NEBRASKA VETERINARY MEDICAL ASSOCIATION
S W E I V Y R A VETERIN January/March 2013
“The NVMA strives to promote animal health, public safety and the human/animal relationship by providing education for its members, enhancing public awareness of veterinary medicine and serving as an advocate in governmental matters”.
Dr. Oliver Holbein
2012 Veterinarian of the Year
Inside this issue:
Update from NVMA Student Liaisons
NVMA Summer Meeting June 17-19, 2013 Scottsbluff, NE Plan your summer vacation in conjunction with this meeting!
Dr. Holbein has be practicing mixed animal medicine in Cozad, NE since July of 1969 and has owned the practice since June 1974. Dr. Holbein has been an active member of the NVMA and AVMA since 1969. He served several terms as District 6 Director on the NVMA Board. His greatest contribution to the NVMA occurred soon after his installation as secretary-treasurer in January of 2003. In April of that year, evidence of embezzlement was discovered in the NVMA Executive Office in Hastings. Dr. Holbein devoted countless hours to phone calls, faxes, meetings with executive board members, volunteer Association Manager Mike Moore, accountants, bankers and lawyers. It was determined that most of the operating funds had been depleted, requiring efficient planning to have funds to pay the bills in a timely manner as they came due, especially during that first year. Oliver became a life member of the NVMA and the AVMA in 2009. He is a member of the LEDRS emergency response team and has served on the NVMA Scholarship Committee for many years. During his term in the offices, he very much enjoyed working with the teams from UNL and Iowa State University in getting the 2 + 2 program started. He has worked in the birthing pavilion at the Nebraska State Fair and biennially gives health inspections to the 4-H livestock entries at the Frontier County Fair in Eustis. He served on the Board of Directors for the School of Technical Agriculture in Curtis and has had several veterinary technician students for their internships. One former intern, Mary Smith Deterding, has been his employee for 31 years. “Ollie is a most deserving individual for this award as he has been a strong member of the NVMA for many years. He was an officer that had given his time and dedication to see us through tough years. “Ollie” has been a friendly face and was oneof the first NVMA members that took me under his wing and made me feel welcome when just being fresh out of school and a new NVMA member. He has been someone that I trust and look up to and is always a good source of knowledge and reason. “Ollie” is a prime example of what wonderful people veterinarians can be for their community as well as the NVMA veterinary family,” stated Dr. Missy Lemons. Ollie has been an active member of the Cozad community serving on the Chamber of Commerce Agriculture Committee and as it’s chairperson for several terms, in the Cozal Rotary Club for 40 years and as president for one. He has been on his Church Parish Planning Council for several terms, one as president and several as chairman of the Lay Ministry and Stewardship Committees. He and his wife DeeAnn adopted four children and are grandparents to 8 grandchildren.
2013 BOARD OF DIRECTORS President President-Elect Secretary-Treasurer Past President CE Chairperson District I District II District III District IV District V District VI District VII Directors at Large
Dr. Vergil Heyer Dr. Mark Hughes Dr. Henry Cerny Dr. Melissa Lemons Dr. Brent Van Patten Dr. Scott Lubben Dr. Jeremiah Vondra Dr. David Heftie Dr. Jennifer Boruch
OUTSTANDING YOUNG VETERINARIAN David Lee, DVM Presented by Dr. Brent VanPatten
Dr. Lindsay Waechter-Mead
Dr. Steve Pollmann Dr. Thomas Furman Dr. Ann Kramer Dr. Michael Cooper Dr. Randy Burge Dr. David Lee Dr. Jeff Ondrak Dr. Darcy Schlothauer Dr. Joanne Gaines
EX—OFFICIO MEMBERS Board of Vet Med Dr. Jim Unwin State Veterinarian Dr. Dennis Hughes Associate Dean UNL VBS Dr. David Hardin AVMA Delegate Dr. David Ylander Alternate Delegate Dr. Keith Schumacher Executive Director…………………..Dina Michel PO Box 637 Hastings, NE 68902 (402) 463-4704 Fax: (402) 463-4705 email@example.com
CONGRATULATIONS Winners of the $500 Visa Cards Sponsored by the Exhibitors Dr. Steve Alberts—Aurora Dr. Doug Eisenmann—Schuyler Dr. Sarah Weber—Tecumseh Winners of $100 drawings Dr. Steve Krull—Curtis Dr. Thomas Edwards—Kearney Dr. James Pajl, Yankton, SD
Commercial Representative of the Year Dan Connery Boehringer Ingelheim Nominated and presented by Dr. Heyer
A WO R D F RO M T H E P R E S I D E N T Vergil Heyer, DVM
One of my favorite posters is of a grizzled old cowboy. I have seen it in places ranging from executive office walls, bunkhouse walls, to even an outhouse wall once. The caption reads, "There were a helluva lot of things they didn't tell me when I hired on with this outfit." This poster has come to my mind during my first weeks as your president. I think this poster applies not only to association presidencies, but to veterinarians and life in general. One has to wonder, was he really not told; was he given hints that he didn't pick up on; or was he told and just did not pay attention. In fact, it probably doesn't really matter. Part of what keeps life fun and interesting is the unknown element of the future. With the help of colleagues, family and/or friends we can tackle and enjoy these unknown challenges. I look forward to a year of working through these challenges with the help of my NVMA colleagues. Each year the president traditionally takes on an aspect of the NVMA to review or refresh. A sort of association housekeeping if you will. This year I would like to revitalize the committees. If you are on a committee and would rather be on a different one or not at all; if you are not on one and would like to be; or if you have a suggestion for committee operations this is your chance for change. The long range planning committee and then ultimately the board of directors will be looking at these this year. You may contact your District Directors if you have comments and they will convey them to the Board of Directors or the committee chairs as appropriate. Once again the state legislature is in session and there are a number of bills that our lobbyist is reviewing on our behalf. Again this year, there is a bill that would open up the practice act if passed. It is LB 287 and it would provide for kennel owners to vaccinate their own dogs for rabies. Please go to the Nebraska legislature website to view this bill. I then request that you contact your legislator to give them your opinion. Other bills that you may want to check out are LB 204, LB 423, LB 535, LB 544 and LB 647. You may also contact one of the Legislative Committee co-chairs, Dr. Brodersen or Dr. Hardenburger if you would like to discuss any of these bills. Please mark your calendars so you can plan to attend the following NVMA activities within the next year: Summer convention in Scottsbluff June 17, 18 & 19th. Football tailgate party with UNL vet students at a date to be announced later. Winter convention in Lincoln January 23, 24 & 25, 2014. Senator's Luncheon at the Capital January 28, 2014. Aside from each event's stated purpose these events also provide for camaraderie and conversation among members. Hope to see you at one or more of the events. Vergil
2013 NVMA Annual Convention Statistics
72 gal. Coffee
198 Veterinarians registered
8 Technicians registered
184 attend the Banquet, 52 were students
Equals another successful NVMA Convention with great speakers, content, venue and social time.
Thank you all for making it a success!!
Welcome New Professional Members!!! (since last newsletter)
Dr. Dean Cline, Bridgeport Dr. Anthony Moravec, Wahoo
Dr. Michael Cox, Sutton
Dr. Seth Harris, Lincoln
Dr. Shari Sandoz, Ord
Dr. Kelsey Kerwin, Columbus
Dr. Jeffrey Chapman, Gering
Dr. J. Dustin Loy, Lincoln
Dr. Rachelle Pumphrey, Hebron
Dr. Annette Bredthauer, Belleville, KS
Dr. Brian Stones, Kearney
Dr. Amanda Hafer, Norfolk
Dr. Heather Kreager, Omaha
NVMA ANIMAL HALL OF FAME AND THE AWARD GOES TO “SCOUT” Nominated by Dr. Jen Summers at the Animal Medical Clinic in Grand Island, NE. Scout was a 7 year-old black Labrador retriever that was recently euthanized at our clinic because she had Dysautonomia. In the course of diagnosis and treatment of her, the owners, Curt and Deb Rohrich, told us a story of how Scout had once saved their daughter, Sydney, who has Downs’ syndrome, from being hit on Highway 30. Deb was home because she had just recently had a C-section and was preparing dinner to take out to Curt, who farms. Sydney was 3 or 4 years old at the time and had disappeared from their home. Deb looked all over but could not find her. She did notice that a sliding glass door that was usually locked was unlocked. Sometime in the course of the day, Sydney had learned how to open the door. They live about 1/8th of a mile from Highway 30, and Deb just happened to look that way through a window and saw Scout, who was not known to wander toward the road. Then she saw Sydney walking toward the highway. Scout kept getting between Sydney and the highway, trying to prevent her from walking to the road. Deb was able to catch her about 20 yards from the highway and she believes that if Scout hadn’t been there, Sydney could have surely been hit by a car. Scout was the type of dog that was always right by their kids’ side and alerted them to any unfamiliar cars pulling into the yard. She was a very brave patient in her last few days that we had the honor of treating her. I know her owners miss her very much and we believe she would be a worthy inductee into the NVMA Animal Hall of Fame.
RABIES NOTIFICATION The DHHS website has the capability to send automated notification to subscribers when the rabies web page is updated. To capitalize on this capability, I ask that all persons who wish to continue receiving timely notification of each positive rabies case in Nebraska, please establish a subscription to the following page: http://dhhs.ne.gov/Pages/srd_rabies.aspx Simply click on the “Subscribe to this page” link near the top of the page to establish your subscription. Once established, you will receive an automated message for Subscription Acknowledgement. One can simply set preferences to request immediate e-mail notification each time the page is updated.
AVMA Leadership Conference The Veterinary Leadership Conference was held January 4-6, 2013 in downtown Chicago, IL. The NVMA was well represented by President, Dr. Vergil Heyer; Pres-Elect, Dr. Mark Hughes; Delegate, Dr. David Ylander, Alternate Delegate, Dr. Keith Schumacher, Emerging Leaders Drs. Donovan Hauser and Troy Worth; and myself as your Executive Director. Some of my responsibilities were attending the AVMA/ASMVAE Joint Committee, ASVMAE Board Meeting, serving as treasurer and putting on the President/President Elect Forum. Emerging Leaders have separate sessions and receive special training in leadership skills. This meeting is about building, supporting, encouraging and becoming leaders in our own lives, whether it is in your profession, as family members or association directors/officers. It is important to the continuity of the association to continue to send emerging leaders (graduated within the last 7 years) and its officers to attend and gain a better understanding of what they can offer in leadership skills on a personal and professional level. If you have graduated within the last 7 years and would be interested in a leadership role with the NVMA, contact Dr. Mark Hughes (firstname.lastname@example.org or 308-384-6272) to attend in 2014 or you can contact me at the association office, 402-463-4704.
Update from our Student Liaisons to the NVMA Board of Directors VM3 Update – Dillon Harvey The VM3 students of the PPVM have been working hard on our last semester of “in class” courses. As a whole, our group has transitioned to ISU very well and we are all looking forward to getting out of the classroom and into the hospital for clinical rotations. Our ISU classmates have welcomed us here very graciously and we have received a lot of help and worthwhile tips from them on how things work at ISU and what to expect from different professors and the types of courses we are taking. Our clinical rotations schedules are almost finalized but we all have a very good idea of what our schedule is going to be like. Already so many of us are planning around our schedule for time off, preceptorships, and other clinical type visits. I want to thank the UNL and the NVMA for all the support they have shown our class over the last 3 years. We are all looking forward to becoming your colleagues and we are excited for our future opportunities! VM2 Update—McKenzie Steger My classmates and I can hardly believe that the semester has reached it's half way point. It was busy before it even began! Over Christmas break our poultry-loving classmate spent two weeks in Arkansas completing an internship for a major broiler breeding company. At the start of this year, one of our classmates flew to San Diego, CA to present his swine genotyping research at the Plant and Animal Genome Conference. Not long after, our large animal club members traveled to Columbus, NE and had a great time touring a family feedlot and practicing necropsy techniques. At the NVMA Banquet we enjoyed meeting up with our mentors and other Nebraska veterinarians. (Thanks, NVMA!) A couple of weeks ago we had the privilege of touring the Zoetis Plant of Global Manufacturing & Supply and learned exactly what goes into producing vaccines. We currently have our teaching Greyhounds and continue to care for and learn from our experiences with them. We attend a local animal shelter each week to help check in new animals. Next week we have one student headed to the AASV Conference in San Diego to present her research and another headed to Washington, D.C. as part of the AVMA's Legislative Fly-In. Our time at UNL is wrapping up and although we will miss the "good life" we are excited to make the transition to Ames and join our classmates there this fall!
School of Veterinary Medicine & Biomedical Sciences Dr. David Hardin A huge thank you to the NVMA and all the members that participated in the Talent Auction. For those who were not able to attend, you truly missed a fun filled evening. The students had a wonderful time and all of us wish to thank the members for your continued support. The Nebraska admissions committee has completed their work and letters for admission to the Class of 2017 have been mailed out. We have a very competitive group of applicants and wish to thank each of you for encouraging and mentoring students in their quest to become veterinarians. Under the leadership of Dr. Laura Hardin and Dr. Mike Carlson we have increased our undergraduate recruitment efforts. Late last summer Ms. Lila Tooker joined the School as a recruitment and retention coordinator. Working with the Department of Animal Science and other academic units we have developed a comprehensive Pre-Vet program. In the near future we will be sending out brochures that describe UNL’s Pre -Vet program. We would appreciate your help in sharing this information with high students in your community that have expressed an interest in becoming a veterinarian. The Vet School faculty continues to do an outstanding job, working hard every day in a very competitive environment. Faculty secure extra-mural grant dollars to conduct research to find solutions to some of the most costly diseases impacting the livestock industry. Ongoing research includes work on PRRS, BVD, IBR, neonatal E.coli., E. coli and food safety, Trichomoniasis, Johne’s Disease, Ovine Progressive Pnemonia Virus, Sheep and Goat Pox, Vesicular Somatitis Virus, Staph aureus and African Swine Fever. Our efforts to build a new Veterinary Diagnostic Lab continue. In January the University of Nebraska, Board of Regents approved the “Program Statement” that outlines the scope of the project. The next step is to obtain approval from the Commission on Post-Secondary Education and then we will request bids to develop the detailed plans for the structure from architectural firms. We continue our efforts to raise the $5 million required by the legislature before the additional funding authorized by the legislature will be made available. This past week we receive great news - an anonymous donor has made a large gift. This gift, with the support from the NVMA, Nebraska Cattlemen, Farm Bureau and numerous other groups and individuals. With the match that IANR Vice Chancellor Green has committed, we are now within $1 million of our goal. We continue to ask for your help. Only $1 million to go! In closing I remind you that the Class of 2013 will graduate in May. If you are looking for a new associate, please keep these new graduates in mind.
The Practice Corner Information supplied by The Veterinary Safety and Health Digest
“Discontinued Use on; (insert date).” Then simply file We have old MSDSs for numerous products we no longer use in our hospital. Can we just that old MSDS with the retired business files for that year in the same way one would retire cancelled throw them away? Not really! MSDSs for no-longer-used products must be kept forever...at least it seems that way. Technically, OSHA does not specifically require employers to maintain MSDSs for products they no longer use in their workplace; however, they do require that employers maintain “employee exposure records” for a period of 30 years. Under the “access to employee exposure and medical records” regulation (29CFR 1910.10200), OSHA requires that records be maintained identifying any substance or agent that was used in operations to which an employee was exposed. Exposure to hazardous chemicals or products falls under that requirement.
checks or bank statements. This way, the records are still maintained for the requisite period of time but they don’t have to clutter up the “everyday” space of the practice. Although most places don’t keep retired business files past about 7 years, this is still a practical approach. They can be placed n a folder or envelope with instructions on the outside indicating the actual destroy date and placed in a specific box in the storage area.
And don’t forget that technology may provide the answer to the storage issue. It’s perfectly acceptable to scan the MSDSs for products that are no longer used and then archive the scanned images so that they Keeping the old MSDSs is the best way to show what can be retrieved later if needed. chemicals employees have been exposed to through- This strategy is also appropriate for keeping up with out the history of the practice. There are other ways, MSDSs that have been updated by the manufacture. but this seems to be the simplest approach utilizing When updated MSDS is received, the old one should the least amount of manpower and resources neces- be removed from the MSDS Library, marked with sary to comply with the rule. “replaced with updated version: (insert date).” Leave the new MSDS in the library and retire the old one to It’s best to remove the MSDS for the no longer used the archives. Keeping up with old business records is product from the active MSDS library. By keeping only current items in the MSDS Library, it doesn’t be- not a fun part of running a business, but it is necescome a cluttered mess making it hard to find the cor- sary and important. rect sheet. Mark the “old” MSDS is one way with a
Iowa State Students to Go on Mission to Nicaragua As economic straits become more dire, the animals a family owns become increasingly important as a source of food and income, and pets are just as valued for the companionship they provide. In response to this, students and faculty from Iowa State Chapter of the Christian Veterinary Mission will be going to Nicaragua from March 15 through 23, 2013 to perform veterinary care for those living in poverty. Our last two year's trips were successful, with hundreds of animals treated with vaccinations, dewormer, spays or castrations, and more. The group is looking for donations to support this year's trip, especially surgical supplies like gloves, suture, gauze, etc. If you or your practice would be willing to donate supplies or money, or would just like to know more about the work Christian Veterinary Mission does across the nation and world, feel free to contact Amanda Stout at email@example.com or Dr. Bruce Leuschen at firstname.lastname@example.org. Donations may be sent to: Bruce Leuschen 2430 Lloyd Vet Med Center Ames, IA 50011
2013 NVMA Talent Showcase Student Gifts With the generous donations received by the following: -Ivesco
-BI, Dan Wolf
-Dr. Melissa Drain
-Drs Barrett and Deb Littell
-Dr. Jim Unwin, Red Barn Vet Clinic
-Dr. Vergil Heyer
-Dr. Megan Ehlers, Ehlers Animal Care
-Dr. Dee Griffin
-Mrs. Pat Anderson
-Dr. Jim Langley & Janie Fuller
-Dr. Mark Hughes, Stolley Park Veterinary Hospital
-Dr. Jen Boruch, Osceola Veterinary Clinic
-BHI, Mike Banks
-Dr. Steve Albers, Aurora Veterinary Clinic
-Dr. Rick Cockerill
We were able to give away to the students: Gift Cards
Nutrition Text Books
$250 scholarships (4)
AVMA FAQ: New IRS Regulations on Taxing of Medical Devices When did the IRS release the new regulations regarding the taxing of medical devices? On Friday, Dec. 7, 2012, the IRS released the final regulations that provide guidance on the 2.3 percent excise tax imposed on the sale of certain medical devices. The proposed regulations were released for public comment on Feb. 7, 2012.
How are medical devices defined?
approved only for veterinary use will not be subject to the tax. For example, if a veterinarian buys an endoscope that is approved and labeled for use in human patients for use in his/her veterinary practice, then the endoscope purchase will be taxed. However, if the device is approved and labeled for use exclusively for veterinary medicine (and is labeled as such), then it will not be taxed.
What is the extent of the tax impact on veterinary medical devices?
The degree of the impact on veterinary medical devices The definition of “device” in section 201(h) of the Fed- remains to be seen, but it’s reasonable to believe that the eral Food, Drug and Cosmetic Act (FFDCA) includes de- tax could increase the cost of providing veterinary medical vices used in veterinary medicine. However, the defini- care. Whether or not the increased costs associated with tion of “taxable medical device” under IRS section 4191 taxed medical device purchases will be passed on to veterinary clients will be determined on an individual basis by limits taxable medical devices to devices described in veterinary practices. The veterinary profession is aware section 201(h) of the FFDCA that are “intended for huthat the affordability of care is already of concern to animans.” mal owners, and this is a consideration whenever pricing The proposed regulations further limit the definition of decisions are made. “taxable medical device” to devices that are listed with It is also possible that the tax will impact veterinarian’s the FDA. decisions when choosing new devices or deciding whether Under existing FDA regulations, a device intended for or not they will make a medical device purchase. use exclusively in veterinary medicine must be labeled The AVMA cannot speculate on the impact of this tax on as such and is not subject to several pre-market and the production or marketing decisions made by the manupost-market provisions of the FFDCA, including the list- facturers of medical devices. ing requirement. Therefore, under the proposed regulaWill costs go up for pet owners due to the new tax? tions, devices intended for use exclusively in veterinary If a veterinarian or veterinary hospital buys a device medicine are not “taxable medical devices.” that is listed by the FDA and is “intended for humans” For more information on the FDA’s regulation of medi- for use in their hospitals, then the device will be subject cal devices, visit the “Medical Devices” section of the to the tax. What would happen would purely be specuFDA website. lation, but if the costs of the device go up because of the excise tax, the veterinarian would have to absorb Are there devices used in both human and veterithose costs, or charge more to make up for the innary medicine? creased costs of the medical device, hence increasing There are many devices that are approved and labeled the costs to the pet owner. for use on human patients that are also appropriate for use in veterinary patients. Common examples include IV Will the higher cost of care result in more people fluid pumps, endoscopes and cardiac monitors. Because not seeking medical care for their animals? We do not know if the additional costs associated with of the many similarities between human and animal the tax will be passed on to pet owners. Nor do we patients, the devices are suitable for use in more than know how much would be passed on if a veterinarian one species, even if they aren’t specifically labeled as buys a device that is subject to the tax. We certainly such. hope that any increases in costs associated with the Approved devices labeled for human medical use will excise tax do not keep people from seeking appropriate be subject to the new tax, as will devices labeled for medical care for their pets making regular visits to their human medical and veterinary use. Devices labeled and veterinarian.
VETERINARY VIEWS NCTA WALL ART Nebraska College of Technical Agriculture has given the NVMA a study area located in there new Educational Center to promote veterinary medicine. The picture shows what we are looking at doing. There will be a plaque on the wall highlighting (12) individuals/clinics that have supported this effort. We are short 1 individual/clinic before we can start painting. The cost is $250 to have your name and or clinic name listed. Please contact Dina at the NVMA office (402.463.4704) with questions. Help us get this project rolling!!
Build the importance of preventive healthcare with Partners for Healthy Pets power tools People have a special relationship with their pets, and most recognize that visiting a veterinarian enhances that relationship. But you see it every day in practice – pet owners who have been bombarded with incorrect and incomplete information and are confused about what’s best for their pets. So much so that they may not follow your clinical advice, and may not bring their pets to critical preventive care appointments at all. As a profession, we have a great opportunity help pets and pet owners enjoy a longer and healthier life together Veterinary professionals work hard to provide the best possible care to pets so that they and their owners can enjoy long and healthy lives together. Partners for Healthy Pets was founded to help you make the preventive healthcare you provide even more powerful. We’ve developed tools and resources – available at no charge - that can help you build better relationships with owners and help them understand the value of preventive healthcare so that more patients can benefit from what you do best. Individual practice involvement is key The Partners for Healthy Pets Practice Resources Toolbox was conceived to provide the profession with a sound mix of information and materials that collectively elevate the level of preventive care offered across the country. Each of the tools and resources provide dynamic ways to reinforce a practice-wide focus on preventive pet healthcare. Used collectively, they can help healthcare teams enhance communications with pet owners about the value of and need for routine care and take preventive pet healthcare to an optimum level within your own individual practice. Make the decision to be a voice for vitality...of the veterinary profession, of your practice, and of our nation’s pets! It’s easier than you might think
Adopt and widely communicate Preventive Healthcare Guidelines to pet owners through your newsletters, website, and within each preventive care visit. Focus on communicating the value and benefit of preventive pet healthcare to pet owners at all points of contact, from receptionist to technician to veterinarian. Use the tools and resources available from Partners for Healthy Pets to help find communication gaps, train staff, and gather new ideas that will compliment current programs and plans. Partners for Healthy Pets is dedicated to ensuring that pets received the preventive healthcare they deserve through regular visits to a veterinarian and is committed to working with you to enhance the health of your patients and your practice. Learn more about Partners for Healthy Pets and explore the Resources Toolbox at www.partnersforhealthypets.org.
NE LAP’s 2013 New Year’s Resolutions for Healthcare Professionals Please read the 2013 resolutions below to see if one of them might help you have a better 2013. Resolution #1. Help a colleague overcome alcohol or drug abuse or addiction. You can
offer your support and assistance
encourage him or her to seek NE LAP assistance with treatment needs
assure them abuse or addiction is not a character flaw, but it is a disease process
reassure them that, in 2013, he or she can make the changes necessary to overcome alcohol or drug abuse or addiction
call NE LAP or go to the website to get information about the program to help a colleague
Resolution #2. Determine what you need to do to stop abusing alcohol or drugs, especially if
you have concerns about your use of alcohol or drugs
others who love you or care for you express concerns to you about your use of alcohol or drugs
your alcohol or drug use is putting you at risk for legal/criminal charges, loss of driver’s license, job or healthcare license, and/or loss of your marriage and family relationships
you are using alcohol or drugs while taking prescription medications
you cannot stop using as desired or intended
you have had to use more and more to get the desired improvement in mood or to avoid withdrawal symptoms
Resolution #3. Continue to strengthen your sobriety and recovery if you are a recovering healthcare professional. You can
monitor your relapse triggers and prevent relapse
commit to working your recovery program, including regular attendance at 12-Step meetings
surround yourself with people, including a sponsor, who are supportive of your sobriety and recovery and hold you accountable
take care of yourself spiritually, physically and emotionally
keep stress to a minimum by pacing yourself
socialize with people who, or at events where, there will not be temptation or pressure to drink or use drugs
set boundaries and keep them
keep your attitude toward sobriety and recovery from becoming complacent
If you would like to make one of these NE LAP 2013 New Year’s resolutions for healthcare professionals your 2013 resolution, please contact the NE LAP if we can assist you with accomplishing your resolution. If you are a licensed health or health-related service professional wanting more information about alcohol/drug abuse or addiction, please contact the NE LAP at (800) 851-2336 or (402)354-8055 or visit our web site at www.lapne.org. If you would like to consult with the NE LAP, or schedule an assessment or an educational presentation, please ask for Judi Leibrock, NE LAP Coordinator or Michelle Hruska, NE LAP Counselor
Congratulations Dr. Henry Cerny elected NVMA Secretary/Treasurer Henry Cerny has over 16 years of practice experience and co-owns Yankee Hill Veterinary Hospital with his business partner Mike Brown. He received his DVM from Kansas State and a Masters degree from the University of Nebraska where he did pinkeye research while supervising the veterinary microbiology lab at the diagnostic center. He currently serves as a director for the Veterinary Emergency Clinic in Lincoln and has served several terms as a district director and director at large for the NVMA. He has testified on several legislative bills on behalf of the NVMA as well as serving on NVMA committees. Henry also writes educational articles for Cesar's Way and is a consultant for Vetericyn wound care. He is an avid world traveler and enjoys hiking and fishing. Henry stays active in his hometown community through two service organizations, Crete Sokols and Sertoma.
How will my practice benefit from a GREAT Website? In today’s world of communication, and especially marketing, there is NO question, you need a GREAT web site - not a good one, not a brochure site, but a fantastic highly professional site to reflect the professional image of your practice. Clients WILL first check you out on the web before even calling your hospital, much less driving to your facility. The web site communicates credibility, professionalism, caring and should make the viewer really want to visit you! It is the new phonebook ON steroids and though the pages of a phone book once offered expensive “passive” ads, a business website changes the game, taking this concept to a whole new level in marketing, communicating, interactivity and branding. With the speed of technology, at the press of a key or stroke of a smartphone information can be had instantly. The internet is now the “one stop shop” to find the necessary facts to make sound decisions in everything from consumer goods to services and even restaurant reservations or doctor’s appointments. With millions of websites on the World Wide Web and your competition laid out beside you - page after page, design and execution of your site becomes crucial to business success.. A horrible site, one that is dull, unattended, lacks information and never invites a visitor to return, will hurt you or simply waste your time and money. There is a continued conversation that happens in the world of web development centered on the elements of what makes an exceptional website. So what makes a great website? How do we convey the idea of “make it pop” and “give me the “WOW” factor”, and yet professionally translate it into an exceptional website that covers the basic elements and still provides the necessary information? The idea is to rethink the perception of “web site”. Think of the site as the “home” of your company. It is the combination of framework and functionality, with design and aesthetics’ that provides the foundation of the public perception of your business. Your website tells the story using a myriad of media widgets and possibilities to illustrate who you are and what you do. Your website not only needs to be visually delightful and engaging, but informative and clear to make the user return. At the Veterinary News Network, we help our members understand the importance of a dynamic and beautiful website that is also highly functional. We work with two of the best web site developers in the country that will listen to your wants and needs and not just throw up a typical template website. Just like you stand out in your community, we want you to stand out on the web as well! The Veterinary News Network can provide assistance in helping you navigate social media, as well as understand the value of traditional media and helping you protect your online reputation. VNN has partnered with your state VMA and we encourage your practice to join us. Learn more at http://www.MyVNN.com.
Bills the NVMA are Watching Look up the bills to get a complete summary Questions, call Dr. Phil Hardenburger , Chair of Legislative Committee 402-826-2497 Dr. Bruce Brodersen, Co-Chair at 402-472-1434 Bill #
Wightman Change display of credential and advertisement provisions under the Uniform Credentialing Act.
Committee Position /Hearing Date HHS Committee
For Credential holders with direct patient care, advertisements shall identify the type of credential held and shall not include deceptive or misleading information. Credential holders with direct patient care must wear a name tag. Credential holders without direct patient care shall make their credentials available upon request. LB174
Change provisions relating to vehicle load contents and spillage
Transportation Support and telecommunications
Appropriate funds for capital construction and property acquisition
Appropriates $6,093,000 in each of the next 2 years for the Veterinary Diagnostic Lab LB204
Change and provide criminal sanctions regarding animals and animal facilities Any person who observes or is involved in an incident which leads the person to reasonably suspect than an animal has been abandoned, cruelly neglected, or cruelly mistreated shall report such to the entity or entities that investigate such reports in that jurisdiction. Failure to report is a Class III Misdemeanor. Such report shall include all original documentation, if any, or copies thereof, including video, photographs, or audio, which is evidence of animal abandonment, cruel neglect, or cruel mistreatment.
Change rabies vaccination provisions Allows a commercial dog breeder to perform vaccination of dogs owned by the breeder under supervision of the attending veterinarian within a veterinary care plan.
Agriculture/ Oppose March 5 at 1:30 pm Room 2102
Change provisions of the Commercial Dog and Cat Operator Inspection Act
Ag/March 5 at Monitor 1:30 pm Room 2102
Change provisions relating to criminal offenses against animals
Persons found guilty of animal abuse are subject to section 28-1019 which prohibits a person from owning, possessing or residing with any animal LB421
Provide powers and duties for professional boards regarding credentialing veterans The appropriate licensing board shall provide for use of a current and valid credential from another jurisdiction to obtain a credential under the UCA by a person who is leaving service in the US Armed Forces; and for use of an expired credential issued under the UCA to practice temporarily in order to obtain a current credential under the act by a person who is leaving service in a reserve component of the US Armed Forces. Each board shall consider the ability of veterans to meet the requirements for its credentialed profession using military training, education, and experience.
Provide duties for credentialing boards and temporary practice permits for military spouses Each licensing board shall evaluate the ability of spouses of veterans and spouses of active military personnel to meet the requirements for its credentialed profession using training and experience obtained in other jurisdictions. The department, with the recommendation of the appropriate board, may issue a temporary practice permit to a spouse of a veteran or a spouse of active military personnel licensed, certified, or registered in another jurisdiction while the spouse is satisfying the requirements for credentialing under the UCA if that jurisdiction has licensure, certification, or registration standards substantially equivalent to the standards in this state. The spouse may practice under the temporary practice permit until a license, certification, or registration is granted or until a notice to deny a license, certification, or registration is issued in accordance with rules and regulations adopted and promulgated under the UCA.
Change seizure provisions of Livestock Animal Welfare Act
Adopt Prescription Monitoring Program Act and repeal prescription monitoring provisions
Provides for Animal Cruelty Investigation Agents who shall be licensed Veterinarians, who shall be assigned by the director upon request of the law enforcement agency to advise and assist law enforcement officers regarding the condition , care, and disposition of seized livestock animals and to represent the State Veterinarian regarding any livestock health interests of the Department of Agriculture with respect to such animals. Such commissioned agents shall be agents of the state for purposes of the State Tort Claims Act when acting within the agentâ€™s commission. All commissions shall be approved by the director, and commissions shall expire on the anniversary date of issuance but may be renewed at the discretion of the director.
Require notifications regarding bovine trichomoniasis
Adopt the Nebraska technology Entrepreneur Act to provide sales and use tax refunds to certain businesses Provides that if the Department of Revenue determines that the applicant qualified small business has demonstrated financial need, the department shall grant a sales and use tax refund to the qualified small business of up to $5000. Small business must be involved in the following fields: innovation in using proprietary technology to add value to a product, process, or service in a qualified high technology field; or researching, developing, or producing a proprietary product, process, or service in a qualified high technology field.
Change cattle identification provisions of the Animal Importation Act Individual identification of cattle imported into Nebraska shall not be required if (a) the cattle are identified by a registered brand and accompanied by an official brand inspection certificate issued by the recognized brand inspection authority of the state of origin and (b) such cattle are imported directly from a mandatory brand inspection area of any state. The Department of Ag may require cattle imported into Nebraska to be identified by individual identification to enter the state if the Director of Ag determines that: the State of origin recognized brand registration or brand inspection procedures and documentation are insufficient to enable the tracing of individual animals to the animalâ€™s herd of origin; Identification by brand alone is in conflict with a standard of federal law or regulation regarding identification of cattle moved into Nebraska; or The cattle originate from a location that is not a tuberculous accredited-free state or zone pursuant to 9 C.F.R. 77.7 or is not designated a brucellosis Class Free or Class A state or area pursuant to 9 C.F.R. 78.41, as such regulations existed on January 1, 2013.
Amend for Liability Training
HHS/ March 15 1:30 pm Creates the Prescription Monitoring Program Act. It requires the department of HHS Room to monitor the dispensing (delivery of a controlled substance to a person or animal) 1510 of controlled substances (Schedule II, III, IV or V drug). A practitioner (physician, dentist, veterinarian) who dispenses controlled substance must submit to the department information regarding the dispensing of controlled substances including date, prescription number, whether new or refill, quantity, patient i.d., name, address, date of birth, source of payment and other information. This information must be transmitted within one hour after the time of prescription was dispensed, if sent elec-
The privilege provided by this section (38-3330) is waived to the extent and for purposes of notifying any owner or manager of cattle that have a significant risk for exposure to bovine trichomoniasis . A veterinarian who releases information about the risk for exposure to bovine trichomoniasis is not liable to the client or any other person. The owner or manager of cattle diagnosed with bovine trichomoniasis shall notify the department and each adjacent landowner or land manager of the diagnosis w/in 14 days if such land is capable of maintaining livestock susceptible to bovine trichomoniasis. The owner shall notify the Dept. that it has complied with this section, and if they donâ€™t the department will notify the neighbors and assess the costs. LB606
Change the brand inspection area under the Livestock Brand Act Changes the brand inspection area to encompass the entire state of Nebraska
Ag Committee/ February 26 1:30 pm Room 2102
Revenue March 7, 1:30 pm Room 1524
Oppose as written
AVMA NEWS AVMA GHLIT Expands Member Services with a Dedicated Private Insurance Exchange The GHLIT Private Insurance Exchange will be offered this spring! SCHAUMBURG, Ill. – (Feb. 12, 2013) –The American Veterinary Medical Association Group Health and Life Insurance Trust (AVMA GHLIT) announced today that it will launch a private exchange this spring to assist its members in securing major medical insurance coverage. This announcement comes after the underwriter of the GHLIT medical product notified the Trust of its intent to discontinue offering medical insurance to bona fide association plans after 2013. The GHLIT private insurance exchange will provide a comprehensive array of tools and live customer support to help AVMA members shop, compare costs and benefits, and ultimately enroll in a medical plan from the insurance carrier that best suits their needs. The private insurance exchange will be built upon HealthPlan Services’ (HPS) benefit crossroads℠ platform. “Making sure our members have easy and secure access to the information, resources and customer service they need
Antifreeze manufacturers agree to bittering agent addition This past December, the Consumer Specialty Products Association and Humane Society Legislative Fund announced antifreeze and engine coolant manufacturers had voluntarily agreed to add a bitter flavoring agent to their products sold nationwide.
to make informed insurance coverage decisions is our top priority,” said Dr. James H. Brandt, GHLIT Chair. “Our new web-based insurance exchange marketplace will enable our members to easily and conveniently review and compare medical insurance options, and is an innovative solution to the challenges created by recent events impacting GHLIT medical coverage.” The private exchange will roll out in two phases. The first, focused on the insurance needs of GHLIT members age 65 and older, or turning age 65 this year, will be online in early March. The second phase will expand to include insurance plans and resources for all other members and will be live in late spring. Backed by the GHLIT’s administrator, HPS, the exchange will also leverage benefit crossroads’ dedicated team, who are available to consult with veterinarians and support the GHLIT insurance agents by preparing customized packages and providing ongoing member support services. For AVMA veterinarians and agents, this consultative approach translates to a seamless customer service interaction and confidence in their purchasing decisions. HPS President and CEO Jeff Bak commented: “We are pleased to partner with the AVMA GHLIT on this venture and look forward to the positive impact this exchange will have on the veterinarians and agent experience.”
agreement, announced Dec. 12, 2012. “After years of battling over legislation addressing this important issue, the manufacturers of antifreeze and engine coolant have been working with animal advocates to pass state laws with mutually agreed-on language,” Amundson said.
“Today, all major marketers are placing the bitterant in antifreeze in all 50 states,” said Phil Klein, execuAntifreeze and engine coolant are made with ethylene tive vice president of legislative and public affairs for glycol, a highly toxic compound with a sweet taste the Consumer Specialty Products Association. The that appeals to animals and children. The Humane trade organization represents the household and inSociety Legislative Fund, an advocacy organization dustrial products industry. working to pass animal protection laws, estimates at The AVMA supported federal legislation mandating least 10,000 animals are poisoned as a result of inthe addition of a bittering agent. Additionally, the Asgesting these products each year. sociation has a policy that encourages using clear Seventeen states currently require adding a bittering warning labels emphasizing the potential danger of agent to ethylene glycol, usually denatonium benzoethylene glycol and efforts to make the compound ate. Multiple attempts at making it a federal requireless palatable to animals. ment have been unsuccessful, however. HSLF Executive Director Sara Amundson hailed the
Travel rules added for farm animals Rules apply to most livestock, horses starting March 11 Livestock owners soon will need to provide identification and travel documents for most farm animals sent across state borders. With some exceptions, animals raised for food and fiber as well as horses and other equids will need approved types of individual or group identification for such travel starting March 11, the Department of Agriculture’s Animal and Plant Health Inspection Service announced in a Jan. 9 Federal Register notice. The animals also will need interstate certificates of veterinary inspection or, when shipping and receiving states agree, alternate movement documents.
tributes official identification devices, such as ear tags, will need to maintain records related to those devices for five years. Livestock facilities must keep records of movements of poultry and swine for at least two years and others for five years. The different times for record keeping are connected with the shorter lives of most pigs and poultry. The new rules could help the USDA control domestic diseases such as bovine tuberculosis and new or foreign animal diseases such as foot-and-mouth disease. Shortcomings in animal traceability have hurt efforts to eradicate tuberculosis in the U.S., a goal since 1917, the notice states.
Bovine industries most affected
USDA officials said in 2011 that the livestock identification regulations were most needed for the cattle industry, and The identification needed varies by species. Livestock own- the 2012 notice states that the new rules will have the most impact on owners of cattle and bison. Industry’s total addiers can, for example, use ear tags to identify large and tional identification and documentation costs associated small ruminants, group identification documents for pigs, with implementing the regulations for all U.S. cattle are esgroup identification or leg bands for poultry, descriptions timated to be between $11 million and $34 million. and images of horses, and—if shipping and receiving states agree—hot-iron brands on cattle. The USDA also is The American Association of Bovine Practitioners generally giving animal health officials and cattle owners two years to supports implementing individual identification for animals, use up current stocks of ear tags that do not have the offi- which provides a safety net for the national cattle industry, cial ear tag shield. said Dr. M. Gatz Riddell, AABP executive vice president. The regulations will not affect some animals, such as live“In the event of a foreign animal disease, failure to have stock shipped for custom slaughter, chicks moved from a hatchery, and beef cattle that are younger than 18 months good animal identification will become immediately problematic,” Dr. Riddell said. old and not traveling for events such as exhibitions or rodeos. State governments will need to know which grazing Dr. Riddell cited foot-and-mouth disease as an example of livestock herds routinely cross state lines, but those herds a disease that could cause devastation in the absence of do not need health certificates or movement documents for an animal identification system. daily travel. APHIS officials noted that the U.S. exported about $2.8 The farm animal rules are intended to help APHIS react billion worth of beef and $132 million worth of live cattle more quickly to disease emergencies and at reduced cost. during 2010, and the total value of U.S. cattle and calf proThey are the final version of an August 2011 proposal in duction during 2009 was $32 billion. which APHIS officials indicated they wanted to create miniThe regulations will have little effect on the swine industry mum identification and documentation requirements for and veterinarians who work in that industry, said Dr. Tom moving livestock. Burkgren, executive director of the American Association of “Traceability does not prevent disease, but knowing where Swine Veterinarians. Existing identification and tracking diseased and at-risk animals are, where they have been, systems, which had been required for the federal pseuand when, is indispensable in emergency response and in dorabies eradication program, meet the new regulations, ongoing disease control and eradication programs,” the he said. agency said in the Federal Register notice. Future regulations could require that state and tribal govVeterinarians’ records affected ernments meet performance standards for tracking interstate livestock movements. APHIS also is giving states and Veterinarians and others who issue or receive certificates of veterinary inspection for animals crossing state borders tribes information systems connected with the tracking requirements. Local governments will cover costs of locally will need to keep copies of the certificates or related redeveloped systems, but federal money can be used for cords for two years when those certificates are used for administration of local traceability activities. poultry or swine, and five years when they involve cattle, Additional information on the new regulations is available bison, equids, cervids, sheep, or goats. Anyone who dison the APHIS website.
NVMA Career Center Looking for employment? Looking for an Associate? Looking for a Technician? Visit the NVMA Career Center at nvma.org located under the Public tab.
CALENDAR OF EVENTS
Veterinarian needed: Three doctor AAHA accredited small animal hospital in Lincoln, NE. We have a fully equipped computerized facility with ultrasound, endoscopy, dental x-ray, ect. and excellent support staff. This is an excellent opportunity for someone who wants a progressive, stimulating work environment. Applicant must be a caring individual with good medical, surgical and communication skills. Experience preferred. Contact Melissa Schmid or Tom Haug DVM at 2200 Cornhusker Hwy, Lincoln, NE 68521, or (402) 435-4947. Emails also accepted at email@example.com
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NAVM—Dr. Michael Podell, Neurology Lied Humane Center, Omaha, NE Online registration at www.navminfo.org
NVMA CE Committee Meeting
NVMA Board Meeting
Immediate Opening – Regulatory Veterinary Medicine: Wyoming Livestock Board seeks full-time field veterinarian. Qualified applicant will have DVM, WY veterinary license, USDA/APHIS accreditation for WY, minimum 3 years in Food Animal Practice, and Foreign Animal Disease Diagnostician Training (or ability to acquire certification). Preference will be given to applicants with experience in regulatory veterinary medicine and/or experience in epidemiologic investigation of program diseases. Position open until filled. For more information or to apply please visit: https://statejobs.state.wy.us/
Southwest Iowa VMA Spring Meeting
International Union of Veterinary Cyclists hosting CE in Moab, UT. 15 hours available. Register at www.iuvc.org or call 773.CE4-VETS
VETERINARY TECHNICIAN to manage all animal husbandry for local animal shelter. Experience in instrument care, sterilization protocols, vaccinations, physical and chemical animal restraint, post-operative care, basic health exams, and IVs is required, as well as a current vet tech license. Knowledge of domestic and exotic companion animals and behavior necessary. Must be able to work with the public and volunteers. Apply Director, Kearney Area Animal Shelter, 3205 W Highway 30 Kearney, NE 68845.
AVMA Task force to create antimicrobial stewardship programs
Complete Solo Veterinary Practice for Sale—South Central Nebraska, including Large & Small animal facilities, practice vehicle, 5 acres of land and a modern residence if desired. Only veterinary practice within a 30 mile radius, established over 50 years and in a county seat town. Price reasonable and negotiable. Call 308.268.2405, 7/24. Looking for Employment—VM4 Student Jessica Meduna, I grew up in the western panhandle in a rural area with large and small animals. I am tracking mixed animal and am looking for a job in the western part of the state. My goals would be to practice mixed animal medicine in a rural area. I am interested in behavior and ophthalmology. Contact info. firstname.lastname@example.org 308-230-0186.
ACVIM Forum, Washington State Convention Ctr. Seattle Washington. www.ACVIMForum.org
NVMA Summer Meeting in Scottsbluff, NE
An AVMA task force will try to give companion animal veterinarians antimicrobial stewardship programs similar to those used in human hospitals. The Association wants a group of experts in small animal medicine, infection control, and public health to find ways to reduce the spread of antimicrobialresistant bacteria and improve stewardship by companion animal veterinarians and their practices. The AVMA Executive Board voted in January to create the Task Force for Antimicrobial Stewardship in Companion Animal Practice and spend $15,000 for three meetings over the next 18 months. The task force’s work will involve developing educational messages for clinicians, working with veterinary colleges on antimicrobial use education, and developing a national campaign to promote appropriate use of antimicrobials in pets. During the board meeting, Dr. Ron DeHaven said AVMA staff will ensure that the task force’s work is consistent with work by the AVMA Steering Committee for FDA Policy on Veterinary Oversight of Antimicrobials, which focuses on FDA regulations affecting food animal medicine. The AVMA is looking for members to serve on the Task Force for Antimicrobial Stewardship in Companion Animal Practice. Information is available at www.avma.org/Members/Volunteer. March 11 is the nomination deadline.
NEBRASKA VETERINARY MEDICAL ASSOCIATION PO Box 637 Hastings, NE 68902 Phone: 402-463-4704 Fax: 402-463-4705 Email: email@example.com CHANGE SERVICE REQUESTED
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