Part 3: Session descriptions - Midwest Veterinary Conference
Transcription
Part 3: Session descriptions - Midwest Veterinary Conference
thursday 2 19 15 • speaker spotlight animal Behavior 100 8 – 9 a.m. Yes, You Can Make Money as a Behavior Practitioner! Melissa Bain, DVM, DACVB, M.S. Behavior is part of everyday practice, whether it’s low-stress handling or performing behavior consultations. This session will lay the foundation for how this can become a financially sustainable part of your practice. 101 9:15 – 10:15 a.m. Risk Analysis of Behavior Problems Melissa Bain, DVM, DACVB, M.S. How do you triage a behavior problem? Is the animal a danger to people or other pets—or is it being euthanized out of convenience? This session will summarize important aspects of triaging problems and counseling owners. 102 10:30 – 11:30 a.m. How to Select the Right Dog Trainer Melissa Bain, DVM, DACVB, M.S. Dog trainers can be an asset to your practice, helping your clients with training and beyond. However, some trainers do not follow modern scientific principles when working with animals. This session will help you learn how to identify both good and bad trainers, and how to work with them in practice. 103–104 Dr. Melissa Bain is board certified in veterinary behavior and is the chief of service of the Clinical Animal Behavior Service. She received her DVM from the University of Illinois in 1994. She then worked in small and mixed animal veterinary practices in the Midwest before completing a residency in clinical animal behavior and a master’s degree in advanced clinical research at University of California, Davis School of Veterinary Medicine. She is a past president of the American College of Veterinary Behaviorists and the American Veterinary Society of Animal Behavior. 105 4 – 5 p.m. Six Weeks in a Crate? Perioperative Behavioral Strategies Melissa Bain, DVM, DACVB, M.S. Just how will your client keep his 1-yearold Border Collie crated after cruciate surgery? This session will discuss simple ways you and your clients can safely exercise your patients mentally and physically, with applicability to both your hospital and clients’ homes. 1:30 – 3:45 p.m. Melissa Bain, DVM, DACVB, M.S. Is it behavioral, medical or both? Behavior problems can often present as a physical problem—and vice versa. This two-part session will use case examples to highlight some of the common physical and behavioral problems that are presented to veterinarians, as well as the role that stress plays in our patients’ daily lives. 107 equine 106 9:15 – 10:15 a.m. Equine Cardiology, Part II: Cardiac Auscultation John Bonagura, DACVIM, DVM, M.S. This presentation will consider an approach to auscultation of the equine heart and include recorded sounds for illustration of key points. The approach to diagnosis and clinical management of the horse with a cardiac murmur will also be discussed. 108 10:30 – 11:30 a.m. Equine Cardiology, Part III: Acquired Heart Diseases John Bonagura, DACVIM, DVM, M.S. Therapeutic options for managing important acquired cardiac diseases of the horse—including atrial fibrillation, ventricular arrhythmias, congestive heart failure, infective endocarditis and pericardial effusion—will be reviewed in this session. 109 Interrelation Between Behavior and Medical Problems . 24 . • 1:30 – 2:30 p.m. Dealing With Another Doctor’s Mistake Charlotte Lacroix, DVM, J.D. For many veterinarians, being confronted with a mistake (or more accurately, an alleged mistake) made by another veterinarian is a daunting ethical dilemma. Fortunately, there are many resources available to help guide decision making in such situations. Unfortunately, though, there is rarely a clear-cut answer, and there most certainly is no single solution applicable to all situations. This presentation will help you navigate through this difficult topic. 110–111 2:45 – 5 p.m. Common Legal Risks Equine Practitioners Face 8 – 9 a.m. Equine Cardiology, Part I: Causes and Diagnoses John Bonagura, DACVIM, DVM, M.S. This presentation will provide an overview of the causes and diagnoses of various congenital and acquired equine cardiac disorders. Common disorders will also be illustrated during this presentation. Charlotte Lacroix, DVM, J.D. Equine practitioners are frequently faced with challenging legal questions as they conduct their daily business activities. These legal dilemmas range from the relatively straightforward (such as whether veterinarians have a duty of confidentiality) to the more complex (such as drug compounding and the minimum standards for performing pre-purchase examinations). Even more challenging is that even though some situations may appear similar on the surface, the unique facts of each scenario may require the application of a different law or the same law that leads to a different result. This seminar will give attendees a sampling of some of the legal issues equine veterinarians face on a daily basis—and how to tackle them. food Animal 112 8 – 9 a.m. Alternatives to the Shotgun Approach: Using Rates and Proportions to Improve Your Practice Greg Habing, DVM, M.S., Ph.D., DACVPM This session will focus on utilizing existing on-farm data to troubleshoot herd health problems, with an emphasis on using rates and proportion to understand the magnitude of a problem, conducting investigations and identifying solutions. Pitfalls commonly associated with this type of data analysis will be reviewed and realworld examples provided. 113 9:15 – 10:15 a.m. Separating the Wheat from the Chaff: Evaluating Veterinary Literature Jason Stull, VMD, MPVM, Ph.D., DACVPM In order to stay at the top of our game, clinicians need to be able to critically evaluate the scientific literature. But who has the time? This lecture will discuss available reliable sources that clinicians can use to identify and download scientific literature, methods to quickly determine the relevance of an article for the practitioner, and key elements of a publication that should be reviewed to enable a critical evaluation. Together, these practical skills will help every reader get more out of the literature quickly and efficiently, and appropriately incorporate this learning into practice. 114 10:30 – 11:30 a.m. Recent Advances in Swine Enteric Coronavirus Diseases in some cases, required—to use analgesic compounds routinely at the time of dehorning and castration. It is therefore reasonable for our clients to ask, “What’s in it for me?” This session will examine the economics of routine analgesic use in cattle. Andrew Bowman, M.S., DVM, Ph.D., DACVPM The session will cover recent news and research updates as they relate to swine enteric coronavirus diseases, with a focus on the recently emergent porcine epidemic diarrhea virus (PEDv) and porcine delta coronavirus (PDCoV). Particular emphasis will be placed on practical information that veterinarians can use to aid in the prevention and control of these diseases in swine populations. 118 115 Essential Oils: What to Do When Your Client Stinks! 1:30 – 2:30 p.m. Pain Assessment in Cattle Hans Coetzee, BVSc., Ph.D., DACVCP, DACAW The 21st century consumer is wealthier but also more detached from production agriculture than any other time in history. Therefore, animal welfare concerns are becoming an important issue to our clients and customers. We recognize that pain is an inevitable consequence of many routine animal husbandry procedures in farm animals. However, how can we determine whether cattle are in pain and if our analgesic interventions are working? In this session, we will examine novel approaches to measuring pain and analgesic drug efficacy in cattle and the potential for these measurements to be used to support an analgesic drug approval. 116 2:45 – 3:45 p.m. Pain Management and Analgesia in Cattle Hans Coetzee, BVSc., Ph.D., DACVCP, DACAW This session will cover specific analgesic and sedative drug regimens that may be useful in practice. In particular, we will discuss a practical sub-anesthetic/analgesic drug combination that can be used to take the edge off the fractious cases and several alternative approaches to providing analgesia in food animals. 117 4 – 5 p.m. Pain Management: What’s In It For Me? Hans Coetzee, BVSc., Ph.D., DACVCP, DACAW With the increased emphasis on animal welfare, producers are being encouraged—and, holistic & Integrative Medicine 8 – 9 a.m. Melissa Shelton, DVM Your first exposure to essential oils may be an encounter with a client who comes in smelling of oils. Essential oil use on animals is controversial and can leave you scratching your head, wondering what you should say to a client. In this lecture, learn what essential oils are, the facts behind quality claims, and what real-life veterinary experiences have been documented as being truthful. 119 9:15 – 10:15 a.m. Essential Oils: Why Won’t This Cat Die? Amazing Mystery Cases Melissa Shelton, DVM Essential oil use in cats is likely one of the most contended areas of aromatherapy. Clear statements of toxicity, liver damage and deaths are rampant wherever you look. However, in practice, there have been many veterinary cases that have demonstrated completely opposite results. This session will discuss both good and bad case studies, long-term use of oils, and why many toxicity reports are often flawed and inaccurate. 120 10:30 – 11:30 a.m. Essential Oils: Replacing Steroids, NSAIDs and Incontinence Meds...Really! Melissa Shelton, DVM One of the most common client complaints is the use of steroids and chronic medications with potential side effects. When your client is adamant about not using . 25 . thursday 2 19 15 • these medications and wants a natural alternative, essential oils can help! In this session, attendees will learn how to use essential oils instead of and with medications, how to go about it, and see case presentations documenting efficacy. 121 1:30 – 2:30 p.m. Essential Oils and Parasites: How Not to “Tick” Off Your Client Melissa Shelton, DVM Clients often ask for natural alternatives to flea and tick topicals, deworming and heartworm prevention or treatment. Learn the latest research and clinical experiences supporting (or not supporting) essential oil use for various parasites—along with recipes and protocols you can offer to clients, with results! 122 2:45 – 3:45 p.m. Essential Oils for Farm Animals: Keeping Ol’ Bessie Organic and Productive Melissa Shelton, DVM Small or large, backyard or commercial, more and more farms are looking for natural and organic remedies for cattle, goats, chickens and other animals. Learn protocols for teat wash, dip, mastitis prevention and treatment, diarrhea, and more to keep animals in good health, production return high and morbidity low—with no withdrawal times. Tips and tricks for easy use and group exposure to essential oils will also be covered. Zoo and exotic animal practitioners will also glean helpful information from this session. 123 4 – 5 p.m. Essential Oils for Equines: No Horsin’ Around, This $h*t Really Works! Melissa Shelton, DVM Essential oils can be used for many frustrating conditions in the equine world, often with great results. In this session, attendees will see case studies and learn the most successful protocols for conditions such as colic, strangles, thrush, canker, laminitis, white line disease, EPM, sarcoids, . 26 . • speaker spotlight Dr. Richard Bednarski is professor and service coordinator for The Ohio State University College of Veterinary Medicine’s anesthesia and pain management section. He is recipient of the Norden Distinguished Teacher Award, the 2010 John Lyman Award for Clinical Teaching Excellence, the 2010 Dean’s Award for creativity in teaching, and most recently the American Association of Veterinary Clinicians 2013 Faculty Achievement Award. He is past president of the American College of Veterinary Anesthesiologists and the Ohio Veterinary Medical Association. He has published more than 60 peer-reviewed articles and 10 book chapters. proud flesh, swamp cancer, viral infections and more. Use of essential oils in competition horses will also be covered. pet animal Anesthesia/Pain Management 8 – 10:15 a.m. Developing the Anesthetic Plan from Sedation through Recovery Richard Bednarski, M.S., DVM, DACVA This two-part session will focus on developing sedation and anesthetic plans that are appropriate for elective and emergent procedures in dogs and cats—regardless of age, physical condition and the intended surgical or medical procedure. Newer anesthetic drugs and analgesics will be discussed, as will co-infusions and local anesthetic techniques meant to complement and enhance traditional inhalation anesthesia. 10:30 – 11:30 a.m. Anesthetic Monitoring Richard Bednarski, M.S., DVM, DACVA Monitoring anesthetic depth and cardiopulmonary function are key to delivering anesthesia safely and successfully. Principles and techniques of monitoring cardiopulmonary function and anesthetic depth will be discussed. 1:30 – 3:45 p.m. Anesthetic Machines, Breathing Circuits and Ventilators Richard Bednarski, M.S., DVM, DACVA Setup and troubleshooting of anesthetic machines, breathing circuits and ventilators will be discussed in this two-part session. 129 124–125 126 127–128 4 – 5 p.m. Open Forum: Anesthetic Q&A Richard Bednarski, M.S., DVM, DACVA This will be an open forum to answer any anesthetic-related questions from the audience. Veterinarians and technicians are invited to bring questions regarding anesthetic drugs, techniques and monitoring. pet animal Dermatology/Otology 130 8 – 9 a.m. Otology: Importance of the Basics Lynette Cole, DVM, M.S., DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. 131 9:15 – 10:15 a.m. Management of the Primary Causes and Predisposing Factors of Otitis Lynette Cole, DVM, M.S., DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. 132 10:30 – 11:30 a.m. 137 9:15 – 10:15 a.m. Management of the Perpetuating Factors of Otitis News in Tumor Immunology Lynette Cole, DVM, M.S., DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. The immune system is important in preventing cancer development, as a target for malignant transformation, and ultimately as a tool that can be applied to treat cancer. Information on the latest understanding of tumor immunology, including the use of monoclonal antibodies and anticancer vaccines, will be provided in this session. 133 1:30 – 2:30 p.m. Otic Cytology Lynette Cole, DVM, M.S., DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. 134 2:45 – 3:45 p.m. Video Otoscopy and Ear Flushing Techniques Lynette Cole, DVM, M.S., DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) 138 10:30 – 11:30 a.m. Treating Cancer on the Cheap Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) Cancer therapy can be cost prohibitive for many clients. In this session, we will discuss cost-effective strategies for palliation and definitive therapy for a variety of tumor types that can be applied in a private practice setting. 139 1:30 – 2:30 p.m. News in Osteosarcoma Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) 135 4 – 5 p.m. Treatment of Otitis Externa and Otitis Media Lynette Cole, DVM, M.S., DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. 140 2:45 – 3:45 p.m. 8 – 9 a.m. Mast Cell Disease: What’s New? Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) Mast cell disease is one of the most challenging cancers that veterinarians face. New diagnostic information, prognostic tests and molecular therapeutics provide opportunities for practitioners to improve the care of dogs and cats affected by mast cell tumors. In this session, the latest information about this common cancer will be discussed. 142 8 – 9 a.m. Avian Bornavirus and Proventricular Dilatation Disease Barbara Oglesbee, DVM, DABVP (Avian) Avian Bornaviruses have been demonstrated to cause proventricular dilatation disease (PDD) in psittacine birds. However, the diagnosis can still be elusive. This session will discuss the clinical signs, diagnosis and potential treatment options for PDD, along with an update on efforts by research groups to further characterize this disease. 143 9:15 – 10:15 a.m. The Dyspneic Pet Bird Barbara Oglesbee, DVM, DABVP (Avian) Due to the unique anatomy of the avian respiratory system, dyspnea in pet birds is commonly caused by both respiratory and non-respiratory disorders. This session will review the causes, diagnosis and treatment of dyspnea in pet birds, with an emphasis on cockatiels and budgerigars. 144 10:30 – 11:30 a.m. Common Dermatologic Disorders of Exotic Companion Mammals Hemangiosarcoma remains an intractable cancer in dogs. Advances in scientific discoveries regarding the causes and potential targeted therapies for hemangiosarcoma will be presented in this session. Barbara Oglesbee, DVM, DABVP (Avian) All of our companion exotic mammal patients—including rabbits, guinea pigs, rodents, hedgehogs, chinchillas and ferrets—can present for hair loss and pruritus. This session will review the diagnosis and treatment of most common dermatologic disorders affecting these species. 141 145–146 Hemangiosarcoma Update Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) pet animal Oncology 136 Large and giant breed dogs are all too commonly affected by osteosarcoma (OSA). In this session, we will discuss new genetic discoveries in cancer susceptibility, as well as the latest information regarding prognosis and treatment of OSA. pet animal Avian & Small Mammals 4 – 5 p.m. Unraveling the Mysteries of Histiocytic Diseases Barbara Kitchell, DVM, Ph.D., DACVIM (Oncology) Histiocytic sarcomas and malignant histiocytosis are challenging clinical entities for veterinarians. In this session, we will discuss the underlying biology of these diseases, as well as new genetic discoveries and treatment strategies that can be used in practice. 1:30 – 3:45 p.m. Rabbit Gastrointestinal Disease Syndrome Barbara Oglesbee, DVM, DABVP (Avian) Gastrointestinal disease syndrome in rabbits is commonly referred to as “GI stasis.” However, the causes of what presents as stasis in rabbits are numerous, and can range from simple hypomotility to . 27 . thursday 2 19 15 • acute obstruction. This session will help the practitioner differentiate the various causes of gastrointestinal disease syndrome in order to develop an appropriate treatment plan. 147 4 – 5 p.m. Dental Disorders in Exotic Companion Mammals Barbara Oglesbee, DVM, DABVP (Avian) Rabbits, guinea pigs and chinchillas all have similar dental anatomy, and dental disease can become a life-threatening problem in these species. This session will review the clinical signs, diagnosis, treatment and prevention of dental disease. practice Management I 148 8 – 9 a.m. Open Appointments: Three Things to Do Now Denise Tumblin, CPA Are you frustrated by the excess capacity in your practice caused by open appointments? Now is the time to tackle three tasks to turn things around. Join us for a lively discussion of ideas for filling that excess capacity and getting your practice humming again. 149 9:15 – 10:15 a.m. Accelerate Practice Growth with Strong Mentorship Denise Tumblin, CPA An effective mentorship program helps doctors and staff develop their skills and knowledge and accelerates personal and professional growth. Getting people up to speed more quickly ensures an efficient and productive practice, makes you more attractive to potential employees, and strengthens employee retention. Join us to discover how to craft a step-by-step mentorship program that works for you. . 28 . 150 • 10:30 – 11:30 a.m. Financial and Accounting Essentials for New Owners and Practice Managers Denise Tumblin, CPA Where’s our profit and loss statement? What’s the difference between a debit and a credit? Why don’t our assets equal our liabilities, and are they supposed to? What are the key financial reports we need to review each month? If you’ve ever been asked these questions (or asked them yourself), but weren’t sure of the answers, join us for a discussion designed to provide basic financial and accounting principles to elevate your financial savvy and clear up any confusion about the business side of veterinary practice. 151–152 comes to patient care and profitability. Join us in this two-part session to learn some hot tips for maintaining profitability. 153 Improve Profit—Get “LEAN”! Denise Tumblin, CPA The concept of LEAN started in the auto industry in the early 1900s. The human healthcare industry has adopted LEAN to help reduce mistakes, manage costs and improve patient flow. What is LEAN? Attend this session to find out, and learn how applying this concept will help you improve patient care, boost morale and bump up your bottom line. practice Management II 1:30 – 3:45 p.m. Profit’s Not a Bad Word: Four Ways to Improve Medicine with Better Business Denise Tumblin, CPA Minor painless changes can result in significant positive improvements when it speaker spotlight Denise Tumblin, owner of Wutchiett Tumblin and Associates, provides management, valuation, and transition services to independentlyowned veterinary practices and teaching hospitals. She authors the Benchmarks Well-Managed Practice Study and is co-founder and facilitator of the WellMP Management Groups. Denise is a graduate of The Ohio State University and is a member of the American Institute of CPAs, the Ohio Society of CPAs, VetPartners serving on the Board, the Valuation Council and the Career Development SIG, The National Association of Certified Valuation Analysts, Veterinary Economics Editorial Advisory Board, AAHA, and the Capital Area Humane Society. 4 – 5 p.m. 154–155 8 – 10:15 a.m. Sales and Use Tax Compliance for Veterinary Practices Justin Mohler, CPA Navigating Ohio’s sales and use tax is a challenging task for any veterinary practice. Prescription versus over-the-counter drugs, food animal exemptions, and inclinic versus dispensing variables are just a few of the questions veterinarians face. This session will address fundamental approaches to these difficult questions, plus some bonus information on new developments in workplace safety grants that can be financially beneficial to explore. 156 10:30 – 11:30 a.m. ODH Radiology Rules and Compliance Michael Snee This session will be a review of key radiology rules and compliance inspection information that every Ohio veterinary practice needs to be aware of. 157 1:30 – 2:30 p.m. 160B 8:30 – 9 a.m. Current Issues at the Ohio Veterinary Medical Licensing Board Seroprevalence of Lyme Disease in Ohio Dogs Cindy Kidd, DVM; Tim Kolb, DVM; and Roger Redman, DVM This session will cover current issues at the Ohio Veterinary Medical Licensing Board and trends, as noted through recent disciplinary cases. Saba Osloobi, DVM, MPH-VPH Lyme disease is the most common vectorborne disease in the U.S., with CDC estimating the 30,000 cases reported annually are more likely close to 10 times that number. Additionally, Ohio Department of Health’s Zoonotic Disease Program reported a significant increase in the number of blacklegged ticks over the last few years. This session will discuss a pilot study launched to monitor the seroprevalence of Borrelia burgdorferi infections in dogs, which are effective sentinels for Lyme infection in humans. 158 2:45 – 3:45 p.m. Pharmacy Board Rules and Compliance Speaker TBA This session will review key pharmacy board regulations affecting Ohio practitioners, including compounding, controlled drug security and access, and registration requirements. 159 4 – 5 p.m. Ohio’s Infectious Waste Regulations and What They Mean to You Holly Hillyer This session will be an overview of the State of Ohio’s infectious waste regulations and how those regulations impact the veterinary field. public Health 160A 8 – 8:30 a.m. Antimicrobial Resistance in White-Tailed Deer Greg Ballash, MPH-VPH Antimicrobial resistance (AMR) is a global public and animal health issue, as it continues to evolve and spread. Although resistant isolates are commonly found in domestic animals, a growing concern has emerged as resistance has spread to wildlife. This session will examine a recent study investigating AMR in white-tailed deer, the results of which have serious human and animal health implications, especially in population-dense regions where intensive farming is not prevalent. 161A 9:15 – 9:45 a.m. Zoonotic Ascarid Ova in Columbus City Parks Colleen Shockling Dent, MPH-VPH Zoonotic ascarids present an important veterinary public health issue, as they involve animals, humans and the environment. An area that brings all three together for the perfect storm is the playground, where humans and animals interact in the same environment. A handful of prevalence studies on zoonotic ascarid presence in playgrounds have been published throughout the U.S., but none in Ohio or surrounding states. This session will review a study meant to determine the prevalence and identify potential risk factors of zoonotic ascarid ova in Columbus City Parks. 161B 9:45 – 10:15 a.m. Environmental MRSA Contamination at an Equine Hospital Joany Van Balen, DVM Methicillin-resistant Staphylococcus aureus (MRSA) is an opportunistic pathogen present in 5.8 percent to 12 percent of horses admitted to veterinary hospitals, and is commonly associated with joint, skin and surgical site infections. MRSA has also become an important nosocomial pathogen, and contaminated environments have been considered as a source for nosocomial infections. This lecture will address the distribution of MRSA clones, patterns of contamination and the most commonly contaminated surfaces. The information presented will aid veterinary personnel in improving prevention and control programs for the management of this nosocomial pathogen. 162 10:30 – 11:30 a.m. The Economic Impact of the Spread of Raccoon Rabies Across Ohio Jeanette O’Quin, DVM, MPH-VPH In order to create an economic model for Ohio, public health officials investigated types of costs and exposure rates other states experience as a result of the spread of raccoon rabies. This model estimates that public health, animal-associated, and human healthcare costs could be upwards of $338 million, should the current oral rabies vaccine barrier fail to prevent transmission across the state. This session will discuss these findings and how Ohio’s economy is impacted by the spread of this disease. 163–165 1:30 – 5 p.m. Veterinarians in Government Tony Forshey, DVM; W. Michael Hockman, B.S., DVM, M.S.; Joanne Midla, VMD; Karnail Mudahar, DVM, MPH; and Susan Skorupski, B.S., M.S., DVM In this three-part session, five veterinarians in key roles in state and federal government agencies will present the latest information regarding activities and programs in their respective departments, emphasizing the impact on practitioners. In the first hour, updates on programs and activities implemented by USDA APHIS Veterinary Services in the past year; current statuses of selected diseases (e.g., Swine Enteric Coronavirus Disease); and updates on agency programs (e.g., Animal Disease Traceability, One Health Initiatives and the National Veterinary Accreditation Program) will be presented. The second hour will discuss current activities in the state meat inspection program, using a case study approach to enlighten attendees in the activities of the division. Finally, the last segment will be a brief overview of zoonotic disease activity in Ohio for 2014. . 29 . thursday 2 19 15 • speaker spotlight shelter Animal 166–167 8 – 10:15 a.m. Regulatory Requirements for Pharmaceutical Products and Usage in Shelters Charlotte Lacroix, DVM, J.D. Not a day that goes by without veterinary practices being regulated by the FDA, APHIS, DEA or EPA. These governmental agencies have promulgated rules and regulations that govern how veterinarians obtain, use and dispense drugs, biologics and pesticides. This two-part seminar will present an overview of the law and regulations that shelter veterinarians are expected to abide by. 168 10:30 – 11:30 a.m. Legal Dilemmas of Shelter Veterinarians Charlotte Lacroix, DVM, J.D. Working as a shelter veterinarian is not without legal dilemmas. Often the daily challenges are not with the animals or clients, but with the law. You’re bound to step over some legal land mines when your job involves adopting out animals to the public; educating owners about the responsibilities of pet ownership; investigating suspected rabies cases, animal bites, and animal cruelty cases; handling abandoned animals; providing behavior consultations to pet owners; and instituting animal population control programs. This presentation will provide attendees with the ability to recognize and address some of the most frequently encountered legal problems. 169 1:30 – 2:30 p.m. State Legislation and Shelters Michelle Holdgreve In the past five years, numerous laws regarding the care of animals have been enacted in Ohio. This session will provide specifics on the standards of care for livestock, wild and dangerous animals, and commercial dog breeders, as well as the regulatory and enforcement framework. . 30 . • Philip Seibert, a certified veterinary technician with more than 32 years of experience, is a full-time author and consultant to the profession. He has contributed to several well-respected professional works, including McCurnin’s Clinical Textbook for Veterinary Technicians, Five-Minute Veterinary Practice Management Consult and Veterinary Practice Management Secrets. Mr. Seibert has also authored numerous books and videos on practice safety for the American Animal Hospital Association. 170–171 2:45 – 5 p.m. Compassion Fatigue: Caring Until It Hurts Jennifer Brandt, Ph.D., LISW-S This interactive workshop is designed to help veterinary staff members learn coping skills to manage stress caused by overemphasis on caring for others and under-emphasis on care of self. As veterinary professionals, we want to do what is best for clients and patients, which is best achieved when we recognize the importance of self-care. This two-part session will help veterinary professionals recognize the early signs of compassion fatigue, as well as prevent and manage it, in order to reclaim the satisfaction, hope and inspiration that led choosing veterinary medicine as a career. staff Development 172–173 8 – 10:15 a.m. Current Safety Issues in the Veterinary Hospital Philip Seibert, CVT OSHA’s rules apply to every veterinary practice, and enforcement of those rules can be strict. In this two-part session, we’ll discuss the most common risks in the veterinary practice and reveal exactly how OSHA expects a practice to protect its staff. 174–175 10:30–11:30 a.m., 1:30–2:30 p.m. Pharmacy Issues for the Veterinary Practice Philip Seibert, CVT Dispensing or administering drugs in the veterinary practice is sometimes a simple task, but the rules affecting this action are often complex. In this session, we’ll discuss the rules pertaining to prescriptions, compounding, off-label drug use and Internet pharmacies. 176–177 2:45 – 5 p.m. Keeping Controlled Drugs Under Control Philip Seibert, CVT The U.S. Drug Enforcement Agency (DEA) has very specific rules for ordering, possessing, administering and dispensing drugs that have significant abuse potential. Attendees will learn the rules that all veterinary practices must follow in this two-hour presentation. technician 178 8 – 9 a.m. Basic Oral Anatomy Candice Hoerner, CVT, VTS-Dentistry In this session, attendees will gain a general understanding of anatomic structures in the oral cavity—including teeth, periodontium, tongue, and soft and hard palates—and how they relate to the bones of the skull. 179 9:15 – 10:15 a.m. Oral Exam and Charting Candice Hoerner, CVT, VTS-Dentistry This lecture will cover the components of thorough patient examination and charting using American Veterinary Dental College (AVDC) abbreviations. The Triadan numbering system, as well as normal and abnormal pathology, will also be discussed. 2•20•15 friday 180 10:30 – 11:30 a.m. A Guide to Hand Instrumentation Candice Hoerner, CVT, VTS-Dentistry An overview of proper identification of the many hand and power dental instruments, as well as instrument care, will be discussed in this lecture. A brief discussion on ergonomics will also be included. 181 1:30 – 2:30 p.m. A Complete Periodontal Cleaning Candice Hoerner, CVT, VTS-Dentistry This lecture will provide attendees with the necessary steps of a complete periodontal cleaning, from patient admission to discharge, as stated in the 2013 AAHA Dental Care Guidelines for Dogs and Cats. If time permits, a discussion on marketing dentistry services will be added. 182 2:45 – 3:45 p.m. The Basics of Dental Radiology Candice Hoerner, CVT, VTS-Dentistry In this session, attendees will learn about dental radiology equipment, indications for taking radiographs, patient positioning, basic image orientation and interpretation. 183 4 – 5 p.m. Nerve Blocks for Pain Management in Veterinary Dentistry Patients Candice Hoerner, CVT, VTS-Dentistry In this lecture, attendees will learn how to perform and incorporate regional and local dental nerve blocks into a multi-modal pain management protocol. disclaimer: The Ohio Veterinary Medical Association is pleased to provide a comprehensive educational program at the Midwest Veterinary Conference. However, please note that OVMA does not endorse and cannot be responsible for Speaker content. animal Behavior I 200–201 8 – 10:15 a.m. Feline Inappropriate Elimination and Aggression Melissa Bain, DVM, DACVB, M.S. Inappropriate elimination and aggression are the most common problems for which cats present to behaviorists, and they are often directly related. This two-part session will use case examples to help attendees properly diagnose, manage and treat toileting, urine marking, inter-cat and human-directed aggression with behavior modification and medication. 202 10:30 – 11:30 a.m. Repetitive Behaviors Melissa Bain, DVM, DACVB, M.S. Repetitive behaviors are comprised of compulsivities, displacement behaviors and stereotypies, all of which have distinct causes and treatments. This session will use case examples to demonstrate how to diagnose the problem, develop a treatment plan and devise ways of preventing these behaviors from occurring, especially in long-term housing situations. 203 1:30 – 2:30 p.m. Owner-Directed Aggression in Dogs Melissa Bain, DVM, DACVB, M.S. Dog bites are at an epidemic level, but most bites go unreported because they happen to family members or friends. This session will summarize the diagnosis, triggers, management and behavior modification to ameliorate this problem, using real cases as examples. 204 2:45 – 3:45 p.m. I’m Scared! Fears and Phobias in Dogs Melissa Bain, DVM, DACVB, M.S. Canine anxiety and phobias—such as separation anxiety, noise phobias and generalized anxiety—are quite common. This session will give attendees the tools needed to properly diagnose these problems. Case examples will be used to illustrate management and behavior modification techniques that can be used alongside medications to decrease the severity of dogs’ fears and phobias. 205 4 – 5 p.m. Behavior of Companion Hoofstock Melissa Bain, DVM, DACVB, M.S. Sheep, goats and pot-bellied pigs are becoming more common as companion pets for the general public, as well as the urban farmer. In this session, attendees will learn what behaviors are considered normal, so they are better able to prepare owners for potential problem behaviors. animal Behavior II 206 8 – 9 a.m. Clicker Training 101 Emma Parsons, B.A., KPA-CTP, CDBC Based on the principles of operant conditioning, clicker training is a positive-reinforcement training system that incorporates the use of a marker signal (namely, the click) to tell the animal precisely what it is doing right at that moment in time. Behaviors marked—and therefore reinforced by the click—are more likely to happen again. This session will cover the basics of clicker training and show attendees how it can be used to address common behavioral issues in dogs. 207 9:15 – 10:15 a.m. Dog-to-Dog Reactivity: Effective Home Management Emma Parsons, B.A., KPA-CTP, CDBC In a healthy relationship between a dog and a handler, the human makes all of the important decisions in the dog’s life. If there is no obvious hierarchy, many dogs will naturally assume the leadership role. As a result, serious behavioral issues may occur. In this session, we will discuss the principles of effective home management and how it can be used to prevent and treat the previously damaged owner/dog relationship. . 31 . friday 2 20 15 • 208 10:30 – 11:30 a.m. Dog-to-Dog Reactivity: The Process of Shaping Emotional Self-Control Emma Parsons, B.A., KPA-CTP, CDBC Like any other behavior, aggressive and reactive behaviors can be shaped. The only difference is that, in treating these specific issues, we need to decrese the frequency of the undesired behavior and increase the frequency of more appropriate incompatible behaviors. We can click a behavior into extinction by gradually shaping its absence. This session will clearly demonstrate the process itself and how it can be used to calm an aggressive or reactive dog. 209 1:30 – 2:30 p.m. Dog-to-Dog Reactivity: Beginner Interactions with Other Dogs Emma Parsons, B.A., KPA-CTP, CDBC Once the rehabilitated dog is thinking around other dogs instead of reacting, the next step is to start integrating him safely into real-world environments. The real world is filled with dogs around every corner, many of which are allowed to practice rude canine behaviors like meeting other dogs face to face and sniffing other dogs’ hind ends. In this session, we will discuss different training techniques—such as parallel walking, curving and proper canine greeting—to survive these circumstances. 210 2:45 – 3:45 p.m. Dog-to-Dog Reactivity: Changing the Meaning of Human Emotional Associations Emma Parsons, B.A., KPA-CTP, CDBC In treating dog-to-dog reactivity and aggression issues, rarely are owners advised to pay attention to their own fearful responses; instead, they are just instructed to keep a loose leash—but this is often impossible! Though we do need to learn to control our responses as much as possible, most of our body language is involuntary. Actions such as tightening the leash, grabbing the dog’s collar or clenching the muzzle is done out of fear and embarrassment. In this session, we will deal with this issue head on. Through clicker training, . 32 . • we can change the meaning of any cue. We can teach our dogs that a tight leash, instead of causing fear and uncertainty, can cue confidence and calmness. 211 4 – 5 p.m. Dog-to-Dog Reactivity: Emergency Foundation Behaviors Emma Parsons, B.A., KPA-CTP, CDBC What would you do if you were taking an agility class with your newly rehabilitated rescue dog when another dog got the “zoomies” in class and jumped on him? What would you do if you were walking your dog on a city street and another dog lunged at your dog from around a corner? Unfortunately, these are all very common occurrences. Dogs that are reactive or aggressive with other dogs need to be able to trust our decision-making abilities, especially in scary situations like these. This session will cover emergency foundation behaviors that can be used to deter or greatly minimize the potential damages of an emergency situation. equine 212 8 – 9 a.m. Prepartum Emergencies in the Mare Roulf Embertson, DVM, DACVS This session will cover the abnormalities that are encountered in the broodmare during late gestation. 213 9:15 – 10:15 a.m. Parturition: Dystocia and Related Problems Roulf Embertson, DVM, DACVS This presentation will discuss dystocia, resolution of dystocia in a hospital environment, and the problems encountered in the mare during and immediately following a difficult foaling. 214 10:30 – 11:30 a.m. Abnormalities Encountered in the Postpartum Mare Roulf Embertson, DVM, DACVS This session will cover the problems that can be encountered in the mare following foaling. 215 1:30 – 2:30 p.m. Colic: Making Decisions, Referrals and the Prognosis Model Frank Andrews, DVM, M.S., DACVIM-LA Deciding when to refer a horse with colic can be a difficult decision and involves careful evaluation of clinical and laboratory parameters. Using an interactive Family Feud-style game show format, this presentation will highlight the parameters important in referral of and survival in cases of acute colic. 216 2:45 – 3:45 p.m. Equine Gastric Ulcer Syndrome: A Pain in the Gut! Frank Andrews, DVM, M.S., DACVIM-LA Equine gastric ulcer syndrome (EGUS) is common in performance horses. Diagnosis of EGUS is based on history, clinical signs, endoscopic examination and response to treatment. All ages and breeds of horses are susceptible to EGUS, and current therapeutic strategies focus on blocking gastric acid secretion and raising stomach pH. In the U.S., only one drug (GastroGard®, manufactured by Merial Ltd.) is approved to treat EGUS. However, a more comprehensive approach to EGUS includes determining and correcting of the underlying cause, environmental management, dietary manipulation and pharmacologic intervention. This session will focus on a comprehensive approach to diagnosing and managing EGUS. 217 4 – 5 p.m. Equine Gastric Ulcer Syndrome: Relieving the Pain Frank Andrews, DVM, M.S., DACVIM-LA This session will focus on treatment of EGUS with available pharmaceutical agents and highlight recent research on feed supplements and their effects on stomach health. food Animal 218 speaker spotlight 8 – 9 a.m. Antimicrobial Stewardship: What Does This Mean for the Practicing Veterinarian? Hans Coetzee, BVSc, Ph.D., DACVCP, DACAW Antibiotic-resistant bacteria are considered to be one of the most critical public health issues of the 21st century. Legislators are becoming concerned that antimicrobial use in livestock operations may contribute to the emergence and spread of antibiotic-resistant bacteria in humans, leading to the recent development of the National Strategy for Combating Antibiotic-Resistant Bacteria. In this session, we will examine practical strategies that livestock veterinarians can implement to control the emergence of resistant pathogens on farms. Additionally, this session will review how antimicrobial resistance leads to an inability to successfully treat an infection, because bacteria causing the disease are not susceptible to effects of the antibiotic. 219 9:15 – 10:15 a.m. Therapy of Bovine Mycoplasma Infections Hans Coetzee, BVSc, Ph.D., DACVCP, DACAW In this session, we will examine the challenges associated with treating Mycoplasma bovis infections in cattle and examine the data that were presented to obtain regulatory approval of drugs labeled for the treatment of M. bovis respiratory infections in cattle. 220 10:30 – 11:30 a.m. Bovine Anaplasmosis Hans Coetzee, BVSc, Ph.D., DACVCP, DACAW Bovine anaplasmosis is considered either an established or emerging disease in several parts of the U.S. Although anaplasmosis was first described in 1925 and has been reported in all 48 contiguous states, management and treatment of anaplasmosis remains a significant challenge. The session will familiarize attendees with recent Dr. Hans Coetzee is a professor in the Department of Veterinary Diagnostic and Production Animal Medicine at Iowa State University. He obtained his Bachelor of Veterinary Science degree from the University of Pretoria, South Africa in 1996. After graduation, he worked for four years in mixed animal practice in Northern Ireland, followed by two years in pharmaceutical research and development at Norbrook Laboratories Ltd. He received a specialist certificate in cattle health and production from the Royal College of Veterinary Surgeons (London) in 2000 and a doctorate in veterinary microbiology from Iowa State University in 2005. He holds board certification in veterinary clinical pharmacology and animal welfare. advances in the diagnosis and treatment of persistent A. marginale infections. 221 1:30 – 2:30 p.m. Applied Immunology for the Practicing Veterinarian Victor Cortese, DVM, Ph.D., DABVP Applied immunology concepts and applications will be covered in this session. While there will be a focus on cattle, this session will cover issues and concepts across species. Current advances in immunology will be used to scientifically design vaccination programs. 222 2:45 – 3:45 p.m. Using the Immune System to Maximize Cattle Profitability Victor Cortese, DVM, Ph.D., DABVP This lecture will focus on using the information from the previous session as we specifically look at the application of current immulogic concepts to maximize profitability in beef and dairy cattle. 223 4 – 5 p.m. Judicious Use of Medications and Avoiding Residues Fred Gingrich, DVM The judicious use of medications in food animals requires knowledge of current FDA regulations, as well as an ethical mindset to use medications in the correct manner. This presentation will review FDA regulations, discuss the common causes of meat and milk residues, and offer guidance on how to provide adequate veterinary oversight on farms that use medications. holistic & Integrative Medicine 224 8 – 9 a.m. Assessment of Cranial and Cervical Disorders William Kruesi, M.S., DVM This presentation will illustrate the five components of the chiropractic examination of the head and neck in small animals. Functional tests that can be performed rapidly in a clinical setting for both experienced practitioners and veterinarians without chiropractic training will be provided. 225 9:15 – 10:15 a.m. Treatment for Cranial and Cervical Disorders William Kruesi, M.S., DVM In this session, photographs, video and case studies will be used to demonstrate the treatment of cervical radiculopathy, myelopathy, torticollis, vestibular disease, oculomotor palsy, atlanto-axial instability and head tremor. 226 10:30 – 11:30 a.m. Assessment of Thoraco-Lumbar Disorders William Kruesi, M.S., DVM In this interactive session, participants will see the integration of anatomy, neurology and physiology to accurately diagnose common presentations of small animal thoraco-lumbar pathology. . 33 . friday 2 20 15 • 227 1:30 – 2:30 p.m. Treatment of Thoraco-Lumbar Disorders William Kruesi, M.S., DVM This session will include discussion of integrative approaches to treatment of brachial plexus injury, intervertebral disc diseases, spondylosis, degenerative myelopathy, vertebral malformations and subluxations. 228 2:45 – 3:45 p.m. Assessment of Sacro-Pelvic Disorders William Kruesi, M.S., DVM Diagrams and photographs will be used to guide practitioners through a sequence of simple but accurate tests for the muscles and structures of the pelvis, sacrum and pelvic limbs. 229 4 – 5 p.m. Treatment of Sacro-Pelvic Disorders William Kruesi, M.S., DVM Case studies of lumbo-sacral disc disease, lumbar muscle strain, sacral subluxations, and hip dysplasia in young and mature dogs will be presented. Physical rehabilitation, manual therapies and home care for these patients will also be discussed, along with their outcomes. national veterinary Accreditation Program 230 8 – 9 a.m. Module 1: Introduction to NVAP Thomas Hans, DVM This module will introduce veterinarians to the National Veterinary Accreditation Program (NVAP). A brief history of the veterinary accreditation program, the importance and benefits of being an accredited veterinarian, the duties and responsibilities of accredited veterinarians, information on the Category I or II level accreditation, and program certification opportunities will be described. . 34 . • 231 9:15 – 10:15 a.m. Module 2: Role of Agencies (State, Federal, International) and Health Certificates Thomas Hans, DVM This module will review the state, federal and international agencies that an accredited veterinarian may interact with and the services these agencies provide. Participants will learn how to accurately complete health certificates for animals traveling domestically or internationally. Written guidelines for the completion of 11 USDA APHIS and VS Forms and their continuation sheets will be provided. 232 10:30 – 11:30 a.m. Module 3: Overview of Foreign Animal, USDA Program, and Reportable Diseases Daniel Harpster, DVM This module will introduce attendees to a variety of foreign animal, USDA program and reportable diseases, as well as which diseases are applicable to Category I and Category II accredited veterinarians. Information about reporting diseases and the steps of a foreign animal disease investigation will be provided. Details about additional training opportunities for accredited veterinarians will also be included, along with resources and learning opportunities to stay informed about these diseases. 233 1:30 – 2:30 p.m. Module 4: Preventing Disease Introduction and Spread Roger Krogwold, DVM, M.S., MPH, DACVPM The first part of this module will review disease prevention practices that limit exposure in animals and people including selecting appropriate personal protective equipment. Proper implementation of cleaning protocols and how to select effective disinfectants to prevent disease spread will also be discussed, and instructions and handouts on reading and interpreting disinfectant labels will be provided. The second part of this module will address general biosecurity topics for veterinary clinics and livestock facilities. Biosecurity practices—such as equipment handling on the farm, in the clinic, and on home visits—will be presented. 234 2:45 – 3:45 p.m. Module 5: Vesicular Diseases Steven Wilden, DVM The first part of this module will address foot-and-mouth disease, vesicular stomatitis, swine vesicular disease and vesicular exanthema of swine in the United States. Clinical signs associated with these vesicular diseases and specific biosecurity measures will be included. In the second half of the session, participants will be taken through an interactive scenario investigating a possible vesicular disease outbreak on a swine farm. Veterinarians will learn the process of reporting a possible vesicular disease case and the chain of events that occur in a foreign animal disease investigation. 235 4 – 5 p.m. Module 6: Exotic Avian Diseases Roger Krogwold, DVM, M.S., MPH, DACVPM The first part of this module will address two important diseases of birds—avian influenza and exotic Newcastle disease—and their potential impact on the U.S. economy. Clinical signs associated with these diseases and specific biosecurity measures to implement will be discussed. In the second part of this module, attendees will progress through an interactive scenario in which one of these diseases is introduced into the U.S. through the pet bird industry. Veterinarians will learn the process of reporting a possible exotic avian disease and the chain of events that occur in a foreign animal disease investigation. pet animal Dentistry 236 8 – 9 a.m. Periodontal Disease: From Learning the Basics to Making a Difference Heidi Lobprise, DVM, DAVDC It is important to understand the basics of periodontal disease—both to determine the stage of disease and to select appropriate therapy based on the extent of lesions. This session will discuss the basics of periodontal therapy, including a thorough dental cleaning (especially in the subgingival area) and the selection of appropriate antibiotic use. With moderate pockets, root planing and perioceutic therapy can help break the cycle of destruction, and even with deeper infrabony bone pockets, surgical exposure and placement of osseopromotive materials can help save teeth that would otherwise be lost. 239 1:30 – 2:30 p.m. Feline Dentistry: Why Do Cats Have to be So Challenging? Note: This session is a prerequisite for Lab D: Dental Extractions. Heidi Lobprise, DVM, DAVDC Even though the basic concepts of periodontal disease apply, cats can display several unique conditions in the oral cavity. Stomatitis and resportive lesions can be frustrating and challenging, and while conservative medical choices may help patients in the early stages of the disease, caudal mouth extractions often become necessary. This session will cover some of the difficulties in feline dentistry and how to overcome these challenges. 237 Note: This session is a prerequisite for Lab D: Dental Extractions. 9:15 – 10:15 a.m. Extractions: Having Fun with Oral Surgery Heidi Lobprise, DVM, DAVDC As part of basic oral surgery, extractions can be time consuming and frustrating—if the correct steps are not taken. In this session, attendees will learn how to ensure extractions have fewer complications and more success. Pain management, specific steps of gingival flaps, sectioning teeth, elevating, the appropriate tools and the proper process will be discussed, as will how to manage potential complications. Note: This session is a prerequisite for Lab D: Dental Extractions. 238 10:30 – 11:30 a.m. Intraoral Radiology: Making it Work for Your Practice Heidi Lobprise, DVM, DAVDC Intraoral radiology is an essential part of dental practice, needed in nearly aspect of dentistry—from proper evaluation of periodontal disease to pre- and postextraction films. Identification of teeth and changes will allow optimal assessment of patients, but the techniques of placing the film and aiming the radiographic beam can be challenging. These skills will be much easier with the helpful tips presented in this session. Note: This session is a prerequisite for Lab D: Dental Extractions. 240 2:45 – 3:45 p.m. Dental Emergencies: Putting the Puzzle Back Together Heidi Lobprise, DVM, DAVDC While most dental conditions can be handled on a non-emergency basis, there are some important aspects to consider— particularly with traumatic injuries. In this session, immediate dental concerns will be discussed, as well as appropriate means of treating traumatic injuries, such as tooth and jaw fractures. Note: This session is a prerequisite for Lab D: Dental Extractions. 241 pet animal Dietary Management 242 8 – 9 a.m. Nutritional Management of Chronic Enteropathies Valerie Parker, DVM, DACVIM, DACVN In this session, we will discuss various dietary strategies to manage small animal chronic enteropathies. 243 9:15 – 10:15 a.m. Nutritional Management of Kidney Disease Valerie Parker, DVM, DACVIM, DACVN Dietary strategies to manage various types of kidney disease—including acute kidney injury, chronic kidney disease and proteinlosing nephropathy—will be covered in this session. 244 10:30 – 11:30 a.m. Implementing Enteral Nutrition in Practice Valerie Parker, DVM, DACVIM, DACVN This lecture will cover strategies for implementing supplemental enteral nutrition into practice. 245 1:30 – 2:30 p.m. Unconventional Diets 4 – 5 p.m. Senior Dentistry: Never Too Old for Dentistry? Heidi Lobprise, DVM, DAVDC Senior and geriatric patients have a higher incidence of periodontal disease, which likely impacts their systemic health. Although full evaluation of older animals’ health status may lead to adjustments in anesthetic protocols and management, taking care of their oral health is more important at this stage of life. This session will discuss how dentistry for geriatric patients is critical to their overall health. Note: This session is a prerequisite for Lab D: Dental Extractions. Valerie Parker, DVM, DACVIM, DACVN In this session, attendees will learn about unconventional diets—including raw, vegetarian, vegan and home-cooked options— which clients may wish to feed their pets. 246 2:45 – 3:45 p.m. Obesity Management Valerie Parker, DVM, DACVIM, DACVN This presentation will cover a variety of strategies for obesity prevention and management in small animals. 247 4 – 5 p.m. The Use and Misuse of Liver Diets Valerie Parker, DVM, DACVIM, DACVN In this session, we will discuss the appropriate times to use a liver diet and when other options may be more beneficial. . 35 . friday 2 20 15 • be discussed. An update on treatment, including restricted iodine diet, will also be included. pet animal Endocrinology 248 251 8 – 9 a.m. Diagnosis and Management of Hypoadrenocorticism David Panciera, DVM, M.S., DACVIM Hypoadrenocorticism can be a difficult disease to recognize because of varied historical and physical examination findings. Diagnosis is dependent on recognizing the appropriate cases on which to evaluate adrenal function. This session will consist of a case-based discussion of the diverse presentations of canine hypoadrenocorticism, including management of different syndromes. 249 9:15 – 10:15 a.m. Challenges in the Diagnosis and Treatment of Canine Hypothyroidism David Panciera, DVM, M.S., DACVIM The diagnosis of canine hypothyroidism is complicated by the global effects thyroid hormones have on nearly all tissues. The resulting diversity of clinical signs is further complicated diagnostically by the effects breed, medication and non-thyroidal illness can have on tests of thyroid function. This session will discuss how recent information regarding the frequency of thyroid hormone administration and bioavailability of levothyroxine have resulted in revisions to relatively straightforward treatment recommendations. 250 10:30 – 11:30 a.m. Update on Diagnosis and Management of Feline Hyperthyroidism David Panciera, DVM, M.S., DACVIM The high prevalence of hyperthyroidism in the aging cat population has resulted in frequent screening for the disease in individuals both with and without clinical signs of the disease. Interpretation of serum total T4 concentration should include factors that alter this hormone. In this session, indications for and interpretation of testis in addition to T4 will . 36 . • 1:30 – 2:30 p.m. Management of Diabetic Ketoacidosis David Panciera, DVM, M.S., DACVIM Treatment of diabetic ketoacidosis (DKA) encompasses addressing fluid, electrolyte and osmolality disturbances; hyperglycemia; and acidosis, while simultaneously diagnosing and managing any concurrent illness. This presentation will provide treatment options that most veterinary hospitals can adopt, depending on the level of care available. Recognition and management of complications of DKA and its treatment will also be discussed. 252 2:45 – 3:45 p.m. Hyperadrenocorticism: Difficulties in Diagnosis and Update David Panciera, DVM, M.S., DACVIM In this session, case studies will contrast diagnosis of hyperadrenocorticism in the classic case with that in dogs with less common findings. A deeper understanding of the variability encountered in testing will aid in interpreting adrenal function tests in all cases. A brief overview of treatment options will be presented, including guidelines on deciding when to treat and when not to. 253 pet animal Ophthalmology 4 – 5 p.m. What’s Out There That’s “Out There”? Uncommon Endocrine Disorders David Panciera, DVM, M.S., DACVIM Clinical findings, diagnoses and management of uncommon endocrine diseases will be covered in this lecture. Acromegaly, hyperaldosteronism, other adrenal disorders and feline hypothyroidism will be presented using case examples. 254 8 – 9 a.m. Glaucoma: New Insights into an Old Problem Robert Munger, DVM, DACVO If you ask any ophthalmologist to define the most frustrating problem he or she has faced, invariably the answer will be glaucoma. It is the leading cause of blindness in dogs and is a nemesis in any species in which it presents. The frustrations stem not just from our own difficulties at eliminating patient (and owner) suffering, but also from the different causes and ways it may present; the potential for insidious onset and inexorable progression despite our best efforts; the number of ocular diseases and surgeries in which it may be a secondary complication; the time and economic commitment required for glaucoma monitoring; the myriad treatments without one primary treatment that is uniformly successful; and the horrendous expense of medications and surgeries—not to mention the lost time for both the owner and the practitioner. It is even frustrating for us to stand before you talking about the same disease year in and year out! However, there are some new discoveries, medicines and surgical techniques upon which we can now rely. In this session, practitioners will be brought up to date on the newest discoveries and advances, with the hope that we can, through early detection and treatment, prolong vision in affected animals. 255 9:15 – 10:15 a.m. Problem Corneas: When Ulcers Won’t Heal Robert Munger, DVM, DACVO Corneal ulcers present in a variety of ways, but most are easily managed and heal readily, thanks to the durability and physiology of that amazing ocular structure. However, when ulcers do not heal, the integrity and function of the entire eye is at risk, because infection and progression of the ulcers can result in corneal perforation and compromise of intraocular structures. In this session, we will concentrate on nonhealing corneal ulcers in dogs, cats and horses and some of the intricacies of dealing with the differences in these species. The focus will be on recurrent erosions and indolent ulcers with clarification of the differences and specific measures to treat each different entity, but we will also look at some deep progressive ulcers and their treatment as time allows. 256 10:30 – 11:30 a.m. A Rational Approach to Keratoconjunctivitis Sicca Robert Munger, DVM, DACVO Keratoconjunctivitis sicca is a much more complex disorder than just a deficiency of tears. In this session, we will explore insights into its pathophysiology and discuss sensible approaches to treatment. 257 1:30 – 2:30 p.m. Uveitis: Insight into Problem Cases Robert Munger, DVM, DACVO Many practitioners have received an overly simplistic education about uveitis and how it must be treated. This session will address what is happening at the cellular level and explore a good method for approaching and treating this disorder. 258 2:45 – 3:45 p.m. Cataracts: More Than Meets the Eye Robert Munger, DVM, DACVO Cataracts are, quite simply, any opacity of the lens, but the approach to managing cataracts in animals is anything but simple. In this session, we will explore what is available for the medical and surgical management of cataracts and discuss new advances for dealing with diabetic cataracts. We will also discuss how to make sense of the numerous products on the market that are presented as non-surgical cures for cataracts. 259 4 – 5 p.m. Ophthalmology Discussion Session Robert Munger, DVM, DACVO In this session, we will continue discussion of the previous five topics. Please note there may be overlap in sessions and titles. practice Management I 260 8 – 9 a.m. Generational Differences: The Basics Amanda Fark, MBA; and Stith Keiser This session will include a discussion of the differences among the four generations that currently comprise our workplace, as well as a review of communication strategies. 261–262 265 Generational Differences and Clients Amanda Fark, MBA; and Stith Keiser What are some of the different viewpoints and expectations among generations, and how can generational differences impact client relations? This session will introduce attendees to the perspectives of other generations and teach them how to approach each one individually. practice Management II 9:15 – 11:30 a.m. Recruiting, Retaining and Managing Millennials Amanda Fark, MBA; and Stith Keiser What are some strategies to target Millennial workers, and what can employers do to keep them engaged? How can Millennials adjust their expectations so that their work relationships are mutually beneficial? The first half of this session will answer these questions, and in the second hour, local employers will present real-world situations for small group discussion. 263–264 1:30 – 3:45 p.m. Mentoring Strategies Amanda Fark, MBA; and Stith Keiser What are some strategies for mentoring new employees? What works and what doesn’t? How can we meet both the employee’s and the employer’s expectations? In the first half of this two-part session, these issues will be considered. In the second hour, local employers will present situations for small group discussion. 4 – 5 p.m. 266–267 8 – 10:15 a.m. Veterinary Business Model for the 21st Century Bash Halow, B.A., CVPM, LVT This two-part lecture will provide a retrospective of the challenges that demand a significant departure from the way general and specialty practitioners have heretofore undertaken the business of veterinary medicine. Attendees will also learn what responses our industry’s most successful practices are employing to remain profitable and relevant, now and in the future. 268 10:30 – 11:30 a.m. Shopaholic Pharmacy Bash Halow, B.A., CVPM, LVT After years of steady erosion, it’s time to take a proactive look at marketing and retooling your pharmacy in this new age of narrower margins and online shopping. All is not lost! speaker spotlight A graduate of the College of William and Mary, Bashore Halow is a certified veterinary practice manager and a licensed veterinary technician. As a partner with Halow Tassava Consulting and a veteran practice manager with more than 15 years of experience, Mr. Halow has helped dozens of veterinary hospitals understand how to build stronger teams and responsibly and ethically grow their businesses. He is a frequent contributor to Veterinary Economics and DVM 360 and is a member of the editorial advisory board for Firstline Veterinary Management Magazine. He was the recipient of the 2013 PVMA President’s Award for Management Education in the State of Pennsylvania. . 37 . friday 2 20 15 • Learn how new technologies and consumer habits can actually play to our strengths. 269 1:30 – 2:30 p.m. The Money Shot Bash Halow, B.A., CVPM, LVT This session will provide a plug-and-play list of ways to increase daily deposits, which you can do immediately upon returning to your practice. 270 2:45 – 3:45 p.m. The Irresistible Practice Profile Bash Halow, B.A., CVPM, LVT Attendees will take a look at the performance indicators and management protocols that are most appealing to would-be buyers and learn how to plot a course for maximum practice value. 271 4 – 5 p.m. Marketing Monster Bash Halow, B.A., CVPM, LVT In this day and age, brochures are nearly as antiquated as rotary phones. In this session, attendees will get an idea list of affordable, easily implemented marketing strategies and products that will improve sales and create a class-act appearance. • 275 272–273 8 – 10:15 a.m. Canine Abortion and Infertility with a Focus on Brucella canis Robert Hutchison, DVM This two-part session will include a discussion of the complex issues associated with abortion in the bitch, with an emphasis on the expanding issues caused by Brucella canis. 274 10:30 – 11:30 a.m. Brucella canis Rules and Regulations in Ohio Tony Forshey, DVM This presentation will discuss the testing requirements for Brucella canis in highvolume dog breeders in Ohio, as well as who needs testing and when. . 38 . speaker spotlight Public Health Hazards Associated with Animal Hoarding Jeanette O’Quin, DVM, MPH-VPH This session will identify the biological, chemical and physical hazards animal response teams and social service providers are most likely to encounter in an animal hoarding environment. Suggestions for mitigating these hazards will also be presented. 276 2:45 – 3:45 p.m. Global Emerging Coronaviruses: MERS, SARS and PEDv Linda Saif, M.S., Ph.D., Honorary DACVM SARS Coronavirus (CoV) emerged from bats, infecting humans in China in 2003 before spreading globally. MERS CoV appeared in humans in the Middle East a decade later, likely also from bats, but with camels as potential intermediate hosts. Two new swine coronaviruses (PEDv, PDCoV), previously in Europe and Asia, emerged in the U.S. in 2014 and have spread nationally. In this session, we will discuss where these diverse CoVs are coming from and why they are so fatal. 277 public Health 1:30 – 2:30 p.m. 4 – 5 p.m. Public Health Hot Topic: Ebola in Animals and Public Health Consequences Joanne Midla, VMD Beyond public health concerns with human-to-human transmission, questions have arisen relative to the risks of transmission to and from pets or other animals. This session will discuss what information is known and what steps should be taken to protect animal care workers, owners, and other animals when assessing Ebola virus concerns among animals. Dr. Nellie Goetz is the medical director of the National Spay/Neuter Response Team at the Humane Alliance in Asheville, N.C. She received her DVM from The Ohio State University College of Veterinary Medicine in 2005, and after several years of large animal practice, decided to concentrate her efforts on spay/neuter to help end shelter pet euthanasia. At Humane Alliance, she combines her passion for teaching with her love of surgery by bringing high-quality, high-volume spay/neuter methods to other clinics and veterinarians around the country. shelter Animal 278–279 8 – 10:15 a.m. Mastering the Microscope: Easy Diagnoses Laurie Millward, DVM, M.S. This two-hour session will cover the basics of how to make practical, pertinent and expedient diagnoses with the help of a microscope and consequently improve the quality of medicine provided to patients, in both the shelter and private practice. 280 10:30 – 11:30 a.m. Should I Neuter This Dog or Not? What the Research Means for Your Practice Nellie Goetz, DVM A subject of recent controversy, early spay/ neuter garners opinions that range widely and are often accompanied by heated discussions. An understanding of overall research study design, as well at pitfalls and weaknesses of different types of research, is essential to making it through the swamp of the latest information about early spay/ neuter. This lecture will highlight research about the potential benefit and harm associated with early spay/neuter in dogs and cats, touch on less modern literature, and discuss what these results mean to different subsets of the pet population. 284 281 Gastrointestinal Parasites in Camelids: Management for the Herd 1:30 – 2:30 p.m. This Isn’t a Cat! Techniques for Spay/Neuter in Small Mammals Nellie Goetz, DVM This presentation will cover topics for small mammal spay and neuter, with an emphasis on rabbits and guinea pigs. Areas covered will include surgical techniques, anesthesia, pain management and post-op care, as well as common pitfalls and how to avoid them. 282 2:45 – 3:45 p.m. Feral Cat Spay/Neuter: Problems and Solutions Nellie Goetz, DVM Spay/neuter of feral cats is challenging to veterinarians to manage, because pre-op physical exams are not possible, and there are often underlying health issues that complicate anesthesia and/or surgery. In this lecture, we will discuss anesthetic strategies, techniques for handling and anesthetizing feral cats, and efficient processing of these cats (both pre- and post-operatively). Finally, we will touch on what to do when things go wrong in surgery and what the most common culprits are in regards to anesthetic and surgical emergencies. 283 4 – 5 p.m. High-Volume Spay/Neuter: Is It Really Working? Nellie Goetz, DVM High-volume spay/neuter (HVSN) programs have been touted as an effective way to decrease shelter intake and euthanasia, but are they really working? How long does it take to see effects of an HVSN clinic, and how many surgeries do you have to do to actually make a difference? This talk will describe the qualities needed to make a clinic truly “high volume” and discuss specific examples of HVSN clinics’ impact on the communities they serve. small Ruminants 8 – 9 a.m. Pamela Walker, DVM, M.S., DACVIM Camelids, like most small ruminants, are highly prone to gastrointestinal parasites. Unlike other small ruminants, however, smaller numbers of parasites can cause significant problems in camelids. This session will review the parasites found in camelids and step-by-step procedures of how to evaluate their significance on both an individual and herd level. This will include a brief discussion on fecal techniques appropriate for camelids. Information on proper drug use and development of parasite resistance will also be reviewed. 285 9:15 – 10:15 a.m. Fluid Therapy and Blood Transfusions in Camelids Pamela Walker, DVM, M.S., DACVIM Camelids of all ages require fluid therapy for many ailments. Due to several unique attributes, there are additional considerations compared to other large animal species. And, thanks to the current problems with drug-resistant parasites that cause severe anemia, blood transfusions are needed more often. In this session, specific instructions for both crias and adults will be discussed, and recommendations concerning how to choose blood donors and follow-up treatment for anemia will be reviewed as well. 286 10:30 – 11:30 a.m. Caseous Lymphadenitis: A Nemesis Revisited Michael Rings, DVM, M.S., DACVIM Causing weight loss and respiratory disease (and just an all-around nuisance), caseous lymphadenitis (CLA) remains a problem for producers and small ruminant veterinarians. This seminar will address transmission, treatments and control programs for this insidious problem. 287 1:30 – 2:30 p.m. Neurologic Problems Seen by Small Ruminant Practitioners: The Old and the New Michael Rings, DVM, M.S., DACVIM This session will review the differential diagnoses for neurologic problems, both central and peripheral, that affect small ruminants. 288 2:45 – 3:45 p.m. Periparturient Disease of Sheep and Goats Jeffrey Lakritz, DVM, Ph.D., DACVIM, DACVCP This presentation will review the predisposing factors, diagnosis and therapeutic interventions available to treat periparturient disease, as well as recent studies shedding light onto the pathophysiology of this condition. The goal of this session will be to provide practitioners with confidence in managing affected animals and objective information they can use to limit the impact of this problem. 289 4 – 5 p.m. Case Studies of Cache Valley Virus Craig Sarver, DVM, M.S. Cache Valley virus is a mosquito-transmitted cause of infertility, abortions, stillbirths and multiple congenital abnormalities in sheep. The virus is endemic in several areas of the United States, Canada and Mexico. This session will cover case studies of Cache Valley virus and other abortive agents presented to the Ohio Department of Agriculture’s Animal Disease Diagnostic Laboratory. staff Development 290 8 – 9 a.m. Top Five HR Issues and How to Tackle Them Louise Dunn This interactive, case-based session will combine audience ideas and expert suggestions for dealing with human resource issues facing the industry in 2015. It will help attendees prepare a plan to meet . 39 . friday 2 20 15 • • their practices’ needs and avoid expensive errors that could cost them clients, highpotential team members and revenue. 291 9:15 – 10:15 a.m. On-the-Job Training Secrets for Success Louise Dunn Training should not be viewed as just a means of “fixing” people or processes. Instead, training should be seen as a means of creating sustainable strategic processes and enhancing your practice’s profitability by aligning your training with your strategic plan. This session will explain how effective, high-quality training will ensure consistent patient care, excellent client service and practice profitability. 292 10:30 – 11:30 a.m. Five Tips for Increasing Client Lifetime Value Louise Dunn Loyal clients sustain a practice—they bond with the team, refer friends and family and comply with medical recommendations regarding the care of their pets. It would be silly to ignore loyal clients, but what about those clients who are on the fringe of loyalty? In this session, attendees will learn how to increase these less-than-loyal clients’ lifetime value and make them part of the loyalty group. 293 1:30 – 2:30 p.m. Drama and the Team: How to Work with Everyone Louise Dunn Learn techniques that will help you lead, train and coach your staff to be team players, able to work through disagreements and concentrate on the game plan—while staying away from the drama—so they are able to deliver excellent patient care, provide impeccable client services and ensure consistency and professionalism. . 40 . technician I 294 8 – 9 a.m. Complete Urinalysis of the Dog and Cat Rick Alleman, DVM, Ph.D., DABVP, DACVP The evaluation of urine and urine sediment can be a critical component of the minimum data needed to evaluate sick patients. The chemical analysis is seemingly straightforward, but there are factors that can alter the accuracy of the dipstick reading. Similarly, there are other factors— such as storage and temperature—that can affect the evaluation of urine sediment. In this presentation, these topics will be discussed, along with an in-depth explanation of identifying various abnormalities found in urine sediment. 295 9:15 – 10:15 a.m. The CBC as a Guide to Blood Smear Evaluation Rick Alleman, DVM, Ph.D., DABVP, DACVP Getting a complete blood count (CBC) is the first step in the hematologic evaluation of the patient. Findings on the CBC not only identify significant problems, but they also serve as a guide to the accurate evaluation of the blood smear. Additionally, the blood smear can act as a quality control for the numeric values obtained from the CBC. In this presentation, significant abnormalities frequently encountered on the CBC will be discussed and related to changes that should be assessed during the blood smear evaluation. 296 10:30 – 11:30 a.m. Hematology Case Challenges Rick Alleman, DVM, Ph.D., DABVP, DACVP This case-based presentation will review clinical cases in which the hematological evaluation of the patient was an important component to the diagnosis and treatment of the clinical condition. Pertinent changes on the CBC and blood smear will be discussed and related to the clinical presentation of the patients. 297 1:30 – 2:30 p.m. Herbs and the Horse: Alternatives to Anti-Inflammatory Drugs Joseph Crock, DVM Inflammation can arise and cause pain in virtually any tissue of the body. The market for effective pain relief in veterinary medicine is huge—and still growing. However, anti-inflammatory drugs may cause other serious side effects in the body. This session will discuss different herbs and nutraceuticals that can reduce inflammation. Recommended dosages and safety will also be discussed. 298 2:45 – 3:45 p.m. Equine Senior Care Protocol Joseph Crock, DVM Horses are living longer, more productive lives, partly because of the willingness of the horse owner to take better care of their investment—whether it is a retired racehorse speaker spotlight Ms. Katy Waddell is an LVT with specialty certification in emergency and critical care and small animal anesthesia. She works with the faculty, staff and students of the Feline Internal Medicine, Canine Internal Medicine, and Endoscopy Services Texas A&M University. Katy graduated in 1976 with an associate’s degree in animal health technology and credentialed in Texas in 1977. She received her VTS in emergency and critical care in 2002 and her VTS Anesthesia in 2006. As a patient advocate, Katy has lectured at international meetings as well as national, state, and regional symposiums. or a faithful old friend. Education is the key to helping the horse owner continue to increase the quality of life for older horses. This lecture is designed to help veterinary technicians in their task of educating equine clients on the care of the senior horse. 299 4 – 5 p.m. They Can’t Say It Hurts: Integrative Approaches to Degenerative Joint Disease Joseph Crock, DVM This session will discuss the use of both Chinese and Western herbs and herbal formulas for the structural and neurological systems. We will expand on how other complementary therapies can be utilized alongside conventional treatments in degenerative joint disease. The pros and cons of various conventional and complementary therapies will also be discussed. technician II 300 8 – 9 a.m. Anesthesia for the Emergency Patient Katy Waddell, LVT, VTS (ECC, Anesthesia) The traumatized patient has altered physiological responses that, in turn, alter the pharmacokinetics of the agents commonly used to provide anesthesia. This session will cover a variety of case scenarios and suggested emergency case management. 301 1:30 – 2:30 p.m. Developing a Safe Anesthesia Plan for the Traumatic Brain Injury Patient Katy Waddell, LVT, VTS (ECC, Anesthesia) What are the priorities for safely providing anesthesia to the patient with a traumatic head injury? This session will cover normal physiology, management factors and anesthesia agents. 304 2:45 – 3:45 p.m. Metabolic or Respiratory: What is Your Blood Gas Telling You? Katy Waddell, LVT, VTS (ECC, Anesthesia) This session will discuss the components of arterial blood gases and the physiological processes involved in order to unravel some of the mysteries of interpretation. 305 4 – 5 p.m. Maintenance and Troubleshooting of Anesthesia Machines and Ventilators Katy Waddell, LVT, VTS (ECC, Anesthesia) A good mechanic (sculptor, surgeon, etc.) understands that in order to do the job successfully, the proper tool must be used appropriately. It is also imperative to have a sound working knowledge of available tools in order to make that decision. This session is designed to help the anesthetist avoid mistakes, deliver oxygen and inhalant anesthesia safely, and troubleshoot problems as they arise. hands-on LABS A 1:30–4:30 p.m. Performing the Complete Hematologic Analysis In-House Rick Alleman, DVM, Ph.D., DABVP, ACVP Fee: $95 • Max: 36 • Level: DVM, Technician; Intermediate This laboratory will begin with a brief introduction to the interpretation of the hemogram and how that is used to guide the evaluation of the blood smear. The remainder of the lab will be case presentations using a video microscope and on-screen projection of blood smears from cases with significant changes in the blood profile. The cases will each illustrate morphological abnormalities in red blood cells, white blood cells and/or platelets that have clinical significance to the diagnosis, and management of patients with hematologic and sometimes neoplastic disorders. 9:15 – 10:15 a.m. Anesthesia for the Respiratory Disease Patient Katy Waddell, LVT, VTS (ECC, Anesthesia) A patient with respiratory compromise presents multiple challenges. This session will cover preparation and planning for existing and potential complications. 302 303 disclaimer: The Ohio Veterinary Medical Association is pleased to provide a comprehensive educational program at the Midwest Veterinary Conference. However, please note that OVMA does not endorse and cannot be responsible for Speaker content. 10:30 – 11:30 a.m. Cardiac Effects of Anesthetic Agents Katy Waddell, LVT, VTS (ECC, Anesthesia) No drug has just one action! This session will provide attendees with an understanding of the cardiovascular effects of agents used during the perianesthetic period. . 41 . Saturday 2 21 15 • animal Behavior I 400 8 – 9 a.m. Social Behaviors of Psittacine Birds Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Flock-living psittacine birds engage in a variety of social behaviors, including both affiliative and agonistic interactions, resource defense, coordinated flock activities and reproductive behaviors. This session will cover flock social behaviors to provide attendees with an understanding of pet birds and their responses in captive situations. 401 9:15 – 10:15 a.m. Avian Self-Directed Behaviors: Diagnosis 10:30 – 11:30 a.m. Avian Self-Directed Behaviors: Management Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB In this session, treatment options for selfdirected feather and soft tissue damage— including pain management, infection control, restraint devices, environmental modification, behavioral management, and pharmaceutical therapies—will be reviewed. 403 1:30 – 2:30 p.m. Environmental Enrichment for Pet Birds Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Captive environments should provide opportunities for the expression of species-typical behaviors. For example, time budgets of wild parrots include a variety of social, foraging, resting and . 42 . grooming behaviors. Session attendees will learn what research has shown about the importance of foraging enrichment for captive birds, along with options for the provisions of this important form of enrichment. 404 2:45 – 3:45 p.m. Behavioral Enrichment for Pet Birds Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB This session will discuss avian cognitive abilities, as well as environmental enhancement options for intellectual stimulation and behavioral enrichment— specifically, strategies to assist in correcting problem behaviors. 405 4 – 5 p.m. Avian Psychopharmacology Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Self-directed feather and soft tissue destructive behaviors are a serious problem in a variety of captive species. A variety of medical, environmental and behavioral factors should be considered. In this session, attendees will learn about behavioral factors—including anxiety-induced displacement behaviors; compulsive disorder; environmental, social and intellectual deficits; and impulse-control disorder—that can influence these destructive tendencies. 402 • Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB This lecture will discuss how psychoactive medications are used in combination with behavioral and environmental modifications to relieve anxiety, prevent self-trauma and reduce reproductive behaviors in captive avian patients. Although placebocontrolled trials and dose-titration and pharmacokinetic studies are often lacking in avian species, medications can and have been used successfully. animal Behavior II 406 8 – 9 a.m. Dog-to-People Reactivity: Core Management Plan Emma Parsons, B.A., KPA-CTP, CDBC The Core Management Plan has been developed specifically for dogs that show aggressive tendencies to their owners or other family members. The purpose of this plan is to encourage the dog to become a working, cooperative participant in the family. Dogs are never forced to comply! To be successful, the dog needs his family members to guide him and tell him which behavior is acceptable and which is not. In this session, the principles of the Core Management Plan will be highlighted, and speaker spotlight Emma Parsons is the canine behavior training consultant for VCA Rotherwood Animal Hospital in Newton, Mass. She specializes in managing and rehabilitating reactive and aggressive dogs. Emma is a faculty member of Karen Pryor Academy for Animal Training & Behavior and the Karen Pryor ClickerExpo conferences. She gives Click to Calm seminars around the world, teaching others how to manage and rehabilitate reactive and aggressive dogs. Emma holds a B.A. degree from the University of Massachusetts Lowell, and shares her life with her husband, Greg, and their four clicker-trained dogs. specific canine aggression cases will be shown to illustrate how the program can best be used. 407 9:15 – 10:15 a.m. Dog-to-People Reactivity: Foundation Behaviors Emma Parsons, B.A., KPA-CTP, CDBC Foundation behaviors are a set of obedience-type behaviors that allow a handler to have control over a dog at all times. These behaviors need to be reliable and able to be performed in any kind of environment, especially one in which many distractions exist. Foundation behaviors serve nicely as alternate or incompatible behaviors, should a serious situation—like reactivity or aggression toward people or dogs—occur. Through slides and videos, participants in this session will learn how to teach specific foundation behaviors, including name recognition, default sits and downs, targeting, rock-solid stays and getting behind the handler on cue. 408–409 10:30–11:30 am, 1:30–2:30 pm Dog-to-People Reactivity: The Process of Shaping Emotional Self-Control Emma Parsons, B.A., KPA-CTP, CDBC Dogs that are reactive or aggressive to people can pose a serious risk—not only to family members, but to society in general. Often these dogs are hidden away in the home to prevent dangerous situations. Although not every dog will be comfortable meeting strangers, using the methodology described in this session can greatly increase the dog’s quality of life, and consequently can mean the difference between life and death. Through slides and videos, this two-part session will clearly demonstrate the process of teaching the dog to tolerate—and hopefully begin to enjoy—the presence of people in its environment. In this program, the dog will be highly reinforced for watching human body movement and hearing the voices of strangers. 410 2:45 – 3:45 p.m. Dog-to-People Reactivity: A Stranger as the Target Object Emma Parsons, B.A., KPA-CTP, CDBC This is the next step in teaching a dog to tolerate, and hopefully enjoy, the presence of a new human in his space. This process relies solely on the comfort level of the dog. The dog must move closer to the person voluntarily—these actions are never forced! In this type of training, the dog is highly reinforced for touching the target person using either its nose or paw. In the beginning, this behavior is not put on cue; we want the dog to experiment with the behavior. In this session, attendees will learn how to clicker train a dog using a person as the target object. 411 4 – 5 p.m. Dog-to-People Reactivity: Establishing a Greeting Behavior Emma Parsons, B.A., KPA-CTP, CDBC In many cases, dogs do not like strangers because they immediately feel threatened. The well-meaning person greets the dog by saying something sweet as they bend toward the dog’s face, staring directly at him with their hand outstretched. This body language can be extremely offensive to the dog! In the third and final stage of shaping dog-to-people reactivity, the dog is in control of whether to greet a person and how to do so. (For example, the dog might choose to greet a person by touching a hand or shoe.) In this session, attendees will learn how to teach a dog how to initiate this contact, stressing the importance of proper human-to-canine greetings. aquaculture 412 8 – 9 a.m. Introduction to Aquatic Animal Medicine Lester Khoo, VMD, Ph.D. The number of aquatic animals (specifically fish) used in research, food production or as companion animals continues its meteoric climb. Fish are used as models for human and animal diseases, as well as in developmental and carcinogenicity studies. With capture fisheries no longer being able to meet the growing demand, it is estimated that 62 percent of seafood consumption will come from aquaculture by 2030. Based on the American Pet Products Association’s 2013–2014 survey, more than 15 million households have fish as pets, and the numbers of pet fish surpass the total numbers of cats, dogs, birds and small animals that are kept as pets. This session will outline the growing sector of veterinary medicine that pet owners, researchers and producers are increasingly relying on. 413 necropsy; microbiological testing; and collecting samples for histopathology, molecular or other supportive diagnostics, if necessary. 414 10:30 – 11:30 a.m. Common Case Presentations Lester Khoo, VMD, Ph.D. This will be an interactive session illustrating common problems and diseases seen in the practice of aquatic veterinary medicine. equine 415 8 – 9 a.m. Colonic Ulcers: A Pain in the Hind Gut! Frank Andrews, DVM, M.S., DACVIM-LA Unlike equine gastric ulcer syndrome, colonic ulcers and right dorsal colitis (RDC) occur less frequently but may lead to more severe clinical signs and hypoproteinemia. This session will focus on history, presenting complaint, diagnosis and treatment of horses suspected of having RDC. 416 9:15 – 10:15 a.m. Equine Cushing’s Disease: Not Just Your Father’s Wooly Mammoth! Frank Andrews, DVM, M.S., DACVIM-LA Equine Cushing’s disease—also referred to as pituitary pars intermedia dysfunction (PPID)—is a disorder that likely affects more than half of the population of horses aged 14 years and older. If unmanaged, affected horses are at risk for laminitis and insulin resistance and are immunesuppressed, thus increasing their risk of numerous infections. This session will highlight new information on diagnosis and treatment of PPID. 9:15 – 10:15 a.m. How to Approach an Aquatic Case 417 Lester Khoo, VMD, Ph.D. Now that the need has been established, the next step is to provide some introductory knowledge on how a veterinarian can approach fish cases. In this session, the workup of a fish case will be compared to and contrasted with workups of other animals, including taking clinical histories; clinical examination; water quality testing; Case Studies in Equine Medicine 10:30 – 11:30 a.m. Frank Andrews, DVM, M.S., DACVIM-LA This case-based session will highlight a practical approach to the workup of diseases discussed in the previous sessions. Signalment, history, physical examination findings, diagnostic testing and findings, and treatment will be discussed in an interactive format. . 43 . Saturday 2 21 15 • 418 1:30 – 2:30 p.m. Upper Airway Abnormalities: Nasal Passages and Laryngeal Dysplasia Roulf Embertson, DVM, DACVS This presentation will cover the problems that can occur in the nasal passages of the horse. This discussion will be followed by a presentation on laryngeal dysplasia (fourth brachial arch defects), its clinical presentation, diagnosis and recommendations. 419 2:45 – 3:45 p.m. Epiglottic Abnormalities: Diagnosis, Treatment and Complications Roulf Embertson, DVM, DACVS Attendees will learn about problems involving the epiglottis that can occur in the upper airway. 420 4 – 5 p.m. Arytenoid Abnormalities: Diagnosis, Treatment and Complications Roulf Embertson, DVM, DACVS This presentation will cover problems involving the arytenoid that can occur, with a focus on arytenoid movement and inflammation. • 423 10:30 – 11:30 a.m. Top 10 Beef Producer (and Veterinarian) Myths Lowell Midla, DVM, M.S. This session will cover the myths and misconceptions regarding nutrition and management of beef cattle. 424 1:30 – 2:30 p.m. Mastitis: An Overview John Middleton, DVM, Ph.D., DACVIM This session will provide an overview of bovine mastitis, including diagnosis, common etiological agents, treatment and approaches to control and prevention. 425 2:45 – 3:45 p.m. Milk Microbiology for the Dairy Practitioner John Middleton, DVM, Ph.D., DACVIM This session will provide a simplified, stepby-step approach to differentiating bacterial organisms that cause bovine mastitis for the purposes of designing treatment and control programs. 426 4 – 5 p.m. Molecular Diagnostics and Mastitis food Animal 421 8 – 9 a.m. Feeding Family and Friends from the Backyard Flock Tim Barman, DVM This session will cover the ethics of food production, food safety, good animal care, disease prevention and control using biosecurity, and proper use of medication in backyard and small commercial flocks. 422 9:15 – 10:15 a.m. Bovine Obstetrical Challenges and Dystocia Troy Brick, DVM, M.S. Common bovine dystocia problems and tips on how to deal with them will be discussed in this session. . 44 . John Middleton, DVM, Ph.D., DACVIM This session will discuss recent technological developments in mastitis diagnosis and their potential applications, as well as compare and contrast these methodologies with conventional microbiological methods. holistic & Integrative Medicine 427 8 – 9 a.m. Introduction to Acupuncture Carolina Medina, DVM, DACVSMR, CVA, CVCH This lecture will cover subjects related to acupuncture, including its definition, basic science, types of therapy, clinical indications, cautions and contraindications, research and clinical cases. This is an introductory lecture; therefore, no previous knowledge is required. The information provided will appeal to a wide audience and is applicable across all species. 428–429 9:15 – 11:30 a.m. Laser Therapy: Research and Applications Carolina Medina, DVM, DACVSMR, CVA, CVCH This two-part lecture will introduce attendees to laser therapy for all animal species. Topics to be covered include differences among types of lasers, mechanisms of action, equipment components, research and clinical examples. 430 1:30 – 2:30 p.m. Introduction to Rehabilitation Carolina Medina, DVM, DACVSMR, CVA, CVCH Attendees will gain a foundation in rehabilitation therapy, including clinical indications, therapeutic modalities, exercises, research and clinical cases. The information presented will be applicable to canine and feline patients. speaker spotlight Dr. Carolina Medina received her DVM from St. George’s University in 2005. The following year, she became certified in veterinary acupuncture, Chinese herbal medicine, Tui-na massage and food therapy by the Chi Institute of Chinese Medicine and the China National Society of Traditional Chinese Veterinary Medicine. Dr. Medina also completed a 14-month clinical internship in acupuncture and Chinese medicine at the University of Florida College of Veterinary Medicine. In 2010, she was certified in canine rehabilitation therapy through the Canine Rehabilitation Institute, and in 2013, she became a diplomate of the American College of Veterinary Sports Medicine and Rehabilitation. 431 Carolina Medina, DVM, DACVSMR, CVA, CVCH This lecture will cover subjects related to rehabilitation therapy for canine and feline orthopedic patients, such as treatment of specific orthopedic conditions (both surgical and non-surgical), research and clinical cases. (PPE), from basic items such as gloves and coveralls to expanded precautions like respirators and chemical-resistant outerwear. Situations veterinarians might encounter in practice will be presented; attendees will need to select the best PPE to prevent disease or chemical exposure. Finally, this module will discuss the PPE used in response to an animal health emergency. 432 435 2:45 – 3:45 p.m. Rehabilitation for Orthopedic Patients 4 – 5 p.m. Rehabilitation for Neurologic Patients Carolina Medina, DVM, DACVSMR, CVA, CVCH Treatment of specific neurologic conditions (both surgical and non-surgical), research and clinical cases of canine and feline neurologic patients will be discussed in this session. national veterinary Accreditation Program 433 8 – 9 a.m. Module 9: Interstate and International Health Certificates for Category I Animals Kellie Hough, DVM, MPH-VPH This module will highlight the importance of health certificates for traveling pets, discuss the potential for disease spread associated with travel, and emphasize these points through a canine influenza scenario. The planning steps and regulation resources for properly completing a companion animal health certificate will be presented through a variety of interactive animations and a scenario. Because errors can lead to travel delays or entry refusals, mistakes commonly made when completing health certificates will be highlighted to help minimize these problems in reallife situations. 434 9:15 – 10:15 a.m. Module 10: Personal Protective Equipment for Veterinarians Victoria Spellmire, DVM This module will introduce the various components of personal protective equipment 10:30 – 11:30 a.m. Module 11: Sheep and Goats: Scrapie and Health Certificates Nancy Hannaway, DVM This module will begin with an overview of the sheep and goat industries and a review of eight diseases that impact them. Veterinarians should be aware of these important conditions, especially when inspecting animals prior to interstate or international movement. The National Scrapie Eradication and the Scrapie Flock Certification Programs will be reviewed, highlighting the genetic components and identification requirements. Finally, examples of properly completed health certificates for sheep and goats will be provided to help veterinarians avoid common errors that can lead to delays or refusal of entry for their clients’ animals. 436 437 Jamie Davis, DVM, M.S. This module will introduce veterinarians to important concepts and issues surrounding animal welfare. The module will cover the role of the veterinarian in animal welfare, definitions of animal welfare, how welfare can be measured and evaluated, and an overview of contemporary animal welfare topics. 438 4 – 5 p.m. Module 24: Collecting and Shipping Diagnostic Specimens Victoria Spellmire, DVM This module will cover collection techniques for swine diagnostic samples and the necessary steps for labeling, packaging and shipping diagnostic samples from any animal species. It will also emphasize occasions when collecting samples is not appropriate, as in the case of suspected foreign animal diseases. Lastly, this module will address regulations related to shipping samples to veterinary diagnostic laboratories. pet animal Feline Pearls 1:30 – 2:30 p.m. Module 19: Animal Health Emergency Response Jamie Davis, DVM, M.S. This module will describe how practicing veterinarians can play a role in an animal health emergency response. The various emergency response teams (NAHERC, VMAT, NVRT, state response) will be reviewed to demonstrate their similarities and differences. Understanding the structure of a response and how it is coordinated is key to its success; thus, the various components related to NIMS, ICS, NRF and the ESF will be reviewed. Finally, the components of FAD PReP/NAHEMS Guidelines will be described so veterinarians can comprehend what types of duties they will perform in an actual event. 2:45 – 3:45 p.m. Module 22: Animal Welfare: An Introduction 439 8 – 9 a.m. Diabetes Mellitus: Updates on Monitoring and Management Jennifer Gieg, DVM, DACVIM This session will include recommendations from current literature, both on beginning therapy in new diabetics as well as troubleshooting problem diabetics. Topics covered will include insulin choices (including best options for feline versus canine patients), client education, nutrition and options for glucose monitoring. . 45 . Saturday 2 21 15 • 440 9:15 – 10:15 a.m. Feline Ophthalmology Pearls Terah Webb, DVM, DACVO During this lecture, ocular exam techniques for the feline species will be discussed, as well as common presentations, diagnostic dilemmas and general practice treatments for feline ocular disease. 441 10:30 – 11:30 a.m. environment. This amplification can increase the activity of the stress response system, ultimately leading to both behavioral and systemic pathology. This explanation will be followed by a discussion of how effective environmental enrichment can both mitigate the vulnerability and manage the activity of the stress response system to better allow the pet to cope with its surroundings. Don’t Have a Heart “A-cat”! Pearls and Pitfalls in Feline Cardiology Thaibinh Nguyenba, DVM, DACVIM (Cardiology) Predictably unpredictable and at times frustrating (but always fascinating), cats do not ascribe to the “dog”ma of cardiology. The session will detail how feline cardiology is unique and provide a review of the latest in diagnostics and therapy used for feline heart disease. 442 1:30 – 2:30 p.m. Treatment Strategies for Feline IBD Robert Sherding, DVM, DACVIM This lecture will discuss the current stategies and recommendations for treatment of feline inflammatory bowel disease (IBD), including the role of environmental enrichment, diet, probiotics, antibiotics, motility modifiers, corticosteroids and immunosuppressives. The use of clinical activity indices for monitoring the response to therapy will also be discussed. 443 2:45 – 3:45 p.m. Feline Dermatology: A Picture is Worth a Thousand Words Natalie Theus, DVM, M.S., DACVD This presentation will focus on unique feline dermatologic conditions. Several case presentations will be used, as well as numerous photographs, to explain these conditions. 444 4 – 5 p.m. Interrelationship of Feline Behavior and Lower Urinary Tract Disease Tony Buffington, DVM, Ph.D., DACVN This session will explain how early life events can create vulnerabilities in cats that amplify their sensitivity to their . 46 . • pet animal Liver 445 8 – 9 a.m. 449 Update on Feline Liver Disease David Twedt, DVM, DACVIM This lecture will discuss feline liver disease, including new information on diagnosis and therapy (such as lipidosis, cholangitis and triaditis) specific to cats. 450 446 9:15 – 10:15 a.m. Common Liver Diseases in the Dog David Twedt, DVM, DACVIM In this session, new insights into diagnosis and management of reactive hepatopathies and conditions associated with an elevated alkaline phosphatase will be presented. 447 10:30 – 11:30 a.m. Chronic Hepatitis in the Dog David Twedt, DVM, DACVIM The latest information regarding the diagnosis and etiologies of canine hepatitis will be discussed, with emphasis on treatment. Recent findings regarding breed- and copper-associated hepatitis will also be presented. 448 1:30 – 2:30 p.m. Emerging Liver Diseases David Twedt, DVM, DACVIM A brief review of new liver problems— including gallbladder mucocele, microvascular dysplasia and vacuolar hepatopathies—will be presented. 4 – 5 p.m. Acute Pancreatitis in the Dog David Twedt, DVM, DACVIM An overview of current thoughts on the diagnosis and therapy of acute pancreatitis in the dog will be covered in this session. The role of PLI test, pain management, antiemetics and nutrition will also be included. Abnormal Liver Enzymes: A Clinical Approach David Twedt, DVM, DACVIM When is a liver biopsy indicated, and how should you interpret the results? Laboratory interpretation and a basic approach of how to work up a case with abnormal liver enzymes will be presented. 2:45 – 3:45 p.m. pet animal Parasitology 451 8 – 9 a.m. The Unholy Trinity: Hookworm, Whipworm and Roundworm Andrew Moorhead, DVM, M.S., Ph.D. Dogs can become infected with many infectious agents, but the “unholy trinity” of roundworm, hookworm and whipworm are among some of the most common and well known. For many reasons, including persistence of infectious stages in the environment and zoonotic potential, it is advantageous to prevent these parasites. In this lecture, we will cover prevention and biology of these three important parasites. 452 9:15 – 10:15 a.m. Small Worms You Want to Forget (But Shouldn’t) Andrew Moorhead, DVM, M.S., Ph.D. Hookworms, roundworms and tapeworms are commonly diagnosed and treated in veterinary practice. However, there exist a plethora of other worms—such as lungworms and stomach worms—that are important in their own right. In this lecture, we will cover the biology, diagnosis and treatment of these less common worms. 453 10:30 – 11:30 a.m. 456 4 – 5 p.m. Flea and Tick Products: A New One Every Week? Heartworm Treatment: Sorting It All Out Andrew Moorhead, DVM, M.S., Ph.D. For as many products that exist for heartworm and intestinal parasites, this number is nothing compared to the number of flea and tick preventives on the market. The availability of both veterinary-only and over-the-counter products has made the decision of which flea/tick preventive to use extremely confusing for clients (and occasionally, even veterinarians.) In this lecture, we will cover the many issues and developments surrounding flea and tick prevention. Andrew Moorhead, DVM, M.S., Ph.D. When Immiticide (melarsomine dihydrochloride) first came on the market in the mid-1990s, it was an immense improvement over the days of Carposolate. Caparsolate was injected intravenously, and, while effective, could have particularly nasty side effects, including skin sloughing. Early treatment protocols for Immiticide involved a two-dose injection protocol that was quite straightforward. With advances in knowledge about heartworm, the treatment protocol has become more complicated. In this lecture, we will cover the staging and treatment of heartworm in the context of these newer and continually evolving recommendations. 454 1:30 – 2:30 p.m. Canine Heartworm Disease: Reviewing the Basics Andrew Moorhead, DVM, M.S., Ph.D. Dirofilaria immitis—more commonly known as canine heartworm—is arguably the most impactful parasite of dogs in North America. Because of the endemic nature of heartworm and the expense of treatment, it is imperative that all practitioners, even those in historically non-endemic regions, be knowledgeable of the heartworm life cycle; this, in turn, allows them to understand treatment and prevention strategies. In this lecture, we will review life cycle basics as they relate to transmission and development of disease. 455 2:45 – 3:45 p.m. Heartworm Preventives: A Brave New World Andrew Moorhead, DVM, M.S., Ph.D. Heartworm infection can be life threatening. Due to the pathologic changes that occur because of heartworm infection, as well as the associated cost of treatment, prevention of heartworm is not a luxury— it is a necessity. In this lecture, we will cover the basics of prevention and discuss current controversies. 10:30 – 11:30 a.m. Radiographic Evaluation of the Heart pet animal Radiology 457 8 – 9 a.m. Basic Principles of Thoracic Radiographic Interpretation Matthew Winter, DVM, DACVR Thoracic radiography is an excellent screening test. However, interpretation of the results is often challenging. A complex mix of pathology and anatomy results in an overwhelming amount of information. This lecture will review an effective paradigm for thoracic radiographic interpretation. The following sessions will build on each component of a four-compartment approach to the thoracic radiograph. 458 459 9:15 – 10:15 a.m. The Thoracic Wall and Pleural Space Matthew Winter, DVM, DACVR In further developing a four-compartment model of thoracic interpretation, it is important to review the thoracic wall and pleural space. Approaches to recognition of thoracic wall and pleural disease in small animal patients will be discussed and illustrated in this session. Matthew Winter, DVM, DACVR Thoracic radiography is an excellent screening test for cardiac disease. There are many ways to assess cardiac disease using radiography, including the evaluation of cardiac size and shape, as well as changes to pulmonary vasculature and parenchyma. This lecture will review the tools available for assessment of the cardiac silhouette, along with examples of congenital and acquired cardiac diseases in small animal patients. 460 1:30 – 2:30 p.m. Demystifying Pulmonary Patterns Matthew Winter, DVM, DACVR Pulmonary patterns are confusing, overcomplicated and perhaps overemphasized in the evaluation of pulmonary disease. In the context of the four-compartment model, we will review the radiographic features of the different pulmonary patterns. More importantly, we will focus on the features that contain the most information and discuss how pulmonary patterns fit into the overall thoracic interpretation paradigm. 461 2:45 – 3:45 p.m. To Cut or Not to Cut: Radiographic and Sonographic Evaluations Matthew Winter, DVM, DACVR The decision to take a vomiting patient to surgery is often a difficult one. Radiography is a fast and accurate test for obstruction in many cases, but in others it can be ambiguous. The addition of abdominal ultrasonography can aid in the decision. These tests are complementary and should be used together to evaluate abdominal disease. This lecture will focus on diagnostic imaging findings in vomiting patients. 462 4 – 5 p.m. Abnormal Radiographic Findings: When To Look Elsewhere Matthew Winter, DVM, DACVR Radiographic lesions represent alterations to anatomy and are indications of pathophysiology. Understanding these relationships is the cornerstone of diagnostic . 47 . Saturday 2 21 15 • imaging. Occasionally, lesions in one area will direct the clinician to another region entirely to find the primary disease. This lecture will review interesting cases in which lesions in one area point to primary diseases in another area altogether. practice Management I 463 • dream facility will require you to make thousands of decisions. Learn how to make the right choices, starting with choosing your design professionals all the way through selecting the paint colors! In the final hour, find out what you need to know once the design is finished and construction is ready to begin. How do you get the project built on time and within budget? practice Management II 8 – 9 a.m. Blueprint Reading 101 Susan Allen, AIA, ASID, LEED AP BD+C Attendees will learn how to read blueprints and where to find important information in a set of construction documents. 464 9:15 – 10:15 a.m. Learn to Speak Their Language Susan Allen, AIA, ASID, LEED AP BD+C Architects and contractors use acronyms, terms and phrases that are unique to the construction industry. This session will introduce attendees to the language of construction, so they better understand the construction process. 465 10:30 – 11:30 a.m. How to Design a Successful Veterinary Facility Susan Allen, AIA, ASID, LEED AP BD+C Attendees will find out why understanding the five W’s of construction will make their projects run more smoothly. 466–468 1:30 – 5 p.m. Thinking of Building or Remodeling? Susan Allen, AIA, ASID, LEED AP BD+C The first hour of this three-part session will answer critical questions to guide your decisions when remodeling your current practice or building a new one. What do you need to know to make the right choice for your practice? Learn about governmental regulations; site limitations; construction cost comparisons; and the pros and cons of renovating, adding on, or new construction. In part two, the focus will be on the design of your facility. Designing your . 48 . 469 8 – 9 a.m. The Five Most Important Practice Management Duties Ernest Ward, Jr., DVM, CVFT What duties must you complete on a daily basis to create an efficient, well-managed and highly profitable clinic? Dr. Ward will share his top daily management tasks that helped him create his award-winning practices. By understanding and performing these five vital duties, your clinic will be transformed from average to exceptional. 470 9:15 – 10:15 a.m. Five Ways Every Team Member Can Become a Better Clinic Leader Ernest Ward, Jr., DVM, CVFT Whether you’re an owner, associate, technician or manager, chances are good that you’ll be called to lead from time to time. Join Dr. Ward in this session, as he offers five tips for improving your clinic leadership abilities. 471 10:30 – 11:30 a.m. Five Ways to Grow Your Clinic in 2015 and Beyond Ernest Ward, Jr., DVM, CVFT Every clinic needs a strategy for growth, yet strategic planning is rarely a routine part of running a veterinary clinic. Join Dr. Ward as he shares his top five opportunities for clinic growth in 2015—and beyond. You’ll return to your practice focused, rejuvenated and excited about the upcoming year! 472 1:30 – 2:30 p.m. Don’t Shoot That Dog! How Communication Framing Affects Compliance and Image Ernest Ward, Jr., DVM, CVFT The study of neural networks, linguistics, contextual word relationships and communication framing has seen tremendous breakthroughs during the past two decades. The words we use, how we use them and when we use them count more than ever in client communications. Join Dr. Ward for an interesting and informative discussion on how framing may be bursting or boosting your compliance and adherence rates. This session is a mustattend for every veterinarian, technician and practice manager. 473 2:45 – 3:45 p.m. Bad Things Good Teams Say: Avoiding Tiny Comments That Make Big Trouble Ernest Ward, Jr., DVM, CVFT It happens: Every veterinarian occasionally makes a communication blunder that causes big trouble with a client. The problem is, we make many more communication mistakes than we realize, costing us dearly in compliance, care and loyalty. In this session, Dr. Ward will review the most frequent comments that create the biggest headaches. You may discover you’re using these phrases or tactics more often than you realize. This session will help make a great vet an even greater communicator. 474 4 – 5 p.m. Five Ways to Make Your Clinic Happier, Healthier and More Productive Ernest Ward, Jr., DVM, CVFT We all know that maintaining an enthusiastic, energetic and positive team is integral to practice success. So why do we have so many upset staff members? Why do we witness staggering employee turnover? Whether you’re an owner, associate, manager or team member, you owe it to yourself to attend this session. You’ll learn simple, inexpensive (even free!), fun and effective tips and strategies for transforming your workplace into a place you truly enjoy. speaker spotlight Dr. Ernie Ward is an internationally recognized veterinarian known for his work in the areas of general small animal practice, long-term medication monitoring, special needs of senior dogs and cats, and pet obesity. He has authored three books, including Chow Hounds: Why Our Dogs Are Getting Fatter. Dr. Ward is the founder of Seaside Animal Care, a National Practice of Excellence Award-winning small animal veterinary clinic in Calabash, N.C. Dr. Ward has authored and been featured in more than 70 practice management and medical journal articles and is a 1992 graduate of the University of Georgia College of Veterinary Medicine. He was given the Speaker of the Year award for both NAVC and WVC. public Health 475 8 – 9 a.m. Spotted Fever Group Rickettsioses Edward Breitschwerdt, DVM, DACVIM Spotted fever group rickettsioses represent an important group of tick-borne infections that can be found throughout the world in both humans and dogs. This lecture will focus on clinical manifestations, diagnosis and treatment, as well as the condition’s zoonotic potential. 476 9:15 – 10:15 a.m. Canine and Human Anaplasmosis and Ehrlichiosis Edward Breitschwerdt, DVM, DACVIM Anaplasmosis and ehrlichiosis are potentially life-threatening, tick-transmitted infections in cats, dogs and humans. This lecture will emphasize clinical manifestations, diagnosis, treatment and zoonotic potential of Anaplasma and Ehrlichia species. 477 10:30 – 11:30 a.m. Cat Scratch Disease and Feline Bartonellosis Edward Breitschwerdt, DVM, DACVIM Cats are a major reservoir host for Bartonella henselae, and potentially other Bartonella species, throughout the world. As a well-adapted reservoir host, the pathogenic role of Bartonella species infection in cats is incompletely understood. This session will cover clinical manifestations, carry Rocky Mountain spotted fever. In this session, the latest information on the spread of these tick-borne diseases will be reviewed. shelter Animal 481 8 – 9 a.m. Feline Dermatology in the Shelter Practice Edward Breitschwerdt, DVM, DACVIM In the past decade, numerous Bartonella species have been discovered, and many of these species have been associated with disease in dogs and people. This lecture will emphasize the medical importance of Bartonella species as a cause of disease in dogs. John Gordon, DVM, DACVD Seeing cats with little or even no history available is all too common in a shelter. This session will assist you in decisions about diagnosis, treatment and foster care made in a resource-limited environment. We will review specific feline dermatology patients, from differential lists through clinical presentation and in-house diagnostics, which allows us to make better decisions about who may or may not need further diagnostics. We will also discuss the overall population—as well as individual cats—including specific conditions that are a risk for transmission to other animals and people. 479 482 diagnosis, treatment and zoonotic potential of feline Bartonella species. 478 1:30 – 2:30 p.m. Canine and Human Bartonellosis: Comparative Medical Features 2:45 – 3:45 p.m. Ohio Arbovirus Update Richard Gary, Ph.D. Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. 480 4 – 5 p.m. Three Important Ticks That Impact Pets and People in the Midwest Glen Needham, Ph.D. The upper Midwest, including Ohio, is experiencing the emergence of multiple tick-borne diseases that impact pets and people. Lyme disease-infected blacklegged “deer” ticks and white-footed mice were discovered in Ohio (Coshocton County) during 2010. Now detected in 60 of 88 counties, this tick can also vector anaplasmosis and babesiosis to humans and animals. Lone Star ticks are becoming more widespread and transmit ehrlichiosis, and ever-present American dog ticks 9:15 – 10:15 a.m. Canine Dermatology in the Shelter Practice John Gordon, DVM, DACVD More often than not, we have no idea where the dogs we treat in shelters have been. In this session, attendees will learn how to make decisions regarding diagnosis, treatment and foster care when resources (like an animal’s history) are limited. Both the general population and specific canine cases will be examined, including differential lists, clinical presentations, in-house diagnostics and specific conditions that pose a risk to other animals and people. 483 10:30 – 11:30 a.m. Managing Heartworm Disease in Resource-Limited Environments Jeanette O’Quin, DVM, MPH-VPH Balancing the safety and feasibility of treating canine heartworm disease presents . 49 . Saturday 2 21 15 • unique challenges to the shelter veterinarian. This session will discuss practical options for the successful management of this disease in light of ever-changing guidelines. 484 1:30 – 2:30 p.m. Animal Sex Abuse Martha Smith-Blackmore, DVM Human sexual contact with animals is a form of animal abuse that has impacts for the animal victim, the abuser and society. This talk will cover the issues related to animal sexual abuse, the laws and the basics of the forensic exam on an animal sexual abuse victim. 485 2:45 – 3:45 p.m. Case Reports of Animal Hoarding Martha Smith-Blackmore, DVM Understanding people who hoard animals can help professionals involved in interventions better understand why changing behavior or improving circumstances can be so difficult. This presentation will cover several animal hoarding cases to help illustrate the personality types. 486 4 – 5 p.m. Case Reports of Non-Accidental Injury Martha Smith-Blackmore, DVM A careful veterinary exam can help to discern when the injuries seen in an animal are accidental or intentional. This presentation will demonstrate a number of cases of non-accidental and accidental injuries that were originally thought to be non-accidental injuries. Tips and pointers will be shared for differentiating the two types of injuries. small Ruminants 487 8 – 9 a.m. Abortion Diseases of Small Ruminants Mary Smith, DVM Infectious and noninfectious causes of abortion in sheep and goats will be covered in this session, along with recommendations for handling an abortion outbreak. Diseases that will be discussed in detail will include toxoplasmosis, chlamydiosis, campylobacteriosis, Q fever, listeriosis and Cache Valley virus. . 50 . 488 • 9:15 – 10:15 a.m. 492 4 – 5 p.m. Periparturient Problems from Dystocia to Neonatal Care Disbudding, Dehorning, Docking and Castrating Mary Smith, DVM In this session, dam problems such as pregnancy toxemia, hypocalcemia, vaginal and uterine prolapses, dystocia, and retained placenta will be discussed. In addition, lamb and kid problems—including colostrum feeding, treatment of hypothermia and hypoglycemia, umbilical infections, white muscle disease and floppy kid disease—will be covered. Mary Smith, DVM On-farm techniques for dealing with horns, tails and testicles will be described. Immediate pain relief and aftercare will be stressed. 489 10:30 – 11:30 a.m. Wasting Diseases of Sheep and Goats Mary Smith, DVM Although there are a few treatable causes of emaciation in small ruminants (for example, parasites, malnutrition and bad teeth), most conditions that lead to wasting warrant culling or euthanasia. This session will emphasize the diagnosis of paratuberculosis, caseous lymphadenitis, retroviral diseases, cancer, abomasal emptying defect and scrapie. 490 1:30 – 2:30 p.m. Small Ruminant Field Necropsy Mary Smith, DVM Procedures for safe on-farm necropsy of sheep and goats and common causes of death will be described in this session. Emphasis will be on efficiently performing a necropsy and deciding when laboratory submissions are warranted for confirmation of the gross diagnosis. 491 2:45 – 3:45 p.m. Skin Diseases of Small Ruminants Mary Smith, DVM This lecture will provide an overview of dermatological problems of sheep and goats, including common viral, bacterial and parasitic conditions, as well as those with nutritional and environmental etiologies. Pemphigus will be discussed as an example of a rare condition that requires laboratory diagnosis when routine interventions have failed to achieve a response. staff Development 493 8 – 9 a.m. How to Make the Case for Preventive Healthcare Karyn Gavzer, MBA, CVPM The Partners for Healthy Pets (PHP) consumer campaign, “A Yearly Visit to Your Veterinarian is as Essential as Food and Love,” gives veterinary practice teams a new way to make the case for preventive care. In this session, attendees will gain insights on what works with today’s consumers and practical ideas for using PHP’s campaign materials to build excitement among the staff, as well as increase awareness and business for the veterinary practice. By the end of the session, attendees will understand the consumer research behind the campaign and how it can help veterinary staff connect with pet owners; discover ways to use the PHP Public Campaign to build business; and get free resources to support veterinary practice teams. 494–495 9:15 – 11:30 a.m. How to Make Learning “Sticky” and Fun Karyn Gavzer, MBA, CVPM Staff issues, client demands, time constraints and financial frustrations can overwhelm and rob veterinary hospital team members of the joy of practice. Bring it back! By attending this two-part session, you can help your team members learn new skills, solve problems and achieve new goals for the practice with proven ideas based on adult learning theories. Use these ideas to make meetings more energizing, engaging and fun. This twopart session will introduce attendees to different learning concepts, teach them how to use these techniques to engage their staff, and provide insight on taking away fear and boredom to make learning safe and rewarding. 496 1:30 – 2:30 p.m. Three Telephone Mistakes Even the Best Practices Make Karyn Gavzer, MBA, CVPM Veterinary practice receptionists have more client contact over the telephone than they do in the office—but oversight of these critical conversations seldom occurs, and busy receptionists often don’t realize the mistakes they make that hurt the practice’s reputation and business. Find out what the biggest mistakes are and what to do to fix them in this practical, useful talk. 497–498 2:45 – 5 p.m. How to Get to the Third Level of Client Care Karyn Gavzer, MBA, CVPM If you think that client relationships are built solely on successful diagnoses and treatments, think again! New neuroscience research has yielded a deeper understanding about the way people truly think and the dominant role that emotions play in all human interactions—including the ones that occur in your practice. This two-part session will discuss these new findings and provide applications to build more successful and rewarding relationships with clients. technician I 499 8 – 9 a.m. The Ins and Outs of Tubes in Critical Care Kenichiro Yagi, B.S., RVT, VTS (ECC, SAIM) Various types of tubes are utilized in critical care, as both an avenue into and out of a patient’s body. The advent of tubes—from simple to sophisticated—has improved our ability to care for patients in critical care. Understanding the indications, contraindications, proper use and maintenance, and troubleshooting methods of this invaluable tool will allow veterinary technicians to influence a positive patient outcome. 501 Note: This session is recommended for Lab E: Advanced Tubes and Catheterization in Critical Care. Kenichiro Yagi, B.S., RVT, VTS (ECC, SAIM) “We need blood, STAT!” Has this phrase ever been used in an emergency situation in your practice? Transfusion therapy and our ability to provide blood components for our patients have greatly increased our capability of helping patients and can be life saving in certain situations. Being aware of our transfusion options, the value of component therapy and blood banking, and indications and contraindications of blood products will allow a veterinary team to maximize chances of successful outcomes. In addition, there may be other uncommon methods in transfusion medicine that can be helpful in true emergency situations. In this session, we will explore transfusion options and decisions to be made in emergencies. 500 9:15 – 10:15 a.m. Just Breathe! Respiratory Emergencies Kenichiro Yagi, B.S., RVT, VTS (ECC, SAIM) Respiratory distress and failure are common emergencies in veterinary medicine. When a patient presents in respiratory distress, the technician’s ability to quickly and accurately assess the problem and provide appropriate emergency intervention is vital to a positive outcome. In this session, respiratory emergencies and their pathophysiology, concepts in assessing oxygenation and ventilation status, and methods of treatment will be discussed. Attendees will view videos of patients in respiratory distress, discuss concerns to consider in each case, and decide on appropriate interventions. speaker spotlight Kenichiro Yagi is employed at Adobe Animal Hospital in Los Altos as an ICU supervisor and blood bank manager. He is also a part-time faculty member at Foothill College, an instructor at VSPN, and a trainer for PetED. He serves on the board for the Veterinary Emergency and Critical Care Society, as a co-chair of the Nursing Standards Committee for the AVECCT, and as the NAVTA State Representative Committee chair. Ken is also enrolled in an M.S. program, specializing in veterinary medicine and surgery, at the University of Missouri. His interests are in transfusion medicine, respiratory therapy, and critical care nursing. 10:30 – 11:30 a.m. We Need Blood, STAT! Emergency Transfusions 502–504 1:30 – 5 p.m. Exotic Animal Husbandry for Technicians Ric Berlinski, DVM In part one of this three-hour session, technicians will learn the importance of history taking for the new exotic client, so they are better able to discuss proper husbandry of a variety of exotic pets commonly seen in private practice. The second hour will provide a brief overview of common diseases associated with various breeds of exotic animals often kept as pets. Finally, attendees will learn how to design an exotic animal history form, which can act as a template for the veterinary technician in obtaining the information in a uniform manner. technician II 505 8 – 9 a.m. The Cat and the Kidney Amy Breton, CVT, VTS (ECC) Anyone who has worked in veterinary medicine for even 24 hours knows that cats and kidneys just don’t seem to get . 51 . Saturday 2 21 15 • along. This lecture will discuss the physiology of the kidneys, various kidney diseases that can affect cats, and treatment of these conditions. 506 9:15 – 10:15 a.m. The Dog and the Kidney Amy Breton, CVT, VTS (ECC) What causes kidney failure in dogs and how their bodies handle it is very different from cats. This lecture will discuss everything from the physiology of the canine kidneys, kidney-related diseases that affect dogs and treatment of these illnesses. 507 10:30 – 11:30 a.m. From Poop to Vomit Amy Breton, CVT, VTS (ECC) This lecture will review the basic anatomy of the GI tract and discuss both common and uncommon diseases and injuries in the hands-on LABS B 9 a.m. – 12 p.m. The Complete Client Experience dog and cat. Participants will walk away with an understanding of the complexities of the GI system, diseases and injuries that can occur within it, and treatment options that are available. Participants will also be able to communicate more effectively with owners on GI ailments and understand antiemetics, diagnostics (from radiographs to endoscopy) and treatment options. 508 Amy Breton, CVT, VTS (ECC) Ticks—ick! This lecture will discuss the various diseases, signs and treatment of tick-borne illnesses. 509 9 a.m. – 4 p.m. External Skeletal Fixation Jonathan Dyce, M.A., VetMB, MRCVS, DSAO, DACVS Fee: $400 • Maximum: 24 • Level: DVM In this external skeletal fixation (ESF) introductory course, veterinarians will be familiarized with ESF application through a blend of lecture and hands-on exercises. Participants will use bone models to emphasize correct application technique in preparation for addressing trauma cases in the clinic. Topics to be covered include . 52 . 2:45 – 3:45 p.m. Understanding Seizures Amy Breton, CVT, VTS (ECC) This lecture will talk about why seizures can happen, diagnostics involved and basic principles, ESF case selection and post-operative care of external fixators. Special thanks to IMEX Veterinary, Inc. for supporting this lab. Fee: $95 • Maximum: 60 • Level: All C 1:30 – 2:30 p.m. The “ICK” in Ticks Louise Dunn and Eric Garcia This workshop will thoroughly describe what it means to provide the “complete client experience” using traditional forms of client communication, as well as effectively using technology to provide the additional value clients demand. • D 9 a.m. – 12 p.m. Dental Extractions Heidi Lobprise, DVM, DAVDC Fee: $295 • Maximum: 24 • Level: DVM • Prerequisites: Sessions 236–241 Extraction of teeth, for multiple reasons, is the most commonly performed oral surgery procedure. Beyond simple elevation of loose teeth, surgical extraction often involves appropriate selection, gingival flap excision or preparation, sectioning of teeth or alveolar bone removal, elevation of the tooth/root segments and finishing with closure of the site. Proper equipment and systematic procedures make complications less likely. Note: Cadaver parts will be used in this lab. treatment. Numerous videos will be shown so attendees can truly understand all stages and types of seizures. 510 4 – 5 p.m. Too Hot, Too Cold Amy Breton, CVT, VTS (ECC) This lecture will review two common emergencies: hyperthermia and hypothermia. Technicians will understand what both syndromes are, as well as complications and treatment of each. disclaimer: The Ohio Veterinary Medical Association is pleased to provide a comprehensive educational program at the Midwest Veterinary Conference. However, please note that OVMA does not endorse and cannot be responsible for Speaker content. E 1:30 – 4:30 p.m. Advanced Tubes and Catheterization in Critical Care Kenichiro Yagi, B.S., RVT, VTS (ECC, SAIM) Fee: $495 • Maximum: 20 • Level: Technician; Intermediate • Prerequisites: Knowledge of venipuncture and peripheral IV catheter placement; Session 499 recommended. This hands-on lab will focus on technical aspects of catheters and tubes used in critical care. Central lines (jugular or PICC), urinary catheterization, nasoesophageal and nasogastric tubes will be covered. An overview of anatomy, techniques, nursing care, indications and contraindications involved with each task will also be explained, and common disease processes and conditions applicable for each procedure will be discussed as well. Participants will be able to practice placement of these skills with cadavers and receive written protocols for each procedure for implementation in their practice. Special thanks to MILA International Inc. for supporting this lab. 2•22•15 Sunday animal Behavior 600 604 8:30 – 9:30 a.m. Behavior-Friendly Practice Tips Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Veterinary hospitals can create behaviorfriendly atmospheres to decrease anxiety for their patients. This session will discuss how to train team members to understand patient body language in order to identify and assist nervous patients. Other strategies to help reduce patients’ stress—including calming products (such as pheromones), humane handling techniques and client education—will also be covered. 601 9:45 – 10:45 a.m. Simple Steps for Managing Any Behavior Case Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Managing behavior cases requires following several steps, starting with identifying treatment goals, followed by addressing safety, practicing avoidance of triggers, teaching foundation skills and managing the environment. This lecture will outline a step-by-step approach to management of any behavior complaint. 602 11 a.m. – 12 p.m. Combination Drug Therapies in Behavior Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Psychoactive medications are often used as adjunctive therapy for dogs and cats with behavior problems. Combination drug therapies are often helpful for patients with multiple issues, or for patients who fail to respond to monotherapy. In this session, clinical examples will be used to illustrate rational use of drug combinations in behavior therapy. 603 supplements and pressure garments will be shared in this session. 1:30 – 2:30 p.m. Alternative Therapies in Behavior Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Alternative therapies are often used to address behavior concerns. Evidencebased data for nutriceuticals, dietary allergens for vaccine inclusion, routes of vaccine administration, and advice for maximizing success with immunotherapy. 2:45 – 3:45 p.m. Environmental Management of Common Feline Behavior Problems Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Many feline behavior problems can be addressed or improved with the provision of environmental resources. This session will discuss how house-soiling problems can be improved with specific litter box management adjustments, as well as environmental management of destructive and aggressive behaviors. 605 4 – 5 p.m. Improving Client Compliance with Behavior Plans Lynne Seibert, B.S., DVM, M.S., Ph.D., DACVB Client compliance in behavior modification plans is crucial for success. Specific communication styles will be discussed in this session, as well as tools to provide additional support for pet parents. equine 606 8:30 – 9:30 a.m. Spray, Slather and Lather: Topical Therapy for Equine Dermatitis Gwendolen Lorch, DVM, M.S., Ph.D., DACVD This session will review ingredients and recommendations for the topical management of infectious and allergic dermatoses. 607 609 Gwendolen Lorch, DVM, M.S., Ph.D., DACVD This session will define clinical histories, signs, differentials and potential therapies of newly documented equine dermatoses. 11 a.m. – 12 p.m. Allergen-Specific Immunotherapy for the Atopic Horse 8:30 – 9:30 a.m. Update on Contagious Mastitis: Staphylococcus aureus and Streptococcus agalactiae John Middleton, DVM, Ph.D., DACVIM This session will provide a review an update on the two major Gram-positive contagious mastitis pathogens—Staphylococcus aureus and Streptococcus agalactiae—and discuss their epidemiology and implications for public health. 610 9:45 – 10:45 a.m. Update on Coliform Mastitis John Middleton, DVM, Ph.D., DACVIM This session will provide a review of and update on coliform mastitis, including a discussion of pathogen epidemiology, treatment approaches and prevention methods. 611 11 a.m. – 12 p.m. Mastitis Treatment Failure: Is It the Bugs, Drugs or Us? John Middleton, DVM, Ph.D., DACVIM This session will review the reasons for mastitis treatment failure, including host, pathogen, drug and human factors. 612 9:45 – 10:45 a.m. Add it to the Differential List! New Equine Dermatoses 608 food Animal 1:30 – 2:30 p.m. HACCP: Drug Residue Prevention Richard Wiley, DVM This session will provide an overview of a successful bovine drug residue avoidance program that was first developed in Wisconsin and now is being made available in Ohio. Learn its overall elements, how some Ohio practitioners have already successfully put it into practice, and the process of bringing it into your dairy practice. Gwendolen Lorch, DVM, M.S., Ph.D., DACVD This session will go over immunotherapy effects on the immune system, how to select . 53 . Sunday 2 22 15 • holistic & Integrative Medicine 613–614 8:30 – 10:45 a.m. Traditional Chinese Veterinary Medicine Basics Doug Knueven, DVM, CVA, CVC, CVCH In China, a very distinct system of medicine developed. The Chinese use concepts such as “the imbalance of Yin and Yang” and “the obstruction of the flow of Qi” to explain disease conditions in the body. They also have unique ideas about how the organs of the body function. In this two-part lecture, we will look beyond the Chinese medical stereotypes to get a basic understanding of the concepts of Traditional Chinese Veterinary Medicine (TCVM) and how it can be applied to our patients. 615 11 a.m. – 12 p.m. Chinese Herbs for Common Veterinary Conditions Doug Knueven, DVM, CVA, CVC, CVCH With the basics of TCVM under our belts, we will explore the complex world of Chinese herbal medicine in this session. Attendees will learn how Chinese herbal formulas can be used to treat common diseases encountered in a typical small animal practice. 616–618 1:30 – 5 p.m. Traditional Chinese Veterinary Medicine Food Therapy Doug Knueven, DVM, CVA, CVC, CVCH For the ancient Chinese, medicine was not something found at the pharmacy; it was a way of life. They understood that everything that goes into an organism’s body had an effect on its overall health. It is true that the Chinese did not have the same understanding of nutrition as we do—with importance placed on the balance of vitamins and minerals and now the value on nutrigenomics. However, the Chinese were way ahead of the West in their wisdom regarding the importance of food choices for health. In this three-part session, attendees . 54 . • will learn what the Chinese discovered about food energetics and how these ideas can be applied to pets. pet animal Cardiology 619–621 8:30 a.m. – 12 p.m. Feline Cardiovascular Diseases John Bonagura, DACVIM, DVM, M.S. This three-part session will be a comprehensive review of acquired cardiovascular diseases of the cat. Collectively, this presentation will consider the causes of feline cardiac and vascular disease, the clinical approach to diagnosis, and management strategies. In part one, causes and diagnosis of feline heart diseases will be emphasized. Diagnostic tests used in feline cardiology and the approach to the cat with a cardiac murmur will be emphasized in session two. Finally, in part three, management of acute and chronic congestive heart failure, prevention and treatment of arterial thromboembolism, and management of systemic hypertension will be covered. 622–624 1:30 – 5 p.m. Management of Acquired Heart Diseases in the Dog John Bonagura, DACVIM, DVM, M.S. This three-part session will be a comprehensive review of acquired heart disease in the dog and will offer practical guidelines for the diagnosis and treatment of the most important canine cardiac disorders. Diagnostic pointers and therapy of preclinical cardiac disease, acute congestive heart failure, and chronic heart failure will be described in detail, with case vignettes to illustrate important clinical points. This session will also emphasize selection and practical use of cardiovascular drugs, as well as causes and diagnosis of acquired heart diseases and heart failure in dogs. pet animal Infectious Disease 625 8:30 – 9:30 a.m. Feline Bartonellosis: What Do We Really Know? Lynn Guptill, DVM, Ph.D., DACVIM Feline bartonellosis has been recognized for 20 years, and Bartonella infections are common in domestic cats worldwide. Bartonella research is an active area, and new information is published regularly. This talk will review current knowledge of feline bartonellosis, including what clinical syndromes may be attributed to Bartonella infections of cats, diagnosis, treatment, and prevention of feline bartonellosis in dogs and cats. 626 9:45 – 10:45 a.m. Systemic Fungal Disease: Diagnosis and Treatment Lynn Guptill, DVM, Ph.D., DACVIM Systemic fungal infections are a common problem for dogs and cats. Many of the etiologic agents are considered zoonotic, though direct transmission from pet animals to humans is rare. Systemic fungal infections can be difficult to diagnose and to treat, often requiring multiple diagnostic tests to arrive at a definitive diagnosis and many months of relatively expensive medications for effective treatment. This session will provide a brief overview of several common systemic mycoses, discuss diagnostic testing and recent updates, and review treatment options and recent updates. 627 11 a.m. – 12 p.m. Leptospirosis is Everywhere! Lynn Guptill, DVM, Ph.D., DACVIM Canine leptospirosis continues to be a common disease and a diagnostic challenge. Leptospirosis should be considered as a differential diagnosis for many clinical presentations—not just in dogs with acute renal failure and/or hepatic disease. This talk will include discussion of the changing epidemiology of canine leptospirosis and how that information can help us to more readily recognize patients that may have leptospirosis. Recognizing leptospirosis is important not just for the health and wellbeing of our patients, but also for their human companions. 628 1:30 – 2:30 p.m. Methicillin-Resistant Staphylococcus Infections in Dogs and Cats Lynn Guptill, DVM, Ph.D., DACVIM Methicillin-resistant Staphylococcus (MRS) infections and carriage in cats and dogs is an emerging problem in veterinary medicine. Over the past few years, there appears to have been a dramatic increase in the prevalence and recognition of MRS infections in veterinary patients—and in our appreciation of the potential for healthy animals to carry MRS. This session will provide a synopsis of the current understanding of MRS in cats and dogs, as well as practical procedures for minimizing the impact of these organisms on the health of our patients and clients. 629 2:45 – 3:45 p.m. Infection Control and Your Practice: How Are You Doing? Lynn Guptill, DVM, Ph.D., DACVIM Veterinarians and hospital staff are obligated and expected to provide education about and protection from transmission of pathogens among animal patients, and between animal patients and human beings (veterinary staff, owners and others) who come into contact with infected animals. Veterinary hospitals of all sizes need to develop and implement infection control plans that are regularly updated and provide ongoing related education. This lecture will focus on practical infection control for veterinary practices. 630 those clients. This session will provide an overview of challenges that immunocompromised pet owners may face and address development of health maintenance plans for pets belonging to these individuals. 4 – 5 p.m. Pets and Their Immunocompromised Humans: Facts, Myths and Practical Precautions Lynn Guptill, DVM, Ph.D., DACVIM All veterinarians serve immunocompromised pet owners; as such, they will be called on to provide education for their immunocompromised clients and excellent healthcare for the pets belonging to pet animal Orthopedic Surgery 631 8:30 – 9:30 a.m. Forelimb Lameness: Where Do We Start? Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM One of the most difficult challenges facing the forelimb lameness workup is determining the primary source; once determined, the next challenge is to establish the best course of treatment. This lecture will help answer those questions by walking practitioners through an in-depth overview of challenging shoulder and elbow conditions. Clinical presentation, lameness assessment, physical exam, diagnostics and various treatment options—ranging from rehabilitation to surgery to regenerative medicine—will be discussed. 632 9:45 – 10:45 a.m. Hind Limb Lameness: Where Do We Start? Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM Hind limb soft tissue injuries are common and can be challenging to diagnose. This lecture will cover the most common sprains and strains, as well as various techniques utilized to determine the diagnoses. Clinical presentation, lameness assessment, physical exam, diagnostics and treatment options—ranging from rehab to surgery to regenerative medicine—will be discussed. 633 11 a.m. – 12 p.m. How to Include Plasma-Rich Platelet Therapy in Your Practice Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM This session will cover the use of plasmarich platelet (PRP) therapy for the treatment speaker spotlight Maryland native Dr. Sherman Canapp completed a combined DVM and M.S. degree at Kansas State University, an internship in small animal medicine and surgery at the University of Missouri, and a three-year residency in small animal surgery at the University of Florida. Dr. Canapp currently practices orthopedic surgery and sports medicine at the Veterinary Orthopedic & Sports Medicine Group in Annapolis Junction, Md., where he is chief of staff. His primary focus and research is in arthroscopy and regenerative and sports medicine. He lectures nationally and internationally and is a consultant for numerous organizations and medical companies. of orthopedic conditions in dogs. An overview of the various PRP systems and techniques, as well as injury specific indications (soft tissue injuries and osteoarthritis), will be discussed. PRP treatment protocols, collection and processing techniques, along with administration techniques that can be utilized in your practice, will also be covered. 634 1:30 – 2:30 p.m. How to Include Stem Cell Therapy in Your Practice Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM In this session, the use of stem cell therapy for the treatment of canine orthopedic conditions will be discussed. An overview of stem cell systems and techniques (such as adipose stromal vascular fraction and adipose-derived cultured cells; bone marrow concentrate; cultured bone marrow-derived, allogeneic stem cells) will be discussed in depth. Injury-specific indications, such as soft tissue injuries and osteoarthritis, will also be covered. Stem cell treatment protocols, collection and . 55 . Sunday 2 22 15 • processing techniques, along with administration techniques that can be utilized in your practice, will also be explained. 635 2:45 – 3:45 p.m. Orthopedic Devices Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM This case-based presentation will cover available orthopedic devices (such as stifle braces, prosthesis, carpal and tarsal orthosis, shoulder and hip support system, slings, and support wraps) that can be used as a substitute for surgical management or as aids during the post-operative period as the patient progresses through rehabilitation therapy. Additionally, device selection, ordering and fitting will be discussed. 636 4 – 5 p.m. Intra-Articular Injections for Osteoarthritis Sherman Canapp, DVM, M.S., CCRT, DACVS, DACVSM This lecture will include an in-depth discussion of products and technologies currently available for intra-articular treatment of osteoarthritis (OA) in the canine. Products and technologies for the treatment of OA in dogs will include hyaluronic acid, cortisone, biologics and regenerative therapies (platelet-rich plasma and stem cell therapy). Specific product description treatment protocols and processing will be included. The specific anatomical injection site landmarks (shoulder, elbow, carpus, hip, stifle and hock) will also be discussed. pet animal Respiratory 637 8:30 – 9:30 a.m. Diagnosis and Management of Acute Canine Pneumonia Carol Reinero, DVM, Ph.D., DACVIM Pneumonia, by definition, refers to inflammation of the lung, which can stem from either infectious or non-infectious causes. The challenge presented to the respiratory . 56 . • immune system is the ability to quickly and effectively eliminate harmful pathogens and other insults, yet be able to tightly regulate the resultant pro-inflammatory response to prevent destruction of normal lung tissue. For an optimal outcome, pneumonia must be discriminated from other cardiovascular or respiratory conditions, which may manifest with similar clinical signs; additionally, the underlying cause of pneumonia must be determined. This session will discuss these challenges, as well as how to tailor medical management to address the specific underlying cause and to support general respiratory function as the lung heals. 638 9:45 – 10:45 a.m. A Potpourri of Challenging Canine and Feline Respiratory Cases Carol Reinero, DVM, Ph.D., DACVIM The respiratory tract is comprised of upper and lower airways, the pulmonary parenchyma, and the pleural cavity—and disease in each of these areas may present with similar or unique clinical signs. The initial approach to a dog or cat showing respiratory signs is to first localize the clinical signs to the region of the respiratory tract that is affected. Once the clinical signs are localized, an appropriate list of differential diagnoses can be made, which will drive the diagnostic tests that need to be performed. In this lecture, dogs and cats presenting for evaluation of a variety of respiratory diseases will be discussed in detail. Key points about each case will be presented. 639 11 a.m. – 12 p.m. Collection and Interpretation of Respiratory Cytologic Samples Carol Reinero, DVM, Ph.D., DACVIM A cough is one of the most common respiratory clinical signs noted in dogs and cats with respiratory disease. The initial goal is to discriminate between cardiac and pulmonary causes to come up with a narrower list of likely differentials. The objectives of this lecture will be to review respiratory tract diseases presenting with cough; to provide an overview of diagnostic tests relevant to a workup of cough, with a special emphasis on cytologic sample collection (advantages, disadvantages, techniques and indications); and to provide clinical case examples highlighting how cytology was essential in providing a diagnosis. 640 1:30 – 2:30 p.m. Evolution of Diagnostics for Feline Asthma: What’s Old and New? Carol Reinero, DVM, Ph.D., DACVIM Asthma is a common—but serious—bronchopulmonary disorder in the cat. The hallmark features of naturally occurring asthma include eosinophilic airway inflammation, mucus hypersecretion, bronchoconstriction and airway remodeling. These pathologic changes lead to clinical signs of cough, wheeze and expiratory respiratory distress. Because there are other disorders that may mimic the clinicopathologic changes seen with feline allergic asthma, it is important that the diagnostic plan be able to cover testing for those disorders. With the ultimate goal to be able to specifically treat (or perhaps cure!) asthma, it is critical to be confident when making this diagnosis. In this session, both traditional and newer diagnostics will be reviewed. 641 2:45 – 3:45 p.m. Evolution of Therapeutics for Feline Asthma: What’s Old and New? Carol Reinero, DVM, Ph.D., DACVIM Asthma is believed to be of an allergic etiology in cats that is a type I hypersensitivity reaction to inhaled aeroallergens. Understanding the underlying immunopathogenesis is critical to the development of targeted therapies, which should be more effective and have fewer off-target side effects. This lecture will cover traditional therapies and introduce research to support or refute the use of novel therapies targeting the allergic inflammatory cascade. 642 4 – 5 p.m. Management of Canine Tracheal Collapse Carol Reinero, DVM, Ph.D., DACVIM The trachea is a rigid (though somewhat flexible) tube composed of C-shaped cartilaginous rings connected dorsally by the dorsal tracheal membrane. There are many types of tracheal diseases (such as tracheal foreign bodies, masses, hypoplasia and stenosis), but the most common cause of obstruction of airflow in the trachea of dogs is tracheal collapse. In this session, the pathology, clinical presentation, helpful diagnostics, and medical and surgical treatment options will be discussed, along with concurrent conditions that need to be recognized and treated. practice Management 643 8:30 – 9:30 a.m. Veterinary Practice Ownership Agreements: Why Are They Important? Edward Guiducci, J.D. Practice owners do not know how strong their ownership agreements are—until they live through a breakup. This seminar is designed to inform practice owners about the importance of having an agreement among co-owners to govern a possible breakup of their practice, focusing on options to ease the transition in the event a breakup does occur. Attendees will learn ways to control the inability of co-owners to resolve a dispute, as well as how to handle the disability, improper conduct or death of a co-owner. Participants will also learn what their options are to fund a buyout of an owner without it harming the practice. 644 9:45 – 10:45 a.m. Let’s Make a Deal: Elements of a Good Non-Disclosure Agreement and Letter of Intent Edward Guiducci, J.D. This program will provide an overview of confidentiality and non-disclosure agreements. Attendees will learn what protections a seller can expect and provisions that should be included in any confidentiality agreement, as well as the risks a buyer incurs when entering into such an agreement. This session will also focus on the importance of a letter of intent prior to incurring the expense of drafting purchase agreements and the key terms that should be negotiated as part of the letter of intent. 645 11 a.m. – 12 p.m. Real Estate Leasing for Startups and Practice Sales Edward Guiducci, J.D. This session will explore common real estate leasing contract issues that practice owners and administrators need to understand prior to leasing a space for a start-up veterinary practice, relocating an existing practice, or taking over an existing lease as part of a purchase of a veterinary practice. Practice owners need to understand that landlords can be aggressive in seeking one-sided lease terms and that it is frequently a battle to obtain fair terms. We will identify many of the terms that landlords attempt to impose upon tenants, and we will discuss options on how to resolve the matter to obtain a fair lease. speaker spotlight Edward Guiducci is a veterinary business attorney representing veterinarians in a variety of practice business transactions throughout the United States. This includes advising veterinarians on the best legal structure for their practice; merging, buying and selling of veterinary practices; and structuring associate, owner and buy-in agreements. Mr. Guiducci is a frequent speaker at veterinary conferences and is co-author of Beyond the Successful Veterinary Practice — Succession Planning and Other Legal Issues. He is also a past president of Vet Partners. 646 1:30 – 2:30 p.m. People Pleasing: Human Resource Issues for Veterinary Practice Sales Edward Guiducci, J.D. The session will inform veterinarians, practice owners, managers and any staff responsible for human resources about the employee issues that must be considered as a buyer and seller of a veterinary practice. This will include pre-closing investigations for a buyer; liability for pre-closing wages, benefits, and workers compensation claims; and postclosing issues for buyers and sellers. 647 2:45 – 3:45 p.m. Veterinary Practice Legal Checkup Edward Guiducci, J.D. This program will provide information about certain legal issues that every veterinary practice faces in its day-to-day operations, including whether to classify a worker as an employee or an independent contractor, what IRS rules say about employee discounts, and how to minimize lawsuits and labor board complaints when firing an employee. 648 4 – 5 p.m. Associate Buy-In: Is This Your Exit Strategy? Edward Guiducci, J.D. This session is designed to inform veterinarians about utilizing an associate buy-in as an owner’s exit strategy. This seminar will focus on legal and practical planning issues that will enable an owner to leverage existing associate doctors to achieve their exit strategy. public Health 649 8:30 – 9:30 a.m. Current and Emerging Public Health Threats from MultidrugResistant Organisms Thomas Wittum, M.S., Ph.D. This session will provide an overview of current and emerging multidrug-resistant organisms of greatest importance to veterinary medicine and public health. . 57 . Sunday 2 22 15 • 650 9:45 – 10:45 a.m. Antimicrobial Resistance in Gram-Negative Infections of Companion Animals Joshua Daniels, DVM, Ph.D., DACVM In this session, the molecular basis of important antimicrobial resistance phenotypes will be discussed, with special attention to beta-lactam resistance. Case examples will be covered, in addition to a broader discussion about the emergence and dissemination of multidrug-resistant Gram-negative pathogens, and how companion animals fit into the overall epidemiological picture. 651 • 11 a.m. – 12 p.m. Multidrug-Resistant Organisms in Veterinary Practice: The Horrific Gram Positives Andrew Hillier, DVM, BVSc, MANZCVS, DACVD Description unavailable at time of publication. Once available, the description will be posted on the MVC Web site at www. mvcinfo.org. speaker spotlight When it comes to helping veterinary practices streamline their technology and attract and retain clients, Eric Garcia has a proven track record of educating the industry and producing results. Eric is an information technology and Web marketing consultant working exclusively with veterinary practices. He has spoken to veterinarians and staff at major conferences across the world. He is also the co-author of The 5-Minute Veterinary Practice Management Consult. Eric’s previous experiences include sharing management roles at a successful nine-doctor veterinary practice in Tampa and serving as vice president of a veterinaryexclusive online marketing firm. 653 shelter Animal 652 8:30 – 9:30 a.m. “Difficult-to-Place” Animals: Defining the Challenge Sharon Harvey, M.A. In May 2014, 30 animal welfare leaders from across the country gathered for the National Federation of Humane Societies’ Adoption Forum III. The chosen topic was “difficult-to-place” animals, or animals for which we struggle to find timely placement options. As individual shelters and rescue organizations—or even entire regions—experience shifts in the numbers or type of animals coming into their agencies, some of our previous thinking about placement is also changing. In this session, research and community trend data will be presented, the definition of “adoptability” will be explored, and some commonly held assumptions will be challenged. . 58 . 9:45 – 10:45 a.m. “Difficult-to-Place” to “Placed” Animals: How Do We Get There? Sharon Harvey, M.A. Animal welfare organizations across the country are finding new ways to address both old and new animal intake and placement challenges. In this session, strategies and tools that were discussed or developed during Adoption Forum III will be shared. Armed with learning from the previous session, attendees will share their own experiences and participate in a facilitated discussion on how these tools can used at a community level to save more lives. 654 11 a.m. – 12 p.m., 1:30 – 5 p.m. Pets for Life: Reaching Pets in Underserved Communities William Mangham, DVM; and Rachel Thompson This session will teach attendees strategies and processes to reach people and pets in underserved areas—from assessing a community’s needs and where to focus efforts to connecting with clients on spay/neuter and general pet wellness. Participants will hear how they can comprehensively address the critical lack of accessible, affordable pet care in some communities and how to connect with the community in a meaningful way. staff Development 658 8:30 – 9:30 a.m. What’s New with Social Media? Eric Garcia Learn all about the newest features available on the most popular social media platforms and how you can use them to effectively engage with and market to your clients. Attendees will leave with valuable tips and tools to get started right away! 659–660 9:45 a.m. – 12 p.m. Optimizing Your Digital Presence Eric Garcia This two-part session will offer actionpacked digital marketing tips to get you excited about marketing in the digital space. Attendees will leave with general knowledge and tips to get on the right track to using digital and Internet marketing in practice. Featuring several case studies from veterinary practices in the United States, this session will discuss social media; your online reputation; Web sites; and basic, easy-to-implement search engine optimization tips. 661 1:30 – 2:30 p.m. Boosting Exam Room Compliance and Communication Using YouTube Eric Garcia The average veterinarian will make a minimum of five recommendations to an owner in a 30-minute appointment. These recommendations don’t often stick with pet owners, due to a lack of understanding and the feeling of being overwhelmed. What can you do to increase compliance after making recommendations? In this session, attendees will learn about new and exciting digital tools to make their recommendations stick. 662–663 2:45 – 5 p.m. Using Facebook for Maximized Success Eric Garcia If you’re ready to learn how your practice can benefit from the No. 1 social media network, then this two-part session is for you! Learn how to build a strong online community for your practice, improve client loyalty, and build pet owner compliance using Facebook. Discover new ways to encourage your followers to engage with your practice and find new avenues for effectively marketing your practice. 667 Beyond the Side of the Bag: Discussing Nutrition with Clients Saralyn Sharp, RVT, AVTCP (Canine/Feline) Nutrition is one of the five vital assessments, but it is probably the most overlooked—generally because it is the hardest to discuss with clients. In this session, we will talk about current fads in nutrition, how to help clients make sense of them, and tips for choosing a healthy diet for their pets. 668 technician 664 8:30 – 9:30 a.m. Pre-Breeding Evaluations: Helping the Breeder Breed Better Dogs Saralyn Sharp, RVT, AVTCP (Canine/Feline) This session will cover incorporating pre-breeding evaluations, including what tests to conduct for which breeds, how to interpret the tests, and how to use the results to counsel breeders and ultimately improve the breed. 665 9:45 – 10:45 a.m. Fecals, Heartworm Tests and Tick Titers: Increasing Client Compliance Saralyn Sharp, RVT, AVTCP (Canine/Feline) We all know how important parasitology testing is to the health of our companion animals! This session will discuss ways to increase client compliance, thereby increasing the pet’s health and the practice’s bottom line. 666 11 a.m. – 12 p.m. Distemper, Parvo and Leptospirosis—Oh My! Saralyn Sharp, RVT, AVTCP (Canine/Feline) Vaccines are a hot topic in both the veterinary and human medical worlds. In this session, topics to be covered include evidence for and against vaccinations, current vaccine recommendations, and how to educate clients to be partners in vaccinating pets for the pet’s safety and the safety of the world around them. 1:30 – 2:30 p.m. 2:45 – 3:45 p.m. Supplements and Nutraceuticals: Do They Help or Hurt? Saralyn Sharp, RVT, AVTCP (Canine/Feline) The animal supplement industry is a billion-dollar industry that appeals to a client’s desire to help keep their pets happy and healthy. Should you recommend nutraceuticals? How do you know which supplements to recommend? This talk will introduce you to evidence-based medical information you can use to help make decisions and recommendations. 669 4 – 5 p.m. Incorporating Behavior into Everyday Appointments Saralyn Sharp, RVT, AVTCP (Canine/Feline) You deal with unruly animals every day, but often, clients have no idea how to handle these animals. And unfortunately, all too frequently these animals end up in shelters, increasing the burden of the shelter population and causing you to lose a patient. What can you do in the exam room with the puppy and kitten—and even adult animals—to prevent this from happening? How do you know what problems to handle yourself and when to refer to a veterinary behaviorist? Let’s discuss these issues in this session. disclaimer: The Ohio Veterinary Medical Association is pleased to provide a comprehensive educational program at the Midwest Veterinary Conference. However, please note that OVMA does not endorse and cannot be responsible for Speaker content. . 59 .