Summer issue of The Michigan Veterinarian 2018 by Michigan Veterinary Medical Association

m i c h i g a n v e t e r i n a r y m e d i c a l a s s o c i at i o n

Changes to Opioid-Related Rules Affecting Veterinarians Effective June 1, 2018

I in this issue . . . 2

Mandatory CME Update – What You Need to Know

Health Certificates– Free Electronic Options Now Available

Don’t Forget!– The Companion Animal Fund

Great Lakes Veterinary Conference...Don’t Miss It!

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EHV-1 and EHV-4: Their Roles in Equine Viral Respiratory Disease, Abortions, and Equine Herpes Myeloencephalopathy (EHM) Members in the News Veterinarians –May not Legally Possess, Use, Distribute, or Prescribe Marijuana or Marijuana-Based Products for the Care or Treatment of Animals

The Top Eleven Reasons to be an MVMA Member

Are You the Next Second Vice President of the MVMA?

What is it about our Clients that Make Us Feel Bad?

n an effort to halt what has become a national epidemic in recent years, the legislature took a first step in taking on the rise in the number of people addicted to opioid pain killers. While MVMA was supportive in a comprehensive solution, we were also active in stopping additional veterinarian requirements and reporting that would not assist in solving opioid abuse. What does this mean for veterinarians? Currently, veterinarians are required to report Schedule 2-5 Controlled Substances dispensed from a veterinary facility to MAPS on a daily basis. WHAT WILL CHANGE:

ny prescribed Schedule 2-5 Controlled SubA stances used outside of the veterinary facility and dispensed in greater than a three-day supply require veterinarians to check a Michigan Automated Prescription System (MAPS) report on the pet owner of record. All prescribers should be registered with MAPS prior to June 1, 2018. This may seem daunting, but as veterinarians, our concern is for the VETERINARY prescriptions that are designated by a dog icon next to each veterinary prescription. nn When you examine a MAPS report, you are looking at two things: First, how recently was the last dispensed prescription purchased for the patient? In other words, should the patient have a reasonable amount at home when the refill was requested? Second, has there been a veterinary prescription for a controlled substance nn

back cover

IMPORTANT PHONE NUMBERS volum e xiv · num ber 2 · sum m er 2018

dispensed for the pet at another veterinary facility in a recent period of time, that creates suspicion of potential doctor shopping? nn If you have concerns, you may report your findings to MAPS and they will pursue investigation. nn Protect your DEA like it is priceless; do not feel guilty or uncomfortable for doing your due diligence. nn If you WRITE a prescription for a Schedule 2-5 Controlled Substance for a pet, you do NOT have to check a MAPS report, but one will be checked at the pharmacy and you may be contacted. nn Drugs used in the veterinary hospital but NOT dispensed to the pet at the time of discharge do not require a MAPS report be checked. nn You may have a “Delegate User” in your veterinary facility who may run a report for you to review. They will need to register as a prescriber delegate. nn According to the Michigan Opioid Laws, prescribers and dispensers may discuss findings of a report with a client and with another veterinarian treating the patient during the normal course of coordinating care for the continued on page 3 .

Professional excellence. Compassionate care. 2144 Commons Pkwy., Okemos, MI 48864-3986 tel (517) 347-4710 · fax (517) 347-4666 email mvma@michvma.org web www.michvma.org facebook www.facebook.com/ilovemyvet twitter www.twitter.com/michiganvma youtube www.youtube.com/michiganvma pinterest www.pinterest.com/michvma instagram www.instagram.com/welovemivets Published quarterly in March, June, September, and December. Deadlines are the first of the preceding month. editors Karlene B. Belyea, MBA • Sheri Fandel 2018 mvma officers & directors officers Dr. Lori Penman, President Dr. Mike Thome, President-Elect Dr. Melissa Owings, 1st Vice President Dr. Christian Ast, 2nd Vice President Dr. Bruce Cozzens, Immediate Past President Dr. Kathleen Smiler, AVMA Delegate Dr. Stephen Steep, AVMA Alternate Delegate Karlene Belyea, MBA, Chief Executive Officer directors representing districts Dr. Megan McQuade, (1) Southern Dr. Kristin Knirk, (2 & 3) Michiana & Southwestern Dr. Erin Whalin, (4) Jackson Dr. Larry Letsche, (5 & 9) Washtenaw & Livingston Dr. Tim Duncan, (6 & 8) Wayne & Oakland Dr. Julie Sherman (7) Macomb Dr. Dana Tatman-Lilly, (10) Mid-State Dr. Therese Burns, (11) Western Dr. Joseph Kline, (12) Saginaw Vacant, (13) Thumb Dr. Anne Shuff, (14) Northeastern Dr. Marcia Izo, (15) Northern directors representing associations Dr. Jeff Bunn, MI Equine Practitioners Dr. Steven Bailey, Southeastern Michigan VMA at-large directors Dr. Erin Howard, Food Animal Dr. Srinand Sreevatsan, MSU CVM Dr. Claire Hankenson, Lab Animal Medicine layout / design Cherie Morehouse/Morehouse Media, Lansing, MI printing & mailing BRD Printing, Lansing, MI n The Michigan Veterinary Medical Association represents the veterinary profession in Michigan, advances the knowledge and standards of its membership, and promotes the science, practice, and value of veterinary medicine for the benefit of animal and human health.

MANDATORY CME UPDATE–

What You Need to Know

VMA has been receiving quite a few inquiries about mandatory continuing medical education (CME). Each time new information becomes available, we quickly send out a Member Alert via email to keep everyone in the loop. As you may recall, On March 15, 2016, Governor Snyder signed Public Acts 47 and 49 into law requiring continuing medical education (CME) for veterinarians and veterinary technicians. Beginning in 2020, an applicant for a veterinarian license renewal who held a license for the 3-year period immediately preceding the expiration date of the license shall have earned, within the 3-year period immediately preceding the date of the application, 45 hours of approved continuing education. Veterinary technicians will need 15 hours during the same 3-year period. The Michigan Department of Licensing and Regulatory Affairs (LARA) and the Michigan Board of Veterinary Medicine have drafted revised Administrative Rules for veterinarians and veterinary technicians after taking into consideration all of the public comments they received at the first hearing on September 29, 2017. The revised rules specify the details on what is required for Continuing Medical Education (CME) in Michigan and based on the previous public comment, many more entities have been included in the list of providers for which CME will automatically be counted. MVMA made members aware of a second public hearing that occurred on May 23, 2018. Although it is now too late to submit public comment on the rules, links to the drafts being considered are below for your information.

The proposed revised rules for veterinarians can be found at: dmbinternet.state.mi.us/DMB/ORRDocs/ORR/1696_2017-019LR_orr-draft.pdf

The proposed revised rules for veterinary technicians can be found at: dmbinternet.state.mi.us/DMB/ORRDocs/ORR/1697_2017-020LR_orr-draft.pdf After the May 23 hearing, LARA has been compiling the public comments and will send them to the Board of Veterinary Medicine Rules Committee for possible revisions. The Rules Committee will then hopefully take any suggested revisions to the full Board of Veterinary Medicine for approval at their meeting on June 21, 2018. MVMA will share any new information we receive as the Administrative Rules are finalized. Please remember to keep all of your CME certificates in a file or stored on MVMA’s CE Portal. Although the rules are not yet finalized, you’ll want to keep proof of your attendance in case you need it when you renew your license.

. “Changes to Opioid-Related Rules,” from front cover

veterinary patient. You may not discuss findings with law enforcement agencies but you can notify law enforcement with concerns, and they can then request a MAPS report in accordance with the Board of Professional Licensing. HOW TO OBTAIN A MAPS REPORT:

First and foremost, this is uncharted territory. We have never had access to this information previously and HIPAA has prohibited access to providers outside the human medical industry. This information should be treated as confidential. It is my opinion that clients should sign a form acknowledging that their pet is being prescribed a Schedule 2-5 Controlled Substance, and that in accordance with state law, a Michigan Automated Prescription System report will be checked every ninety days (note–this is MY recommendation on the time period and LARA may have another preference) to ensure that prescribing rules are being followed safely and effectively. This form could be scanned into a computer file or entered into a paper file and updated by a reminder in the system as necessary. The FDA recommends that clinicians review Prescription Drug Monitoring Program data when starting opioid therapy for chronic pain and periodically throughout opioid therapy for chronic pain, ranging from each prescription to every three months.

I cannot advise you on federal privacy protection, nor can LARA, but the understanding is that MAPS usage is in compliance with HIPAA. If used properly, you should have no issues with privacy laws. In terms of a quantity of medication to be prescribed, the only recommendation is that opioid medication for acute pain should not be prescribed for more than a seven-day period; this only applies to human patients. IF THERE ARE CHANGES, you will be informed in a timely fashion!! Step 1: Visit https://michigan.pmpaware.net/ login and enter your email and password for your account. Step 2: Go to “Menu”, then “Home”, then “Dashboard”. The Dashboard will then show up in the “Favorites” area in the upper right when you visit the site. Step 3: Enter the CLIENT’s first and last names and date of birth. The Dates of RX generally cover the past two years and do not need to be changed. Step 4: Choose “Results” and select “Run Report”. Step 5: Scroll down to RX Data; veterinary prescriptions are currently identified by an asterisk but will eventually have a dog image next to the prescription. DO NOT PRINT THE REPORT. These reports may be viewed online and the report will be saved in your MAPS record. You must follow HIPAA rules and sharing of the MAPS report with any individual is a violation. You may only run MAPS reports on clients with whom you have a current professional relationship and who are seeking a prescription for an established patient; it is a violation of MCL 333.7333a to access MAPS for a client/patient with whom you do not share a bona fide client/patient/doctor

relationship. Reports are stored in the system. You should keep a record of MAPS monitoring in the electronic or paper chart to remind your staff of your compliance. DO NOT provide clients with a copy of the report; it is not authorized to be reported to clients or transferred as part of the patient record. You may keep a copy of the signed form regarding the need for obtaining a MAPS reports in the patient file. Step 6: If you have concerns about the information that you are seeing in the report, please contact MAPS at (517) 373-1737 and they will investigate further. Veterinarians are not law enforcement officers but doing our due diligence and reporting findings that may indicate a misuse or abuse of prescribed medications is required by LARA. You may choose to prescribe a short medication course (such as three days) until you reach the MAPS for guidance. Step 7: You may choose a trusted Delegate User to assist you in checking MAPS reports. This individual must comply with HIPAA and confidentiality rules as well, as mandated by LARA. In 2017, drug related deaths nationwide were estimated to be around 64,000; this number greatly exceeds the number of deaths from traffic accidents and gun violence. In Detroit, there were 383 drug overdose deaths in 2017, exceeding the 267 homicide deaths in the city. Opiate addiction is real, and it is pervasive. Veterinarians are key figures in the battle and we can continue to prescribe safely and responsibly to our patients while following the basic rules dictated to us by the new legislation. As more information is clarified by working diligently with LARA, the MVMA will be notifying members via email. Thank you for your patience and for your cooperation–we are a profession with a unique history of being stringent with prescribing controlled substances and our contribution to the nationwide fight against the abuse and misuse of controlled drugs will be significant.

—Melissa Owings, DVM, MVMA First Vice President Appointed by Governor Rick Snyder to the Michigan Prescription Drug and Opioid Abuse Commission

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HEALTH CERTIFICATES:

Free Electronic Options Now Available

s veterinarians look for ways to become more efficient in their day-to-day activities, technology is currently advancing to meet their needs when it comes to interstate health certificates. By incorporating digital-age technology into the traditional certificatewriting process, veterinarians can not only ease their submission burden, but they also can provide their clients with a better service. Traditionally, health certificates have been written on carbon copy forms, but now, digital options are available and becoming increasingly popular nationwide. Electronic certificates of veterinary inspection (eCVIs) can be filled out using your computer, smartphone, or tablet, making the completion and reporting process simpler for veterinarians and improving animal traceback in a disease situation. eCVIs are signed and submitted electronically, eliminating the need to mail or fax a copy to the Michigan Department of Agriculture and Rural Development (MDARD).

the michigan veterinarian · summer 2018

eCVIs also improve accuracy and reduce costs for both veterinarians and states processing certificates. Currently, MDARD provides support for two free eCVI options for Michigan’s U.S. Department of Agriculture Accredited Veterinarians, the MI eCVI and mCVI. The MI eCVI is free, fillable PDF format that can be used on any computer with an internet connection. To learn more about the MI eCVI, visit MDARD’s veterinarian resource webpage at www.michigan.gov/dvmresources and click on “Health Certificates.” On this page you will find instructional videos, a step-by-step user guide, and the MI eCVI user agreement. If you are interested in trying out the MI eCVI, just fill out and submit the MI eCVI use agreement (allow five business days for processing). If you prefer to complete certificates on your smartphone or tablet, a free mobile application is available for Android and iOS devices. The mCVI provides a nearly all-

inclusive option for issuing CVIs in the field (with offline functionality), emailing certificates to clients, and records management. Find mCVI at Google Play or the App Store. These are just two free eCVI options available to veterinarians. If veterinarians would like to see other options that may better fit their practice’s needs, they can visit our “Health Certificates” page at www.michigan.gov/ dvmresources and reference our Electronic CVI Comparison Chart. This chart compares the features of seven different eCVI options, including accessibility and ease-of-use. Additionally, it provides contact information for each format. Veterinarians are on the frontline of disease prevention in Michigan, and as they make changes to incorporate more paperless technology, MDARD wants to ensure they’re supported in their mission to protect the health of Michigan’s animals. If you have any questions about eCVIs, please contact our importation program at (800) 292-3939. .

Comparison of Electronic Certificates of Veterinary Inspection MI eCVI

mCVI

Global VetLink

Smart ICVI

VetSentry

$25-35/Month

$25-85/Month/Vet

$2.85/Certificate

www.michigan.gov/dvmresources

VSPS

Larch-Hill Labs

AVAILABILITY Pricing

Free

Small Animal/Exotic

✓

Livestock Accepted in all 50 states & US Territories *

✓

(Options available)

Free

✓

Equine Only

✓

(Options available)

APPLICATION

PLATFORMS ✓

Use on PC Use on Mobile Browser

✓ Enterprise & Business Plans Only

✓

Android/iOS App

EASE-OF-USE Upload Animal ID Information

✓

Upload Digital Images to CVI

✓**

✓

Auto-fill Data from Previous CVIs

✓

Searchable CVI Database

✓

Electronic EIA Test Certificate

✓

Upload Digital Images to EIA Test

✓

State MI

* Contact the state of destination to verify this certificate type is still accepted, as acceptance may change without notice. ** Requires Adobe Acrobat XI or newer

mC V I

AgConne ct

✓

Username Passwor d Login

Comparison of Electronic Certificates of Veterinary Inspection MI eCVI

mCVI

Global VetLink

Smart ICVI

VetSentry

Create Ac count

Forgot Pa ssword?

www.michigan.gov/dvmresources

VSPS

Larch-Hill Labs

ACCESSIBILITY Email Client Certificates Owner Portal

✓

Support Staff Login Prepare Certificates Offline

✓

✓ ✓

✓ Enterprise & Business Plans

✓

INTEGRATED SYSTEMS Veterinary Feed Directive (VFD) System Veterinary Prescription System Laboratory Systems

✓

EIA Only

✓

TRAINING ✓

Phone Webinar Video Clinic Manuals & Quick Start Guides

✓

✓ ✓

✓

BUSINESS INFORMATION Colleen Phillipich 800-292-3939

Sarah Caffey 979-845-4385

Kim Schultz 515-817-5703

Alyssa Ortiz 888-633-4030

Scott Rydberg 612-716-2088

Tracey Samuelson 701-355-3330

Charles Fowler 607-674-5777

Website

michigan.gov/ dvmresources

iiad.tamu.edu

globalvetlink.com

smarticvi.com

vet-sentry.com

vsapps.aphis.usda. gov/vsps/ public/Login.do

larchhilllab.com

Technical Support

800-292-3939

979-845-2855

515-817-5704

888-633-4030

320-796-2599

800-457-3642 (Opt 1)

607-674-5777

Contact Information

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Don’t forget! The Companion Animal Fund can help your struggling clients pay for their animal’s care!

he Michigan Animal Health Foundation (MAHF) launched its Companion Animal Fund in April of 2017. The fund subsidizes non-elective treatment to a select group of pet owners and helped 28 animals over a year, sending almost $12,000 back to member practices to help cover costs for these clients. In order to qualify for funding, pet owners must: Be otherwise unable to pay for treatment Be a current client of a veterinary hospital with an animal being treated by a member of the Michigan Veterinary Medical Association nn Be under the federal poverty level, on Medicaid or on WIC (Women Infants & Children) nn nn

MVMA veterinary hospitals are eligible to receive up to $500 per client and a total of up to $500 per clinic/hospital per year. Funds are distributed on a first-come, firstserve basis until the year’s supply has run out. We hope to expand both funding and eligibility in the future and increase the total funds allotted per clinic/hospital. As this is an MVMA member service, funding applications must be completed and submitted by veterinary staff and signed by an MVMA member. Applications will not be accepted from pet owners. Go to michvma.org/Companion-Animal-Fund for additional information. Note that you will need to log into the MVMA website to access this information. If you need assistance logging in, please email us at mvma@michvma. org. Information on the Michigan Animal Health Foundation is also available at michanimalhealthfoundation.org.

CONGRATULATIONS to our 2018–19 “Dues Winner”

Dr. David Nelson! Dr. Nelson was entered into our contest because he paid his dues by July 1, 2017. He will receive free dues for the 2018–19 dues year!

the michigan veterinarian · summer 2018

Companion Animal Fund

Success Stories KIMBER Kimber arrived at Hall Veterinary Clinic with a very painful ear caused by an infection. The infection caused so much inflammation that there were permanent, tough “cauliflower” growths within Kimber’s ear canal. This advanced stage of infection and chronic inflammation required surgical treatment. Without surgery, Kimber would require long term antibiotics and pain medication, which was really only palliative treatment. Kimber’s owners are very devoted pet parents. Previously, Kimber saw a veterinary ophthalmologist for repair of a severe, non-healing corneal ulcer likely caused by Kimber scratching at her sore ear. Everyone was concerned that without surgery for her ear, Kimber would likely scratch and reinjure the eye. Kimber’s family was in a difficult place, facing many complications from the ear infection. It so happened that Dr. Susan Hall had read about the Michigan Animal Health Foundation’s Companion Animal Fund which helps dedicated, loving owners like Kimber’s family do more for their pets than would otherwise be possible. Because the generous assistance was still not enough to cover the complete cost of this kind of a surgery at a specialty surgical hospital, Dr. Hall decided to perform a modified surgical procedure at Hall Veterinary Clinic. Kimber had her surgery and at the time of her recheck she was finally able to escape her “cone of shame”. So far, Kimber is much more comfortable, although her owners will always need to be extra diligent about the care of her ear. Dr. Hall, Kimber, and Kimber’s family are very grateful to the MAHF Companion Animal Fund for the assistance.

Would you like to help with a donation? Every day, we work to improve the lives of animals, but we need your help to continue. Help us help you by making a tax-deductible donation or encouraging your clients to donate. Becoming a MAHF supporter is easy. Go to michanimalhealthfoundation.org/donate or send your check to Michigan Animal Health Foundation, 2144 Commons Parkway, Okemos, MI 48864.

Are you an Amazon.com customer? Support the Michigan Animal Health Foundation by using AmazonSmile at smile.amazon.com! It’s the Amazon site that donates .5% to the charity of your choice and has the exact same products available. The Michigan Animal Health Foundation is one of those charities and we need your support! Just choose the Michigan Animal Health Foundation as your charity when prompted.

KIMBER

JAG Jag is a 4-month-old kitten that was presented on emergency to Switzer Veterinary Clinic. The owners had applied over-the-counter flea medication purchased at a local thrift store. A few hours later they noticed Jag began to have muscle tremors that worsened as the day went on to the point where he could not voluntarily move. On examination, Jag’s whole body was in tremors and he was barely conscious. He was immediately bathed and Dr. Mary Reichardt admitted him to the clinic, placed an intravenous catheter for fluids as well as medications to help reduce his muscle tremors. His treatments continued for 48 hours and he was discharged with no lasting effects of the toxin. Jag’s owners were initially not going to bring him into the clinic due to expenses, but they were able to borrow some money from a family member to cover the emergency fee. However, they could not afford any additional expense for hospitalization and treatment and were considering euthanasia. Switzer Veterinary Clinic, Dr. Reichardt, Jag and Jag’s family want to thank the Michigan Animal Health Foundation Companion Animal Fund for helping Jag receive the care he needed.

JAG

OLLIE Ollie is a 1-year-old intact male miniature Australian Shepherd mix with zest for life. Ollie and his owner and human brother were visiting family for the weekend. Ollie is very smart, energetic and fast and when Ollie saw an open door and freedom he ran! Ollie raced from the house and collided with an on-coming car. Thankfully, Dr. Michelle Meyer at Serenity Animal Hospital recognized not only the severe lacerations and abrasions on Ollie’s legs but that he was having trouble breathing. Dr. Meyer diagnosed pneumothorax, performed life-saving decompression and stabilized Ollie. Because of Dr. Meyer’s care and with the help of the Michigan Animal Health Foundation Companion Animal Fund, Ollie recuperated at home and made a full recovery. Dr. Meyer discussed the importance of castrating intact male dogs with Ollie’s family and that having Ollie neutered would diminish his urge to run. Michigan Animal Health Foundation is grateful to Dr. Meyer’s for her life-saving care, client education, and application to the Companion Animal Fund on Ollie’s behalf. Ollie’s human brother hopes to practice veterinary medicine one day and was instrumental in Ollie’s care, performing bandage changes and administering Ollie’s medications.

OLLIE the michigan veterinarian · summer 2018

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the michigan veterinarian · summer 2018

great lakes

ho u cr rs o ed it f c.e av ail . ab le!

veterinary conference

. . . don’t miss it!

Experience the tradition of Grand Hotel, located on northern Michigan’s Mackinac Island. You will never forget the spectacular views from a rocking chair overlooking the Straits of Mackinac from the world’s longest porch. Grand Hotel is rich in history, a place where time moves at the pace of horse-drawn carriages and bicycles. Take a step away from it all and unwind in the warm hospitality that has been charming guests since 1887.

PRACTICE MANAGEMENT Andy Roark, DVM, MS International Speaker, Author, Media Personality Sponsored by Boehringer Ingelheim

How to be an exam room rock star Building client loyalty to grow your practice n Bonding clients in person—and online n How to drive change in your veterinary practice n The Jedi Mind Trick: 10 techniques for getting colleagues, bosses, and staff to do what you want n Diffusing the angry client n n

INTERNAL MEDICINE & CLINICAL PATHOLOGY C. Guillermo Couto, DVM, DACVIM (IM & ON) Couto Veterinary Consultants Sponsored by IDEXX

What is this CBC telling me? A simple approach to hematology Anemias: Not all of them are immune-mediated! n Anemia case challenges n Leukocytes: Does a normal count mean a normal patient? n Fever of unknown origin: A practice approach n Cytology for the practitioner n n

NEUROLOGY Jared Galle, DVM, DACVIM (Neurology) Dogwood Veterinary Referral Center

Neuro exam: Neuro is easy. Neuro is fun. Neurolocalization: “X” marks the spot n Seizure management: Status and maintenance at home n Common spinal cord diseases: Pain to paralysis n Intracranial diseases 101: Things I missed in vet school n Nuts & bolts: Neuro tips for the general practitioner n n

You won't want to miss the great speakers and fun events! August 12–14, 2018 | Grand Hotel, Mackinac Island, MI the michigan veterinarian · summer 2018

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EHV-1 and EHV-4: Their Roles in Equine Viral Respiratory Disease, Abortions, and Equine Herpes Myeloencephalopathy (EHM)

Gisela Soboll Hussey, dvm, ms, phd, Assistant Professor, Pathobiology and Diagnostic Investigation, MSU College of Veterinary Medicine MSU VETERINARY DIAGNOSTIC LABORATORY, VIROLOGY SECTION:

Roger Maes, dvm, ms, phd, Professor, Section Chief Annabel Wise, dvm, ms, phd, Academic Specialist Suzanne Mason, mt (ascp), Supervisor Michael Chumbley, bs, Laboratory Technologist

quine herpesvirus-1 (EHV-1) and equine herpesvirus-4 (EHV-4) are large double-stranded DNA viruses that are ubiquitous pathogens of horses. Estimates of prevalence show most adult horses are infected with EHV-1, EHV-4, or both throughout their lifespan and establishment of lifelong latency is detected in up to 70% of infected horses. Infection with EHV-1/4 is one of the most common causes of viral respiratory disease in horses worldwide. CLINICAL SIGNS

Clinically, the respiratory disease caused by EHV-1 and EHV-4 is indistinguishable and can be mild or asymptomatic in older or previously exposed horses. In contrast, the respiratory disease observed in young immunologically naïve horses is often severe, lasts for two to three weeks, and is characterized by a biphasic fever, depression, anorexia, coughing, and oculonasal discharge that is initially serous and then becomes mucopurulent. Further, EHV-1 causes equine herpesvirus myeloencephalopathy (EHM), late-term abortions in the last trimester of pregnancy, death of neonatal foals, and chorioretinopathy. In contrast to respiratory disease, the risk for abortions in the third trimester of pregnancy and outbreaks of neurological disease is of greater significance in middle aged or older horses. EHV-4 has been implicated occasionally in causing late term abortions and EHM, but its etiological role is considered to be very minor and this occurs far less commonly than is observed with EHV-1. DIFFERENCES IN PATHOGENESIS

The distinct difference between EHV-1 and EHV-4 is based on the viruses’ differing ability to successfully infect a variety of cell types. While EHV-4 has a limited cell tropism towards epithelial and neuronal cells with limited potential for infection of lymphoid cells, EHV-1 has a broader tropism which include lymphoid cells and the vascular endothelium. These differences in tropism between EHV-1 and EHV-4 lead to important differences in their pathogenesis (see figure 1).

. Figure 1 Pathogenesis of EHV-1 (virus in blue) and EHV-4 (virus in red) 1. EHV-1/4 infect via the respiratory tract. 2. EHV-1/4 infect and replicate in the respiratory epithelium. EHV-1, but not EHV-4, infects local lymphoid cells via cell-to-cell contact. 3. A cell-associated viremia is established for EHV-1 and transports the virus to secondary replication sites. 4. The vascular endothelium of the CNS, pregnant uterus or eye is infected via contact with infected lymphocytes, leading to EHM, abortions, and chorioretinopathies. (Courtesy of Dr. Gabriele Landolt, Colorado State University)

the michigan veterinarian · summer 2018

Infection with both viruses occurs via the respiratory tract by inhalation of infectious virus, nose-to-nose contact, or contact with fomites. Following infection, the virus replicates in the respiratory airway epithelium and causes erosion of the respiratory mucosa and viral shedding via nasal secretions. Nasal viral shedding can be detected as early as one day post-infection and continues for one to three weeks postinfection, although the duration of shedding depends on pre-existing immunity and viral properties. Because prolonged shedding has been detected, particularly in cases of EHM outbreaks, current recommendations by the American Association of Equine Practitioners are to wait 28 days before lifting quarantine measures. For EHV-1, the virus then spreads quickly to the cells of the underlying tissues before a cell-associated viremia is established between days four and ten after infection. This cell-associated viremia is central for transport of the virus to the spinal cord, the pregnant uterus and the eye where infection of vascular endothelia occurs that leads to secondary disease manifestations. Figure 2 shows spinal cord sections from a horse with acute EHM (a) and immunohistochemical staining of EHV-1 antigen located in the vascular endothelium of the spinal cord, brain, and eye (b-d). In contrast, EHV-4 is mostly limited to the respiratory tract and a cell-associated viremia and infection of vascular endothelia is typically not reported. OUTBREAKS OF EHM

DIAGNOSTIC OPTIONS

Diagnosis of equine herpesvirus infections in the laboratory includes methods to detect viral DNA, infectious virus, viral proteins, and antibodies. nn Deep nasal or nasopharyngeal swabs are sufficient to diagnose respiratory disease induced by EHV-1 or EHV-4. nn When it is important to assess the risk of virus transmission, abortion or EHM associated with EHV-1, a combination of deep nasal or nasopharyngeal swabs and whole blood collected in EDTA is required. Since fever is closely correlated to virus shedding of EHV-1, it is important to take temperatures of horses on infected farms twice daily and to submit samples from febrile horses. Testing of asymptomatic horses is done to verify absence of shedding at the end of the quarantine period. nn PCR is the most commonly used method to detect viral DNA in diagnostic samples and differentiate between EHV-1 and EHV-4. A positive PCR signal obtained from a nasal swab may indicate virus shedding, but is not absolute proof since non-infectious virus can be present. .

Figure 2 Anatomical and histopathological lesions and presence of EHV-1 in spinal cord, brain and ocular tissues from an EHM case. A. Growth lesions in spinal cord sections (cranial to caudal). B. EHV-1 positive staining of spinal cord vascular endothelium (brown). C. EHV-1 positive staining of nervous cell endothelium of the brain (red). D. EHV-1 positive staining of choroidal endothelium (red).

In recent years, outbreaks of EHM have increased in North America. Because of this, the Center for Emerging Issues released an emerging disease notice report regarding the neurologic form of EHV-1 in January 2007. Despite this knowledge and strong efforts to control this disease, EHM outbreaks continue to be a problem. In May of 2011 the largest outbreak ever was reported and in the first quarter of 2018 (January– March), the Equine Disease Communication Center (www.equinediseasecc.org/) lists more than 20 outbreak alerts for confirmed or suspected cases of EHM nationwide. The reason for this increase in the prevalence of EHM is not clear, and there are a

number of identified viral, host, and environmental components that factor into the incidence of EHM. These include age, breed, gender, season, past exposure, a secondary fever several days after primary exposure, stress, magnitude and duration of viremia, and infection with the D752 genotype. To date, the most important identified factor is the essential role of viremia in transmitting the virus to the vasculature of the CNS. Allen et al. found that EHV-1 strains with high neuropathogenic potential are characterized by a longer duration and greater magnitude of viremia when compared to EHV-1 strains with a low neuropathogenic potential. This evidence supports the argument that prolonged exposure of the CNS vascular endothelium to high viral loads increases the risk of EHM. Further, the identification of a single nucleotide polymorphism in the viral polymerase gene that results in a coding change (N752 to D752) has been associated with increased neuropathogenicity and high levels of viremia.

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. “EHV-1 and EHV-4,” continued from previous page

Positive PCR results from whole blood extracts indicate that a horse is viremic, which can lead to EHM or transplacental infection. It is recommended, therefore, that both a nasal swab and whole blood are submitted and tested separately. nn A follow-up test to a positive PCR result is to type the strain detected. This is done by a PCR assay that targets a single nucleotide polymorphism in the DNA polymerase gene. The result of this typing typically demonstrates whether a “neurotropic” or “non-neurotropic” strain has been detected and has to be interpreted in the context of the information currently available. Approximately 75% of the samples from horses with EHM are infected with the D752 genotype, which labels them as neurotropic. However, the so-called nonneurotropic (N752) strain is detected in

the michigan veterinarian · summer 2018

the other 25% of EHM cases. It is clear that EHM is not exclusively associated with a single genetic marker within the viral genome. nn Virus isolation (VI) is regarded as the gold standard method, since it detects infectious virus. A positive VI result is directly correlated to active virus shedding and potential for transmission. Limitations of VI are potential loss of infectious virus during storage or mailing and the three to four day minimum turnaround time of a VI attempt. nn Immunohistochemistry is a very useful method to examine formalin fixed tissues for the presence of viral antigens. An advantage of this morphological method is that a positive test directly correlates the detection of viral proteins within specific histologic lesions. nn Virus neutralization testing is available for the retrospective diagnosis of equine

herpesvirus infections. It is essential that paired sera, collected within a three to four week interval, are submitted for this testing. A titer increase that is at least four-fold between the acute and convalescent samples is needed to make the diagnosis. Standard virus neutralization tests do not distinguish between antibodies induced by EHV-1 or EHV-4. The Michigan State University Veterinary Diagnostic Laboratory has the capability to test for the presence of equine herpesviruses by all the approaches described above. In addition, type-specific neutralization tests, which differentiate between antibodies induced by EHV-1 or EHV-4, will be introduced later this year. For more information on specific collection protocol, sample and shipping requirements, and other relevant details, please see the list of available tests at animalhealth.msu.edu or contact the laboratory at (517) 353.1683.

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MEMBERS IN THE NEWS Michael Chaddock, dvm, eml On behalf of the American Veterinary Medical Association (AVMA) Political Action Committee (PAC), Dr. Chaddock attended the March 18, 2018, evening reception with Senator Debbie Stabenow at the home of Susan Duerr-Trebilcock & Chris Trebilcock in Royal Oak. Dr. Chaddock was able to spend a few minutes with Senator Stabenow thanking her for her continued support of veterinary medicine and the great work that she has done on our behalf for loan repayment programs and the farm bill. He also reminded her that there is still work to do in order to support additional veterinarians in underserved areas by eliminating the tax on the funds made available by USDA for veterinarians placed in underserved areas. Dr. Chaddock reminded the Senator that we are here to help her and encouraged her to reach out to the profession, AVMA, and MVMA if she or her staff have any questions about veterinary medicine, livestock issues in the farm bill, research, etc.

Timothy Hunt, dvm Dr. Hunt, owner of Dr. Tim’s Pet Food Company has done it again! Congratulations to Joar Leifseth Ulsom of Willow, Alaska for winning the 2018 Iditarod Sled Dog Race. Joar finished with 8 dogs in harness and claimed his first Iditarod win. Joar is a member of Dr. Tim’s Team Momentum and feeds his Fusion Ultra Athlete Dog Food. This makes 5 of the last 7 Iditarods won by teams feeding Dr. Tim’s Pet Food. Way to go Joar, his dogs and Dr. Tim!

Kurt Dunckel, dvm Dr. Kurt Dunckel received the 2018 Distinguished Veterinary Alumnus Award from the MSU College of Veterinary Medicine at the graduation ceremony for the Class of 2018 on May 4. Recipients of this award have received their degrees from MSU CVM and are held in high esteem by their colleagues for their achievements in practice, teaching, research, service or organized veterinary medicine. Dr. Dunckel was honored for adding great value to the veterinary community through excellence in practice, exemplary professionalism and outstanding service. Dr Dunckel is an associate veterinarian and former owner of Dunckel Veterinary Hospital in Davison, Michigan.

InMemoriam

Alan Berger, DVM, died on April 7, 2018 at the age of 84. He graduated from MSU CVM in 1959 and was a life member of MVMA. Dr. Berger dedicated his life to the care and welfare of animals as a kind and gentle doctor. He was visionary and first to recognize challenges to the profession and animal welfare. An early adopter of technology, Dr. Berger utilized the power of computers within his own practice and served on the Michigan Veterinary Medical Association Information Technology Committee. Dr. Berger volunteered his time and resources to help establish the Humane Society of Southeast Michigan. Perhaps his greatest achievement was his leadership in the Macomb Oakland Management Seminars Group (MOMs). He brought together local veterinarians into a collegial group that views their profession as a collaboration. He recognized that by sharing ideas and information, they could better serve the public and their profession. This group of over 30 doctors look upon other veterinarians as colleagues, not competitors. They gather monthly to discuss challenges to pet health. For this and countless other contributions to the profession, Dr. Alan Berger was honored in 2013 by the Michigan Veterinary Medicine Association with the coveted W. Kenneth McKersie Service Award. Dr. Alan Berger served as mentor and leader to countless young veterinarians. He is loved and will be missed by his friends and colleagues. Although departed, his legacy will live on within his profession. The MVMA extends its sympathy to the friends and families of departed members. In memory of deceased members, the MVMA contributes $50 to the Michigan Animal Health Foundation. Friends of deceased members may send memorial contributions to the Foundation. When contributions reach $500, the member’s name is entered on a memorial plaque displayed in the MVMA office. The MVMA staff thanks those thoughtful members who take time to notify the office and send obituaries of our recently deceased members.

(l-r) Dr. Mike Chaddock, Dean John Baker, Drs. Kurt Dunckel and Lori Penman

the michigan veterinarian · summer 2018

NOTE: Contributions have reached $500 and Dr. Berger’s name has been added to the MAHF memorial plaque displayed in the MVMA office.

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the michigan veterinarian · summer 2018

41740 Michigan Ave., Canton, MI 48188

VETERINARIANS

May Not Legally Possess, Use, Distribute, or Prescribe Marijuana or Marijuana-Based Products for the Care or Treatment of Animals

Shirlee M. Bobryk, Esq. March 22, 2018

here are an abundance of products containing marijuana, cannabinoids (e.g., tetrahydrocannabinols–THC, and cannabidiols–CBD), hemp, and extracts from each of these substances readily available to the public. Aside from the issue of whether anyone can legally obtain those products, animal owners are turning to their veterinarians for advice on whether and how to use products containing these substances. Veterinarians are seeking guidance on whether and how to advise those animal owners, and asking whether they can legally prescribe cannabis to their patients. This article will outline the current state of the law to assist Michigan licensed veterinarians in understanding the risks associated with using or prescribing marijuana or derivatives of marijuana in the treatment and care of animals, and the risks associated with advising animal owners on the use of marijuana-based products they obtain independently for their animals.

As explained in more detail in this article, there is no law that protects veterinarians who prescribe or use marijuana or marijuana-based products in the treatment of animals, and they are at risk of disciplinary action by the Michigan Board of Veterinary Medicine if they advise people on the use of such substances in the care or treatment of animals.

Aside from the moral dilemmas, the following factors should be considered when deciding whether or how to use marijuana in treating animals: nn The current laws on medical marijuana in Michigan are at odds with the federal laws. Under certain situations, medical marijuana is legal for people to use in Michigan. Marijuana, however, remains a federally controlled substance that is illegal for all purposes under federal law, including for medical purposes. nn The laws regarding the use, possession, cultivation, and distribution of marijuana and any part of the marijuana plant (Cannabis sativa L.) vary from state to state. nn The Michigan Board of Veterinary Medicine has not taken a position on the matter of marijuana or hemp use on animals. nn Other than personal anecdotes, there is no known scientific research or evidence-based information on the safe and effective use of any product containing any part of the marijuana plant on animals. nn The federal Food and Drug Administration has not approved for marketing any drug or product containing marijuana for use by animals or humans. . the michigan veterinarian · summer 2018

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THE MARIJUANA LAWS OF MICHIGAN DO NOT PROTECT VETERINARIANS IN USING, PRESCRIBING, OR DISPENSING MARIJUANA TO TREAT ANIMALS

. “Veterinarians...Marijuana,” continued from previous page FEDERAL LAW PROHIBITS THE USE AND POSSESSION OF MARIJUANA IN ALL STATES, INCLUDING MICHIGAN

Under the federal Controlled Substances Act (“CSA”), all substances which are in some manner regulated under existing federal law are categorized into one of five schedules. Placement in a schedule is based upon the substance’s medical use, potential for abuse, and safety or dependence liability. Schedule I drugs are those that currently have no accepted medical use in the United States. Schedule 1 drugs may be lawfully used in the United States only for specifically approved research purposes. No prescriptions may be written for Schedule I substances. On the federal level, tetrahydrocannabinol (“THC”) is deemed to have no medically acceptable use and is designated as a Schedule I drug.1 Under the CSA, marijuana is “contraband for any purpose.” Manufacturing, using, possessing, or dispensing it is a federal crime.2 “If there is any conflict between federal and state law” on marijuana legislation, “federal law shall prevail.”3 Nothing in Michigan’s Medical Marijuana Act can change that.4 The Food and Drug Administration (“FDA”), which is the federal agency responsible for approving drugs as safe and effective medicine, has noted “that no sound scientific studies support medical use of marijuana for treatment in the United States, and no animal or human data support the safety or efficacy of marijuana for general medical use.”5 18

the michigan veterinarian · summer 2018

Federal laws apply in all states. State medical marijuana laws, including the Michigan Medical Marijuana Act (discussed below) do not, and cannot, supersede federal laws that criminalize the possession or use of marijuana.6 Michigan’s legalization of the use of marijuana for medical purposes in humans does not change the fact that the use, possession, or distribution of marijuana in Michigan for any purpose violates federal law and may be prosecuted as a federal crime. WILL THE FEDERAL LAW BE ENFORCED IN MICHIGAN?

The federal Drug Enforcement Agency (“DEA”) enforces the CSA in all states, as directed by the U.S. Attorney General. On January 4, 2018, the U.S. Department of Justice issued a memorandum from U.S. Attorney General Jefferson Sessions to all United States Attorneys, rescinding previous policy that effectively limited prosecutions of businesses and individuals who sold marijuana. The Justice Department’s new policy directs law enforcement to return to well-established principles of federal law enforcement when pursuing prosecutions related to marijuana activities. One can reasonably interpret this to mean that federal law enforcement officers will be actively enforcing and prosecuting federal drug laws. State law enforcement officials are not required to enforce federal law or prosecute people for engaging in activities prohibited by federal law.

Effective December 2008, Michigan joined several other states when it enacted the Michigan Medical Marijuana Act (“MMMA”).7 The MMMA permits physicians who obtain authority to do so, to dispense and prescribe marijuana to their patients. Those who prescribe, dispense, and use marijuana in accordance with the MMMA are protected from prosecution under state law. However, as previously stated, the use, possession, and distribution of marijuana, even for medical purposes, remains illegal under federal law. Michigan law defines “marihuana”8 as follows: “ all parts of the plant Cannabis sativa L., growing or not; the seeds of that plant; the resin extracted from any part of the plant; and every compound, manufacture, salt, derivative, mixture, or preparation of the plant or its seeds or resin.” 9 This definition specifically excludes the following: “ the mature stalks of the plant, fiber produced from the stalks, oil or cake made from the seeds of the plant, any other compound, manufacture, salt, derivative, mixture, or preparation of the mature stalks, except the resin extracted from those stalks, fiber, oil, or cake, or any sterilized seed of the plant that is incapable of germination.” 10 Regardless of whether a substance fits within the definition of marijuana under state law, the MMMA does not give veterinarians any authority to prescribe, dispense, or cultivate marijuana or a marijuana-infused product. Veterinarians who prescribe marijuana for the care or treatment of animals are not protected from prosecution under either state or federal laws. Selling, prescribing, giving away, or administering drugs for other than lawful diagnostic or therapeutic purposes may also be grounds for disciplinary action by the Michigan Board of Veterinary Medicine.

VETERINARIANS MAY NOT LEGALLY USE CANNABIDIOL (CBD) OR HEMP TO TREAT ANIMALS IN MICHIGAN

The marijuana plant produces hundreds of compounds known as cannabinoids. One prominent cannabinoid is cannabidiol (“CBD”). The main psychoactive chemical in marijuana that produces the “high” in people is THC. Hemp is a variety of the Cannabis sativa plant with a low level of THC. CBD and hemp are both readily available to the public and widely advertised on the internet. The DEA considers CBD a marijuana derivative and therefore subject to Class 1 scheduling. Hemp is also classified as an illegal drug under the CSA. The federal Agricultural Act of 2014 (2014 Farm Bill) legalized the growing and cultivating of so-called “industrial hemp” for research purposes in states where such growth and cultivation is legal under state law, notwithstanding existing federal laws that would otherwise criminalize such conduct. This legally sanctioned conduct, however, does not change the requirements for distributing or dispensing controlled substances under the CSA. Before the 2014 Farm Bill was enacted, hemp products made from the stalk, fiber, non-viable seed, and oil were legal to import into the United States but illegal to grow.11 In January 2015, the Michigan Legislature removed “industrial hemp” from the state’s legal definition of marijuana and authorized industrial hemp research by the Michigan Department of Agriculture and Rural Development (“MDARD”) and Michigan universities.12 MDARD and approved Michigan universities may now legally grow and cultivate hemp, but only for research purposes.

industry compliance with the federal Food, Drug, and Cosmetic Act (“FD&C Act”) and other laws administered by the FDA. The FD&C Act regulates the safety and effectiveness of drugs, including animal drugs. Animal drugs (which is broadly defined) are considered unsafe unless the use of the drug has been at least conditionally approved and the use of the drug and its labeling conform to the approved application. The FDA has not approved marijuana, hemp, CBD, or CBD oil for the diagnosis, care, treatment, or prevention of any disease in humans or animals. SUMMARY

In short, there is no lawful authority on which a veterinarian can rely to possess, prescribe, or dispense marijuana or any marijuana-based product for the care and treatment of any animal. A veterinarian who provides any advice to assist an individual in the care or “treatment” of an animal with marijuana or any marijuana-type product, other than to warn against its potential harm, creates the risk of disciplinary action against the veterinarian’s license to practice veterinary medicine.

21 USC 812(c)(c)(10) 18 USC 841(a), (b)(1)(D) 3 Gonzales v Raich, 545 US 1, 27, 29 (2005) 4 United States v Bally, No. 17-20135, 2017 WL 5625896 (ED Mich, Nov 22, 2017) 5 Inter-Agency Advisory Regarding Claims That Smoked Marijuana Is a Medicine, U.S. Food and Drug Administration, April 20, 2006 6 Forest City Residential Mgmt, Inc. ex rel. Plymouth Square Ltd Dividend Housing Ass’n v Beasley, 71 F Supp 3d 715, 727 (ED Mich 2014) 7 MCL 333.26421, et seq. 8 There is no legal significance or difference between “marijuana” or “marihuana.” 9 MCL 333.26423; MCL 333.7106 10 Id. 11 Monson v Drug Enf’t Admin, 589 F3d 952, 962 (8th Cir 2009); Menominee Indian Tribe of Wisconsin v Drug Enf’t Admin, 190 F Supp 3d 843, 845-846 (ED Wis 2016) 12 Michigan Industrial Hemp Research Act, MCL 333.26421, et seq. 13 MCL 333.7106; MCL 286.842; 7 USC 5940(b)(2) 2

Shirlee M. Bobryk is a partner at White Schneider PC in Lansing. She represents a variety of health professionals, including veterinarians, in licensing cases, general business matters, and employment law. MVMA partners with White Schneider PC to assist our members. If a member has a legal question, they first contact MVMA at mvma@michvma.org or (517) 347-4710. If MVMA is unable to assist with the question, the member is referred to the law firm. Members receive free 15-minute telephone consultations as often as necessary. In addition, if a member decides to pursue legal action using the firm, they receive a 10% reduction on the attorneys’ customary billing rates.

“Industrial hemp” has the same definition under both state and federal laws: “ the plant Cannabis sativa L. and any part of the plant, whether growing or not, with a delta-9-tetrahydrocannibinol [THC] concentration of not more than 0.3% on a dry weight basis.” 13 The FDA’s Center for Veterinary Medicine (“CVM”) is responsible for evaluating the michigan veterinarian · summer 2018

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THE TOP ELEVEN REASONS

TO BE AN MVMA MEMBER Dear MVMA Member, Don’t forget to renew your MVMA membership! If you pay by July 1, you will be entered into a drawing to receive a free year of dues. MVMA is one of the most progressive, passionate and dedicated veterinary organizations with more than 2,350 members. By continuing as a member of MVMA, you are connected with great ideas and great people. There are many reasons to be a member, but we thought we’d list the top benefits for you. Check out the Member Benefits guide on our website at www.michvma.org.

MVMA’s CE Portal. Now that continuing education has become mandatory in Michigan, you’ll want to be on our CE portal. There are over 1,100 courses you can choose from, approximately 250 of which are completely free. Our CE portal can be an easy and inexpensive way to obtain CE credits. It will also track your CE, even from external sources.

10 9 8

Savings on things you need. In these challenging times, you MUST check out our negotiated discounts for members. MVMA saves members money on insurance, office supplies & equipment, x-ray badges, credit card processing, account collection services, web services, and more.

valuable advice. Employers can post ads and search for veterinary professionals.

6 5 4 3 2

Complaint Resolution. All veterinarians occasionally have unhappy clients and these clients often call MVMA before contacting the Board of Veterinary Medicine. MVMA’s Ethics and Grievance Committee oversees client complaints, usually resolving them before legal or licensure action is initiated. MVMA’s Answer Team. MVMA’s “A” Team expands the traditional mentoring concept to include mentoring at all stages of a career. Talk to expert team members about issues dealing with practice management, career assistance, litigation, personal development, human resources or veterinary ethics. Model Animal Hospital Personnel Policies Manual. MVMA created a personnel policies manual for members that can be customized to fit your practice. It reflects current Michigan laws and is free to members. Michigan Law for Veterinary Professionals. This publication includes information on the Board of Veterinary Medicine, Public Health Code, discipline, civil liability, licensing questions, controlled substances questions and the Michigan Penal Code and it’s all in one place! We look out for you. MVMA constantly monitors the activities of the Board of Veterinary Medicine, legislative bodies and trends in the veterinary profession. We have a Legislative Network and the tools needed to protect you against legislative initiatives or policy changes negatively affecting your profession. And the number one benefit of MVMA membership:

Free legal and loan advice. Members can access professional and personal legal advice and student loan advice over the telephone, absolutely free.

Access to information. Whether through The Michigan Veterinarian, E-newsletter, Urgent Issue Broadcasts, website, Facebook, Twitter, Pinterest, Instagram, YouTube or by responding to member telephone and email inquiries, MVMA keeps members informed about what they need to know to manage veterinary practices, keep clients happy and minimize stress levels. We also have web resources specifically targeted to your needs whether you are a practice owner, recent graduate, associate veterinarian or practice staff.

Local access to first-rate continuing education. The Michigan Veterinary Conference, MVMA’s Small Animal Seminar Series, Great Lakes Veterinary Conference, Professional Competencies Certification, MVMA/MSU CVM’s Joint Wet Labs and more offer you outstanding CE at discounted rates for members.

Not bad for a top eleven list. And we’ll keep working to make sure that we can top this list a year from now. MVMA is one of the best investments you’ll ever make. Our members are defining veterinary practice in Michigan. If you have any questions contact us at (517) 347-4710 or mvma@michvma.org. Thank you for your support! Sincerely,

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Veterinary Career Network and employment assistance. Members looking for employment can conduct a free nationwide job search by position, species, or location and receive

the michigan veterinarian · summer 2018

Karlene B. Belyea, MBA Chief Executive Officer

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Are You The Next Second Vice President of the MVMA?

ou have the opportunity to help guide the MVMA into the next decade! Step up and share your experience, leadership and vision with over 2,350 veterinary professionals across the state. The MVMA Leadership Development Committee, chaired by Dr. Mike Thome, is seeking nominations for the office of second vice-president of the MVMA. Nominations may also be made for the offices of first vice president and president-elect; however, traditionally once elected, the vice presidents ascend through the chairs without opposition to the office of president. Nominations may be made by constituent associations, petition of 5% of the voting members (approximately 85 members), or by the Leadership Development Committee. Interested individuals should contact MVMA for more information. A letter of intent with a CV should then be submitted by July 1. Contact MVMA at mvma@michvma.org or (517) 347-4710 for more information.

NOTICE OF MVMA ANNUAL BUSINESS MEETING The Annual Business Meeting of the Michigan Veterinary Medical Association will be held on Wednesday, September 26, 2018 at 2:30 pm at the University Club in Lansing, Michigan. The agenda is as follows: 1. CALL TO ORDER 2. INTRODUCTIONS & WELCOMES 3. MICHIGAN ANIMAL HEALTH FOUNDATION REPORT 4. MVMA PRESIDENT’S REPORT If you plan to attend, please RSVP to Karlene Belyea at Belyea@michvma.org.

the michigan veterinarian · summer 2018

Participate in MVMA’s New Member Discussion Forums!

e know how busy you are and that every second of your day counts. You need practical information from real experts, and the MVMA is here to help! The Young Professional Task Force and Membership Committee have created 2 discussion boards to help address your questions in both Practice Management and Personal & Professional Finance. You can access the forums by visiting MVMA’s website at MichVMA.org and

scroll-ing down to the bottom, or by typing https://michvma.org/forums into your browser. You may view forum topics and discussions without subscribing to the forum. However, to participate you must click on the “Subscribe to Forum” link on the right side of the page. You will be directed to login using your MVMA login information. Please feel free to post questions or content related to the topic of the forum only. You can reply to a topic that has been posted by using the green reply button. If you need your login information, please contact the MVMA office at (517) 347-4710 or mvma@michvma.org.

MVMA IS NOW ON INSTAGRAM!

Take Full Advantage of Social Media from MVMA!

rank up your clinic’s social media! Share, retweet or repost any of the content the MVMA posts on Facebook, Twitter or Instagram on your clinic’s social media! All information on these sites is for our members to help in sharing news and can also be shared with clients. If you have not done so already, like us on Facebook www.facebook.com/ilovemyvet and follow us on Twitter @MichiganVMA and Instagram @michiganvma. By following the MVMA through these outlets, you will be able to stay current on happenings in Michigan and on the national veterinary medical scene. CHECK OUT MVMA’S NEW SECRET FACEBOOK GROUP, TOO!

In addition to all our traditional social media channels, MVMA’s Young Professionals Task Force created a secret Facebook group called “The Michigan Veterinarian”. The group has over 400 members and is a space for the Michigan veterinary community to discuss concerns related to cases, practice, work/life balance and more. Individuals share both personal and professional challenges to obtain input from others. If you’d like to join the group, email us at mvma@michvma.org and we will send you an invitation to join. Because it’s a “secret” group, if you search for it on Facebook, you will not be able to find it.

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What is it about our clients that make us feel bad?

an clients make us feel bad? If they criticize, judge, complain, push, ask for discounts, and talk over you, do you get frustrated or discouraged? If you do a great job with their pet and they don’t notice, do you get discouraged or worse, depressed? Yes, clients are often very demanding, but we have a choice to feel any way that we want to feel about it. What if we were just fascinated and entertained by them? What if we could just be interested in their behavior? What would it FEEL like if we chose to think about them differently? First of all, you are the keeper of your brain. You have the ability to control your thoughts and the way the thoughts translate into the way you feel about those thoughts. You get to choose to either find the nasty client entertaining and interesting, and wonder why they choose to act the way they are acting, or let that person get the best of you and cause you to feel upset, angry or dejected. It is a choice, for sure, 100%. However, it is a difficult task to think and feel differently. It takes practice and it takes examining the thoughts that you have in any given moment, acknowledging those thoughts and choosing to change those thoughts. Here is a true story example from my own client experience. Mrs. Hurryup shows up with Vicious, her Chihuahua, over 10 minutes late for her 20-minute afternoon wellness appointment. As soon as she walks into the exam room with the technician she announces, “I am in a hurry because I have another appointment to get to, and then I have to pick up my son. Oh, and by the way Vicious has been having diarrhea for a week and has been chewing his feet for a couple days and can I get his vaccines today?” Fascinating right? The technician quickly takes a history and sends me into the room with the woman and her tiny frightened dog. I examine Vicious and decide that he needs some blood work, skin impression and a fecal smear, some subcutaneous

the michigan veterinarian · summer 2018

fluids and some medication for the diarrhea and itching. I make up a treatment plan with the prices for our diagnostics/treatments and send the technician back in with the plan. Mrs. Hurryup signs the plan and looks at her watch wondering why this is taking so long. I ask for permission to take the dog and attempt to start my diagnostics moving as quickly as possible, so she can make her appointment elsewhere. Feeling very proud of myself that I got everything done so quickly I smile as I walk Vicious back into the room. Mrs. Hurryup frowns at me and says, “you know that I have another appointment. I need to leave.” So, I quickly explain the medications, tell her that I will call her tomorrow with the blood results and send her to the front desk to pay her bill. Next thing I know, the receptionist comes to me telling me that Mrs. Hurryup is complaining loudly in the reception area about the exam fee on her bill. She tells the receptionist and the rest of the clients in the reception area that the doctor did not really examine her dog, and the doctor seemed “in a hurry.” True story. The client even threatened to change to another veterinary hospital because she felt like “the doctor was rushed.” What do we do in this situation? How do we keep from getting frustrated and dejected even angry when it seems as if there is no way to make a client happy? My answer is, choose to think of them differently. Choose to see her as a fascinating study in human behavior and continue to treat her with kindness. Maybe she has a sick child, husband or other family member and feels overwhelmed with her situation with the diarrhea dog. Maybe she has financial troubles and is trying to get a discount by complaining loudly to the receptionist. Maybe she is just a naturally angry human being. At any rate, I do not have to have her change my thinking about the job that I just did. I examined her dog, got his diagnostics, gave him his treatments and got her on her way as fast as I could to try to help her make

her next appointment. I was a rock star! The fact that she does not understand how great I am has no bearing on my thoughts about myself or my happiness. I did meet her up at the reception desk and calmly happily asked her if there was anything else that I did not address or could do for her and her dog. Once I was back in her line of sight she did not seem to have any problems with me. Interesting again. The next time a client tries to get to you, remember you have the power to turn things around by doing a very simple thing. You can choose your thoughts. Choose to be fascinated by the person or circumstance that you are experiencing. Choose the emotion that you want to feel about them. Is it, “Wow, that is an interesting take on what just happened here.” or “She is truly a demanding person, I wonder why?” or “I bet she has a difficult life, and just needs some love.” Choose to remember that you are a rock star and there is no client behavior on the planet that can change your opinion of yourself or the amazing job that you do. —Dr. Julie Cappel Veterinarian and Life Coach

jacappel@wwvhcares.com

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When you reach the end of your tie a and hang on!

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classiﬁeds & relief vets

Busy small animal, privately-owned three-doctor practice is seeking a PT veterinarian. We also see exotics and pocket pets. Located near the Oakland/ Livingston County boarder. Email grow4jg@yahoo.com. The Capital Area Humane Society in Lansing, MI has an opening for a full-time lead shelter veterinarian in our expanding managed intake humane society. Over the years our ability to manage medical cases has expanded greatly resulting in a 97% live release rate with over 3500 adoptions annually. The lead veterinarian will have an exciting opportunity to be a part of the planning and expansion of the medical and surgical services provided in the planned expanded shelter clinical facilities. This is a wonderful opportunity for a veterinarian to grow and build on a strong sheltering base as CAHS expands its scope of services to shelter pets. DVM/VMD degree from an accredited university and licensing in the state of MI are required. Experience in high volume/ high quality surgery or shelter medicine is a plus. Competitive salary with full benefits package. Please email CV and resume to hlawrence@ adoptlansing.org. Immediate opening for associate veterinarian for practice in Manistee, Michigan. Manistee is located on Lake Michigan approximately 60 miles southwest of Traverse City. All inquiries are welcome: jjwestheimer@ live.com or 231/477-5678. Veterinarian wanted to move to beautiful Upper Michigan. Looking for something non-corporate? We are a busy, well established small animal practice in Marquette, MI, seeking a full-time veterinarian who is hardworking, dedicated, experienced and ready to embrace everything the beautiful Upper Peninsula offers. Live where you want to vacation! Integrated hospital with in-house lab, digital radiography, ultrasound and orthopedic surgery in a new facility; competitive salary/ benefits/CE stipend. Marquette is recognized as one of the most desirable places to live in the USA; come be a part of what the local culture, the wonderful people and Lake Superior have to offer! Marquette is also home to a regional human hospital and university, bringing an innovative, diverse atmosphere to the area. Outdoor activities, bike trails, boating, fishing, skiing, northern lights–and even surfing–can be yours, in a beautiful, low key place to live and practice medicine; get away from the busy city scene and get back to some real medicine that’s enjoyable again! Contact Dr. Tim Hunt at 906/249-5667 or drtim@drtims.com.

are looking for a candidate who wants to continue to grow with us! We offer a competitive salary based on experience, tremendous support staff, benefits, and a quality work/life balance. Please email John Verburg at jverburg@advancedvetmedcenter.com. Associate veterinarian needed for a growing small animal practice in the Lansing area. P/T position available, possibly leading to F/T if interested. We have great clients, wonderful support staff, IDEXX blood machines, IDEXX digital x-ray, Avimark software, and a comfortable, casual, country environment to work in. Contact Cheryl DeSilva, DVM at 517/694-7599, or send resume to csanimalclinic@att.net. Established 3-veterinary practice in Western Wayne County hiring a part to full-time associate with good communication skills and an appreciation for a professional yet family-like atmosphere. Great long-term clientele and staff. Full benefits include 401K, health, license and association fees. Flexible hours and a very supportive environment. Contact Drs. Rogerson or Reale at 734/728-2520 or through vetdeer@gmail.com. Full-time Veterinarian for Small Animal Hospital in Southeast Michigan: Lincoln Park Veterinary Hospital an AAHA accredited hospital is looking to provide a great opportunity for a Veterinarian that is goal oriented, motivated, responsible and passionate to join our 4 Doctor small animal practice. We are located in Southeast MI. 12 miles south of the newly revitalized Detroit that offers great enjoyment for sports, culinary and cultural enthusiasts. Our hospital provides compassionate high-quality medicine in a team-oriented practice. We are a full-service hospital with a respected reputation and loyal clientele. The ideal candidate should have excellent communication skills and have an interest in dentistry, ultrasound, surgery and a strong desire to work in a hospital that provides the potential for personal growth while practicing progressive medicine. Our Hospital is well equipped with advanced diagnostic equipment including Digital x-ray, Digital Dental x-ray,

Advanced Veterinary Medical Center in Farmington Hills, MI is seeking a highly motivated, client focused FT or PT associate veterinarian for a well-established and growing small animal practice. This is an excellent opportunity for experienced practitioners and new graduates alike! Ideal candidates will possess excellent communication skills, enjoy both preventative and diagnostic medicine, able to perform a variety of surgeries, as well as be a positive representative of our clinic within the Greater Farmington Hills community. Our hospital offers digital ultrasound, digital radiography, in-house lab equipment, reference lab, wellness plans, dental x-ray, and therapy laser. We

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ultrasound, Surgical and Therapeutic Laser, Full IDEXX In-house Lab capabilities. We provide a 1:4.5 support staff ratio with 10 LVT’s. We utilize electronic medical records with Cornerstone software. We are also a referral Hospital for I-131 Radioiodine treatment. Responsibilities include: Performing comprehensive physical examinations and diagnostic/medical/surgical/ dental procedures while maintaining medical records through established protocols; Communicating with clients with regard to pet diagnosis, treatment plans, preventative health care including follow up care for on-going health concerns; Building a rapport with clients by listening to their concerns and providing compassionate high-quality care; Staying current on new medical information and changes in veterinary medicine. Benefits include: Competitive salary-based on experience and capabilities; Health, Dental and Vision Insurance; 401k Retirement Plan; Uniform allowance; Paid CE; All License’s and Dues paid. Qualifications: A DVM License in good standing to practice in MI from an accredited University. New graduates or experienced Veterinarians are welcome to apply. Contact Dr. Dizik at 313/389-2222 or jndizik@aol.com. Dickman Road Veterinary Clinic is an eleven doctor, exclusive small animal practice located in Battle Creek, MI. Our practice opened in 1975; our veterinarians have over 150 years of combined experience in private practice. We presently have an opening for a full-time associate veterinarian. We offer specialized care to our patients in many areas, including ultrasound (abdominal and cardiac), advanced soft tissue and orthopedic surgery, and oncology (including chemotherapy). In the spirit of continuing to strengthen our team, we are just as enthusiastic about mentoring a new graduate as we are supporting a seasoned veterinarian. Our staff includes 13 highly skilled LVT’s. Our staff-to-doctor ratio is approximately 5:1, giving our doctors the support they need to practice the highest quality medicine. Our facility is fully equipped with state-of-the-art clinical pathology instrumentation, ultrasound, surgical and therapy lasers, digital x-ray equipment (including digital dental x-ray), oxygen cages, Doppler blood pressure, tonometer, and more. Overnight emergencies are referred to an emergency facility located in nearby Kalamazoo. The successful candidate will need to show enthusiasm, strong verbal and written communication skills, and work well within a team environment. We offer an exclusive benefits package–paid vacation and holidays, health insurance, AFLAC, paid license, dues, uniforms, continuing education, and a pension/profitsharing/401(k) plan. We are a team-oriented group who will work to maximize your skills for the advantage of both our patients and clients. For more information or to schedule an interview, please contact Pam Weakley at 269/963-9347. To take a virtual tour of our facility, please visit our website at DickmanRoadVet.com. Seeking an enthusiastic, compassionate and devoted F/T or P/T associate for a small animal practice in Kalamazoo, MI. Our staff practices high-quality medicine, surgery and dentistry and our hospital is well equipped with in hospital lab, digital x-ray and digital dental x-ray. If you are interested in joining our team please send your resume to kzoodvm@gmail.com. Animal Clinic, Inc. in Grand Rapids, MI is a busy, growing, AAHA-accredited practice that has been providing quality patient care and customer service since 1947.

the michigan veterinarian · summer 2018

We seek to add a third, Associate Veterinarian (fulltime) to our small animal and exotics practice. We are well equipped with Cornerstone software, complete in-house IDEXX laboratory, digital x-ray, digital dental x-ray, along with a great veterinary support staff. We offer a competitive salary commensurate with experience, along with paid health insurance, professional dues, CE and license renewals. Experience or interest in exotics a plus. Visit our website at AnimalClinicGrandRapids.com. If interested, please email your resume to renshawdvm@yahoo.com or contact Dr. Harland Renshaw Jr. at 616/241-3651 or 616/648-0178. Want to enjoy where you practice? Love the outdoors? We have the perfect place for you to work and play! The Grayling Hospital for Animals is looking for a FT or PT DVM to add to our enthusiastic, caring team. We are AAHA accredited and have up-to-date equipment with amazing support staff, including many LVTs. Veterinarians very willing to hire and mentor a new graduate. Grayling is home to many outdoor activities such as fishing, hunting, and snow sports. Send resumes to info@graylingvet.com or fax 989/348-1542. Small Animal/Exotic: Want to own your own practice? Then join me in the growing city of Battle Creek, the little big city of SW Michigan. You can be my partner, and then take over in the next few years when I retire. This is a place where you can have your farm or live in the city and still be only 5 to 10 minutes from the practice. Affordable housing, great schools, all kinds of recreational options. Dr. David Rost, 269/788-2996, davidrost09321@gmail.com. Strong Veterinary Hospital is looking for a full-time Veterinarian Associate. We are a very busy, well established facility that is a full-service veterinary hospital. We are looking for team players to join our amazing team. We offer a full in-house lab, digital x-ray, laser therapy, and full surgical unit. Our support staff has years of service and is full trained to assist in all aspects of the hospital. We offer full benefits. Please send resume to the Practice Manager, Eva George, at eva.george@me.com. Our website is StrongVeterinaryHospital.com. Looking for part-time/regular relief SA veterinarian for Southern Thumb/Blue Water area. We practice high-quality medicine in a beautiful rural setting. We have all the equipment and a talented, friendly support staff. Surgery is not required but can be an option. We also offer Chiropractic and Acupuncture. Please contact Dr. Margaret Schreiner at 810/387-3363, or email ssvhdvms@hotmail.com. Deepwoods Veterinary Services is looking for a fulltime veterinarian for our exclusively small animal hospital. The ideal candidate has a love for client education and passionate care. Flexible schedule includes Monday–Friday am/pm. Our practice offers ultrasound, digital general radiography, in-house lab, dental, tonometry, Doppler blood pressure, ECG and Intravet Software. Resume to algriffin2005@gmail. com. We provide a competitive salary, CE stipend, and up to $50,000.00 for help with student loans. New graduates are welcome. Full or part-time veterinarian wanted. Contact office at 517/286-6825, text 517/425-7152, or email hillcrestvetclinic@wcomco.net.

Do you want to work in a facility that acknowledges, appreciates and celebrates your contribution to the health and well-being of companion animals? One that offers a unique pension plan for your future? Union Lake Veterinary Hospital has continued to grow and we are seeking an associate with a strong interest in surgery, including orthopedics! We will use your skills to their full potential. If you are looking to join a team that can help you find your full potential, please email your resume to ulvh@msn.com or fax to Annette Engler, LVT, CVPM, CCRP at 248/363-3756. Our facility is truly progressive with low level laser, surgical laser, complex case management, digital ultrasound, digital x-ray (dental and standard), video endoscopy, physical rehab, chiropractic, acupuncture, exotic pets, stem cell therapy and much more! Full or part-time position available. Exceptional pay, full benefit package including medical insurance, AFLAC, paid holidays, vacation, sick time, pet discounts, ESOP pension plan (not offered by any other practice!), flexible scheduling, 401k and more. Part-Time Veterinary Position (Lansing/Jackson Area): Eastwood Veterinary Hospital is a two doctor small animal practice located in Eaton Rapids, Michigan. We are seeking a part time veterinarian for two full days (8–6) per week and every third Saturday (9–1). Full time may become a possibility but will not be required. The hospital was fully renovated in 2016. Equipment includes: new surgical instruments, new patient monitors, digital radiography, ultrasound, tonometer, fluid pumps, dentailaire station, dental radiographs, impromed practice management software, Abaxis laboratory, and use of external labs. We have a welcoming, supportive work environment and enjoy collaborating on cases. The position will include regular surgery and appointments. There is no on-call or after-hours emergency duty. Our clientele is friendly and our workplace is relaxed and pleasant. Compensation will reflect experience. Benefits include: Simple Plan IRA, generous pet discount, VIN membership, PTO, & CE. Interested candidates can review the hospital at EastVet.com. Please submit resumes to Rebecca. smyka@gmail.com. Looking for a full-time associate veterinarian for our fast-paced, progressive, small animal practice in Mason, MI. Patterson Veterinary Hospital is fully equipped with digital medical records, gas anesthesiology, K2 laser therapy, digital radiography, and in-house lab work. Our practice strives to provide a high standard of medical and surgical care along with compassionate care for our patients and outstanding client service. We are a team oriented practice with a great support staff consisting of both veterinary assistants and LVTs. No after-hours emergency service, flexible scheduling, and competitive salary, CE, and benefits offered. Our practice offers a positive mentorship environment, so new graduates are also welcome to apply. Please submit a resume, cover letter, and your availability to Patterson_mason@yahoo.com. Veterinarian Needed! Waterford–Livonia, MI. We are a multi-clinic practice for small animals. Come join our family environment. We are looking for a confident, caring, positive individual with great communication skills. Full-time with full benefits. No after-hours, no emergencies. New graduates are welcome. Close to Canadian border. We currently have several locations in

southeast Michigan; job opening locations in Waterford and Livonia, MI. Please send your resume to Pet Care Clinic, 1067 Southfield Road, Lincoln Park, MI 48146. Cell: 313/231-2336, Fax: 313/382-3969, mmf20072003@ yahoo.com. Veterinarian wanted, preferably full-time, for companion animal practice in Three Rivers, MI. The candidate must have an interest in general soft tissue surgery. An interest in orthopedics would be a plus. Crossroads Veterinary Clinic is a long established and well equipped modern medicine practice. Our 7500 square foot building is less than 11 years old. The large waiting room provides a stress-free environment for our canine and feline patients. We have a great well trained and friendly staff, reasonable hours of operation, and a family-friendly attitude toward our employees. In-house lab, ultrasound, digital radiograph, dental radiograph, ECG, surgical laser, therapy laser, two surgical suites, and a beautiful building help in making this a great place to work. Three Rivers is close to shopping in Kalamazoo, and a short drive from Mishawaka and South Bend. The many lakes, rivers, and a small ski area make Three Rivers a great place to love. Contact William Sands at 269/278-1345, wcsands3@gmail. com, CrossroadsVeterinaryClinic.com. Fohey Veterinary in Clio, MI is looking for a happy face to join our team in a full or part-time commitment. Our staff becomes family, and attitude is much more important here than technical skill. We can teach skill, but clinic life brings challenges every day and we are looking for someone that doesn’t just work hard to meet those challenges, but truly enjoys the journey. Contact Dr. Deciechi if interested at drdeciechi@gmail.com. Part-time Associate–exclusively small animal hospital. AAHA standards practiced. Small hospital, big love for client education and passionate care. Laser surgery, advance dental procedures, orthopedic and ultrasound services. Digital radiographs, general and dental. No after-hour emergencies, flexible scheduling. Send resumes to gwilliamsdvm@pets-ahoy.com, or call 586/598-1900. Looking for a full-time veterinarian for our mixed animal practice. Our practice is 75% small animal, with large animal being mainly equine with some small ruminants and cattle. We provide our own emergency services with on-call shared equally by all three veterinarians; there are on-call technicians to help with emergencies. Our practice is very busy with all modern diagnostic tools and surgical support equipment. We would like to hire someone with experience, and that will enjoy all that Northern Michigan has to offer. Please email reception@mapleriveranimalclinic.com, or phone Kay Lamoreax at 231/529-6227. Affordable Vet Services is a rapidly growing small animal practice, with three full-time and one part-time veterinarian. We are currently looking for a full-time veterinarian to join our busy team. Affordable Vet Services was created with the intention of providing high quality medicine at an affordable rate. We have the “small town” feel with “big city” perks. Our clinic is located in the beautiful city of Ann Arbor, less than 2 miles from Michigan Stadium. Ann Arbor offers an abundance of local activities including parks, nature trails, hiking, fishing, canoeing, and kayaking. There are several museums, including the Ann Arbor Hands-On Museum

(fun for all ages!), numerous festivals throughout the year, and a vast array of restaurants and activities to satisfy any lifestyle. Affordable Vet Services offers: Generous compensation package, Full benefits including Medical, dental, and vision insurance plan options, short and long term disability, 401(k) retirement plan, Continuing education allowance, Family-friendly hours, in-house laboratory equipment, digital radiographs, digital dental radiographs, ultrasound, and generous pet discount. We are looking for a compassionate, motivated, client-oriented veterinarian to practice quality medicine and surgery. Our team is friendly, compassionate, fun and relaxed. We are motivated to provide high quality medicine at an affordable rate, while treating our clients and patients like family. Contact us at 734/926-0114 or submit your resume to karri@affordablevetservices.com. Our exclusively small animal practice in Flushing Michigan is looking to hire two associate veterinarians who would like to work in a relaxed, low stress environment, with a comfortable work schedule. Our reputable facility was established more than 37 years ago, allowing us to develop many long-time client relationships. Our friendly and caring staff strongly values our clients and their pets; they are our top priority. We pride ourselves on providing a relaxed and clean environment for all of our patients. Our clinic is equipped with an in-house laboratory (IDEXX equipment), radiography, ultrasound, and a library. We also house a large boarding facility along with a well-stocked retail center. Due to an increase in client load, we are looking to hire as soon as possible. Our steady hospital currently has one veterinarian as well as an excellent support staff that includes three highly skilled technicians, and one assistant/receptionist as well as an office manager. We are located just two miles from I-75, and centrally to many other amenities/ activities (parks, trails, hunting/fishing, shopping, and restaurants, just outside of downtown Flushing). If you would like more information or to view our facility, visit our website at FlushingAnimalHospital.com. Please direct any phone inquiries to Rhonda at 810/ 659-1151. Resumes may be emailed to FlushingAnimalHospital@ gmail.com. Two clinics, within a 30 minute radius of Detroit, are currently seeking a full-time associate veterinarian to join our highly successful and privately owned hospitals in Michigan. We have a highly trained support staff and excellent pet loving clients. Hospitals are well-equipped with an in-house laboratory, high-speed dental machine, IV pumps, and full in-house lab. Looking for a team player with excellent interpersonal skills, highly interested in working up cases and having a surgical interest is a plus. Above average salary and benefits, commensurate with experience and motivation. Signing bonus available, contact email: dixah2016@gmail.com, phone: 313/888-4006, fax: 313/383-7466. Emergency and Critical Care DVMs: Bay Area Pet Hospital is looking for a full-time DVM. Position is scheduled 3 shifts per week. This position is responsible for evening appointments, monitoring of hospitalized inpatients, and seeing emergencies including performing emergency surgery. Competitive salary, generous CE allowance, and paid vacation time. 4 days off per week so you can enjoy the natural beauty and activity Northern Michigan offers! Outstandingly

knowledgeable and technically skilled support staff make coming to work fun. Our hospital is located in downtown Traverse City, MI across from beautiful Grand Traverse bay. Please email resume to dr.karen@ bayareapethospitals.com. Milwood Animal Clinic in Portage is seeking a full or part-time Exotic Pet Associate. Extensive experience in exotic animal medicine is preferred, but a mentorship arrangement can be made. Small mammal, avian, and reptile patients comprise approximately 30% of our caseload. We are known for our compassionate care for clients and their companions and utilize low stress handling techniques. Our clinic is well equipped and our staff is highly trained to allow you to focus on practicing high quality veterinary medicine. After-hours and weekend emergencies are covered by a nearby ER. Send resume to milwoodanimal@gmail.com. Have you always wanted to practice in an exclusively feline clinic? We are looking for a part-time associate veterinarian. However, may consider full-time for the perfect candidate. We are located in Grosse Pointe Woods, have a great support team, practice highquality medicine, great clientele, and no after-hour emergencies. If you are enthusiastic about working exclusively with cats, send resume to kittysdoctor@ comcast.net. Associate veterinarian wanted to join our well-established small animal clinic in Marquette, Michigan, home to Northern Michigan University, great outdoor activities, and a great place to live and raise a family. We provide all areas of medicine for our clients; laser surgery, general medicine, dentistry, soft tissue, orthopedic, digital radiograph, and ultrasound. We are willing to assist a new graduate develop and expand their expertise. Competitive salary/benefit package. Please submit your resume to Shelley at marquettevet@ marquettevetclinic.com. Do you have a weekday a couple times a month to help reduce the pet overpopulation issue? Could you use some extra income? The West Michigan Spay and Neuter Clinic of Fruitport is looking for veterinary surgeons to help expand our schedule. We are a high quality, high volume clinic with a well trained staff of LVTs and assistants. We’ll help you improve your surgical skills and teach you special techniques to improve efficiency. Come be part of a great team. Competitive Wages; current Michigan Veterinary License and liability insurance required. Exit 4 off I-96. Contact Julie Eberly DVM, docjulie5@msn.com. Full-time or part-time positions available for a small animal veterinarian and a mixed animal veterinarian in wonderful Northwest Lower Michigan (only 30 min. from Traverse City). We have an excellent staff, clientele, facility and community located in an area named, “The Most Beautiful Place in America”. Please email resume to crystallakealpacas@gmail.com, or mail your resume to David Nelson, DVM, Platte Lake Veterinary Clinic, 9671 Honor Hwy, Honor, MI 49640. Greenwood Veterinary Associates of Memphis, Michigan is looking to hire a full/ part-time veterinarian for a growing mixed animal practice. Our patients are approximately 50% small animal, 30% large animal, and 20% food animal. We have a focus on canine, equine and bovine reproduction. Work hours are Monday– Friday 9:00 am–5:30 pm and Saturday 9:00 am–1:00 pm.

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We have in-house laboratory equipment, ultrasound, digital x-ray (wireless and portable) Shockwave therapy, portable ultrasound units, and a light therapy unit. Please submit resumes to gvamanager1@gmail.com. Cedar Animal Hospital (Cedar Springs, 15 miles N of Grand Rapids): We are seeking a dedicated, compassionate pet and client advocate, FT/PT associate DVM to join our team. We are an AAHA accredited practice; we see small animals including exotics. Flexible scheduled includes Monday–Saturday am/pm. Our practice offers ultrasound, digital dental, and digital general radiography, in-house lab, and endoscopy. The ideal candidate must be a client-centered DVM with excellent people skills. Full-time benefit package available. Resume to debbie@debbiegair.com. Associate needed as third veterinarian in wellestablished small animal hospital in Lowell. Located just fifteen minutes outside of Grand Rapids, Lowell is known for its friendly small town atmosphere and excellent schools. Our practice is equipped with digital radiography (including dental), IDEXX lab station, dentistry equipment, and therapy laser. We are looking for a compassionate person to join our family atmosphere and become part of our team. Strong surgical skills are a bonus, but not required. We have amazing support staff, including three licensed technicians, and great clientele. Visit our website at GRVH.com, email resumes to info@grvh.com. Primary Care/Critical Care Veterinarian: The Ann Arbor Animal Hospital is in search of full-time or part-time PC or CC Veterinarians for our growing small animal hospital. We’re located on the west side of Ann Arbor, MI where we have been practicing medicine for over 85 years. We offer PC and CC services during the day, Monday–Sunday, and run our ER opposite of the PC/CC services. The ideal candidate will be scheduled primarily weekdays and weekends, with occasional shifts on holidays to help our ER Team. Patient care, teamwork, and a client centered focus are emphasized to ensure a positive work environment. We’re committed to the candidate’s professional growth, development, and career satisfaction. Our competitive compensation package includes CE, health insurance, SIMPLE IRA, license fees, association dues, etc. Our ideal candidate has completed a rotating Small Animal Internship or possesses a minimum of 2 years’ experience. Our unique standing in the metro Ann Arbor area makes our hospital a personally and professionally rewarding opportunity. For more information visit our website at AnnArborAnimalHospital.com for more information. Please send your resume to dcaddell1@ annarboranimalhospital.com, or mail to Ann Arbor Animal Hospital, 2150 W Liberty, Ann Arbor, MI 48103. ER Veterinarian: The Ann Arbor Animal Hospital is in search of full-time or part-time ER Veterinarians for our growing small animal hospital. We’re located on the west side of Ann Arbor, MI where we have been practicing medicine for over 85 years. We offer Primary Care and Critical Care services during the day, Monday –Sunday, and run our ER opposite of the PC/CC services. The ideal candidate will be scheduled primarily overnights, weekends, and holidays. Patient care, teamwork, and a client centered focus are emphasized to ensure a positive work environment. We’re committed to the candidate’s professional growth, development, and career satisfaction. Our competitive compensation

the michigan veterinarian · summer 2018

package includes CE, health insurance, SIMPLE IRA, license fees, association dues, etc. Our ideal candidate has completed a rotating Small Animal Internship or possesses a minimum of 2 years of ER experience. Our unique standing in the metro Ann Arbor area makes our hospital a personally and professionally rewarding opportunity. For more information, please visit our website at AnnArborAnimalHospital.com. Please send your resume to dcaddell1@annarboranimalhospital. com, or mail to Ann Arbor Animal Hospital, 2150 W Liberty, Ann Arbor, MI 48103. Manistee Veterinary Hospital, located in beautiful Northwest Lower Peninsula Michigan, is looking to hire a full or part-time small animal veterinarian. This position is open to new graduates and experienced veterinarians. Mentoring is available to those who are interested. Currently the hospital staffs two veterinarians. After-hour emergencies are referred to a 24/7 emergency hospital. Our philosophy is to work in partnership with the client to design a treatment style and plan that addresses their pet’s health concerns and is financially fitting for the client. Our work environment is an atmosphere of a caring family that helps one another. Special interest to learn orthopedics, acupuncture, and some other forms of alternative medicine is also immediately available. Please submit resumes by mail to Manistee Veterinary Hospital 4006 Chippewa Highway, Manistee MI 49660, Attn: Dr. Carolyn Brown, or email to sommerfeldtdvm@ yahoo.com. Associate Veterinarian: Full and part-time positions available for busy, multi-doctor hospital with an experienced staff. For additional information visit michigananimalhospital.com. No on-call or after hours emergency. Our facility provides surgical suite with EKG, pulse oximetry, capnograph, and blood pressure monitoring. In-house IDEXX lab, digital radiography, ultrasound, dentistry, digital dental x-ray and more. Mentoring and training is always available to new graduates in this warm, supportive practice. We provide a unique opportunity to practice high-quality veterinary medicine with support system from experienced veterinarians. We perform a variety of soft tissue, orthopedic surgeries as well as dentistry/oral surgeries. We offer salary range from $75K to $100K, sign in bonus, opportunity for future partnership, and benefits package. Email your resumes to mianimalhospitalhr@gmail.com. Join our growing team to compassionately deliver quality veterinary care for cats and dogs. Community Pet Care Clinic in Toledo Ohio is a full-service veterinary clinic that believes all pets deserve access to veterinary care so we see to remove barriers as we don’t want pets to go without care or necessitate surrender to an animal shelter. If you became a veterinarian to help people and their pets, and want to be part of a mission-focused clinic, this may be the fit for you! Part or full-time veterinarian. Very competitive pay package. Not too far from Michigan border! At least 1 year of clinical and general surgery experience required. Send resume and cover letter to drharrell@ communitypetcareclinic.com. Sheridan Animal Hospital is seeking a full-time mixed animal associate who likes to work with people to help their pets, to join our fast paced, rural practice. Some experience with large animal medicine is required. New grads are welcome to apply and will receive

mentoring until comfortable going solo. We currently have 3 full time Veterinarians and share after hour emergency duties. Our perfect candidate would be an extrovert who is interested in continual learning, collaboration with and support of the team, teaching clients, staff, and community, and of course providing top of the line medical care in a rural setting. Our clients know us by name. We use a hybrid base plus production salary and have excellent benefits to offer the right candidate. If this sounds like a rewarding job that you would be interested in, please find us at SheridananimalHospitalInc.com, Facebook, or Google. You can submit a resume and letter of interest to Sheridananimalhospitalinc@yahoo.com. You can call and speak with Dr. Sherry Teegardin with any questions, 989/291-3647. Seeking a full-time veterinarian to join our wellequipped AAHA accredited practice in East Tawas, MI. New graduates welcome to apply. Seeking a veterinarian to become a long-term member of our veterinary team. Competitive salary, CE, and benefits. Check out our practice at SRSVH.com. Please email resumes to kingjam1@yahoo.com. AAHA accredited small animal hospital in Birmingham, MI is seeking a personable, compassionate veterinarian to join our practice. We are well-equipped, have long-term staff, and excellent benefits that include medical, dental, optical, CE, professional dues, and license. Please send resume to f.blaski@hotmail.com, or fax to 248/644-6123. See our website GasowVet.com. Part-time veterinarian wanted for progressive small animal clinic in Genesee County. We are a busy clinic devoted to professional and caring client service, as well as excellent patient care, while enjoying a fun comradery among staff. Only minutes from emergency services, as well as a respected referral center. Clinic is well-equipped with chemistry machines, ultrasound, digital radiography, including dental and more. Our cozy building also offers a separate play area for children, if the need for daycare arises. Please email with questions: drzubke@hotmail.com. Full-time veterinarian needed for a well-established small animal hospital. Experienced or new grads please contact us ASAP! We are located in a great area, about 1 hour North-east of Detroit, MI. We have a skilled and dedicated staff, the hospital is well-equipped with digital x-ray, ultrasound, in-house lab, etc. We practice full-service medicine and surgery. Generous salary offered. Please call 586/489-7821, or email resume to DAH1@inbox.com. Traverse City Area! Seeking F/T or P/T associate veterinarian to join our amazing team. We operate two rapidly growing small animal hospitals. We cherish our established, loyal client base and have a dedicated support staff. Our services include avian/exotics, diagnostic ultrasound, digital and dental radiography, laser therapy, and canine rehabilitation. Contact: Kimberly Morrison, Suttons Bay Animal Hospital/Elk Rapids Animal Hospital, PO Box 948, Elk Rapids, MI 49629, kim.morrison@elkrapidsanimalhospital.com, missi.campbell@suttonsbayanimalhospital.com. South Shore Animal Hospital in Houghton Lake is seeking a FT companion animal veterinarian. Our well-established two-doctor hospital has been in operation for over 30 years and our loyal clients have

come to expect quality medicine. We are equipped with digital radiographs, digital dental radiographs, state-of-the-art anesthesia and surgical monitoring equipment. We offer a great schedule with 3-day weekends every other week, simple IRA, paid dues, paid CE, and signing bonus. Enjoy practicing in a beautiful four season setting. Please email ssah.houghtonlake@ gmail.com, or fax to 989/366-7399. Great opportunity to grow as a veterinarian and be a part of our family atmosphere. We are looking for veterinarians to practice in our Belleville location, as well as our beautiful 12,600 square foot facility in Westland. We are looking for 1 full or part-time veterinarian to join our practice. New graduates are welcome. We are true animal lovers and are heavily involved in all species of rescue. Wonderful support staff and great clientele. We are interested in a dedicated, caring veterinarian who wants to help promote our clinic values of great communication, strong client relationships, and exceptional veterinary care. If you would like to be part of a true family atmosphere and join our team, please give us a call at 734/326-7297, or email stephenm50@comcast.net. Veterinary Technicians wanted Cedar Animal Hospital is a large fast-paced 3-DVM practice; we see small animals and exotics. We are looking to add a motivated licensed veterinary technician to our team! Our AAHA accredited facility is seeking a positive team player who is reliable and loves what they do. Must be able to multi-task, and have excellent communication skills with clients and coworkers. Some weekend and evening hours are required. Full-time/ part-time position available; benefits are offered to full time employees. Cedar Animal Hospital provides exceptional veterinary care, including medical, surgical, and dental services, digital radiology, and endoscopy. Onsite pharmacy as well as boarding and grooming services. Resume to Deb@cedarAH.com. Immediate opening available for a Licensed Veterinary Technician. We are an AAHA accredited small animal practice. Salary is negotiable commensurate with experience. We provide Blue Cross Blue Shield health benefits and offer a SIMPLE IRA retirement plan. Interested parties should contact Dr. Allen D. Reynolds at Veterinary Associates, LLC, PO Box 610446, Port Huron, MI 48061-0446, or email dralllenrey1488@ comcast.net. Looking for LVT to join our family at Two by Two Animal Hospital in Berrien Springs, located in Southwest corner of Michigan. Great benefits (seriously), computer records and fun digital equipment, amazing and hardworking team (check out our website), closed on Saturdays (not a joke), beautiful rural community and close to the beach. Can’t wait to meet you! info@ twobytwovet.com. We are looking for an experienced veterinary technician to work in a new state-of-the-art facility located in beautiful Marquette, Michigan. Live where you want to vacation and work in a busy, full service hospital with all the amenities such as ultrasound, digital x-ray, full laboratory, dental x-ray and more. Contact Dr. Tim Hunt at 906/249-5667 or drtim@drtims.com. Manistee Veterinary Hospital, located in beautiful Northwest Lower Peninsula Michigan, is currently

seeking to hire its first LVT. This growing small animal practice currently staffs two veterinarians with 7 support staff. The position is open to new graduates and experienced technicians. Some of the duties would include client education, helping to create hospital protocols, take histories, surgery prep, perform blood draws, run and maintain the blood machines, and take digital radiographs. Candidates must be organized, have good leadership and communication skills, and motivated to help build and improve upon the hospital’s current practice style. Average work week of 32–35 hours, with hours ranging from 8:30 am to 5:30 pm. Please submit resumes by mail to Manistee Veterinary Hospital, 4600 Chippewa Highway, Manistee, MI 49660, Attn: Dr. Carolyn Brown, or email to sommerfeldtdvm@yahoo.com. We are a busy general and dental specialty hospital located near Chelsea and Ann Arbor. Our small cohesive team enjoys providing top notch care to our patients and clients. We often work with geriatric and high risk patients, so we are looking for an LVT or equivalent with excellent skills in using a Cardell 9500 monitor (including CO2). The successful candidate with be able to diagnose the abnormalities and offer treatment options. Duties will also include patient care for hospitalized patients, discussing treatment plans, running lab work and assisting with outpatient visits. Please contact us at grasslakeanimalhospital@gmail.com. Do you want to work in a facility that acknowledges, appreciates and celebrates your contribution to the health and well-being of companion animals? A practice that offers a pension plan for your future? Union Lake Veterinary Hospital has continued to grow and we are hiring veterinary nurses! We will use your skills to their full potential. If you would like to work somewhere that understands your true role and allows you to grow to your full potential, please email your resume to ulvh@msn.com or fax to Annette Engler, LVT, CVPM, CCRP at 248/363-3756. Our facility is truly progressive with low level laser, surgical laser, complex case management, digital ultrasound, digital xray (dental and standard), video endoscopy, physical rehab, chiropractic, acupuncture, exotic pets, stem cell therapy and much more! Full or part-time positions available. Exceptional pay, full benefit package including medical insurance, AFLAC, paid holidays, vacation, sick time, pet discounts, ESOP pension plan (not offered by any other practice!), flexible scheduling, 401k and more. Nichols Veterinary Clinic is a full-service small animal clinic in southeastern Michigan with a current staff of 24 employees. We are looking to add a full-time Veterinary Technician. A competitive income and full benefits offered. Send resume via email to nahpc@ yahoo.com. Arenac Bay Veterinary Services is seeking a full-time licensed veterinary technician to join our team. We are a fast-paced, five-doctor practice serving small, large and exotic animals in the mid-Michigan area. Our clinic provides a wide variety of services from routine vaccines and health exams to performing advanced orthopedic procedures. Ideal applicants should be competent in medical mathematics, medical terminology, anesthesia, surgical preparation, sterile technique, pharmaceutical drugs, venipuncture, venous catheter placement, animal restraint, laboratory procedures including fecals, urinalysis, cytologies, etc. Clinic

has full in-house Heska lab including CBC, chemistry analyzer and blood gas, full digital radiology, Tonopen, high-speed dental unit, surgical suite with multiple full-parameter monitors, and more. Applicant must be able to communicate with clients and staff in a professional manner and will be responsible for client education including discussing medical preventions and at home care. We offer employees a competitive salary along with paid vacation, membership dues, retirement, health insurance, continuing education and uniform allowance. All levels of education and expertise will be considered and new graduates are encouraged to apply. Please email to arenacbayvet@gmail.com, or mail to 4366 W. M-61, Standish, MI 48658. Hiring licensed veterinary technician to work primarily in surgery service. Duties are working solely with my surgery service to provide surgical services to my clients from the initial appointment through discharge. These duties include pre-surgical preparation, anesthesia, patient care, surgical assistance, client communication. Please submit resume to drmair@ mobilesurgeryservices.com. We are hiring a full-time Veterinary Technician as part of our growing team! We operate a small animal, exotic and avian practice utilizing digital radiographs, ultrasound, in-house CBC and Chemistry machines, in house PT/PTT machine, and full surgical facilities. Certification is not required, but is preferred. Hours would be a set, revolving schedule working 35–38 hours per week, with more hours available if desired. On-call schedule is rotated about every 10 weeks for weekend and every 3rd week for week days; our hospitals are open Monday–Saturday. Job requirements include but are not limited to: Running canine and feline anesthesia, Obtaining patient histories and loading sick and vaccine appointments, Placing IV catheters, understanding and administering medications, Restraining animals safely, communicating well with clients and team members, being self-motivated, Operating in house lab equipment, and being proficient in computer operating systems. Our ideal candidate will possess the following skills: Commitment to excellence in veterinary care, Experience as a technician in a dynamic environment, Attention to detail, Outstanding customer service skills, Computer skills, and a Strong work ethic. We offer competitive pay based on experience, paid time off, access to health insurance and partial company payment of premium, IRA with 3% match, 7 paid holidays, CE and uniform package, rabies vaccination and titers, and quarterly production bonus. If you have any additional questions or to send a resume, please don’t hesitate to contact us. We look forward to talking with you. Thank you! Contact Brittany Harrison at 989/362-4601 or brittany3harrison@gmail.com. Mail resume to 1627 M55, Tawas City, MI 48763. Traverse City Area! Seeking F/T or P/T licensed technician or veterinary assistant. Positive attitude a must! We operate two rapidly growing small animal hospitals. Our progressive clinics offer avian/exotics, diagnostic ultrasound, digital and dental radiography, low level laser therapy, and physical rehabilitation. Contact: Kimberly Morrison, Suttons Bay Animal Hospital/Elk Rapids Animal Hospital, PO Box 948, Elk Rapids, MI 49629, kim.morrison@elkrapidsanimalhospital.com, missi.campbell@suttonsbayanimalhospital.com.

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Practices & equipment for sale Gogebic County, Michigan–Priced to sell! Profitable SA practice has established itself as the gold standard in healthcare. Providing quality, compassionate care, a staff with integrity. The facility is +/-1,400sf, including 2 exam rooms. M13. PS Broker, 800/636-4740. PSBroker. com, info@psbroker.com. UNDER CONTRACT! Small animal practice in Detroit. Practice is well-equipped and facility is well maintained. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, 800/380-6872, or kurt@tpsgsales.com. When buying or selling a veterinary practice, rely on the expertise of Total Practice Solutions Group. See display ad this issue. Even if you plan to sell your practice yourself, contact Dr. Kurt Liljeberg for a free consultation. We are happy to help. 800/380-6872 or kurt@tpsgsales.com. Well-established small animal practice (with large animal potential) for sale in the thumb area of Michigan. Practice priced to sell. Hospital approximately 3200 sq. ft. Contact 810/886-3031. Well established small animal practice in Oakland County. Grossed almost $650,000 in 2017. Buy the business all the furnishings and equipment for only $425,000. Dr. Fred Zydeck, 248/8913934, fzydeck@ aol.com. Well established small animal practice north of Flint. Grossed over $550,000 in 2017. Buy the beautiful hospital plus business with all the furnishings and equipment for only $525,000. Dr. Fred Zydeck, 248/8913934, fzydeck@aol.com. Are you ready to buy or sell a veterinary practice? Valuations, consultations, buying or selling, I can help. Call or text Dr. Fred Zydeck, Broker, at 248/891-3934, or email fzydeck@aol.com. Small animal practice in desirable Washtenaw County grossing $500k. Real Estate includes large hospital, residence and other buildings. Practice well maintained. Revenues show yearly increase. Contact Robert Eberline at Peak Practice Transitions: roberte@ peaktransitions.com or 248/390-5664.

relief veterinarians Norman Bayne, DVM, MS, 248/506-1104. MSU 81. SA relief work in southeast MI. Will travel. Friendly, excellent client communications skills. norman@ baynevet.com. Cari Bedore, DVM, 810/965-8350. MSU 99. SA relief and/or PT 1 hour from Flint. Enjoy working in a positive team atmosphere doing medicine and surgery. Kirsten Begin, DVM, 616/446-3154. MSU 09. SA relief in Grand Rapids and surrounding areas. Will travel. Friendly, excellent client communication. References. Completed rotating and surgical internships. kbegin4@ gmail.com. Lisa Benisek, DVM, 517/887-0255. MSU 88. Small animal relief or PT in Lansing area. lisabenisekdvm@ comcast.net. Sharisse Berk, DVM, 248/851-0739. MSU 95. Available for SA relief or PT work in southeast MI.

the michigan veterinarian · summer 2018

Rhonda Bierl, DVM, 248/467-1987. MSU 00. SA/ emergency relief within 1 hour of Pontiac. General medicine, soft-tissue surgery, ultrasound experience. houserrh@yahoo.com. Allison Birndorf, DVM, 248/459-8974. MSU 12. SA relief in SE Michigan. Will travel. Friendly and reliable. abirndorf@gmail.com. Tama Cathers, DVM, MS, 269/203-6800. NCSU 96. SA relief in SE Michigan/Kalamazoo area. Friendly, experienced, reliable. tcathers@gmail.com. Courtney Chapin, DVM, 616/901-5660. MSU 02. Available for Grand Rapids area. 6 years’ experience in SA general practice, 3 years in emergency medicine; both routine and emergency surgery. Willing to travel. cortneychapin@hotmail.com. Amanda Charney, DVM, 313/212-9305. MSU 12. Southeast MI: SA medicine, routine surgery. Great communication skills, friendly, travel within approximately 1 hour of Dearborn. References and résumé available. charney2dvm@yahoo.com. Catherine Collins, DVM, 517/980-0528. (MSU 06) SA relief work in the Lansing area, willing to travel further for the right circumstances. Friendly, efficient, strong communication skills. References and résumé available. PressPawsPLC@gmail.com. Kenneth Corino, DVM, 248/217-5235. MSU 94. SA relief work. SE Michigan, medicine and surgery. corinodvm@aol.com. Nichole Corner, DVM, 616/634-9777. MSU 99. SA relief work in Grand Rapids/Kalamazoo area. Excellent client communication skills. References available. haweslake@charter.net. Bryan Cornwall, DVM, MBA, 248/227-0562. MSU 89. SA medicine and general surgery in SE Michigan; practice owner for 24 years. Great with clients and staff. bcornwalldvm@gmail.com. Jennifer M. Dec, DVM, 248/224-1990. MSU 04. Small-animal general practice and emergency relief. Surgery, ultrasound, and excellent communication skills, drrockstarbc@gmail.com. Marj Field, DVM, 734/658-4774. MSU 90. SA/exotic/ emergency relief work in SE Michigan. Excellent client service, comfortable surgeon, high ACT, and able to multitask. Extended travel can be negotiated. marj. ﬁeld@me.com. Lisa Harris, DVM, 616/204-2670. MSU 89. Available for relief in Grand Rapids/Lakeshore area. Experienced SA medicine and surgery, avian, exotics. Friendly, good communicator. drllharris@gmail.com. Sean D. Hughes, DVM, 517/552-0993; 734/6747061. MSU 76. SE Michigan SA relief since 1999. Part-time. Prefer SE; will travel for right circumstances. HughesDVM@aol.com. Cindy Kalicki, DVM, 313/291-2466. MSU 94. Eight years FT, two years relief in SA general medicine/soft tissue surgery. SE Michigan, PT or relief. Gurpreet Kaur, DVM, 248/519-3194. (MSU 15, MVMA Member) Providing service in small animal general practice and surgery in the southeast Michigan area. gpkaur06@gmail.com.

Charlotte Kim, DVM, 517/643-4069. MSU 08. SA relief work in SE Michigan. Soft tissue surgery and medicine. Friendly and dependable. kimcharl0824@gmail.com. Kristin Knirk, DVM, 517/677-1550. MSU 07. Available for SA relief or PT within southwest MI. SA medicine and routine surgery. Excellent client skills and dependable. knirkkristin@hotmail.com. Selena Lucas, DVM, 734/330-5048. KSU 90. Flexible and friendly, excellent client communication skills. Proficient in surgery, medicine, and dentistry. Available in SE Michigan. slucasdvm@gmail.com. Denise Jorgensen Montagna, DVM, 231/557-1536. CSU 90. SA relief or PT in western MI. Excellent client relations. References available. djmontagnadvm@ charter.net. Katherine O’Connor, DVM, 248/207-3528. MSU 14. Exceptional medicine when you need it most. SA/ exotics/emergency relief. Based in East Lansing, willing to travel. References available. MyReliefVet.com. Kris Parnell, DVM, 517/881-2845. MSU 91. Available for SA relief or P/T. Will travel 1 hour of Lansing area. References upon request. klparnelldvm@gmail.com. Amy Peck, DVM, 231/557-4423. MSU 97. Available for relief in west MI/Grand Rapids/Lakeshore area. SA general medicine. Excellent communication skills, experienced and reliable. apeckdvm@gmail.com. Bob Schleiffarth, DVM, 269/921-0570. SA relief. Over 30 years’ ownership experience. Coverage for western MI, based in Onekama. Kawnipi2@att.net. Jim Sharp, DVM, 810/533-3598. MSU 71. SA relief, SE Michigan. Former practice owner. Proficient in sophisticated dentistry and medicine. Excellent communicator. vetseanarian@comcast.net. Alan Sibinic, DVM, 734/922-3713, 231/547-6212. MSU 75. Relief or part-time anywhere in MI. Flexible, wide-variety practice experience. 5+ years relief work. References. SA/EQ/FA. Margaret Sudekum, DVM, 616/676-2720 MSU 89. Available for part-time SA relief work in Grand Rapids and the surrounding areas. Good client communication skills. msdvm@sdkm.us. Connie R. Sveller, DVM, 517/388-3434. MSU 85. SA relief, works within 1 hour of Swartz Creek. Experienced/reliable/former practice owner (16 years). docconnie1@aol.com. Andrea Switch, DVM, 248/302-2255. MSU 84. Available for PT or relief work. SA general medicine/ soft tissue surgery in SE MI. andreaswitch@yahoo.com. Linda Vanassche, DVM, 517/896-9086. MSU 90. SA medicine, surgery and emergency; excelling in dermatology and internal med. Travel negotiable more than 1½ hours from Lansing. Excellent written/verbal communication and record keeping. drmomma789@ aol.com. Amy Wildrose, DVM, 517/420-5891. MSU 00. Experienced, proficient, dependable, and convivial. Available for SA relief or PT. Based in Lansing. Willing to travel. a_wildrose@hotmail.com. Jennifer Zablotny, DVM, 517/896-9146. MSU 97. Experienced SA relief for southeast and mid-MI. References available. drzablotny@gmail.com.

committees, meetings & events

due to the number of requests for ce announcements, the michigan veterinarian limits listings to ce programs in michigan.

MVMA GREAT LAKES VETERINARY CONFERENCE nn

August 12-14, 2018

MVMA BOARD OF DIRECTORS nn

Grand Hotel, Mackinac Island

Grand Hotel, Mackinac Island nn

MICHIGAN VETERINARY CONFERENCE nn

December 12, 2018, 10:30 am–3:00 pm

September 12, 2018 nn

MVMA COMMITTEES nn

November 1, 2018 @ 10:00 am

Edwards, DVM, DACVSMR, CCRT, CVPP, cVMA)

Surgery (Gary Thompson, DVM, Diplomate, ABVP

February–May and October–December. Contact Margaret Sudekum, DVM, to be added to the email list. (616) 676-2720 or margaret.sudekum@wmvma.org.

Legislative Advisory (Dr. Cathy Anderson, Chair) September 19, 2018 @ 1:30 pm November 27, 2018 @ 1:30 pm

Public Health (Dr. Joseph Kline, Chair) June 13, 2018 @ 1:30 pm

Nutrition (Craig Datz, DVM, MS, DABVP, DACVN)

September 5, 2018 @ 1:30 pm

April 10, 2019

December 19, 2018 @ 1:30 pm

Seminars 10:00 am–5:30 pm at the East Lansing Marriott. Contact MVMA at (517) 347-4710 or register online at www.michvma.org.

each month, usually the 1st Tuesday or Wednesday,

June 20, 2018 @ 1:30 pm

Renal and Urinary (Joe Bartges, DVM, PhD, March 13, 2019

topics. In addition, there will be a second meeting

November 28, 2018 @ noon nn

December 12, 2018

DACVIM, DACVN)

Executive (Dr. Lori Penman, Chair)

September–November in Grand Rapids on various

September 12, 2018 @ noon

Canine & Feline)

Veterinarian CE Seminars

August 1, 2018 @ noon

Practice Management (Wendy Hauser, DVM) November 7, 2018

Animal Welfare (Dr. Marcie Barber, Chair) September 20, 2018 @ 10:00 am

Rehabilitation and Pain Management (Tara October 10, 2018

WESTERN MICHIGAN VMA nn

3rd Thursday of each month, January–May and

MVMA SMALL ANIMAL SEMINARS Veterinary Forensics (Melinda Merck, DVM)

meetings @ 7:00 pm / The Brewery, Frankenmuth Contact the secretary at muktuk@me.com.

In conjunction with the Annual Meeting.

University Club, Fireplace Room, Lansing

4th Wednesday of each month, February–May and September–October, with occasional additional

September 26, 2018, 10:30 am–3:00 pm University Club, Ballroom, Lansing

January 25–27, 2019 Lansing Center & Radisson Hotel, Lansing

August 12, 2018, 11:00 am–1:00 pm

SAGINAW VALLEY VMA nn

Meetings held in the MVMA ofﬁce unless noted.

PROFESSIONAL COMPETENCIES CERTIFICATION nn

Getting the Most out of Your Career: Success Strategies for Personal & Professional Growth MVMA/MSU CVM Professional Competencies Certification (In-Person Sessions) October 24, 2018 and April 17, 2019 MSU Veterinary Diagnostic Laboratory, Lansing

the michigan veterinarian · summer 2018

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michigan veterinary medical association 2144 Commons Parkway, Okemos, MI 48864-3986 Professional excellence. Compassionate care.

one numbers important ph inary Medicine MI Board of Veter 8 91 5-0 33 7) (51 acy MI Board of Pharm 7 73 3-1 (517) 37

ce DEA: Detroit offi (313) 234-4000 DEA: toll-free (800) 230-6844 terinarian MDARD State Ve 9 93 2-3 29 0) (80 ces h & Human Servi MI Dept. of Healt (517) 335-8165 h Certificates State of MI Healt 7 76 (517) 284-5 –Accreditation USDA, APHIS, VS alth Certificates He al & Internation (517) 337-4700

Presort Standard U.S. Postage PAID Lansing, MI Permit #713