PVMA in Action A Look Back: Three Rivers Keynote Panel Discussion on Antimicrobial Resistance

By Kate Boatright, VMD

Panelists:

Hayley Springer, DVM, MS, PhD

Erica Tramuta-Drobnis, VMD, MPH, CPH

Lauren Forsythe, PharmD, DICVP

The problem of antimicrobial resistance (AMR) is not new, but it is more important than ever due to the fact that development of new antimicrobial agents is decreasing.

Erica Tramuta-Drobnis, VMD, MPH, CPH, Founder and CPH of ELTD One Health Consulting LLC, shared current estimates that by 2050, 10 million people could die from previously treatable infections, highlighting the importance of antimicrobial resistance as a threat to global health.

Hayley Springer, DVM, MS, PhD, Extension Veterinarian at Penn State Extension, shared that AMR has developed in settings including healthcare and community. Ultimately, a multi-pronged approach from a One Health front is needed. Veterinarians have a core responsibility when it comes to antimicrobial stewardship (AMS) efforts because we can intervene on the farm, in the veterinary office, with wildlife, fruit crops and pollinators, and more. “We must find meaningful ways to reduce our need for antibiotics,” shared Springer. “This will allow us to promote antimicrobial stewardship and keep our animals healthy.”

Both the AVMA and CDC have guiding documents to promote antimicrobial stewardship (see Box on page 32). The CDC’s four principles closely mirror several of the principles of AMS from the AVMA,1 which include:

● Commit to stewardship

● Select and use antimicrobials judiciously

● Evaluate antimicrobial drug use practices

● Educate and build expertise.

Lauren Forsythe, PharmD, DICVP, Clinical Assistant Professor at the University of Illinois College of Veterinary Medicine, shared that when it comes to drug development, antibiotics do not generate large profits for drug companies. Since 2000, less than 20 new antibiotics have been approved. Only four of these had novel mechanisms of action. “Our antibiotic options have decreased tremendously,” shared Forsythe, necessitating health care professionals in both human and animal medicine to preserve the drugs we currently have.

Springer notes that the AVMA has a fifth core principle, which is to “advocate for a system of care to prevent common diseases.”1 She stated, “This is where we as veterinarians have incredible power, when it comes to advocating for disease prevention. Advocating for prevention allows us not just to reduce antibiotic use but reduce antibiotic need.”

Springer reviewed that stewardship and disease prevention will look different in each area of veterinary medicine and many of the species-specific veterinary associations, such as the AAAP and AABP, have their own statements regarding AMS. She continued on to discuss that when it comes to livestock, another layer of AMS involves the producers. There are several initiatives in the livestock industry to reduce antimicrobial usage. While these are voluntary, a large proportion of the pork, beef, and dairy industries participate in these programs.

Tramuta-Drobnis feels that veterinarians can continue to do better when it comes to AMS. “As an emergency clinician, I often see cases with inappropriate antibiotic use,” she shared. She reminds veterinarians to think critically about what conditions they are treating with antibiotics, noting that many cases of feline interstitial cystitis and postoperative dental prophylaxis do not require antibiotic use. Additionally, she discussed the controversial use of doxycycline to treat asymptomatic Lyme positive dogs. Tetracyclines are considered a critically important antibiotic in human medicine so judicious use should be a priority to minimize the development of resistance. Overuse of antibiotics in veterinary medicine is documented. In one veterinary teaching hospital study, 40% of canine patients prescribed antibiotics had no evidence of infection.2

Forsythe reminds veterinarians that there are numerous guidelines on antimicrobial usage available to help practitioners navigate their cases (see Box on page 32 for resources). As the daughter of two veterinarians, Forsythe continued on next page > continued from page 31 understands the pressures veterinarians are sometimes faced with when it comes to antimicrobial use. “You have clients who think their pet needs an antibiotic, but you don’t,” she said. “There is a need to make sure our clients have a good perception of service and feel we have cared for their pet effectively.”

In order to do this, Forsythe recommends employing a strategy called watchful waiting. This involves communicating with the client that you do not feel antibiotics are indicated at this time, but may be indicated if certain conditions are met, such as duration of illness or change in clinical signs. Providing written instructions to clients can help them to know what to monitor for and help them to feel heard in their concerns for their pet.

The panel expressed that veterinarians are a key part of the response to emerging antimicrobial resistance and have seen veterinarians already doing their part. Ultimately, it will be up to us to continue judicious use of antibiotics as well as promote disease prevention practices, which we are uniquely qualified to do. Springer reminded the audience that we must not just use fewer antibiotics but work to need fewer antibiotics.

REFERENCES:

1. AVMA. Antimicrobial stewardship definitions and core principles. Available at https://www.avma.org/resources-tools/avma-policies/ antimicrobial-stewardship-definition-and-core-principles. Accessed January 12, 2023.

2. Fowler et al. A survey of veterinary antimicrobial prescribing practices, Washington State 2015. Vet Rec. 2016 Dec 24; 179(25):651

Resources for Judicious Use of Antibiotics

https://www.cdc.gov/antibiotic-use/index.html https://arsi.umn.edu/as-resources https://www.avma.org/sites/default/files/2020-06/Veterinary-Checklist-Antimicrobial-Stewardship.pdf https://www.avma.org/sites/default/files/resources/AntimicrobStewardshipDef_CorePrinciplesFlyer_052318.pdf https://www.iscaid.org/guidelines https://www.cdc.gov/antibiotic-use/community/pdfs/aaw/Watchful-Waiting-Prescription-Pads_large-P.pdf continued from page 33

2022 Hall of Fame

PVMA’s Hall of Fame Awards were celebrated on November 13, 2022, with a luncheon during the 3 Rivers Veterinary Symposium in Mars, PA. The Awards Selection Committee thanks all who thoughtfully submitted nominations.

The 2022 winners are…

Wodan Animal Hero Award: Bentley Siek

This Public Service Award is presented for a long-serving animal hero or a single heroic act by an animal in the past year.

On a cold December night, Bentley Siek answered the call to work. As a trained Search and Rescue canine, he and his owner/handler, Tracy, searched for a missing distressed individual. Bentley gave the appropriate information to Tracy to locate the missing person. Another life saved!

Bentley, a spry 10 years young, is a mixed breed who was himself rescued as a pup from doggie death row at a South Carolina shelter. Siek adopted him and started his SAR career at 4 years old. Bentley is dual certified in Live Find with NASAR, and Human Remains Detection with AWDA and PSARC. Together they are working towards a water certification. This team has had the opportunity to work with the Pennsylvania State Police and the FBI to aid in searches all over Pennsylvania. Congratulations, Bentley!

Pvma Member Awards

Certified Veterinary Technician of the Year Award:

Felicia Hansen, CVT

A PVMA Member who has provided outstanding performance in veterinary technology.

“Dedication, perseverance, and trail-blazing” are qualities displayed by Felicia Hansen in her Mason Dixon Animal Emergency Hospital in Shrewsbury, PA. As Technician Team Coordinator, she was instrumental in building the training manual which provides the framework for young adults entering the veterinary profession to grow in skills and knowledgebase within the hospital. One colleague commented, “When on the floor with her, it’s a renewing love for what we do. Our profession is hard everywhere, and can be especially taxing in emergency, our hours are long, our case load is high and unpredictable, but Felicia is making a difference, not only for herself, but also for the future nurses in our profession.”

Felica finds fulfillment in teaching skills and providing current education to the team as well as introducing brand new tools and techniques to ensure the gold standard of care for her patients. She models a healthy work-life balance and enjoys the great outdoors. This work-life balance helps her to succeed with the rigors of the veterinary profession and sets a good example for young technicians in trying to find that balance. Congratulations, Felicia!

Animal Welfare Advocacy Award: Daniel Zawisza, VMD

A PVMA Member who has demonstrated outstanding compassion and/or developed programs for the welfare of animals.

Dr. Dan Zawisza is a native Pennsylvanian who has focused his medicine practices on animal pain management, livestock handling and stockmanship, and producer training. He has grown the cattle practice in their area, focusing on the FARM program and meeting and exceeding industry standards for animal welfare. Dr. Zawisza is also a member of PA Team Beef, promoting beef as a healthy protein source. He cares about the success of his producers, both beef and dairy, and small ruminants.

Dr. Zawisza and his wife, Bethany, have four young sons, Jacob, Gabriel, Dominic, and Elijah. In addition to being a constant source of inspiration in his daily life, they also serve as a constant reminder to be empathetic in veterinary practice. He remains committed to advocating for the animals we are tasked with stewarding. Congratulations, Dr. Zawisza!

Public Service Award of Merit: Aliza Simeone, VMD

A PVMA Member who has provided outstanding public service involving the veterinary community.

At the PA Department of Agriculture, Dr. Aliza Simeone managed the agriculturally diverse multi-county southeast Region 7, was instrumental in several EHM quarantines and helped New Bolton Center develop their biosecurity and EHM protocol, and oversaw the PA Veterinary Accreditation Program, making sure PA Veterinarians desiring accreditation were trained and entered into the system.

Dr. Simeone was intimately involved in protecting PA from HPAI. She helped in several capacities of the outbreak, from depopulation late into the night to serving as a case manager providing support, guidance and information to the poultry company personnel and assisting them navigate the difficult road from quarantine to depopulation, clean-up work, viral elimination, and getting off quarantine. She walked with compost team members to inspect compost piles, reviewed disposal plans, and carefully inspected the inside and outside of large layer complexes to make sure they were ready for their virus elimination and testing. Dr. Simeone attended to every detail to assure the farms were carefully managed and monitored. Congratulations, Dr. Simeone!

Distinguished Veterinary Service Award: Joseph Itle, VMD

A PVMA Member who has selflessly dedicated to veterinary medicine, the health and welfare of animals, and the betterment of the veterinary profession over a period of years.

Dr. Joseph R. Itle has been dutifully serving the veterinary and farming communities of Pennsylvania for 50 years as a food animal veterinarian. Growing up on his family farm they raised chickens, swine, potatoes and dairy cattle, and had a milk processing plant. “I spent most of my time feeding and milking the cows whereby I became interested in the health care of the animals,” said Itle. “When I was sixteen I took a course on artificial insemination of dairy cattle and started breeding our own cattle.”

His current practice has expanded in the radius of the coverage area in addition to the new technology of ultrasound use, embryo transfer, laboratory microbiology and blood analysis. Dr. Itle is constantly advocating for agriculture to anyone willing to lend him their ear and is unabashed in contributing important insight and opinions to governmental leaders concerning agricultural affairs. He has mentored countless veterinary students as well as college and high school students over his career.

His passion for this profession did not stop at students. All three of his children are engaged in the agriculture industries. His daughters, Dr. Kendra Itle and Dr. Amber Itle, are practicing veterinarians, and his son, Neil, is a regional director for the Southwest Division of the Pennsylvania Game Commission. A colleague stated, “I personally feel that his mentorship has challenged me to be the very best veterinarian I could be.” Congratulations, Dr. Itle!

Veterinarians

Franklin Animal Clinic | Full Time / Franklin, Pennsylvania

We are not a corporate practice. You can practice medicine at your own pace while using your own style. We believe strongly in mentorship and cutting-edge care. If you practice already but are looking for a change, we would love to talk with you. Our AAHA-accredited practice has focused on the best patient care since 1965. We continuously upgrade our equipment and medical knowledge to stay on the cutting edge of medicine and surgery. Our veterinarians partner with skilled, experienced team members and utilize the latest in diagnostic equipment all focused on offering our patients the finest of care and our clients the best in service. Our facility has 6 large exam rooms, 30 plus employees, digital radiology, pharmacy, lab, ultrasound room, treatment room with lift tables, isolation ward, and dentistry area. Please call Christine Martinec at 814-4375768 or email cmartinec1234@gmail.com.

Peaceable Kingdom Animal Hospital | Full Time / Ephrata, Pennsylvania

We are a small rural cat and dog hospital in the heart of picturesque Lancaster County with a terrific team and amazing clients. We are seeking a full time veterinarian to join us in providing compassionate and affordable veterinary care to the members of our community. We offer terrific benefits and work-life balance! Please call Cary Moran, Practice Manager, at 717-721-9890 and/or email cmoran.pkah@gmail.com.

Cherry Ridge Veterinary Clinic | Full or Part Time / Honesdale, Pennsylvania

The Cherry Ridge Veterinary Clinic is looking for veterinarians to join us in our new location in the beautiful Pocono Mountains. Located in Honesdale, PA, the veterinarians at Cherry Ridge Veterinary Clinic are committed to pets’ health. Cherry Ridge Veterinary Clinic is a full-service small animal AAHA-accredited animal hospital whose mission is to provide the highest standard of veterinary care for pets. We provide friendly, informative, and supportive services for clients and their pets, while maintaining a superior working environment for our employees. Cherry Ridge Veterinary Clinic offers the local community an array of veterinary services.

Please call Katie at 570-253-2402 and/or email krothrock@cherryridgevets.com.

Blair Animal Hospital | Full Time / Hollidaysburg, Pennsylvania

Our hospital in beautiful central Pennsylvania is looking to add another part- to full-time veterinarian to our team. We are currently comprised of two full-time veterinarians and one part-time veterinarian, along with an amazing support staff. Blair Animal Hospital is a cat and dog exclusive hospital, but our clientele and team would be happy to open our doors to exotics and/or pocket pets if there is an interest in this area. We look forward to mentoring a new graduate or learning from an experienced applicant that is looking to work within a team to care for our patients and clientele. Please call Kelli Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

Camboro Veterinary Hospital | Full Time / Edinboro, Pennsylvania

Camboro Veterinary Hospital, located near Erie, PA, is seeking an Associate Veterinarian to join our practice. Part-time or Full-time hours available. Our 7,000 square foot modern hospital provides primary, referral and limited emergency services. There are 6 modern exam rooms, a large hospital waiting and reception area, retail, and pet discharge areas all for the convenience of our clients, and much more! Formal Mentorship Program Available. Excellent benefits and incentives. Please call Kelli Dowhaniuk at 818-309-3709 and/ or email Kelli.Dowhaniuk@nva.com.

Butler Veterinary Associates, Inc. and Emergency Center | Full Time / Butler, Pennsylvania Butler Veterinary Associates is looking to hire an Associate DVM. We are a large group practice that provides general practice as well as emergency services in the Butler/North Pittsburgh area. We get many challenging cases to keep your diagnostic, medical and surgical skills sharp. All this in a strong team-based environment. We see ourselves as a step between most general practices and board-certified specialists in what we can offer clients diagnostically, medically and surgically. If you want to be a part of a dynamic team reach out today! Excellent mentorship for new grads. Please call Kelli

Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

Paw Prints Veterinary Clinic | Full Time / Morgantown, West Virginia

Join Our Expansion! We currently built a brand-new facility and therefore, looking to add more doctors to our GP small animal hospital in Morgantown, West Virginia. Paw Prints Veterinary Clinic’s new (additional building) opened in the Summer of 2022. We are currently a four-doctor practice. We have the capacity to do bone plating, TTA and TPLO surgeries. Our new facility will be equipped with a CT scanner. We have Storz laparoscopic and arthroscopic equipment. This is an excellent opportunity for a new grad or experienced Veterinarian. Please call Kelli Dowhaniuk at 818-309-3709 and/ or email Kelli.Dowhaniuk@nva.com.

Pittsburgh Premier Veterinary Care | Full Time / Pittsburgh, Pennsylvania

Pittsburgh Premier Veterinary Care & Rehabilitation is located on Frankstown Road in Pittsburgh. We are a fullservice veterinary and rehabilitation hospital that welcomes dogs and cats but open to exotics as well. Holistic and alternative wellness options welcome. As a Veterinarian at our hospital you will be responsible for routine exams to sick visits to physical therapy. Hours are 9-5pm or 9-6pm; 40 hours per week. No weekends or on call. Limited ER. Equipment includes under water treadmill, digital x-ray, ultrasound and many therapeutic options including cold laser, PRP, Fitness, Electro, and Hydrotherapy. Excellent benefits and extra incentives. Please call Kelli Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

North Versailles Veterinary Care | Full Time / North Versailles, Pennsylvania

North Versailles Veterinary Care located in North Versailles, Pennsylvania is a fullservice animal hospital that welcomes both emergency treatment cases as well as pet patients in need of routine medical, surgical, and dental care. We are looking for an enthusiastic and passionate Veterinarian to help us continue to grow. Relief, PT, FT, and Managing opportunities available.

North Versailles Veterinary Care stays on top of the latest advances in veterinarian technology and above all, remembers that all animals and pets need to be treated with loving care in every check-up, procedure, or surgery. All levels of experience welcome to apply! Please call Kelli Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

Holiday Park Animal Hospital | Full Time / Pittsburgh, Pennsylvania

Holiday Park Animal Hospital located on the Golden Mile Highway is a full-service animal hospital providing comprehensive healthcare services. Our facility includes inhouse testing for accurate diagnosis, digital x-ray, ultrasound, surgical suite, dental suite, pharmacy, and more. We are looking for an enthusiastic and passionate Veterinarian to help us continue to grow. Our ideal candidate has strong communication skills, is team-oriented, and excited to help our vibrant practices excel in our community. If you want a place where your passion and skills are valued, where your feedback, input, and ideas are heard, then apply today! Please call Kelli Dowhaniuk at 818309-3709 and/or email Kelli.Dowhaniuk@ nva.com.

Murrysville Veterinary Associates | Full Time / Monroeville, Pennsylvania

Murrysville Veterinary Associates, located in Pittsburgh’s eastern suburbs, is looking for a veterinarian. We are a recently expanded AAHA-accredited hospital that was designed by Animal Arts, the pioneers in the Fear Free hospital concept. Our four doctors practice small animal medicine in a friendly, collaborative environment that encourages professional development through peer mentorship. The clinic is equipped with digital radiology and ultrasound, a two-table surgery suite, electrocautery, therapeutic laser, isolation, in-house laboratory, and a fully equipped two-table digital dental suite. Our 4-day work weeks with rotating Saturdays reflect work/life balance and flexible schedules for our staff. Please call Kelli Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

Animal Medical Hospital of State College

| Full Time / State College, Pennsylvania Animal Medical Hospital of State College, Pennsylvania is seeking an Associate Veterinarian. Currently comprised of one full-time veterinarian and one part-time veterinarian, we are seeking another part or full-time veterinarian to join our amazing team. We are a primary veterinary care facility that delivers quality wellness and preventive care, progressive medical care, soft-tissue and orthopedic surgery, comprehensive dental procedures, and diagnostic ultrasound. Our patients include canines and felines with some exotic species care. Full-time employees (30 hours or more per week) enjoy a competitive salary and a comprehensive benefits package, including: Offering a generous signing bonus of $25,000. Please call Kelli Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

The Animal Hospital on the Golden Strip | Full Time / Williamsport, Pennsylvania

We are looking for an experienced doctor to be a part of our well-established small animal practice. We treat dogs, cats and some exotics. We feel we do many things well but if we had to highlight a few it would be the ability of being very capable. Our technician team is out of this world and make our doctors’ lives very manageable throughout the day. We also handle end of life care impeccably and care deeply about our community. Enjoy 4-day work weeks with no on call, but are flexible. We serve the Lycoming and surrounding counties in Pennsylvania. Please call Kelli Dowhaniuk at 818-309-3709 and/or email Kelli.Dowhaniuk@nva.com.

Buckingham Animal Hospital | Full Time / Doylestown, Pennsylvania

Seeking full-time veterinarian in beautiful Central Bucks County for Buckingham Animal Hospital, a privately-owned five-doctor practice. Veterinarians are supported by our highly trained and friendly staff within our well-equipped, bright and spacious stand-alone building. We are seeking a kind team member with excellent interpersonal and communication skills –sense of humor is a bonus! The owner is a 2003 Penn Vet graduate with experience mentoring new veterinarians. Generous salary and benefits. Schedule averages 35-40 hours/week, no after-hours emergencies. Close to the charming towns of Doylestown and New Hope and driving distance to Philadelphia and NYC. Please email Brad Kube, VMD, at buckah1950@gmail.com.

Best Friends Animal Hospital | Full Time / Chambersburg, Pennsylvania

Best Friends Animal Hospital is seeking a compassionate veterinarian to join our progressive small animal practice. At Best Friends Animal Hospital, we are committed to supporting learning and growth as well as providing mentorship. The ideal candidate for this role would be able to perform surgery, evaluate emergent patients, perform annual examinations, order appropriate tests and provide a diagnosis and treatment plan. As a veterinarian at Best Friends Animal Hospital you will enjoy a three to four-day flexible schedule with one rotating Saturday per month and limited on call hours. Sign-on Bonus, Retention Bonus, Relocation Assistance, and Student Loan Assistance. Please email leah.smith@nva.com.

Dover Area Animal Hospital | Full Time / Dover, Pennsylvania

Small animal hospital in South Central PA located Northwest of York is seeking veterinarian. We are currently a 7-doctor practice with a recently expanded and upgraded hospital. We are a high-volume busy clinic with experienced veterinarians who are willing to teach and mentor new graduates. Our well-equipped hospital includes surgical and cold laser, digital x-ray, ultrasound, paperless records, boarding and grooming facilities. You can expect a diverse medical and surgical caseload in a laid-back atmosphere. We are offering competitive salaries and flexible work hours with a full benefits package. Please email leah.smith@ nva.com.

Confederate Woods Veterinary Hospital | Full Time / Gettysburg, Pennsylvania

Confederate Woods is an AAHA-accredited hospital seeking an Associate Veterinarian who shares our passion for pets and their families. Our mission is to provide outstanding medical and surgical care to our patients and excellent client experience. For over 40 years, our staff has helped thousands of pets, including dogs, cats, and pocket pets, live healthier, longer-lasting lives. We focus on work, life, and family balance, with no on-call duties as after-hours emergencies are referred to a local ER. Your day-to-day will include; well and non-well case work-ups, spay/neuters, dentistry, appointments, and general practice. Please email leah.smith@nva.com.

Leader Heights Animal Hospital | Full Time / York, Pennsylvania

Leader Heights Animal Hospital located in York, the heart of South Central classified ads continued from page 37

Pennsylvania, is hiring a passionate and self-motivated Associate Veterinarian to join their growing practice. As an Associate Veterinarian at Leader Heights Animal Hospital you will have the opportunity to enjoy a 4-day work week, with Sundays off and every other Saturday (until noon). Leader Heights is most proud of their commitment to a work-life balance, by allowing doctors to make their own schedules and respecting what areas of medicine the doctors are most interested in practicing. Please email leah.smith@nva.com.

Greenfield Veterinary Hospital | Full Time / Pittsburgh, Pennsylvania

Small animal DVM wanted for private practice – new grads and less experienced DVMs welcomed! Generous base salary, can discuss the option of production bonuses. Our benefits package includes options for health, dental, vision and supplemental insurance, CE, PTO, Simple IRA with company match, professional membership dues, licensing, etc. Full time associates will work 4 days per week with rotating Saturdays. Ideal candidate is someone with strong communication skills, sound knowledge of canine and feline medicine and surgery, a robust work ethic and a tortile sense of humor. Please call Carey at 412-422-7755 and/or email info@greenfieldvethospital.net.

Lancaster County Career & Technology Veterinary Technology Program | Full Time / Willow Street, Pennsylvania

The Lancaster County Career and Technology Center has an anticipated vacancy for an Attending Veterinarian at the Willow Street Campus beginning with the 2023-24 school year. The Attending Veterinarian is responsible for the wellbeing and clinical care of animals used for teaching in the Veterinary Technology Program. This responsibility extends to monitoring and promoting animal wellbeing at all times during animal use, and during all phases of the animal’s life. The program of veterinary care will uphold the highest standards of care and ethics. The veterinarian will be involved in the teaching curriculum of the veterinary technology program. Please call Jodi Schuler, Human Resources Manager, Lancaster County Career & Technology Center. Phone: 717.464.7050 ext. 3139

practices/equipment for sale

Canisteo, Steuben County, NY

It is almost my time to retire. There has been a practicing veterinarian in the village of Canisteo, Steuben County, NY, for 100 years. Come and be the next one! Don’t let the tradition end!! Purchase just the real estate and equipment. This is a THRIVING one, with the potential for two, veterinarian small animal practice. Sadly, new clients are turned away daily. 2021 gross was 750K. Contact Dr. Grant Seaman at 607-769-5319.

Cherry Hill, NJ

Continental X-ray 100kv 100ma.

Lead Apron x2, Glove x2. Shore Line Stainless liftable, tiltable surgery table.

Hydraulic Stainless lift examine table with weight scaler.

Shore Line stainless steel cage 28”D 30”W 30”H, Metal cage 28”D 22”W 28”H x 3 34”W x2.

Fugi Film FCR Prima.

Please call Young 856-979-7890 or email ykimdvm@gmail.com.

Thompson, PA

Free Veterinary Reference Books including small animal, large animal, and laboratory animal. Local pickup/delivery only (100mile radius) or recipient can pay for shipping. Please email Laurie at lormargian39@gmail.com.

Penn Hills, PA

Excellent opportunity for someone interested in a one-doctor practice situated in eastern suburb of Pittsburgh. For sale is a 4 acre property, a 4 bedroom 2 1/2 bath house with separate small office on a welltraveled road. Doctor works 32-35 hour week with a gross of $380k. Gross revenue could easily be increased as our prices for some services are low and increased hours and diagnostics would also contribute. Property is for outright sale. Practice sale can be negotiated separately. Email for more info/pics. Priced to sell! Please email Puttens-kippies@verizon.net.

Kennett Square, PA

Hardly used dental scaler and cartmounted dental unit: basic high-speed, low-speed, water/air flush syringe. May require some refurbishing. FREE. Like new Wall mounted non-folding peninsula SS exam table. Reasonable offers considered.

Like new Vanguard 4 objective lab microscope. Reasonable offers considered. Like new Vet Tec lift table with scale. $1,500.

Please email gyro_vet@verizon.net.

relief vETERINARIANS

Erin K Murphy, DVM

Berks, Lancaster, Lebanon, Lehigh, and Schuylkill Counties

Outgoing, energetic, and professional veterinarian in search of small animal practices where I can utilize my 24 years of clinical experience. I enjoy surgery, internal medicine, dermatology, wellness visits, and participating with the human-animal bond. Excellent communication skills, active listener, compassionate, and empathetic. Email ekhj07@gmail.com.

Michael Reese, VMD, MS

Berks, Bucks, Chester, Delaware, Lancaster, Lehigh, Montgomery, and Philadelphia Counties

Small animal veterinarian practicing in Philadelphia and the surrounding region. 13 years’ experience working in hospitals in Philadelphia and the surrounding suburbs. I am knowledgeable, efficient, and personable, and I enjoy and highly value client education. I am also flexible and readily able to adapt to various hospitals’ protocols and procedures. Please let me know if I can be of help in providing short- or long-term relief services to your practice. Thank you! Email reeseveterinary@gmail.com.

Jacqueline Burke, VMD

Berks, Bucks, Chester, Delaware, Lackawanna, Lancaster, Monroe, Montgomery, Philadelphia

1987 Penn honors grad seeks relief work within 30-60 minutes of the QuakertownPottstown area. Fast and proficient in surgery. Very dependable, professional appearance and manner. See website at jacquelineburkevmd.com. Call 610-7541155 or email at jacquib1018@gmail.com.