Innovative VETERINARY CARE
VOLUME 10 ISSUE 4
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HOW ARTIFICIAL INTELLIGENCE IS IMPROVING PATIENT CARE USING AI WITH RADIOLOGY MEANS YOU CAN RECEIVE CRUCIAL DIAGNOSTIC INFORMATION ALMOST IMMEDIATELY. — P. 14
PBM AND REHAB THERAPY FOR DOGS WITH DM
A retrospective study suggests rehab therapy and photobiomodulation may slow the progress of DM and increase longevity. — P. 10
FALL 2020
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THE NEED FOR RAPID POC DIAGNOSTICS
DIAGNOSING FELINE GI DISEASE
An overview of general diagnostics and specialized tests for cats with GI symptoms. — P. 37
TAKING A MULTIMODAL APPROACH TO CANCER
In-clinic point-of-care tests enhance patient care by delivering rapid lab-quality data. — P. 32
When it comes to cancer, a single solution is rarely effective. A multimodal treatment plan often produces ideal outcomes. — P. 48
BECOME A DIGITAL VETERINARY ENTREPRENEUR
VACCINATING ADULT DOGS AND CATS
Explore ways to digitally reach beyond private practice and diversify your income during the pandemic. — P. 26
Vaccine protocols should consider each animal’s risk of exposure, along with geographical location, and lifestyle factors. — P. 20
contents FEATURES
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PBM AND REHAB THERAPY FOR DOGS WITH DM
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AI IN VETERINARY RADIOLOGY IMPROVES PATIENT CARE
By Lisa A. Miller, DVM, CCRT
A combination of photobiomodulation and rehabilitation therapy may positively impact symptom progression and survival times in dogs with a presumptive diagnosis of DM.
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By Eric Goldman
The implementation of artificial intelligence in the field of veterinary radiology allows doctors to receive crucial diagnostic information almost immediately.
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NANOSHELL TECHNOLOGY AND LASER ABLATION
By Andrew J Rosenfeld, DVM, ABVP
A new treatment for mast cell disease in dogs.
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VACCINATION IN ADULT DOGS AND CATS By W. Jean Dodds, DVM
Both the core and non-core revaccination needs of adult dogs and cats should consider the individual’s risk of exposure, along with geographical location, and lifestyle factors.
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BUSINESS INNOVATION
THE RISE OF THE DIGITAL VETERINARY ENTREPRENEUR
By Megan Kelly, DVM
Explore ways to reach beyond private practice and diversify your income digitally.
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RAPID POC DIAGNOSTICS IN ANIMAL HOSPITALS
By Samuel D. Stewart, DVM, DACVECC
Veterinary medicine has a significant need for in-clinic point-of-care (POC) tests that can deliver rapid, reference lab-quality sensitivity and specificity data.
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SCREENING FOR EARLY DETECTION OF OSTEOARTHRITIS
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FELINE GI DISEASE: A SYSTEMATIC APPROACH TO DIAGNOSIS
By Randy Ringold, BSc, MT(ASCP), MBA
Screening for OA should start in all dogs over five years of age, and routinely in high risk breeds.
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By Yu-An Wu, DVM
A discussion of the general diagnostic approach to cats with GI symptoms, along with some of the specialized tests available at reference laboratories.
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INTEGRATIVE APPROACHES TO CANINE HEMANGIOSARCOMA
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TCVM DIAGNOSTICS FOR THE BEGINNER
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TELEMEDICINE AND OTHER ADVANCES ARE HERE TO STAY
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HELPING CLIENTS WITH AGING CATS
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THE VETERINARY ONCOLOGY TOOLKIT
By Barbara Royal, DVM, CVA
Combining conventional and alternative treatments is the best approach for dogs with HSA.
By Jody Bearman, DVM, CVSMT, CVA, CVCH
A little knowledge about TCVM helps you read the literature more critically. This article gives you a start at understanding this system’s diagnostic approach.
By Hilary Jones, DVM
The changes we've had to make due to the pandemic give us the opportunity to restructure vet med with a focus on innovation and personal wellness.
By Pete Wedderburn, BVM&S CertVR MRCVS
Offer your clients the guidance they need to enhance their cats’ quality of life and longevity throughout the aging process.
By Robert J Silver, DVM, MS
Treating oncology patients is complex, and one solution rarely addresses all dimensions of recovery and well-being. A multimodal approach often produces ideal outcomes.
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NUTRITION NOOK
TECHNICIANS AS TEACHERS: EDUCATING CLIENTS ABOUT NUTRITION
By Kara M. Burns, MS, MEd, LVT, VTS (Nutrition)
By initiating discussions about nutrition each time pet parents visit the practice, veterinary technicians can directly impact the lifelong health of their patients.
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advisory board Dr. Richard Palmquist, DVM GDipVCHM(CIVT) CVCHM (IVAS), graduated from Colorado State University in 1983. He is chief of integrative health services at Centinela Animal Hospital in Inglewood, California, former president and research chair of the AHVMA, and an international speaker in integrative veterinary medicine. Dr. Palmquist is a consultant for the Veterinary Information Network (VIN) and a past president of the AHVM Foundation. He has published two books, one for conventional veterinarians and a second for clients discussing how integrative thinking works.
COLUMNS & DEPARTMENTS
6 Editorial 13 Business profile — Theralase® 17 From the AVH 24 Industry innovations 31 From the VMAA 36 From the VBMA 53 From the AATCVM 54 News bites
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Michelle J. Rivera, MT, VDT, is an instructor at the University of Wisconsin and The Healing Oasis Wellness Center, a post-graduate educational institution offering state-approved programs. She is co-owner of The Healing Oasis Veterinary Hospital, offering massage, rehabilitation, chiropractic and Chinese and Western Herbology. Michelle completed the Chinese Herbal Medicine program from the China Beijing International Acupuncture Training Center, and is certified in Chinese Medicine by the Wisconsin Institute of Chinese Herbology.
Dr. Joyce Harman, DVM, MRCVS, graduated in 1984 from Virginia Maryland Regional College of Veterinary Medicine. Her practice is 100% holistic, using acupuncture, chiropractic, herbal medicine and homeopathy to treat horses to enhance performance and those with a variety of chronic conditions, with an emphasis on Lyme Disease. Her publications include the Pain Free Back and Saddle Fit Books, and numerous articles in lay and professional magazines. She maintains an informative website: www.harmanyequine.com. Dr. Steve Marsden, DVM, ND, MSOM, Lac. Dipl.CH, CVA, AHG lectures for IVAS, the AHVMA, the AVMA, and numerous other organizations. He is co-founder of the College of Integrative Veterinary Therapies and is a director emeritus of the National University of Natural Medicine in Portland OR. He authored the Manual of Natural Veterinary Medicine (Mosby); and Essential Guide to Chinese Herbal Formulas (CIVT). Dr. Marsden is extensively trained in alternative medicine, including Chinese herbology, acupuncture and naturopathic medicine. He has holistic veterinary and naturopathic medical practices in Edmonton, Alberta. In 2010, Dr. Marsden was named Teacher of the Year by the AHVMA; and Small Animal Veterinarian of the year by the CVMA in 2009. Dr. Jean Dodds, DVM, received her veterinary degree in 1964 from the Ontario Veterinary College. In 1986, she moved to Southern California to establish Hemopet, the first non-profit national blood bank program for animals. Dr. Dodds has been a member of many national and international committees on hematology, animal models of human disease, veterinary medicine, and laboratory animal science. She received the Holistic Veterinarian of the Year Award from the AHVMA in 1994.
Dr. Barbara Fougere, DVM, CVAA graduated in 1986, and was named the American Holistic Veterinary Medical Association Educator for 2011. Dr. Fougere is the principal and one of the founders of the College of Integrative Veterinary Therapies. She has continued studying over the last 26 years, and has three Bachelor degrees, two Masters degrees, three post Graduate Diplomas, several Certifications and numerous other courses under her belt.
Dr. Christina Chambreau, DVM, CVH, graduated from the University of Georgia Veterinary College in 1980. She is a founder of the Academy of Veterinary Homeopathy, was on the faculty of the National Center for Homeopathy Summer School and has been the holistic modality adjunct faculty liaison for the Maryland Veterinary Technician Program and is the former Associate Editor of IVC Journal. Dr. Chambreau teaches classes in homeopathy for animals, lectures on many topics, speaks on Radio and TV, and is the author of the Healthy Animal’s Journal among other titles. She is now on the faculty of the Holistic Actions Academy, which empowers members to keep their animals healthy with weekly live webinars.
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Innovations in veterinary radiology:
using AI to improve patient care BY ERIC GOLDMAN
The implementation of artificial intelligence in the field of veterinary radiology allows doctors to receive crucial diagnostic information almost immediately. The world of medicine is constantly changing, and the veterinary medical field is no different. Technology is advancing rapidly, and the rule is to adapt to these changes or succumb to the consequences. The use of artificial intelligence (AI) in veterinary radiology is a relatively new area. Leaders in this field are ethically responsible for providing correct product knowledge to the veterinary community, and should follow the principles of transparency, honesty, and integrity. At the same time, veterinary professionals eager to use this new technology must understand that the field is ever-evolving. As such, offered products will be in different development stages. Good Machine Learning Practices (GMLP) should be adhered to and documented.1
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IVC Fall 2020
AI IN VETERINARY MEDICINE — POTENTIAL AREAS OF IMPACT Implementing an artificial intelligence strategy is a must for veterinary practices moving into the future. Access to specialists is not always available to hospitals or clients, and AI offers an attractive solution. However, experts believe that depending solely on AI can be detrimental. A strategic combination of both human competency and AI technology is important to drive the best care. Some of the products related to AI in veterinary practice have already been in the marketplace for years. These are expected to gain immense popularity in the near future. The
global market for wearable devices for the remote monitoring of pet health and activity is forecast to reach over $8 billion by the year 2025. When it comes to the human health market, similar products have gained in popularity. These are known for measuring simple parameters such as movement, heart rate, and body temperature. In addition, these devices keep tabs on food intake. They will make recommendations based on appropriate behavioral responses. For instance, these devices will inform diabetic patients about requirements for glucose or insulin. New devices with the capability of measuring other important parameters will soon be available. In the veterinary field, cattle can be fitted with movement sensors to identify the onset of estrus. Similar technology will no doubt become available for other species, including pigs. At present, these sensors are quite expensive, especially for routine usage. Special efforts are being made to produce low-cost versions of the technology that would make them more accessible to farming operations. This process will emulate the rapid decrease in the cost of genome analysis, resulting in possible developments of custom-made medicines in animals and human patients. Apart from identifying individuals with genotypes that may make them more or less vulnerable to the effects of specific drugs, professionals will also carry out genomic analyses on microbiome samples from the skin, gut, and other sites to evaluate which disease-causing organisms may exist in the patient’s body. There have been speculations on whether these approaches will ultimately lead to a reduction in the demand for antibiotics. Advancements in monitoring technologies will similarly lead to challenges in processing and applying the available IVC Fall 2020
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