watch for at home. Discuss any prescribed antibiotics and medication for inﬂammation and pain. Also demonstrate home-care products. When you oﬀer a product in the exam room, it’s medicine. When it’s sold at the front desk, it’s retail. Because a dental diet may be part of ongoing therapy, bring the therapeutic diet into the exam room. Tell the client, “Because your pet was treated for dental disease today, he needs to eat this therapeutic diet to maintain his oral health. Let me explain how to transition to the new food and also tell you how much to feed.” Put a prescription label on the diet, which has the pet’s name, how much to feed and where to get reﬁlls. “Release consults can be delegated to well-trained staﬀ, but clients are even more impressed if the doctor takes time to explain what was done,” Dr. Eisner advises.
Because clients need to understand service before price, place a dental or preanesthetic testing brochure over the total. After you share step-by-step photos of a dental treatment and describe services, reveal the price so the client can make an informed decision.
CALL CLIENTS AFTER DENTAL PATIENTS HAVE BEEN DISCHARGED
Depending upon the discharge time, call the pet owner later that evening or the next morning. Ask about the pet’s condition, ability to give dispensed medications, use of home-care products, and answer questions. In dental group codes in your practicemanagement software, automatically turn on a callback for one day later. Whenever this service is invoiced, a callback will be generated. Have the technician who performed the procedure call the client. The employee already has a face-to-face relationship with the client, knows details of the procedure, and can answer questions the client may have. Just as you use doctor ID codes to track production, create staﬀ ID codes so each employee who delivered
care for a speciﬁc patient is linked to that medical record. This will keep callbacks organized and give staﬀ accountability.
DENTAL REMINDER INTERVALS service
Grade 1 dental treatment . . . . . . . .12 months Grade 2 dental treatment. . . . . . . . . 9 months
SEND DENTAL REMINDERS
Grade 3 dental treatment . . . . . . . . . 6 months
Whenever an invoice is generated, a reminder for a follow-up oral assessment will automatically follow. Link reminders to dental group codes. Get dental reminders in my book, The Veterinary Practice Management Resource Book & CD (www.csvets.com/ books/). Because optimal service doesn’t just happen, plan a staﬀ meeting to develop a strategy of how your team will deliver A+ dental services and increase client understanding and perception of value. “Don’t think ‘My clients won’t pay more,’” advises Dr. Eisner. “You need to show more value.”
Grade 4 dental treatment . . . . . . . . . .3 months REFERENCES 1. AAHA Veterinary Fee Reference, 8th edition, AAHA Press 2013; p. 115. 2. Verstraete FJ, Kass PH, Terpak CH. Diagnostic value of full-mouth radiography in cats. Am J Vet Res 1998; 59(6):692–5. Wendy S. Myers owns Communication Solutions for Veterinarians and is a partner in Animal Hospital Specialty Center, a 10-doctor AAHA-accredited referral practice in Highlands Ranch, Colo. She helps teams improve compliance and client service through consulting, seminars and webinars. You can reach her at wmyers@ csvets.com or www.csvets.com.
the michigan ve terinarian • spring 2014
Annual Controlled Substance Inventory Board of Pharmacy Rules 338.3151 and 338.3152 and Michigan Statute MCL 333.7321 require veterinarians with a controlled substance license issued by the Board of Pharmacy to conduct an annual inventory of all controlled substances in Schedules 2–5 under their control. The inventory must be submitted to the State between April 1 and June 30. An inventory is required for each location where controlled substances are kept, beginning on the day the licensee ﬁrst engages in the practice. The annual inventory must be signed and dated by the licensee, with the licensee’s name, address, and DEA number. Schedule 2 drugs must be listed separately from all other drugs and exact counts must be made. For substances listed in schedules 3, 4, and 5, the count or measure may be estimated, but if the container holds more than 1,000 dosage units (pills, etc.), then an accurate count is required. Federal law requires a biannual inventory be taken and kept on the premises. Saving a copy of the annual state inventory will put the veterinarian in compliance with this requirement. Send the state inventory to: State of Michigan, Bureau of Health Professions, Health Investigation Division, 6546 Mercantile Way, Suite 2, PO Box 30454 , Lansing, MI 48909. For questions or additional information, call (517) 373-1737 or email email@example.com.
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mvma mackinac island veterinary conference
July 13–15, 2014
don’t miss it!
Mackinac Island, MI
Veterinary Parasitology, Michael Dryden, DVM, PhD Practice Management, Mary Ann Vande Linde, DVM
Sponsored by Merial, Ltd. Sponsored by IDEXX
Plus plenty of fun evening events! You won’t want to miss this year’s Summer Conference! Watch for the full brochure with complete details in April. the michigan ve terinarian • spring 2014
be a member and save! A BENE LL THESE FITS FOR & MORE ONLY individual member benefits
ember, Dear MVMA M
, and ive, passionate most progress e th of e on an is th e MVMA tions with mor rinary organiza a member as dedicated vete ng ui s. By contin er ad le n ia ar eas and great 2,200 veterin d with great id te ec nn co e ar of MVMA, you ill be inspired! people. You w at a person who istics show th at st ow e kn u Did yo of $10,000 mor es an average ak m n io at ci s all the joins an asso not? MVMA ha one who does an th them. As a ar ye r pe ow how to get kn e w t, n’ do e if w e’ll help. answers—and anytime and w us l ai em or ll e can ca have more tim member, you ms so that you le ob pr ur yo e We can solv ary posiin your life! current veterin ur yo ith w d ng to an Are you satisﬁe ople who belo that 72% of pe ow kn u red yo id m tion? D eir jobs co pa tisﬁed with th sa ry ve e ar n ng to associatio who don’t belo half of people an th er w fe s. ith ed w career ne lp with all your worth one? We can he rams that are ucational prog ed s er state oﬀ A th MVM ay across e d driving halfw an . m a. 5 er at te our conf getting up st attendees ra pa of % 95 d in advancing to attend—an portant moves im t os m e th ences as one of ine. their career. terinary Medic e Future of Ve th ed in jo ve You ha A member life as an MVM ur yo e ak m to p! We are here ur membershi rget to renew yo fo ’t on D . er si ea Warmly,
Michigan Veterinary Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $110 Small Animal Series Conferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–150 Summer Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $100 MVMA Animal Welfare Conference . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50 Other CE Oﬀerings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–200+ The Michigan Veterinarian, ofﬁcial magazine of the MVMA . . . . . . . . . . . . . . . . $75 Free E-Newsletter and Urgent Issues Broadcasts . . . . . . . . . . . . . . . . . . . . . . . . $175 Free legal services (15-minute consultations) . . . . . . . . . . . . . . . . . . . . . . . . . . $50+ Free ﬁnancial advice (15-minute consultatations) . . . . . . . . . . . . . . . . . . . . . . . $50+ MVMA online directory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $90 Free relief vet ads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–200 Discounted x-ray badges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $25–500+ Discounts on classiﬁed ads . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $30–120 Vetstreet Online Communications savings/discounts . . . . . . . . . . . . . . . . . . . . 500+ Discounted human resource/payroll service . . . . . . . . . . . . . . . . . . . . . . . $50–250+ Discounted ofﬁce supplies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–500+ Discounted custom imprinting for cards, stationary, etc. . . . . . . . . . . . . . $25–100+ Discounted ofﬁce equipment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–500+ Discounted dish network service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $195+ Discounted ADT security systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$1,070+ Discounted on-hold message systems . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–200 Discounted Hertz car rentals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $10–50+ Discounted credit card processing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–500+ Discounted business consultation services . . . . . . . . . . . . . . . . . . . . . . . . $50–250+ Discounted phone, Internet, and data services . . . . . . . . . . . . . . . . . . . . . $50–250+ Discounted Spectrum surgical instruments . . . . . . . . . . . . . . . . . . . . . . . . $50–500+ Discounted Lands End business attire . . . . . . . . . . . . . . . . . . . . . . . . . . . . $50–250+ Discounted practice management webinars. . . . . . . . . . . . . . . . . . . . . . . . $10–120+ Discounted burial & cremation services (5% discount) . . . . . . . . . . . . . . . . . . . $50+
, MBA Karlene Belyea Ofﬁcer e Chief Executiv
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MVMA Helps You Explain Veterinary Costs to Clients rom time to time, media outlets will run stories about the cost of veterinary care like 20/20 did in November 2013. While this may put you in a difﬁcult position, it is actually an opportunity for you to encourage an open dialogue with your clients to better communicate the value of the care you oﬀer. MVMA is dedicated to equipping you with resources you need to refute inaccurate assumptions and proactively promote a close relationship with your clients. A quantity of our “Cost of Compassion” brochures is available to you each year at no charge and additional copies can be ordered at our cost. If 100% of your doctors are MVMA members, we will send you as many as you like for free. Here are some of the answers to the questions in our “Cost of Compassion” brochure. You may also want to use these as talking points when clients or the media ask questions about the cost of care.
Avoiding dangerous situations through obedience training, leash use, indoor lifestyle, and keeping pets away from toxic products can help owners avoid signiﬁcant costs associated with pet emergency.
WHY DO THE PRICES FOR THE SAME PROCEDURES VARY SO MUCH AMONG DIFFERENT VETERINARIANS?
Each practice has diﬀerent expenses that fees must cover. These fees do not always reﬂect the same set of services, though there may be certain basic procedures in common. The cost of pet health care reﬂects the full range of quality pet care provided to your pet. Diﬀerent drugs, anesthetics and antibiotics aﬀect the cost of services. Also, diﬀerent techniques may be used, as well as diﬀerent products, overhead and philosophies. WHAT ABOUT LOW-COST ANIMAL CLINICS? HOW CAN THEIR PRICES BE SO MUCH LOWER THAN
WHY DOES VETERINARY CARE SEEM SO
THOSE OF MY VETERINARIAN?
Some low-cost animal clinics are unable to provide the full range of quality pet care offered at other hospitals, such as emergency care, treatment for major illnesses, or complicated surgeries. It should be acknowledged that donor-subsidized clinics provide a valuable and often needed resource in the community by oﬀering reduced-cost elective procedures to families with limited incomes.
Your veterinarian is not only your pet’s general physician, but also its surgeon, radiologist, cardiologist, neurologist, dermatologist, dentist, and pharmacist. The cost of care includes equipment maintenance, as well as continuing education and salaries for qualiﬁed staﬀ. These costs are necessary to provide the level of care your pet deserves. An investment in your pet’s veterinary care is an investment in a relationship with a veterinarian that will ensure quality care throughout your pet’s lifetime. Every pet owner has diﬀerent ideas on what is acceptable pet health care. Your veterinarian can guide you through the health options available for your pet. HOW CAN I SAVE MONEY ON VETERINARY COSTS? n
Avoiding the need for emergency care and being pro-active in preventative care can save money over the lifetitme of a pet. Preventative medicine helps to reduce medical costs in both humans and pets. Regular physical examinations, current vaccines, and regular parasite control help to prevent disease.
WHY SHOULDN’T I PURCHASE VACCINES AND MEDICATIONS FROM CATALOGS AND OVER THE INTERNET?
A pharmaceutical purchase from your veterinarian is an investment in a business that will provide long-term health care for your pet. No Internet pharmacy cares as much about your pet as your veterinarian. Some online pharmacies and catalogs represent legitimate, reputable pharmacies, but others may be fronts for businesses operating in violation of the law. Many drugs can be dangerous to your pet if they are not properly prescribed and monitored by your veterinarian. Most online medications are within 3 to 5% of the cost charged by most veterinarians. The savings are minimal. An additional con-
sideration is that many products purchased through Internet pharmacies are not guaranteed by the pharmacy or the manufacturer. I WANT TO HAVE MY PET SPAYED OR NEUTERED BUT AM CONCERNED ABOUT COST. WHAT CAN I DO?
Pet owners can prepare for the cost of spaying or neutering their pet by getting an estimate from their veterinarian at the time they adopt their pet and setting aside an appropriate amount each week until they elect to have the procedure performed. Also, a routine spay or neuter is not an emergency procedure and can be performed at any time that is convenient. Spay and neuter procedures are major surgery for your pet. WHY CAN’T MY VETERINARIAN PROVIDE A REFUND IF TREATMENT DOESN’T ELIMINATE MY PET’S HEALTH PROBLEM?
Your veterinarian is committed to providing the best care for you and your pet. You are paying for an honest eﬀort to diagnose and treat a problem. In veterinary medicine, as in human medicine, there are no guarantees. Some problems can be long-term or involve multiple or changing causes and treatment may be ongoing. Unfortunately, a veterinary patient can’t tell us what is wrong or help us monitor the success of some of our treatments. WHY CAN’T VETERINARIANS ADVISE, DIAGNOSE, AND/OR PRESCRIBE MEDICATIONS OVER THE PHONE AND SAVE ME MONEY AND TIME?
For legal reasons, veterinarians cannot prescribe medications for pets they have not examined. To provide the highest level of care, provide an accurate diagnosis, and plan a successful course of treatment, your veterinarian needs to physically examine your pet. the michigan ve terinarian • spring 2014
classiﬁed ads & relief vets classiﬁed ads veterinarians wanted Two positions available for privately owned, busy, 6-hospital group with a 12,000 SF central hospital and 24-hour emergency services. These AAHA-certiﬁed hospitals are located in the northern Macomb area. Facilities are award-winning, receiving two Veterinary Economics awards, and fully equipped. The technical and veterinary staﬀ is experienced and dedicated with a board certiﬁed (ABVP) owner, and several internship trained veterinarians. The ﬁrst opening is an overnight veterinarian. Duties include emergency out-patient, triage of animals transferred from other hospitals, monitoring of in-house critical care patients, and emergency surgery. We provide ﬂexible scheduling and competitive salaries. The second opening is a general practitioner in a rural satellite hospital. Duties include general outpatient care, in-hospital patient evaluation, and surgery. This is a unique opportunity for an experienced practitioner that provides independence, but also support from the central hospital. Schedules are ﬂexible and salary competitive. Contact John Wilson or Heidi Dortenzio at 586/752-6217 or email to firstname.lastname@example.org. Hoover Road Animal Hospital (HRAH) is a full-service veterinary hospital located in Warren, MI. We have been operating for 4 years into a new 3,500 SF building where we have grooming and kennel services, in addition to veterinary services. Our mission at HRAH is to provide and maintain excellent veterinary medical care to our clients and their pets. Our hospital has 2 full-time, experienced veterinarians and 4 full-time technicians who provide the best possible medical, surgical, and dental care for their highly valued patients. Our dedicated staﬀ is committed to promoting responsible pet ownership, preventative health care, and health-related education for our clients. Our full-service (x-ray, surgical, ultrasound, dentistry) clinic seeks motivated, hard-working and team-oriented DVM for our busy multi-doctor practice. This position is part-time to start, with full-time potential. New graduates are welcomed and encouraged to apply as we love to mentor! Please call us or email/fax your résumé today to set up an interview. Position available immediately. Attention Dr. Alexeev or Jenn Rainey, tel 586/795-3500, fax 586/795-3526, email vets@ hooverroadanimalhospital.com, web www.hooverroadanimalhospital.com. Looking for FT veterinarians for Lake Huron Veterinary Clinic in Port Huron, MI. We oﬀer competitive salary and beneﬁts including health insurance, liability insurance, vacation pay, 401K and paid dues. Please send résumé to Dr. Dhillon at email@example.com. Currently recruiting DVMs interested in working PT/relief work on our weekend vaccine clinics throughout MI. We oﬀer vaccines, parasitic testing, and prevention. Flexible scheduling and excellent compensation! Clinic work available in Lansing, Grand Rapids, Ann Arbor, and the Detroit areas, with more to come! Lean more and apply
the michigan veterinarian • spring 2014
online at www.pawsplus.com or email résumé to barry@ pawsplus.com. F/T or P/T DVM to join dedicated, compassionate, client service-oriented team at our location in Redford, MI. Reply to Lisa at firstname.lastname@example.org. Small-animal AAHA-accredited hospital in Genesee County seeking a dependable, energetic, full-time veterinarian to join our team. Our well-established, newly remodeled hospital is well-equipped with state-of-theart technologies, including digital radiography, in-house laboratories, ultrasonic dental equipment, endoscopy, and many more. Excellent beneﬁts and competitive salary; the position is open immediately. Please submit résumé to email@example.com. Full-time veterinarian needed for well-established smallanimal house-call practice in Genesee County. 32-hour work week, no emergency or weekend hours. Option available for purchase of practice. Excellent ﬁnancial opportunity. Email firstname.lastname@example.org. BluePearl Veterinary Partners Michigan (Michigan Veterinary Specialists) is actively seeking an emergency clinician to join our growing team! Our Michigan locations currently include hospitals in Southﬁeld, Ann Arbor, Auburn Hills, Macomb, and Grand Rapids. Current services available to support the emergency service as needed include internal medicine, critical care, ophthalmology, surgery, neurology, oncology (including radiation oncology) and dermatology. If you are interested in discussing the position further, please contact Mairim Gersholowitz at Mairim.Gersholowitz@BluePearlVet.com or 813/5496961 or 813/928-9619. Grow with us in one of our small-animal hospitals in southeastern MI. We are a small group of high-end practices devoted to practicing the highest quality of medicine. Staﬀ is fully utilized so you will focus on diagnosing, prescribing medications, and surgery only. End result, these are well-managed practices focused on providing the best medical and client care in a fun and proﬁtable environment. We currently have part-/ full-time openings in the greater metropolitan Detroit area, including our Banﬁeld, The Pet Hospital location in Woodhaven, MI. Contact Jeﬀ Rothstein, DVM, MBA, at 734/645-0267; email email@example.com; fax 734/3726318. Experienced part- to full-time veterinarian needed for busy, progressive, small-animal practice in southwest metro Detroit area. Send résumé to ﬁval@sbcglobal.net. Seeking a full-time, skilled, conﬁdent, and compassionate associate veterinarian to join our health care team at Northville Animal Hospital in Northville, MI. Strong interpersonal and communication skills, excellent customer service, and general practice capabilities are required. Looking for a self-starter who is dependable, energetic, and willing to learn, teach, and excel. Competitive salary and beneﬁts. Send résumés to Dr. Ajaib Dhaliwal at firstname.lastname@example.org. We are looking for a full- or part-time veterinarian, pref-
erably experienced, for our busy practice in Dowagiac, MI. We have most of the toys, but what makes this practice interesting is the number of cases we see and the diversity of medical problems—you won’t be bored! The clients are very receptive to our recommendations. We have a terriﬁc, helpful, and cheerful staﬀ who enjoy working here. We are also happy to mentor you to the degree you desire. Dowagiac is a small town surrounded by a large resort community. We have many lakes and recreational opportunities as well as being close to Kalamazoo and South Bend; Chicago is a convenient train ride away. Please email cover letter and résumé to email@example.com. Harbor Humane Society has an immediate need for a part-time veterinarian at our West Olive (Holland) animal shelter. This is a permanent position with ﬂexible hours, 2 to 4 days/week. Responsibilities include performing sterilizations and surgeries, diagnosing and treating animals, stabilizing ill and injured animals, and working with shelter staﬀ to reﬁne and improve SOPs. We are a rural nonproﬁt animal shelter located just 30 minutes west of Grand Rapids and contracting with Ottawa County to receive 2,500+ animals annually. Must hold Michigan DVM license. Pay is commensurate with experience. Please email résumé, availability, and salary requirements to Jeﬀ Stiegman, firstname.lastname@example.org. Animal ER Center, co-located with Animal Neurology & MRI Center and Animal Rehab Center in Commerce, MI, is seeking emergency clinicians to join our team. We are 3 centers, one place, bringing together advanced medicine, patient health and well-being, and compassionate care. We believe in a collaborative approach to patient care. Our doctors work closely with referring veterinarians and other specialists in the area, all to the beneﬁt of our patients. Candidates must be compassionate, have great surgical and medical skills, and have the ability to communicate well with clients and the referring community. Our center has a reputation for excellence in case management and communication with our referring veterinarians and clients. It is our people who make the diﬀerence. Our doctors, technicians, receptionists, and administrators work together to provide worldclass veterinary care in a positive working environment. Commerce is a beautiful area where sporting events, cultural, educational, and outdoor recreational opportunities are plentiful. This is a great place to raise young families. Beneﬁts include health/dental/life insurance, 401(k), competitive wages, pet care discounts, ﬂexible spending, CE, and vacation. For more information on our center, we invite you to visit us at www.animalercenter. com or contact Angie Heighton at email@example.com; 248/960-7200. Part-time outpatient veterinarian wanted for Michigan Anti-Cruelty Society Veterinary Clinic located in Detroit. Hours are 8–4 Wed. and Fri.; potential for more hours in future. Email firstname.lastname@example.org. The Allegan Veterinary Clinic located in Allegan, MI, is seeking to hire an associate veterinarian who can work with both large and small animals. New graduates are welcome to apply. Please send résumés to dmartin@ nvanet.com or contact us at 269/673-6981. We are seeking a full-time veterinarian who is a compassionate team player with excellent communication skills. Our hospital is a progressive practice located in southwest MI. We utilize in-house blood work, digital radiography, laser surgery, ultrasonography, and hightechnology dentistry. Please contact us for more information at email@example.com. Ann Arbor Animal Hospital is recruiting an emergency veterinarian. Join our growing emergency/critical care
service. Excellent compensation package includes a host of beneﬁts. Submit résumé to dcaddell@ annarboranimalhospital.com for information about us. We are looking to add a veterinarian to our small-animal practice in west MI. We are a well-established practice with an excellent support staﬀ. We will be opening a satellite clinic in February 2014. We are looking for someone, full- or part-time, with 2 or more years’ experience and the ability to work as a sole practitioner at the satellite clinic. Future practice ownership is a possibility for the right individual. Fax résumé to 616/456-1071. Associate veterinarian needed for busy, 4-doctor Ann Arbor practice. Two years’ experience preferred. Competitive salary, paid vacation, professional license costs, insurance, CE allowance, and VIN membership included. Please send résumé to Kelly@aﬀordablevetservices. com. Associate veterinarian wanted; PT, may lead to FT, for small-animal hospital in Northville, MI. Busy 2½-doctor hospital. Must have strong communication skills and able to provide compassionate patient and client care. Open 7 days/wk; no after hour emergency calls. Experience preferred. Email résumé to Kirsten.Isaacson@ Banﬁeld.net, or fax 248/449-6632. We are looking for an associate veterinarian with at least 5 years’ experience to join our team. Applicant should have a good blend of medical, surgical, and people skills. Our well-established practice has 2 locations in a very desirable area of metropolitan Detroit. We see a diverse caseload and focus on preventative health care and long-lasting relationships with our clients and their pets. We oﬀer extended hours to fulﬁll the needs of our client’s busy schedules. Our practice is fully integrated with IDEXX (Cornerstone practice software in-house chemistry and blood count analyzers, and CR digital radiography, EKG and tonopen, to name a few). We will oﬀer a competitive salary (based on experience) with an opportunity to make a bonus. We also oﬀer health insurance, dental insurance, simple IRA, professional dues, liability insurance, uniform allowance, paid vacation, and more. There is a very good opportunity to buy into our practice for the right individual. Please email your résumé and 3 references to DVMjob.firstname.lastname@example.org. Full-time veterinarian needed for busy 2-doctor, smallanimal practice in Bay City, MI. Experienced doctors and new graduates will be considered. Bay City has a “big town” feel for a small city, including theaters, festivals, an expanding riverfront/downtown area, as well as access to many outdoor and water activities. The practice oﬀers a dedicated, family-friendly staﬀ, 4 exam rooms, isoﬂorane and sevoﬂorane anesthesia, in-house LaserCyte CBC and Catalyst Chemistry machines, tonopen, and a local emergency facility that handles our afterhours calls. Come join our practice team where you’re not just an employee but part of a family! Please email cover letter and résumé to email@example.com.
clinical knowledge. We oﬀer state-of-the-art services including ultrasound, anesthesia, digital dental radiographs, in-house IDEXX Catalyst, Snap Shot and Laser Cyte, eastern and western medicine, and acupuncture. Must be willing to work nights and weekends. Beneﬁts, including health insurance allowance, paid vacation, sick and personal days, and employee pet discounts are available for full-time employees. Please email résumé to Amber at firstname.lastname@example.org. Cat Care PC of Rochester Hills is seeking a dynamic, licensed veterinary technician to join our team. The successful candidate will possess strong communication skills, be a self-starter, and will be able to work well in a team environment. Please email résumé and cover letter to email@example.com. Sprinkle Road Veterinary in Kalamazoo is looking for a full-time LVT to join our multi-doctor, full-service animal hospital. The successful candidate will possess experience in surgical assistance, pharmacy duties, lab work, radiology, monitoring of patients, maintaining anesthetized patients, and handling medical records. Please contact Nancy at firstname.lastname@example.org. Our friendly, progressive, small-animal clinic is seeking an experienced licensed veterinary technician. This applicant must be a self-starter with an interest in holistic medicine, client education, team building, and business development. Other required skills include surgical, dental, lab, and nursing care. If you are looking to fully utilize your technical ability and be a part of a growing practice, contact us at animalclinicofpickney@gmail. com. Part-time LVT needed for AAHA small-animal practice in Okemos. Emphasis on client education, dentistry, and providing great customer service. Training available for therapy laser. Please submit résumé to mail@ redcedarvet.com or in person. Veterinary hospitals in Dearborn Heights and Dearborn area seeking skilled, experienced, licensed veterinary technician for part-time position. Send résumé to Dan Monforton, 3225 S. Telegraph, Dearborn, MI 48124, or email to email@example.com. office staff wanted office manager: We are looking for an LVT to take responsibility for the efﬁcient running of our busy 6-doctor veterinary hospital. Professionalism, initiative, and ofﬁce skills are needed. The possibility of practice manager may be available with experience. Your role will include day-to-day running the ofﬁce, accounts management, some marketing duties, website and social media site management, and client communication. You will need to be comfortable being independent and with making decisions. Applicants must have veterinary com-
puter program knowledge, Microsoft and Excel knowledge, excellent interpersonal, oral, and communication skills, and a positive disposition. Please submit your résumé and cover letter by email to firstname.lastname@example.org or fax 517/787-0399. Practice manager for 24-hour emergency hospital needed. Prerequisites include 2 years’ experience in veterinary or human hospital management. Preference will be given to candidates with certiﬁcation in veterinary practice management. Practice manager will be responsible for overseeing operations related to client satisfaction, employee relations, protocol implementation, as well as create and manage hospital production goals. Salary based on experience; generous beneﬁts. Located in beautiful Traverse City, MI, our compassionate, welltrained staﬀ looks forward to meeting you! Send résumé to email@example.com. practices & equipment for sale Small-animal practice for sale in the northern Lower Peninsula area. Annual revenue $620K. Great opportunity for growth. Purchase practice and real estate for $525K. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, 800/380-6872, or firstname.lastname@example.org. When buying or selling a veterinary practice, rely on the expertise of the Total Practice Solutions Group. See our display ad this issue. Even if you plan to sell your practice yourself, contact Dr. Kurt Liljeberg for a free consultation. We would be happy to help: 800/380-6872 or email@example.com. Bay County, MI: New listing! Solo, small-animal, 2,500 SF facility on approximately 1/3 acre real estate, 2 exam rooms with room to grow! Other practices available: AL, FL, ME, NV, NY, NC, OK, TX, and WV. PS Broker, Inc. 800/636-4740, psbroker.com. Long-established (1967) companion animal practice for sale in northern lower MI. Single DVM practice working 4 days/week. Gross in 2013, $1M. Sale with or without 3600 SF clinic, residence, and 60+ acre farm. Full lab, ultrasound, 7-station computer system, etc. Separate building for storage and boarding. Owner ﬁnancing and help with transition available. Serious inquiries only, firstname.lastname@example.org. looking to purchase: Experienced companion animal practitioner with ready ﬁnancing seeks to purchase an established practice in the Lower Peninsula. Professional discretion and privacy assured. Contact email@example.com. practice for sale: 60 north of Grand Rapids. Solo small-animal medicine/surgery in a leased facility. Practice in existence for 17 years, gross $230K in 2013; asking $175K. Please contact Jennie at 616/835-1929 or NC8245@atoutlook.com.
Part-time veterinarian for work on Saturdays or evenings at our Wellness Clinic in Auburn Hills or Warren. Must be compassionate with a focus on helping pets. Contact Cheryl, All About Animals, Warren at 248/892-1152, or fax 586/933-2565. PT available. LVTs wanted Are you an LVT and absolutely love working with cats? Are you looking for that purr-fectly suitable job? The Country Cat Clinic, a feline-exclusive veterinary hospital, is looking for a full-time LVT. Must be self-motivated, compassionate about cats, licensed in the state of Michigan, and be a great team player. Excellent opportunity for someone wishing to utilize their technical skills and
the michigan ve terinarian • spring 2014
to multitask. Extended travel can be negotiated. marj. ﬁeld@me.com.
Douglas Bandkau, DVM, 989/666-2862. MSU 79. SA relief and part-time, SW Michigan. Medicine, surgery, dentistry; I enjoy working in a team atmosphere.
Edward Greene, DVM, 517/812-1540. MSU 59. SA relief. Competent medical/surgical skills. Cheerful interactions with your clients and staﬀ. Your practice procedures adhered to. LuckyPetVet@comcast.net.
Deborah Baron (Allen), DVM, 313/595-7490. MSU 98. SA relief, SE Michigan. Emergency/critical care, general medicine, soft tissue surgery, ultrasound, exotics. Excellent patient care, client communication, and records. Will follow practice guidelines. firstname.lastname@example.org.
Lisa Harris, DVM, 616/261-4743. MSU 89. Available for relief in Grand Rapids/Lakeshore area. Experienced SA medicine and surgery, avian, exotics. Friendly, good communicator. email@example.com.
Norman Bayne, DVM, MS, 248/506-1104. MSU 81. SA relief work in southeast MI. Will travel. Friendly, excellent client communications skills. firstname.lastname@example.org.
Sean D. Hughes, DVM, 517/552-0993; 734/674-7061. MSU 76. SE Michigan SA relief since 1999. Parttime. Prefer SE; will travel for right circumstances. HughesDVM@aol.com.
Ann-Marie Sekerak, DVM, 505/563/0944. ILL 05. SA relief or PT, within 1 hour of Ann Arbor. Positive attitude, excellent patient care and client communication. sekerakDVM@gmail.com.
Kirsten Begin, DVM, 616/446-3154. MSU 09. SA relief in Grand Rapids and surrounding areas. Will travel. Friendly, excellent client communication. References. Completed rotating and surgical internships. email@example.com.
Jill Haver-Crissman, DVM, 989/631-2790 or 989/2978594. Ontario 80. SA relief or part-time. Medicine, soft tissue surgery, ultrasound. Works well with others. Not available Wednesdays. firstname.lastname@example.org.
Sharisse Berk, DVM, 248/851-0739. MSU 95. Available for SA relief or part-time work in southeast MI.
Cindy Kalicki, DVM, 313/291-2466. MSU 94. Eight years full-time, two years relief in SA general medicine/soft tissue surgery. SE MI, part-time or relief.
Teri Sexton, DVM, 517/231-1256 cell; 517/371-2930 home. MSU 92. SA/PT work w/in 1 hour of Lansing. Can make your clients and staﬀ feel at ease. Strengths: dermatology, soft tissue surgery. TeriLSexton@earthlink. net.
Rhonda Bierl, DVM, 248/467-1987. MSU 00. SA/ emergency relief within 1 hour of Pontiac. General medicine, soft-tissue surgery, ultrasound experience. houserrh \@yahoo.com. Archie Black, DVM, 248/417-2667. MSU 83. SA relief, entire state. Practice owner for 20 years. Excellent communicator. email@example.com. Laurie Brush, DVM, 616/498-1316. MSU 98. Experienced, SA relief in Grand Rapids and surrounding areas. Excellent client communication, record keeping. lauriebrush @hotmail.com. Aimee Cochell, DVM, 616/558-4905. Ross 01. Available for SA relief in Grand Rapids area. Willing to travel. Good client communication skills. References. abcochell@ comcast.net. Kenneth Corino, DVM, 248/217-5235. MSU 94. SA relief work. SE MI, medicine and surgery. corinodvm@aol. com.
Charlotte Kim, DVM, 517/643-4069. MSU 08. SA relief work in SE Michigan. Soft tissue surgery and medicine. Friendly and dependable. firstname.lastname@example.org Joan Koelzer, DVM, 616/437-6415. MSU 85. SA medicine and surgery, single-day relief, Grand Rapids/west MI. Skilled in diﬃcult spay and neuters. jekoelzer@yahoo. com. Delta Leeper, DVM, 248/396-7525. MSU 03. Part-time or relief, SE Michigan. Cats and dogs only; medicine, dentistry, routine surgeries. Internship trained, good communicator, team player. email@example.com. Mike Lin, DVM, 269/743-7770 or 269/348-1145. MSU 97. SA part-time or relief work in Kalamazoo/Grand Rapids and surrounding areas. Surgery, general medicine, and emergency experience. Excellent client communication skills. firstname.lastname@example.org.
Amy Peck, DVM, 231/557-4423. MSU 97. Available for relief in west MI/Grand Rapids/Lakeshore area. SA general medicine. Excellent communication skills, experienced and reliable. email@example.com Jeﬀrey F. Powers, DVM, 231/881-4408. MSU 80. Available to provide SA/MX relief work in MI, practice owner for 29 years. firstname.lastname@example.org. Bob Schleiﬀarth, DVM, 269/921-0570. SA relief. Over 30 years’ ownership experience. Coverage for western MI, based in Onekama. Kawnipi2@att.net.
Jennifer Sherrill, DVM, 231/215-0924. UICVM 01. SA relief PT. 9 years’ experience. General medicine/surgery. Excellent client care. West MI/Grand Rapids. Willing to travel. References. email@example.com. Alan Sibinic, DVM, 734/922-3713, 231/547-6212. MSU 75. Relief or part-time anywhere in MI. Flexible, widevariety practice experience. 5+ years relief work. References. SA/EQ/FA. Margaret Sudekum, DVM, 616/676-2720 MSU 89. Available for part-time SA relief work in Grand Rapids and the surrounding areas. Good client communication skills. firstname.lastname@example.org. Alan Supp, DVM, 616/732-1263 days; 616/874-4171 evenings. MSU 90. Companion animal practitioner available Saturdays only, as-needed basis in the greater Grand Rapids area. Connie R. Sveller, DVM, 517/388-3434. MSU 85. SA relief work within 1 hour of East Lansing. Experienced/ reliable/former practice owner (16 years). docconnie1@ aol.com.
Nichole Corner, DVM, 616/634-9777. MSU 99. SA relief work in Grand Rapids/Kalamazoo area. Excellent client communication skills. References available. email@example.com.
Valerie Mahoney, DVM, 217/766-6155. Illinois 03. SA relief in SE Michigan, including Saturdays and Sundays. Strong surgical skills, high medical standards. Enjoy working with clients. References available. Petdoc03@ gmail.com.
Jennifer M. Dec, DVM, 248/224-1990. MSU 04. Smallanimal general practice and emergency relief. Surgery, ultrasound, and excellent communication skills, firstname.lastname@example.org.
Richard M. Mieczkowski, DVM, 734/735-2279. MSU 71. Relief, experience, competent, dependable, smallanimal, references, north Oakland County and vicinity. email@example.com.
Daniel Deciechi, 810/394-7412. MSU 03. 10-year ER practice owner available for relief/part-time. Willing to travel. Enjoy the practice variety of relief work. drdeciechi @gmail.com
Denise Jorgensen Montagna, DVM, 231/557-1536. CSU 90. SA relief or part-time in western MI. Excellent client relations. References available. djmontagnadvm@ charter.net.
Susan Drapek, DVM, CVA, 517/663-0428. MSU 90. Available within two hours of Lansing. Relief experience since 1997. Small-animal medicine, surgery, and acupuncture. firstname.lastname@example.org.
Peggy Newman, DVM, 616/570-1101. MSU 75. 32-year mid-Michigan practice owner. SA medicine and surgery. Seeking relief work in mid- and west MI. docpeghoort@ hotmail.com.
Theresa Driscoll, DVM, 517/927-3831. MSU 00. Available for SA relief or short term. Experienced and dependable. Reference. email@example.com.
Kris Parnell, DVM, 517/881-2845. MSU 91. Available for SA relief or part-time. Will travel 1 hour of Lansing area. References upon request. firstname.lastname@example.org.
Amy Wildrose, DVM, 517/420-5891. MSU 00. Experienced, proﬁcient, dependable, and convivial. Available for SA relief or part-time. Based in Lansing. Willing to travel. email@example.com.
Ronan Eustace, DVM, 502/409-3245. WCVM 10. SA/ emergency, available within 2 hours of Lansing. Friendly, excellent client-communication. References. Completed rotating internship, worked ER/shelter medicine last two years. firstname.lastname@example.org.
Christine Parker, DVM, 616/866-1965. MSU 88. Available for SA relief or short-term. Experienced and dependable. References available. Will travel. cparker@ wmis.net.
Georgia A. Wilson, DVM, 248/830-5325. 22 years’ experience, SA, pet exotics and emergencies, licensed. Available immediately for Oakland County and southeast MI. email@example.com.
Patricia Partridge, DVM, 231/938-9338. MSU 70. SA relief, PT or FT. Former practice owner. Based in Traverse City and Big Rapids, willing to travel. petvet2@torchlake. com.
Jennifer Zablotny, DVM, 517/896-9146. MSU 97. Experienced SA relief for southeast and mid-MI. References available. firstname.lastname@example.org.
Marj Field, DVM, 734/658-4774. MSU 90. SA/exotic/ emergency relief work in southeastern MI. Excellent client service, comfortable surgeon, high ACT, and able
the michigan veterinarian • spring 2014
Andrea Switch, DVM, 248/302-2255. MSU 84. Available for part-time or relief work. SA general medicine/soft tissue surgery in SE MI. email@example.com. Kirsten Ura-Barton, DVM, 774/230-6878. MSU 97. Available for SA relief in SE Michigan within 1 hour of Pontiac. Experienced in both general and emergency practice with excellent communication skills. Résumé available upon request. firstname.lastname@example.org. Nicholas Urbanek, DVM, 412/606-1716. Glasgow 09. SA/Emergency relief and part-time work within 2 hours of Lansing. Internship trained, great client communication and records, compassionate. email@example.com. Jacqueline Walsh, DVM, 248/680-2461. MSU 89. Available for SA relief work in the greater Detroit area.
the michigan ve terinarian â€˘ spring 2014
mackinac island veterinary conference
canine ultrasound lecture & wet lab
semvma small animal dvm & technician seminars
▸ July 13–15, 2014 Grand Hotel, Mackinac Island, MI
▸ Saturday, June 21, 2014 MSU Veterinary Medical Center, East Lansing, MI
▸ Abdominal Ultrasound Lecture & Wet Lab: Beginner to Intermediate Level (Dr. Anthony Pease) March 22, 2014 @ 9:00 am–5:00 pm Wayne State University Campus, Detroit
Veterinary Parasitology (Dr. Michael Dryden) Practice Management (Mary Ann Vande Linde, DVM)
michigan veterinary conference ▸ January 30–February 1, 2015 Lansing Center & Radisson Hotel, Lansing, MI
mvma small animal seminars ▸ Diagnostic Imaging (Dr. Michael Broome) March 12, 2014 ▸ Infectious Diseases (Dr. Michael Lappin) October 8, 2014 ▸ Behavior (Dr. Katherine Houpt) November 5, 2014 ▸ GI Diseases (Dr. David Twedt) December 3, 2014 ▸ Oncology (Dr. Guillermo Couto) March 4, 2015
people, pets & vets ▸ Saturday, November 8, 2014 @ 11 am–3 pm Macomb Community College
Contact Barb Locricchio at the SEMVMA oﬃce at (888) 736-8625 or visit www.semvma.com to register.
southern michigan vma mvma animal welfare conference ▸ Monday, November 24, 2014 @ 8 am–5 pm MSU Pavilion, East Lansing, MI
▸ March 12, 2014 (Topic TBD) ▸ April 9, 2014 (Topic TBD) ▸ May 14, 2014 (Topic TBD)
mvma board of directors ▸ March 19, 2014 University Club, Lansing ▸ July 13, 2014 Grand Hotel, Mackinac Island ▸ September 17, 2014 University Club, Lansing
western michigan vma ▸ Veterinarian CE Seminars 3rd Tuesday of each month, January–May & September–November @ 7:00 pm / Grand Rapids Contact Jeﬀ Johnson, DVM, (616) 837-8151, or jdandcj2008@ dishmail.net.
▸ December 10, 2014 University Club, Lansing
Seminars 10:00 am–5:30 pm at the East Lansing Marriott. Contact MVMA at (517) 347-4710 or register online at www.michvma.org.
mid-state vma mvma committees ▸ Animal Welfare (Dr. Marcie Barber, Chair) April 10, 2014 @ 10:00 am June 12, 2014 @ 10:00 am October 9, 2014 @ 10:00 am ▸ Executive (Dr. Ralph Huﬀ, Chair) March 6, 2014 @ noon June 19, 2014 @ noon September 4, 2014 @ noon November 20, 2014 @ noon
▸ Practice Management Seminar (Jim Thompson) March 4, 2014 @ 7:00 pm Crowne Plaze Hotel, Lansing ▸ Roundtable Discussion (Jim Thompson) April 16, 2014 @ 1:00 pm Grand Traverse Pie Company, East Lansing ▸ Neurology Seminar (Dr. Moser & Dr. Michael Wolf) May 7, 2014 @ 7:00 pm Location TBD
▸ Legislative Advisory (Dr. Cathy Anderson, Chair) March 26, 2014 @ 1:30 pm June 11, 2014 @ 1:30 pm September 10, 2014 @ 1:30 pm November 12, 2014 @ 1:30 pm ▸ Public Health (Dr. Joe Klein, Chair) April 2, 2014 @ 1:30 pm June 18, 2014 @ 1:30 pm September 3, 2014 @ 1:30 pm December 17, 2014 @ 1:30 pm Meetings held in the MVMA ofﬁce unless noted.
due to the number of requests for ce announcements, the michigan veterinarian limits listings to ce programs in michigan.
the michigan veterinarian • spring 2014
the michigan ve terinarian â€˘ spring 2014
michigan veterinary medical association
Professional excellence. Compassionate care.
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important phone numbers MI Board of Veterinary Medicine . . .(517) 335-0918 MI Board of Pharmacy . . . . . . . . . . . .(517) 373-1737 DEA—Detroit oﬃce . . . . . . . . . . . . . .(313) 234-4000 DEA—toll-free. . . . . . . . . . . . . . . . . . .(800) 230-6844 MDARD State Veterinarian . . . . . . . .(517) 373-1077 MI Dept. of Community Health . . . . .(517) 335-8165 USDA, APHIS, VS–Accreditation . . .(517) 337-4700
2144 Commons Parkway, Okemos, MI 48864-3986
Presort Standard U.S. Postage PAID Lansing, MI Permit #713