August 2016 WVMA Voice

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VOICE

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In the News WVMA Sponsors State FFA Veterinary Science Proficiency Award

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WVMA Annual Convention – Sunday Wetlab Preview

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Educate Your Clients and Staff about Q Fever

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Top Five Ways to Spend Money to Make Money

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Legal Briefs Increased Attention on Misclassification of Workers

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From the Executive Director Food Armor® Foundation Being Established

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From the President Writing Our Brighter Future

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In This Issue

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August 2016

Oct o b e r 13 - 16 , 2016 A llian t En e rg y Center M adison WI

2016 WVMA Convention – Saturday Preview Small Animal Track 1

Andrew Gendler, DVM, DACVR Dr. Andrew Gendler has been part of WestVet’s team for five years, first working as an emergency veterinarian and now serving as a Board Certified Veterinary Radiologist. His clinical interests include the use of CT and MRI for the diagnosis of musculoskeletal disease, neuroimaging, and diagnostic accuracy in medical imaging. He has published and presented research on CT imaging of feline oral squamous cell carcinoma and CT arthrography in the canine elbow joint. Radiographic Assessment of the Dyspneic Patient The dyspneic small animal patient often presents a stressful and challenging diagnostic dilemma. Thoracic radiographs are an invaluable part of the diagnostic work-up in these patients. This lecture will delineate a simplified approach of dyspnea localization and review of common imaging findings and diagnostic pitfalls that should allow you to narrow your differential diagnosis list, initiate timely treatment, and decide on the most appropriate next-step diagnostic test. Dyspnea Radiology Case Rounds - Interactive Case-Based Session Test out the previously described strategies and radiographic findings in this case-based quiz session. Up to 10 (as time permits) different confirmed cases of patients with dyspnea and their thoracic radiographs will be presented for you to practice your interpretative skills, determine any knowledge gaps, and generate discussion. Abdominal Radiography for the Vomiting Patient: Old techniques revisited Abdominal radiography is the workhorse diagnostic test for the acutely vomiting dog and cat. This lecture reviews pertinent radiographic anatomy of the gastrointestinal tract, how gas can be used to improve your radiographic assessment, and radiographic measurements of the GI tract. Additionally, there is a brief discussion of the role of abdominal ultrasound in acutely vomiting patients. >>> Continued on Page 5


FROM THE PRESIDENT

Writing Our Brighter Future Isn’t it Great Being a Veterinarian?... Dr. John T. Been

Predicting the future is tricky business. It is awfully easy to be either overly optimistic, or conversely, overly pessimistic regarding what may be coming around the corner for our personal lives, much less for our professional ones. Economic peaks and valleys, employee turnover, and capital costs are all factors which impact the financial snapshot of our veterinary practices. I’d like to comment on some of those predictable and not so predictable aspects that impact our professional futures.

We had the honor of having Michael Dicks PhD attend our May 18 Executive Board meeting. Dr. Dicks is the AVMA Director of the Veterinary Economics Division. He studies, monitors and reports on the veterinary economic trends and all the opportunities and challenges therein. His presentation to us related that rapidly inflating student debt to income ratio (DIR) is currently 2:1 for graduates of U. S. Colleges of Veterinary Medicine. In 2001, the DIR was 1.2:1. Approximately 8 percent of new grads have a DIR of 4:1. In light of stagnant starting salaries for new grads, there is a squeeze brewing. On the other hand, Dr. Dicks pointed out the tremendous economic potential that is being left on the table by veterinary practices in missed sales for procedures or products. This is the opportunity area for us as veterinarians to, as Mr. Churchill said, write our own bright future.

Winston Churchill said that “I know that the future is bright because I intend to write it.” That is a typical quote from the former Prime Minister of England....bold, optimistic and inspirational. I believe that what he said is correct in that the very best way to ensure satisfaction and success is to take charge of those variables that impact outcome. Someone once told me that the Norwegians have a saying that there is no such thing as bad weather...there is only bad clothing! Preparation is A few years ago I enjoyed reading a terrific book by James C. Collins the key. called “Good to Great: Why Some Companies Make the Leap...and Others Don’t.” Mr. Collins very adroitly highlights those characteristics Last night I attended the inaugural meeting of the newly established Business Management Task Force at the WVMA offices in Madison. This of highly successful companies and how they create a culture of success that carries forward over generations. Major themes of his group is charged with developing a usable resource that will assist work speak towards dedicating yourself and your company towards our membership in the various management decisions that impact doing something extremely well and making that the corporate passion. practice life. Our initial discussions tried to identify those areas of Business longevity is dependent on excellent hiring and human resource common concern which we can proactively manage and help to insure management. To quote Mr. Collins, “Greatness is not a function of that ‘brighter future’. Considerations for the evening included practice circumstance. Greatness as it turns out, is largely a matter of conscious transition/ownership, inventory management, corporate set-up/ choice, and discipline.” That sure makes sense to me as we move tax strategies, process management/clinic culture, human resource considerations and regulatory compliance to name a few. Our profession forward into the new challenges and opportunities that lie before us. in general and our private practices in particular must evolve and adapt to a more nimble business model that takes advantage of current tools including social media and professional consultant services. It is the vision of the WVMA Executive Board and part of our strategic plan to assist the task force in their efforts.

...Yes, it is! n

2016 WVMA EXECUTIVE BOARD President

John T. Been, DVM

District 5

Judith Batker, DVM

EX-OFFICIO MEMBERS

STAFF

President-Elect

Scott Spaulding , DVM

District 6

Alan Holter, DVM

Past President

Jane Clark, DVM

District 7

Karl Solverson, DVM

District 1

Katrina Geitner, DVM

District 8

Kevin Landorf, DVM

District 2

Chris Keim, DVM

District 9

Gary Johnson, DVM

District 3

Trisha Fasse-Neerhof, DVM

Student Rep.

Holly Hovanec

District 4

James Ziegler, DVM

Treasurer David Jeans, DVM AVMA Delegate Douglas Kratt, DVM Dean, UW-SVM Mark Markel, DVM, PhD State Veterinarian Paul McGraw, DVM WVDL Director Philip N. Bochsler, DVM, PhD, DACVP Student Rep. Morgan Randall

Executive Director Kim Brown Pokorny Office Manager Torrie Kennedy Communications and Project Specialist Bailey Quam Development and Marketing Specialist Jeremy Panizza Food Armor® Katie Mrdutt, DVM Outreach Specialist

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FROM THE EXECUTIVE DIRECTOR WVMA VOICE

The WVMA Voice is published on the 15th day of each month by the Wisconsin Veterinary Medical Association, 4610 S. Biltmore Ln., Suite 107, Madison, WI 53718; (608) 2573665; toll-free (888) 254-5202; fax (608) 257-8989; e-mail: wvma@wvma.org; website: www.wvma.org. It is sent free of charge to all WVMA members. Office hours: 8 a.m.–5 p.m., Monday-Friday.

CLASSIFIED/RELIEF VETERINARY ADVERTISING: Member:

First 30 words $10; each additional word $1.50. Non-member: First 30 words $50; each additional word $1.50. Additional $10 fee for blind box ads. Classified ads run for two months and must be renewed for additional months. Classified ads are to be received by the first working day of the month. Display advertising is available at the editors’ discretion. Call (608) 257-3665 for more information. The deadline for receipt of all material submitted for publication is the first working day of the month, to insure consideration for the next month’s newsletter.

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Food Armor® Foundation Being Established Kim Brown Pokorny

The WVMA Food Armor® HACCP for Proper Drug Use Program has hit another milestone! The WVMA Executive Board voted to legally separate Food Armor® from the WVMA, creating a separate non-profit foundation.

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This visionary move allows Food Armor® to grow and accurately represent its national scope and impact. Furthermore, it eliminates risk to the WVMA and helps further establish a sustainability model. The WVMA Executive Board is currently working with legal counsel to establish the structure of the foundation and to file the necessary state and federal paperwork. With the significant time and resources the WVMA committed to program development, the WVMA will continue to maintain control of the program’s future. Once the structure and bylaws are established, a national board of directors will be selected to serve on the Food Armor® Foundation. Watch for additional updates as additional progress is made. n

THANK YOU TO OUR SPONSORS! Gold Sponsors

Silver Sponsors

Friend Sponsors

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Marshfield Labs Merck Animal Health Merial Limited Midwest Cremation Services of Wisconsin Parnell University of Wisconsin School of Veterinary Medicine

Bayer HealthCare Madison Veterinary Specialists Professional Insurance Programs Universal Imaging

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Orthopedic, Soft Tissue, Oncologic & Neurologic Surgery

Take Full Advantage of Social Media From the WVMA!

Crank up your clinic’s social media! Share, retweet or repost any of the content the WVMA posts on Facebook, Twitter or on wvma.org on your clinics social media! All information shared on these sites is for our members to help in sharing news and can also be shared with clients. If you have not already, like us on Facebook, Wisconsin Veterinary Medical Association and follow us on Twitter, @WVMA. By following the WVMA through these outlets, you will be able to stay current on happenings in Wisconsin and on the national veterinary medical scene.

David Edinger

DVM, DACVS edingersurgicaloptions.com + 608 845.0002

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WVMA Annual Convention – Saturday Preview >>> Continued from Page 1

Abdominal Radiology Case Rounds- Interactive Case-Based Session Test out the previously described content, strategies, and radiographic findings in this case-based quiz session. Up to 12 (as time permits) different confirmed cases of vomiting patients and their abdominal radiographs will be presented for you to practice your interpretative skills and decide if they should be sent for surgical exploratory or be conservatively managed. Diagnostic Imaging Test Selection - Practical and Evidence-based Organized by body system and/or region, this lecture will review the current literature and my own experiences, to identify the current best-practice recommendations for imaging tests of some of the most common small animal diseases. This discussion will review diagnostic imaging steps that should provide the patient’s final diagnosis in a timely manner, while also reducing patient morbidity and client cost. Rather than focusing on the physics or imaging findings of certain advanced imaging modalities, we will instead emphasize and elaborate on a logic-based approach to clinical decision-making and diagnostic imaging test selection/recommendations. Small Animal Track 2

Thomas Day, DVM, MS, DACVAA, DACVECC, CVA Dr. Thomas Day is board certified in the American College of Veterinary Anesthesia and Analgesia (1993) and the American College of Veterinary Emergency and Critical Care (1998). Dr. Day founded Louisville Veterinary Specialty and Emergency Services in 1998 and served as owner until moving to the Madison area to join Veterinary Emergency Service (VES). He is a mentor for an ACVECC residency training program at VES and his clinical focus includes not only emergency and critical care medicine, but also clinical anesthesia. Anesthesia Monitoring Anesthesia monitoring is a standard of care for dogs and cats. This session will describe commonly used anesthesia monitors as well as discussion on normal and abnormal parameters including heart rate, blood pressure and end tidal carbon dioxide. Acute Pain Management Management of acute pain has become increasingly important in veterinary medicine. This session will discuss monitoring of acute pain with pain scores, management of acute traumatic pain and predicting and managing acute surgical pain. Management of Heatstroke in Dogs Many may feel that heatstroke is not a common problem in our state, but it is. This session will discuss the pathophysiology of heatstroke as it pertains to the diagnosis and treatment. Both exertional and

environmental heatstroke will be discussed to help provide information that can be passed on the pet owners. The Critical Respiratory Distressed at Respiratory distress in cats is an extremely common presentation. This session will describe the history, respiratory patterns and the importance of radiographic interpretation in cats with respiratory distress to differentiate feline lower airway disease (FLAD) from congestive heart failure (CHF) and pleural effusion. Neurologic Toxicities Seizures and tremors are very common signs resulting from exposure to a myriad of neurologic toxins. This session will discuss environmental chemicals, common over-the-counter drugs, prescription drugs and recreational drugs that can present with neurologic signs. Antidotes and supportive care, including seizure management, will be emphasized. Large Animal Track 1

Geoffrey Smith, DVM, PhD Dr. Geof Smith received a BS in animal and dairy science from Clemson University in 1994. From there he received a MS in toxicology from University of Illinois in 1996 and a DVM in 1998. Following graduation, Dr. Smith remained at the University of Illinois for another four years while he completed an internship and residency in ruminant internal medicine along with a PhD in physiology. Dr. Smith joined the faculty at North Carolina State University in 2002 and is currently a Professor of Ruminant medicine in the Department of Population Health & Pathobiology. He is a Diplomate of the American College of Veterinary Internal Medicine (ACVIM) and his primary clinical and research interests revolve around clinical medicine of ruminants with a specific focus on calf health. Responsible Antimicrobial Use in Cattle The use of drugs to treat animals with disease is a necessary and humane practice in animal production. However, as practitioners, we must have a thorough understanding of how to use drugs both properly and in a legal manner. Antimicrobials are by far the most common class of drug used in bovine practice. In beef cattle, the most common conditions requiring antimicrobial therapy include respiratory disease complex, diarrhea, keratoconjunctivitis and foot rot. In dairy practice the major diseases antibiotics are used for include mastitis, lameness (both digital and interdigital dermatitis), reproductive diseases (ie. metritis) and pneumonia. This session will discuss the principles for responsible and rationale drug use in cattle. Mechanisms of how bacteria acquire antimicrobial resistance will be covered along with how to avoid thedevelopment of resistance in food animals. The role of FARAD in preventing drug residues in food animal species will also be covered. >>> Continued on Page 7

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IN THE NEWS

WVMA Sponsors State FFA Veterinary Science Proficiency Award On June 14, Wisconsin Veterinary Medical Association (WVMA) President, Dr. John T. Been, presented Morgan Fitzsimmons, of Mineral Point, with the State FFA Veterinary Science Proficiency Award at the 87th Annual State FFA Convention in Madison. This award recognizes the student who best demonstrates an understanding of veterinary medical practices and animal health care in Wisconsin. Fitzsimmons began her proficiency by working at Military Ridge Veterinary Clinic in Dodgeville, where she has been employed since May 2015. Currently, she is working after school five days a week and every other Saturday. Her roles include answering phone calls, cleaning surgery packets and helping care for animals at the clinic. While the clinic sees mainly food animal patients, she also works with equine and small animals. With the future goal of pursuing a degree in animal science, Fitzsimmons hopes to become a veterinarian or an agriculture instructor. The top state finalists in the veterinary science proficiency area received monetary awards made possible by sponsorship from the WVMA. Fitzsimmons has yet to find out if she will be selected as one of four national finalists. If selected, she will compete at the National FFA Convention in Indianapolis, Ind., in October. The four national finalists will each receive a plaque and scholarship thanks to sponsorship by the American Veterinary Medical Association. n

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WVMA Annual Convention – Saturday Preview >>> Continued from Page 5

Prevention of Drug Residues in Cattle This presentation will focus on how to prevent both meat and milk residues in the beef and dairy industries. The primary reasons for residues will be discussed with examples on how to ensure they don’t occur. Key questions to be answered during the presentation include 1) why do drug residues occur; 2) what are key issues in avoiding drug residue problems and 3) how do I help educate producers in the proper use of drugs? The role of FARAD in preventing drug residues in food animal species will also be covered. Nutritional Diseases of Calves The two primary nutritional diseases of dairy calves are abomasal bloat and hypernatremia. Both syndromes are most often related to problems or errors in feeding milk, milk replacer, and/or oral electrolytes to calves. Risk factors include improper mixing of milk replacer or oral electrolyte products, feeding a large volume of milk in a single daily feeding, feeding cold milk (or milk replacer), not offering water to calves, erratic feeding schedules, and failure of passive transfer. During this session we will discuss the relationship between nutrition and disease in dairy calves along with 1) understanding abomasal bloat and what causes it in calves; 2) review treatment and control options for abomasal bloat and 3) review what to do with hypernatremia or salt poisoning in calves. Managing Cryptosporidia in Calves Cryptosporidium parvum is one of the most commonly isolated gastrointestinal pathogens from dairy calves and immunosuppressed humans and is a significant cause of waterborne diarrhea outbreaks. This presentation will review critical factors for controlling cryptosporidiosis in calves and covers potential options for treatment. Objectives for the presentation include 1) understanding the pathophysiology and diagnosis of Cryptosporidial diarrhea in calves; 2) review treatment and control options for Cryptosporidia; and 3) understanding the public health implications for Cryptosporidia in humans. Ancillary Therapy for Calf Diarrhea Diarrhea is the leading cause of calf mortality prior to weaning in both beef and dairy calves. Therefore both veterinarians and producers should put some effort into designing rationale and efficacious protocols both for the prevention and treatment of diarrhea. This presentation will focus primarily on the use of antibiotics for the prevention and treatment of calf diarrhea. A brief discussion of other ancillary medications will also be included. Key objectives on the presentation include: 1) are feeding antibiotics in the milk effective for diarrhea prevention; 2) should I give antibiotics to a calf with diarrhea - if so when; 3) which antibiotics would be the most effective for calves with diarrhea; and 4) what other treatments are indicated for calf diarrhea?

APHIS Track

Sheryl Shaw, DVM, MPH Dr. Sheryl Shaw is a 1989 graduate of the College of Veterinary Medicine at Washington State University. She spent 11 years in private practice in Wisconsin and Montana. Dr. Shaw has been with the USDA since 2000, spending time in Food Safety (FSIS) and then APHIS Veterinary Services as an export veterinary medical officer and area epidemiology officer in Minnesota. Dr. Shaw completed a master’s of public health at the University of Minnesota in 2008 and the USDA Graduate School Executive Leadership Program in 2011. Dr. Shaw began her duties as the area veterinarian in charge in Wisconsin in November 2012 and currently serves as Director of Service Center 3 within National Import Export Services in Veterinary Services. She supervises staff in IA, IL, IN, KY, MI, MN, OH and WI. Paul Kunde, DVM Dr. Paul Kunde is a Veterinary Medical Officer with the USDA, APHIS, VS, National Import Export Services (NIES) in Madison, Wis. He received his DVM from the University of Wisconsin School of Veterinary Medicine in 2011. In his current position, Dr. Kunde works primarily with exports from the State of Wisconsin. More specifically, the majority of his time is spent working with stakeholders in the bovine semen and embryo industries. Along with reviewing health certificates, he also coordinates many of the facility inspections in the Upper Midwest. Before joining the USDA, Dr.Kunde worked in private practice in Madison, Wis. APHIS Module 9: Interstate and International Health Upon completion of this module, an accredited veterinarian will be able to • list the various agencies and steps involved in the certification process for Category I animals; • find current import/export information for Category I animals traveling interstate or internationally; • apply proper completion principles when completing health certificates for Category I animals and avoid making common errors; and • explain your roles and responsibilities as an accredited veterinarian as they relate to Category I animal health certificates. >>> Continued on Page 8

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WVMA Annual Convention – Saturday Preview >>> Continued from Page 7

APHIS Module 11: Sheep and Goats: Disease Awareness and Health Certificates Upon completion of this module, an accredited veterinarian will be able to • list common diseases of sheep and goats and identify those that are zoonotic; • list the four requirements that must be met for USDA to officially recognize a scrapie genotype test; • understand the differences in the National Scrapie Eradication Program and the Scrapie Flock Certification Program; • explain the types of official identification required for international and interstate movement of sheep and goats; and • identify common errors on completed International Health Certificates and Certificates of Veterinary Inspection. APHIS Module 12: Animal Disease Traceability Upon completion of this module, an accredited veterinarian will be able to • explain the aspects of ADT to clients and the public, • list the official identification devices and methods used for different livestock species, • explain why documentation of interstate movement of livestock is necessary for effective traceability, • locate the regulations governing the interstate movement of different species of livestock, and

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• identify the various roles and organizations or agencies in which veterinarians may assist in animal health emergency responses; • describe the basics of response planning and coordination, including the National Incident Management System (NIMS) and the Incident Command System (ICS); and • locate additional training resources pertaining to animal health emergency response. APHIS Module 25: Using Behavior to Assess Animal Welfare After completing this module, an accredited veterinarian will be able to • identify normal behaviors seen in many animal species under conditions promoting good welfare; • describe how sickness behaviors can contribute to improved or compromised animal welfare; and • list basic approaches to reducing or eliminating pain and distress in animals. n

EMERGENCY VETERINARY CARE on

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APHIS Module 19: Animal Health Emergency Response Upon completion of this module, an accredited veterinarian will be able to

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• describe the responsibilities of an accredited veterinarian with respect to ADT, specifically Title 9 of the Code of Federal Regulations (CFR) Part 86 and Part 161.

24-hr Emergency & Specialty Care. Board-Certified Specialists. • Surgery, Internal Medicine, Ophthalmology • Minimally-invasive scoping procedures • Abdominal ultrasound • Blood products for transfusions • Partner with the Dane County Humane Society

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EMERGENCY NUMBERS Foreign Animal Disease Response Emergency Numbers Wisconsin Emergency Management 24-hour Response (800) 943-0003 emergencymanagement.wi.gov Wisconsin Department of Agriculture, Trade and Consumer Protection Division of Animal Health (608) 224-4872 www.datcp.state.wi.us

here to help Have a complex case? Partner with our team of boardcertified specialists on consults and referrals. Together, we’ll determine the best possible care for your clients.

USDA – APHIS – Veterinary Services (608) 662-0600 www.aphis.usda.gov/aphis/ourfocus/animalhealth

608.263.7600 | uwveterinarycare.wisc.edu Veterinary technicians on-site 24/7.

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RSVP today for VES/VSC’s Continuing Education Series This month’s topic is

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Principles of Surgical Oncology Surgical Management of Mast Cell Tumors

Presented by Dr. Dana King, DVM, DACVS

Saturday, August 27, 2016

11:30am Social & 12:30pm Lunch At Bonfyre Grille 2601 West Beltline Highway, Madison, WI For more details and to RSVP please call: 608-831-1101 Space is limited to veterinarians only

VES-Middleton

1612 N. High Point Road Middleton WI 608-831-1101 • Fax 608-831-1181

VES-East

4902 E. Broadway Madison WI 608-222-2455 • Fax 608-467-6014

VES-Janesville

3710 E. Racine Street Janesville WI 608-314-3510 • Fax 608-314-3525

www.VeterinaryEmergencyService.com

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WVMA Annual Convention – Sunday Wetlab Preview Cecilia Robat, DVM, DACVIM (Oncology) Dr. Cecilia Robat graduated from Liege, Belgium in 2005. She then completed a rotating small animal internship before moving to Madison to pursue an Oncology internship and residency at the University of Wisconsin School of Veterinary Medicine. She became board certified in 2011. She worked at University of Wisconsin Veterinary Care until April 2016, when she joined the Oncology team at VES/VSC in Middleton, Wis.

Oncology Wetlab

Part 1: Biopsy techniques: bone marrow aspirate/biopsy, JamShidi biopsy, TruCut biopsies, punch biopsy A lecture and lab on different sampling techniques and their applications, using examples of cases commonly seen in practice. How to read a pathology report (assessing for margins, grade etc). Part 2: Basics of cytology for the busy practitioner First attendees learn more on how to obtain an adequate sample and how to recognize tumor vs inflammation vs normal, as well as basic tumor categories (round cell, carcinoma, sarcoma). During the second portion, attendees will practice reading slides and recognizing common tumors, inflammation etc. The lab will be located at the University of Wisconsin School of Veterinary Medicine n

Educate Your Clients and Staff about Q Fever

By Suzanne Gibbons-Burgener, DVM, PhD (DHS), Julie McGwin, DVM (DATCP), Doris Olander (USDA APHIS) and Keith Poulsen, DVM, PhD, DACVIM (WVDL) Wisconsin has the largest dairy goat population in the United States. We anticipate the number of animals and dairies to grow by expansion of existing farms and by the establishment of new farms. Currently plans are underway for farms that will milk in excess of 5,000 does. One of the issues that have been raised in regards to goat dairies is the risk of Q fever (or Query fever) in both animals and people. The association between animal and human health has led to Coxiella burnetii being identified as a prototypical agent for which prevention and response are addressed by the contributions of many professions. In the 1930s, C. burnetii was discovered almost simultaneously in Australia and the United States. In Australia, the discovery was a result of investigations of human disease, whereas in the United States the agent was discovered by researchers collecting ticks for the investigation of Rocky Mountain spotted fever resulting in accidental inoculation of a laboratory worker. Since that time, the bacterium has been identified as the cause of illness in diverse human and animal populations including slaughterhouse workers, farmers, small game hunters, urban dwellers in close proximity to goat farms and even people exposed to a queening cat (so called “Poker Players Pneumonia”). Additionally, C. burnetii has been regularly identified as a cause of pneumonia during military campaigns. The causative agent of Q fever is Coxiella burnetii, a Gram-negative obligate intracellular bacterium, is ubiquitous and persistent in the environment. Extracellularly, it is spore-like and very hardy in the face of environmental stresses. Though C. burnetii can infect many domestic animals and wildlife, most animals harboring the organism do not show signs of illness. When signs are noted, they are usually in previously naïve animals and are related to reduced production and fertility

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problems, often manifesting as late term abortions or stillbirths. C. burnetii is shed in ruminant reproductive fluids and tissues, and intermittently in milk, feces, and urine. Inhalation of aerosols of birthing fluids from infected animals, or of contaminated barn bedding and debris is the most common transmission route. Domestic ruminants serve as the primary reservoir for zoonotic transmission. C. burnetii may also be shed by asymptomatic animals; some studies have found that up to 90 percent of dairy cattle bulk tank samples are PCR positive. High prevalence is also found in small ruminants, and goats appear to be most closely linked to human disease clusters. Most commonly, Q fever is an occupational disease in persons whose work involves contact with animals, such as slaughterhouse workers, veterinarians, and farmers. However, infection is not limited to these groups and nearly 60 percent of confirmed cases reported no livestock contact according to a CDC review of 405 cases from 2000-2010. Persons at greater risk for illness are those with history of cardiac valvular surgery, valvular prosthesis or aneurisms, age > 60 years, or who are immunosuppressed. The average incubation period is 20 days (range: 3-40 days) from infectious exposure to onset of clinical disease. Approximately 50 percent of infected humans remain asymptomatic. When illness occurs, it commonly presents as a non-specific febrile illness that may occur with pneumonia or hepatitis. The acute Q fever case fatality rate is < 2 percent of untreated patients, and negligible in appropriately treated individuals. Approximately one in five acute cases report a post-Q Fever fatigue syndrome that can persist for more than a year, and five percent of acute


cases go on to develop chronic Q Fever, which is commonly associated with endocarditis. People (asymptomatic and symptomatic) who recover fully from infection may have lifelong immunity against re-infection. Farm personnel should consider using personal protective equipment (PPE) to mitigate zoonotic transmission, especially during lambing and kidding or with abortion storms. At minimum, those at greater risk for illness should avoid activities such as assisting with animal births, cleaning animal areas, or consuming raw milk products. More recommendations for recognizing, mitigating and communicating Q fever risk are included in the resources listed at the article’s end. Q fever is a reportable disease nationally and Wisconsin has, on average, six sporadic human cases of acute Q fever and one case of chronic Q fever annually. There have been no clusters of human Q fever identified in Wisconsin during the past decade. Although infections occur year round, acute Q fever cases in the U.S. peak in the spring. Seasonal incidence of acute Q fever likely correlates with livestock birthing times or farm management practices such as manure spreading. Outbreaks of human Q fever have been associated with concurrent outbreaks in small ruminants (sheep and goats) – most recently, in the Netherlands during 2007-2010, and in northwestern U.S. during 2011. Clinical disease in animals appears to precede human Q fever outbreaks. For domestic animals, Q fever is diagnosed by PCR and compliment fixation, and is part of abortion diagnostics and testing for export. Positive animal Q fever cases are reportable and the Wisconsin Veterinary

Diagnostic Laboratory coordinates all reporting as a service to clients. Positive cases are not, however, an actionable disease as it relates to animal health. In other words, state animal health officials do not step in and take regulatory control by using animal quarantine authority because the pathogen is ubiquitous in the environment. However, in some situations, public health and food safety authorities may choose to step in when Q fever has been found on a farm or in dairy products. C. burnetii is an organism where knowledge and expertise from many professions contribute to both prevention and a response, when needed. Such a One Health approach includes private practice veterinarians and physicians, state and local public health personnel, state and federal animal health staff, state environmental professionals and allied federal agencies such as CDC and food safety experts and many others. Below are two important resources that provide concise, authoritative and practical guidance for managing Q fever in humans and animals. Prevention and Control of Coxiella burnetii Infection among Humans and Animals: Guidance for a Coordinated Public Health and Animal Health Response, 2013. NASPHV/NASAHO http://www.nasphv.org/ Documents/Q_Fever_2013.pdf Diagnosis and Management of Q Fever – United States, 2013, Recommendations from CDC and the Q Fever Working Group. MMWR Vol 62 No 3, March 29, 2013. http://www.cdc.gov/mmwr/preview/ mmwrhtml/rr6203a1.htm?s_cid=rr6203a1_w. n

Top Five Ways to Spend Money to Make Money Darren Osborne, MA, Director of Economic Development, Ontario Veterinary Medical Association 1. Give Your Staff a Raise: The most profitable veterinary clinics all have one thing in common – they have lower wage expenses. They do this not by paying less but paying more. That’s right; paying more. By paying higher wages, they attract better staff and able to accomplish more with less staff per veterinarian. The lower number of bodies offsets higher wages and the result is higher net income. 2. Get on the First Page of Google: Attitudinal surveys show us that the most important factor in choosing a veterinarian is “recommendation”. Today, this recommendation can be in the form of a testimonial on a website posted by someone the pet owner will never meet. The more popular hospitals have a website that shows up at the top of Google search and you will find they have glowing testimonials and great rating. All this is possible when you have someone looking after your Search Engine Optimization. Bottom line, pay the money and hire an expert. Who does what and where for how much is a rapidly moving target. 3. Buy a Digital Dental X-ray Unit: In all the cost benefit analysis done on equipment, the digital dental x-ray always comes out on top as the best pay off. If you only use it for extractions it still pays for itself.

4. Train Your Staff: There is a right way and a wrong way to greet clients over the phone and at the front desk. Even though this can make or break your practice, most veterinary staff were never trained in this most basic skill. Spend some money and send your staff to a customer service training session. OVMA recognized a gap in this area and created the Jumpstart Boot Camp where frontline staff get the skills and tools required to keep clients happy and committed to their pet’s health and your hospital. 5. Sign up for the OVMA Budget Service: This is a shameless plug and it will cost you 500 bucks but it is guaranteed to not only save you money but help you grow the practice. This service includes analysis of your existing expenses to create a personalized monthly budget for your practice. Darren Osborne will travel to your hospital, present his financial recommendations for the year and load the resulting budget into your financial software. With the new budget in place, you simply send in a monthly budget variance report automatically generated by your software and Darren will call to discuss your progress. n

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LEGAL BRIEFS

Increased Attention on Misclassification of Workers By Brian L. Anderson, DeWitt Ross Stevens s.c.

If you are a typical employer, looking to reduce expenses and liabilities, you are tempted to classify workers as independent contractors to save on payroll taxes, employee benefits, workers compensation insurance, and state unemployment liability. Be very careful! In recent years, government agencies have been focusing increased attention on misclassification of workers.

2. Holds or has applied for a federal employer identification number or has filed business or self-employment income tax returns based on that work in the previous year.

In the “Legal Briefs� column of the January 2012 issue of the WVMA Voice, my partner Steve DiTullio provided recommended actions that veterinary clinics could take to help maintain independent contractor status for relief veterinarians or other workers who are not intended to be employees. Those actions continue to be recommended. Despite taking some of those actions, however, many employers are being required by government agencies to reclassify independent contractors as employees. A reclassification by one agency can lead to reclassification by other agencies.

4. Incurs the main expenses related to the service or work that he or she performs under contract. This condition might not be satisfied by a relief veterinarian or other contractor who incurs no overhead or other significant expenses related to the work.

The old Internal Revenue Service 20-factor test for employee status has morphed into a test that groups the factors into the following 3 categories: behavioral control (relating to whether the employer has the right to control how the worker does the job), financial control (relating to whether the economic aspects of the job are controlled by the employer or by the worker), and the type of relationship of the parties (i.e., how the parties perceive their relationship to each other). The IRS also sometimes applies a Department of Labor concept and asks whether the worker is financially dependent on the work, which would make the worker more like an employee. According to the Wisconsin Department of Workforce Development, an independent contractor is not an employee for workers compensation purposes only if the contractor meets all of the following 9 conditions:

3. Operates under contracts to perform specific services or work for specific amounts of money and under which the contractor controls the means of performing the services or work.

5. Is responsible for the satisfactory completion of work or services that he or she contracts to perform and is liable for a failure to complete the work or service. 6. Receives compensation for work or service performed under a contract on a commission or per-job or competitive-bid basis and not on any other basis. This condition might not be not satisfied when a clinic pays a relief veterinarian or other contractor by the hour or by the day. 7. May realize a profit or suffer a loss under contracts to perform work or service. A relief veterinarian or other contractor who incurs no significant expenses might be unable to suffer a loss. 8. Has continuing or recurring business liabilities or obligations. 9. The success or failure of the independent contractor’s business depends on the relationship of business receipts to expenditures.

The proper classification of a worker is very fact-specific and is not uniform among the government agencies. The same worker could be classified as an employee in one case and a contractor in another. 1. Maintains a separate business with his or her own office, Because misclassification can result in significant penalties, a cautious equipment, materials, and other facilities. This condition employer will minimize errors by advance planning and obtaining good might be difficult for a veterinary clinic that provides the office, professional advice before a government agency investigates. Even with equipment, and materials for the relief veterinarian or other such advance planning and advice, however, some workers might never contractor. satisfy the requirements to be a contractor. n

12 August

2016


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October 13 - 16, 2016 Alliant Energy Center Madison WI

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HELPING PRACTICES THRIVE

CONVENTION REGISTRATION JUST GOT EASIER!

call or email Dan Gavis to learn more 617.901.0044 / dgavis@ vetcor.com

Your Practice Manager can register multiple WVMA members with just one log in. Call the WVMA office or email wvma@wvma.org to find out how! Caring For Your Clients with Skill and Compassion 24 Hour Care • Board Certified Specialists Surgery Internal Medicine Radiology Cardiology

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Dr. Kurt Liljeberg kurt@tpsgsales.com (800) 380-6872 tpsgsales.com

WVMA Member Apparel Now Available!

TPSG is pleased to have brokered this transaction and wishes to announce: Dr. Katie Mackey (Tufts Class of 2008) purchased the

Star Prairie Veterinary Clinic Star Prairie, WI from

Dr. Eric N. Hanson (Wisconsin Class of 2005) Congratulations to all!

Dr. Kurt Liljeberg kurt@tpsgsales.com (800) 380-6872 tpsgsales.com

Log in at wvma.org to access the Member Apparel link under Member Resources.

Questions? Contact the WVMA at (608) 257-3665 or wvma@wvma.org

TPSG is pleased to have brokered this transaction for the Seller, and wishes to announce: Dr. Stephanie M. Greetan (Wisconsin Class of 2008) purchased the

Animal Clinic Sheboygan Sheboygan, WI From

Dr. Rodney V. Thieleke (Minnesota Class of 1976) Congratulations to all!

Animal Dentistry and Oral Surgery Specialists, LLC ®

920-223-8409 or 888-K9-TOOTH

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Don’t miss the 2016 trainings!

Visit foodarmor.org for a full listing and more information.

14 August

2016

Locations: Glendale Green�eld Green Bay Oshkosh Dr. Kressin, Dr. Honzelka and their team communicate as advocates for you, your clients and their pets. Referrals Welcome!


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Oct o ber 13 - 16, 2016 A lliant Energy Center Madi s on WI

Registration is available online! Visit www.wvma.org to learn more.

Your profession. Your livelihood. Your future. Your voice, amplified. Donate Today! 15


CLASSIFIED AD CHANGES All classified ads, including veterinary relief ads, will be published at the following rate: Members: First 30 words, $10. Every additional word after 30 is $1.50 per word. Non-members: First 30 words, $50. Every additional word is $1.50 per word. Ads will run 2 consecutive months, and then be removed, unless the WVMA is notified you would like to continue your ad for another 2 month run. You will be invoiced at the end of the first month during a 2 month period. Ads are placed online at the beginning of the month they are featured in the newsletter. Immediate placement of ads is an additional $25 fee. Additional $10 fee for blind box ads.

SMALL ANIMAL Madison Road Veterinary Clinic of Beloit is seeking a FT SA veterinarian to join our enthusiastic staff in its growing clinic. Our clinic has all of the tools needed to practice quality medicine and surgery. Experienced or new graduates considered. Send resume to jseverson1961@gmail.com. Advanced Animal Hospital Group is hiring for several DVM positions as we grow. PT and FT candidates considered. Opportunities in Milwaukee. We support top notch medicine with excellent facilities and equipment. Continuing education, licensing, paid vacation, health insurance and 401K provided. Base salary and production bonuses based on experience. We also offer owner partnership opportunities to veterinarians who work hard and exhibit quality veterinary and business skills with no money out of pocket. H1B visa and green card assistance is available. Contact Dr. Dhillon at dhillondvm@gmail.com. FT/PT associate needed for growing SA practice in Marshfield (Central WI). Excellent facilities and great staff. New graduates welcome. Buy-In potential. Would be joining three other veterinarians. Contact Dr. Virginia Thorne (715) 498-2323 or (715) 389-1011; Castlerock Veterinary Hospital, 1214 S. Oak Ave., Marshfield, WI 54449; or email at wthorne@tds.net. We are looking for a 4th veterinarian to join SA practice in Wis. Dells, WI. New addition and hospital renovation to be completed this year. We have an excellent caring and fun group of skilled support staff. The hospital is equipped with digital x-ray, ultrasound, digital dental x-ray, surgical laser, full in house diagnostic lab and more. No emergency duty. Benefit package

16 August

2016

includes competitive salary, health, life, and disability insurance, CE and vacation. If interested please send resume to: Dells Animal Hospital, 4135 Hwy. 13, Wis. Dells, WI 53965. Relief veterinarian wanted for small animal/exotic practice in Green Bay. Third week of July and potentially 1-2 days a week regularly through fall. Please email Dr. Gilbert at petcare@ thegentlevets.com. Tillie Lake Veterinary Clinic is a two doctor SA practice in Jackson WI, 30 miles north of Milwaukee. We are looking for a FT associate. We are a well-equipped primarily outpatient practice. Candidates should possess excellent communication skills and work ethic. A strong interest in dentistry and surgery is a plus. Prefer experienced candidates, but will consider new graduates. Please send resume to Tillie Lake Veterinary Clinic, Inc. W227N16825 Tillie Lake Ct., Jackson, WI 53037 or email tillielake@sbcglobal.net. We are growing again! Practice opened in 1997, 3 doctors currently on staff and it’s time to invite another to join us! Practice is up very well this year. We handle internal medicine, surgery, and exotics, and enjoy referrals to our practice in all those fields. Our philosophy is to enjoy our careers by developing our skills as fully as possible, but also by balancing our work with our personal lives. Each of us takes a weekday off and a 4 day weekend off every 4 weeks. We have Aloka A5 Ultrasound, Digital DR and dental radiography, endoscopy, and full in-house laboratory for diagnostic workups. We are equipped with ESF, Bone Plating, TTA, and Interlocking Nail fixation systems, and routinely perform FHO, TTA and other orthopedic procedures. Each of our doctors is supported by at least two technicians throughout the day to maximize our effectiveness in client communication and most importantly, our patient care. We strive to enjoy what we do, and it keeps getting better! Practice owner is beginning to plan for retirement. The ideal candidate would wish to be mentored in surgery in order to take over that portion of the practice, and hope to be a practice owner in six years. Both of these are very real possibilities! Come take a look and see if this is where you want to be. Almost failed to mention: We operate a 120 run boarding/grooming/ and daycare facility in a separate on-site building. Daycare has over 60 dogs daily and is vibrantly growing as well. Our county population is 288,000, and our city has a small town feel to it. Is this what you’re looking for? We’d love to talk with you. Visit our website at dogwoodpc.com. Office number is (815) 282-3371. Contact Dr. Andy Maxwell at forestcityvet@gmail.com. Additional Salary Information: Base pay with a percentage. The upper number is dependent on what you bring to the practice. Nine doctor MA practice in Reedsville, WI looking for energetic FT/PT SA doctor. Doctor will be working with one FT experienced SA doctor and an excellent support staff. Our clinic is well equipped to provide quality care for our patients. Come join our family orientated team. Located 30 min from Green Bay, Appleton, Manitowoc, and 45 minutes from Fond du Lac and Sheboygan. Competitive salary, dues, liability insurance, health insurance, and CE provided. Please send cover letter and resume to vetassoc54230@gmail.com. A well-established busy veterinary hospital on the SW side of Waukesha is looking for a FT/PT Associate Veterinarian ASAP.

We are looking for a good communicator, compassionate and confident doctor, educator, and dependable team player. We do basic surgeries such as: spays, neuters, lumpectomies, foreign bodies, and dentals. We refer out any specialized surgeries. We have a great team to work with, and are located in a very safe neighborhood, far enough away from the big city, but close enough to enjoy it’s benefits. Pay is determined by experience, and we have excellent benefits. Position is available immediately! Send resume to Sue Ross: gcvhpracticemgr13@gmail.com or call Sue at (262) 547-7555 for more info. AAHA 3 DVM practice in family friendly, medical oriented, central Wisconsin community. An opportunity to practice quality medicine and become a respected community member. All skill levels and experience considered. See our ad on VCN and visit us at www. wildwoodanimalhospital.net. My email is docrogekrog@aol.com. Your future begins here! Our doctor of 13 years, has decided to retire. Our small country clinic is looking for an outgoing compassionate veterinarian to join our staff. We have 2 CVT’s and 1 veterinarian to share the case-load. We have the basics to practice, radiology, surgical and laboratory. Our clinic is technician owned, you get to be the doctor, no head-aches. We value your expertise. If you’re looking for a no frill, no bells and whistles, relaxed work atmosphere, you need to join our team. We also offer benefits and cake on your birthday. Michelle Pilar, CVT, VTS 525 S. Fairfield Avenue Juneau, WI 53039, vettek1@hotmail.com. Are you ready to love where you work and play on the shores of Lake Michigan? Then Wolf Merrick Animal Hospital is for you. We are seeking an experienced, dedicated, enthusiastic Associate Veterinarian to join our highly qualified team. Our AAHA certified practice is a well-established, full-service, SA veterinary hospital focusing on “Standards of Care” and comprehensive medical, surgical and dental care. Potential buy-in opportunity to the right candidate. To join our dynamic and compassionate team our ideal candidate will have strong communication skills and is very team orientated. Our Associate Veterinarians have high quality equipment at their fingertips. http://wolf-merrick.com. Send resume to wendyt@wolf-merrick.com. FT Veterinarian needed, at Advanced Veterinary Care Clinic. Please contact (414) 365-5200 or 8052 North 76th St., Milwaukee, WI 53223. Rural conservative, compassionate, innovative, SA practice seeking veterinarian for employment with transition to ownership. One hour from Madison, Fox Cities, and Milwaukee. Twenty minutes from traffic lights. Outstanding opportunity for personal, professional, and financial rewards. www.Lippart.com. Email: MarkesanVetClinic@gmail.com. FT Veterinarian needed to start fall/October 2016. We are an AAHA accredited SA practice in Baraboo looking to replace a retiring doctor. Our ideal candidate is proficient in soft tissue surgery and dentistry, as well as general practice. We are a well-established, stable hospital with experienced staff that is focused on preventative medicine and outstanding client education. We have a terrific clientele interested in receiving thorough care for their pets and are able to make deep connections with both clients and patients. We fully utilize our complete in-house lab suite, but have the ability to send out for further testing and access specialists when needed. We offer digital x-ray and digital


dental x-ray, tonometry, therapy laser, blood pressure, a multiparameter anesthetic unit and VIN. Baraboo was named 4th best small town in America by the Smithsonian, and we are known for our beautiful natural landscapes and culture. No after-hours call. Salary commensurate with experience. Benefits include retirement plan, paid vacation, sick time, CE, liability insurance, association and VIN dues. Please send resume and cover letter to admin@hill-dale.com or 536 Berkley Boulevard, Baraboo, WI 53913. We are seeking a highly motivated and compassionate, FT integrative veterinarian to join our SA hospital. The position requires a minimum of 3 years of veterinary experience and a passion for holistic medicine and preventative care. Our ideal candidate will not only offer the best health and treatment options but is also willing to think and be outside the box. Certification in one or more of the following modalities is preferred: Acupuncture, Spinal Manipulation, Homeopathy and/or other energy therapies. Willingness to learn new modalities and be open minded to energetic medicine is helpful. Opportunity to work with horses and exotics also available. A competitive salary and benefits package is commensurate with experience. Please view our website to learn more about our mission, our services and our team at www.countrycareac. com . Send resume to D. Karen Strickfaden: Countrycare Animal Complex 4235 Elmview Rd. Green Bay, WI 54311 or email to kmsdvm@theglobalnet.net. Oconomowoc Animal Hospital is looking for an enthusiastic and compassionate PT/FT veterinarian to join our team. The perfect candidate should have excellent communication skills and be comfortable with surgery, dentistry, medicine and preventative care. We are team-oriented and love to go the extra mile to serve our clients and community. We are a fully equipped SA hospital that has been part of Oconomowoc for over 30 years. Under new ownership, we are growing and are looking to add a veterinarian willing to make a long term commitment. We offer competitive salary, dues paid, CE allowances, paid vacation, and best of all, no on-call or after-hours emergencies. Oconomowoc is nestled in the middle of lake country and is the ideal place to find that work, life balance, along with plenty of recreational opportunities. To apply, please send your e-mail to oahvet@att. net, Attn: Dr. Witz. At least 2-3 years of experience is preferred.* If you enjoy practicing high-quality, progressive medicine, but don’t enjoy big city life, we are looking for you! Veterinary Clinics Berlin/Ripon is looking for a FT/PT SA Veterinarian to join a team of three SA doctors. Communication skills, compassion and commitment to quality medicine a must. Excellent benefits package. Contact Dr. Gary Batenhorst at (920) 361-2101 or veterinary@centurytel.net for more information.* Associate Veterinarian needed for a well-established, fourdoctor, progressive, AAHA accredited SA practice located in historic Cedarburg. Our clinic offers in-house diagnostic labs, digital radiography, surgical and therapy lasers and ultrasound technology. Competitive salary/benefits package. Interested candidates submit a resume to: c.schumacher@cedarburgvet. com.* Experienced veterinarian wanted to join our SA practice in SE Wisconsin near Lake Geneva. We are well equipped with digital X-ray, ultrasound, dental digital X-ray, Surgitron, and a full in house diagnostic laboratory. Well trained, stable staff. Extra pay for on call but not required for position. Mon., Tues. and every other Sat. schedule. PT or buy in potential. Contact: burlingtonlongview@yahoo.com. Or phone: (262) 763-6055.* Odyssey is a lovely, spacious, AAHA accredited facility with stateof-the-art equipment and the hardest working support staff you could ask for. Our busy multi-doctor practice is looking for a kind, hardworking DVM with 2+ years of experience (or internship) who enthusiastically enjoys both the medical and social connection aspects of our amazing profession. We are looking for a long term commitment, future ownership is a potential. Please visit our website at odysseyvetcare.com for more information. Submit resumes to emily@odysseyvetcare.com.* Charming Central Wisconsin practice with family-friendly hours looking for a FT or PT veterinarian to join our energetic team.

We specialize in lasting bonds with our loyal clients and their pets while offering excellent medical care. Our contemporary equipment includes a surgical laser, in house diagnostics, digital and dental radiography, and ultrasound. Come see why Stevens Point is ranked one of the best places to live in America! Send resume to spah54482@gmail.com.* Associated Veterinary Clinic, a MA practice in Ripon, WI, seeks a FT SA associate veterinarian. The qualified candidate will join an experienced SA doctor in a busy full-service practice. An excellent staff will support you, and you will practice in a fully equipped clinic, including a new IDEXX in-house laboratory station, new high speed dental unit, and new digital radiology unit. After hour emergency work is referred. Competitive salary and benefits package. Will consider new graduates as well as experienced doctors. Ripon is a wonderful college town located within 60-90 minutes of Milwaukee, Madison, Green Bay and the Fox Cities, and within 15 minutes of the Green Lake recreation area. Please send resume to Dr. Michael Herrick by email associatedvetclinic@ gmail.com, by phone (920)748-5144, or by regular mail, Associated Veterinary Clinic, P.O. Box 352, Ripon, WI 54971.* Kenosha Animal Hospital is seeking a FT associate veterinarian to join our progressive SA practice. We pride ourselves in providing exceptional medical, surgical and dental care. We welcome new ideas and are always happy to offer mentoring and training to recent graduates. No afterhours emergency responsibilities. We have experienced and knowledgeable staff to assist with appointments and surgeries. We offer an exceptional compensation and benefit package. Future growth potential unlimited. Please send resume & cover letter to: Kenosha Animal Hospital at hr@ kenoshaanimalhospital.com.* Madison Veterinary Specialists is an independently-owned specialty practice, fully integrated with an excellent 24/7 emergency care team, located in Madison, Wisconsin. Our specialists in surgery, internal medicine, and ophthalmology are always available to consult with and support our ER veterinarians. Our collaborative approach in a smaller, friendlier workplace setting allows us to provide the best patient care possible. Our recently remodeled building houses all of the lab equipment and toys you need for a successful ER practice. Our compensation package includes salary (commensurate with experience), contributions toward health insurance, Wisconsin licensures fees, liability insurance premiums, professional society membership dues, CE, uniform allowance, and employer matching retirement plan. Scheduling allows for 12-15 shifts per month and plenty of time to enjoy a balanced quality of life. Our team approach fosters great working relationships with a network of supportive referring veterinarians in the region. This exciting opportunity is meant for an excellent communicator who is a team player and holds client/patient service to the highest of standards. Interested candidates should forward their CV to Amanda Reese at areese@mvsvets.com, or contact her at (608) 274-7772.* Countryside Veterinary Services in Appleton, WI is seeking a FT associate to join our busy SA team in a MA practice. We provide comprehensive preventative medicine, sick patient care, and surgical care. A fun and caring staff of veterinarians and veterinary technicians creates an atmosphere of learning and sharing ideas and knowledge. A fully equipped hospital including digital radiography, dental radiography, ultrasound and in house blood equipment etc., makes practice challenging and rewarding. Our position would include small animal wellness as well as sick animal appointments. Some surgery would be included depending on skill level. It would entail approximately 40 hours/week, at least one evening per week and one or two Saturdays a month. No emergency hours required. Our benefit plan includes full medical insurance, disability and liability insurance, professional dues, continuing education, paid vacation after 6 months and 401K contribution. Our salary structure is competitive and based on experience and skill level. Please contact our Office Manager, Tara Thurber at (920) 209-0029 or Dr. Denise Stempa, DVM at (920) 209-

0028. Please visit our website, http//www.countrysidevets.net.* Relief veterinarian needed for a SA AAHA hospital while doctor is on family leave. Will need help for 3 weeks in late July to early August. Contact: Kylee Rostvold, HM/CVT, VCA Sand Lake Animal Hospital, (608) 783-5449, or kylee.rostvold@vca.com.* Emergency Veterinarian Needed - Eastern Iowa Veterinary Specialty Center. This ad is for an emergency position that is truly one-ofa-kind. EIVSC is a multi-specialty referral hospital, not unlike many others across the country. What makes it truly special are the people; the doctors, the staff, the referring community and the clients. We have a beautiful, 8000 sq ft facility and all the equipment you need to practice high quality, state-of-the-art medicine. Our team includes an internist, a surgeon, a criticalist, a dermatologist and a 24/7 team of emergency clinicians. We focus on professional growth, continuing education and collaboration between services - again, not unlike many other referral hospitals. But, as soon as you walk in the door, you feel like you’ve come home. The warm welcome and the immediate attempt to make you feel comfortable are Midwest hospitality at it’s finest. We are proud of the fact that a veterinarian can practice progressive, high quality medicine in a hospital that understands group dynamics, appreciates the importance of relationships, values all team members and respects the need to balance work and personal life. Percentage based compensation with a guaranteed base. Excellent benefits package. Flexible schedule includes multiple days off in a row. Interested parties can send CVs to Alyce D’Amato, CVT, CVPM at: adamato@horizondvm.com. Visit our website at www.EIVSC. com.* Kuenzi Family Pet Hospital in Waukesha, WI is looking to add a veterinarian to join our growing team. The hospital boasts an excellent working environment with a wonderful support staff including several CVTs. We offer a modern facility, with advanced diagnostic capabilities including x-ray, dental x-ray and ultrasound, all digital, as well as blood analyzing equipment. We are eager to add a team player who is committed to continued improvement in patient care and client service. We reward our veterinarians with superior salary and benefits including health, 401(k), CE, vacation, dues, liability coverage, and more. If you would like to help us continue to grow within the Waukesha community, please contact Dr. Rodney Kuenzi at rkuenzi@vetcor.com.* SA practice seeking FT doctor in the beautiful Northwoods of WI. Enjoy a 4-day flexible workweek. Competitive salary and benefits package and the potential for future buy-in to a highly successful practice for the right candidate. All new equipment within the last two years including Digital X-ray, CO2 laser, Surgical Lift table, High Speed Dental Machine, Surgivet Monitor, Ultrasound, in-house lab and pharmacy. Enjoy your time off in a beautiful setting. Small community, great schools, numerous opportunities for outdoor activities. If you are interested in working in a small family-oriented clinical setting where you can pursue your passion, help make a great team even better, and enjoy a healthy work-life balance, we would love to speak with you! Contact John at jobs@niagaraanimalhospital.com.* PT/FT 100% SA DVM needed for clinics in Madison area. Must be experienced. Ample equipment, e.g. in house full Idexx suite, etc. No on call. Salary part production part fixed, CE, vacation, pension, PLIT, DEA license, license to practice. Vision, dental and medical insurance if full time. Enjoy complete clinical freedom in forward thinking clinics with a pleasant working environment. Ideal starting date September or October. For further information please contact warrenallfrey@yahoo.com.* Tomah Veterinary Clinic and Sparta Veterinary Clinic, in beautiful west-central Wisconsin, are looking for a SA veterinarian to work FT between the two growing practices. We are looking for an energetic friendly, dedicated professional whose first priority is patient care. Both communities have excellent school systems and access to a multitude of outdoor activities. We are less than one hour from LaCrosse, two hours from Madison, and three hours from the Twin Cities. Position would include some oncall time and some Saturday hours. Salary commensurate with experience. New grads welcome. Benefits include paid CE, health insurance, paid vacation/sick time, liability insurance, Simple IRA, and professional membership dues. Please send cover letter

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and resume to tomahvetclinic@gmail.com and spartavetclinic@ centurytel.net.* PT associate wanted to join our 3 DVM AAHA accredited practice in La Crosse, WI. We are a well-staffed, progressive practice that focuses on communication and compassionate care. Experienced DVM or new graduates are welcome to apply. Contact: thompsonamc@centurytel.net.* Are you ready to love where you work? Barron Veterinary Clinic is seeking a dedicated, enthusiastic professional to join our team as a FT SA Associate Veterinarian. We specialize in providing high quality and compassionate care for our patients. Our newly remodeled facility features digital radiology, specialized dental equipment including digital dental radiology, and an in house lab with excellent support staff. Our ideal candidate will have strong proven communication skills, be team oriented with a strong interest in surgery and dentistry. Please email your resume to jdunston@vmc-inc.com or fax to (888) 651-2547.* Immediate FT position for an experienced SA -Veterinarian in Madison/Milwaukee area. We are fully equipped with all the diagnostic tools and toys to practice quality medicine and surgery. 4-day work schedule with excellent benefits. Please forward your resume to the attention of Dr. Singh at Drgss95@ yahoo.com or call (608) 347-8668.* FT DVM wanted for a well-established, growing SA practice in Milwaukee. Experience preferred, but new graduates welcome. Send resume to: West Allis Vet Clinic, 11504 W. Greenfield Ave., West Allis, WI 53214.* Lakeshore Veterinary Specialists seeks an ER DVM to join our team! Lakeshore is a rapidly growing, independently owned practice with three state of the art hospitals across the greater Milwaukee, Wisconsin area. Lakeshore provides services in emergency and critical care, surgery, internal medicine, oncology, neurology, physical rehabilitation, dentistry, and dermatology. We are expanding to include a high field MRI and stereotactic radiosurgery in our Glendale facility. We manage our own blood bank, offer grief support counseling, and also conduct a nationally respected residency and internship training program. Working at Lakeshore means being part of an immensely talented and collaborative team of professionals. We offer a competitive benefits package and encourage professional growth and learning among our staff through continuing education, and an education allowance to attend conferences and other events. We are seeking the ideal candidate that is highly motivated with exceptional skills in communication, collaboration, and leadership. Two to three years of veterinary emergency experience is preferred, but not required. Lakeshore is located north, south and central to downtown Milwaukee. From world-famous music and ethnic festivals to lakefront activities, Milwaukee has something to offer everyone. It will be hard not to fall in love with where you live and work! Interested candidates may apply online at www.lakeshorevetspecialists.com or contact Dr. Carrie Stefaniak at cstefaniak@lakeshorevetspecialists. com.*

LARGE ANIMAL We are an expanding 6 doctor food animal practice in southern Wisconsin looking to add a progressive FT veterinarian. Dairy support makes up 95% of our practice with in-house services including milk culture lab, nutrition consultation, records/ DC305 analysis, protocol management and embryo transfer. Our team is a well-rounded group with diverse interests looking for an individual to add both depth within our current services and interest in other areas. The remainder of our practice is made up of swine, beef and small ruminant medicine. Doctors are provided with everything necessary for success; computer, ultrasound, truck, vet box, licensing fees, CE allowances, professional and disability insurance, competitive compensation, IRA contribution, etc. Please contact Joe Severson, (262) 949-2673, or svssvh@gmail.com.

MIXED ANIMAL Risius Family Veterinary Service, a six doctor clinic in Eldridge and Maquoketa, Iowa, is seeking a FT MA veterinarian to

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become part of our team. LA business is focused on cow/ calf and feedlot production. SA focuses on dogs and cats and offers a chance to perform many surgeries. Experienced in mentoring new associates. Salary is competitive and based on experience with a full benefit package that includes a mobile unit. Visit www.RisiusFamilyVet.com to learn more. AJB@ RisiusFamilyVet.com. Wanted: 4th DVM to join Mixed Practice in Plainview, MN. Dairy/Beef and SA. Equal on call rotation for large and small. 2 Easi-Scan ultrasounds for herd work- all equipment provided. Large and small herds make up Dairy base with progressive and traditional opportunities! SA practice with in house CBC/ Chem and digital X-ray, Dental and many other tools. Salary negotiable-base plus production with PTO, CE, medical, pension etc. 20 minutes from Rochester and its opportunities; close to Mississippi River, State Parks and other recreational opportunities. 1.5 hours from Twin Cities. nathaneversman@ yahoo.com or call (507) 272-5991 to learn more! Seeking FT veterinarian for our 3 doctor MA practice in central WI. Our focus is quality medicine and surgery in a relaxed work environment. The emphasis of this position would be SA, with interest in equine and dairy beneficial. Shared on-call. Prefer experience, but recent graduates encouraged to apply. Send resume to Wisconsin Valley Veterinary Service, 1605 Bovine Lane, Wausau, WI 54401, email wvvs@dwave.net, or contact (715) 675-9402. Associate position in a 5 doctor MA practice in scenic Chippewa Falls. LA is primarily dairy production. Companion animal includes in-house blood machines, digital x-ray, gas anesthesia, dental x-ray and excellent experienced support staff. Competitive salary, health insurance, mobile unit, profit sharing, 401K, dues and licenses. Email resume: chipvet@ chippewavet.com. Seeking FT veterinarian for a MA practice, emphasis on dairy, near Twin Cities area in Minnesota. Email resume or info to kreuservet@frontier.com or call (952) 492-2725. We are looking for one or two MA veterinarian associates to fill a position in a growing and expanding practice. We service wide variety of clients including dairy, beef, companion animals and some equine. Individuals should be selfmotivated, hardworking and looking to be part of a team oriented practice. This job does require a shared call schedule with other veterinarians. We are also interested in individuals that want to work PT, but it would require being part of the call schedule. Please send an e-mail to haasevet@yahoo. com if you are interested in learning more or applying for the position. MA Veterinarian needed for a 3 doctor mixed practice in central Wisconsin’s dairy belt. The position can be shaped to fit someone who has primarily small animal interests to one who would prefer a true mixed animal position. A full staff to assist in all aspects of practice. Modern, fully equipped mixed animal clinic: Idexx chemistry and CBC machine. Digital X-ray and Digital Dental equipment, in-house microbiology lab. Practice vehicle with portavet. DC 305, Easi-scan ultrasound. All equipment and supplies needed to practice quality veterinary medicine and surgery. Comprehensive health insurance, profit sharing and 401K, disability and liability insurance, membership dues, professional licenses, CE allowance and vacation. Contact Dr. Mike Strobush, Grassland Veterinary Service at (715) 937-4780 or email at drmike@ tds.net.*

DAIRY Dairy associate needed for 4-doctor practice expanding to 5 veterinarians. Our mixed animal veterinary practice in scenic west-central Wisconsin serves family farms with herds of 40-800 cows and offers on-farm ultrasound, preventative herd health medicine, reproductive service and individual sick animal care. LA includes some equine, beef, goats and camelids. Practice operates out of a 5000 sq. ft. clinic built in 2002, with in-house large animal care facility, digital x-ray, laser and automated blood analysis. Great team of hard-

working, family-oriented, experienced doctors and support staff. Located in rural area, but within 45 miles of La Crosse or Eau Claire. Benefits include medical and liability insurance, CE, professional dues, 401K and vacation time. Contact Whitehall Veterinary Service, 19190 Hobson Street, Whitehall, WI 54773. (715) 538-4476 or e-mail at whtlvet@gmail.com.*

EQUINE Solo ambulatory practice looking to add additional equine vet. Practice serves Northern WI and eastern MN. Flexible work schedule and on call schedule. In house lab, digital radiology. whisperingpinesvet@gmail.com.*

RELIEF Experienced SA daytime & ER DVM who loves pets and people available in SE/SC Wi and NE/NC IL. David Trask, DVM, traskdr@ gmail.com. Quality relief care since 1992. Special interests include surgery and dermatology. Personable, reliable service. Please call Robert Patyk, DVM, at (262) 567-2832. Or email: robert.patyk@att.net. Experienced SA relief veterinarian available. Versatile. Great with staff, clients and pets. Willing to travel. Dr. Lori Zimmerman, (608) 592-7779 or doclori@hotmail.com. SA relief vet since 1995. Thorough, reliable, easy going. Will travel to Green Bay, Kenosha, Janesville, Wisconsin Dells and areas in between. Julie Lakin DVM, (920) 269-7264. Experienced SA veterinarian available for relief work, 15 years relief experience, WI licensed and accredited. Please call/email Mark Clemons, DVM (262) 862-1121, macdjc4209@aol.com. Reliable, competent, SA relief with over 25 years’ experience. Wis. license, accredited. Will travel. Capable at soft-tissue surgery and medicine. Great communication skills with clients and staff. ShortTerm Relief, LLC. Call Kate Short, DVM at (608) 963-5208 or email: windsor9917@gmail.com. Communicative, productive SA veterinarian available for relief work in western WI, surrounding areas. Licensed in MN/WI. Experienced in surgery, medicine, dentistry, staff management. Outstanding customer service, client-building skills. Victori Ribeiro, MS, DVM, (651) 503-0482; neyx0003@umn.edu. Experienced SA veterinarian available for relief work. Expect reliable, compassionate, thorough service. Please contact Susan Heath, DVM (920) 470-5351 or sheathdvm@yahoo.com. People patient, interactive and adaptive SA veterinarian with 3-5 years’ experience available starting October 15, 2015 for per diem or regular weekly relief or PT services within +/- 75 miles Madison. Small mammal experience also. Karen Bressett, DVM: Background, references on request. I look forward to hearing from you. Email: kbressett@live.com. 20+ years’ experience, skilled in surgery, diagnostics and client communication. Southern Wisconsin and Northern Illinois. Let me care for your clients and your hospital team. Erika Gibbs, DVM, doctor.gibbs@gmail.com, (920) 988-4431. Caring and compassionate relief veterinarian available. 25+ years of AAHA experience. Competent medical and soft tissue surgery skills. Emphasis on quality and integrity. Paul Danhaus, DVM. (715) 571-8091 or paul.danhaus@gmail.com. SA relief Veterinarian for central Wisconsin. Experienced. Versatile. Call Dr. Gary, (715) 652-2065 home, (715) 305-7014 cell. Email: garysthevet@aol.com. SA and equine relief work. 21 year experience. Proficient in SA soft tissue surgery and equine ultrasound and power floating. Will travel. Call Sabine Hartmann, DVM (715) 267-7443 or twinoaks@tds.net. Experienced SA clinician available for work in central and western Wisconsin. Excellent communication skills; enjoy working with clients and staff. Nancy Leverance, D.V.M. Email: nleverance52@gmail.com or call (608) 369-4115 or (608) 4299408. SA Veterinarian offering relief work. Reliable with excellent


communication skills. Great with staff, clients and pets. Will travel. Katie Cotter, DVM, kabcotter@uwalumni.com. Dependable, 20+ years’ experience. Med/Surg serving Northern/ Central Wisconsin. Contact Rich Piwoni, at (715) 627-0957, rapiwoni@hotmail.com. Compassionate and reliable SA Veterinarian with 20+ years’ experience available for relief veterinary services in Kenosha and surrounding counties. www.niznikvrs.com. Please email, Dr. Rose Niznik, at drroseniznik@gmail.com or call (630) 915-0156. Quality Customer friendly SA relief services available covering SE WI. Over 20 years’ experience in both SA and emergency medical care. Dr. Pete Gaveras, (414) 795-7100, lavajava@aol.com.

SERVICES AVAILABLE Board-certified internist offers mobile SA medicine consultations, ultrasound, and endoscopy in your practice in SE WI. Please call Anne Mattson, DVM, DACVIM, (262) 241-3987. Buying or selling a veterinary practice? Count on the experience of Total Practice Solutions Group. See display ad. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group for a free consultation, (800) 380-6872, or kurt@tpsgsales.com.

TECH/STAFF Human Resources Position. Looking for that special person to work PT/FT in our multi location clinic. Experience in the veterinary field preferred. Location is in southeastern suburb of Milwaukee. Please remit qualifications/resume to musanhosp@ hotmail.com, Attn: John. CVT needed for SA hospital in Waukesha, WI. Duties include, but are not limited to: Lab work, surgical assistance, client communication, computer use, phones, exam room assistance, and much more. Great benefits! Competitive Pay! Prefer experience, but will consider new graduate. Must be energetic, with a positive attitude and be a good team player. Sue Ross, Practice Manager, (262) 547-7555, Gentle Care Veterinary Hospital. CRI International Center for Biotechnology (ICB) in Mount Horeb is seeking an animal care technician to be responsible for the care of the animals housed at the ICB; assist in surgical preparation and procedures and follow all Standard Operating Procedures and Biosecurity Program requirements. The position incumbent will support the Embryology Department in designated areas of priority. If interested apply on line to www. crinet.com/careers. Busy two doctor SA practice located in Sheboygan seeks PT CVT to work every Thursday, every other Tuesday, and some Saturdays. Rest of schedule TBD. No on-call time! Experience is preferred. We are a family-friendly team looking for someone who knows how to work hard while having fun! Contact us at crittercareanimalclinic@gmail.com or (920) 458-3636. The Oregon Veterinary Clinic is a busy 6 Doctor practice that is seeking a FT CVT or a Veterinary Assistant with at least 1 year of in clinic experience. Qualified candidate will have excellent communication and technical skills and will thrive in compassionate team environment. Our technicians are responsible for all aspects of support including anesthesia/ surgery assistance, dental procedures, in house lab work, reception, discharge and basic hospital care. Hours will vary, but will include evenings and Saturdays. Please send resumes to jessican@oregonvetclinic.com. Lodi Veterinary Care, located just north of Madison, is seeking a motivated CVT for our team. Responsibilities include: client education, laboratory, digital radiology, laser therapy, ultrasound assistance, anesthesia, dentistry and surgical monitoring. Our seven DVM team also provides endoscopy, laparoscopy, acupuncture and emergency care. Position includes a comprehensive benefits package. Candidates must have excellent communication skills, be team oriented, and enjoy a challenging, fast paced environment. Hours include evenings and a weekend on-call rotation. Send cover letter & resume to Camille at csimonson@lodivet.com.*

Tomah Veterinary Clinic is looking for a FT CVT. Duties include assisting with appointments, surgical preparation and assistance, dentistry, radiology, pharmacy duties, client education, and data entry. We currently have 2 FT doctors and 1 PT doctor. Benefits include an hourly rate, simple IRA, vacation, continuing education and more. If you are interested in joining our team please mail resume and cover letter to Tomah Veterinary Clinic, 1600 Superior Ave. Tomah, WI 54660 or email to tomahvetclinic@gmail.com.* Great Lakes Veterinary Clinic is seeking a FT (35-40 hrs/wk) Veterinary Assistant for our 4 doctor SA clinic in the Fox Cities. Responsibilities include: patient restraint, assist in surgery, assist in taking X-rays, running of in-house blood work, preparing outgoing blood work, assist in the pharmacy, cleaning, stocking, and light kennel duties. We offer competitive benefits and salary is commensurate with experience. Please visit our website at www.greatlakesvetclinic.com for more information about our clinic. Email: thagner@glvcvet.com.* Paws & Co is a wellness clinic specializing in preventative care, spays, neuters, dentals as well as minor medical issues. We are growing and looking to bring on another staff member. Must have experience, good people skills is a must, be able to work as a team member, and love to keep moving. We are looking to expand our hours as well as need help on current shifts. Roughly 10-20 hrs/week. No weekends!! Send resume to lisa. pawsandco@gmail.com.* FT Veterinary Technician needed. We are a busy AAHA Accredited, SA, 3 doctor practice that provides traditional medicine as well as eastern medicine and acupuncture. Ideal candidate will be energetic, outgoing, and have excellent customer service skills. Schedule consists of 4 day work weeks and rotating Saturdays. Benefits include medical, 401K, vacation, holiday, and more. If interested email resume to kaya@bluffspetclinic.com.* Immediate FT opening for a CVT. We are a three doctor SA practice located in N.W. Waukesha County. Responsibilities would include surgical assistance, patient monitoring, radiology, ultrasound, laboratory procedures, client education, client service and more. Must be enthusiastic, motivated, and hard working to become a member of our team. Salary and benefits commensurate with experience. Please contact North Lake Veterinary Clinic via email: mail@northlakevet.com, fax resume to (262) 966-0838, or stop in and fill out an application.* Great Lakes Veterinary Clinic is seeking a FT (35- 40 hrs/wk) CVT for our 4 doctor SA clinic in the Fox Cities. Responsibilities include: anesthesia, dentistry, radiography, lab skills, patient care, exam room histories, assistance to our doctors, and client education. We offer competitive benefits and salary is commensurate with experience. Please visit our website at www. greatlakesvetclinic.com for more information about our clinic. Contact Tamera Hagner, Practice Manager at (920) 727-1570 option 6 then option 1 or email your cover letter and resume to thagner@glvcvet.com.*

WANTING TO BUY Looking to BUY a successful multi-doctor practice with an established team in the Milwaukee or Waukesha area. If you are considering a change and selling your practice, send your reply to BB 16WTB01, c/o WVMA, 4601 S. Biltmore Ln., Ste.107, Madison, WI 53718. Serious replies only.

FOR SALE X-ray Processor - Konica Medical Film Processor SRX-101A Chemical, Films, and Cassettes included Easi-Scan Ultrasound machine and probe with monitor. Call for more information and to negotiate price, (715) 590-2822.

JPI Mini Medical X-ray Processor for sale. Purchased as a refurbished unit in 2015 and used for 1 year. Good condition. Includes parts and all manuals. Also will include several 14 x 17 and 10 x 12 film cassettes, some fixer and developer. Pick up only. Email for price and pictures. tomahvetclinic@gmail.com.* Naomi DR Digital Xray system $15000, 2 Vetroson surgical monitors with BP, spO2, EKG attachments for parts $500, VetTest chemistry analyzer $400 Please contact kelly.lynn. cronin@gmail.com for additional information.*

PRACTICE FOR SALE Solo, entry level, SW WI, mainly SA, 6.25 rural acres; home, clinic & remodeled pole shed; pet/client records; basic equipment (Shoreline cages, Elsam lift table, gas, microscope, library, etc). See HTC Realty for property details (Country Homes-Viola). $135,000 buys everything. Email barblm@mwt.net. NEW! South Central WI, Janesville Area. SA Px grossing $1.1M. Well-equipped facility. 4 CVTs on staff. Contact Dr. Kurt Liljeberg of TPSG – (800) 380-6872 or kurt@tpsgsales.com. SA clinic for sale. Established 25 years. Stand-alone building built in 2004 designed by Veterinary Architects 3600sq. feet, portion leased to independent grooming business since 2005. Great staff, computerized since 1996. Building to sell or lease. Call Cecile at (608) 770-1183 or email cecile@remaxwisconsin. com. West Central WI. All SA, 1 DVM practice w/RE. Practice & RE for less than 1 year’s gross! Ken Ehlen DVM, Simmons & Assoc Midwest, Inc. simmons@simmonsmidwest.com, (877) 3226465. UNDER CONTRACT - Green Bay area 97% SA practice grossing over $1,573,000. Established over 20 years, three exam rooms. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group, (800) 380-6872, or kurt@tpsgsales.com. Wausau/Stevens Point Area – well respected, AAHA, SA practice grossing $1M. Digital dental and radiology - 2 Dentalaire units, 2 surgical lasers. Emergencies referred to local emergency service. Beautiful free standing hospital. Contact Dr. Kurt Liljeberg of TPSG, (800) 380-6872 or kurt@tpsgsales.com. North Central Area, Northwoods, SA practice grossing $491K. NW of Green Bay. Px and RE offered at $600K. Contact Dr. Kurt Liljeberg of TPSG, (800) 380-6872 or kurt@tpsgsales.com. East of Appleton SA practice grossing $613K. Px and RE offered at $610K. Contact Dr. Kurt Liljeberg of TPSG, (800) 380-6872, or kurt@tpsgsales.com. NW Wisconsin near Twin Cities. SA revenue $900K. Practice and RE offered for $825,000. Easy terms and low entry cost for ownership. Contact Dr. Kurt Liljeberg of TPSG, (800) 380-6872, or kurt@tpsgsales.com. Buying or selling a veterinary practice? Count on the experience of Total Practice Solutions Group. See display ad. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group for a free consultation, (800) 380-6872, or kurt@tpsgsales.com.* Appleton grossing $450K. Beautiful facilities. Should grow rapidly. Contact Dr. Kurt Liljeberg of TPSG, (800) 380-6872 or kurt@tpsgsales.com.* Grossing $945K in far northern WI. Digital radiology, digital dental, surgical, therapy lasers. Large state of the art building. Practice and RE $650K. Contact Dr. Kurt Liljeberg of TPSG, (800) 380-6872 or kurt@tpsgsales.com.*

Gently used cut-away wet/prep cabinet with tub 3 drawers and door for sale. $500, pick up Eden Wisconsin. 5ft long, 3 feet tall, 2 feet wide. Email for picture doctors@countryhillspets.com, (920) 477-3003. Harloff Drug Cabinet. 29.5 X 23.5, has one door with 2 locks. Brand new, never used. $350.00. Contact drliz@ mistyacresanimalcare.com or (715) 498-4802.*

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Wisconsin Veterinary Medical Association 4610 S. Biltmore Ln., Suite 107 Madison, WI 53718

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WVMA Convention Registration Available Online.

October 13 - 16, 2016 Alliant Energy Center

Visit wvma.org to learn more

Madison WI

VOICE

2016 WVMA

20 August

August 2016


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