MVMA Quarterly-Fall 2019

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Quarterly Missouri Veterinary

A Publication of the Missouri Veterinary Medical Association

Fall 2019


MISSOURI VETERINARY MEDICAL ASSOCIATION 2500 Country Club Drive Jefferson City, MO 65109 Phone 573-636-8612 Fax 573-659-7175 email: mvma@movma.org website: www.movma.org BOARD OF GOVERNORS Dr. Carol Ryan President Dr. David Gourley President-Elect Dr. Marcy Hammerle Vice-President Dr. Shelia Taylor Secretary/Treasurer Dr. Cynthia Vedder-Penrod Board Chair EXECUTIVE BOARD Dr. Sonia Serad-Wright Northwest District Delegate Dr. Jennifer McLain-Link North Central District Delegate Dr. Christopher Perry Northeast District Delegate Dr. Matthew Silvius Greater Kansas City District Delegate Dr. Chad McNeal West Central District Delegate Dr. Jessica Farris Greater St. Louis District Delegate Dr. Kacie Ulhorn East Central District Delegate Dr. Philip Brown Southwest District Delegate Dr. Catherine Hicks Southeast District Delegate Dr. Carol Ryan AVMA Delegate Dr. Chuck Barry AVMA Alternate Delegate Dr. Carolyn Henry (Ex-officio) MU College of Veterinary Medicine Dr. Chuck Lemme (Ex-officio) AVMA District 7 Representative Katie Molind Student Board Member STAFF Richard Antweiler Executive Director Julie Braun Deputy Executive Director Brette Henderson Member Relations/Event Coordinator Luann Avalos Bookkeeper Kim Ralston Communications Specialist Lori Muhlenbruch Program Coordinator Michelle Gentges Executive Assistant Dawn Felger Administrative Assistant Denise Colvin Museum Archivist 2

MVMA QUARTERLY - FALL 2019

Inside this issue... Happenings: MVMA People & Events............................................... 4-5 MVMA Academy Members ....................................................................... 6 Telehealth Services Offer Video Consulting.........................................8 MVMB Licensing Tips.....................................................................................11 MVMA Summer CE Seminars.....................................................................12 Volunteers Make State Fair Booth a Success.......................................14 Upcoming CE & Events..................................................................................16 U.S. House Passes Increased Funding for Rural Programs............20 Wellbeing Task Force Offers “Reach Out� Support Cards.........21 Associate Member News ............................................................................23 MVTA Tech Notes ......................................................................................... 24 Foundation Update ................................................................................ 26-27 Classifieds ..................................................................................................... 30-34 2019/2020 Partners For Progress Sponsors ......................................35

On the Cover... With the serious shortage of large-animal practitioners throughout the nation and Missouri, the MVMA and its members have been lobbying Congress to increase funding for the Veterinary Medcine Loan Repayment Program. The program will help place more food animal veterinarians in rural areas to close veterinary access gaps by paying up to $25,000 each year towards qualified educational loans of eligible veterinarians who agree to serve in a NIFAdesignated veterinarian shortage situation for a period of three years. Recently, the U.S. House increased the funding for the program and it is being sent to the U.S. Senate. We urge members to contact their U.S. Senators and voice your opinion on this very important issue. (See article on page 20 of this issue.)


MVMA QUARTERLY - FALL 2019

From the President This year has been a whirlwind while presiding as President of the MVMA. As President-elect I led the planning committee to organize the 2019 MVMA Carol Ryan, DVM convention that took place this past January in Columbia. It was an enormous task however, the state office personnel exceeded all expectations and offered a great program. I chose Personal Well Being as a theme and all the presenters made it a success. I feel it is vital to have everyone SLOW down and BREATHE. Life is short so try to enjoy each day. Suicide of veterinary professional team members has to be addressed at every level. We can make a difference that may save a life! I have enjoyed attending many of the district veterinary meetings. I greatly appreciate the volunteerism and dedication

of so many wonderful veterinarians that allow our profession to shine. I was in attendance at the AVMA Veterinary Leadership Conference in Chicago in January. I gained a wealth of leadership training and I am humbled to represent our great state of Missouri at the national level as the AVMA Delegate. I attended the AVMA conference in Washington D.C. in July. I was honored to offer an invocation of faith to the House of Delegates with dignitaries from around the world in attendance. I had the privilege to visit with many Congressmen and their staff on Capitol Hill. We discussed student loan debt, the Veterinary Medicine Loan Repayment Act and the Association Health Plans Act as well. Doctors Barry, Fobian, Miller and myself voiced our concern of opposition of the prescription mandates. We expressed our interest to have parity as human medical schools do in regards

to loan repayment taxes being relieved for rural large animal veterinarians in the VMLR program. I believe our hard work will pay off as our Congressmen vote on crucial bills that will affect our profession. I recently had breakfast with our Governor at the state fair and appreciate his love for agriculture in Missouri. On the homefront, our veterinary business has joined with Alliance Animal Health. I am gaining a new perspective on the impact this multifaceted group has to offer. Let me know if you have any questions about this exciting adventure. I will continue to work diligently as the MVMA President representing each of our members and I look forward to visiting with those in attendance at our 2020 MVMA convention. May the almighty Father continue to bless each of you. Take the time to BREATHE and count your blessings. Sincerely, Carol Ryan, DVM

From the Secretary-Treasurer Remembrance As many of you know, I lost my father earlier this year. We are now in the process of going through the many things that my parents accumulated Shelia Taylor, DVM in their lives. It is a struggle as there are many memories that come with all the stuff. I recently had to mow the yard at the farm and I realized how many memories are embedded in the land. Mowing the old garden plot, I was swamped with memories of working hard in the garden and how much food it produced. Those green beans, corn and canned tomatoes were sure good when the snow was falling. Cutting the corn for the cows was always fun. Our

Guernsey milk cow loved munching on discarded watermelon rinds. All the cattle would just drool over all their garden treats.

meetings. Jane Austen said “Think only of the past as its remembrance gives you pleasure.� I plan to keep all those good memories and forget the painful ones.

I remembered our Cocker Spaniel, Heidi, playing ball with my dad. I also remembered helping my dad with the butchering of the beef and helping my mom with canning and freezing the food in times past. It seemed that everywhere I looked there was a memory. I even remembered my dad working on the mower as I had to clear debris from around the blades.

So I hope to see you all next January in Columbia as we come together once again to make new memories. Sincerely, Shelia Taylor, D.V.M.

With all these memories, I then started remembering all my colleagues in veterinary medicine that are now gone, what they inspired in others and how their faces will be missed at future

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Happenings...

MVMA QUARTERLY - FALL 2019

MVMA PEOPLE & EVENTS 128th MVMA Annual Convention Offers the Latest in Veterinary Advances T he MVMA Convention Planning Committee is bringing the best veterinary education and latest innovations to this year’s 128th MVMA Annual Convention to be held January 23-26 at the Holiday Inn Executive Center, Columbia, Mo. The convention will offer our members, their families, students and practice staff a weekend of the best in education, friendship and fun.

Once Again this year, you can build your own program. The convention will offer an option to register for any day or days you want to attend, or register for the entire fourday event. You attend the days you want to attend. Thursday seminars include a variety of topics including poultry diseases and diagnostics, managing fear and anxiety in companion animals, endocrine diseases in horses, building trust with clients, etc. In addition, there is Missouri Stocker/Feeder Quality Assurance Certification and the MVMA Academy Mini-Topics Seminar packed with short, informative presentations on a variety of subjects. In addition to the seminars mentioned, Thursday includes committee meetings, and meetings of the MVMA Executive Board and the Foundation Board. Full registration encompasses 24 contiguous CE hours (includes Thursday sessions) across multiple tracks covering companion animal, food animal, equine, soft skills, special interest, practice management and labs. See the schedule of continuing education programs included in the convention registration booklet. Again this year... The registration booklet will be mailed inside the winter issue of the Missouri Veterinary Quarterly Magazine in November. Online convention information and online registration coming soon at movmaconvention.com At the convention, don’t forget to drop by the Exhibit Hall where over 60 vendors will show you the latest innovations and programs in veterinary medicine, and a chance of winning one or more of many door prizes. Win or lose, you don’t want to miss the fun and excitement at the Foundation Reception and Drawing. Admission is free to all (no purchase required) but Silent Auction and 50/50 participation is appreciated. Hors d’oeuvres will be served. Be sure to purchase your ticket for a chance to win $10,000 and many other cash prizes. Tickets are $100 and can be purchased through the registration form, on our website or by calling the office at 573-636-8737. You need not be present to win. The drawing will take place during the Reception. Support your Foundation by purchasing a ticket. Purchase a ticket by December 15 to be eligible for the Early Bird Drawing. During the same evening, the Foundation also holds a silent auction. If you have items you wish to donate for this auction, it would be very much appreciated. Please call 573-636-8737 to make arrangements for pick-up or mailing. Something special: On Saturday, MU-CVM recent graduates are invited to a reception/forum to network and share experiences with each other. Later on Saturday, DVM students are invited to gather for a mixer to share ideas and thoughts. The MVMA holds its Annual General Membership Meeting and Breakfast on Saturday morning with additional continuing education workshops throughout the day. For Veterinary Technicians and Practice Staff: Throughout the weekend, veterinary technicians will have the ability to attend the same continuing education sessions as veterinarians. Also, a technician/practice staff reception is planned for Saturday. 4

On Friday, you’ll want to attend the Veterinary Business Management Association/MVMA Speed Networking event where CVM students and practicing veterinarians pair up for round-robin style interview sessions. Students move from table to table in this timed event. A fun and informative event for everyone. Because many fourth-year students already have post-graduation employment commitments, the event is geared to first, second and third year students seeking mentorship, preceptorships, and contacts for future post-graduation employment. The MVMA welcomes Bo Brock, DVM for presentations at the General Membership Session Saturday morning and lectures during the day. Dr. Brock owns a thriving, multi-species veterinary clinic in Lamesa, Texas (population 9,207 and sometimes referred to as “the middle of nowhere”). He graduated magna cum laude from Texas A&M University and was voted equine practitioner of the year for the state of Texas in 2007. In addition to his thriving veterinary practice and moonlighting as an author, Bo is an active public speaker and adjunct professor at Texas Tech University. He is also a columnist for “dvm360 Magazine” where he adds a little fresh humor to the serious field of veterinary medicine. Dr. Brock is the winner of the IBPA Benjamin Franklin Award GOLD Winner in Humor for his book “Crowded in the Middle of Nowhere: Tales of Humor and Healing from Rural America”. Again this year, Saturday evening will feature a new format to maximize exposure to the MVMA Awards presentation. There is no charge to attend the awards ceremony that will be presented after the reception. A buffet dinner is available (ticket required) following the awards presentation at 7 p.m. for all members who wish to take that opportunity to share fellowship with family, friends and colleagues over a meal. However, there will be no formal banquet program Saturday evening. Sunday continues with the MVMA/MU-CVM Breakfast With the College and another half-day of lectures with a dental lab. The MVMA hopes this weekend helps you explore new possibilities in your profession and in the upcoming new year with events planned to bring the best of veterinary medicine together for our members with entertainment venues for your enjoyment. Mark January 23-26 on your calendar for this fun and educational event.


MVMA QUARTERLY - FALL 2019

Help Encourage Student Participation

U.S. Representative Billy Long Visits Springfield, Mo. Clinic

Sign up to provide a student with a meal ticket for the Satuday night post-awards buffet dinner at the MVMA Convention.

Seventh District U.S. Representative William “Billy” Long visited the Animal Care Center in Springfield Mo. Congressman Long toured the facility, interacted with staff and dicussed various issues with Dr. Philip Brown, the clinic’s owner. Congressman Long and Dr. Brown were well aquainted having had radio shows with adjacent time slots for several years.

At just $25 per ticket, you can help us welcome our veterinary students to MVMA. Your name or clinic name will be on the ticket if you wish, so students know who to thank. The dinner will be January 26, 2020, at the Holiday Inn Executive Center in Columbia. Sign up on your convention registration form to have these tickets provided to our veterinary students attending.

Dr. Brown discussed the ramifications of “The Fairness to Pet Owners Act (HR1607)” and how it would impact his practice as well as all veterinarians in Missouri. They discussed the Missouri Veterinary Medical Board’s requirements to providing prescriptions for clients. Dr. Brown demonstrated the complicated process involved in filling requested prescriptions using third-party providers such as WalMart, Petmeds, etc. He also asked Congressman Long to co-sponsor the Veterinary Medicine Loan Repayment Dr. Philip Brown (left) discusses prescription drug issues with Program Enhancement Act ( H.R. 2746) and Representative Long. the impact it would have for Missouri’s four federally designated shortage areas needing food animal practice veterinarians.

MVMA Welcomes Brette Henderson to MVMA The MVMA would like to welcome Brette Henderson to the Jefferson City office. Brette has stepped into a full-time position as Member Relations and Event Coordinator, working with Deputy Executive Director, Julie Braun, in learning the ropes and assisting with the planning of events such as the Summer Equine Seminar, Volunteer Veterinary Corps’ Short Course, Equine Dentistry Wet Lab, and the Annual Convention. Brette was born and raised in Jefferson City, MO where she lives today. She spends her free time outside of work playing golf and hanging out with friends and family, mainly her boyfriend Devin and his son Brooks. Before the MVMA, Brette worked in hospitality – her family owned a restaurant that specialized in private events. Her former experience has helped prepare her for her new role as Member Relations and Event Coordinator here at the MVMA. She looks forward to meeting everyone and helping with upcoming events. Make sure to say hello next time you see Brette and welcome her to the MVMA.

In Memory Harlan D. Ellis, DVM Springfield, Mo. Passed Away: July 3, 2019 Survived by his daughters, Sharon and Karen; and his step-sons, Norman and Richard.

William E. Newberry, DVM

Troy, Mo. Passed Away: June 15, 2019 Survived by his wife, Frances; sons, J. Stephen, Michael, and Christopher; and daughters, Lynn and Catherine.

Leon H. Russell, DVM, PhD College Station, Tx.. Passed Away: June 17, 2019 Survived by his wife, Martha; and sons, Bryan and Curtis.

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MVMA QUARTERLY - SUMMER 2019

Members Attend Governor’s Ham Breakfast at State Fair

MVMA Academy Recognizes Members The Missouri Veterinary Medical Association Academy is the continuing education arm of the Missouri Veterinary Medical Association. Its members are those MVMA members who have met the Academy’s membership requirements and have applied for Academy membership. There is no cost to join. Go to www.movma.org/page/Academy for more information.

2019-2020 MVMA Academy Members

After a hearty breakfast, MVMA members pause for a photo with Govenor Mike Parson. Pictured from left: Dr. Clark Fobian, Dr. Carol Ryan, Dr. Steve Strubberg, Dr. Shuping Zhang, Govenor Parson, Dr. Bud Hertzog, and Dr. Cliff Miller. The 67th Governor’s Ham Breakfast was held Aug. 15, in the Director’s Tent at the 2019 Missouri State Fair. More than 1,000 guests were in attendance and enjoyed the breakfast, auction and keynote by Govenor Mike Parson. Funds raised during the auction of championship hams totaled $22,700 and will be used to support the Missouri State Fair Foundation for projects, including youth in agriculture scholarships and fairgrounds improvements.

MVMA Members Meet With U.S. Rep. Blaine Luetkemeyer

On Tuesday, August 6, MVMA members and staff visited with U.S. Representative Blaine Luetkemeyer at his offfice in Jefferson City to discuss national and Missouri veterinary issues. Pictured from left: Richard Antweiler, MVMA executive director; Dr. Clark Fobian, past MVMA and AVMA president; U.S. Rep. Blaine Luetkemeyer; Dr. Carol Ryan, MVMA president; and Julie Braun, MVMA deputy executive director.

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Chuck Barry Clark Fobian Craig Payne Edward Migneco Elizabeth Kistner Elizabeth Marziani Eugene Ulmanis James Hackworth James Howard Caitlin DeWilde Donald Loden James Crago Jonathon Renfro Linda Scorse Lonnie Blum Mary Mountain Michelle Cahill Mel Falk Jenny Lindquist Kayla Terry Marcy Hammerle Mark Hale Mark Lux Susan McCarty Sarah Mueller Shelia Taylor Peggy Fisher Pete Rucker Richard Linn Julie King Jessica Stroupe

Sara Thomas Liana Wages-Nichols Ben Potter Steven Lewis Smith Vincil Wilt Sandra Walker George Fischer Kenneith Vroman Kenneth White Raymond Ebert Philip Brown Lindsey Calhoun Praveena Kolli Frank McLaughlin Jessica Gardner Rebecca Conrad Victoria Knight Shuping Zhang Alexandria Donoho Robert Hertzog Roger Dozier Ronald Brown Willliam Jones Lauren Smith Bruce Whittle

Brett Ward Carol Ryan Sally Burd Andrea Carr Stephanie Stroud


MVMA QUARTERLY - FALL 2019

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MVMA QUARTERLY - FALL 2019

Telehealth Services Offer Video Consulting with Client From Independent Veterinary Network News

T

eleheath services are now available for pet owners in Missouri, Kansas, Arkansas, and Colorado. VirtualVets is a live video service of the Independent Veterinary Network, located in the Kansas City Animal Health Corridor. VirtualVets has successfully completed an extended beta test with more than a dozen animal hospitals in the KC Metro. VirtualVets provides a live video connection between a veterinarian and a pet owner. It’s the nation’s first integrated system to extend advances in human teleheath to pets, which are regarded by most owners as family members. The VirtualVets platform is designed to allow digital integration of data from wearable devices, compatibility with a veterinarian’s software records and real time medical data storage. VirtualVets services are available via IVN members according to each member’s adoption of the platform in their community practices. A web browser (preferably Chrome) and high speed internet access are recommended for optimal connections. The system allows local brand building for each veterinary practice, a core value of IVN membership. “Our innovative VirtualVets platform will add a new dimension of customer convenience to pet owners,” noted MVMA-member and IVN CEO Matthew Silvius, DVM. “We are creating new values in veterinary services while enhancing the delivery of high quality care from local independent veterinary practices. IVN Members retain their own practice names and brands.” Silvius continued, “We have a variety of member services to position practices for the future. Our technology strategy transforms costs into profits and generates new growth for veterinarians. We have created robust data aggregation capabilities and business solutions that geographically extend bricks & mortar locations to new pet owner audiences.” IVN’s Chairman James Sparks, DVM, added “Tech companies too often provide veterinarians a product without knowing the inner workings of veterinary medicine. As practicing veterinarians, we know the struggles of daily practice and made the decision to build a system to 8

ease pressure points while adding convenience and value for our clients. Since its early 2018 beginning, the Independent Veterinary Network has been focused on the promotion and support for independently-owned veterinary practices. Ron Cott, DVM, was selected to chair the IVN Board of Advisors. “With nearly 35% of practices owned by corporations, we wanted to create products and business solutions that private practices could implement to compete with corporate America,” Cott emphasized. “Our innovative VirtualVets platform will add a new dimension of customer convenience to pet owners,” noted IVN CEO Matthew Silvius, DVM. The VirtualVets platform is being installed in veterinary hospitals, primarily in the three initial Midwest states. IVN plans to add other states as membership growth determines. Practice owners interested in IVN membership should contact Dr. Silvius via the IVN website or via email to Msilvius@IndependentVetNet.com The company also welcomes veterinary professionals who want to provide online consolations as independent contractors. Part-time positions are available and positons are not limited to geographic location. Application forms are available on the IVN website: www.IndependentVetNet.com.


Prescribe

peace of mind.

Powerful protection can also be gentle: ✓ Safe for puppies as young as 8 weeks of age weighing 4 lbs or more ✓ Over 140 million doses of afoxolaner have been prescribed1 ✓ And it’s the only flea and tick control product indicated for the prevention of Borrelia burgdorferi infections as a direct result of killing Ixodes scapularis vector ticks

Data on file.

1

IMPORTANT SAFETY INFORMATION: NexGard is for use in dogs only. The most frequently reported adverse reactions include vomiting, pruritus, lethargy, diarrhea and lack of appetite. The safe use of NexGard in pregnant, breeding, or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures or neurologic disorders. For more information, see the full prescribing information or visit www.NexGardClinic.com NexGard® is a registered trademark of the Boehringer Ingelheim Group. ©2019 Boehinger Ingelheim Animal Health USA Inc., Duluth, GA 30096. All rights reserved. PET-1163-NEX0119.


MVMA QUARTERLY - FALL 2019

CAUTION: Federal (USA) law restricts this drug to use by or on the order of a licensed veterinarian. Description: NexGard® (afoxolaner) is available in four sizes of beef-flavored, soft chewables for oral administration to dogs and puppies according to their weight. Each chewable is formulated to provide a minimum afoxolaner dosage of 1.14 mg/lb (2.5 mg/kg). Afoxolaner has the chemical composition 1-Naphthalenecarboxamide, 4-[5- [3-chloro-5-(trifluoromethyl)-phenyl]-4, 5-dihydro5-(trifluoromethyl)-3-isoxazolyl]-N-[2-oxo-2-[(2,2,2-trifluoroethyl)amino]ethyl. Indications: NexGard kills adult fleas and is indicated for the treatment and prevention of flea infestations (Ctenocephalides felis), and the treatment and control of Black-legged tick (Ixodes scapularis), American Dog tick (Dermacentor variabilis), Lone Star tick (Amblyomma americanum), and Brown dog tick (Rhipicephalus sanguineus) infestations in dogs and puppies 8 weeks of age and older, weighing 4 pounds of body weight or greater, for one month. NexGard is indicated for the prevention of Borrelia burgdorferi infections as a direct result of killing Ixodes scapularis vector ticks. Dosage and Administration: NexGard is given orally once a month, at the minimum dosage of 1.14 mg/lb (2.5 mg/kg). Dosing Schedule: Body Weight 4.0 to 10.0 lbs. 10.1 to 24.0 lbs. 24.1 to 60.0 lbs. 60.1 to 121.0 lbs. Over 121.0 lbs.

Afoxolaner Per Chewables Chewable (mg) Administered 11.3 One 28.3 One 68 One 136 One Administer the appropriate combination of chewables

NexGard can be administered with or without food. Care should be taken that the dog consumes the complete dose, and treated animals should be observed for a few minutes to ensure that part of the dose is not lost or refused. If it is suspected that any of the dose has been lost or if vomiting occurs within two hours of administration, redose with another full dose. If a dose is missed, administer NexGard and resume a monthly dosing schedule. Flea Treatment and Prevention: Treatment with NexGard may begin at any time of the year. In areas where fleas are common yearround, monthly treatment with NexGard should continue the entire year without interruption. To minimize the likelihood of flea reinfestation, it is important to treat all animals within a household with an approved flea control product. Tick Treatment and Control: Treatment with NexGard may begin at any time of the year (see Effectiveness). Contraindications: There are no known contraindications for the use of NexGard. Warnings: Not for use in humans. Keep this and all drugs out of the reach of children. In case of accidental ingestion, contact a physician immediately. Precautions: Afoxolaner is a member of the isoxazoline class. This class has been associated with neurologic adverse reactions including tremors, ataxia, and seizures. Seizures have been reported in dogs receiving isoxazoline class drugs, even in dogs without a history of seizures. Use with caution in dogs with a history of seizures or neurologic disorders (see Adverse Reactions and PostApproval Experience). The safe use of NexGard in breeding, pregnant or lactating dogs has not been evaluated. Adverse Reactions: In a well-controlled US field study, which included a total of 333 households and 615 treated dogs (415 administered afoxolaner; 200 administered active control), no serious adverse reactions were observed with NexGard. Over the 90-day study period, all observations of potential adverse reactions were recorded. The most frequent reactions reported at an incidence of > 1% within any of the three months of observations are presented in the following table. The most frequently reported adverse reaction was vomiting. The occurrence of vomiting was generally self-limiting and of short duration and tended to decrease with subsequent doses in both groups. Five treated dogs experienced anorexia during the study, and two of those dogs experienced anorexia with the first dose but not subsequent doses. Table 1: Dogs With Adverse Reactions. Treatment Group Afoxolaner N1 % (n=415)

Oral active control N2 % (n=200)

Vomiting (with and without blood)

17

4.1

25

12.5

Dry/Flaky Skin

13

3.1

2

1.0

Diarrhea (with and without blood)

13

3.1

7

3.5

Lethargy

7

1.7

4

2.0

Anorexia

5

1.2

9

4.5

Number of dogs in the afoxolaner treatment group with the identified abnormality. Number of dogs in the control group with the identified abnormality. In the US field study, one dog with a history of seizures experienced a seizure on the same day after receiving the first dose and on the same day after receiving the second dose of NexGard. This dog experienced a third seizure one week after receiving the third dose. The dog remained 1 2

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enrolled and completed the study. Another dog with a history of seizures had a seizure 19 days after the third dose of NexGard. The dog remained enrolled and completed the study. A third dog with a history of seizures received NexGard and experienced no seizures throughout the study. Post-Approval Experience (July 2018): The following adverse events are based on post-approval adverse drug experience reporting. Not all adverse events are reported to FDA/CVM. It is not always possible to reliably estimate the adverse event frequency or establish a causal relationship to product exposure using these data. The following adverse events reported for dogs are listed in decreasing order of reporting frequency for NexGard: Vomiting, pruritus, lethargy, diarrhea (with and without blood), anorexia, seizure, hyperactivity/ restlessness, panting, erythema, ataxia, dermatitis (including rash, papules), allergic reactions (including hives, swelling), and tremors. Contact Information: For a copy of the Safety Data Sheet (SDS) or to report suspected adverse drug events, contact Merial at 1-888-637-4251 or www.nexgardfordogs.com. For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or online at http://www.fda.gov/AnimalVeterinary/SafetyHealth. Mode of Action: Afoxolaner is a member of the isoxazoline family, shown to bind at a binding site to inhibit insect and acarine ligand-gated chloride channels, in particular those gated by the neurotransmitter gamma-aminobutyric acid (GABA), thereby blocking pre- and post-synaptic transfer of chloride ions across cell membranes. Prolonged afoxolaner-induced hyperexcitation results in uncontrolled activity of the central nervous system and death of insects and acarines. The selective toxicity of afoxolaner between insects and acarines and mammals may be inferred by the differential sensitivity of the insects and acarines’ GABA receptors versus mammalian GABA receptors. Effectiveness: In a well-controlled laboratory study, NexGard began to kill fleas four hours after initial administration and demonstrated >99% effectiveness at eight hours. In a separate wellcontrolled laboratory study, NexGard demonstrated 100% effectiveness against adult fleas 24 hours post-infestation for 35 days, and was ≥93% effective at 12 hours post-infestation through Day 21, and on Day 35. On Day 28, NexGard was 81.1% effective 12 hours post-infestation. Dogs in both the treated and control groups that were infested with fleas on Day -1 generated flea eggs at 12- and 24-hours post-treatment (0-11 eggs and 1-17 eggs in the NexGard treated dogs, and 4-90 eggs and 0-118 eggs in the control dogs, at 12- and 24-hours, respectively). At subsequent evaluations post-infestation, fleas from dogs in the treated group were essentially unable to produce any eggs (0-1 eggs) while fleas from dogs in the control group continued to produce eggs (1-141 eggs). In a 90-day US field study conducted in households with existing flea infestations of varying severity, the effectiveness of NexGard against fleas on the Day 30, 60 and 90 visits compared with baseline was 98.0%, 99.7%, and 99.9%, respectively. Collectively, the data from the three studies (two laboratory and one field) demonstrate that NexGard kills fleas before they can lay eggs, thus preventing subsequent flea infestations after the start of treatment of existing flea infestations. In well-controlled laboratory studies, NexGard demonstrated >97% effectiveness against Dermacentor variabilis, >94% effectiveness against Ixodes scapularis, and >93% effectiveness against Rhipicephalus sanguineus, 48 hours post-infestation for 30 days. At 72 hours postinfestation, NexGard demonstrated >97% effectiveness against Amblyomma americanum for 30 days. In two separate, well-controlled laboratory studies, NexGard was effective at preventing Borrelia burgdorferi infections after dogs were infested with Ixodes scapularis vector ticks 28 days post-treatment. Animal Safety: In a margin of safety study, NexGard was administered orally to 8 to 9-week-old Beagle puppies at 1, 3, and 5 times the maximum exposure dose (6.3 mg/kg) for three treatments every 28 days, followed by three treatments every 14 days, for a total of six treatments. Dogs in the control group were sham-dosed. There were no clinically-relevant effects related to treatment on physical examination, body weight, food consumption, clinical pathology (hematology, clinical chemistries, or coagulation tests), gross pathology, histopathology or organ weights. Vomiting occurred throughout the study, with a similar incidence in the treated and control groups, including one dog in the 5x group that vomited four hours after treatment. In a well-controlled field study, NexGard was used concomitantly with other medications, such as vaccines, anthelmintics, antibiotics (including topicals), steroids, NSAIDS, anesthetics, and antihistamines. No adverse reactions were observed from the concomitant use of NexGard with other medications. Storage Information: Store at or below 30°C (86°F) with excursions permitted up to 40°C (104°F). How Supplied: NexGard is available in four sizes of beef-flavored soft chewables: 11.3, 28.3, 68 or 136 mg afoxolaner. Each chewable size is available in color-coded packages of 1, 3 or 6 beef-flavored chewables. NADA 141-406, Approved by FDA Marketed by: Frontline Vet Labs™, a Division of Merial, Inc. Duluth, GA 30096-4640 USA Made in Brazil. ®NexGard is a registered trademark, and TM FRONTLINE VET LABS is a trademark, of Merial. ©2018 Merial. All rights reserved. 1050-4493-07 Rev. 05/2018


MVMA QUARTERLY - FALL 2019

Missouri Veterinary Medical Board

Licensing Tips...

The Missouri Veterinary Medical Board would like to remind all veterinarians and veterinary technicians that all supervision shall be consistent with the delegated animal health care tasks. An applicant must hold either a permanent license or a provisional license to practice veterinary medicine in the State of Missouri. A provisional license can be issued to qualified applicants pending examination results and completion of the internship or veterinary candidacy program. Therefore, an individual should not make any firm commitment to begin working until they have received notification of permanent licensure or until a provisional license has been issued. This includes the completion of the preceptorship/ internship requirements. Once an individual has graduated they must apply for a provisional license in order to complete the preceptorship/internship hours. If an individual works in Missouri without a provisional or permanent license, these actions could warrant disciplinary action against the license of the individual and the veterinary supervisor. Each year, the Board reviews applications that have submitted preceptorship/internship hours completed without a license in Missouri. https://pr.mo.gov/boards/veterinary/VetSupervisionChart.pdf describes the delegated animal health care task, who may perform the task and the level of supervision required for each. The Board suggests that all licensees review and be familiar with all aspects of the Required Levels of Supervision Chart and 20 CSR 2270-3.050, RSMo. Postcards to renew veterinary and veterinary technician licenses will be mailed around September 1st, to the current address on file. Please allow approximately 2 weeks for the postcards to arrive. If your contact information or place of employment needs to be updated, please send an email to vets@pr.mo.gov or fax the information to (573) 526-3856. This change must be completed in writing. Please allow 1-3 business days after submitting the address change BEFORE renewing the license online. If a duplicate or paper renewal is needed, please visit https://pr.mo.gov/veterinarian.asp. PIN numbers cannot be given out over the telephone. Please note, that the license expires on November 30, 2019 and must be renewed prior to that date. For more information, call 573-751-0031.

Dr. Leah Cohn Receives ACVIM Service Award MVMA member and MU College of Veterinary Medicine Professor of Small Animal Internal Medicine Leah Cohn, DVM, PhD, DACVIM, is this year’s recipient of the Lee and Inge Pyle Service Award. The American College of Veterinary Internal Medicine (ACVIM) presents the Pyle award during the annual ACVIM Forum held, this year, in Phoenix, Arizona. The ACVIM Distinguished Service Award has been presented each year since 2005 in recognition of outstanding and dedicated service by an ACVIM diplomate. Award recipients have served the ACVIM either as an elected official of the college, through voluntary service on task forces and committees, or as an advocate of the college to the veterinary profession or public.

Leah Cohn receives the Lee and Inge Pyle Service Award from Allen Roussel, DVM, MS, DACVIM.

Protect Your Assets and Professional Reputation

When was the last time you reviewed your professional liability insurance coverage or considered the potential financial burden of a lawsuit for an allegation of substandard care? Without comprehensive professional liability protection, your reputation and ability to operate your business could be at risk. MDIS works with the Safehold Veterinary & Animal Services Program to design to an insurance package that addresses the unique coverage needs of veterinary professionals. Available coverages include: • Workers’ Compensation • Cyber Liability • Employment Practices Liability • Umbrella

• • • •

Directors’ and Officers’ Liability Business Owners’ Package Policy Business Auto Builder’s Risk

Contact MDIS to learn more. 800-944-7550 | info@mdis4dds.com MDIS4DDS.com Products and services are offered through Safehold Special Risk, Inc., dba Safehold Special Risk & Insurance Services, Inc. in California. Coverage is provided by unaffiliated insurance companies. © 2019 Safehold Special Risk, Inc. All rights reserved.

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MVMA QUARTERLY - FALL 2019

MVMA Holds Summer Seminars for the Large and Small

The MVMA held two seminars over the summer that covered a variety of topics. In June, the annual two-day Summer Equine Seminar and Wet Lab was held in Columbia, Mo. at the MU-CVM Adams Conference Center. The seminar honors Dr. Arthur Allen and offered 14 hours of continuing education. It was presented by the MVMA Equine Committee and covered skeletal anatomy, nutrition and other topics. In July, The Missouri Volunteer Veterinary Corps, the Humane Society of Missouri and MU-College of Veterinary Medicine sponsored a one-day short course on Emergency Pet Sheltering. It was held at the Adams Conference Center on the MU-CVM campus. The goal of the training was to better prepare practicing DVMs to respond effectively at a mass care pet shelter that is set up following an emergency or a disaster.

Pictured left and center: Attendees gather around Dr. Abigail Velting and Dr. Kent Allen during the wet lab portion of the Summer Equine Seminar. On right: Dr. Cathy Vogelweid presents information on animal influences and human behavior during the Emergency Pet Sheltering Workshop.

MU-College of Veterinary Medicine Preceptorship and

October 27, 2019 • 1:00 - 3:00 p.m. Adams Conference Center, MU-CVM, Columbia, MO Clinics and other employers can register at

http://cvm.missouri.edu/alumni-and-friends/jobfair/ Limited spots available. 12


MVMA QUARTERLY - FALL 2019

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 

                                    

     13


MVMA QUARTERLY - FALL 2019

STATE fAIR sUCCESS! I

t’s been another successful year with MVMA members making many new friends with lots of questions at the

association’s booth during the Missouri State Fair, August 8-18 in Sedalia, Mo.

Over 40 members donated a day of their time reaching out to the public with information about the MVMA, answers to questions about pets, and good conversation. Our volunteers were kept quite busy throughout the event visiting with fair-goers and spreading the word about good health care for their animals. This year, the MVMA combined its booth with the MU College of Veterinary Medicine’s Diagnostic Laboratory. Dr. Lauren Delaney and Kirk Thompson helped man the lab’s booth. Volunteers greeted booth visitors, answered a myriad of questions, and handed out bookmarks and brochures on MVMA programs and information on pet health and welfare. Emphasis was also made on the MVMA’s Missouri Stocker/ Feeder Quality Assurance Programs and the Missouri Veterinary Medical Foundation’s Animal Archives of Missouri.

A big thanks goes to these MVMA volunteer State Fair Ambassadors...

Linda Scorse & Tinz & Lisa (Border Collies), MB Jones, James Montgomery, Tom Lenz, Christy Fischer & Hank (Labrador Retriever), Cody Lewis, Angie Johanson, Thomas Rouse, Shelia Taylor & Bella (Welsh Corgi), Kenton Morgan, Chuck Barry, R.C. Ebert, C. Noelle Henry, Steve Nickell, Chad McNeal, Dennis Weaver, Ken Vroman & Gus (Border Collie), Ken & Ann White, Bruce Whittle, Bob Graves, Burton Schauf & Cella (Labrador Retriever), Ashley French & Zorro (Keeshond Cross), Ben Potter, Bill Wolff, CJ Bierschwal, Susan Sczepanski & Robert (Boston Terrier) , Bill Messick, Lonnie Blum, Sally Burd, Bud Hertzog, David Hopson, Steve Goff, Tom Rose, David A. Wilson, Rodney Chapman, Clark Fobian, Laura Moon & Pretzel (Mixed Lab), Marc Markway, Chad McNeal, Michael Pfander & Ramsay (Native American Indian Dog), Debbie Leach, & Dana Gillig.

Dr. Linda Scorse and Tinz visit with Lana and Julie Braun at the booth on Saturday.

Dr. Scorse gives young fairgoers a demonstration on brushing a dog’s teeth. Her dog Lisa was the “guinea pig”.

Dr. Ken Vroman and Dr. Dennis Weaver visit with Dr. Ken and Ann White during a “shift change”. 14

Dr. Bill Wolff and Dr. CJ Bierschwal visit with fair-goers.

Julie and MyKenna Braun are ready to take in the fair in front of Mizzou Central. The MVMA’s booth is located among the many MU department booths in the building.

A great big thank you to all of our members who helped this year. Think about joining us at next year’s fair. August 13-23, 2020


MVMA QUARTERLY - FALL 2019

Landslide vote. Will now move to the U.S. Senate

Soring Bill Passes in U.S. House of Representatives From Veterinary Practice News

A measure to end the practice of soring horses has passed by a vote of 333 to 96 in the U.S. House of Representatives. The American Veterinary Medical Association (AVMA), a longtime advocate of the Prevent All Soring Tactics (PAST) Act, expressed its satisfaction in the passing of the legislation. “AVMA has worked with Congress for many years to stop the cruel and inhumane act of horse soring,” says association president John de Jon, DVM. “We’re delighted to see lawmakers working across the aisle to advance this important legislation and provide horses with the protection from abuse they so badly need.” AVMA says soring continues to be a pervasive issue, especially in Tennessee’s walking horse industry, where deliberate pain is inflicted to exaggerate a horse’s gait to gain advantage in horse shows. Soring methods include the long-term application of harsh chemicals to horses’ legs, the grinding of their soles to expose sensitive tissue, the insertion of hard objects such as nails between horses’ shoes or pads and their soles, and the use of chains or other “action devices.”

Although soring was made illegal in the 1970s, AVMA reports violations often go undetected because trainers and owners are able to exploit loopholes in the law, or form relationships with inspectors who overlook them. “We applaud the House for overwhelmingly passing the PAST Act to end this barbaric and indefensible practice that has marred the horse show world for decades,” says Marty Irby, executive director at Animal Wellness Action. “Today’s landslide vote is a powerful signal to the Senate that it should saddle up and end this cruelty to horses… once and for all.” “Thank you particularly to Representatives Kurt Schrader and Ted Yoho for their efforts on this issue,” Dr. de Jon adds. “We are looking forward to working with Senate lawmakers to further support this legislation and we won’t stop until the PAST Act becomes law and the soring of horses gets left in the past.”

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MVMA QUARTERLY - FALL 2019

September 2019

27-29 8th Annual Missouri Veterinary Trail Ride & Continuing Education. Panther Creek Campground & Horse Trails, 379 Humphrey Creek Road, Tuscumbia, Mo. Veterinarians and their horses get together for a weekend of continuing education and trail riding. Three & Events continuing education hours available. Family and kid friendly. More information on the www.movma.org calendar. Call Panther Creek Trail Rides at 573-793-2372 to sign up.

October 2019 27 MU- College of Veterinary Medicine Job & Preceptorship Fair. Held from 1:00 - 3:00 p.m. at the Adams Conference Center on the CVM campus, Columbia, Mo. See ad on page 12.

January 2019 23-26 128th MVMA Annual Convention. Held at Holiday Inn Executive Center, Columbia, Mo. Again this year! One-day registration available. Pick the day or days you want to attend. Continuing Education, Exhibit Hall, Awards Reception, MVMA Drawing and Silent Auction, fellowship and fun. Watch for Registration Book to be included in the Winter issue of the Quarterly Magazine.

A complete list of upcoming events can be found at www.movma.org.

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mark your January 23-26 MVMA Annual Convention 128th MVMA Annual Convention. Held at Holiday Inn Executive Center, Columbia, Mo. One-day registration available. Continuing education, exhibit hall, Awards Banquet, MVMA Drawing and Silent Auction. Watch for Registration Book to be included in the Winter issue of the Quarterly Magazine.

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MVMA QUARTERLY - FALL 2019

Dr. John Howe Elected AVMA President; MVMA Members Lobby at U.S. Capitol Dr. John Howe, Grand Rapids, Minnesota, began his term as president during the American Veterinary Medical Association’s (AVMA) 2019 Convention in Washington, D.C. As he assumes his role as president, Dr. Howe is prioritizing communication within the profession and to the general public. “Of course, our members’ needs come first,” said Dr. Howe. “The personal and professional health and wellJohn Howe, DVM being of the entire veterinary team during all stages of their careers is of primary concern. We have tools that enable you to develop a wellbeing plan for your entire team, a 24/7 cyberbullying hotline and economic tools to improve your practice’s bottom line and so much more.” Veterinary technicians are a key area of focus for Dr. Howe. He supports the recent approval of a task force charged with examining the utilization of veterinary technicians, their financial and career sustainability, effective task delegation, and the wellbeing of both veterinary technicians and the practice. “I have witnessed firsthand the importance of veterinary technicians and the key role they play in preserving animal health and welfare in every aspect of veterinary medicine,” Dr. Howe said. “Our profession would not be what it is today without the support of veterinary technicians.” Veterinarians and veterinary technicians work hand in hand with other health professions to improve the health and welfare of people, animals and the environment. During his term, Dr. Howe wants to raise awareness of this collaborative approach—known as One Health—among fellow health care professionals and the general public. “In my conversations with physicians, I find they are always amazed at our diagnostic capabilities and how ahead of the game we are on issues like tickborne illnesses. We need to retain our leadership role in the One Health arena promoting the health of all species and the environment,” Dr. Howe said.

MVMA members spent a day on Capitol Hill lobbying for various national veterinary issues. Pictured from left: Dr. Clark Fobian, Dr. Cliff Miller, Dr. Carol Ryan and Dr. Chuck Barry.

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AAEP Updates Parasite Control Guidelines The American Association of Equine Practitioners recently released an updated version of its equine parasite control guidelines. “Commonly used strategies for parasite control in adult horses are based largely on knowledge and concepts that are more than 50 years old. However, much has changed over this time and information presented on current product labels represents historic information about antiparasitic efficacy but does not necessarily reflect current product performance,” according to the document. The new guidelines continue to recommend an individualized deworming approach and targeted treatments. That’s because, as the authors note, “Decades of frequent anthelmintic use have selected for high levels of anthelmintic drug resistance in cyathostomin and Parascaris spp. populations, which emphasizes that the traditional approaches for parasite control are not sustainable and that new strategies are needed.” As a result, according to the guidelines, frequent anthelmintic treatments are not needed to keep adult horses healthy. Instead, what is needed are properly timed treatments with effective anthelmintics administered at the appropriate time of the year, depending on the epidemiological cycles of transmission and the relative parasite burdens in individual horses. The AAEP’s Parasite Control Subcommittee and the Infectious Disease Committee reviewed the guidelines, which were released in late May. The recommendations, which provide strategies for veterinarians and horse owners, were originally published in 2013 and included programs for parasite control in horses of all ages but are broken down by adult and young horses. The central suggestion in the guidelines is this: “Each farm (with veterinary guidance) should develop its own program tailored to the specific needs of the farm and each animal. There is no such thing as a ‘one-size fits all’ program.” To read more about the new guidelines, go to https://aaep.org/


MVMA QUARTERLY - FALL 2019

CDC Needs Help With Survey for Large-Animal Practioners We need your help! The Centers for Disease Control and Prevention (CDC) is conducting a survey of large animal clinical practitioners across the United States. The goal of this survey is to understand the circumstances and challenges large animal veterinarians experience when evaluating an abortion event in livestock. Please consider taking 15 minutes to complete this survey. The information gathered will assist the CDC with targeted veterinary education to decrease occupational exposures to zoonotic infectious disease. The survey is open now through October 31, 2019. To access the survey, please visit: http://j.mp/2E2yjBE

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MVMA QUARTERLY - FALL 2019

Spending Bill Increases Funding for Rural Veterinary Program The Missouri Veterinary Medical Association along with the American Veterinary Medical Association (AVMA) welcomed the passage of the agriculture spending bill by the U.S. House of Representatives, which increases annual funding for the Veterinary Medicine Loan Repayment Program (VMLRP) by $1 million to $9 million. This funding increase will help the program place more food animal veterinarians in rural areas to close veterinary access gaps. AVMA worked closely with Congress to secure this funding. “The Veterinary Medicine Loan Repayment Program has been a tremendous success in connecting food animal veterinarians in rural communities that so badly need their services and public health veterinarians that are essential to maintaining the health of animals and humans alike. This funding is an important step toward helping the program expand its reach,” said AVMA President Dr. John de Jong. “We’re grateful to all of the lawmakers who in a bipartisan effort are committed to championing this program.”

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The spending bill also maintains $3 million in funding for the Veterinary Services Grant Program, which similarly helps meet rural veterinary needs by providing grants to support education and extension activities and practice enhancement initiatives for food animal veterinary services. Of additional importance to veterinary medicine, the bill provides a $30 million increase for the Agriculture and Food Research Initiative, maintains level funding of $16.3 million for the National Animal Health Laboratory Network, provides a $2 million increase for the Animal and Plant Health Inspection Service (APHIS) Center for Veterinary Biologics, and provides an increase of $4.2 million for APHIS Veterinary Diagnostics.

Thanks to our MVMA members and all who lobbied to get this legislation passed.


MVMA QUARTERLY - FALL 2019

AVMA Special Report:

Auburn-CDC Study Examines Frequency and Means of Suicide Among Veterinary Professionals

A

uthors of a new study, Suicides and deaths of undetermined intent among veterinary professionals from 2003 through 2014, published in the September 1 issue of the Journal of the American Veterinary Medical Association (JAVMA), report that veterinarians and veterinary technicians have significantly higher rates of death by suicide than do members of the general U.S. population. According to standardized mortality ratios (SMRs), from 2003 through 2014, 1.6 times as many male veterinarians and 2.4 times as many female veterinarians died by suicide than did members of the general population. During that same period, 5 times as many male veterinary technicians and 2.3 times as many female technicians died by suicide than expected. Researchers from Auburn University and the Centers for Disease Control (CDC) reviewed records from the National Violent Death Reporting System for the study. For all three groups (veterinarians, veterinary technicians and veterinary assistants or animal caretakers) in the study, self-poisoning was the most common method of death, but veterinarians were more likely to die of pentobarbital poisoning than were individuals in the other groups. Most deaths did not occur at work, and it was not known where individuals obtained these substances. Veterinarians were less likely to have a history of a suicide attempt before the fatal incident, compared with individuals in the other two groups. About a quarter of decedents had disclosed their suicidal intent prior to their deaths, and just more than half had a history of mental health treatment. In their report, the authors point out that veterinarians in the United States and abroad have previously been reported to have a high suicide risk. However, information has been lacking on the circumstances of death, including suicide methods, and on suicide among other professionals in the veterinary field. “Every bit of light we can shine on suicide is a step in the right direction,” said Dr. John Howe, president of the AVMA. “Suicide is complex. It not only affects the veterinary profession, but is also a critically important public health crisis and the 10th leading cause of death in the United States.”

with best practices advised by suicidology experts. In recent years, the AVMA has implemented QPR (Question, Persuade, Refer) training to help veterinarians identify and refer colleagues who might be at risk. This online “gatekeeper” training, offered free of charge for members and veterinary students, teaches people without professional mental health backgrounds to recognize the signs that someone may be considering suicide and helps them establish a dialogue. “Often times, people may suspect someone is suffering but they don’t know what to say, or they worry that what they say may make the situation worse,” said Dr. Jen Brandt, AVMA’s director of member wellbeing and diversity. “It is my goal to have every veterinary professional complete approved suicide prevention training. It provides guidance on what to say and ways in which you can enhance a sense of belonging and help alleviate the sense of fear that some may have about being a burden to their friends, family or colleagues.” As well as working closely with their partners in veterinary medicine, the AVMA is working with the American Foundation for Suicide Prevention and other suicidology experts to enhance suicide prevention, education, and intervention efforts within the veterinary profession. “We can all help prevent suicide,” Brandt said. The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals. For assistance, please call 1-800-273-8255 or text HOME to 741741.”

MVMA Wellbeing Task Force “Reach Out” Magnet Cards The MVMA office, using ideas developed by the MVMA Wellbeing Task Force, has mailed “Reach Out” magnet cards to all member clinics in the hopes that those who are in need of support will use the helplines listed. The cards can be placed on a refrigerator or bulletin board or wherever they will be noticed by clinic staff. Clinics needing additional magnets can call the MVMA office at 573-636-8612.

The study provides evidence that access to pentobarbital may help explain the high risk of suicide among veterinarians, and stresses the importance of restricting access to lethal methods, such as poison and firearms, for individuals at risk of suicide. At the same time, the authors acknowledge the critical need for additional research on suicide risk factors and call for implementation of evidence-based “upstream” suicide prevention and intervention strategies, such as promoting social connectedness, identifying and supporting individuals at risk, and enhancing problem-solving and coping skills. Methods to address the high suicide risk among veterinarians have been—and continue to be—actively explored by the AVMA and industry partners to ensure that efforts are consistent 21


MVMA QUARTERLY - FALL 2019

AVMA Offers Website for New Veterinarians MyVeterinaryLife.com is the AVMA’s new one-stop resource to help veterinary students and early-career veterinarians grow and prosper. You’ll find helpful tools and resources that support these three areas of critical importance: career development, financial health, and wellbeing. Here’s a peek at what you’ll find: • Wellbeing assessment for veterinarians • Veterinary salary estimator • Student externship locator • Lessons on financial literacy

For more information, visit MyVeterinaryLife.com

Associate Member

News Briefs

Elanco acquires Bayer’s animal health division in $7.6-billion deal. Following months of speculation, two major industry players have finalized a deal, resulting in the creation of the second-largest animal health company in the world. Elanco has entered into a definitive agreement to acquire Bayer’s animal health business in a transaction valued at US$7.6 billion and consisting of $5.3 billion in cash (subject to customary purchase price adjustments) and $2.3 billion in Elanco stock. The transaction is expected to be finalized in mid-2020 and is subject to regulatory approval and other customary closing conditions. The deal doubles Elanco’s companion animal business, the company says, further diversifying its portfolio and creating a balance between its food animal and companion animal units. For the first time in history, Purina scientists have demonstrated a proactive way to significantly reduce the active levels of the major cat allergen, Fel d1, at its source in cats’ saliva. As many as one in five adults worldwide are sensitized to cat allergens. 1 Avoiding cats is a cornerstone of managing allergens, an approach that may leave cats looking for a new home. Taking advantage of natural allergen-antibody interactions, Purina researchers discovered how to safely neutralize Fel d1 in hair and dander by incorporating an egg product containing antiFel d1 antibodies into a cat’s diet.

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MVMA QUARTERLY - FALL 2019

AAVMC Cost Comparison Tool The Association of American Veterinary Medical Colleges has developed this Cost Comparison Tool to help prospective students further develop a financial plan for veterinary school. As concerns continue to grow about the increasing educational debt held by recent veterinary school graduates, it is imperative that prospective students take time to consider and plan for the costs associated with becoming a veterinarian. The Cost Comparison Tool presents several key pieces of financial data that should be considered when applying to veterinary school. The map tab provides data for all 30 colleges in the United States, as well as 12 international colleges. The map includes resident, non-resident and international total tuition (adjusted for colleges where residency may be established after the first year) charged to the class of 2019, the average amount of institutional scholarship aid awarded to first year professional students, the percentage of students to whom it was awarded, the cost of living for each of the participating colleges and estimated loan interest accrued on a fully financed education.

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MVMA QUARTERLY - FALL 2019

that demonstrates professionalism, expertise and compassion in our field please nominate them by visiting www.movta.org for the nomination form. Nominations must be received by December 31st of each calendar year.

Tech Notes from the MVTA T

he Missouri Veterinary Technicians Association’s Annual Fall conference is coming up very soon! The conference will be held at The Yellow Rock Barn at Messner Bee Farm on Sunday, September 29th, 2019 in Raytown, MO. It is approved for 6 hours of continuing education and as always is FREE to MVTA members! The conference is open to practice staff as well as registered technicians so feel free to sign up your whole practice for this fun event! If you weren’t able to stop by our booth at the Fetch 360 Conference in Kansas City we will have a booth at the annual MVMA convention in 2020 with more information about our association and upcoming CE events. MVTA is still accepting nominations for the 2019 Veterinary Technician of the Year award. This award was created to honor, recognize and encourage outstanding Congratulations to Virginia Rud, CVT service in the veterinary with Winn Feline Foundation for win- technician profession. If ning our Sunday raffle gift basket! you have a technician 24

In 2020 MVTA is planning on hosting a few smaller CE events throughout the state in addition to the fall Congratulations to Stephanie conference. There will be Wilken, RVT from Illinois on winning more information to come! our Saturday gift basket raffle! Whitney Fahrendorf, RVT MVTA President

Visit us on Facebook! Missouri Veterinary Tech-Assoc MVTA Website: www.movta.org

Veterinary Technology Programs Accredited by the AVMA CVTEA Crowder College 601 LaClede Avenue, Neosho, MO 64850 417-455-5772 Stephanie Watson, DVM Director Jefferson College 1000 Viking Dr., Hillsboro, MO 63050 636-942-3000 Dana Nevois, RVT Director Maple Woods Community College Veterinary Technology Program 2601 NE Barry Rd., Kansas City, MO 64156 816-604-3235 Chris Morrow, DVM Director Midwest Institute Veterinary Technology Program 962 S. Highway Drive, Fenton, MO 63026 800-695-5550 Jeffrey Vemmer, DVM, Director



Foundation Update Foundation Drawing Tickets On Sale Now!

Win

$10,000! T

he Missouri Veterinary Medical Foundation is once again inviting members, friends, and family an opportunity to walk away $10,000 richer after the MVMF Drawing to be held at the MVMA convention’s Foundation Reception on Friday, January 24, 2020 at the Holiday Inn Executive Center, Columbia, Mo. Thanks to your support, in the past 18 years, the MVMF event has netted over $180,000 for the Foundation and Museum, public relations activities and animal/public health and welfare. This year, your donation helps the Foundation provide assistance to Ag Education On-the-Move, Working Dog Enterprises and TreeHouse of Greater St. Louis Only 300 tickets will be sold for the event, which makes your chance of winning way better than the Powerball Lottery. (Your chance with Powerball is 1 to 146,000,000.) In addition to the $10,000 grand prize, four tickets each will be drawn for $1,000, $200, $150, and $100. All non-winning tickets will be eligible for door prizes and other surprises. The price of the tickets are $100 each, and can be purchased online at www.movma.org or by calling the office at 573-6368737 or with convention registration. During the same evening, the Foundation also holds a silent auction where you can bid on many fabulous items from artwork to bicycles and everything in between.

Please note: The Foundation is in urgent need of donated items for the silent auction. If you have a donation, please call the office at 573-636-8737. 26

Event Highlights from Your Missouri Veterinary Medical Foundation

MVMF Veterinary Honor Roll Inducts Two New Members The Missouri Veterinary Medical Foundation (MVMF) has inducted three new members into the Veterinary Honor Roll of Missouri. On September 7, a ceremony was held at the Foundation’s Museum in Jefferson City, Mo. to honor Dr. Dennis F. Cloud, and Dr. Larry L. Hawkins. Dr. Dennis Cloud is a 1968 graduate of the University of Missouri-College of Veterinary Medicine where he earned membership into the Phi Zeta Society, the honor society of From left: Patrick Cloud, Dr. Dennis Cloud, veterinary medicine. and Dr. Ed Migneco. He was owner-practitioner at Rock Road Animal Hospital, which he founded in 1971 in St. Louis, Mo. His is a Lifetime Member of the MVMA. Dr. Larry Hawkins graduated from the University of Missouri College of Veterinary Medicine. He is Senior Techical Services Advisor for Bayer Animal Health. Dr. Hawkins From left: Dr. Philip Brown, MVMF chair; is past president Dr. Larry Hawkins and Dr. Greg Popp, of the Academy MVMF board member. of Veterinary Consultants, He is the author of several articles and manuscripts and is frequently a speaker for both Veterinary and Cattlemen’s organization meetings. Dr. Hawkins lives with his wife Kathy in Carrollton. Mo. Sponsoring an outstanding veterinarian to the Veterinary Honor Roll is a special way to support the Missouri Veterinary Medical Foundation and its programs and at the same time show your appreciation for a special veterinarian. Donations to sponsor are 100% tax deductible. Call the MVMA office at 573-636-8737 for information.


MVMA QUARTERLY - FALL 2019

Highlights and Actions of the Missouri Veterinary Medical Foundation Saturday September 7, 2019

The Missouri Veterinary Medical Foundation met Saturday, September 7, 2019 at the MVMA/MVMF Office/Museum in Jefferson City, Mo. The following are highlights: All formal actions were moved and seconded by board members, and all motions carried unless otherwise noted. • The minutes from May 4, 2019 were approved. •

The Foundation is looking for volunteers to help sell their Foundation Reception $10,000 Tickets. Contact Lori Muhlenbruch at 573-636-8612, if you want to help.

• Once again, the Foundation will auction off a .22 rifle and a shotgun at their Foundation Reception in Janu- ary. • The following grants were appropriated: $1,500 to Treehouse Therepeutic Horses in Wentzville, MO $2,000 to Agriculture on the Move • Dr. Roger Dozier, Dr. George Fischer, Dr. Edward Migneco and Dr. Gregg Popp have agreed to another term on the Foundation Board. • Dr. G.W. Buckaloo, Dr. Phil Brown, Dr. Edward Migneco and Dr. Gregg Popp have agreed to serve on the LLC Board for 2020. • The next Foundation Board meeting will be on Janu- ary 23, 2020, in Columbia at the MVMA Convention.

Full minutes of the MVMF Board and all other boards and committees can be accessed through the MVMA website, www.movma.org. Go to the home page, click on the Volunteer tab.

AVMA Cares Brings Veterinary Medicine to the Pets of the Homeless in Washington, D.C. ​ any of the nearly 7,000 homeless people in Washington, D.C., M have pets that provide a sense of companionship, love and belonging. And those pets are often in need of veterinary care. That is why the American Veterinary Medical Association (AVMA) hosted a ‘pop-up’ street clinic during its annual convention on Sunday, August 4 in Samuel Gompers Memorial Park. Street clinics, or pop-up clinics, offer services such as basic examinations, rabies and core vaccinations, parasite control, microchipping when requested, and treatment of minor skin, eye, and ear problems. Medication is dispensed when needed. The veterinary care relies heavily on clinical skills and resourcefulness rather than technology. Diagnostic tests range from simple blood tests to free-catch urine dipsticks to running an ECG on an iPhone. For spays and neuters, and other surgeries, clients are referred to local veterinarians who donate or reduce the cost of in-office procedures. “AVMA Cares is our opportunity to give back to the community hosting our convention,” said Dr. John de Jong, AVMA president. “Our members love the opportunity to give back. Many of them bring their entire families with them to help. And our industry partners, Zoetis and Hills contibuted as well through the donation of supplies and services to make this important event as successful as possible.” Prior to Sunday’s event volunteers are assembling hygiene kits for local homeless pet owners and their pets. They were distributed during the Street Clinic hours on Sunday. “Hill’s Pet Nutrition is happy to support the AVMA Cares initiative and its ‘pop-up’ clinic to provide health checks and basic care to dogs in need,” said Dr. Jolle Kirpensteijn, DVM, PhD, chief professional veterinary officer for Hill’s US. “Hill’s is proud to work with AVMA and this event is a great fit with our mission to help enrich and lengthen the special relationships between people and their pets.” “We welcome this opportunity to work with AVMA to give back to the D.C. community in ways that help both animals and people,” said Tara Bidgood, DVM, PhD, executive director, veterinary professional services at Zoetis Petcare. “Every day, we go to work at Zoetis believing that we can make a difference in improving lives – and by contributing our time and medications for pets, we are able to make a small difference in many lives today.” This is the second year the AVMA Convention is the site of a Street Clinic. Dr. Geller—an emergency practitioner in Fort Collins, Colo.—led last year’s outreach in Denver. 27


• MVMA MEMBER PROGRAM •

Creating New Horizons for Veterinary Staff The CVA Program is a flexible, cost effective, and online training course designed for veterinary assistants to increase and improve their knowledge and skills. Based on a series of units, the program covers a wide range of topics, covering the basic knowledge and essential skills needed to be a successful member of the veterinary practice staff team. This program is offered online 24 hours a day and can be completed at each individual’s pace.

Benefits

• Quality Training • Improved Skills • Online Classes • Credible Certification • Good Client Perception • CVA Title • Access to webinars More Information...

For program information & sign-up (mention you are an MVMA member), call (800) 357-3182, or go to www.4act. com/mvma. Or, for general information, call the MVMA at (573) 636-8612, email: mvma@movma.org., or go to movma.org & click on “Practice Staff”.


MVMA QUARTERLY - FALL 2019

MVMA’s Quality Assurance Program

What Is the Missouri Stocker/Feeder Quality Assurance Program? The Missouri Stocker Feeder Quality Assurance Program is designed to meet the quality improvement and pre-conditioning needs of producers, feeders, and consumers. This program educates participants in immunology, animal well-being and the economics of disease. Participation in the program increases producer accountability for quality and safety of the product they sell.

How Does the Program Work? Veterinarians and producers must be certified. Veterinarians are certified by MVMA MSFQAP Committee members. Producers are certified by their veterinarian. Veterinarians and producers learn how they can influence carcass quality and consumer confidence by monitoring where and when injections are administered. Once certified, the producer may participate in the program at one of three levels (white, red or blue tag). The three-level approach allows all producers the opportunity to match their level of management and facilities to the level of participation.

Level 1: Show-Me Select (White Tag) • Participating veterinarians and producers must be certified. • Calves must be properly identified with an approved ear tag. Tag numbers will be listed on an approved certificate. • External and internal parasite control is adminis- tered. • Calves will be dehorned and healed. Calves will also be castrated with a knife and healed or verified to be steers. • Vaccinations: 7-way clostridial, IBR, BVD, PI3,

BRSV, Mannheimia haemolytica with leukotoxoid, (Histophilus is optional.) • Cattle must be born on the producer’s farm. A range of birthdates or the birthdate of the oldest calf in the group must be recorded. • Bull in and out dates will be provided. • Individual calf treatments will be recorded to include date, product, dosage, route of administra- tion and injection site. • Vaccinations must be given no younger than four months of age and at least 21 days before sale.

Level 2: Show-Me Superior (Red Tag) • Weaned 45 days before offering for sale. • Meet Level 1 requirements - NOTE: Initial vac- cinations may be given at an age determined by an attending veterinarian. • In addition, a second round of vaccinations must be given using the following guidelines: • A 7-way clostridial as well as a modified live vaccine containing IBR, PI3, BVD and BRSV must be administer- ed; • Histophilus somni is optional; • Only one dose of Manheimia heamolytica is required if that dose is administered to calves 5 months of age or older; • The time frame between initial and second vaccinations must be a minimum of 21 days and all vaccinations must be completed at least seven days prior to sale; • If a veterinarian determines initial vaccinations should be given to calves less than 4 months of age then second vaccinations must not occur until calves are 5 months of age or older.

Level 3: Show-Me Supreme (Blue Tag) • Meet Level 1 and Level 2 requirements. • All cattle must be tested and be negative for persistent BVD infection.

• Genetic information is optional.

For more information, visit the MVMA website at www.movma. org. An online MSFQAP Producer Manual, online veterinarian certification, and other materials are available. 29


MVMA QUARTERLY - FALL 2019

Classified Ads Classified Ad Policy

Ads can be submitted online (see “Submit an Opening” at top) or to Kim Ralston at kralston@movma.org and are due by the dates shown below. The MVMA is not responsible for omissions or errors. Member ads will be run for two issues, unless otherwise requested, up to a maximum of three issues. Non-member ads run one issue. Ads will run on the movma.org website and in the Missouri Veterinary Quarterly Magazine.

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Closing Dates: February 15, May 15, August 15, October 25 Veterinarians Wanted “Everyone leaves this clinic happier than when they came in.” That’s our motto at Cape Small Animal Clinic. From our team’s well-being to our clients, our energetic veterinarians care. Our growing practice is in need of a full or part-time veterinarian. In-house lab, digital radiographs, ultrasound, membership dues, retirement plan, CE, benefits. Visit our Facebook, Instagram and website. Spend a day with us to see if this is your opportunity to practice excellent medicine and have fun along the way. Email resume and serious inquiries to Dr. Brian Heuring at bkhdvm@hotmail.com or call him directly: 618-697-1813. You may also call or send resume to: Cape Small Animal Clinic c/o Dr. Brian Heuring, 210 Christine St., Cape Girardeau, MO 63703 Florissant Animal Hospital in Florissant, MO ( just outside of St. Louis) seeks a PT or FT Associate DVM to join our practice. We are a 6 doctor practice that was established in 1958 and has been AAHA accredited for over 50 years. Florissant Animal Hospital is North County’s only full service veterinary hospital offering small animal medical and surgical services, boarding and grooming. We are looking for an enthusiastic DVM to join our dedicated and experienced team. All experience levels welcome. We offer in-depth onboarding and mentoring of new hires. No on-call or after hour emergency responsibilities. Part-time or fulltime hours available. Our hospital offers a modern building with 5 exam rooms, surgery suite, 5 wards, in-house IDEXX lab, ECG’s, state of the art dental suite and 30

equipment, separate waiting area, boarding, and hospital wards for cats, fear free practices, complete pharmacy, Avimark software, and so much more. Generous Sign-on Bonus with potential for housing stipend or student loan repayment assistance included. More information at www.floah.com. Please submit resumes to jessica.david@nva.com Associate veterinarian needed for a mixed animal practice North of Kansas City, MO. Salary between $80-$100K with competitive benefits package. Contact 816-898-8852 for more details. Two Veterinarians Wanted at Established St. Louis Practice. Watson Road Veterinary Clinic in St. Louis is looking to hire two full and/or part time veterinarians. A highly competitive salary, signing bonus, flexible schedule and medical insurance are some of the perks we offer. To apply, or if you have questions, please contact our office manager Angela Colbeck at (314) 644-1544 or send your resume to WatsonRdVet@gmail.com. Associate Veterinarian wanted in Springfield, Missouri. At a friendly, family-oriented, locally owned, well established clinic with state of the art equipment. This small animal practice has an excellent, supportive, engaging staff. No emergency duty is required, Part Time will also be considered. Interested parties email gloria2548sanders@gmail.com Veterinarian for Small animal practice; the Animal Medical Center of Mid-America, is an AAHA accredited non-profit full service veterinary hospital in St Louis and Maryland Heights with openings for a

full or part time. Our facilities are well equipped with all the diagnostic tools needed. Can accommodate interests in all aspects of practice; clinic appointments, surgery and / or pain management center. Competitive salary and benefits. Interested applicants please contact tarndt@hsmo.org. Hilltop Veterinary Clinic is seeking a full time associate veterinarian in Mount Ayr, Iowa. We are primarily cow-calf with 25-30% small animal, some equine and small ruminant work as well. We have indoor livestock facilities with a silencer chute along with a portable silencer. Please send resumes to hilltopvetclinic@ windstream.net or contact us at 641-4642224. Bryan Road Animal Hospital in O’Fallon, MO is looking to add a full-time associate veterinarian to our growing team! We have recently moved into a beautiful new building with 6 exam rooms, digital radiography, dental suite, in house lab, therapeutic laser, and much more. We are privately owned and a Fear Free certified practice. Our ideal associate would be personable, embrace our Fear Free culture, and enjoy creating long-lasting relationships with our clients. You won’t find a better staff to work alongside. Most of our staff have been with us for years and we have low turn-over. Schedule will include four weekdays and every third Saturday with no overnights, holidays, or Sundays. Please email resume and cover letter to amberlemarie@gmail.com. Blue Pearl Veterinary Partners, Chesterfield provides veterinary specialty and emergency care to the greater metro-


MVMA QUARTERLY - FALL 2019

politan St. Louis area. Services offered include critical care, ophthalmology, emergency and soon, exotic pet specialty services. Our hospital has three surgery suites, an intensive care unit with trained and experienced staff. Seeking full-time, part-time and relief emergency doctors. We have digital radiography, ultrasound, comprehensive patient monitoring systems, and complete in-house laboratory capabilities. Equal opportunity employer. Contact: Dr. Anne Beyer, DVM, MS, DACVO 636-536-4991. Email: anne.beyer@ bluepearlvet.com Platte Woods Animal Hospital is seeking a full time Associate Veterinarian to join our team. We are a family owned and AAHA accredited small animal practice located in the Kansas City Northland. We have a two-year-old state of the art facility that is well equipped with digital x-ray, (dental and general), endoscopy, and in-house laboratory. We offer full reproductive services, including semen freezing. There are no after hour emergencies. We do offer a competitive salary and benefit package. Interested applicants should send resumes to: pwah5901@gmail. com Doctor of Veterinary Medicine (DVM) – St. Louis. Banfield aspires to be a practice whereas a team, we make a positive impact on pet health care in hospitals, communities, and the field of veterinary medicine. Come join our teams in the St. Louis area! Submit your resume to:jeff. munoz@banfield.com or call 971-2203463 Bogey Hills Animal Hospital in St. Charles, MO (a suburb of the St. Louis metropolitan area) is seeking a PT or FT Associate Veterinarian to join our enthusiastic and compassionate team! We are a small animal hospital providing primary care, dentistry and surgery for dogs, cats, and pocket pets, which has been serving the community for over 30 years. We welcome and cultivate our doctor’s special veterinary interests. If you are a go getter with strong medical skills and a desire to learn new things we want you to be a part of our practice and community. We pride ourselves on the level of customer

service we offer and value the clients feeling like they are part of our family. We offer four exam rooms, treatment area, pharmacy, grooming, paper lite medical records, in-house lab, digital x-ray, isoflurane anesthesia, and ultrasound. Excellent compensation and benefits package. Generous Sign-on Bonus with potential for housing stipend or student loan repayment assistance included! More information at http://www.bogeyhillsvet.com . Please submit resumes to jessica.david@ nva.com Raytown-Gregory Animal Health Center is seeking a full-time associate veterinarian for our small-animal practice. We are a 4 doctor practice in Raytown, MO, a suburb of Kansas City. Mentorship available (if needed) for a new/recent graduate working with our close knit group of experienced doctors. We have an excellent support staff and a very loyal client base. No on call or emergency hours! Check out our website at www.raytowngregory.com. Salary commensurate with experience. Please send inquiries to Dr. Tim Chirpich at info@raytowngregory. com Seeking a part or full time veterinarian in the North Kansas City area at Animal Clinic of the Woodlands. Our staff is fun and energetic and our clients are very caring and compliant. The clinic has brand new IDEXX equipment, brand new portable ultrasound, digital xrays, laser therapy, hydrotherapy and much more. Please email resume to llrmrb@gmail.com or call 8168536589 for more information. Growing Integrative SA practice in Springfield is seeking a veterinarian for a full time position. Veterinarian will practice on the conventional side with one of the owners but will have opportunities every day to interact with and learn from the other owner who practices alternative medicine. This is an exciting opportunity for the right person to be able to work and interact with a practitioner who has over a decade of experience practicing integrative veterinary medicine. Compensation will be commensurate with experience. Please contact us via email (aah@angelanihosp.com) for more details or to submit a resume.

Golden Valley Animal Clinic in Clinton, MO is looking for a full-time, part-time, or relief veterinarian. Compensation negotiable; benefits listed below are only applicable to full-time position. Generous compensation package with a $20K sign-on bonus!!! Medical, dental, vision, life, short- and long-term disability insurance 401(k) plan with employer matching, AVMA PLIT liability insurance, Paid time off, CE allowance, Reimbursement for licensure/duesSurgical suite and digital radiograph processing, Competent support staff. For more information or to submit a resume, please contact Dr. Haley Dingfelder at 660-885-7733 or by emailing office@gvanimalclinic.com Mexico Road Animal Hospital is seeking a full or part time associate veterinarian to expand our seasoned four doctor team. Our clinic has been serving the surrounding communities of the greater St. Louis for over 35 years with skilled and affordable veterinary care. Our practice prides itself on our continuous growth due solely to our word-of-mouth client satisfaction. We provide primary, preventative, dental, and surgical care for dogs and cats with the use of digital radiography, therapeutic laser, and our newly acquired diagnostic ultrasound. We offer great pay and hours along with no emergency responsibilities. Contact Kenton Hoernig, MS, DVM at mrah54.hvs@gmail. com or 573-513-1525 Lee’s Summit Animal Hospital/North in Lee’s Summit, MO is seeking a PT or FT small animal Associate Veterinarian to join our team. We are a full-service veterinary hospital that has been providing quality veterinary care for large and small animals for over 60 years. We offer digital x-ray, IDEXX, microchipping, fully stocked pharmacy, avian/exotic friendly, and Avimark. Excellent compensation and benefits package. Generous Sign-on Bonus with potential for housing stipend or student loan repayment assistance included. All experience levels welcome to apply! More information at http://www.leessummitanimalhospital.com/. Submit resumes to jessica.david@nva.com. (continued next page.) 31


MVMA QUARTERLY - FALL 2019

Tired of corporate telling you how to be a doctor, then look no further. Part time associate needed for busy 5 doctor practice located about 25 minutes south of St. Louis. We are a very progressive practice and have all the bells and whistles, (blood analyzing equipment, digital x-ray, digital dental x-ray, laser therapy, laser surgery, ultrasound, and more). We just expanded our facility for three more exam rooms, bringing us up to 7. Our facility is small animal only. Our staff is nice and the environment is extremely laid back but with a top notch level of care. We have all the surroundings you will find in the larger cities. We offer a VERY competitive salary(negotiated based on experience), 401k, insurance and much more. There are no emergency hours and all holidays off. Please contact Dr. Butch Jones from Jones Animal Health Clinic. Our phone number is 636-937-9000. You may also e-mail at jahc.clinic@yahoo.com.Please submit a resume to e-mail: JAHC.clinic@ yahoo.com. Or call Jones Animal Health Clinic 636-937-9000. Address is 1237 N. Truman Blvd. Crystal City, Mo. 63019 All Creatures Pet Hospital is seeking a full-time small animal DVM to join us in providing comprehensive preventative, medical, and surgical services to our clients. We have a full in-house lab, digital radiology, dental digital radiology, endoscopy and are fully computerized. We offer a competitive benefits package for full time positions including paid CE, PTO, paid association dues, paid liability insurance and re-licensing fees. Future buy-in potential exists. Experience preferred, but not required. Please email resumes to acph@allcreaturesph.com, or call 4178655367 and ask for Andrea Breckner. Find your ideal work-life balance at Grandview Animal Hospital! Flexible scheduling with full or part-time options. We are seeking an associate veterinarian to join our privately owned small animal practice. Well-trained, long-term technical, reception and management staff on board. Our hospital maintains a consistent, fast pace while focusing on client service. We are equipped with digital radiography, in-house IDEXX lab fully in32

tegrated with Cornerstone, laser surgery as well as our 2,000 sqft Animal Rehabilitation Center with large exercise gym, underwater treadmill and companion laser. Interested candidates should submit their CV to Cynthia Perkins at cynthia.gah.arc@ gmail.com

ule. The Lake of the Ozarks is a unique area to live, work, and play. Come spend some time with us and see what we have to offer. Contact Lori- Practice Manager for more information and to set up interview. 573-348-1788. 835 Hwy 42, Osage Beach, MO 65065

Associate Veterinarian wanted in Springfield, Missouri. At a friendly, family-oriented, locally owned, well established clinic with state of the art equipment. This small animal practice has an excellent, supportive, engaging staff. No emergency duty is required, Part Time will also be considered. Interested parties email gloria2548sanders@gmail.com

Veterinarian – THRIVE Affordable Vet Care – St. Louis Area, Brentwood, Missouri. Thrive is focused on raising the bar in veterinary medicine while lowering costs for our clients. From nose to tail, we specialize in the kind of thorough, routine treatment that makes up 90% of all veterinary visits.

Grant Avenue Pet Hospital and Urgent Care, located in Springfield, MO; near the MSU campus is seeking to hire a DVM to join our practice (Generous Sign-on/ Retention Bonus and Relocation). We offer 4 exam rooms, treatment area, surgery suite, large canine kennels, feline boarding, hospitalization area, full in-house lab, digital full body and digital dental x-ray equipment, ultrasound, complete pharmacy, and Avimark computer software. We are Springfield’s only Urgent Care for pets. We offer this service M-F 8am-6pm. More information at http://www.gaphvet. com/ . Excellent compensation and benefits package. Please submit resumes to smoss@nva.com. Associate Veterinarian wanted at Osage Animal Hospital in Osage Beach, MO.. We are a 2-doctor small animal private practice. Our motto is “ Modern Medicine....Down Home Care”. We have been in practice since 1986 and our new animal hospital was professionally designed/ built in 2010 to help us practice high quality comprehensive medicine. It has Great Equipment and lots of space. We are looking to add a full-time associate and we would be willing to explore the possible fit of part-time hours. We have experience mentoring new graduates. There are plenty of interesting cases to provide a fulfilling professional career and experienced support staff to work with. We offer: Competitive Salary, Generous Benefits Package with IRA, Shared Emergency Duties and Enjoyable Sched-

BENEFITS: Competitive Salary,, Monthly Bonus Opportunity, Employee profit sharing program, No Negative Accrual, 3.5-day work weeks, A dedicated call center to allow you to practice medicine, 120 hours annual PTO, 40 hours additional PTO for CE, $3,500 annual CE allowance for licenses, dues, conference expenses, etc.**Please contact christina. mcgregor@thrivevet.com for more details.** Full or part time Associate Veterinarian needed for a busy three doctor practice in Springfield, Missouri. We are an established small animal/exotic practice with wonderful clients willing to pursue good quality medicine. The hospital has a dedicated and compassionate support staff, complete laboratory capabilities, digital radiology, ultrasound unit and much more. No overnight emergencies and we offer a competitive salary with a generous benefits package. Send resumes to sunshineahdoctors@gmail.com Associate veterinarian needed at LaCroix Pet Hospital in Cape Girardeau, Missouri. We have a compassionate, well trained staff to work with and assist you as a team. New graduates welcome but experience preferred. LaCroix is a 2 doctor, exclusively small animal practice established in 1989. We offer a fully equipped in-house lab, digital radiography, class IV therapeutic laser and ultrasound with full medical and surgical services. We pride ourselves in practicing progressive veterinary medicine. Benefits include competitive salary, health and disability


MVMA QUARTERLY - FALL 2019

insurance, memberships, dues and retirement program. We also offer a stipend for continuing education. Please call Ann Seabaugh or Lisa Foster at 573-334-1366 and fax resume to 866-814-8444. Small Animal Surgeon: Hometown Veterinary Hospital & River Canine Rehabilitation is seeking a board-certified or residency-trained surgeon to join our thriving, locally-owned, 7000-squarefoot veterinary hospital and rehabilitation facility in Springfield, Missouri. Our practice is booming with patients who need advanced surgical care. We can offer you: Competitive compensation, Sign-on bonus, Moving expense stipend, Health insurance, State-of-the-art surgical suites and recovery ICU, In-house rehabilitation, hyperbaric chamber, acupuncture, an engaged, experienced staff, No weekends or after-hours Send resume to: dkstutz@gmail.com. Seeking a part time veterinarian in the North Kansas City area at Animal Clinic of the Woodlands. Days are flexible. Our staff is fun and energetic and our clients are very caring and compliant. The clinic has brand new IDEXX equipment, brand new portable ultrasound, digital xrays, laser therapy, hydrotherapy and much more. Please email resume to llrmrb@ gmail.com or call 8168536589 for more information.

Go Nationwide In Finding a Veterinarian or Technician. Place an Ad On the Veterinary Career Network Website. Go to http://careers.movma.org/ for more information. Veterinary Technicians and Practice Staff Wanted BluePearl Veterinary Partners in Chesterfield, MO is seeking motivated, enthusiastic and experienced Veterinary Technician to join our team. We are currently looking to hire in our Emergency Department for a Relief position to help on weekends, which will include some overnight shifts. Tech experience required, emergency experience preferred. Please email your resume to rebecca.hatfield@ bluepearlvet.com or visit our site at www. bluepearljobs.com.

Part time assistant and receptionist position available for motivated hard working individual that can multi-task. Front desk duties include answering phones, checking clients in and out, and filing. Assistant duties include helping the veterinarians and cleaning. Being a registered tech is a bonus but not required. Must be able to work 1-2 Saturdays a month. Please email resume to crystaldvm@ earthlink.net Growing and busy Integrative Veterinary Practice is seeking an Assistant Office Manager. Individual must be team player, punctual, reliable, responsible, patient, intuitive, willing to learn, and a great communicator with a warm and friendly personality. Integrity and honesty are also highly valued qualities among our employees. Applicants with a tract record of success and accomplishment will be given preference. Compensation commensurate with experience and qualifications. Please contact us via email (aah@angelanihosp.com) for more details or to submit a resume. Growing and busy Integrative practices is seeking staff for our conventional and/ or alternative/natural care services. Multiple positions are available now and in the coming months. Applicant must be a team player, punctual, reliable, responsible, intuitive, willing to learn, and a great communicator with a warm and friendly personality. Integrity and honesty are also highly valued qualities among our employees. Starting wage will be dependent on qualifications. Please contact us via email (aah@angelanihosp.com) for more details or to submit a resume. Provide care and medical treatment to shelter animals; lead and assist staff; ensure quality control; establish and maintain strong working relationships; have a constant positive and professional public image. Must have excellent customer service, communication skills, team work, attention to detail, and problem solving skills. Previous supervisory experience preferred. Requirements include current Missouri Vet Tech license and 1+ year animal handling experience. Must be

available to work on Sundays. Interested applicants should email their resume to operations@apamo.org. First Capitol Animal Hospital LLC in St. Charles, MO needs a full-time technician. Friendly practice with clients that have been our “family� for over 30 years. Above average salary/benefits: health insurance with vision and dental, paid vacation, 401K, and profit-sharing. Full in-house IDEXX lab, digital radiology, VetGard monitor, heated surgery tables, high-speed dental, lift tables, Cornerstone and more. We see dogs, cats, birds (mainly birds of prey) and reptiles. RVT and anesthesia experience preferred, but not required. Resume to fcahjobs@gmail. com Relief Veterinarian Wanted Cape Girardeau, Mo. We are a small animal exclusive practice with in house bloodwork, digital radiography, ultrasound, digitherm with a clientele that appreciated progressive medicine. Support staff have had a combined 50 years experience between 3 technicians. I am looking for relief veterinarian for vacation time for our 2 doctors. Please contact me via email at lacroixpet@yahoo.com Relief Veterinarian Services Relief Veterinarian: Experienced. Past practice owner. 4 years experience as relief. I understand the importance of keeping your practice running smoothly and profitable. Dennis Johnson, vetdocone@gmail.com, 217-725-8939. Lake of the Ozarks. Available anywhere in Missouri. Veterinary Relief Service web site: www.vetreliefservice.com Businesses For Sale/Lease Great 1 doctor practice located on the eastern side of Missouri, just southwest of St. Louis. The facility has 1,800sf plus an additional 800sf in attached kennels. Plenty of space to expand the practice if desired. The revenue is growing annually with roughly 93% generated by small animal clients. Both the practice and real estate are for sale. Contact Simmons Midwest for more information. Simmons@ SimmonsMidwest.com 877-322-6465 (continued next page.) 33


MVMA QUARTERLY - FALL 2019

New Listing!! Looking for access to city life while still enjoying quiet country living? Just south of St. Louis, this practice is an excellent opportunity. Financially healthy, 2 doctor, small animal clinic. Facility is well equipped ~2000sf with 3 exam rooms. Don’t miss this opportunity to escape the busyness of the big city yet be just a short drive away to enjoy it when you want to. Contact Simmons@ SimmonsMidwest.com 877-322-6465

Southern Missouri mixed animal clinic with 68% small animal grossing $1.2 Million with Real Estate in two locations of reasonable proximity. Very profitable and priced to sell! Please contact Dave Davenport with Total Practice Solutions Group at 816-804-2861 or dave@tpsgsales.com for more information and reference Listing ID: MO 102419. Visit www. TotalPracticeSolutionsGroup.com for additional listings.

Small animal practice with Real Estate. Located in Independence, MO. Owner motivated for a quick sale. Please contact Dave Davenport with Total Practice Solutions Group at 816-804-2861 or dave@ tpsgsales.com for more information and reference Listing ID: MO 062720. Visit www.TotalPracticeSolutionsGroup.com for additional listings.

Well-established one doctor practice in Raytown, MO with Real Estate. The practice is in a great location with tremendous traffic flow. Owner retiring. Priced to sell! Visit our website at www.TotalPracticeSolutionsGroup.com or contact dave@tpsgsales.com for more info. Visit our website at www.TotalPracticeSolutionsGroup.com or contact dave@tpsgsales.com for more info.

Well-established, 2 DVM practice with Real Estate located near a busy intersection. Practice is grossing over $800k. Financing available. Please contact Dave Davenport with Total Practice Solutions Group at 816-804-2861 or dave@tpsgsales.com for more information and reference Listing ID: MO 081820. Visit www. TotalPracticeSolutionsGroup.com for additional listings. Mixed animal practice 30 minutes north of Kansas City, MO. Grossing over $1.2 Million. Owner and two full time veterinarians. Very lucrative and priced to sell. Owner retiring but will stay for a transition period.Please contact Dave Davenport with Total Practice Solutions Group at 816-804-2861 or dave@tpsgsales.com for more information and reference Listing ID: MO 062619. Visit www.TotalPracticeSolutionsGroup.com for additional listings. Rural southern Missouri practice with 80% small animal. Priced at $250,000 with Real Estate for a quick sale. Financing available.Please contact Dave Davenport with Total Practice Solutions Group at 816-804-2861 or dave@tpsgsales.com for more information and reference Listing ID: MO 021020. Visit www.TotalPracticeSolutionsGroup.com for additional listings. 34

This is a fantastic opportunity to own your own hospital in the Springfield, MO area. This 1 DVM, small animal practice is producing nearly $600K in revenue, is financially healthy, nicely equipped, and in leased space. The area is experiencing tremendous growth which equals potential for this hospital. Don’t miss this chance to live & work in a gorgeous area. Contact Nikki Nitz,CPA, Simmons Midwest. phone: 877-322-6465 f:ax 866.694.6945. www.SimmonsInc.com. Nikki@SimmonsMidwest.com Small Animal Practice for Sale, St Louis Area. Established in 1972. Large spacious, hospital (2700 sq ft) on large city lot. Computerized and paperless. Sale designed to be “Turn Key” at $625,000.00. 25 minutes from So. County on a 4-lane divided highway. Contact Information: Leslie Reed, D.V.M., 11267 Highway 21, Hillsboro, Missouri 63050, Email: orientmb_63050@yahoo.com, Phone: Voice; (636) 789-3366 Hospital, Fax; (636) 337-5889 Hospital, Voice; (636) 7893426 Home. Great 1 doctor practice located on the eastern side of Missouri, just southwest of St. Louis. The facility has 1,800sf plus an additional 800sf in attached kennels. Plenty of space to expand the practice if

desired. The revenue is growing annually with roughly 93% generated by small animal clients. Both the practice and real estate are for sale. Contact Simmons Midwest for more information. Simmons@ SimmonsMidwest.com 877-322-6465 Items For Sale FOR SALE: Veterinarian retired and all equipment listed with pictures on https://veenamerica.com/ under Clinic Liquidation in St. Louis MO. Includes anesthesia, surgery, dental, X-ray, cages, microchip and many other items. For more information contact Bob or Dylan Simpson at (613) 358-5658 or Dylan@veenamerica.com. Separate list of pharmaceuticals, insecticides and medical supplies can be requested by contacting Cindy Adams at cindybowindy@yahoo.com or 314-313-3054. Lightly used H2O brand water treadmill for sale. Excellent condition, well maintained. Purchased one year ago and no longer need. Located in Minneapolis area. Will require manufacturer to move and set up. Call 763-438-9204.

The Missouri Veterinary Medical Association is proud to present the Missouri Veterinary Quarterly as a benefit of membership in the Association. Publishing costs are partially paid by advertising sales. Purchase of any products or services from paid advertisements within this magazine are the sole responsibility of the consumer. The statements and opinions expressed herein are those of the individual authors and do not necessarily represent the views of Missouri Veterinary Medical Association. Any legal advice should be regarded as general information. It is strongly recommended that one contact an attorney for counsel regarding specific circumstances. Likewise, the appearance of advertisers does not constitute an endorsement of the products or services.


Thanks to the following companies for their premiere support of the Missouri Veterinary Medical Association and it’s Foundation.

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Missouri Veterinary Medical Association 2500 Country Club Drive Jefferson City, MO 65109

PRESORT STANDARD U.S.POSTAGE PAID JEFFERSON CITY, MO PERMIT NO. 400

The little museum that’s big on learning.

The Veterinary Museum of Missouri What strange objects does a veterinarian find in a cow’s stomach?

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In 1929, what did a veterinarian use to give Fido his medicine? Discover the answers to these questions, and see other strange and unusual objects at the Veterinary Museum of Missouri.

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The Museum has over 2,500 artifacts dating from the 16th century to the present, including: • manuscripts instructing Missouri’s first settlers how to care for their horses; • a steamer trunk filled with instruments used by a late 19th century horse doctor; • an 1870s wooden operating table for small animals • 19th century instruments, such as a wooden balling gun, a hog catcher, a Swiss trocar and farrier tools • a variety of strange and curious objects (horse pills, huge hairballs, kidney stones) Visitors touch and explore bones, animal skins, hairballs, veterinarian tools, etc., and view specimens showing the stages of a calf embryo and animal diseases. It’s a great place for children and adults to get a glimpse of the past. Visit us in Jefferson City, Mo. Take Highway 50 west to Highway 179. Exit and turn right. Take first right onto Country Club Drive. Go about one mile and look for us on the left. We’re open 9-4 Monday-Friday. Missouri Veterinary Medical Foundation Call 573-659-7175 for more information.

MVMF


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