March 2017 WVMA Voice by Wisconsin Veterinary Medical Association

VOICE

WVMA

MARCH

TWENTY SEVENTEEN

WHAT’S

INSIDE 2

From the President Professional Wellness: Break the Dam! From the Executive Director Needs the Attention of Everyone! In the News Dr. Jonathan Garber Elected to AVMA Council on Biologic and Therapeutic Agents

Insurance myths

Legal Briefs Legal Considerations of Using Social Media to Advertise Your Practice

WVMA/OSHA Alliance Ionizing Radiation Protection for Veterinary Medical Clinics – Part I New Ways to Manage Ear Diseases in Rabbits

16-19 Classified Ads

WVMA Student Day a Success On Saturday, February 4, the Wisconsin Veterinary Medical Association (WVMA) hosted a Student Day in Madison for student members. The event consisted of speakers sharing their knowledge on a range of topics selected by the students. The schedule included the following: • WVMA Member Panel: What I Wish I Knew Then Drs. Stacey Adams, Scott Earnest, Kathryn Livesey and Kaitlin Young • Innovations in Therapeutic Nutrition Dr. Jennifer Hull • Finding Your Niche: Having an Impact on Your Future Practice in the First Months Dr. Eric Rooker • A Review of Ixosazoline Products: Oral Flea and Tick Control Dr. Ed Loebach • Nutritional Opportunities in the Transition Period Dr. Neil Michael • Employment Contracts & Negotiations Dr. Douglas Kratt “It was so beneficial for students to learn firsthand from fellow WVMA members about these diverse topics,” says Holly Hovanec, WVMA student representative. “The great example these veterinarians set by being present with us reinforces the importance of organized veterinary medicine.” There were 30 students in attendance and the event was sponsored by Hill’s Pet Nutrition, Merial, now a part of Boehinger Ingelheim, Professional Insurance Programs and Fox Valley Animal Referral Center. “After a successful 2017 Student Day, it will be exciting to see how we can grow our student involvement and what topics we will be able to offer in 2018,” says Morgan Randall, WVMA student representative. l

FROM THE PRESIDENT

Professional Wellness: Break the Dam!

Dr. Scott Spaulding

Why wellness? Nearly 10 percent of veterinarians characterize themselves as experiencing severe psychological distress. Why wellness? Nearly 17 percent of veterinarians have contemplated suicide since graduation. Why wellness? How do you respond when confronted with a phone call from a veterinarian’s spouse informing you the veterinarian is threatening suicide? Why wellness? Does your practice have a drug testing policy? Why wellness? Over 72 percent of survey respondents say they’ve worked with someone abusing substances. Hypotheses abound regarding our profession experiencing far higher than average levels of psychological distress, depression, suicidal ideation and substance abuse. I challenge you: we need more than hypotheses, we need more than task forces; we need more than summits. Personally, I’m sick and tired of hearing of these woes affecting the profession. We have the knowledge; we have the resources. We must take action to assist those members of the veterinary profession suffering from mental illness and substance abuse. What can be done? Educate yourself! Educate your colleagues! Can you recognize symptoms of psychological distress? How do you respond? What resources are at your disposal? Are your practice’s controlled substances secure and records kept current? Does your practice have a substance testing policy in place? What resources can you offer the spouse of a veterinarian contemplating suicide? Have you looked at the Colorado State University College of Veterinary Medicine’s “Veterinary Wellness” website – http://veterinarywellness.colostate.edu? Did you know you can access informative webinars sponsored by Pet Poison Helpline and AVMA Life – www.petpoisonhelpline.com/webinars/? Recognize the profession’s paradox of extraordinary psychological distress and easy access to powerful substances. When will we do something about it? What’s holding us back? Let’s break the dam and implement resources already available! Break the dam and implement assistance programs! Break the dam and implement stringent drug control procedures! Break the dam and knock down stigmas associated with psychological distress! It’s time to end the suffering. It’s time to end the stigmas. It’s time to provide support to those afflicted with psychological distress and substance abuse, especially if related to profession stressors. Join me to Break the Dam! l

2017 WVMA EXECUTIVE BOARD President President-Elect Past President District 1 District 2 District 3 District 4

Scott Spaulding, DVM Robert Leder, DVM John T. Been, DVM Katrina Geitner, DVM Chris Keim, DVM Jeffrey Bleck, DVM Ronald Biese, DVM

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2017

District 5 District 6 District 7 District 8 District 9 Student Rep.

Judith Batker, DVM Sally Harper, DVM Karl Solverson, DVM Kevin Landorf, DVM Gary Johnson, DVM Holly Hovanec

EX-OFFICIO MEMBERS 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

STAFF

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

FROM THE EXECUTIVE DIREC TOR

The WVMA Voice is published WVMA on the 15th day of each month by the Wisconsin Veterinary Medical Association, 4610 S. Biltmore Ln., Suite 107, Madison, WI 53718; (608) 257-3665; 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.

VOICE

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Member: First 35 words $20; each additional word $1.50. Non-member: First 35 words $65; 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. New classified ad rates went into effect February 2, 2017.

ADVERTISING AND PUBLICATION DEADLINES

ISSUE

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Needs the Attention of Everyone!

Kim Brown Pokorny

As I monitor the bills being introduced, discussions at our state agencies and the agenda of the Governor and newly installed legislature, there is one common theme – curbing the abuse of prescription drugs and opioids. Veterinary medicine in Wisconsin has a good track record of proactively addressing this issue with their clients and patients. We need to aggressively continue to stay engaged in these efforts. With headlines from other states hitting the main stream press, veterinary medicine in Wisconsin is under the microscope again. I need each and every veterinarian and the staff team you employ to make this issue a priority. If you suspect client abuse of a patient prescription, the following are proactive options: 1. Consider changing the medication the animal is on – more and more clinics won’t prescribe controlled substances, unless it is an end of life situation 2. Limit the number treatments/days you prescribe the medication 3. Call local law enforcement and share your concerns/suspicions 4. If a controlled substance is needed for the patient, write the prescription to a “human” pharmacy. By doing this, the client will be entered into the state’s Prescription Drug Monitoring Program (PDMP) by the “human” pharmacy and the client will be monitored by state officials. Yes, it is sad to think that animal owners will use their animals to access these types of medications – but anything is possible when an individual is desperate. We don’t want to compromise animal welfare. The ultimate treatment decision is yours. However, if something seems “off”, it probably is. Take the signals seriously and address it proactively. Together, we will continue to demonstrate our commitment to addressing these disturbing addiction trends to validate our commitment to public health while proving we don’t need to be regulated. This is an issue where together we are stronger than any one of us! l

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IN THE

NEWS

Dr. Jonathan Garber Elected to AVMA Council on Biologic and Therapeutic Agents WVMA Member, Dr. Jonathan Garber, was elected to the American Veterinary Medical Association (AVMA) Council on Biologic and Therapeutic Agents. This Council serves as an informational and advisory resource to government agencies and to other veterinary medical groups on issues pertaining to veterinary biologics, drugs, and other therapeutic agents. The Council on Biologic and Therapeutic Agents consists of 12 voting members of the Association and are elected by the House of Delegates for two 3 year terms. Members represent the following areas of veterinary medical activity: microbiology; immunology; pharmacology; clinical pharmacology; private clinical practice, predominantly small animal; private clinical practice, predominantly food animal; private clinical practice, predominantly equine; epidemiology; industry, exclusive; and at-large. l

Insurance myths: Why Life & Disability Insurance are more important than you think By Principal Financial Services, Inc. You insure your home, your car, and even your health - so why not your life and the income that supports it? Principal® breaks down common myths about life and disability insurance. Myth #1: I can do it myself. The truth is, it makes sense to work with a financial representative. Here’s why: • They are trained to help you assess your insurance needs, your financial situation, tolerance for risk, and the type of insurance that would be most appropriate for your unique situation. • They will help you understand the complexities of insurance policies and riders, and will help select the features and benefits right for you. • They will complete the forms necessary to start the underwriting process and will arrange for any follow-up tests or exams that may be required. • They will continue to review your changing needs. • In the event of your death or disability, your representative will be a great resource, ensuring that your claim is reviewed for benefits in a timely manner. Myth #2: Insurance is too expensive. Insurance is available to suit nearly every need and budget. In fact, a healthy 35-year-old male can buy $250,000 of annual renewable term life insurance coverage for less than $20 per month. And for just over $100 a month, he could purchase a guaranteed death benefit for his lifetime.1 Whether your goal is maximum income protection, safeguarding specific expenses (such as a mortgage), or budget-based

March

2017

coverage, an individual disability income insurance (DI insurance) policy can be designed to meet your needs. Myth #3: I can wait to buy insurance when I need it. Some people think they are saving money by delaying the purchase of individual DI insurance. But the reality is that most DI policies allow you to lock in your premium, so you can take advantage of the lower rates available to you at a younger age. And not only will rates increase as you age; you may reach a point when you’re not even insurable at an older age. The bottom line is that your financial representative can tailor a program to meet your budget and needs. Myth #4: It won’t happen to me. Many people think a disability won’t happen to them because they plan to stay healthy, yet actual Principal Life Insurance Company® disability insurance claims show that fewer than 1 in 10 claims result from injuries. DI insurance covers a range of common illnesses too, some of which may not be preventable. Considering the devastating effect a disability can have, not just on your current income, but also on your retirement savings and long-term financial security, DI insurance coverage is more than just extra protection. It’s a foundation for securing a more stable future for yourself and your family—no matter what challenges life brings. Professional Insurance Programs can help with all your life or disability insurance needs. Call us at 1-800-637-4676 or email, info@profinsprog.com. l Based on current rates and charges for a Principal Universal Life Protector IVSM policy for a 35-year-old male non-smoker rated Super-Preferred. For specific information, please contact Professional Insurance Programs.

LEGAL BRIEFS

Legal Considerations of Using Social Media to Advertise Your Practice By Bryan C. Esch, DeWitt Ross & Stevens, s.c. Social networking and media sites like Facebook, LinkedIn, and Twitter and websites and blogs can be used by veterinarians to cost effectively advertise and market their practices to clients and potential clients. By using social media to market your clinic, veterinarians can enlist their client base in their promotional efforts by leveraging the viral nature of the internet. Through client surveys, requests for recommendations and endorsements, email marketing and other internet advertising strategies, veterinarians can have their clients “spread the word” about their services and help to grow their practices. It is reported that more than 66 percent of Facebook users login to Facebook every day to interact with friends and almost more than 20 percent of adults regularly use Twitter to obtain news and other information. It is expected that all businesses maintain a client-friendly and informative website. Many consumers, including veterinary clients, investigate professional services firms by reviewing the firm’s websites before deciding to obtain services. However, even though social media and the web are powerful marketing tools, veterinarians need to be aware of relevant legal issues to protect their practices from liability. Social media advertising is a visually-based method of communicating and it works best by pairing written material with photos and videos. However, veterinarians need to take care when using client and patient photos on their social media and websites, without client consent. Individuals have certain legal rights if their photo was taken and posted to the internet on social media or a website without permission. An individual may potentially stop the unauthorized use of his or her image in a commercial way if there has been an invasion of privacy, defamation or the violation of the individual’s right of publicity. An individual’s right of publicity has been violated if an image of the individual is used to sell products or services or to imply an endorsement of a product or a service, without authorization. Likewise, a client’s general right of privacy and

the statutory obligation to keep veterinary records confidential under Wis. Stat., §453.075, may be breached if the veterinarian inadvertently discloses private information about a patient’s health status by posting a photo or other information. In order to avoid these concerns, it is strongly recommended that veterinarians obtain written authorization from their clients, in their client/patient agreement or in a stand-alone authorization, before posting a photo of a client or patient to their website or social media. Soliciting user generated content by requesting that clients post content, including reviews and endorsements of veterinary services, is an effective way to utilize social media in advertising. However, doing so exposes the veterinarian to potential legal liability for copyright and trademark infringement (when user-generated content contains another person’s copyrighted material or uses a trademark without authorization), privacy and publicity violations, deceptive advertising and libel. Therefore, veterinarians should monitor and screen client and other third party material posted to their social media and websites. Inappropriate posts that pose a legal risk should be removed. Social media and other internet advertising is subject to the same general consumer protection provisions as traditional advertising. The Federal Trade Commission Act and state consumer protection laws, like Wis. Stat., §100.18, prohibit engaging in deceptive or unfair trade practices or advertising. Veterinarians must ensure that their advertisements are accurate and truthful, and not misleading, before posting them on social media or otherwise on the internet. The requirement to confirm the truthfulness or accuracy of an advertising claim extends to claims made by a veterinarian’s advertising agency and to posts from clients or employees. Social media and website marketing is an effective way to stretch your clinic’s marketing dollars and to spread the reach of your veterinary practice. However, veterinarians must pay attention to important legal considerations when marketing with social media and otherwise on the web. l

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2017

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WVMA

OSHA

ALLIANCE

Ionizing Radiation Protection for Veterinary Medical Clinics – Part I By Leslie Ptak, Department of Labor/OSHA compliance assistance specialist Radiographic imaging is an important tool in veterinary medical practice. Radiation exposure is also universally considered a potential health hazard to employees. Because of the nature of veterinary x-ray exposures – an employee typically holds the animal to keep them still, preventing unnecessary exposures to ionizing radiation requires a program of control that involves every member of the care team. This article discusses clinics’ regulatory responsibilities, as well as the policies and processes that veterinary medical clinics can incorporate into their operations to minimize employee exposures to ionizing radiation. This article is presented in two parts. Part II will be published in the next newsletter.

such as benign tumors, cataracts, and potentially harmful genetic effects. These genetic effects can include congenital defects in an individual’s offspring.

Health effects – The health effects of ionizing radiation are well recognized. Latent effects increase with the amount of cumulative lifetime exposure (i.e., all exposures added up over the life of the individual). The most significant risks are an increase in the possibility that a person exposed to ionizing radiation will develop cancer, bone marrow suppression, as well as other health outcomes,

exposure, there is a delay between the exposure and the observed health effect. Acute exposures can also occur. These are exposures to relatively high levels of radiation over a short period of time. Acute exposures and dosimetry readings that exceed the annual dose limit must be reported to WDHS RPS.

Pregnant employees – The employer is required to have a written, clear and well-communicated policy about pregnancy and potential exposure to ionizing radiation. The policy should make clear that it is the responsibility of the employee to inform her employer, in writing, about her pregnancy. The WDHS RPS regulations have specific requirements to reduce employee exposures to radiation, and these must be addressed in the employer’s radiation safety policy. WDHS RPS regulations include a recommendation that ALARA – ALARA is an acronym for “as low as reasonably achievable.” pregnant employees not hold the patient during an exposure, Long a principle of radiation safety, it means making every recommendations for additional dosimetry, and an appendix with reasonable effort to maintain exposures to ionizing radiation as far a “Declaration of Pregnancy” document that addresses the rights of below the dose limits as practical. Every reasonable effort means pregnant women who might be exposed to ionizing radiation. that a combination of engineering and work practice controls are Veterinary clinic exposures – Exposure to x-rays can occur when used every time an exposure is taken to reduce the potential for unprotected employees are near an x-ray machine in operation. employee exposure. The four elements of ALARA are to (1) collimate Clinic staff using fixed, portable and mobile x-ray machines have and use the lowest radiation dose needed (decreasing scatter) the potential for chronic exposure to ionizing radiation. Chronic (2) increase shielding (3) decrease durations of exposure and (4) exposure is continuous or intermittent exposure to low doses increase distance from the beam/scatter. of radiation over a long period of time. With chronic, low dose

Annual Occupational Dose Limits for Different Parts of the Body Whole body (Deep Dose Equivalent or DDE)

5,000 mrem

Lens of the Eye (Eye Dose Equivalent or EDE)

15,000 mrem

Skin (Shallow Dose Equivalent or SDE)

50,000 mrem

Extremities (Shallow Dose Equivalent or SDE)

50,000 mrem

Fetus of a Declared Pregnant Radiation Worker

500 mrem (for the entire pregnancy)

Dose Limits for Minors

10% of adult limits

• Source: US Nuclear Regulatory Commission, Subpart C - 10 CFR 20.1201, 20.1207 and 20.1208 • All doses are in units of millirems (mrem) of dose that may be received in a calendar year. Regulation of workplace radiation exposures – Two agencies have jurisdiction over radiation safety in Wisconsin veterinary medical clinics: the Wisconsin Department of Health Services Radiation Protection Section (WDHS RPS) and the Occupational Safety and Health Administration (OSHA). Another organization, the National Council on Radiation Protection and Measurements provides leading scientific thinking on information, guidance and

recommendations on radiation protection and measurements. The information contained in NCRP Report No. 148, Radiation Protection in Veterinary Medicine is considered the standard in keeping radiation exposures as low as achievable. The NCRPM is an advisory panel and does not have regulatory authority to inspect workplaces. CONTINUED ON PAGE 9

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CONTINUED FROM PAGE 7

Ionizing Radiation Protection for Veterinary Medical Clinics – Part I

The WDHS RPS has authority over the registration and inspection of all machines that produce ionizing radiation (x-rays, computerized tomography, fluoroscopy, etc.), whether they are used in human medical or veterinary medical applications, industrial settings or research. They also have regulatory authority over the radiation exposures of patients undergoing X-ray procedures, the general public and the employees who take the X-rays. The regulations that apply to veterinary clinics are concentrated in DHS 157.74 through 157.81. Parts DHS 157.22, .23, and .25 address dose limits and also apply.

programs. The first is a template “GUIDE FOR REGISTRANTS,” which is currently being revised and will be available on the WDHS RSPS web site by spring 2017. The template is intended to be the foundation on which a clinic’s site-specific radiation safety program is developed. The benefit to an employer of a written program is that it (1) communicates your concerns for employees (2) standardizes your policies and procedures (3) addresses each of the regulations that all staff must comply with, and (4) is available for new staff to review when there is turnover. The Radiation Safety Policy must be available to employees at all times.

WDHS RPS updates its rules every three or four years and aligns its requirements with the NCRPM, US Food Drug Administration and Nuclear Regulatory Commission regulations. The agency is currently working on a revision to its Radiation Protection Chapter (DHS 157) and expects to have a final version in the spring of 2017. The revision is not expected to be substantially more protective of employees than what is now required.

Provide appropriate training – Well trained employees are those best able to follow the principles of ALARA. This is essential because ALARA requires that a combination of engineering controls and work practices be followed. All employees are required to have access to and understand the Radiation Safety Policy. The WDHS RPS sets some training requirements and reviews curriculum and training when they evaluate sites. The agency requires training in the operations and safety measures of clinics, as well as in the specific devices used. The training should be conducted on initial hire and should be reviewed annually. The WDHS RPS also outlines training guidelines for the technicians who take CT scans.

Every x-ray machine has to be registered before it can be used, and the registration is renewed annually in December. The WDHS RPS sends registration renewal letters out each November and the registration fee is due by the end of the year. Any changes to the registration (i.e., ownership, new address, new device installed, new contact person, etc.) are to be submitted to WDHS RPS within 30 days of the change made. The allowable exposure dose limits in OSHA’s Ionizing Radiation standard are outdated (29 CFR 1910.1096); they are based on scientific knowledge from the 1950s. However, the rest of the standard is still relevant. When OSHA evaluates the hazards of x-rays in workplaces, it uses parts of 1910.1096, the agency’s personal protective equipment standards (Subpart I of 1910), and its general duty clause to address them. Have a written program – A written Radiation Safety Policy is a requirement of the WDHS RPS. It also helps a clinic comply with OSHA’s requirements. Fortunately, the WDHS RPS has created a series of tools to help employers develop their radiation safety

Signs and Notices – DHS 157.88 requires that the Notice to Employees (Form No. P-45027, dated 12/10) be posted where employees can see it. OSHA requires that each radiation area be conspicuously posted with a sign or signs bearing the conventional radiation caution symbol. This is the three-bladed design (called a trefoil) that is magenta (purple) or black on a yellow background. Get employees involved – The ALARA concepts are effective, and they rely on individuals adhering to certain behaviors and working as a team. For some staff, that may mean changing attitudes as well as behaviors. Getting employees involved in the development of policies and their implementation will get more results than giving them the message to “just do it.” Encourage employees to help with all aspects of ALARA, such as tracking dosimetry usage, inspecting personal protective equipment, and communicating policies and procedures, etc.

Resources A link to the Wisconsin Department of Health Services Radiation Protection Section is here, https://www.dhs.wisconsin.gov/radiation/xray/index.htm. A link to DHS 157, which is the WDHS RPS regulation for veterinary clinics, is here, http://docs.legis.wisconsin.gov/code/admin_code/dhs/110/157. A link to the DHS 157.88 Notice to Employees (Form No. P-45027, dated 12/10), which is required to be posted in the workplace, is here, https://www.dhs.wisconsin.gov/publications/p4/p45027.pdf. A link to the Occupational Exposure Record per Monitoring Period (Form No. F-45003, dated 05/09) is here, https://www.dhs.wisconsin.gov/forms/f4/f45003.pdf. A link to the OSHA standard for Ionizing Radiation is here, https://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10027. A link to the National Council on Radiation Protection and Measurements is here, http://ncrponline.org/. Through the OSHA and Wisconsin Veterinary Medical Association Alliance, the Alliance partners developed this article for informational purposes only. It does not necessarily reflect the official views of OSHA or the U.S. Department of Labor. l

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

WVMA

PARTNERS

The Wisconsin Veterinary Diagnostic Laboratory would like to welcome Dr. Holly Taylor to its Barron Lab. Dr. Taylor will be the pathologist on duty when the WVDL resumes pathology services in late 2016 in Barron. Dr. Taylor is from rural Pennsylvania, earning her BS in Animal Biosciences from Penn State (2009) and her DVM from the University of Tennessee (2013). She completed her specialty training in anatomic pathology at the University of Missouri Veterinary Diagnostic Laboratory in Columbia. Welcome to Wisconsin and to the WVDL, Dr. Taylor!

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New Ways to Manage Ear Diseases in Rabbits By Christoph Mans, Dr. med. vet. DACZM and Robert Hardie, DVM, DACVS, DECVS UW Veterinary Care, School of Veterinary Medicine, University of Wisconsin-Madison Lop-eared rabbits are particularly prone to ear diseases due to the particular ear anatomy. In lop-eared rabbits, the external ear canal is effectively closed over by the pinna, which makes it hard for cerumen to leave the ear canal. Therefore, in lop-eared rabbits the build-up of cerumen predisposes them to secondary bacterial or fungal infections, which can progress into the middle ear. Frequently in lop-eared rabbits, swellings at the ear bases can be palpated. Bacterial and fungal infections of the ear canal usually occur as a These so-called â&#x20AC;&#x153;ear base abscessesâ&#x20AC;?, are connected to the ear canal consequence of another pre-existing problem such as abnormal anatomy, foreign bodies or neoplasia and can relatively easily spread and occur due to an accumulation of cerumen or purulent material in the ear canal, which ultimately spreads into the subcutaneous to the middle ear. Additionally, bacteria can ascend from the nasal cavity through the Eustachian tube and lead to otitis media. In some tissue, through a gap between the cartilages that form the ear canal. cases, chronic otitis media can spread to the external ear canal, if the Cerumen can also accumulate in the ear canals, especially in rabbits tympanic membrane is perforated. Neoplasia of the ear canal is rare with hindlimbs problems, which prevents them from scratching their ears to help remove cerumen. in rabbits but should be considered, particularly in older rabbits. Disorders of the external ear canal and middle ear are common in pet rabbits. Infections of the ear canal will often lead to ear discharge, scratching at the ear, head shaking and discomfort. Infection of the middle ear can lead to deafness, changes in behavior and appetite, and if the infection spreads to the inner ear, can cause neurological signs, such as head tilt and vestibular signs.

Diagnostics The external ear canal can be examined by using an otoscope, however if a lot of inflammation or discharge is present the tympanic membrane can often not be visualized. In most cases, rabbits do not tolerate a thorough examination of the ear canal due to discomfort from the inflammation present in the ear canal. In these cases, rabbits should be sedated or anesthetized for a thorough examination of the ear canal and tympanic membrane. Flushing the ear canal helps remove material from the ear canal to make sure no other abnormalities, such as foreign bodies or masses are present. Flushing should be performed under deep sedation or general anesthesia. The examination of the ear using video otoscopy and specialized equipment allows for removal of discharge and debris from the ear canal using small instruments, irrigation and suction. Also, samples for bacterial cultures can be collected and images taken to document findings. Video otoscopy is also very helpful Medical treatment Medical treatment of bacterial infections of the ear canal may include repeated flushing of the ear canal, and placing antibiotic soaked ear wicks in the ear canal, and/or oral or injectable antibiotics. In rabbits with upright ears, this approach can often eliminate the infection. However, in lop-eared rabbits, because of the particular anatomy of their ear canal, medical treatment will usually only improve the infection for a certain period of time before reoccurrence is noted. Ear infections in lop-eared rabbits can be Surgery Chronic or recurrent otitis externa as well as chronic otitis media, will usually not resolve with medical therapy alone, and surgery remains the only option for cure. Ear surgery in rabbits has historically been perceived as being too invasive or risky and therefore has frequently not been recommended by veterinarians or not considered by rabbit owners. However, the increasing number of reports of successful ear

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to visualize and incise the tympanic membrane (myringotomy), to collect purulent material for cytology and bacterial cultures, in cases of middle ear infections. However, the middle ear cannot be completely examined by otoscopy alone. Skull radiographs can help determine if fluid has accumulated in the tympanic bulla, but they can be challenging to interpret due to superimposition of the adjacent areas of skull. Computed tomography (CT scan) is necessary for complete evaluation of the middle ear and can be performed in sedated rabbits. Therefore, a CT scan of the head is the recommended imaging modality because it allows much better visualization of the middle ears and other important structures of the skull (nasal cavity, sinuses, teeth), which are commonly diseased in rabbits. The cost of a sedated head CT in rabbits at UW Veterinary Care is comparable to skull radiographs.

frustrating to manage for both veterinarians and rabbit owners. Eardrops or other topical ear treatments, containing different medications such as antibiotics and antifungals are rarely effective in resolving chronic otitis externa in rabbits. Samples of ear discharge should always be evaluated cytologically to rule out fungal infection and be submitted for bacterial culture and sensitivity, in order to determine the most effective antibiotic treatment. surgeries in rabbits in the literature, and our positive experience at UW Veterinary Care, support the recommendation for surgery for the treatment of recurrent ear infections in rabbits. Rabbits tolerate ear surgery very well, recover quickly and have a much-improved quality of life following ear surgery.

Different ear surgeries can be performed in rabbits. For treatment of severe otitis externa, usually a total ear canal ablation (TECA) with a lateral bulla osteotomy (LBO) is performed. The TECA involves removal of the entire ear canal. In some cases, part of the external ear canal can be preserved if the infection is located only in the deeper parts of the ear canal. In such cases, a partial ear canal ablation (PECA) can be performed instead of a TECA, which reduces anesthesia time and reduces the risk for complications such as wound dehiscence (break down) after surgery. In any case, a LBO should be performed and the tympanic membrane and epithelial lining of the middle ear removed, even if no otitis media is present. During TECA-LBO or PECA-LBO procedures it is critical to collect samples for bacterial cultures, in order to know exactly what kind of bacteria are causing the infection in the middle ear and to select the most appropriate antibiotic therapy. In some cases, it might be beneficial to place antibiotic containing beads in the middle ear. In rabbits, the surgical site is closed completely after surgery and drains are usually not recommended, making wound care very simple. The

surgical site heals within 7-10 days and sutured can be removed. Most rabbits do very well after surgery and often start eating on their own the day of surgery. Pain medications and supportive care is provided and most rabbits can be discharged from the hospital within 1-2 days after ear surgery. The recommended surgical option for otitis media without concurrent otitis externa is PECA-LBO, although ventral bulla osteotomy has also been reported. Prognosis for rabbits following surgical treatment of otitis externa is excellent, and good for rabbits with otitis media. However, while infection can be resolved in most cases of otitis media and interna, neurological deficits, if present prior to surgery, often will remain. In summary, chronic ear infections in rabbits should no longer be considered a difficult and frustrating disease to treat by rabbit owners and veterinarians. Improved diagnostic procedures and treatment options make ear diseases treatable and rabbits can be cured from ear diseases and associated pain and discomfort.

Figures Figure 1: A sedated rabbit undergoing a CT scan.

Figure 2: CT scan of the head of different rabbits. A) Normal ear canal and middle ear. B) Infection of the ear canal and middle ear (arrow). C) Severe infection of both middle ears (arrows) in a rabbit.

Forward booking = healthy pets and healthy practices

Regular preventive healthcare is the key to the health and well-being of all your patients. Be sure every pet owner leaves your practice with their next appointment on the books.

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Talk to your healthcare team about the importance of forward booking. Get started at www.partnersforhealthypets.org.

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Our team of board certified oncologists are now providing care at both our Middleton and Madison clinics!

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Take Full Advantage of Social Media From the WVMA! Crank up your clinicâ&#x20AC;&#x2122;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.

CLASSIFIED AD CHANGES All classified ads, including veterinary relief ads, will be published at the following rate: Members: First 35 words, $20. Every additional word after 35 is $1.50 per word. Non-members: First 35 words, $65. 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. New classified ad rates are effective starting February 2, 2017. SMALL ANIMAL Our 3 doctor SA practice in western Waukesha County is seeking an associate for a FT or PT position. We have a dedicated clientele and a caring, enthusiastic staff. Our mission is to provide comprehensive, compassionate care for our patients. While the bulk of our practice consists of preventive care, medicine, surgery, and dentistry, we have a niche of alternative therapies as well. The ideal candidate should have an interest in dentistry and have excellent communication skills. Recent graduates are welcome to apply. Benefits include insurance, paid CE, licenses, vacations, etc. Send resume or inquiries to: hprairieanimal@wi.rr.com. Thiensville-Mequon SA clinic in Thiensville, WI seeks an associate DVM to join our practice. Thiensville-Mequon Small Animal Clinic is a 5 doctor practice that provides complete and compassionate veterinary care for dogs, cats, birds, rabbits, and pocket pet companions. We are looking for an associate to join our experienced team of doctors who place an overall emphasis on preventive medicine and client education. We are proud to be an AAHA member since 1972. Our amenities include digital radiography, digital dental radiology, electronic medical records, therapeutic laser, and dedicated surgery suite. Excellent compensation and benefits package. All experience levels welcome. PT or FT hours available. For more information http:// www.thiensvillemequonsac.com/. Please submit resumes to smoss@nvanet.com. Expanding SA practice, in family friendly northern Milwaukee suburb, seeking FT or PT associate. No after-hours emergency

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with close referral and specialty support. Competitive salary and benefits including insurance, 401(k), dues, CE and vacation. Excellent close knit support staff. Great opportunity for confident new or recent grad. Freedom to practice medicine as you wish in a collaborative environment. Please contact Dr. Greg Wood at gwooddvm@gmail.com. ASSOCIATE VETERINARIAN - FT or PT! The beauty of the LaCrosse, WI area awaits you at Van Loon Animal Hospital in Holmen, WI. Position 100% SA. Compensation package [$300,000.00 guaranteed 3 year term] with 20% pro-sal production incentive. Van Loon Animal Hospital Wisconsin Veterinary Orthopedics is a 22 area ranch. Hydraulic exam tables, C02 Pullse Therapy Laser, IDEXX lab with urinalysisintegrated with IDEXX cornerstone software, SurgiVet Vital Monitor with end Tidal C02 Pulse ox EKG blood pressure, digital Vet-Ray and dental X rays, ultrasound with telemedicine and tutorial provided. Health insurance, CE, vacation inclusive. Enjoy your days off on the nearby Mississippi river or canoe the creeks in the adjacent wildlife refuge, which the clinic was named after. Mentorship provided Tour Clinic at VanloonAnimalHospital.com and Orthopedics at WisconsinVeterinaryOrthopedics.com. Email Dr. Hein at kneesurgery99@gmail.com. FT SA Veterinarian wanted to join our busy, well-equipped, 5 doctor SA exclusive practice. Must be personable and able to work well as a team. Experienced and proficient support staff. You will appreciate our family-friendly hours: M-F 8-5, Sat 8-11am. No emergency or on-call. Competitive salary and benefits package. Work 4 to 4 1/2 weekdays per week and 1 out of 4 weekends. The Fox Cities Area provides “large city amenities” and at the same time, “country living” is just a short commute away. Send resume to North Heights Veterinary Clinic, LLC, 1001 West Northland Ave., Appleton, WI 54914 or northheightsvetetinaryclinic@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) 7485144, or by regular mail, Associated Veterinary Clinic, P.O. Box 352, Ripon, WI 54971. Looking to help at-risk animals in a new and challenging way? Join us! The Wisconsin Humane Society is looking for a FT veterinarian at our Spay/Neuter Clinic in West Allis, WI. This is a M-F position, no evenings, and only 2 Saturday events/year. A competitive salary and comprehensive benefits package are provided! For job details or to apply, please visit www. wihumane.org/employment. EOE.

Exceptional People. Extraordinary Care. 24/7. WVRC is seeking emergency veterinarians to join our pet care team. Our hospitals in Waukesha, Grafton and Racine allow for both flexible scheduling and work locations. Join a team of dynamic coworkers, including a broad range of specialists and emergency veterinarians, emergency-focused interns, dedicated technicians and clientfocused support staff. Marshfield Laboratories, a full diagnostic veterinary laboratory, compliments the practice in the Waukesha location’s lower level. Our ER team is hard working, highly skilled, and always engaged. We believe in a team approach to patient care, an enjoyable work environment and a schedule conducive to life outside of work. Candidates should have strong organizational skills, a desire to both learn and teach and the ability to work well within a team. Internship training or ER experience is preferred but our team can provide strong mentorship to the right candidate. Interested parties should email a letter of intent and curriculum vitae to Dr. Kari Severson, kari.severson@wvrc.com. Country Hills Pet Hospital is an AAHA accredited practice looking for an enthusiastic and motivated individual to join our fast-pace, well-established SA practice with a reputation of exceptional client service. We were a finalist in the AAHA practice of the year 2016. We provide a great opportunity for either a new graduate or an experienced veterinarian. Our practice offers physical therapy, complete in-house IDEXX laboratory testing equipment, digital x-ray, endoscope and laparoscope, digital dental x-ray, ultrasound, CO2 laser, and much more. We are looking for a part time associate to work a rotation with two Saturdays per month. Please send resumes to countryhillsrehab@gmail.com. Associate position open in Neenah, WI. We support top notch medicine with excellent facilities and equipment. Continuing education, licensing, paid vacation, health insurance and 401(k) provided. Base salary and production bonuses based on experience. We also offer ownership vesting opportunities to veterinarians who work hard and exhibit quality veterinary and business skills with no money out of pocket. Email resume and salary requirements to Dr. Dhillon at Dhillondvm@gmail.com. Companion Animal Hospital is a 20-year established practice. Equipped for general surgery, dentistry, laboratory and digital X-rays (dental and flatbed). FT benefits: full individual health insurance (family available), PTO, IRA, some CE. Email resume to Practice Manager: Liz Lockwood at nelockwood@hotmail.com. FT/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 DVMs or new graduates are welcome to apply. Please email resume to thompsonamc@centurytel.net. We are looking for a 4th veterinarian to join SA practice in Wisconsin Dells, WI. New addition and hospital renovation will 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 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.

This is written by my staff: We, the staff at Lakeview Animal Clinic, are looking for a PT Veterinarian to add to an amazing, fun, positive team. We are looking for an experienced, efficient doctor that is passionate about our clients/patients and works as a team with the staff. We are a newly built clinic as of 2012 that is rapidly growing. We have all new equipment including digital x-rays, electrocautery, and in-house IDEXX lab equipment. Surgical experience is required. Family friendly hours with no emergency. We have great family-like clients and who consistently grow our business through referrals. We are very confident that we are the best smelling clinic around. Our clinic is a multiple year Milwaukee A-List finalist. We work hard, but also make the work day enjoyable. Pay and benefits are negotiable. If you want to join our fun, punctual, positive and rewarding team, please submit your resume to Dr. Anna Schwister: dranna@ lakeviewanimalclinicwi.com. Exciting opportunity to work in beautifully established modern clinics with friendly, competent staff. Enjoy working in northern Wisconsin with all your resources at your fingertips...electronic records, digital x-ray, ultrasound, in-house lab, water treadmill, laser therapy, laser surgery, with attached full service pet resorts and grooming. Will mentor!! Goal for the ideal candidate is to work independently, and have excellent medical, surgical and communication skills. Let’s talk!! Please send resume to Dr. Lyn Ludwig: lynludwig@hotmail.com, (715) 661-0178 (cell) and visit us at northcountryvetclinic.com. SA veterinarian needed at the Wauwatosa Veterinary Clinic. Our veterinary team is looking for a veterinarian who fits the mission and unique environment of our progressive, growing practice. We are a multi-doctor AAHA practice located in the greater Milwaukee area, and we have a loyal and dedicated clientele who demand the best medicine/surgery for their furry family members. We have a complete in-house lab, digital x-ray, digital dental x-ray, ultrasound, laparoscopy, CO2 laser, therapeutic laser, state-of-the-art monitoring equipment and more. Come practice at a clinic where you will be well supported by a team of well trained, enthusiastic, dedicated members. Our support staff of certified technicians and assistants will allow you to focus on medicine and clients. Weekly staff meetings assure open communication and team atmosphere. Enthusiasm and good communication skills required. We are family owned and operated and offer excellent compensation and benefits package. Comfortable work schedule and no after-hours emergencies. Email your resume to Kristint@wauwatosavet.com. Stevens Point Animal Hospital is a 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 and surgical care. We have regular Monday through Friday hours and there is no on call or weekend/holiday hours. Our updated 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. 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. FT SA associate veterinarian sought to join our friendly, supportive team at Waterloo Veterinary Clinic. We offer a relaxed work environment with opportunities to expand medical and surgical services. All after-hour emergencies are referred. 4 day a week schedule! Salary is commensurate with experience and generous benefits. Located a mere 15 miles east of Madison. Submit cover letter and resume to: orchard@waterloovetcare. com (920)-478-3234. $500 to $1000 hiring bonus! Looking for PT or FT associate veterinarian in south central Minnesota. You can help create your own schedule. We are looking for someone who is compassionate and conscientious. We specialize in quality care. We have a full

in-house lab, digital radiography, digital dental, ultrasound, laser therapy and endoscope. We have a full benefits package with health stipend, dental, 401(k), profit sharing, CE and clothing allowance, vacation time, paid holidays and sick time. Please send resume to southernmnvetclinic@gmail.com.

a doctor and develop special interests. Future ownership a definite possibility! FT or PT hours negotiable. Low stress - high reward practice. Send resume and cover letter to Tamara A. Beyer DVM at email: beechwoodvet@doglover.com or fax: (262) 634-3006. Call (262) 634-3130 for more information or questions.*

Norwood Animal Clinic has been around for over 30 years building an excellent reputation in the community and gaining the loyalty of our clients. We strive to make sure our staff members never forget why they joined the veterinary field and do not allow for any “burn out.” Our staff is spoiled with over 11 paid holidays and generous amounts of paid leave. We offer health insurance that can also include your spouse and children. We offer matching 401(k), health saving accounts and bonuses. We truly treat each other like family which our clients see and appreciate. If you are looking for a friendly work environment and truly enjoy veterinary medicine, Norwood is the place for you! Email mandylnorwood@gmail.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 a 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. 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.*

Seeking an energetic, outgoing SA associate for a progressive 5 doctor practice in a rapidly growing, family friendly suburb of Milwaukee. Our hospital consists of dogs, cats, pocket pets and some avian patients. We provide exceptional care in a collaborative, team-based environment. Diagnostic equipment includes in-house CBC and blood chemistry, ultrasound, digital radiography, surgical and therapy laser. Preventative care, client education, dental care, surgery, VSMT and acupuncture are services available to our clients. Compensation and benefits are negotiable and commensurate with experience. Please send resume to: Mukwonago Animal Hospital, 1065 N Rochester St., Mukwonago, WI 53149 or email to mukanhosp3@gmail.com. Is your New Year’s Resolution to make family a priority? Or is it to find a meaningful, warm, inviting practice to join? At Prairie Side Veterinary Hospital in Kenosha, you can find both. We are seeking a FT or PT veterinarian for our growing cat and dog only practice in Kenosha. This position is a wonderful opportunity to put down roots in a great area. Kenosha and Pleasant Prairie offer many amenities of the Milwaukee and Chicago suburbs, without the high cost of living. They include good schools, active scout troops, community involvement and much more. Only 40 minutes to Milwaukee and 60 minutes to downtown Chicago. We are close enough to visit either city on Saturday evening to enjoy dinner and a show, if that’s your thing. Otherwise, our area offers plenty to do, including Recplax: the largest indoor municipal recreation area, plenty of restaurants, theaters, musical performances, boating, ice skating, skiing, running, bicycling and much more. If you want to perform quality medicine we do that too. Digital x-rays, digital dental x-rays, Catalyst blood machine, advanced soft tissue surgery, orthopedic surgery, endodontics and interceptive dentistry are just some of the procedures we offer our clients. We do all of this in a way that makes our clients feel like family. If you are ready to apply, please submit your resume to info@prairiesidevet.com or fax to (262) 694-9555. If you would like to know more about this position, please call or email Dr. Susmilch at (262) 694-0402 or DrSusmilch@ prairiesidevet.com. We are seeking to fill this position no later than May 2017, but we are able and willing to fill this position sooner for the right candidate.

WANT TO MAKE A DIFFERENCE? MN Spay Neuter Assistance Program (MN SNAP) has both FT and PT positions available for a veterinarian on our high volume - high quality spay and neuter mobile clinic. We perform 30-35 surgeries a day and manage a staff of 3 technicians. Please visit mnsnap.org for more information.* Emergency Veterinarian needed for our growing emergency practice. Flexible schedule: FT or PT. Wisconsin Veterinary Referral Center (WVRC) is one of the largest emergency and referral practices in WI. We are VECCS Level One certified, with 3 locations; Waukesha, Grafton, and Racine. Join an exceptional team of dedicated, caring professionals. Our specialties include: internal medicine, oncology, surgery, ophthalmology, dentistry, anesthesiology, and medical imaging. We have an onsite laboratory and a tremendous staff, that works hard and has fun. Contact Dr. Kari Severson for more information: kari.severson@ wvrc.com.* Community Animal Hospital located in Stevens Point, WI is seeking an experienced PT associate veterinarian to join our practice! Stevens Point, WI is a small college town located in central Wisconsin. We have all of the conveniences of a big city but not all the hassle. Community Animal Hospital is a full-service veterinary medical facility that has been in the community since 1967. Our professional and courteous staff seek to provide the best possible medical, surgical, and dental care for our highlyvalued patients. We care about our patients and our community. We are seeking an individual who is passionate about giving the best care to every patient and seeks comradery with fellow co-workers. We offer radiology, ultrasound, microchipping, hospice and euthanasia, and a fully stocked pharmacy. Excellent compensation and benefits package. More information at http:// mycommunityanimal.vetstreet.com . Please submit resumes to smoss@nvanet.com.* PT SA DVM for a walk-in clinic in Sun Prairie. Minimum 2-3 years experience. Modern diagnostics and surgical equipment. Flexible work schedule, weekend availability required. Candidates should be client oriented with strong communication skills. Excellent benefits, CE allowance and 401(k). Enjoy clinical freedom in a stimulating and challenging environment! Interested candidates please forward resume to the attention of Dr. Singh - DRGSS95@ yahoo.com.*

Bayside Veterinary Clinic S.C. in Door County is located in northeast Wisconsin. Bayside Veterinary Clinic is looking for a personal, caring, and hardworking SA veterinarian. Door County is bordered by the Bay of Green Bay and Lake Michigan. If you love the outdoors, the county has numerous county parks, weekend festivals and hunting/fishing locations. For more information please contact/email Randy at Bayside Veterinary Clinic S.C. (920) 743-8890 or baysidevetclinic@ gmail.com.

Tender Touch Veterinary Care is searching for a PT associate veterinarian. We are a high touch veterinary clinic in a small community 30 miles northwest of Milwaukee. All surgical patients have IV fluid support, pain control measures, and trained staff to monitor our patients. Digital dental radiology is done on every dental procedure appointment. We stress wellness care and have wonderful clients. Imagine a veterinary job where you get to sit down for lunch 99% of the time. We offer 30 minute appointments and an in-room assistant for your support. Please email a resume to drsuepetvet@aol.com.*

Immediate opening for an associate position at our canine/ feline only practice in Racine. Excellent support staff, longterm clientele, no emergency and easy hours. Room to grow as

FT associate position available in a busy SA practice located in Hayward, WI. 40 hour work week, paid vacation, paid health insurance, paid CE, paid liability insurance, paid license and DEA.

Great staff, great community. Compensation negotiable based on experience and skill. Great opportunity for professional growth for recent graduates. Email tjostrander@hotmail.com.* Lakeland Animal Welfare located in Elkhorn, WI, is seeking a motivated and compassionate PT veterinarian. Immediate needs are to develop our medical and surgical care program. New facility with high volume spay/neuter program. Flexible scheduling with pay based on experience. Further questions may be directed to Dr. Mona Hodkiewicz at (262) 949-4790 or email scotandmona@genevaonline.com.* Thriving SA practice in west-central, WI seeks very motivated, collegial associate. Candidate should practice exceptional, efficient medical and surgical care. Attractive, well-equipped facility with excellent, energetic support staff and devoted clientele. Beautiful, quiet area near Lacrosse, WI and Coulee Region. PT or FT. Option for some LA work possible. Salary commensurate with experience. Numerous benefits: shared health insurance, all dues, and license fees. No after-hours emergency duties. Dr. Beth Deppe, Morganside Veterinary Clinic, (608) 269-2355.* 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!* Lakeshore Veterinary Specialists seeks an ER DVM to join our team! Lakeshore is a rapidly growing, independently owned practice with 3 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.* Spring Harbor Animal Hospital provides the finest veterinary care for cats, dogs, and pocket pets in Madison, Wisconsin and the surrounding communities. We focus on providing the highest quality medical and surgical services for our patients including; preventive care, internal medicine, soft tissue and orthopedic surgical services, laser therapy for dogs and cats, and OFA evaluations. In addition, we are an AKC certified Canine Reproduction Center and an AAFP certified cat friendly practice. We are looking for an experienced associate or new graduate to join the Spring Harbor team! Don’t let this incredible opportunity pass you by! Email your resume to Jess Bird at jbird@vetcor.com.* Immediate FT position for SA veterinarian in multi-doctor practice in Milwaukee. We are fully equipped with all the diagnostic tools and toys to practice quality medicine and surgery. 4-day work schedule with excellent benefits. Experience preferred, but new graduates are welcome. Please forward your resume to attention of Dr. Singh at Drgss95@yahoo.com or call (608) 347-8668.* Paws & Co Clinic is looking for a PT veterinarian to join our staff. Located in Green Bay, we are a high quality wellness clinic

March

2017

focusing on preventative care for dogs and cats. We offer spays, neuters, dentals, minor surgical services, wellness, and preventative care, along with attending to minor medical issues. Due to our popularity and excellent reputation, we are growing leaps and bounds and are looking to expand our hours to accommodate demand . Position will be PT initially and shifts to expand as we continue to grow. If you are interested in providing top notch wellness care in a friendly and fast paced environment, you should give us a look. Feel free to check us out and while you are there, see why we are growing so quickly (our reviews) at www.pawsandcoclinic.com. Interested applicants should submit their resume Attn: Lisa Mau at lisa. pawsandco@gmail.com.* Country Hills Pet Hospital is an AAHA accredited practice looking for an enthusiastic and motivated individual to join our fast-pace, well-established SA practice with a reputation of exceptional client service. We were a finalist in the AAHA practice of the year 2016. We provide a great opportunity for either a new graduate or an experienced veterinarian. We employ mainly certified technicians to assist our veterinarians. Our practice offers physical therapy, complete in-house IDEXX laboratory testing equipment, digital x-ray, endoscope and laparoscope, digital dental x-ray, ultrasound, CO2 laser, and much more. We are looking for a FT associate to work a rotation with 2 Saturdays per month and after-hours care. We offer a competitive salary and benefit package. Please send resumes to countryhillsrehab@gmail.com.* Generous Signing Bonus - Advanced Animal Hospital Group is growing! Opportunities in Milwaukee. We support top notch medicine with excellent facilities and equipment. Continuing education, licensing, paid vacation, health insurance, and 401(k) provided. Base salary and production bonuses based on experience. Contact Dr. Dhillon at dhillondvm@gmail.com.* Badger Veterinary Hospital in Beloit, Wisconsin is seeking a SA veterinarian with 3 to 5 years of experience to join our current team of SA doctors to meet the needs of our fastpaced, growing practice. We pride ourselves on providing the highest quality of medicine with a fantastic group of highly skilled and compassionate staff. Come provide exceptional care in our fully equipped hospital, including digital radiography, dental radiography, in-house lab equipment, and full surgical suite. The ideal candidate will be enthusiastic, patient/client focused, dedicated to the highest quality of medicine, and be able to work in a fast-paced environment with an open mind and sensitive manner. The ability to provide a wide variety of medical care as well as excellent verbal, written, and interpersonal skills required. Individual areas of special interest are encouraged. Email your application materials to Dr. Katie Reed at kreed@badgervet.com.*

LARGE ANIMAL FT associate DVM to join our growing 7 doctor livestock team operating in a 20 doctor MA practice. Our practice is located in Lodi, WI, 20 minutes north of Madison. The practice prides itself in offering the highest quality veterinary medicine in a professional and courteous manner. Services include, but are not limited to, general herd health care, ultrasound, Dairy Comp 305, nutrition consulting, calf care, surgical procedures and advanced reproductive services. Practice is well equipped with ultrasounds, in-house chemistry analysis, indoor cattle processing center, stocks, hydraulic chute, padded surgical/ recovery suite and barn. We employ certified veterinary technicians and assistants to support doctors on ambulatory calls and within the hospital. Emergency coverage is shared by all livestock veterinarians. Associate will be provided with a fully equipped truck and a competitive benefits package. Please send resume to: Lodi Veterinary Care Attn: Shelly 705 N Main St, Lodi, WI 53555 or email to srucinski@lodivet.com.

DAIRY Mayville Animal Clinic is seeking an associate dairy veterinarian to join our 12 doctor MA practice. Services include general herd health, surgical procedures, DC305, and calf care. Ultrasound or palpation skills required. Fully equipped truck provided. Competitive salary and benefits include insurance, 401(k), CE, dues and vacation. On call /emergency duty is shared equally. Please contact Dr. Sherry Shimek at ssveterinarian@gmail.com.

MIXED ANIMAL FT veterinarian needed to join 4 person MA practice. Located in northeastern Iowa, our practice is 50% dairy, 37% cow-calf, and 13% SA. IDEXX LaserCyte and Catalyst analyzers with digital x-ray. EasiScan ultrasound used for bovine reproduction. Spectacular support team. Area has strong agriculture industry with many excellent dairy and beef operations. New graduates encouraged to apply. Supportive mentoring a must. Dr. Ryan Hammell, cell (563) 568-7736, daytime phone (563) 568-2487, fax resume to (563) 568-4392 or give us a call for more information. Chetek Veterinary Clinic is seeking 3rd associate for growing MA practice. FT/PT with on-call split 3 ways. Dogs, cats and horses with a few farm animals thrown in. Ultrasound, x-ray, and new Heska lab. Salary, CE, IRA, dues and vehicle provided. Great boss (no joke – he’s great) great clients, great staff and a great work environment – what else do you need? Send inquiries and resumes to info@chetekvetclinic.com. Modern 5 doctor MA practice with great standard of care. Digital x-rays, digital dental x-rays, in-house IDEXX equipment, computerized records and 2 Easi-Scan bovine ultrasounds. Mostly SA and dairy with some equine, beef and small ruminants. Competitive benefits package and salary. This is a great team to work with - never a dull moment! Menomonie is a beautiful area with lots of outdoor recreational activities, theatre and more. Everything you need in town, but still the small town feel. If interested contact Jason Westcott at (715) 235-2626 or hoofandpaw@sbcglobal.net. Bayside Veterinary Clinic S.C. is located in beautiful Door County Wisconsin is looking for a personal, caring, and hardworking MA veterinarian. Door County is located in northeast Wisconsin which is bordered by the Bay of Green Bay and Lake Michigan. If you love the outdoors, the county has numerous county parks, weekend festivities and hunting/fishing locations. For more information, contact/send resume to Randy at Bayside Veterinary Clinic S.C. at (920) 743-8890 or baysidevetclinic@gmail.com. Osseo Vet Clinic has an associate position open in our 4 doctor MA practice in west central WI. Well established clinic with ImproMed, IDEXX laboratory equipment, Easi-Scan ultrasound, Dairy Comp, digital x-ray, power float, and therapy laser. We are dedicated to good quality medicine and client service. Competitive salary, 401(k), truck and equipment, dues, and license provided. On-call and holidays shared equally. Friendly community, 20 min south of Eau Claire. Call (715) 597-3158 or email osvetdrs@ hotmail.com.* Associate veterinarian wanted: MA 3 doctor practice in need of an associate. We have a great team in a new, well-equipped clinic in beautiful southwest Wisconsin. We provide SA service to a wonderful community, and a variety in size of dairy herds and some beef cow/calf farms. For more info contact drkent@rvsllc. com.*

OTHER Are you looking for a change of pace? Do you want to work in the fascinating field of toxicology and industry? Do you like to have fun at work? If so, we may have the perfect opportunity for you! Pet Poison Helpline/SafetyCall International is looking to add a FT associate veterinarian to our growing team! The associate veterinarian will work in our Bloomington, MN office or remote from home treating potentially poisoned pets. We have a primary

need for evening/weekend shifts. Please visit our careers page at http://www.petpoisonhelpline.com/veterinarians/jobopportunities/ for more information including how to apply!*

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) 429-9408.*

RELIEF

Dependable, 20+ years’ experience. Med/Surg serving Northern/ Central Wisconsin. Contact Rich Piwoni, at (715) 627-0957, rapiwoni@hotmail.com.*

People patient, interactive and adaptive SA veterinarian with 35 years experience as self-employed, FT or PT associate or relief services; available for per diem or regular weekly relief or PT services within +/- 75 miles Madison. Some small mammal experience also. Karen Bressett, DVM: Background, references on request. I look forward to hearing from you. Email: kbressett@ live.com.* Experienced relief veterinarian for Madison and surrounding area. Professional, easy to work with and adaptable. Christie Iliff, DVM. (608) 215-3736 or iliffveterinary@gmail.com. Iliff Veterinary Services, LLC.* SA relief or part-time in SE Wisconsin. 34 years of client satisfaction, medicine and surgery. Flexible personality. Be confident that your practice will be in good hands while you are gone. Available Thursdays and Fridays. Brenda Long Relief Services - bilong3885@gmail.com (262) 763-3885. 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. WI 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.* 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

care, internal medicine, both soft and orthopedic surgery, digital radiography, endoscopy, nutritional and behavioral counseling. Interested individuals may submit cover letters and resumes to drjohn@ccacpetvet.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.*

CVT needed for a MA practice in Evansville, WI. Duties include, but are not limited to: anesthesia, in-house diagnostics, dentals, and surgical assistance for LA/SA, client education, blood draws and many more opportunities to use your skills. Contact Lynae McElroy at admin@lynaeevansvillevetservice.com. Email preferred no phone calls please.

SERVICES AVAILABLE

FOR SALE

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 Certified Veterinary Technician Wanted! We are a fast-paced 5-doctor SA veterinary medical and surgical clinic located in New Richmond, WI searching for energetic and enthusiastic applicants to join our team. The ideal candidate will have excellent communication skills, the ability to multi-task, be detail oriented, have SA experience in a clinic/hospital setting and the desire to be part of a great team. Our certified technicians perform surgical anesthesia, pre and post-op care, dental cleanings, lab work in our full in-house lab as well as assisting with both routine and sick/emergency patients visits. In addition to regular clinic hours we offer 24/7 Emergency Service and the hours required will include on-call weekend rotations with our doctors, along with rotating Saturday mornings. Full benefit package including health benefits and a competitive salary. Please email your cover letter and resume to: countrysideveterinaryclinic@hotmail.com; attn: Lynn in the subject line. No phone calls please. Countryside Veterinary Clinic S.C. 1231 N Knowles Avenue New Richmond WI 54017. Position for PT Technician in SA clinic. Full workups, surgical, dental, full-service. Experience preferred but will consider all. Potential for FT. Send resume to Dr. Hawksford, 811 Summit Lane N. Hudson, WI 54016. Email: laurahawksford@comcast.net. Offering a great opportunity for a licensed technician to utilize their skills. The ideal candidates are professional, comfortable with responsibility, and able to support a team of doctors who practice high-quality, progressive medicine with compassion. Skills required are the ability to work well in a fast paced environment, the ability to communicate effectively with team members and clients, and the desire to go the extra mile for our patients. We offer a competitive salary, benefits package, and growth opportunities. Experience preferred but willing to consider new graduates. FT or PT. Associate degree required. Email manager@northwoodsanimal.com. Busy SA clinic in Eagle River is seeking a FT/PT veterinary technician or assistant. Must be a self-starter, energetic, positive minded, professional and must play well with others. Experience preferred but new grads encouraged. Please contact smallanimalvet123@gmail.com. Animal Clinic of Beaver Dam is looking to add a PT CVT to our team. New grads are welcome to apply! Send resume to contact@ animalclinicofbeaverdam.com. PT Technician/Assistant needed for SA clinic in Hartland, WI. We are seeking a dedicated and very dependable individual to join our team. Please e-mail resume to wandahah@hotmail.com.

Used AGFA CP1000 film developer for sale. Currently using, sold as is. $300 or best offer. Contact Gary Batenhorst, DVM at (920) 361-2101. Want a new profit center for 2017? • Want to learn something new, improve your skill set, and provide your patients and clients with a new diagnostic tool? We have a GE LOGIQ Pro Series ultrasound unit with 2 heads available for sale. Please contact our practice to discuss the unit and to arrange a demo. Cherrie Metzner (715) 344-6311 or cmetzner@oakviewvet.net. Asking $4500 OBO.*

PRACTICE FOR SALE NEW - Wisconsin Dells - SA practice grossing $465k. Px and RE offered at $522k. Contact Dr. Kurt Liljeberg of TPSG 1-800-3806872 or kurt@tpsgsales.com. SA practice in historic building in Melrose, WI. Two apartments on 2nd floor, new metal roof 2015, new exterior sandblasting and painting 2016. Practice with building $155,000. Contact Dale Norris at email dnorris678@gmail.com or phone (715) 2990593.* Appleton grossing $450K. Beautiful facilities. Should grow rapidly. Contact Dr. Kurt Liljeberg of TPSG - 1-800-380-6872 or kurt@tpsgsales.com. Northeast Wisconsin - Well equipped SA practice. Revenue $390K. Call for more information. Contact Dr. Kurt Liljeberg of TSPG: 1-800-380-6872 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: 1-800-380-6872 or kurt@tpsgsales.com. East of Appleton – Near Lake Michigan, SA practice grossing $613K. Px and RE offered at $610K. Contact Dr. Kurt Liljeberg of TPSG: 1-800-380-6872, or kurt@tpsgsales.com. NW Wisconsin near Twin Cities. SA revenue $1.0M. Practice and RE offered for $825,000. Easy terms, low-cost ownership entry. Contact Dr. Kurt Liljeberg of TPSG: 1-800-380-6872, or kurt@ tpsgsales.com. SOLD - Beloit, WI - Congratulations to Dr. Kenneth L. O’Tool on the sale of County View Animal Hospital. TPSG is pleased to have brokered this transaction. Contact Dr. Kurt Liljeberg of TPSG: 1-800-380-6872 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: 1-800380-6872 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 for free consultation: 1-800-380-6872 or kurt@ tpsgsales.com.

Compassionate Care Animal Clinic in Elkhart Lake, WI is seeking a second CVT to help grow our new practice. We offer a wide range of veterinary care options for our patients including preventative

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

IMPORTANT

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ANNOUNCEMENT

2017 WVMA Annual Convention October 12-14 - Madison, WI

VOICE

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