I was so happy you saved his life I did the crazy happy dance.
|Challenges in Feline Cardiology
Simon Dennis, BVetMed, MVM, DECVIM (Cardiology)
Weds, October 26th
Hope Veterinary Specialists
Heart disease is highly prevalent in cats, with multiple studies confirming that the most common group of acquired feline cardiac disease, the cardiomyopathies, affect 15% of healthy cats. With the AVMA reporting that there were over 74 million cats owned in the US in 2012, that represents at least 11 million cats with cardiac disease in the US alone. While a notable proportion of cats with cardiac disease have a normal life expectancy and quality of life, cats with severe or advanced disease have a high morbidity and mortality from heart failure, sudden death or arterial thromboembolism. Identifying those cats at high risk for adverse consequences of their disease and treating them appropriately remain two of the biggest challenges in feline cardiology. Unfortunately there is little consensus among practitioners and cardiologists regarding the ‘best’ way. This reflects the difficulties faced with diagnosing and classifying cardiac disease in cats, the high prevalence of functional murmurs in cats, and the paucity of evidence to support the benefit of therapy for both preclinical cardiomyopathies and cats with heart failure.
This talk will provide practical advice for veterinarians in general practice, using the tools in their practice, to identify cats with, or at risk of, cardiac disease and to recognize cats at the highest risk for heart failure and ATE. The talk will also discuss which cases may benefit from therapy, what therapies have evidence to support their use, when to start them, and what therapies have questionable benefit or may be harmful.
Please feel welcome to ask any questions about this talk or to ask for advice regarding any challenging cases of cardiac disease that you have seen.
Simon Dennis, BVetMed, MVM, DECVIM (Cardiology)
|Dr. Simon Dennis was born in the United Kingdom and is a 2000 graduate of the Royal Veterinary College (RVC), London. He completed a small animal internship and a Masters degree in electrocardiography at the University of Glasgow and then worked as a small animal practitioner in England for 4 years before returning to the RVC in 2005 for a 3-year residency in cardiology.|
Dr. Dennis completed his residency and became board-certified in cardiology by the European College of Veterinary Internal Medicine in 2008. He subsequently worked as a small animal cardiologist in the south of London and as a lecturer in cardiology at the RVC, completing a post-graduate certificate in veterinary education and becoming a fellow of the higher education academy in the UK. After becoming a well-known cardiologist and lecturer in Europe, Dr. Dennis moved to Philadelphia to work at the University of Pennsylvania as a lecturer in cardiology in 2013. He worked briefly as a cardiologist in New York City before moving to Hope VS in 2016 after deciding that the Philly suburbs was the place he wanted to settle down with his wife Sherry, daughter Sienna and their cat, George Washington.
Featured Speaker: David Brewer, DVM, DACVIM (Neurology)
Date: Sunday, November 13, 2016
Location: Chubb Hotel and Conference Center, Lafayette Hill, PA
Credit: 5 hours RACE CE
Hope Veterinary Specialists presents the Neurology Symposium. Join us for a full day of lectures as we end our 2016 lecture series symposiums.
Looking for those last few CE credits for Pennsylvania Veterinarians and Technicians? You can receive 5 CE credits for our FREE event!
No fee to attend but you must register. We regret that we cannot accommodate on-site registration.
Breakfast and Lunch will be served.
This program 1008-25340 is pending approval by the AAVSB RACE to offer a total of 5.00 CE Credits (5.00 max) being available to any one veterinarian: and/or 5.00 Veterinary Technician CE Credits (5.00 max). This RACE approval is for the subject matter categorie(s) of: Category One: Scientific, using the delivery method(s) of: Seminar/Lecture. HOPE VS RACE Provider #1008.
8:00-8:30 am: Registration & Breakfast with Sponsors
8:30-9:30 am: The 5 Disc Diseases -Dr. David Brewer
9:30-9:45 am: Break with Sponsors
9:45-10:45 am: Pathophysiology and Treatment of Seizures- Dr. David Brewer
10:45-11:45 am: CyberKnife Radiosurgical treatment of CNS tumors -Dr. Siobhan Haney
11:45-1:00 pm: Lunch with Sponsors
1:00-2:00 pm: Anesthesia and Analgesia for the Neurologic Patient: Adapting your approach -Dr. Sandra Perkowski
2:00-3:00 pm Medicinal Cannabis- The Emerging Role of the Endocannabinoid System-Dr. David Brewer
TO RSVP TO THIS EVENT and EVENT DETAILS, PLEASE VISIT:https://neurologysymposium.eventbrite.com
The First Goodbye: Supporting Children through Pet Loss for the Veterinary Professional
Tuesday, November 1, 2016 at 6:30pm
The topic of children and pet loss is one that requires attention in order for veterinary staff to be able to effectively communicate with clients on how to assist their children through one of the most difficult times of their life. Losing a pet can impact the entire family, but it can be especially painful for children because it is typically their first encounter with death. For most children, the loss of a beloved companion animal is an overwhelmingly painful experience. Children need support and guidance to comprehend the loss and move forward in the grieving process while continuing to honor their pet’s memory. Veterinary staff has the opportunity to make a positive impact on clients by educating them on grief and pet loss, which in turn will help children to shape their response to future losses. In many instances, veterinary professionals are not fully prepared to aid their clients when dealing with children following the loss of a pet. The goal of the lecture is to provide veterinary professionals with the necessary tools to assist clients with helping their children through critical and life-changing moments.
In this lecture, the veterinary professional will learn beneficial information to better assist their clients on the following:
- The strong bond between children and their companion animals
- When to involve children in the decision-making process
- Importance of being open and honest when communicating with children
- Guide children through pet illness, death, and after the loss
- The recommended age a child can be present during a euthanasia procedure
- How the age of a child can influence his or her reaction to grief and loss
- Suggested literature for children on pet loss
- Methods to assist children with moving forward from the loss
Dinner and Registration: 6:30pm
Lecture Start: 7:00 – 8:00pm
Questions and Answer: 8:00- 8:30pm
This program 1008-26456 is approved by the AAVSB RACE to offer a total of 1.00 CE Credits (1.00 max) being available to any one veterinarian: and/or 1.00 Veterinary Technician CE Credits (1.00 max). This RACE approval is for the subject matter categorie(s) of: Category Three: Non-Scientific-Practice Management/Professional Development using the delivery method(s) of: Seminar/Lecture. This approval is valid in jurisdictions which recognize AAVSB RACE; however, participants are responsible for ascertaining each board’s CE requirements. All lectures are given in a classroom setting and no registration fee is required. HOPE VS RACE Provider #1008.
Speaker: Jennifer Durn, MSW, LSW acquired a Bachelor of Arts degree in Mass Communication from Mansfield University. With the primary goal of working in the veterinary realm, Jennifer pursued a Master of Social Work degree from Marywood University. While in graduate school, Jennifer participated in internships within the fields of hospice and oncology, and also studied International Social Work in South Korea. During Jennifer’s second year of graduate school, she created her own internship within a small animal hospital where she supported clients and staff through emotionally charged situations.
Jennifer has experience working with adults, children, and families in a community mental health setting. She specializes in supporting clients deeply affected by traumatic events and those who require support with grief and loss. Jennifer received additional training in mediation, animal-assisted interactions, and compassion fatigue. Passionate about animal welfare and disaster response, she volunteers at a local animal sanctuary, and is a member of her local Animal Response Team, as well as the Disaster Mental Health Team with the Red Cross.
TO RSVP TO THIS EVENT, PLEASE VISIT: https://thefirstgoodbye.eventbrite.com
Hope Veterinary Specialists is pleased to announce that we are now offering minimally invasive surgical procedures. Many of you have likely already heard of minimally invasive surgery, which involves the use of small incisions into the thorax (thoracoscopy), abdomen (laparoscopy), or joints (arthroscopy). A magnifying camera and small instruments are inserted through these incisions, which allow us to diagnose and treat many different diseases. The benefits of minimally invasive surgery are numerous and include:
With 4 board-certified surgeons trained in minimally invasive surgery and a board certified anesthesiologist to oversee anesthesia for these cases, HOPE is excited to start performing the following procedures:
Laparoscopic and laparoscopic assisted procedures offered:
- Prophylactic gastropexy
- Liver biopsy
- Intestinal biopsy
- Cryptorchid castration
- Lymph node biopsy
- Renal biopsy
Thoracoscopic and thoracoscopic assisted procedures:
- Lung lobectomy
- Lung biopsy
- Pleural biopsy
- Pleural port placement
- Thoracic duct ligation
- Osteochondritis dissecans (OCD) of the shoulder
- Biceps Tenosynovitis
- Medial ligament assessment
- Fragmented medial coronoid process
- Ununited anconeal process
- Assessment of elbow incongruity/cartilage lesions
- Diagnosis of cranial cruciate ligament rupture/partial tear
- Meniscal assessment and meniscectomy
- Osteochondritis dissecans (OCD) of the femur
- Osteochondritis dissecans (OCD) of the tarsus
An eight-year-old neutered male retriever mix dog diagnosed with osteosarcoma of the mid-left ulna in February of 2016, had a partial mid-ulnectomy with clean margins and had been doing well. No adjuvant chemotherapy or radiation therapy were administered post-operatively. Four months after the mid-ulnectomy, a small growth on the lateral aspect of left forelimb was noted and had been getting larger. Radiographs (see below) show a mass (approximately 2×2 cm) in the soft tissues where the partial ulnectomy was performed. The mass was nonpainful and firm. A fine needle aspirate of the mass was obtained and submitted for cytologic evaluation.
Submitted slides were moderately to very highly cellular and consist of few to many red blood cells and a nucleated cell population predominated by individual round to spindle shaped cells (osteoblasts) with few scattered leukocytes in proportions consistent with peripheral blood. The osteoblasts had a small to moderate amount of basophilic cytoplasm that rarely contained pink granules and occasionally exhibited a small perinuclear clear area (Golgi). The nuclei were eccentric, round to oval, and had finely stippled chromatin pattern and 1-3 prominent nucleoli. Anisokaryosis was moderate; mitotic figures were frequently noted; binucleated cells were occasionally noted. Cellular aggregates were occasionally associated with a very small to moderate amount of pink extracellular matrix. The cytologic diagnosis was osteosarcoma.
Unlike many types of sarcoma, osteosarcoma can often be diagnosed definitively via cytology. While most of sarcomas consist of numerous of spindle-shaped cells, the osteoblasts that comprise osteosarcomas are more round to irregular in shape with a characteristic large oval, eccentrically-placed nucleus coupled with a perinuclear clear area (a characteristic that osteoblasts share with plasma cells). Many, but not all, osteoblasts also contain many fine intracytoplasmic pink matrix granules. Aside from these characteristics that identify their cell of origin, the malignant osteoblasts of osteosarcomas commonly exhibit many easily discernible criteria of malignancy (anisokaryosis, multiple prominent nucleoli).
Although the biopsy of the tumor was reported to have clean margins, recurrence of osteosarcoma at the amputation site suggests neoplastic osteoblasts were left behind within the soft tissues of the distal forelimb, where achieving wide soft tissue surgical margins are often difficult or impossible. A recent retrospective study of ulnar osteosarcoma (n = 30 cases) suggests that prognosis was no worse for these dogs compared to dogs with osteosarcoma involving other appendicular sites, although a variety of different treatment strategies were employed in this case series.1 Partial ulnar ostectomy was associated with a low complication rate and good to excellent function post-operatively, but may be associated with an increased risk of local tumor recurrence given the challenges of achieving wide surgical margins in the distal forelimb. The role of adjuvant chemotherapy in delaying tumor progression in ulnar osteosarcoma remains undefined, although most veterinary oncologists would likely advocate for its use in these cases given the high likelihood of metastasis.
- Ulnar osteosarcoma in dogs: 30 cases (1992–2008). Ramesh K.Sivacolundhu, Jeffrey J. Runge, Taryn A. Donovan, Lisa G. Barber, Corey F. Saba, Craig A. Clifford, Louis-Philippe de Lorimier, Stephen W. Atwater, Lisa DiBernardi, Kim P. Freeman, Philip J. Bergman, JAVMA 2013; Jul 1; 243(1):96-101).
Image 1: Lateral radiograph of the left forelimb. Note the mid-forelimb radiopacity in line of where the ulna had previously resided.
Image 2: 50x objective. Cytology of the mid-forelimb mass. Several round to irregularly-shaped malignant osteoblasts with the typical eccentric nucleus, basophilic cytoplasm, and a perinuclear clear area within the cytoplasm. Also, note the anisokaryosis, prominent nucleoli, and binucleation. A small amount of extracellular pink matrix is in the center of the photo.
Image 3: 50x objective. Cytology of the mid-forelimb mass. Several round to irregularly-shaped malignant osteoblasts with the typical eccentric nucleus and a perinuclear clear area within the cytoplasm.