Annual Meeting
Transcription
Annual Meeting
132nd PROGRAM BOOK New Jersey Veterinary Medical Association Annual Meeting MARCH 11-13, 2016 Wyndham Hamilton Park Hotel & Conference Center Florham Park, NJ www.njvma.org 132nd Annual Meeting PROGRAM INDEX Welcome. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Executive Board/Annual Meeting Committee . . . . . 2 Featured Speakers . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Saturday Agenda at-a-glance. . . . . . . . . . . . . . . . . . . 4 Sunday Agenda at-a-glance . . . . . . . . . . . . . . . . . . . . 6 Course Descriptions Saturday, March 12th . . . . . . . . . . . . . . . . . . . . . . 8 Sunday, March 13th . . . . . . . . . . . . . . . . . . . . . . 16 Social/Business Activities . . . . . . . . . . . . . . . . . . . . 24 Program Information . . . . . . . . . . . . . . . . . . . . . . 26 Registration Information . . . . . . . . . . . . . . . . . . . . 27 Hotel Information . . . . . . . . . . . . . . . . . . . . . . . . . 29 Exhibitors/Sponsors . . . . . . . . . . . . . . . . . . . . . . . . 31 Past Presidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 W ELCOME Dear Members and Friends, It is my pleasure to welcome you to the New Jersey Veterinary Medical Association’s 132nd Annual Meeting. The NJVMA Annual Meeting features world-class Continuing Education (CE) in a relaxed, collegial atmosphere. 2016 marks our twelfth year at the Wyndham Hamilton Park Hotel & Conference Center. We are confident that attendees and their families will continue to enjoy this facility and all of the activities the area offers. Proceedings notes will be provided to all attendees on a USB/Flash drive. This change was instituted in 2014 year and was well received by our attendees. A printed proceedings book is available for advanced purchase at an additional cost. Please be sure to mark the appropriate selection on your registration form if you wish to purchase printed notes. Saturday evening is sure to entertain! The night will begin with our Exhibit Hall and the ever-popular New Jersey Veterinary Foundation Silent Auction. NJVF Silent Auction Coordinator Nancy Muddell has once again outdone herself. Don’t miss your chance to bid on some truly exceptional items. Our Saturday night dinner entertainment features the home-grown musical group The Jersey Four: A Tribute to Frankie Valli and the Four Seasons. Join us on Sunday for the 21st Annual NJVMA Animal Hall of Fame. This event honors animals and animal welfare advocates who exemplify the strength and significance of the human-animal bond. We look forward to having you as our guest at the induction ceremony. I would like to take this chance to express my thanks for the outstanding commitments given by the Board and the Committee Chairs. With their generous dedication and hard work, we have been able to make this a great year for the NJVMA. I particularly want to note the outstanding efforts of R. Wayne Randolph, VMD for assembling another phenomenal CE program for the annual meeting. Sincerely, Mary Moon, VMD 132nd A NNUAL MEETIN G 1 F E AT U R E D S P E A K E R S C O M PA N I O N A N I M A L : Dr. Joseph W. Bartges Cornell University Veterinary Specialists; Cornell University Stamford, CT Dr. Steven M. Fox 2015-2016 EXECUTIVE BOARD Securos Surgical Clive, IA Dr. Gregory F. Grauer Dr. Mary Moon President Dr. Neal Beeber Treasurer Dr. Ian Driben Executive Board Member Dr. Kristi Gannon Executive Board Member Dr. Amy Sclarsky Executive Board Member Dr. Michael Yurkus Executive Board Member Dr. Dustin Lewis Executive Board Intern Mr. Richard Alampi Executive Director Veterinary Health Center, Kansas State University Manhattan, KS Dr. Ira R. Luskin Animal Dental Centers of Maryland Animal Dental Training Center Annapolis, MD Dr. Narda G. Robinson Colorado State University Fort Collins, CO Dr. Elizabeth A. Rozanski Tufts University North Grafton, MA Dr. Margie Scherk catsINK Vancouver, BC, Canada TECHNICIAN SUBJECTS: Dr. Joseph W. Bartges Cornell University Veterinary Specialists; Cornell University Stamford, CT Dr. Gregory F. Grauer A N N UA L M E E T I N G C O M M I T T E E Dr. R. Wayne Randolph Program Chair Ms. Nancy Muddell Silent Auction Coordinator Ms. Kathleen Schaab Meetings and Member Services Coordinator Veterinary Health Center, Kansas State University Manhattan, KS Dr. Ira R. Luskin Animal Dental Centers of Maryland Animal Dental Training Center Annapolis, MD Dr. Sheilah Ann Robertson Michigan State University East Lansing, MI M A N A G E M E N T: Ms. Denise Tumblin Wutchiett Tumblin and Associates Columbus, OH Ms. Julie Squires Rekindle LLC Kingston, NY 2 New Jersey Veterinary Medical Association 132nd AN NUAL MEETING 3 132nd NJVMA Annual Meeting Saturday, March 12, 2016 PRACTICE C O M PA N I O N A N I M ATL E C H N I C I A N MANAGEMENT C O M PA N I O N A N I M A L 7:30 am – 9:00 am Town Hall & Breakfast Meeting Feline Pain Management Respiratory Medicine Integrative Medicine Dentistry 9:00 am – 9:50 am Respectful Cat Handling vs. Cat Wrangling: From the Cat’s Point of View Feline Pain Management Part I Dr. Steven M. Fox Dr. Margie Scherk Localization: The Key to Successful Diagnosis Dr. Elizabeth A. Rozanski Feline Pain Management Part II Dr. Steven M. Fox Improving Client Compliance in the Feline Practice Multimodal Management of K9 Osteoarthritis Dr. Margie Scherk Dr. Steven M. Fox Noon – 2:00 pm 2:00 - 2:20pm Free Time Stabilization of the Polytrauma Patient Dr. Elizabeth A. Rozanski Medical Acupuncture – Basic Science Dr. Narda G. Robinson The Oral Cavity Under Seige Hot Tips to Boost Revenue Dr. Ira R. Luskin Ms. Denise Tumblin Medical Acupuncture – Evidential Support Dr. Narda G. Robinson 11:00 am – 11:50 am Pulmonary Laser Therapy and Contusions and Photobiomodulation Other Thoracic Dr. Narda G. Trauma Robinson Dr. Elizabeth A. Rozanski 132nd Annual NJVMA Business (all registered attendees and Dr. Margie Scherk Rethinking Perioperative Analgesia Diagnostic Imaging: A Case Based Approach Dr. Elizabeth A. Dr. Steven M. Fox Rozanski Surgical Extractions and Their Complications Part I Dr. Ira R. Luskin A Scientific Approach to Botanical Medicine Dr. Narda G. Robinson Evidence? Behind Nutraceuticals Dr. Steven M. Fox Dr. Margie Scherk Pneumonia Dr. Elizabeth A. Rozanski Medical Massage – Mechanisms and Evidence Dr. Narda G. Robinson Tech II 9:00 am – 9:50 am Liquid Gold: Urinalysis Dr. Joseph W. Bartges Reassessment of Normal Values in Kidney Disease Dr. Gregory F. Grauer 10:00 am – 10:50 am What Foods These It’s Time to Get CKD: A Tale of Morsels Be: Serious About Two Cats Nutritional the Budget Assessment Dr. Gregory F. Grauer Ms. Denise Tumblin Dr. Joseph W. Bartges 11:00 am – 11:50 am Surgical Extractions and Their Complications Part II What Well-Managed Practices® Pay: Are You in the Ballpark? Dr. Ira R. Luskin Ms. Denise Tumblin 11:00 am – 11:50 am Raw or War: Homemade and Raw Food Diets Dr. Joseph W. Bartges UTI: Top Ten Questions Addressed Dr. Gregory F. Grauer Meeting & Luncheon/Meet The Candidates guests are welcome to attend) 2:30 pm – 3:20 pm The Big C Word Approach to Oral Neoplasia Blueprint for Success Part I Dr. Ira R. Luskin Ms. Denise Tumblin 3:30 pm – 4:20 pm Recent Compelling and Clinically Relevant JFMS Updates Tech I 10:00 am – 10:50 am 2:30 pm – 3:20 pm Controversies Surrounding Protein in Feline Nutrition Management 9:00 am – 9:50 am 10:00 am – 10:50 am Respectful Cat Handling vs. Cat Wrangling: Putting Purrspective into Your Practice Dr. Margie Scherk (included in your registration) 3:30 pm – 4:20 pm When the Face Meets the Road Dr. Ira R. Luskin 2:30 pm – 3:20 pm Reactions by Cats, Calcium, Consumers: and Kidneys Adverse Food Reactions Dr. Gregory F. Grauer Dr. Joseph W. Bartges 3:30 pm – 4:20 pm Meals for Wheels: Use of NSAIDs in Dogs with Liver and Nutrition and Kidney Disease Osteoarthritis Dr. Gregory F. Dr. Joseph W. Ms. Denise Tumblin Grauer Bartges Blueprint for Success Part II 4:30 pm – 7:00 pm Exhibits Open Support the Companies that Support the Annual Meeting! 7:00 pm 11:00 pm 5:00 pm – 7:00 pm Dinner, Cocktail Reception andMystery! NJVF Silent Auction (proceeds benefit the NJ Veterinary Foundation) Music and Murder 7:00 pm –11:00 pm Dinner & Entertainment Featuring the The Jersey Four 4 New Jersey Veterinary Medical Association (included in your two-day meeting registration) 132nd AN NUAL MEETING 5 132nd NJVMA Annual Meeting Sunday, March 13, 2016 PRACTICE MANAGEMENT C O M PA N I O N A N I M A L 7:30 am – 8:50 am Breakfast Feline Pain Management Respiratory Medicine with the Exhibitors Urology Nutrition Early Diagnosis of CKD Dr. Gregory F. Grauer What Foods These Morsels Be: Nutritional Assessment Dr. Joseph W. Bartges 9:00 am – 9:50 am Skinny Old Cats: Sarcopenia and Cachexia Dr. Margie Scherk NSAIDs: Good, Bad Breed Specific and the Ugly Respiratory Distress Part I Dr. Elizabeth A. Rozanski Dr. Steven M. Fox Staging and Management of CKD Dr. Gregory F. Grauer Tales from the Crypts: Adverse Food Reactions Dr. Joseph W. Bartges 11:00 am – 11:50 am Feline Chronic Pain Syndromes – More than Musculoskeletal Local Blocks Dr. Steven M. Fox Feline Respiratory Distress Dr. Elizabeth A. Rozanski Dr. Margie Scherk Importance of Proteinuria and Hypertension in CKD Dr. Gregory F. Grauer Platinum Sponsor: Compassion-First Pet Hospitals / Celebrate the induction of the 2016 Orthoped Ex Fix: Domain of the General Practitioner Dr. Margie Scherk Dr. Steven M. Fox Urine Agony: Urolithiasis Dr. Joseph W. Bartges Cutting Edge Speaker’s Choice: What’s New Dr. Steven M. Fox 6 New Jersey Veterinary Medical Association 10:00 am – 10:50 am Compassion Fatigue Strategies: Compassion Satisfaction & Self-Care Ms. Julie Squires 9:00 am – 9:50 am Assessing Acute Pain in Dogs Dr. Sheilah Ann Robertson Compassion Fatigue Strategies: Mind Management Ms. Julie Squires ABC’s of Dentistry and Oral Disease Part I Dr. Ira R. Luskin 10:00 am – 10:50 am Assessing Acute Pain in Cats Dr. Sheilah Ann Robertson ABC’s of Dentistry and Oral Disease Part II Dr. Ira R. Luskin 11:00 am – 11:50 am What’s New in Feline Anesthesia and Analgesia? Dr. Sheilah Ann Robertson What You See is What You Image Dr. Ira R. Luskin Hall of Fame Luncheon Veterinary Specialists North America (VSNA) inductees into the NJVMA Animal Hall of Fame. 2:00 pm – 2:50 pm 2:00 pm – 2:50 pm 2:00 pm – 2:50 pm Feline Trauma Dr. Elizabeth A. Rozanski Compassion Fatigue Strategies: EFT (Emotional Freedom Technique) Tapping Ms. Julie Squires Practical The Equipment and Perioperative Pain Technique Behind Management Getting a Good Oral Image Dr. Sheilah Ann Robertson Dr. Ira R. Luskin 3:00 pm – 3:50 pm 3:00 pm – 3:50 pm ACEI and CKD: The Good, Bad, and Ugly Dr. Gregory F. Grauer Urine Misery: Urinary Tract Infections Dr. Joseph W. Bartges 3:00 pm – 3:50 pm Managing the Geriatric Cat with Multiple Disorders Part II Dr. Margie Scherk Compassion Fatigue 101 Ms. Julie Squires Tech II Tech I 11:00 am – 11:50 am Noon - 1:50 pm 21st Annual NJVMA Animal Managing the Geriatric Cat with Multiple Disorders Part I Compassion Fatigue 9:00 am – 9:50 am 10:00 am – 10:50 am Lower Urinary Tract NSAIDs: Good, Bad Acute on Chronic Health-Metabolism and the Ugly Respiratory Disease and Stress Part II Dr. Elizabeth A. Rozanski Dr. Margie Scherk Dr. Steven M. Fox TECHNICIAN Procedures You Can Do! Dr. Elizabeth A. Rozanski Hyperthyroidism and CKD Dr. Gregory F. Grauer Urine Pain: Feline Idiopathic Cystitis Dr. Joseph W. Bartges Compassion Fatigue Strategies: Mindfulness in Veterinary Medicine Ms. Julie Squires Constant Rate Infusions - What, Why and How Dr. Sheilah Ann Robertson Test Your Dental IQ Dr. Ira R. Luskin 132nd AN NUAL MEETING 7 Course Descriptions Saturday, March 12, 2016 COMPANION ANIMAL Feline - Dr. Margie Scherk 9:00 am – 9:50 am Respectful Cat Handling vs. Cat Wrangling: From the Cat’s Point of View Handling cats in practice can be challenging. In order to work peaceably with cats, it helps to look at things from their point-of-view. The cat is a species that has evolved with a social structure different than ours. Cats are able to function completely efficiently as a solitary creature, yet have complex and changing social interaction. They are both predators and prey, which affects how they respond to us in a clinic setting. 10:00 am – 10:50 am Respectful Cat Handling vs. Cat Wrangling: Putting Purrspective into Your Practice Using the foundation of imagining what a cat’s perspective might be, put the pieces into how you work with cats. Learn numerous techniques and ways of interacting with cats to make your, and their, hospital experience less stressful. Numerous practice tips will also be included to show how procedures may need to be adapted to this species. 11:00 am – 11:50 am Improving Client Compliance in the Feline Practice How do we get feline clients to bring their cats into the clinic for preventive care AND how do we help them carry out our recommendations? Cats don’t like coming to the clinic. Clients don’t like bringing their cats to the clinic. Within the clinic setting, many of us prefer to handle dogs. By addressing these realities, we can increase the number of visits and improve the care our feline patients are offered. Building on respectful, feline-friendly handling, our clients will be more likely to follow through with the professional recommendations we make. 2:30 pm – 3:20 pm Controversies Surrounding Protein in Feline Nutrition As obligate carnivores with a different set of nutritional requirements than the omnivorous canine, understanding more about feline nutrition is valuable in caring for cats. It is critical to feed cats not just enough calories, but enough calories from protein. Controversy exists especially when discussing feeding cats with kidney diseases, but also the role of protein in managing diabetes mellitus and weight loss. COMPANION ANIMAL Pain Management - Dr. Steven M. Fox 9:00 am – 9:50 am Feline Pain Management, Part I Cats present with diseases unique from the dog and cannot, therefore, be considered as ‘small dogs.’ Species specifics include: manifestations of pain, prevalence of degenerative joint disease and drug metabolism. 10:00 am – 10:50 am Feline Pain Management, Part II Cats present with diseases unique from the dog and cannot, therefore, be considered as ‘small dogs.’ Species specifics include: manifestations of pain, prevalence of degenerative joint disease and drug metabolism. 11:00 am – 11:50 am Multimodal Management of K9 Osteoarthritis Canine OA is most effectively managed not by one modality alone, but with a multimodal approach. Multimodal management is effective because each modality alone is operative, and together they demonstrate synergism. 2:30 pm – 3:20 pm Rethinking Perioperative Analgesia The best approach to treating pain is preemptively, and several trends are becoming apparent: a focus to mechanism-based analgesia, integration of regenerative medicine techniques, protocol selections based upon drug-class synergisms and development of new delivery forms for historically efficacious molecules. 3:30 pm – 4:20 pm Evidence? Behind Nutraceuticals Even if you do not recommend implementation of nutraceuticals within your practice, you are seen as an ‘authority’ by your clientele. For that reason alone, you should know what evidence support the use of nutraceuticals for degenerative joint disease. 3:30 pm – 4:20 pm Recent Compelling and Clinically Relevant JFMS Updates This session will summarize a selection of topical papers published in our JFMS over the past 2 years. Get ready for a speedy, stimulating presentation! 8 New Jersey Veterinary Medical Association 132nd AN NUAL MEETING 9 Course Descriptions Saturday, March 12, 2016 COMPANION ANIMAL Respiratory Medicine - Dr. Elizabeth A. Rozanski 9:00 am – 9:50 am Localization: The Key to Successful Diagnosis This session will focus on how to localization respiratory signs to the specific area or areas in the respiratory system that are causing the problem. 10:00 am – 10:50 am Stabilization of the Polytrauma Patient This session will focus on emerging concepts in the management of severely injured dogs and cats. 11:00 am – 11:50 am Pulmonary Contusions and Other Thoracic Trauma This session will focus on the dog with thoracic injuries, and discuss tips for stabilization and a good outcome! COMPANION ANIMAL Integrative Medicine - Dr. Narda G. Robinson 9:00 am – 9:50 am Medical Acupuncture – Basic Science Practicing acupuncture scientifically allows practitioners to describe what they do with clear, contemporary terminology. Learn the basics and understand how neuroanatomic acupuncture delivers clinically meaningful benefits. 10:00 am – 10:50 am Medical Acupuncture – Evidential Support The number of studies attesting to the value of acupuncture has grown to the point that a large number of systematic reviews have become available. Learn about the breadth of research supporting acupuncture. 11:00 am – 11:50 am 2:30 pm – 3:20 pm Diagnostic Imaging: A Case Based Approach This session, using recent cases, will focus on how to apply diagnostic imaging concepts to the patient in front of you. 3:30 pm – 4:20 pm Pneumonia This session will focus on infectious and inflammatory pneumonia in dogs and cats. Laser Therapy and Photobiomodulation Learn the science of photobiomodulcation how laser therapy works. Review the evidence for back pain, arthritis, spinal cord injury, wound healing, and radiation-induced mucositis. 2:30 pm – 3:20 pm A Scientific Approach to Botanical Medicine Veterinarians need to know how botanical agents affect our patients physiology, health, and disease, in both beneficial and not-so-beneficial ways. Learn which herbs appear to be safe and effective and which ones carry the risk of harm. 3:30 pm – 4:20 pm Medical Massage – Mechanisms and Evidence Medical massage begins with a clear-cut diagnosis and ends with a readily identifiable outcome. Understanding its biologic mechanism of action allows practitioners to target myofascial or neurophysiologic problems. Knowing the evidence allows us to make informed recommendations. 10 New Jersey Veterinary Medical Association 132nd AN NUAL MEETING 11 Course Descriptions Saturday, March 12, 2016 COMPANION ANIMAL PRACTICE MANAGEMENT Dentistry - Dr. Ira R. Luskin Management - Ms. Denise Tumblin 9:00 am – 9:50 am The Oral Cavity Under Seige All the structures of the oral cavity will be evaluated as to the etiological basis in which disease can develop. This will be beneficial to the clinician in order to better assess the client as to the appropriate diagnostics and subsequent treatment modalities required to rectify the problems. 10:00 am – 10:50 am Surgical Extractions and Their Complications, Part I Indications for surgical extractions will be discussed as well their complications in Part I. 9:00 am – 9:50 am Hot Tips to Boost Revenue Productivity and efficiency top owners’ list of concerns with an eye on growth. If your revenue has stalled, this program is just the ticket for fresh ideas and hot tips to rejuvenate your revenue mojo. 10:00 am – 10:50 am It’s Time to Get Serious About the Budget Achieving a healthy profit margin doesn’t happen by chance. f you aren’t sure where to start, we’ll cover the easy A, B, Cs of crafting a budget plan. 11:00 am – 11:50 am 11:00 am – 11:50 am Surgical Extractions and Their Complications, Part II Instrumentation and techniques to make various tooth extractions easier to accomplish will be covered in Part II. 2:30 pm – 3:20 pm The Big C Word Approach to Oral Neoplasia The third most common site for neoplasia is the oral cavity. Our clients turn to us for facts and options. This lecture discusses the clinical presentation, types and surgical options to oral neoplasia.. 3:30 pm – 4:20 pm When the Face Meets the Road Thorough evaluation of maxillo-facial trauma is important in developing a therapeutic plan for stabilization. Often this involves a multi- disciplinary approach. The cases that will be presented underscore the basic tenets of oral surgery.. 12 New Jersey Veterinary Medical Association What Well-Managed Practices® Pay: Are You in the Ballpark? Join us for a thought-provoking discussion of the latest compensation and benefits trends for doctors and staff members and gain insights into what’s most important to your employees. 2:30 pm – 3:20 pm Blueprint for Success, Part I Consciously planning the path to a successful practice is key to arriving at your desired destination. This program covers the points to ensure a thriving practice and a strong financial position. 3:30 pm – 4:20 pm Blueprint for Success, Part II Consciously planning the path to a successful practice is key to arriving at your desired destination. This program covers the points to ensure a thriving practice and a strong financial position. 132nd AN NUAL MEETING 13 Course Descriptions Saturday, March 12, 2016 TECHNICIAN SUBJECTS Tech I - Dr. Joseph W. Bartges 9:00 am – 9:50 am Liquid Gold: Urinalysis Urinalysis should be a part of a minimum data base for all patients. This presentation will focus on getting the most out of a urine sample analysis. 10:00 am – 10:50 am What Foods These Morsels Be: Nutritional Assessment This presentation will summarize the AAHA nutritional assessment guidelines utilizing the ACVN iterative process and their use in practice with application to all patients. 11:00 am – 11:50 am Raw or War: Homemade and Raw Food Diets Homemade and raw diets are more becoming more common. This presentation will discuss advantages and disadvantages of homemade and raw diets with recommendations for communicating with clients. 2:30 pm – 3:20 pm Reactions by Consumers: Adverse Food Reactions Adverse food reactions include more than food allergy. This presentation will discuss different types of adverse food reactions, their management, and reporting of potential food associated toxicity. 3:30 pm – 4:20 pm Meals for Wheels: Nutrition and Osteoarthritis Nutrition can play a large role in preventing and managing patients with osteoarthritis. This presentation will discuss dietary strategies concerning osteoarthritis including commercial diets and supplements. 14 New Jersey Veterinary Medical Association TECHNICIAN SUBJECTS Tech II - Dr. Gregory F. Grauer 9:00 am – 9:50 am Reassessment of Normal Values in Kidney Disease Reassessment of "normal values" for serum creatinine and phosphorus as well as the UPC and blood pressure may facilitate early diagnosis and better management of CKD in dogs and cats. 10:00 am – 10:50 am CKD: A Tale of Two Cats Two feline CKD cases will be compared and contrasted to demonstrate the use of the IRIS CKD Staging System. 11:00 am – 11:50 am UTI: Top Ten Questions Addressed Urinary tract infections are most commonly, simple, uncomplicated infections that respond to appropriate antibiotic therapy. Complicated UTI occur associated with patient defense mechanism compromise. Complicated UTI are also often associated with recurrence. Complicated UTI require additional diagnostic testing and longer duration treatment. 2:30 pm – 3:20 pm Cats, Calcium, and Kidneys Primary hyperthyroidism, CKD, neoplasia, and idiopathic hypercalcemia are the major differential diagnostic considerations in cats with high serum calcium concentrations. Idiopathic hypercalcemia is the most common cause. 3:30 pm – 4:20 pm Use of NSAIDs in Dogs with Liver and Kidney Disease Older dogs are most often affected by arthritis and may benefit from long-term NSAID administration. Unfortunately many older dogs also have liver and/or kidney disease which can make long-term NSAID treatment problematic. 132nd AN NUAL MEETING 15 Course Descriptions Sunday, March 13, 2016 COMPANION ANIMAL Feline - Dr. Margie Scherk 9:00 am – 9:50 am Skinny Old Cats: Sarcopenia and Cachexia When is weight loss a normal age related change and when does it call for investigation? If we intervene before a certain point, can we turn weight and muscle decline around? 10:00 am – 10:50 am Lower Urinary Tract Health – Metabolism and Stress Lower urinary tract disorders are common in cats. In previous decades, the focus of study has been on causes and management of crystalluria. More recently it has become clear that the majority of cases of LUTD are idiopathic and the bladder may be the victim, rather than the initiator of the clinical signs. This presentation looks at Pandora Syndrome, the roles of metabolism and of stress. 11:00 am – 11:50 am Feline Chronic Pain Syndromes – More than Musculoskeletal Over the recent decade, there has been increased awareness of pain and attention to the alleviation of pain in cats. Investigation has focused primarily on chronic musculoskeletal pain. The purpose of this presentation is to address not only musculoskeletal but also other types of inflammatory and neuropathic pain in cats. 2:00 pm – 2:50 pm Managing the Geriatric Cat with Multiple Disorders, Part I The older cat often presents with concurrent disease conditions that can result in complex management. We will look at examples of Chronic kidney disease combined with arthritis, with hyperthyroidism and with diabetes paying particular attention to nutrition, analgesia and environmental needs. 3:00 pm – 3:50 pm Managing the Geriatric Cat with Multiple Disorders, Part II The older cat often presents with concurrent disease conditions that can result in complex management. We will look at examples of Chronic kidney disease combined with arthritis, with hyperthyroidism and with diabetes paying particular attention to nutrition, analgesia and environmental needs. 16 New Jersey Veterinary Medical Association COMPANION ANIMAL Pain Management - Dr. Steven M. Fox 9:00 am – 9:50 am NSAIDs: Good, Bad and the Ugly, Part I NSAIDs are the most frequently scripted drugs in veterinary medicine. In order to use this class of drugs responsibly, one must appreciate their science, efficacy, safety and value. 10:00 am – 10:50 am NSAIDs: Good, Bad and the Ugly, Part II NSAIDs are the most frequently scripted drugs in veterinary medicine. In order to use this class of drugs responsibly, one must appreciate their science, efficacy, safety and value. 11:00 am – 11:50 am Local Blocks The 2015 pain management guidelines from both the AAHA and the WSAVA support the International Veterinary Academy of Pain Management position that “because of their safety and significant benefit, local anesthetics should be utilized, insofar as possible, with every surgical procedure.” Orthoped - Dr. Steven M. Fox 2:00 pm – 2:50 pm Ex Fix: Domain of the General Practitioner To understand external fixation is to understand fracture repair: principles of all fracture stabilization are the same. Following this presentation, one should have an understanding of fracture stabilization and insight of how to apply Ex Fix to long bone fractures. Cutting Edge - Dr. Steven M. Fox 3:00 pm – 3:50 pm Speaker’s Choice: What’s New Presently, the most prevalent strategies for ‘new discoveries’ are: 1) novel formulations, 2) alternative delivery methods, and 3) label changes of existing medications. The most exciting frontiers of new drug discoveries are being derived from ‘mechanism-based’ physiological learnings. 132nd AN NUAL MEETING 17 Course Descriptions Sunday, March 13, 2016 COMPANION ANIMAL Respiratory Medicine - Dr. Elizabeth A. Rozanski 9:00 am – 9:50 am Breed Specific Respiratory Distress This session will focus on unique breed respiratory disease, and what you need to know to identify and manage them. 10:00 am – 10:50 am Acute on Chronic Respiratory Disease This session will focus on the pet with a known respiratory condition, that has now deteriorated. 11:00 am – 11:50 am Feline Respiratory Distress This session will focus on the cat with respiratory distress and how to maximize your chance of sending him home! 2:00 pm – 2:50 pm Feline Trauma The session will focus on the injured cat patient, including methods to stabilize and repair common injuries. 3:00 pm – 3:50 pm Procedures You Can Do! This session will focus on common and not-so common procedures that you can apply to your patients to improve outcome. COMPANION ANIMAL Urology - Dr. Gregory F. Grauer 9:00 am – 9:50 am Early Diagnosis of CKD Early diagnosis of CKD is important in order to slow progression and prolong survival while quality of life is relatively high. 10:00 am – 10:50 am Staging and Management of CKD Management of CKD involves 1) correction of identifiable primary or complicating renal diseases, 2) use of renoprotective treatments, and 3) alleviation of patient symptoms. The IRIS Staging System helps tailor appropriate diagnostics and therapeutics to the patient's stage of disease. 11:00 am – 11:50 am Importance of Proteinuria and Hypertension in CKD Proteinuria and hypertension are commonly associated with CKD in dogs and cats. Identification and treatment is important since each has been linked to CKD progression. 2:00 pm – 2:50 pm ACEI and CKD: The Good, Bad, and Ugly ACEI like enalapril and benazepril are one of the mainstay treatments for proteinuria and hypertension. In many cases, ACEI will slow progression and improve survival. Unfortunately, ACEI treatment is not always effective and in rare cases, may result in a decline in renal function. 3:00 pm – 3:50 pm Hyperthyroidism and CKD Hyperthyroidism is the most common endocrinopathy in aged cats. Hyperthyroidism, as well as its treatment, has the potential to adversely affect kidney function. 18 New Jersey Veterinary Medical Association 132nd AN NUAL MEETING 19 Course Descriptions Sunday, March 13, 2016 COMPANION ANIMAL Nutrition - Dr. Joseph W. Bartges 9:00 am – 9:50 am What Foods These Morsels Be: Nutritional Assessment This presentation will summarize the AAHA nutritional assessment guidelines utilizing the ACVN iterative process and their use in practice with application to all patients. PRACTICE MANAGEMENT Compassion Fatigue - Ms. Julie Squires 9:00 am – 9:50 am Compassion Fatigue 101 This session will raise awareness for compassion fatigue, burnout, secondary trauma and moral distress as it relates to veterinary medicine. 10:00 am – 10:50 am 10:00 am – 10:50 am Tales from the Crypts: Adverse Food Reactions Adverse food reactions include more than food allergy. This presentation will discuss different types of adverse food reactions, their management, and reporting of potential food associated toxicity. 11:00 am – 11:50 am Urine Agony: Urolithiasis This presentation will discuss management of common urolith types including medical dissolution and minimally invasive procedures as well as preventative strategies. 2:00 pm – 2:50 pm Urine Misery: Urinary Tract Infections Bacterial urinary tract infections occur commonly. This presentation will discuss diagnosis and management of patients with urinary tract infections including resistant organisms and preventative strategies for patients with recurrent infections. 3:00 pm – 3:50 pm Urine Pain: Feline Idiopathic Cystitis Lower urinary tract signs occur commonly in cats. This presentation will discuss causes of feline lower urinary tract signs with emphasis on managing cats with idiopathic cystitis. 20 New Jersey Veterinary Medical Association Compassion Fatigue Strategies: Compassion Satisfaction & Self-Care Both Compassion Satisfaction (the pleasure we derive from our work) and Self-Care (how we recover/refuel from our work) are protective against compassion fatigue. Learn how to foster both. 11:00 am – 11:50 am Compassion Fatigue Strategies: Mind Management Don’t believe everything you think. Negative and self-critical thinking causes pain and suffering. You will learn a model for coaching yourself through any problem as well as learn the importance of letting go. 2:00 pm – 2:50 pm Compassion Fatigue Strategies: EFT (Emotional Freedom Technique) Tapping EFT is a method whereby tapping on certain acupressure points on the skin is coupled with focusing on a specific stressful or negative situation in your life. The result is a balance between the sympathetic and parasympathetic nervous system which is referred to as a “neutral emotional state”, the gold standard of health and wellness. 3:00 pm – 3:50 pm Compassion Fatigue Strategies: Mindfulness in Veterinary Medicine Mindfulness is the practice of paying attention, on purpose and without judgement to the present moment and has been shown to reduce depression, anxiety, high blood pressure, stress, ruminating thoughts and chronic pain. This experiential session will include mindfulness exercises and meditations to reduce the stress. 132nd AN NUAL MEETING 21 Course Descriptions Sunday, March 13, 2016 TECHNICIAN SUBJECTS TECHNICIAN SUBJECTS Tech II - Dr. Ira R. Luskin Tech I - Dr. Sheilah Ann Robertson 9:00 am – 9:50 am Assessing Acute Pain in Dogs To treat pain in dogs we must recognize it and measure it. This session will use validated pain tools and real-life cases to teach you how to do this. 10:00 am – 10:50 am Assessing Acute Pain in Cats To treat pain in cats we must recognize it and measure it. This session will use validated pain tools and real-life cases to teach you how to do this. 11:00 am – 11:50 am What’s New in Feline Anesthesia and Analgesia? This session will cover new approaches to airway management in cats and review new opioids, non-steroidal anti-inflammatory agents and induction agents for this species. 2:00 pm – 2:50 pm Practical Perioperative Pain Management A good patient outcome depends on planning and pain management begins before the procedure and continues during and after the end of surgery. A multimodal approach will be discussed. 3:00 pm – 3:50 pm Constant Rate Infusions - What, Why and How Constant rate infusions of injectable anesthetic and analgesic agents can result in very smooth perioperative conditions. Simple and inexpensive techniques can be applied to everyday clinical practice. 9:00 am – 9:50 am ABC’s of Dentistry and Oral Disease, Part I During this lecture normal oral anatomy will be discussed and then the evaluation criteria of a normal bite in comparison to malocclusions will be presented. The etiology of periodontal disease in its different stages will be elaborated on and both conventional and surgical modalities will be presented in its treatment. 10:00 am – 10:50 am ABC’s of Dentistry and Oral Disease, Part II During this lecture normal oral anatomy will be discussed and then the evaluation criteria of a normal bite in comparison to malocclusions will be presented. The etiology of periodontal disease in its different stages will be elaborated on and both conventional and surgical modalities will be presented in its treatment. 11:00 am – 11:50 am What You See is What You Image This lecture will bring together what the clinician evaluates in the exam room with the radiological findings. Starting with normal radiographic findings as a comparison oral pathology will be interpreted and an action plan developed. 2:00 pm – 2:50 pm The Equipment and Technique Behind Getting a Good Oral Image What does it take to get a good image/ The main techniques for taking intraoral radiographs will be discussed. 3:00 pm – 3:50 pm Test Your Dental IQ This interactive presentation will pair one's clinical oral assessment with making a viable treatment plan. 22 New Jersey Veterinary Medical Association 132nd AN NUAL MEETING 23 Social/Business Activities Friday, March 11, 2016 2:00 pm – 5:00 pm NJVMA Executive Board Meeting 5:00 pm – 7:00 pm President’s Reception All members, friends, guests and their families are invited to a social gathering of colleagues. A great way to start off the weekend at the Annual Meeting. Sunday, March 13, 2016 Saturday, March 12, 2016 7:30 am – 8:50 am NJVMA Town Hall & Breakfast Meeting Join Executive Director Richard Alampi and Jonathan Eisenmenger Executive Director, State Board of Veterinary Medical Examiners for breakfast and discussion of the changes in the licensing process. This discussion will cover the transition from a written jurisprudence exam to an on-line orientation, similar to the model for physician licensing in NJ. The discussion will also include a review of the most common complaints against veterinarians, as well as a Q&A. 12:00 pm – 2:20 pm NJVMA Business Meeting & Luncheon / Meet the Executive Board Candidates Plan on attending the candidates forum on Saturday, immediately following the annual business meeting luncheon, to hear their views on the profession and the issues that face it. Make your vote an informed one! 7:30 am – 8:50 am NJVF Board of Trustees Meeting Annual Meeting of the Foundation Board. 7:30 am – 8:50 am Breakfast with the Exhibitors See the latest in veterinary goods and services while enjoying a full breakfast buffet. 12:00 pm – 1:50 pm 21st Annual Animal Hall of Fame Luncheon Platinum Sponsor - Compassion-First Pet Hospitals / Veterinary Specialists North America (VSNA) Join friends and colleagues as New Jersey’s veterinary community honors the human-animal bond. Please note that the Animal Hall of Fame luncheon is included in your two-day registration fee (excluding student registrations). 4:30 pm – 7:00 pm Exhibits Open Visit the exhibits and see the latest in veterinary products and services. Support the companies that support the Annual Meeting! 5:00 pm – 6:50 pm Cocktail Reception and NJVF Silent Auction Unwind with friends and colleagues while you strive to retain the day’s CE. Free hors d'oeuvres and a cash bar will be offered. Don't forget to bid on fabulous prizes – proceeds to benefit the NJVF. 7:00 pm – 11:00 pm Dinner and Entertainment featuring A tribute to Frankie Valli and the Four Seasons with The Jersey Four. 24 New Jersey Veterinary Medical Association 132nd AN NUAL MEETING 25 P RO G R A M I N F O R M AT I O N R E G I S T R AT I O N I N F O R M AT I O N Dates: Friday, March 11 – Sunday, March 13, 2016 Registration Location: Wyndham Hamilton Park Hotel & Conference Center The NJVMA encourages you to register online at www.njvma.org or by using the registration form enclosed prior to the conference. 175 Park Avenue, Florham Park, NJ 07932 Phone: (973) 301-9717 www.hamiltonparkhotel.com Important Deadlines The on-site registration desk will be open: Friday, March 11, 5:00 pm – 7:00 pm Saturday, March 12, 7:30 am – 5:00 pm Sunday, March 13, 7:30 am – 2:00 pm 4 Weeks prior: Friday, February 12, 2016, Early Bird Deadline 2 Weeks prior: Monday, February 22, 2016, Cancellation Deadline Registration Fees: On or before 2/12/16 After 2/12/16 NJVMA Members and Out-of-State VMA Members One-Day $285 $310 $205 $230 Non-Members One-Day $350 $230 $380 $250 2015 Graduates and Emeritus Members One-Day $160 $170 $115 $125 Technicians, Office Staff One-Day $165 $120 $175 $135 Students (Veterinary and Veterinary Technician) One-Day $30 $40 $20 $25 Guests $75 $85 (Rates are per person) Continuing Education Credits 10 CE credits available: Saturday, March 12, 2016 = 5.0 CE hours Sunday, March 13, 2016 = 5.0 CE hours Cancellation Policy Cancellations must be received in writing either via e-mail at [email protected] or fax to (908) 450-1286. Cancellations received by Monday, February 22, 2016 will receive a full refund. Cancellations received after Monday, February 22, 2016 will not be eligible for refunds, however you may send someone in your place by contacting the NJVMA headquarters at (908) 281-0918 in advance of the meeting. Please note that if you cancel your conference registration, it does not constitute cancellation of your hotel reservation –that is your responsibility. Registration Details for Veterinarians, Technicians and Office Staff: ■ ■ ■ 26 New Jersey Veterinary Medical Association Two-Day Registrations for Veterinarians, Technicians and Office Staff include breakfast, lunch, dinner and entertainment on Saturday, as well as breakfast and the 21st Animal Hall of Fame luncheon on Sunday. One-Day Registrations include breakfast and lunch. One-Day Saturday Registrations do not include Saturday night dinner and entertainment. 132nd AN NUAL MEETING 27 R E GI STR AT IO N INFORMAT ION continued Wyndham Hamilton Park Hotel & Conference Center Registration Details for Students and Guests: ■ ■ Veterinary Student and Veterinary Technician Student Registrations do not include meals. Guest Registration includes breakfast on Saturday and Sunday, lunch on Saturday, and Saturday’s Cocktail Reception. Guest registration does not include Saturday’s Dinner or Sunday’s 21st Animal Hall of Fame luncheon. These tickets may be purchased separately. Proceedings USB/Flash Drive Proceedings Free with Registration On or before 2/12/16 Printed Proceedings $30 After 2/12/16 $40 Additional Special Events Tickets (If not already included in your registration) Dinner and Entertainment (Saturday, March 12) Animal Hall of Fame Luncheon (Sunday, March 13) 28 New Jersey Veterinary Medical Association On or before 2/12/16 H OT E L I N F O R M AT I O N After 2/12/16 $80 $90 $40 $50 175 Park Avenue Florham Park, NJ 07932 Phone: (973) 301-9717 www.hamiltonparkhotel.com A block of rooms has been reserved for Friday and Saturday nights and are subject to availability. The group rate is only available until Friday, February 9, 2016, subject to availability. Reservations made after Friday, February 9, 2016 may not be guaranteed at the group rate. Room Rate: $119.00 single or double occupancy. Check-in: 3:00 pm Checkout: 12:00 pm Online Reservations: www.hamiltonparkhotel.com Click on “Make a Reservation” Group code 03086880NJ. Call the hotel directly: (973) 301-9717 Group “NJVMA” The hotel offers free parking to all meeting attendees. Hotel rooms provide all of the amenities you expect from a first class facility. High-speed Internet access is available in every room. The hotel is completely wireless and complimentary. 132nd AN NUAL MEETING 29 H OT E L I N F O R M AT I O N continued Directions From NJ 24 West: Follow NJ 24 West to Exit 2-A for Morristown Rt. 510 West (Columbia Turnpike). Make a left at the first light onto Park Ave. At the fourth light make a right into Hamilton Park. From Newark Airport: Follow signs to I-78 West. Take I-78 West for approximately 9 miles to NJ 24 West. Follow directions from NJ 24 West above. 132nd AN N U A L ME ET IN G SPONSORS* The NJVMA is pleased to acknowledge and thank the following sponsors of the Annual Meeting. We hope you will consider supporting these firms that support the association. Platinum From I-287 South to North: Follow I-287 North to Exit 37 (24 East, Springfield). Take Exit 2-A for Morristown/Rt. 510 West. Follow directions above for NJ 24 West. From I-287 North to South: Follow I-287 South to Exit 37 (24 East, Springfield). Take Exit 2-A for Morristown/Rt. 510 West. Follow directions from NJ 24 West above. From Garden State Parkway South: Take Garden State Parkway South to Exit 142. Follow signs for I-78 West. Take I-78 West to NJ 24 West. Follow directions from NJ 24 West. Compassion-First Pet Hospitals / Veterinary Specialists North America (VSNA) Silver From Garden State Parkway North: Take Garden State Parkway North to Exit 142. Follow signs for I-78 West. Take I-78 West to NJ 24 West. Follow directions from NJ 24 West. Arthur J Gallagher & Co. Best Pet Rx Garden State Veterinary Specialists Bronze Abaxis Association Master Trust Companion Animal Health by LiteCure Elanco Animal Health Hamilton Pet Meadow Merritt Veterinary Supplies 30 New Jersey Veterinary Medical Association NorthStar VETS Oradell Animal Hospital Simmons Mid-Atlantic SonoPath.com Valley National Bank Zoetis *as of 12-4-15 132nd AN NUAL MEETING 31 P AST PRESIDENTS 1884 1884-1887 1887-1888 1888-1889 1889-1891 1881-1892 1892-1893 1893-1894 1894-1895 1895-1897 1897-1899 1899-1901 1901-1905 1905-1907 1907-1908 1908-1910 1910-1912 1912-1915 1915-1917 1917-1919 1919-1920 1920-1922 1922-1923 1923-1925 1925-1927 1927-1929 1929-1931 1931-1933 1933-1935 1935-1937 1937-1939 1939-1941 1941-1943 1943-1945 1945-1947 1947-1949 1949-1950 1950-1951 1951-1952 1952-1953 1953-1954 1954-1955 1955-1956 1956-1957 1957-1958 1958-1959 1959-1960 1960-1961 1961-1962 1962-1963 Dr. James C. Corlies Dr. William B.E. Miller Dr. William Dimond Records unavailable Dr. James W. Hawk Dr. R.R. Letts Dr. James C. Dustan Dr. Julius Gerth, Jr. Dr. William B.E. Miller Dr. James W. Hawk Dr. William H Arrowsmith Dr. L. P. Hurley Dr. William Herbert Lowe Dr. Thomas Earle Budd Dr. Eldon Leon Loblein Dr. John Bogert Hopper Dr. Thomas B. Rogers Dr. Thomas E. Smith Dr. Wilfred Follansbee Harrison Dr. J. Payne Lowe Dr. James T. Glennon Dr. Robert E. Mosedale Dr. Henry H. Bair Dr. John W. Haffer Dr. Arthur W. Smith Dr. John McNeill Dr. Harry C. Miller Dr. Ronald W. Butterworth Dr. Wilbur B. Maxson Dr. Edward R. Cushing Dr. Charles J. McAnulty Dr. Gustaw Henry Kimnach Dr. John T. McGrann Dr. Ralph A. Hendershott Dr. Joseph A.S. Millar Dr. Raymond S. Huff Dr. Robert P. Lawrence Dr. Joseph B. Engle Dr. Elwood G. Fooder Dr. James R. Porteus Dr. Amos W. Stults Dr. John M. McCarthy Dr. Robert R. Crelin Dr. W. Philip Boyer Dr. William W. Bailey Dr. Oscar W. Sussman Dr. Myron S. Arlein Dr. Robert L. Ticehurst Dr. John S. Gray Dr. Owen K. Fox 32 New Jersey Veterinary Medical Association 1963-1964 1964-1965 1965-1966 1966-1967 1967-1968 1968-1969 1969-1970 1970-1971 1971-1972 1972-1973 1973-1974 1974-1975 1975-1976 1976-1977 1977-1978 1978-1979 1979-1980 1980-1981 1981-1982 1982-1983 1983-1984 1984-1985 1985-1986 1986-1987 1987-1988 1988-1989 1989-1990 1990-1991 1991-1992 1992-1994 1994-1995 1995-1996 1996-1997 1997-1998 1998-1999 1999-2000 2000-2001 2001-2002 2002-2003 2003-2004 2004-2005 2005-2006 2006-2007 2007-2008 2008-2009 2009-2010 2010-2011 2011-2014 2014-2015 Dr. Arthur F. North, Jr. Dr. William J. Foster Dr. Russell S. Edmonds, Sr. Dr. Robert R. Shomer Dr. Joseph M. Fell Dr. Lloyd J. Sanders Dr. Bernard G. Levine Dr. Calvin W. Moon Dr. John R. McCoy Dr. Richard A. Hartkopf Dr. Marvin Rothman Dr. Jerome H. Ripps Dr. Silvio A. Fittipaldi Dr. Roy K. Imhoff Dr. William P. Darrow Dr. Edward Baker Dr. David Eisenberg Dr. William V. Hobbie, Jr. Dr. Charles J. Driben Dr. Harold M.S. Smith Dr. David A. Meirs, II Dr. William H. Jackson Dr. Richard Klesmer Dr. Fletcher Reynolds Dr. Ralph Werner Dr. George Cameron Dr. Earl Rippie Dr. Arthur Baeder Dr. Martha O’Rourke Dr. Stephen Weiner Dr. Clifford Muddell Dr. Neal Beeber Dr. Mark Helfat Dr. Robert Gordon Dr. Maria Iannone Dr. Nancy Halpern Dr. Elizabeth Hunton Dr. Mark Logan Dr. Suzanne Smith Dr. R. Wayne Randolph Dr. Clifford Sporn Dr. Susan Lewis Dr. Kim Taylor Dr. Barry Adler Dr. Steven Hornstein Dr. Lawrence Wolf Dr. Anthony DeCarlo Dr. Ian Driben Dr. Mary Moon For over thirty years, the New Jersey Veterinary Foundation (NJVF) has been a leader in the field of financial support for New Jersey's veterinary students and animal welfare programs. Since its inception, the Foundation has issued over 500 grants and loans totaling over $1M. Every donor who has contributed to the Foundation over the years should feel proud of what we have accomplished together. Help support the NJVF in its mission to promote, advance, and assist: public and professional veterinary education; the well-being and humane treatment of animals; and the human-animal bond. Please consider making a monthly donation by participating in the Do It Once a Month program or make a onetime donation with your Annual Meeting registration. Any donation is greatly appreciated and donations are tax-deductible. DO IT ONCE A MONTH! ■ $100 ■ $200 ■ 36 months Please deduct my monthly contribution of: For: From: ■ 12 months ■ 24 months ■ Other _______ ■ Credit Card (include payment details below) ■ Electronic Debit to Bank Account (voided check attached) ■ Checking ■ Savings Authorization Date________________ Bank _________________________________ Name________________________________________________________________ Routing #_________________________ Account #____________________________ Please include a voided check. ONE TIME DONATION Please accept my one time donation of: ■ $25 ■ $50 ■ Other _________ DONOR INFORMATION Full Name_____________________________________________________________ Mailing Address ________________________________________________________ City / State / Zip ________________________________________________________ Email______________________________ Phone_____________________________ PAYMENT INFORMATION ■ Check enclosed (made out to NJVF) or ■ Amex ■ Visa ■ Mastercard ■ Discover CC Number_____________________________________________ Exp. ___________ Print Name____________________________________________________________ Signature_____________________________________________________________ New Jersey Veterinary Foundation (NJVF) is a 501(c)(3) charitable organization. Federal Tax ID#22-7455464. Please include this form with your completed meeting registration or mail to: New Jersey Veterinary Foundation 390 Amwell Road, Suite 402 Hillsborough, NJ 08844 Phone: (908) 281-0918 • Fax: (908) 450-1286 E-mail: [email protected] New Jersey Veterinary Medical Association 390 Amwell Road, Suite 402 Hillsborough, NJ 08844 First-Class Prsrt U.S. Postage PAID Documation