2014 July-Aug WA Veterinarian Magazine by Washington State Veterinary Medical Association

July/Aug 2014 Volume 8 • Issue 4

PUBLISHED BY WSVMA: BECAUSE BEING A VETERINARIAN IS MORE THAN JUST A PROFESSION. WSVMA.ORG

2 4 6 9

ON POINT More on preventive plans.

PRESIDENT’S MESSAGE WSVMA in action.

NEWSWIRE The latest veterinary news in Washington State.

THE DECLAW ISSUE Comments from your colleagues.

Cover Story

PACIFIC NORTHWEST VETERINARY CONFERENCE PREVIEW & REGISTRATION A sneak peak to this year’s annual conference.

31 32

RELIEF VETS In-state directory of available relief veterinarians.

CLASSIFIEDS Careers & practice listings.

July/August 2014 • Volume 8 • Issue 4

I recently had the opportunity to sit in on a webinar presented by Darren Osborne on the benefits of offering preventive plans. Darren is the Director of Economic Research for the Ontario Veterinary Medical Association and has over 20 years of experience in veterinary economics. During the webinar, Darren presented case studies on practices that offered preventive plans, including how they are structured and what their success rate is. As you know, preventive plans are being promoted by the profession as a way for practices to provide clients with another payment option while increasing care for pets and growing practice revenue. Many veterinary practices express hesitancy about offering preventive plans. There can be several variables when building them, such as how many different plans to offer, whether to build in discounts, how to treat production pay, what happens when clients move, etc. But when considering whether to offer monthly payment plans, there was one thing that Darren said cannot be understated. When the veterinarian lays out the treatment plan and resulting charges, clients can instantly feel stress and anxiety and may cease to hear anything further that’s being said to them. At that point, the client has entered into a financial crisis. Furthermore, when the client isn’t offered options to help them pay for the treatment, a real disconnect can occur between them and their veterinarian. In the Bayer-Brakke Study, 49% of pet owners listed monthly payment plans as something that was most likely to increase visits to their veterinarian. In a recent survey, Darren reported that 22% of pet owners expected to have the option to make payments. When asked how much they would be willing to pay for a wellness program, 51% indicated a willingness to pay between $20 and $50 month. That translates into 50% of those surveyed are interested in an option to make payments for their pet’s care. After all, everyone understands installment plans; they ease the burden for those that don’t have a lot of disposable income and eliminate price as being a factor over whether or not to do a procedure. In Darren’s case studies, clinics who offered preventive plans also reported an increase in repeat visits, which led to pet owners purchasing additional services and products for their pet, resulting in added revenue to the practice. As the profession deals with the increased cost of doing business and the effects of a sluggish economy, finding new ways to provide payment options, whether through a credit card plan, pet insurance or practice preventive plans, can help build clientele. Those looking for information on how to build these plans can learn more at WSVMA’s Pacific Northwest Veterinary Conference this fall. We have an amazing lineup of speakers and topics for all members of the practice team, so please check out the offerings in the conference registration information included in this issue. I hope to see you there.

Sincerely,

A Washington State Veterinary Medical Association Publication

Editorial & Publications Committee Dr. Richard DeBowes Dr. John Cannon Dr. Angela Lehman Dr. Jim McCutchan Dr. Donna Mensching Lexi Scott Dr. Debora Wallingford Dr. Saundra Willis

Editorial Comments & Contributions Please send all comments and/or contributions to:

Washington Veterinarian Magazine 8024 Bracken Place SE Snoqualmie, WA 98065 Tel (425) 396-3191 Toll Free (800) 399-7862 Fax (425) 396-3192 info@wsvma.org Editorial comments and contributions must be received no later than the first day of the month prior to publication. Publication months are January, March, May, July, September, and November each year.

Advertising

Please refer to the Classifieds Section for classified advertising details, rates, and deadlines. For commercial advertising rates and deadlines, please contact the WSVMA office at (425) 396-3191 or info@wsvma.org

Layout & Design Chris O’Toole chris@breightly.com breightly.com

WSVMA Executive Board Executive Vice President Candace Joy

Officers: President

Jocelyn Woodd, DVM

President-Elect Erin Hicks, DVM

First Vice President Lisa Parshley, DVM

Past President

James McCutchan, DVM

Michael Anderson, DVM Paul DeMaris, DVM

Snohomish

Region I Region II Region III

Katherine Hickey, DVM

Region IV

Maurine Fritch, DVM

Region V

Stephen Ruark, DVM

RegionVI Region VII Region VIII

Diana Thomé, DVM

Region IX

Diane Pinkers, DVM

Companion Animal Practice

Chantal Rothschild, DVM Robert Holt, DVM

Equine Practice Production Animal Practice

Tamara Walker, DVM

Specialty Practice

William Dernell, DVM

College of Veterinary Medicine

Nashua Compton

Student Representative

AVMA Thomas Meyer, DVM Kim Nicholas, DVM Saundra Willis, DVM

w a s h i ngton ve te ri nari an

Olympia

David Gill, DVM

Michael Burdette, DVM

Lakewood

Executive Board:

Brian Toncray, DVM

Candace Joy is the Executive Vice President of the Washington State Veterinary Medical Association. She can be reached at candacejoy@wsvma.org

Spokane

Exec. Board, Dist. XI Rep. Delegate Alternate Delegate

Strength since 1962

Solutions for your practice Business Property/Liability • Data Breach, Cyber Liability • Flood • Umbrella Liability • Commercial Auto • Employment Practices Liability Solutions for your livelihood Professional Liability • Veterinary License Defense • Professional Extension (Animal Bailee) • Embryo and Semen Transfer Services Coverage • Safety and Risk Management Resources Solutions for your home Personal Auto • Homeowners • Renters • Excess Liability

Call 855.228.PLIT (7548) today for an evaluation of your insurance portfolio and a free premium quotation. Trust Broker and Administrator:

HUB International Midwest Limited

WSVMA Corporate Member

www.avmaplit.com

Make a name for yourself! Join thousands of Pet Care Professionals who are using Campbell Pet Company’s Personalized leashes to increase referrals, add clients and generate more income! These ultra-sturdy nylon leashes measure 9/16" x 4' and are available in 15 colors. Order online or by phone.

www.campbellpet.com • (800) 228-6364

Navigating ChangeAVMA Leadership Conference

Presidentâ&#x20AC;&#x2122;s Message By Jocelyn Woodd, DVM, WSVMA President

So far, 2014 has been an interesting year. The controversial Winter Olympics were held in Sochi, Russia and many nations together mourned the disappearance of a Boeing 777 and the 239 people on board. We have seen hardship and suffering in Syria, and the 2014 World Cup in Brazil. In our very own state, we watched as a mudslide devastated and displaced so many families in Oso, Washington. 2014 has been full of ups and downs, but it has also brought us together. The WSVMA is a community of over 1,600 veterinarians and students from various parts of the state. Each and every member has something unique to contribute to the success of the association, whether it is drawn from their past experiences or personal insights. Together, the association has built the pathway that will lead veterinary medicine in Washington State to new achievements. Veterinary medicine is a constantly evolving field, and the WSVMA aims to keep up with the continuous changes by offering its members a vast range of benefits. One of the main responsibilities of the WSVMA is its role in advocating for veterinarians and veterinary medicine across the state. From monitoring legal issues to lobbying rules and regulations in Olympia, the WSVMA truly works to give veterinarians a voice when it comes to policy that has the potential to affect their profession. Currently, King county is attempting to require veterinary practices to report to humane societies all rabies vaccinations given to patients. This would allow them to see which clients have not had their pets licensed, and to ask them to do so. While this is a great way to increase licensing, it puts veterinarians in an uncomfortable position. We are advocating for veterinarians by challenging the ethics of this proposed law as well as its impacts on veterinary practices. This year, our annual conference will be called the Pacific Northwest Veterinary Conference, and will be held this September in Yakima. We are currently looking for new locations to hold the conference in future years, and are excited to see what the new and improved conference will entail. In May, the WSVMA held a Feline Focus CE, at Renton Technical College.

w a s h i ngton ve te ri nari an

WSVMA membership includes a long list of extensive benefits. We have a career center to help veterinarians in finding employment or hiring. Veterinary law can be complicated and confusing, but the WSVMA has a multitude of information regarding issues such as record keeping and hazardous waste disposal. In my experience as a practice owner, the WSVMAâ&#x20AC;&#x2122;s guide to veterinary law has been extremely helpful. In addition, the WSVMA also provides a weekly electronic newsletter to keep veterinarians informed on the prominent current issues. We also educate clients on the importance of spaying or neutering their animals, as well as other factors contributing to the overall wellbeing of their pets. Veterinarians, clients, and their beloved pets are of the highest importance to the WSVMA, and we always intend to provide the resources required to make Washington State veterinary medicine the best it can be.

Dermatology Clinic for Animals Dr. Kimberly Coyner, DVM Diplomate, American College of Veterinary Dermatology (253) 596-5093

Two Convenient Locations 5608 South Durango St. Tacoma, WA 98409 DermVetTacoma.com

115 Eastside St. NE Olympia, WA 98506 DermVetOlympia.com

Give your practice a shot in the arm. Learn how offering preventive care plans can help improve your bottom line. You’re invited to meet with Cori Gross, DVM about preventive care plans and their revenue potential for your practice. Come visit Dr. Gross at the Pacific Northwest Veterinary Conference. Can’t wait? Contact Dr. Gross to find out where she’ll be speaking next. (714) 512-0910 cgross@petinsurance.com

www.VPIPAWS.com

Insurance plans are offered and administered by Veterinary Pet Insurance Company in California and DVM Insurance Agency in all other states. Underwritten by Veterinary Pet Insurance Company (CA), Brea, CA, an A.M. Best A rated company (2012); National Casualty Company (all other states), Madison, WI, an A.M. Best A+ rated company (2012). ©2014 Veterinary Pet Insurance Company. Veterinary Pet Insurance, VPI, VPI P&WS logo, and the VPI logo are service marks of Veterinary Pet Insurance Company. Nationwide Insurance is a service mark of Nationwide Mutual Insurance Company. 14B2B2808

2808_WSVMA Ad.indd 1

Neurology & Neurosurgery Exceptional Medicine | Compassionate Care | Peace of Mind Beyond Expectations.

Dr. Sean Sanders, DVM, PhD, Diplomate ACVIM (Neurology) 24-hr specialty | emergency | critical care | www.SVSVET.com

5/2/14 9:50 AM

September 30, 2014. The purpose of the survey is to determine the mental health needs of U.S. veterinarians and the need for veterinary wellness programs. The WSVMA will send the survey to all WA veterinarians. All responses will be completely anonymous.

White Coat donations for Class of 2018 This year’s White Coat ceremony will take place August 21, 2014 at Washington State University’s College of Veterinary Medicine. Each first-year veterinary student will be introduced and presented with a white lab coat with his/her name and the WSVMA logo embroidered on the coat. We need your help to make the 2014 White Coat Ceremony a success. You can sponsor a specific student or make a general donation. You also have the option of sponsoring a student from your local area. Complete the form enclosed in this issue and submit to the WSVMA office.

Veterinary Newswire The Latest Veterinary News in Washington State

Health Alert: Coccidioides (“Valley Fever” agent) found in soil in Washington State; three human illnesses reported Three human cases of coccidioidomycosis (“Valley Fever”) were suspected of being locally acquired due to a lack of recent travel. One case each in Benton, Franklin and Walla Walla counties led to a disease investigation which found that soil in the area was likely the source of the illnesses. Interviews with two of three case-patients identified probable exposure locations in Benton County. Soil samples were collected to test for Coccidioides (the fungus that causes Valley Fever) and samples from two sites tested positive. This is the first time that Coccidioides has been detected in soil in Washington. Further testing indicated that DNA from the soil isolates matched DNA from a clinical isolate from one of the case-patients. The state Department of Health (DOH) is increasing surveillance for coccidioidomycosis in an effort to identify other locallyacquired infections and plans to continue soil testing. Veterinarians should be aware of these findings and should consider coccidioidomycosis (Valley Fever) in their patients with clinically compatible illnesses, especially those that live within, have traveled to or spent time in the described area of eastern-central Washington. A recent review of pathology reports (2001 – 2010) by Washington Animal Disease Diagnostic Laboratory (WADDL) noted a few domestic animal cases suspected of being acquired in Washington. DOH is asking that all suspected locally acquired cases of coccidioidomycosis statewide be reported directly to Dr. Ron

Wohrle, under the rare disease of public health significance category. For reporting, additional information, or questions, please contact Dr. Ron Wohrle of DOH’s Zoonotic and Vector-Borne Diseases Program at ron.wohrle@doh.wa.gov or (360) 236-3369.

Enhanced WSVMA website calls for members to reset password The WSVMA website, wsvma.org, has been upgraded to a new platform that will provide members a greater user experience. With this transition, members will need to log on to access members-only information within this site. Your current password has been reset to the default wsvma123. You can change your password by logging on and going to “Manage Profile” and then “Edit Bio.” Please visit the new website today to see the changes. Should you have difficulty or questions about the login process, please email us at info@wsvma.org or call (800) 399-7862 or (425) 396-3191.

Survey to assess suicide risk and mental health needs in veterinarians Veterinarians are at substantially higher risk for suicide compared with the general population. To assess the prevalence of U.S. veterinarians who recently experienced serious mental illness or contemplated suicide, the National Association for State Public Health Veterinarians (NASPHV) is partnering with Auburn University, the Centers for Disease Control and Prevention (CDC), and other partners to conduct a nationwide survey of veterinarians beginning July 1, 2014 and ending

w a s h i ngton ve te ri nari an

2014 Auction to beneﬁt the WSVMA Past Presidents’ Student Scholarship Fund You’re invited to attend and donate to the WSVMA Silent Auction on Friday, September 26 in conjunction with the Pacific Northwest Veterinary Conference in Yakima. The goal of the auction is to raise money for the WSVMA Past Presidents’ Student Scholarship Fund. Each year, the Fund awards one or more scholarships to deserving veterinary students. This year, the auction will have a “Gourmet Gift Basket” theme. Use your imagination to create a truly unique basket filled with items such as fine wine, locally made brews, decadent edibles, cookbooks, high tea offerings, certificates for restaurants, cooking classes, brew pub tours, or other related items. Use your imagination! To make a donation, use the donation form included in this issue.

Member News and Moves The American Veterinary Medical Association (AVMA) announced last month that WSVMA past president Dr. Carrie La Jeunesse will serve in the 2014-2015 AVMA Congressional Fellowship Program. She will serve for one year in Washington, D.C. as a scientific advisor to members of Congress where she will help to shape legislation and regulations that affect animal and public health. Dr. Sandy Willis was selected to serve on AVMA’s Governance Performance Review Committee (GPRC) for a three-year term. The GPRC is tasked with performance evaluations of AVMA entities.

For All Your Financing Needs

• • • •

Purchase new or expand and existing practice Finance equipment or tenant improvements Real Estate Financing Business and Personal Lines of Credit

Kitsap Bank has been named a Preferred Lender by the U.S. Small Business Administration.

Contact your local experts!

Paul Sabado Senior Vice President SBA Manager 425-455-9300

Mina Lee Vice President SBA Officer 425-455-9300

www.kitsapbank.com • 800-283-5537

JOIN US IN

RENOTAHOE AT

october

8–12

PEPPERMILL RESORT, SPA, CASINO

O G O B 1/2 PRICE! Buy one full conference registration and you will receive the second registration at

Registrations must be processed at the same time. Discount applies to the lesser value registration.

For more information or to register for the

2014 Wild West Veterinary Conference please visit:

www.WildWestVC.com email info@wildwestvc.com

or call 1-877-978-7084

FLEAS BEWARE:

A fast-acting, monthly topical solution for the prevention and treatment of flea infestations on cats.

• Starts killing fleas in 30 minutes1 • Killed 100% of fleas in 12 hours in a controlled study1 • ≥ 99% efficacy for a full month2 • One size for all cats and kittens 8 weeks or older, 1.8 lbs and greater

• Member of the Elanco spinosyn parasiticide family

CHER032337 Half Page Trade Ad_8x5.13.indd 1

Elanco study B6FUS120002 2Elanco study GN5US120009

5/1/14 10:26 AM

COMMENTS FROM YOUR COLLEAGUES

THE DECLAW ISSUE Last fall, the WSVMA Executive Board approved forming a task force in response to rumors of an eďŹ&#x20AC;ort to ban declawing in the state of Washington through the ballot initiative process. The initial purpose of the task force was to research member attitudes about declawing, determine how often the procedure is performed, and what postsurgical outcomes their patients are experiencing. Once membersâ&#x20AC;&#x2122; views were known, the WSVMA would be armed with information should a ballot initiative come to Washington. The Declaw Task Force, consisting of William Dernell, DVM, Erin Hicks, DVM, Gary Marshall, DVM, Timarie Simmons, DVM, Craig Smith, DVM, and Jocelyn Woodd, DVM, met via numerous conference calls during the winter of 2013-14. Instead of developing a position statement, which was discussed early on, it was decided to assemble a set of resources for interested practitioners to access about the procedure, including research summaries and a fact sheet. A survey of veterinarians would also be conducted as a means to include as many voices in the conversation as possible.

july /august 2 0 1 4

The resource team quickly learned that there has been very little research published specifically concerning feline declaw surgery, either from a scientific or ethical point of view. Even so, that team has assembled some very informative and useful documents that any practitioner (regardless of their viewpoint on the procedure) will find illuminating. This includes a comprehensive review of all published literature, detailed summaries of all reviewed articles, and a Fact Sheet. The information will be available at the WSVMA website, and we highly recommend that everyone spend some time with it. The survey was designed for simplicity (with opportunities for respondents to provide individual comments) and was available online during February 2014. There were a total of 467 responses to the survey, and a PDF document that outlines all of the responses to each of the 12 questions (and some basic statistics) will be available online at the WSVMA website. A few questions provide interesting data. For instance, crossreferencing graduation year with whether or not respondents perform feline declaws generated the graph in Figure 1. Figure 2 is a representation of the responses to the question which

Figure 1:

asked,“If you perform declaws, which procedure do you utilize?” One hundred sixty-seven responses were generated to the question asking for reasons why respondents do not perform declaws. Although impossible to ascertain the precise reasoning behind each response, Figure 3 is a general representation of those responses. The question that asked which alternatives are offered listed a few standard options for respondents to choose from, but there were plenty more proffered, such as double-sided tape, Sticky Paws®, environmental enrichment, and better training for cat owners. (Please see page 16 of the PDF document.) Of the 467 completed surveys, 289 doctors wrote a final comment. These remarks were spread pretty evenly among the 64% of doctors that currently perform declaw surgery and the 58% of those that do not. Unsurprisingly, this portion of the survey was the most informative; many veterinarians were very forthright and vocal about their feelings and observations of feline declaws. These opinions were well written, thoughtful, and went a long way in providing the kind of discussion elements that simply cannot be found within the confines of a small committee.

Figure 2:

Laser & Scalpel 1% Not Performing

Performing

Laser 11%

Laser & Resco 1% Resco & Scalpel 8%

120

Number of Veterinarians

100

Scalpel 33%

60 Figure 3:

40 Alternatives Available 18 20

0 Pre 1970

19701979

19801989

19901999

20002009

20102014

Decade of Graduation

w a s h i ngton ve te ri nari an

Painful / Inhumane 56

Not offered / Lack Experience 87

Resco 46%

In connection with the charts above, these doctors commented on why they perform (or do not perform) the procedure: “We make every attempt to educate yet dissaude clients from declawing. I do not like to perform the procedure but would rather do it (right) for our patients/clients than have them go elsewhere because I practice good surgical technique and use proper pain medications post-op!” “Before becoming a vet I thought I would not declaw. My opinion changed when I understood the problem of homeless feral cats. I would rather declaw a cat than have it become homeless. I do have very frank discussions with owners that request it and often they opt to not do it once they realize that it is an amputation of the toes. I do not refuse to do the procedure if they still want it but I make sure they have all info available.” “I have never done declaws because I don’t believe it’s in the best interest of the cat. I did not prohibit my associate from doing so, until she decided she was not willing to risk complications.” “I do not believe they are necessary. I am opposed to the procedure. I do not perform ear cropping or tail docking surgeries either.”

The themes voiced in the following two comments were identified by numerous colleagues: “I think that declawing is a doctor-patient issue and not a professional association position determination. There are many reasons to declaw a cat and that is to be discussed and decided by the doctor in each case. To make a formal position statement jeopardizes that decision and may put veterinarians in a situation that puts them at risk. Keep surgery and practice decisions in the doctor and patients hands. There are safe procedures and post-op medications available for all surgery cases. Do we force our clients to put the cat outside when alternatives don’t work and thus really endanger the cat or do a safe procedure which will enable the cat to be inside?” “...should be left up to the discretion of the doctor even if I strongly stand against this surgery.”

Another concept that was repeatedly identified revolved around the potential for legislative involvement in our profession: “Outlawing the procedure is probably a step too far. But educating clinic staff - front office, LVTs, assistants - would lead to more informed clients and hopefully fewer of these procedures.”

“Declawing should never be offered as a routine procedure, but reserved for those instances when other methods of avoiding household damage due to scratching have been excluded for other reasons. My opinion is that the OPTION to have indoor cats declawed should NOT be taken away from practitioners by any legislative process. This is a medical, not ethical, decision.” “I think there are certain circumstances where this is a reasonable procedure to consider but I do not support routine declawing. I would like the decision to be up to the veterinarian, rather than a legislated one and that providing client education and alternatives is an important aspect of this procedure.”

Plenty of doctors commented on various aspects of the actual performance of the procedure, either methodology, ethnicity, potential for complications, pain management, or simply being willing to listen to a client’s genuine concerns: “I think we need to discuss all options (pros and cons) with clients with the idea of helping them avoid declawing their cat when possible but if it doesn’t work or they can’t or don’t want to pursue nonsurgical options then we, as a profession, should not judge or guilt them regarding their choice. The procedure, when done properly, has from no to limited discomfort (particularly with todays pain control options) and rarely has complications. The alternative in many situations is clients then are compelled to let their cat outdoors which has much more significant health risks (dogs/cars/disease) as documented by the significantly shortened lifespans of cats with outdoor exposure . Many in our profession seem to respond to this issue from a emotional bias based on worst case scenarios that occur incredibly infrequently.” “Those against declawing who are stating that chronic pain and lameness are common issues, should direct their attention to the doctors involved, not the procedure. Done correctly the problem rate I have experienced is less than 1% and the client does not have to protect the animal any more than is common sense. The cats can still climb trees and fences to avoid dogs etc. Stopping declawing will lead to many cats being banned to the outdoors, given away or just abandoned, not in the best interest of the patient.” “I try not to declaw and warn my clients it sometimes increases biting behavior, but there are quite a few cats that have homes because I declawed them. There has to be a balance.” “Analgesia is the biggest thing to address - the cheap clinics don’t use any or nearly enough. Lasers are overkill. It is a procedure

that should be done infrequently, but when done should be correct and with appropriate analgesia.”

One aspect that some Task Force members found to be very encouraging was evidence that some veterinarians had made the effort to develop a relationship with their local colleagues, and they knew where to refer a patient so that the procedure would be performed by a trusted fellow doctor, rather than someone the primary provider was unfamiliar with. In this fashion, client relationships can be preserved and enhanced, rather than developing into a confrontation or a guilt-trip discussion of how best to care for one’s pet. In this modern day world of perceived competition, it was refreshing to read these: “My colleagues do (using the laser) and I am very impressed with the pain control and minimal complications I have seen. I personally don’t like doing declaws because it trips on my own personal ethics and I - quite frankly - don’t do enough of them to do them well. I would rather have our declaws be done by the doctors who do them well and have an excellent outcome with them.” “Not in keeping with my philosophy. I think there may occasionally be cases in which it is best (e.g. immunocompromised owner who might otherwise need to relinquish their pet). In such cases I would prefer that there be a few excellent surgeons who perform the most efficient & high quality procedure possible for this select need.”

A handful of comments mentioned that the respondents have observed changes over time in the client population as well: “I do find that the number of declaw surgeries I perform has decreased tremendously since I graduated in 1980. I may perform 1 or 2 a year if that. People are more cognizant of other options and willing to try them.” “Over the past several years I have noticed a significant decline in the number of requests for feline declaws. Clients that do inquire about declaws are generally pleased that there are other options. Education as well as continued communication and support for the client usually address and resolve the issues that prompted the initial inquiry about declawing.”

july /august 2 0 1 4

We believe that this survey indicates that the veterinary professionals in the state of Washington are overall a thoughtful and insightful group of individuals. There is clear evidence that our colleagues are indeed concerned about their patients, and are working very hard to serve their clients.

The big question remains: “Where do we go from here?” We believe that this subject is not going away.

It is our belief that at some point in the near future, this topic will be thoroughly discussed in the local popular media, in one format or another. As everyone knows, there is a definite wave of strong opposition to this (and other procedures) in certain pockets of the general public.

Graphs courtesy of Grace Marshall, 2015 candidate for BS in Public Health from Johns Hopkins University.

Prepared and submitted by members of the Declaw Task Force Contact the WSVMA for more information.

Please note that all quoted comments are un-edited except for minor copy edits.

We hope that the results of this survey and the resources provided for research and reading will stimulate more conversation and help all veterinarians in the state of Washington (and possibly across the nation) to prepare for conversations wherein others may purposefully attempt to make us uncomfortable, or even try to introduce unnecessary oversight into our work.

FINAL THOUGHT I wouldn’t mind if I never performed another declaw procedure. I’ve done two so far this year. I will probably do one or two more before 2014 is over. Last year, I was asked to participate on the WSVMA Declaw Task Force, and felt obligated to serve. I certainly prefer to fly under the radar whenever possible, but hate to decline the opportunity to give back when the WSVMA calls. We all benefit so much from the work they do on our behalf. Serving with this group has caused me to examine my own policies a bit more closely. Now that I find myself in my twenty-fifth year of clinical practice, I feel compelled to share some of my thoughts with our veterinary community. I in no way want to give the impression that my personal conclusions and views are a better way, or the only way. They are only meant to share what one colleague is struggling with, and maybe start a little dialogue about this important topic. At my single doctor, feline-only clinic, we do not encourage this procedure, and my entire staff works hard to educate clients about options to prevent the need for having this done. Today we need to consider multiple variables when dancing around whether to perform this surgery or not. The reasons vary from case to case, and include public opinion, staff concerns, client retention, and most importantly patient safety, stress and pain control. We do have one crucial standard that must be met before I will consent to schedule this surgery. The client has to convince me that everyone will be happier if this procedure is done, including the cat. Can clients beat this system? Sure. Some know that if they play the “my tiny children are getting scratched” card, it’s hard to say no with the potential for human injury liability lurking in the wings. But if they do that, and it’s not a true issue, then it’s on them, and they know where I stand. Do I call some clients out on this if I think they are embellishing? Yes, I do. Have I ever refused to operate? Certainly. But, here is where I would like to share a confession. If I feel a client is so set on getting this done, that they will find another clinic to do it (should I refuse), I will often consent to doing the surgery. And the reason I do this is really hard for me to put down in words, and I hope you don’t quit reading this after I share it. It is because I, along with the care and expertise of my staff, do a damn good job at it! I can’t believe I wrote that. If you know me, you know that this “surgeon’s bravado” is not a recognizable component of my personality. But in this situation, I believe with all my heart that it is true. And the only reason that I put this out there is because of a few vocal veterinarians, individuals in the general public, and subsequently some politicians, that are fervently set on legally banning this procedure. I am so proud of our profession for how we historically craft preventive and therapeutic plans for our individual patients and our individual clients. I really do believe that we all have our patients’ best interests at heart. I would prefer if we had more control, instead of less, when it comes to how we decide to take care of clients that come to us freely, and the pets that they trust us with. I would prefer that we decide how we want care to be regulated, instead of it being decided by those who have never performed said procedures, or by those who have no veterinary medical experience at all for that matter. That being said, if we continue to have the freedom to do as we see fit between veterinarians and our clients, we should do what it takes to be the very best at it for the sake of our patients. I would really be pleased if I never heard another horror story about a poor outcome from a declaw procedure. I really do believe that pain can be controlled, and that proper function can be maintained. And if you believe this too, and have similar outcomes with your patients, please let me know. So when the next client calls and asks about declawing, I’ll be able to send them to you. As I said before, I really wouldn’t mind if I never performed another declaw procedure.

Gary Marshall, DVM Owner of Island Cats Veterinary Hospital Mercer Island, WA drgarym@islandcatsvet.com.

w a s h i ngton ve te ri nari an

KEEPING PETS HEALTHY WITH EVERY SWIPE. Low Credit Card Processing Rates. Local Customer Service. Discounts for WSVMA Members.

With every transaction Bancard USA donates a portion of its proceeds towards improving continuing education for Washington state veterinarians.

BANCARD USA (253) 261-6800

HAPPY PET. HAPPY VET. Trupanion helps provide a financial bridge between the medicine you want to practice and the treatment pet owners can afford. It’s pet insurance that really works. We don’t tell you how much to charge or tell pet owners what they can spend.

PUT TRUPANION TO WORK FOR YOU - 877.589.1862 or TRUPANION.COM Trupanion is a registered trademark owned by Trupanion, Inc. Underwritten by American Pet Insurance Co. (USA) and Omega General Insurance Co. (Canada).

VetConf-8x5.13.indd 1

6/24/14 10:45 AM

It’s a soft chew. Kills both fleas and ticks. It’s prescription only.

NexGardTM (afoxolaner) is the protection you asked for, and patients will beg for. NexGard is FDA-approved to kill fleas, prevent flea infestations, and kill the American dog tick. NexGard is available only with a veterinarian’s prescription, and features anti-diversion technology monitored by Pinkerton® Consulting & Investigations.

®FRONTLINE is a registered trademark, and TMNexGard and FRONTLINE VET LABS are trademarks, of Merial. ®PINKERTON is a registered trademark of Pinkerton Service Corporation. ©2014 Merial Limited, Duluth, GA. All rights reserved. NEX14TRADEAD (01/14).

IMPORTANT SAFETY INFORMATION: For use in dogs only. The most common adverse reaction is vomiting. Other adverse reactions reported are dry/flaky skin, diarrhea, lethargy, and anorexia. 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.

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-dihydro-5-(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 American Dog tick (Dermacentor variabilis) infestations in dogs and puppies 8 weeks of age and older, weighing 4 pounds of body weight or greater, for one month. 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

Afoxolaner Per Chewable (mg)

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.

Precautions: The safe use of NEXGARD in breeding, pregnant or lactating dogs has not been evaluated. Use with caution in dogs with a history of seizures (see Adverse Reactions). 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

Chewables 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 year-round, 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.

Oral active control

% (n=415)

% (n=200)

Vomiting (with and without blood)

4.1

12.5

Dry/Flaky Skin

3.1

1.0

Diarrhea (with and without blood)

3.1

3.5

Lethargy

1.7

2.0

Anorexia

1.2

4.5

Number of dogs in the afoxolaner treatment group with the identified abnormality. 2 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 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. To report suspected adverse events, for technical assistance or to obtain a copy of the MSDS, contact Merial at 1-888-637-4251 or www.merial.com/ nexgard. 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/ProductSafetyInformation. 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. 1

Effectiveness: In a well-controlled 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 two studies (one 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 48 hours post-infestation for 30 days. 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 3 or 6 beef-flavored chewables. NADA 141-406, Approved by FDA Marketed by: Frontline Vet Labs™, a Division of Merial Limited. Duluth, GA 30096-4640 USA Made in Brazil. 1050-4493-00 Rev. 7/2013

Internal Medicine. Inspired care. Our two board-certified internists, Dr. Beth Herman and Dr. Kelly McCord, provide exceptional medical care through integration of their skills, experience and effective communication with pet owners and primary care veterinarians. The internal medicine service is committed to supplying compassionate, specialized care and diagnostics for a wide variety of complicated cases. Internal Medicine appointments are available Monday through Saturday.

R TE

IC C

C TI

Y G O

For more information call: (253) 983-1114

Y G

or visit us at: www.summitvets.com Y G

Y ER

july /august 2 0 1 4

ACTIVITIES & EVENTS

9.25

9.26

EXECUTIVE BOARD MEETING

EXHIBITOR SCAVENGER HUNT

HOLIDAY INN DOWNTOWN YAKIMA

YAKIMA CONVENTION CENTER

The WSVMA Executive Board will conduct their quarterly meeting from 10:00 AM – 4:00 PM. Members are welcome and encouraged to attend Executive Board meetings and hear the discussions on issues of importance to Washington veterinarians.

Beginning at the first break on Friday and concluding at the last break on Saturday, there will be a “scavenger hunt” in the Exhibit Hall. Attendees will be given a bingo-style sheet of questions, one of which pertains to each exhibitor. The question could be product-driven or about personal interest. The goal is to find the exhibitor who matches each question. Those who match exhibitors to all of the questions are entered into a drawing for a chance to win great prizes! Drawings will take place on Saturday night.

Thursday

ALLIED MEETINGS TAKING PLACE DURING THE PACIFIC NORTHWEST VETERINARY CONFERENCE WSU COLLEGE OF VETERINARY MEDICINE PRECEPTOR PRACTITIONER RECEPTION SATURDAY, SEPTEMBER 27, 2014 AT 3:00 PM HOLIDAY INN DOWNTOWN YAKIMA CHRISTIAN VETERINARY MISSION FELLOWSHIP BREAKFAST SUNDAY, SEPTEMBER 28, 2014 FROM 7:00–8:30 AM HOLIDAY INN DOWNTOWN YAKIMA TO REGISTER, CONTACT KRISTA FORSETH AT KFORSETH@CVMUSA.ORG OR CALL (206) 289-7811

Friday

WSVMA PAST PRESIDENTS’ SCHOLARSHIP SILENT AUCTION YAKIMA CONVENTION CENTER Gourmet-themed gift baskets will be auctioned off in a silent auction to benefit WSU veterinary students. Use your imagination to both donate and bid on truly unique baskets filled with items such as fine wine, locally made brews, decadent edibles, cookbooks, high tea offerings, certificates for restaurants, cooking classes, brewery tours, or other related items. Use your imagination! Bring your donation – and your generosity – with you to the Conference. The auction opens at 12:00 PM and closes at 6:30 PM.

TODAY’S SPECIAL: STRATEGIC BOX LUNCH

HAPPY HOUR WITH FOOD & WINE PAIRINGS

YAKIMA CONVENTION CENTER

Grab your box lunch, set a spell, and hear the WSVMA’s exciting new Strategic Plan. You’ll hear about our strategic goals for the immediate and near future along with the objectives we’ll take to get there. We’ll unveil our new governance structure and plans to be a more nimble, efficient and strategic veterinary medical association poised to reach new heights for the entire veterinary professional community in Washington.

Wine before you dine! Join us from 5:00– 7:00 PM in the exhibit hall to visit with exhibitors, socialize with friends, bid on cool auction items, and sample fine Yakima area wine paired with delicious appetizers. Small pours and the opportunity to purchase additional wine may be offered. Family members are welcome!

Event included in Weekend Meal Pass.

9.27

Saturday

14TH ANNUAL FUN RUN SARG HUBBARD PARK Get your adrenalin pumping Saturday at 7:00 AM for the 14th annual 5K Fun Run/Walk and 10 Mile Bike with colleagues, family, friends and leashed dogs along the beautiful Yakima Greenway. The course will start at Sarg Hubbard Park. $10 donation benefits the WSVMA Past Presidents’ Scholarship Fund.

new hires. Dr. Rick DeBowes and WSU-VBMA board members will highlight how a WSU-VBMA certification will add value to the new graduate that you hire and, in turn, financial success to your practice!

Sponsored by Phoenix Central Laboratory

Event included in Weekend Meal Pass.

WSU COLLEGE OF VETERINARY MEDICINE RECEPTION WSVMA ANNUAL BUSINESS MEETING BREAKFAST YAKIMA CONVENTION CENTER Begin the day with a 7:30 AM breakfast and observe the WSVMA “changing of the guard.” Dr. Erin Hicks will be installed as WSVMA President and the annual budget will be ratified. Come and get the day off to a great start!

YAKIMA CONVENTION CENTER The WSU College of Veterinary Medicine hosts a reception for conference attendees at 6:00 PM at the Yakima Convention Center prior to the evening’s festivities. Relax with a beverage and visit with friends and colleagues before spending the evening at WSVMA’s Awards Banquet. Event included in Weekend Meal Pass.

Event included in Weekend Meal Pass.

WSVMA-VBMA NETWORKING LUNCHEON YAKIMA CONVENTION CENTER Enjoy a plated lunch at 12:00 PM and network with fellow practitioners and WSU/CVM students in the Veterinary Business Management Association (VBMA). This fun event will bring VBMA members together with veterinary practitioners in order to talk and dine while hearing about the VBMA and the valuable education that it provides. It will also be a great way for current veterinarians to share their knowledge and advice and interact with potential

WSVMA’S AWARDS BANQUET FEATURING SPECIAL GUEST TEMPLE GRANDIN, PhD YAKIMA CONVENTION CENTER Enjoy a delicious dinner at 7:00 PM and celebrate the stars of veterinary medicine in Washington State! Awards will be presented for Veterinarian of the Year, Distinguished Achievement, Distinguished Veterinary Staff, WSU Faculty, and Humane Animal Welfare. Current President Dr. Jocelyn Woodd will lead the celebration.

Following the awards presentation, the WSVMA is proud to present famous animal welfare expert Dr. Temple Grandin. Dr. Grandin is a professor of animal sciences at Colorado State University, a best-selling author, an autistism activist, and a consultant to the livestock industry on animal behavior. She has done extensive work on the design of handling facilities; half the cattle in the U.S. and Canada are handled in equipment she has designed for meat plants. Other professional activities include developing animal welfare guidelines for the meat industry and consulting with McDonalds, Wendy’s International, Burger King, and other companies on animal welfare. Dr. Grandin’s achievements are remarkable because she was diagnosed with autism as a child. At age two she had no speech and all the signs of severe autism. Fortunately, her mother defied the advice of the doctors and kept her out of an institution. Many hours of speech therapy, and intensive teaching enabled Temple to learn to speak. Mentored by her high school science teacher and her aunt on her ranch in Arizona motivated Dr. Grandin to study and pursue a career as a scientist and livestock equipment designer. Dr. Grandin has received numerous awards including the Meritorious Achievement Award from the Livestock Conservation Institute and the Lifetime Achievement Award from The National Cattlemen’s Beef Association. HBO made a movie about Dr. Grandin’s early life and career with the livestock industry. The movie received seven Emmy awards, a Golden Globe, and a Peabody Award. In 2011, Dr. Grandin was inducted into the Cowgirl Hall of Fame. This is a ticketed event.

july /august 2 0 1 4

SESSION BY TRACK

SMALL ANIMAL

SMALL ANIMAL ORTHOPEDIC WET LAB

SURGERY & REGENERATIVE MEDICINE

JEFF MAYO, DVM, DABVP

JEFF MAYO, DVM, DABVP FRIDAY, SEPTEMBER 26 Dr. Mayo’s sessions will predominantly cover surgical problems of the canine stifle. Different repair techniques will be presented from surgical to non-surgical treatment modalities including stem cell therapy and platelet rich plasma. SPONSORED BY: InGeneron, Inc; Jorgensen Laboratories

BEHAVIOR CHRISTOPHER PACHEL, DVM, DACVB

SATURDAY, SEPTEMBER 27 A hands-on laboratory will be oﬀered to supplement presentation material covering current techniques on lateral suture procedures. Participants will observe the procedure demonstrated by the instructor, then be guided through their own demonstration model in the classroom setting. Variations on suture attachment positions will be discussed and reviewed as it pertains to current isometric theories. Separate registration required. Veterinarians only. Space is limited. SPONSORED BY: InGeneron, Inc; Jorgensen Laboratories

FRIDAY, SEPTEMBER 26 Dr. Pachel’s sessions will cover topics including: body language of dog and cats, diagnosis and treatment of feline elimination disorders, introduction of new pets to a household, agerelated behavior changes of dogs and cats, feline intraspecific aggression, manifestations of gastrointestinal conditions on behavior, and conducting a risk assessment for canine and feline aggression cases.

RESPIRATORY MEDICINE LEAH COHN, DVM, MS, PhD, DACVIM

PARASITOLOGY ANDREW MOORHEAD, DVM, MS, PhD SUNDAY, SEPTEMBER 28 This block of lectures will encompass a review of the basics of diagnostics and parasite transmission, as well as examining new trends and topics. Special attention will be given to heartworm, intestinal parasites, and parasite prevention. SPONSORED BY: Merial

SATURDAY, SEPTEMBER 27 Dr. Cohn will cover topics including respiratory disease, simple but underused respiratory diagnostic techniques, understanding and diagnosing the most common causes of chronic nasal discharge in dogs, distinguishing cardiac from non-cardiac coughs, management of feline asthma, and challenging canine and feline respiratory cases. PARTIALLY SPONSORED BY: Shiraz Specialty Pharmacy

medication use on dairy farms. This program identifies potential risks (hazards) and provides the know-how and action plan to implement safeguards and management practices (critical control points), creating an achievable HACCP Hazards Analysis and Critical Control Points plan. Attendees will learn the six-step plan to proper drug use: 1. Veterinarian/Client/Patient Relationship (VCPR) – identifying the VCPR team; 2. Drug List – finding all drugs used and how they are used; 3. Protocols – developing protocols based on the farm and skill sets of employees; 4. SOPs – developing SOPs based on the farm and skill sets of employees; 5. Records – defining what needs to be recorded; and 6. Oversight – veterinary oversight to evaluate drug use, protocol/SOPs drift, and management/economic information Separate registration for this track is required for attendance. All attendees will receive a resource tool kit to use to implement the HACCP program on client farms. Veterinarians only. Space is limited. SPONSORED BY: Zoetis

KEEPING LIVESTOCK CALM DURING HANDLING TEMPLE GRANDIN, MS, PhD SATURDAY, SEPTEMBER 27

LARGE ANIMAL FOODARMOR™ HACCP FOR PROPER DRUG USE DAVE RHODA, DVM FRIDAY, SEPTEMBER 26 The Wisconsin Veterinary Medical Association’s FoodArmor™ HACCP for Proper Drug Use is a proven, six-step on-farm program to ensure food safety (of both meat and milk) and responsible

w a s h i ngton ve te ri nari an

Knowledge of behavioral signs of agitation will help prevent injuries when handling cattle and horses. Signs of agitation include eye white showing and tail swishing. People who handle animals that are not completely tame need to understand the animal flight zone.

DAIRY CATTLE NUTRITION ROBERT VAN SAUN, DVM, DACT, DACVN SATURDAY, SEPTEMBER 27 Dr. Van Saun’s descriptions will address current issues and feeding management strategies related to the transition cow and prevention of metabolic disease events. New research on fetal programming and perspectives on transition cow management will set the stage for detailed discussions on protein, mineral and vitamin nutrition and monitoring approaches in managing the transition dairy cow.

RULE CHANGES AFFECTING YOU AND YOUR CLIENTS PAUL KOHRS, DVM SUNDAY, SEPTEMBER 28 This session will consist of a presentation and discussion on proposed rulemaking changes that will affect your livestock producing clients as they import animals into Washington. Come with questions and insights.

VETERINARY ACCREDITATION TRAINING MODULES 4 & 8 THOMAS BRIGNOLE, DVM, MS SUNDAY, SEPTEMBER 28 Each presentation will fulfill the requirements for one of the training modules that qualify for renewal of veterinary accreditation. Module 8 will cover equine export certification, and Module 4 will cover biosecurity, PPE, and disinfectants. Examples will be presented and discussed. Those in attendance must sign in to receive credit for completion of accreditation modules.

EQUINE SURGERY AND LAMENESS

injuries. Therapies discussed will include common treatments as well as advanced therapies. Included will be an overview of the advancements in rehabilitation that exist for horses with musculoskeletal injuries.

RADIOLOGY KURT SELBERG, DVM, MS, DACVR FRIDAY, SEPTEMBER 26 SATURDAY, SEPTEMBER 27 Dr. Selberg’s sessions will cover conditions of the neck and back, clinical examples and radiography of the stifle, clinical case presentations and radiography of the foot and pastern, and diagnosing hind limb proximal suspensory disease. Dr. Selberg will also join Dr. Stephen O’Grady to discuss radiographs as they relate to farriery.

DIARRHEA IN ADULT HORSES SOU YOUNG KWON, DVM, PhD SUNDAY, SEPTEMBER 28 The causes of equine diarrhea can range from mild to life threatening. In adult horses, these causes include many factors from mild stress to severe intestinal infection. This talk will discuss causes of diarrhea in adult horses and options of treatments.

APPROACHES TO EQUINE FIELD EMERGENCIES ALOISIO BUENO, MV, MS, DACVS SUNDAY, SEPTEMBER 28 Diagnosis, assessment, stabilization and treatment of equine emergencies for the practitioner.

PODIATRY STEPHEN O’GRADY, DVM SATURDAY, SEPTEMBER 27 Dr. O’Grady will present information on the form and function of the equine foot as it relates to farriery, basic fundamentals of farriery with an emphasis on the trim and placement of the shoe, understanding and evaluating hoof capsule distortions, medical management of acute laminitis, the use and applications of the wooden shoe, and appropriate farriery for sheared heels.

HOW TO ULTRASOUND THE COLIC PATIENT FAIRFIELD BAIN, DVM, MBA, DACVIM, DACVP, DACVECC SUNDAY, SEPTEMBER 28 This presentation will provide the listener with a systematic approach to the use of ultrasound in evaluating the more problematic colic. Examples of a variety of cases will be included.

COMPLEMENTARY & ALTERNATIVE MEDICINE PROGRAM VETERINARY HOMEOPATHY & NATURAL DIETS FOR DOGS AND CATS JACQUELINE SEHN, DVM, VETMFHOM FRIDAY, SEPTEMBER 26 In her presentations, Dr. Sehn will cover basic concepts, fundamental techniques, benefits and pitfalls and practical applications of veterinary homeopathy. She will offer several strategies to integrate alternative treatment modalities into a small animal conventional practice with the goal of empowering the practitioner to expand his or her therapeutic toolbox. Dr. Sehn will also cover natural diets for dogs and cats, their benefits, pitfalls and risks. SPONSORED BY: Nature’s Variety

KATIE SEABAUGH, DVM, DACVS FRIDAY, SEPTEMBER 26 Dr. Seabaugh’s presentation will discuss therapies for osteoarthritis and soft tissue

july /august 2 0 1 4

COMMUNICATIONS

REGULATORY COMPLIANCE PHILIP J. SEIBERT, JR., CVT

LIVING THE DREAM…WHAT OUR VETERINARY PRACTICES CAN AND SHOULD BE RICHARD DEBOWES, DVM, MS, DACVS SATURDAY, SEPTEMBER 27 Companion animal clients have an overwhelming desire to have their pets live happy, healthy, pain-free lives. Veterinary health care teams play a huge role in bringing those desires to reality. While many veterinarians believe that clients come to them because of their prices, location, or hours of access, relatively few clients actually come for those reasons. Join Dr. DeBowes for an enlightening day that will help every member of the team better communicate, connect with clients, and develop greater self-understanding in order to lead practices to the next level. Come and explore how to position ourselves and our healthcare teams for enhanced professional success and practice outcomes. Together, we can move forward to help pets and their families live better, longer lives! SPONSORED BY: Ceva and Trupanion

PRACTICE MANAGEMENT ONLINE MARKETING & SOCIAL MEDIA KELLY BALTZELL, MA FRIDAY, SEPTEMBER 26 Online marketing expert Kelly Baltzell will spend the day on several aspects of online marketing including handling online reviews, developing effective websites, tracking data using Google Analytics, everything you need to know about online searches, understanding Facebook including advertising and accessing data to improve effectiveness, and using Pinterest to market your practice. SPONSORED BY: Veterinary Pet Insurance

SATURDAY, SEPTEMBER 27 Governmental regulations are a fact of life for a business owner and the rules often seem confusing. We’ll explain the rules as they apply to the veterinary practice and provide the most practical advice for complying. SPONSORED BY: Veterinary Pet Insurance

legally available in Washington State. Labeling of these products, particularly ‘medibles,’ with regard to content of individual cannabinoids and their physiological effects will be discussed. An update will be given on the associated changes in clinical presentation, testing, and treatment of marijuana toxicity in dogs, in particular.

MYTH BUSTERS – THE MONEY EDITION MACKENZIE MARTIN FRIDAY, SEPTEMBER 26

PARTNERS FOR HEALTHY PETS: GET UP AND RUNNING NOW CLARE REAGAN SUNDAY, SEPTEMBER 28 This program will consist of live, interactive presentations which will explore the six practical components within the Partners for Healthy Pets web-based toolbox including AAHA/AVMA Guidelines for Preventive Care for Dogs and Cats, the Opportunity Survey for staff and clients, communications, internet marketing and social media, the cat-friendly practice, and monthly payment preventive healthcare plans.

HOT TOPICS MARIJUANA AS A THERAPY: CLARIFYING THE PLETHORA OF INFORMATION AND MISINFORMATION

This session will focus on common myths many veterinarians believe to be true about financial planning, investments, debt and credit, insurance and retirement. Applicable for all career stages and ages, the focus will be on take-away strategies you can implement into your personal and business finances to improve your bottom line and increase your net worth.

PRACTICE VALUATIONS: HOW TO RAISE PRACTICE VALUE KARL SALZSIEDER, DVM, JD FRIDAY, SEPTEMBER 26 To live in retirement or give up retirement? Proper practice management and earnings dictate sale value to be proud of.

UNDERSTANDING WELLNESS/ PREVENTIVE PLANS KARL SALZSIEDER, DVM, JD

LISA PARSHLEY, DVM, PhD, DACVIM

FRIDAY, SEPTEMBER 26

Wellness Plans: Cash cow or discounts for better medicine. Wellness plans break the office call barrier to allow more thorough medical care while avoiding client sticker shock.

In this presentation we will primarily explore the physiology, pharmacology, and possible future uses for cannabis and its derivatives. By sorting through the facts supported through science, we can highlight the potential true uses of this as a medicinal herb or even medicine. Lastly, what is known and not known about the use of cannabis and cannabis derivatives in animals will be explored.

MARIJUANA TOXICITY: WHAT YOU’RE BURNING TO KNOW DONNA MENSCHING, DVM, MS, DABVT, DABT FRIDAY, SEPTEMBER 26 Dr. Mensching will present the array of marijuana derivatives and THC-containing products now

HOW TO MAXIMIZE VENDOR RELATIONSHIPS KATHY WENNER HURLEY FRIDAY, SEPTEMBER 26 How can you get the most out of your distributor and manufacturer representatives? What will get you the best return for your dollar when working with these assets? How can you get the best and least biased information when you are looking for information on that big purchase or on the items you use every day?

VETERINARY DISASTER TRAINING

MULTIMODAL ANALGESIA PERI-OP SHELLEY ENSIGN, LVT, CVPP SATURDAY, SEPTEMBER 27

A DAY ON THE SR 530 SLIDE – VETERINARY CARE FOR SEARCH AND RESCUE CANINES MINDEN BUSWELL, DVM, MPH, DACVPM PAIGE BECK, BS SATURDAY, SEPTEMBER 27 Using the SR 530 Slide as a backdrop, the program includes an introduction on Search and Rescue Canines and their specific healthcare concerns and will focus on an interactive mock deployment to an incident like the SR 530 mudslide. Discussion of the physical environment, the ten essentials to bring with you, stress management in emergency situations and further training recommendations.

TECHNICIAN: SMALL ANIMAL HAZARDOUS DRUGS VETERINARY MODEL PROGRAM

Using videos, photos and detailed descriptions, you will learn how to do epidurals, brachial plexus blocks, auriculotemporal and great auricular nerve blocks, wound catheters and some constant rate infusions (CRI’s). We will discuss the best way to use opioids and local anesthetic drugs.

LEPTOSPIROSIS FOR THE VETERINARY TECHNICIAN

SUNDAY, SEPTEMBER 28 Zoonotic diseases are something every veterinary technician encounters on a daily basis. Leptospirosis is one zoonotic disease which can affect each and every technician regardless of our area of interest. This session will cover the infective agent, prevention and control for both large and small veterinary technicians.

LISA PARSHLEY, DVM, PhD, DACVIM SATURDAY, SEPTEMBER 27

SAUNDRA WILLIS, DVM, DACVIM

VETERINARY REHABILITATION: A TEAM APPROACH KRISTIN KIRKBY SHAW, DVM, PhD, DACVS, DACVSMR SATURDAY, SEPTEMBER 27 These sessions will provide an overview of physical rehabilitation and discuss the veterinary technician’s integral role in providing rehabilitation therapy for small animal patients. An overview of therapeutic modalities, including ice, heat and laser will be provided.

ANESTHETIZING HORSES MADE EASY SHELLEY ENSIGN, LVT, CVPP SATURDAY, SEPTEMBER 27 We will be going over anesthesia techniques for horses anesthetized in the hospital and in the field. For in-hospital patients, we will discuss the use of ventilators and for field anesthesia, we will discuss the best way to use triple drip. We will also cover simple ways to administer analgesia and things to watch for in recovery.

MERI HALL, LVT, VTS (SAIM)

COMMUNICATION WORKSHOP: DIAGNOSTIC TESTING AND COMPLICATED DISEASE

Dr. Parshley will provide an overview on the impending hazardous drug regulations and how veterinary practices can prepare for compliance.

TECHNICIAN: LARGE ANIMAL

SUNDAY, SEPTEMBER 28 In this workshop, we will discuss diagnostic tests from the common CBC, chemistry, UA to the less common ionized calcium/PTH so that attendees have knowledge to answer clients’ questions including the reason the test was run, its interpretation, and next steps. Numerous case examples will be presented but staff is encouraged to bring their own. SPONSORED BY: Phoenix Central Laboratory

BASIC ANATOMY AND PHYSIOLOGY OF EQUINE DENTISTRY TERI OLSON, LVT, SIT SATURDAY, SEPTEMBER 27 This session will cover the basic, distinct characteristics of equine dentition and the ideas behind the equine float. It will focus on the anatomy and physiology of the equine tooth and include normal, as well as abnormal, dentition of the equine mouth.

UNIVERSAL PROCEDURES FOR INFECTIOUS DISEASE PREVENTION AND CONTROL MERI HALL, LVT, VTS (SAIM) SATURDAY, SEPTEMBER 27 Universal procedures for infectious disease prevention and control: human health care has universal procedures in place to protect the health of patients and workers. There is a need for veterinary universal procedures in all practices. This session will discuss the procedures and how to implement them in your practice.

DRUG RESISTANCE IN THE VETERINARY SETTING MERI HALL, LVT, VTS (SAIM) SATURDAY, SEPTEMBER 27 Drug resistance has become an increasing finding in veterinary medicine. This session will discuss why, the normal culprits, and what veterinary technicians can do to assist in the prevention and control.

july /august 2 0 1 4

PROGRAM SCHEDULE

SMALL ANIMAL

LARGE ANIMAL

EQUINE

PRESIDENT’S BREAKFAST / 6:30-8:00 AM Diagnostic Tricks for Cranial Cruciate Disease in Small Animals Dr. Jeff Mayo 8:00-8:50 AM

Reading Body Language and Assessing Patient Comfort in the Clinic Dr. Christopher Pachel 8:00-8:50 AM

FoodArmor™ HACCP for Proper Drug Use Dr. Dave Rhoda 8:00-9:50 AM

Intra-Articular Therapies Dr. Katie Seabaugh 8:00-8:50 AM

Patellar Luxation Repair in Small Animals

Feline Inappropriate Elimination: Unraveling the Mystery

Advanced Tendon and Ligament Therapies

Dr. Jeff Mayo 9:00-9:50 AM

Dr. Christopher Pachel 9:00-9:50 AM

Dr. Katie Seabaugh 9:00-9:50 AM

BREAK / 9:50-10:30 AM Meniscal Injury of the Stifle Joint What Should I Do Now?

Room for One More: Introducing a New Cat or Dog to the Household

FoodArmor™ HACCP for Proper Drug Use (cont.)

Musculoskeletal Rehabilitation: More Than Just Stall Rest

Dr. Jeff Mayo 10:30-11:20 AM

Dr. Christopher Pachel 10:30-11:20 AM

Dr. Dave Rhoda 10:30 AM-12:20 PM

Dr. Katie Seabaugh 10:30-11:20 AM

Soft Tissue Procedures You Can Do In Practice

Age-Related Behavior Changes of Dogs and Cats

Dr. Jeff Mayo 11:30 AM-12:20 PM

Dr. Christopher Pachel 11:30 AM-12:20 PM

Imaging the Equine Neck and Back Dr. Kurt Selberg 11:30 AM-12:20 PM

TODAY’S SPECIAL: STRATEGIC BOX LUNCH / 12:20-1:30 PM / Silent Auction Begins TTA vs. TPLO - Which Do YOU Pick? Dr. Jeff Mayo 1:30-2:20 PM

Multi-Cat Households: Identifying and Addressing Problems Before Fur Starts Flying Dr. Christopher Pachel 1:30-2:20 PM

BREAK / 2:20-3:00 PM Stem Cells 101: What Are They, Where Are They and What Do They Do?

Dr. Jeff Mayo 4:00-4:50 PM

Dr. Dave Rhoda 1:30-3:20 PM

Radiography of the Stifle Dr. Kurt Selberg 1:30-2:20 PM

Manifestations of Gastrointestinal Conditions on Behavior

Radiography of the Foot and Pastern

Dr. Christopher Pachel 2:30-3:20 PM

Dr. Kurt Selberg 2:30-3:20 PM

Dr. Jeff Mayo 3:00-3:50 PM

Regenerative Medicine: Clinical Applications in Small Animals of PRP and Stem Cells

FoodArmor™ HACCP for Proper Drug Use (cont.)

BREAK / 3:20-4:00 PM Risk Assessment of Aggressive Patients

FoodArmor™ HACCP for Proper Drug Use (cont.)

Approaches to Diagnosing Hind Limb Proximal Suspensory Disease

Dr. Christopher Pachel 4:00-4:50 PM

Dr. Dave Rhoda 4:00-4:50 PM

Dr. Kurt Selberg 4:00-4:50 PM

EXHIBITOR BINGO & HAPPY HOUR / 5:00-7:00 PM

FRIDAY, SEPTEMBER 26

CAVM

HOT TOPICS

PRACTICE MANAGEMENT

PRESIDENT’S BREAKFAST / 6:30-8:00 AM Veterinary Homeopathy: The Basics Dr. Jacqueline Sehn 8:00-8:50 AM

Marijuana as a Therapy: Clarifying the Plethora of Information and Misinformation Dr. Lisa Parshley 8:00-8:50 AM

Online Reviews: Learn to Love Them, Not Hate Them Ms. Kelly Baltzell 8:00-8:50 AM

Integrating Homeopathy in a Conventional Practice

Marijuana Toxicity: What You’re Burning to Know

Modern Day Websites: What’s Trendy? What’s Here to Stay?

Dr. Jacqueline Sehn 9:00-9:50 AM

Dr. Donna Mensching 9:00-9:50 AM

Ms. Kelly Baltzell 9:00-9:50 AM

BREAK / 9:50-10:30 AM Some Small Animal Homeopathic Cases Dr. Jacqueline Sehn 10:30 AM-12:20 PM

Myth Busters – The Money Edition Ms. Mackenzie Martin 10:30-11:20 AM

Google Analytics: Your Website’s Lab Results Ms. Kelly Baltzell 10:30-11:20 AM

Practice Valuations: How to Raise Practice Value

Search Is the New Universe: Learn How it Has Changed

Dr. Karl Salzsieder 11:30 AM-12:20 PM

Ms. Kelly Baltzell 11:30 AM-12:20 PM

TODAY’S SPECIAL: STRATEGIC BOX LUNCH / 12:20-1:30 PM / Silent Auction Begins Integrating Alternative Medicine in a Conventional Practice Dr. Jacqueline Sehn 1:30-2:20 PM

Best Pet Care with Wellness Plans Dr. Karl Salzsieder 1:30-2:20 PM

Build Your Search Engine Rocket: To New Worlds Ms. Kelly Baltzell 1:30-2:20 PM

Wellness Plans: How to Build Them

BREAK / 2:20-3:00 PM Natural Diets for Dogs and Cats, Including Therapeutic Diets

Dr. Karl Salzsieder 2:30-3:20 PM

Dr. Jacqueline Sehn 3:00-4:50 PM

BREAK / 3:20-4:00 PM

BREAK / 2:20-3:00 PM Alternative Advertising: Using Facebook’s Ads to Market Your Business Ms. Kelly Baltzell 3:00-3:50 PM

How to Maximize Vendor Relationships

Pinterest: A Picture’s Worth a 1000 Bucks

Ms. Kathy Wenner Hurley 4:00-4:50 PM

Ms. Kelly Baltzell 4:00-4:50 PM

EXHIBITOR BINGO & HAPPY HOUR / 5:00-7:00 PM

SMALL ANIMAL

S.A. WET LAB

LARGE ANIMAL

EQUINE

COMMUNICATIONS

FUN RUN / 7:00 AM / Sarg Hubbard Park WSVMA ANNUAL BUSINESS MEETING BREAKFAST / 7:30-8:30 AM A Pattern-Based Approach to Respiratory Distress Dr. Leah Cohn 8:30-10:20 AM

Orthopedic Wet Lab: Lateral Suture Repair in Small Animals: A Review of the Latest Information

Keeping Livestock Calm During Handling

Radiographs as They Relate to Farriery

Dr. Temple Grandin 8:30-9:20 AM

Drs. Stephen O’Grady & Kurt Selberg 8:30-9:20 AM

Dr. Jeff Mayo 8:30-9:20 AM

Orthopedic Wet Lab: Lateral Suture Laboratory

BREAK / 9:20-10:00 AM Keeping Livestock Calm During Handling (cont.)

Dr. Jeff Mayo 9:30-10:20 AM

Dr. Temple Grandin 10:00-10:50 AM

BREAK / 10:20-11:00 AM Respiratory Diagnostic Sampling

Orthopedic Wet Lab: Lateral Suture Laboratory (cont.)

Dr. Leah Cohn 11:00-11:50 AM

Dr. Jeff Mayo 11:00-11:50 AM

Form and Function of the Equine Foot as it Relates to Farriery Dr. Stephen O’Grady 10:00-10:50 AM

Transition Cow Management: A Reflection of Past Practices

What is Good Basic Farriery? Emphasizing the Trim

Dr. Robert Van Saun 11:00-11:50 AM

Dr. Stephen O’Grady 11:00-11:50 AM

What Do Clients Want and Why Do They Come to Our Practice? Dr. Richard DeBowes 8:30-9:20 AM

Our Practice Paradigms: Do We Really Know What We Think We Know? Dr. Richard DeBowes 9:30-10:20 AM

BREAK / 10:20-11:00 AM What Gets In the Way of Our Success. Emotional Intelligence: a More Enjoyable and Profitable Practice Dr. Richard DeBowes 11:00-11:50 AM

VBMA-WSVMA NETWORKING LUNCHEON / 11:50 AM-1:15 PM / Technician Annual Business Meeting Luncheon Canine Infectious Respiratory Disease Complex Dr. Leah Cohn 1:15-3:05 PM

Is Early Pregnancy Feeding of Importance? Dr. Robert Van Saun 1:15-2:05 PM

The Metabollic Challenge and Role of Protein Dr. Robert Van Saun 2:15-3:05 PM

Recognizing and Understanding Hoof Capsule Distortions Dr. Stephen O’Grady 1:15-2:05 PM

A Practical Approach to Treating Acute Laminitis in the Field Dr. Stephen O’Grady 2:15-3:05 PM

Move Beyond Professional Competence: Leadership and Culture Define Your Practice Dr. Richard DeBowes 1:15-2:05 PM

Compliance: Where Leadership & Culture Enhance Medical Competence & Exceptional Care Dr. Richard DeBowes 2:15-3:05 PM

BREAK / 3:05-3:40 PM / WSU Preceptor Reception 3:00 PM Tracheal Collapse: A Common Cause of Canine Cough Dr. Leah Cohn 3:40-4:30 PM

Treatment of Feline Asthma Dr. Leah Cohn 4:40-5:30 PM

Minerals and Vitamins in Transition Dr. Robert Van Saun 3:40-4:30 PM

Monitoring Transition Success Dr. Robert Van Saun 4:40-5:30 PM

The Many Uses and Application of the Wooden Shoe Based on 300 Cases

Connecting With Clients: Communication Need Not Be Difficult

Dr. Stephen O’Grady 3:40-4:30 PM

Dr. Richard DeBowes 3:40-4:30 PM

Sheared Heels: A Significant Yet Poorly Understood Problem

Challenging Conversations: The Pet Needs Our Help… But We Hold Back

Dr. Stephen O’Grady 4:40-5:30 PM

Dr. Richard DeBowes 4:40-5:30 PM

WSU COLLEGE OF VETERINARY MEDICINE RECEPTION / 6:00 PM AWARDS BANQUET FEATURING SPECIAL GUEST DR. TEMPLE GRANDIN / 7:00 PM

SATURDAY, SEPTEMBER 27 PRACTICE MGMT.

DISASTER TRAINING TECHNICIANS: S.A. TECHNICIANS: L.A. FUN RUN / 7:00 AM / Sarg Hubbard Park

WSVMA ANNUAL BUSINESS MEETING BREAKFAST / 7:30-8:30 AM What’s OSHA Up To Now?

Hazardous Drugs Veterinary Model Program

Philip J. Seibert Jr., CVT 8:30-10:20 AM

Dr. Lisa Parshley 8:30-9:20 AM

BREAK / 9:20-10:00 AM Veterinary Rehabilitation: A Team Approach Dr. Kristin Kirkby Shaw 10:00-10:50 AM

BREAK / 10:20-11:00 AM What’s OSHA Up To Now? (cont.)

Rehabilitation for Stifle and Hip Conditions

Anesthetizing Horses Made Easy

Philip J. Seibert Jr., CVT 11:00-11:50 AM

Dr. Kristin Kirkby Shaw 11:00-11:50 AM

Shelley Ensign, LVT 11:00-11:50 AM

VBMA-WSVMA NETWORKING LUNCHEON / 11:50 AM-1:15 PM / Technician Annual Business Meeting Luncheon Pharmacy Regulations You MUST Know Philip J. Seibert Jr., CVT 1:15-3:05 PM

A Day on the SR 530 Slide – Veterinary Care for Search and Rescue Canines

Rehabilitation for Cats Dr. Kristin Kirkby Shaw 1:15-2:05 PM

WA Dept. of Agriculture 1:15-3:05 PM

Basic Anatomy and Physiology of Equine Dentistry Teri Olson, LVT 1:15-2:05 PM

Rehabilitation for Geriatric and Cancer Patients

Basic Equine Dental Techniques

Dr. Kristin Kirkby Shaw 2:15-3:05 PM

Teri Olson, LVT 2:15-3:05 PM

BREAK / 3:05-3:40 PM / WSU Preceptor Reception 3:00 PM Keeping Controlled Drugs Under Control Philip J. Seibert Jr., CVT 3:40-5:30 PM

A Day on the SR 530 Slide – Veterinary Care for Search and Rescue Canines (cont.) WA Dept. of Agriculture 3:40-5:30 PM

Multimodal Analgesia PeriOp Shelley Ensign, LVT 3:40-5:30 PM

Universal Procedures for Infectious Disease Prevention and Control Meri Hall, LVT 3:40-4:30 PM

Drug Resistance in the Veterinary Setting Meri Hall, LVT 4:40-5:30 PM

WSU COLLEGE OF VETERINARY MEDICINE RECEPTION / 6:00 PM AWARDS BANQUET FEATURING SPECIAL GUEST DR. TEMPLE GRANDIN / 7:00 PM

SUNDAY, SEPTEMBER 28 SMALL ANIMAL

LARGE ANIMAL

EQUINE

PRACTICE MGMT.

TECHNICIANS

CHRISTIAN VETERINARY MISSION BREAKFAST / 7:00-8:30 AM Current Trends in Parasitology: The parasites are still important Dr. Andy Moorhead 8:30-9:20 AM

Rule Changes Affecting You And Your Clients

How to Ultrasound the Colic Patient

Partners for Healthy Pets: Get Up and Running Now

Leptospirosis for the Veterinary Technician

Dr. Paul Kohrs 8:30-9:20 AM

Dr. Fairfield Bain 8:30-9:20 AM

Ms. Clare Reagan 8:30-9:20 AM

Meri Hall, LVT 8:30-9:20 AM

Partners for Healthy Pets: Get Up and Running Now (cont.)

Communication Workshop: Diagnostic Testing and Complicated Disease

Ms. Clare Reagan 9:30-10:20 AM

Dr. Saundra Willis 9:30-10:20 AM

Partners for Healthy Pets: Get Up and Running Now (cont.)

Communication Workshop: Diagnostic Testing and Complicated Disease (cont.)

Ms. Clare Reagan 10:30-11:20 AM

Dr. Saundra Willis 10:30-11:20 AM

BREAK / 9:20-9:30 AM Current Trends in Parasitology: The parasites are still important (cont.)

NVAP Module 8: International Movement of Horses

Dr. Andy Moorhead 9:30-10:20 AM

Dr. Thomas Brignole 9:30-10:20 AM

Diarrhea in Adult Horses Dr. Sou Young Kwon 9:30-10:20 AM

BREAK / 10:20-10:30 AM Current Trends in Parasitology: The parasites are still important (cont.)

NVAP Module 4: Preventing Disease Introduction and Spread

Dr. Andy Moorhead 10:30-11:20 AM

Dr. Thomas Brignole 10:30-11:20 AM

Approaches to Equine Field Emergencies Dr. Aloisio Bueno 10:30-11:20 AM

EVENT LOCATIONS

SPECIAL WSVMA DISCOUNTED HOTEL OFFERS

Conference sessions and special events will be held at the Yakima Convention Center. Specific events will be held at the Holiday Inn Downtown Yakima Convention Center.

In order to take advantage of the WSVMA special rates, be sure to ask for Washington State Veterinary Medical Association rates and book your reservation prior to the room block deadline

YAKIMA CONVENTION CENTER (800) 221-0751 10 North 8th Street Yakima, WA 98901 www.yakimacenter.com HOLIDAY INN DOWNTOWN YAKIMA (509) 494-7000 802 East Yakima Avenue Yakima, WA 98901 FOR DRIVING DIRECTIONS, PLEASE VISIT THE WSVMA WEBSITE.

HOLIDAY INN DOWNTOWN YAKIMA (509) 494-7000 802 East Yakima Avenue Yakima, WA 98901 $103.00 Cut-off for room block: September 3, 2014

OTHER HOTEL ACCOMMODATIONS

HOLIDAY INN EXPRESS (509) 249-1000 1001 East A Street Yakima, WA 98901 $103.00 Cut-off for room block: September 3, 2014

FAIRFIELD INN (509) 452-3100 137 N Fair Ave Yakima, WA 98901 $99.00 Cut-off date for room block: September 3, 2014

RED LION YAKIMA CENTER (509) 248-5900 607 East Yakima Avenue Yakima, WA 98901 $98 Cut-off for room block: September 4, 2014

LEDGESTONE SUITES HOTEL 509-453-3151 107 North Fair Avenue Yakima, WA 98901

HILTON GARDEN INN (509) 454-1111 401 East Yakima Avenue Yakima, WA 98901 $129.00 Cut-off for room block: September 4, 2014

BEST WESTERN PLUS LINCOLN INN YAKIMA (800) 834-1649 1614 North 1st Street Yakima, WA 98901

OXFORD INN (800) 521-3050 1603 E. Yakima Avenue Yakima, WA 98901

ADDITIONAL CONFERENCE INFORMATION REGISTRATION

CE CREDIT

Conference registration is required to attend or participate in the WSVMA’s Pacific Northwest Veterinary Conference and Trade Show. Advance registration is strongly recommended. You’ll avoid on-site registration lines, realize savings on fees, improve your chances of admission into ticketed events and help WSVMA contain costs and serve you better.

This year, the WSVMA is offering 17 CE credit hours to each participant. Choose from over 100 hours to best fit your needs!

Registrations received by September 8 will receive a discounted registration rate - register today and save up to $100. Make your lodging reservations by the dates listed to assure a room at the special group rate.

INCLUDED IN REGISTRATION Registration includes a name badge that allows you access to all educational sessions and the exhibit hall, one copy of the conference program and a password to access online printable proceedings. All meals and refreshment breaks are included when you purchase a Weekend Meal Pass.

CONFERENCE MEALS Purchase a WEEKEND MEAL PASS FOR $20 when you register for the conference. All meals and refreshment breaks are included (except for the Saturday evening Awards Banquet) when you purchase a Weekend Meal Pass. Meal passes must be purchased in advance. Vegetarian, vegan or gluten-free meals can be requested in advance when registering for the conference. On-site requests cannot be accommodated.

GUEST REGISTRATION Guests of registered veterinarians, technicians or hospital staff may register to attend the conference at a discounted rate. Guest registration includes full access to the exhibit hall and CE sessions. A weekend meal pass is included in a guest registration. Guests cannot be veterinarians, technicians or hospital staff.

OUT-OF-STATE REGISTRANTS WSVMA welcomes the participation of those from out-of-state and extends member rates to registrants who are members of their state or provincial Veterinary Medical Association.

CANCELLATIONS AND CHANGES Changes in your registration may be made with the WSVMA office until September 15. Cancellations received on or before September 3, 2014 will receive a full refund, less a $25.00 processing fee. After September 3, 2014 and before September 15, 2014, there is a 20% administrative charge for cancellations. No refunds for cancellations received after September 15; no shows receive no refund.

AMERICANS WITH DISABILITIES ACT Persons with disabilities who may need auxiliary aids or services are requested to contact the WSVMA office at (800) 399-7862 no later than September 17 in order for arrangements to be made.

DRIVING DIRECTIONS Driving directions to Yakima can be found on the WSVMA website and in your confirmation packet. For directions to your hotel, please contact the hotel directly.

QUESTIONS Allow us to help! Contact the WSVMA staff at (425) 396-3191, (800) 399-7862 or info@wsvma.org.

AT THE CONFERENCE... Registration materials will be mailed in advance to those who are preregistered so there’s no need to stand in line when you arrive. All you need to do is stop by the registration desk to pick up a badge holder, program and CE verification form. The WSVMA registration desk will be open throughout the conference and located in the Yakima Convention Center at the following times: Friday, September 26 Saturday, September 27 Sunday, September 28

7:00 AM–5:00 PM 7:00 AM–5:30 PM 8:00–10:30 AM

CONFIRMATIONS A printed confirmation and registration packet will be mailed to you prior to the conference. The registration packet will include your name tag, Weekend Meal Pass (if purchased), conference program and informational flyers. Please check your confirmation carefully and advise the WSVMA office immediately of any changes and/or discrepancies. There is a $25 reprinting fee for lost or forgotten name badges.

PROCEEDINGS The WSVMA Annual Conference Proceedings will be available September 15 for downloading from the WSVMA website and is included in the meeting registration fee. A password to access online proceedings will be provided before, during and after the conference. Electronic proceedings allows for printing only the sections that you wish and is an effort to be both responsible toward our environment and to increase the quality and timeliness of the resources provided through this learning experience. For those attendees who prefer printed proceedings, a complete book can be ordered in advance on the registration form at the charge of $60 EACH. No proceedings notebooks will be sold after September 15, 2014.

Save up to

$100

if you register by September 8!

Coming Soon. iOS Conference App. july /august 2 0 1 4

SHIR AZ X

Personalized Fee Guide, Practice Diagnostic Report, Client Satisfaction Survey and Report.

Specialty Pharmacy

L o n g Te r m C o m m i t m e n t t o L o n g Te r m C a r e

Visit wsvma.org for more information.

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



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

  



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

    

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

Nikki Nitz, CPA, CMA l Simmons Northwest 208.664.3100 l www.simmonsinc.com l northwest@simmonsinc.com

Relief Bank Dr. Jessica Allmendinger UC Davis, ‘08 SA Medicine and Surgery,ER (day only) Greater Seattle Area (530) 220-3868 jlallmendinger@gmail.com Dr. Sonia Amador Ross and Cornell ‘03 SA General Medicine Surgery, and ER Greater Seattle area, 7 days (206) 369-5308 healerfox1@gmail.com Dr. Douglas Anderson WSU ‘94 (360) 249-3550 doug270@gmail.com Dr. Veeda Angell WSU ‘04 SA/MA King, Snohomish, Pierce and Thurston Cos. (509) 432-3225 vangell_dvm@hotmail.com Dr. Janice Anthony WSU, ‘03 Small Animal Medicine King and neighboring counties Short notice OK jaadvm@cs.com Dr. Bela Belle Tufts ‘97 ER, SA Medicine/Surgery, PT (425) 770-3193 Dr. Evelyn Bittner MSU ’91 SA Medicine/Surgery Greater Seattle & Eastside area (206) 301-0580 evelynbittner@comcast.net Dr. Frank Bousaid TAMU ‘95 SA, Acupuncture/Chinese Herbal Therapy Eastern Washington including Wenatchee, Moses Lake, Spokane (206) 683-3770 snohobear@gmail.com Dr. Kimber C. Brawley KSU ‘89 SA & Exotics, Medicine/Surgery, some Orthopedics King & Snohomish (425) 367-1288 docb333@aol.com

Dr. Patricia Dorsey IL ‘84 Cats and Dogs (253) 851-8234 (Gig Harbor) reliefvet@dorsey.cotse.net Dr. Leah Ferguson Kansas State, ‘02 SAl medicine and surgery Snohomish and King counties (503) 380-4810 leah.jia@gmail.com Dr. Robyn Fry WSU ‘06 SA Medicine King & nearby Counties (425) 244-5776 robyndvm@gmail.com Dr. Tracy Fuelleman MIN ‘89 SA Medicine Greater Puget Sound area (206) 361-8009 tracydvm@hotmail.com Dr. Catherine Gamber Texas A&M 2011 Small Animal Medicine and Surgery, ER, Exotics Greater Seattle Area (281) 352-3987 catherine.gamber@gmail.com Dr. Michelle Gengler ISU, ‘05 Small Animal North King and Snohomish County Short notice OK (206) 920-0219 genglerdvm@gmail.com Dr. Emma Harvey Edinburgh, Scotland ‘12 SA medicine & surgery, Food animal, equine, exotics Anywhere in WA, Short Notice OK (206) 601-0620 emmarosefiala@gmail.com Dr. Lee Harris WSU, 1974 Pierce, Snohomish and King Counties Small Animal Medicine with Surgery (253) 569-5360 dr.harris@pacificcrestvets.com Dr. David Hildreth MO ‘70 Small Animal (360) 914-1234 dhildr9770@aol.com

Dr. Erika Cantamessa WSU, ‘06 SA and exotic pet medicine Adams, Grant and Spokane Counties (509) 660-0234 Erika_18@hotmail.com

Dr. William D. Hougham UCD ‘75 SA Surgery and Medicine South King County and Pierce County (360) 825-1981 drbilldvm@gmail.com

Dr. Stacy Chartrand WCVM ‘01 Small Animal Medicine, Surgery and Emergency and Critical Care Greater Seattle and Eastside (206) 445-9994 stacychartrand@gmail.com

Dr. Elizabeth Hughs STG ‘09 SA (206) 992-1730 elizabeth.hughs@gmail.com

Dr. Leah Cloud WSU ‘05 SA Medicine King County (425)223-7618 leahclouddvm@gmail.com

Dr. Brian Hur WSU ‘11 SA, Medicine/Surgery/Dentistry, ER/CC Greater Seattle Area (206) 856-0928 brian.hur@gmail.com

Do You Want to Be in the WSVMA Relief Bank? All you have to do is email or fax your information to the WSVMA offices. If you are a current WSVMA member, your ad is free! Contact classifieds@wsvma.org or fax to (425) 396-3192 to get your ad started!

Dr. Julie Janiak Colorado State University ‘07 Small Animal Medicine, Surgery, Emergency and Acupuncture Internship trained Greater Spokane Area and nearby counties (970) 420-9556 jagej@hotmail.com Dr. Emily Jewell Liverpool ‘98 SA General Medicine & Surgery Seattle and surrounding, Walla Walla and surrounding (206) 579-1012 eajewell@hotmail.com Dr. Kathy Johnson Ohio State `83 SA Snohomish & South Skagit (360) 659-7252 katherine@earthlink.net Dr. Rebecca Johnson OSU / WSU ‘94 SA Medicine Greater Puget Sound area (206) 230-8002 reliefdoc@comcast.net Dr. Darlene King WSU ‘98 Snohomish and King County area (425) 344-7996 dnmking@yahoo.com Dr. Cynthia Knapp Ohio State ‘98 SA North King and South Snohomish Counties cyn.knapp@comcast.net Dr. Kathleen Koppa WSU ‘07 SA Medicine and Surgery King and Snohomish Counties (425) 495-2626 kkoppa@yahoo.com Dr. Lori Maness Tufts, ‘92 Whatcom, Skagit and Snohomish Counties (307) 277-8819 Maness.lori@gmail.com Dr. Regina Mansfield WSU ‘85 SA Medicine SE King/ NE Pierce (360) 825-6753 regina.scott.m@gmail.com Dr. Alina McClain Ross ‘06 SA, Ultrasound, Soft Tissue Surgery Northern Western Washington to Seattle Tuesday, Wednesday, Friday and some Sat/Sun (360) 682-6216, (614) 563-9914 ndcrud42@yahoo.com

Dr. Sue Moriyasu WSU ‘02 SA, high volume spay/neuter King & nearby counties (425) 830-2784 sue.moriyasu@gmail.com

Dr. Priscilla Stockner Min ’70 King, Snohomish, Skagit and Whatcom Counties. (360) 926-8371 or (360) 420-3717 priscillastockner@mac.com

Dr. Kathryn Okawa WSU ‘81 SA, Small mammals (425) 870-7088 okawak@aol.com

Dr. Michael Stone OSU ‘99 SA,ER, Medicine/Surgery (253) 988-1200 nwdvmrelief@gmail.com

Dr. Sarah Jane Owens Tufts ‘02 Small Animal, Equine, and Exotics Within 2.5 hours of greater Seattle (206) 661-6005 sarahowens@hotmail.com

Dr. Dorothy Villareal Texas A&M ‘85 SA Medicine and Surgery Kitsap, Clallam, Jefferson and Mason counties (360) 479-9053 docvillareal@live.com

Dr. Pamela Powell WSU ‘82 SA, ER, HQHV spay-neuter WA, ID, OR. Short notice OK. (253) 229-7816 pamvetdr@aol.com Dr. Leslie Pritchard WSU ‘80 N. Snohomish, Whatcom, Skagit, Island Cos. (360) 631-5885 Dr. L. Louise Rutter Cambridge, England ‘95 SA Medicine and Surgery relief work King County, Lake Washington area (425) 999 6765 louiserutter1000@gmail.com Dr. Michael Ryan WSU ‘84 SA Medicine and Surgery Kitsap and West Sound region (360)830-4911 ryanserv@msn.com Dr. Aja Senestraro WSU, ‘14 SA, LA, some exotics, Integrative medicine Tumwater to Bellingham (425) 492-0323 SeatoSkyVet@gmail.com Dr. Timarie Simmons OK State ‘98 Small Animal Medicine/Surgery and Some Exotics Greater Seattle and Statewide Options (703) 606-3300 timariedvm@yahoo.com Dr. Heather Smith WSU ‘03 SA Medicine/Surgery, Exotics (small mammals) North King/South Snohomish counties (425) 501-8008 heatherlosmith@yahoo.com

Dr. Cheryl Meyers MSU ‘96 Small Animal Medicine, Surgery & Dentistry Greater Puget Sound area (206) 683-0685 cherylmeyers101@gmail.com

Dr. Hank Snelgrove, CVA UCD ‘81 Integrative Small Animal Practice: medicine, dentistry, surgery, acupuncture, and TCVM herbal therapy Olympic and Kitsap Peninsulas and Central and Western Washington (360) 301-0096 tsetsibus@olympus.net

Dr. Gary Miller WSU ’84 SA & MA WA, OR, Northern ID, Western MT (509) 248-7398 millerg@bossig.com

Dr. Mary Sprague WSU ‘89 SA Medicine King, S. Snohomish Counties (425) 880-4073 dr.sprague@cablespeed.com

Dr. Peggy Vogt Auburn, 2000 SA Medicine & Surgery Seattle to Olympia (253) 686-2048 pevdvm@comcast.net Dr. Melissa Walker Cornell ‘04 SA Medicine and Surgery, Integrative Medicine Greater Seattle Area (206) 595-2382 mwalkerdvm@gmail.com Dr. Shelby Watson MN ‘02 Kitsap Peninsula (360) 473-6260 swatson@wavecable.com Dr. Karen Wichert WSU ‘89 SA Medicine and Surgery Snohomish, King Counties (425) 312-3376 karen.wichert.dvm@gmail.com Dr. Evelyn Wilson, WSU ‘90, ABVP canine & feline med. Small animal medicine, surgery, dentistry, E.R. and exotics Snohomish, King, Skagit and Whatcom counties. (360) 631-2400 evwilsonvet@wavecable.com Dr. Heather Woodke WSU 2002 small animal medicine, surgery, ER, mobile small ruminant Western Washington (509) 990-8854 woodkemagpie@comcast.net Dr. Michelle Zachry Purdue ‘02 SA, Medicine/Surgery/Dentistry, ER/ CC, Public Health/Food, Shelter King County and surrounding areas (425) 654-3521 reliablevetrelief@gmail.com Dr. Sharon Zito UC Davis, 1984 SA Medicine Seattle/King County Area 3 or more days in a row (619) 733-6875 s.zito@yahoo.com

Classifieds WSVMA 2014 Classified Advertising Rates WSVMA Members

First 30 words Each additional word WSVMA Blind Box (one-time fee) Include ad in next print issue

DVM Wanted, Western Washington Multi-doctor hospital in SW Washington seeks SA associate to join our team. Caring, energetic, teamplayer with excellent communication and collaboration skills who delivers exceptional care is our ideal candidate. Send resume to danam@mtviewvet.com.

$65.00 $1.00 $5.00 $10.00

No charge for contact information. Rates are for two months on the website. Ad will be included in the next available print issue for an additional $10.00.

Non-Members

First 30 words Each additional word WSVMA Blind Box (one-time fee) Include ad in next print issue

$115.00 $ 1.50 $ 5.00 $20.00

No charge for contact information. Rates are for two months on the website. Ad will be included in the next available print issue for an additional $20.00. Classified ad forms are available upon request. Call (800) 399-7862 or (425) 396-3191 or email classifieds@wsvma.org.

Deadlines for Classifieds

Ads for the Sept/Oct 2014 issue of the WSVMA Classifieds will be accepted until July 15, 2014. No refunds or changes will be allowed after the deadline has passed. The WSVMA Insight Magazine and WSVMA Classifieds are mailed to all WSVMA members.

Flyers

Flyers are accepted to advertise continuing education events only. These are included on a fee for service basis. Please contact the WSVMA office for additional information regarding rates and schedules. For further information on classified advertising, please contact: WSVMA Office (800) 399-7862 or (425) 396-3191 classifieds@wsvma.org

Ad Categories

DVM Wanted DVM Available Practice For Sale/Lease Miscellaneous

New Ad Deadlines

Technician Wanted Relief Technician Available Hospital Staff Wanted

Sept/Oct 2014 • July 15, 2014

Seeking FT Associate Veterinarian for small animal practice in Vancouver, WA. Must have good communication skills, be efficient in exam rooms and routine surgeries. One year plus experience recommended. We offer competitive salary and good benefits. Email resumes to companion@integraonline. com. Western WA mixed practice is looking for a small animal veterinarian with perhaps a special interest in cats. Pay and benefits commensurate with experience. We would consider a new grad. Fax resume to (360) 829-0502 or call Kath at (360) 829-0500 for more details. www.foothillsvethospital.com. We are a 6 doctor small animal hospital, looking for just the right part time veterinarian to become our 7th vet. If you are hard-working, compassionate, forward-thinking with a good sense of humor, you might be the vet for our team! Minimum requirements include general dental and surgical skills. It would be a bonus if you have an interest in regenerative medicine, physical therapy, AP, or nutrition (but not required). Shift to fill: Friday/Saturday/Monday. Contact Tristin at (360) 4596556. Enjoy FLEXIBLE hours in a GREAT TEAM ENVIRONMENT, practicing HIGH QUALITY MEDICINE on the road as a House Call Vet, and in our brick and mortar clinic as well! We are looking for the right person to fit the part-time position: specific hours and days negotiable. If interested, please send your resume and cover letter to hanna.vet@hotmail.com See www.YourAtHomeVet.com for more info. Thank you! Part-time position...two days per week plus digital and dental radiology, licensed technicians, in house laboratory Minimal five years of experience. Strong interest in diagnostics.

AAHA ER practice in North Puget Sound looking for confident and skilled veterinarian. We offer competitive salary base on production, generous benefits, and a great staff to work with. Contact Carrie Farmer at cfarmer@diamondvet.com or (425) 252-1106. Feline-only practice: FT/PT DVM. Busy, wellestablished clinic looking for a cat person with strong communication skills, a sense of humor, and the ability to work well under pressure. Leave the barking, drooling, and wrestling behind. p.gawley@comcast.net

DVM Wanted, Eastern Washington VCA North Division Animal Medical Center in Spokane, Washington is seeking an enthusiastic FT veterinarian for our growing, progressive 6 doctor AAHA extended-hour practice. Practice sees abundant emergencies and limited small mammal exotics. Focus is on complete workups, highest standards of care, exceptional client communication. Everything provided to allow you to practice the absolute highest standards possible. Prefer experience or internship-trained but new grads considered. Generous compensation + benefits package with average 4-day work week. Please send resume to joe.peterson@vcahospitals.com. Relief veterinarian sought to operate mixed animal practice until sold. Compensation includes large 2 bedroom apartment. Facility can accommodate horses. Beautiful area of Washington with endless recreational activities. Ark Animal Clinic (509) 476-4343 or Cowan9944@gmail.com. Part-Time DVM wanted to join our busy AAHA accredited practice. We are a well-established mixed animal practice in Walla Walla with a dedicated, friendly and talented staff. Send resumes to: mgraham@ avmcww.com. Small animal or Mixed animal associate wanted for a busy mixed animal practice in Central Washington. Great opportunity to develop or expand in any area you desire. Contact: Ahtanum Veterinary Clinic, 1008 W. Ahtanum Rd., #6, Union Gap, WA 98933; harrahvet@aol. com.

Resume, letter of interest to: oakbayanimal@olympus.net Graham: Mixed practice associate with strong SA/ EQ skills in med/surg. Focus on high quality care & client communication. Nestled on rural forested 11 acres with an energetic positive staff. This flexible position requires leadership skills, managerial experience and minimum 3 yrs veterinary practice experience. In-house lab, Dxray, US, IM3 dental, therapeutic/surgical laser, computer records & more. Possible buy-in potential. Contact & send resume to horsedoc@rainierconnect.com PT/FT veterinarian needed for our growing 4-doctor practice. We are known as the gentle doctors and our candidates must match our passion for uncompromising health care and unparalleled clientservice interface. Our top priority is to find an exceptional veterinarian who is exceptional with client interface and is an experienced surgeon (orthopedics is a plus). We offer a competitive compensation package and solid benefits, including health insurance, paid vacation, a retirement plan, continuing education, pet care discounts and other incentives. Contact us at gentledoctors@outlook.com or online at www.nwanimalcare.com.

w a s h i ngton ve te ri nari an

Practice for Sale or Lease Want to buy an established practice for FREE? Ideal opportunity for start-up. Take over 20-year practice for lease payment only. Excellent north Seattle location. Great freeway access. (206) 999-2909 or ahealingvet@ comcast.net Idaho, Ada County – 2,000 sf SA hospital with 3-exam rooms, achieved nearly double-digit grown@ ID2. Nevada, Clark County – Highly Reputable 2,400 sf SA on approximately 1/3 acre. Motivated Seller! NV2. (800) 636-4740 www.psbroker.com or info@psbroker.com. Practice/real estate available in Quincy, WA. Wellestablished clinic on large corner lot, facing busy four lane highway. Supportive community, multigenerational client base, high tech industries supporting local economy. Contact Dr. Steve Correa (IBA) (253) 548-4578.

Find More Classified Ads Online at wsvma.org WA – TWO NEW LISTINGS! North of Seattle, high gross, high net ($200k to $300k net), 1 DVM practice. Also, S. Puget Sound, 1 DVM, great location w/RE on busy 4 lane. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com WA – NEW, East of Seattle – Cat clinic in busy shopping center, high demographics. Currently PT DVM, needs FT DVM to grow more. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com N. of Seattle, WA – Awesome 3,581 SF building, 1 DVM Practice w/ great potential to grow. Needs jump start, financing available. Practice only, $50k sale price. Contact Karl Salzsieder (360) 636-1228 or Karl@ TPSGsales.com SE AK – 1 DVM SA practice, leasehold. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com NV – SA practice & RE. Outside Reno, Rev. 300k to 400k (2014). Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com OR – NEW LISTING! SA, some mixed, high rec. area. Great RE included. East of Portland. Contact Karl Salzsieder (360) 636-1228 or Karl@TPSGsales.com Near Portland, OR - High net, SA high tech 1 vet $500,000 gross rev. yr. Contact Karl Salzsieder (360) 6361228 or Karl@TPSGsales.com POTENTIAL: Puget Sound area, 1 DVM, SA practice. Grossed $380K+ in 2013. Facility is 3,000 sf and includes additional 2 acres for expansion. Asking $450,000 practice and RE. Simmons Northwest (208) 664-3100 (LWA54) MUST SEE: NE of Seattle in growing area. Family owned 1 DVM SA practice. Grossed $680k+ in 2013, $100k+ to buyer after debt. Leasehold. Asking $625,000. Simmons Northwest (208) 664-3100 (LWA55)

Technician Wanted

Display Ad Index

Dependable, dedicated, Licensed Veterinary Technician wanted for busy one-doctor practice in the Columbia Basin. Practice is primarily small animal in scope, but applicants should be willing to work with equine and food animal patients also. Position is 3/4 to full-time with occasional weekend work. Applicant must hold a current Washington State Technician license. Experienced candidates preferred but all are encouraged to apply. Benefits include paid vacation, continuing education allowance and licensure. Applicants can email a resume and cover letter to ephratavetclinic@gmail.com

AVMA-PLIT............................................................................ 3 Bancard USA..................................................................... 13 Campbell Pet Company.................................................. 3 Ceva Animal Health....................................................... 14 Dermatology Clinic for Animals................................... 4 Elanco..................................................................................... 8

SA LVT needed in Mount Vernon, WA. Must have strong surgical, dental, radiology and nursing skills. High volume, advanced care, specialty-type practice. Salary DOE, CE & uniform benefits, paid vacation. Send resume and cover letter to holly@animalcarecentermv. com or fax (360) 848-0183.

Homestreet Bank............................................Back Cover

Miscellaneous

Shiraz Specialty Pharmacy.......................................... 30

Practice Sales Brokerage or Practice Buyer Representation. Increase profitability and Practice Sales price with Management Consulting. Practice Valuation and Employment contracts, buy-sells, startups, litigation support, representation before license board. Contact Karl Salzsieder, DVM, JD, AVA, (360) 5778115 or karl@salzsiederlaw.com.

Relief Technician Available

IBA......................................................................................... 33 Kitsap Bank........................................................................... 7 Merial......................................................................... 15 & 16

Simmons & Associates Northwest........................... 30 Summit Veterinary Referral......................................... 16 Seattle Veterinary Specialists........................................ 5 Trupanion.......................................................................... 14 Veterinary Pet Insurance................................................. 5 Wild West Conference..................................................... 7 WSU......................................................................................... 8

Vet Tech Services – Let our experienced LVT’s keep your hospital running at full capacity. Please call Virginia Jones, LVT at (425) 330-5234

WSAVT Career Center (360) 273-7838 or ludeluh@yahoo.com

NEW LISTING: Oroville, WA, 1 DVM, MA practice. Grossed just over $370k in 2013. Facility is 2,500 sf with apartment just above practice. Practice and RE. Asking $370,000. Simmons Northwest (208) 664-3100 (LWA56) GREAT OPPORTUNITY: Southern Washington. 1+ DVM, SA practice, highly desirable location. Grossed $780K+ in 2013. Great opportunities to grow revenue and profit. Asking $700,000 for practice. Simmons Northwest (208) 664-3100 (LWA53) OREGON – Location: Great location just outside Portland. 1 DVM SA practice. Leasehold. Grossed $550k+ in 2013. Potential $100k+ to buyer after debt payments. Asking $350,000 Simmons Northwest (208) 664-3100 (LOR61) ALASKA – Southern Region - PRICED REDUCED: Alaskan beauty, outdoor recreation. Highly profitable, 1 DVM, SA practice. Leasehold. Grossed $390k+ in 2013. Potential for $165k+ to buyer after debt pymts. Asking price $275,000. Simmons Northwest (208) 664-3100 (LAK06) IDAHO – Act Fast: Priced to sell quickly!! 1 DVM mixed animal practice NW of Boise. Very nice facility on one acre. RE and practice only $270,000. Better than a start-up! Simmons Northwest (208) 664-3100 (LID29)

Let a professional help you buy or sell your practice. Steve Correa, DVM, MBA Licensed Real Estate Broker

steve@ibainc.com • 1- 800-218-4422

www.vpsg.com july /august 2 0 1 4

DO SE N’T MAI MI TNTa SS HER PA 3C/2 OUR IFI7 “B C/N1 U O3R T-HS ILD WE IN ESE T IV NETS G YO EE UR RIR NAT F RYF COOR UT UR NFD ERE E” ET Na CEI LS

VIS

AT B

OO TH

:: :: :: :: :: :: :: :: :: :: :: :: :: :: :: :: :: :: :: :: ::

LOCAL LENDING LENDING EXPERTS EXPERTS LOCAL READY TO HELP READY HELP YOU BUILD YOUR PRACTICE BUILD PRACTICE

We offer a banking partnership built on a direct relationship with an experienced banker familiar with the needs of a growing veterinary practice.

Contact Scott Harvey, Harvey, scott.harvey@homestreet.com sharvey@fortunebankwa.com 866-914-5700 // www.homestreet.com www.fortunebankwa.com 866-914-5700 //

At Bank, we’re deeply committedtotogetting gettingto At HomeStreet Fortune Bank, we’re deeply committed to know ourpractice practicepartners’ partners’priorities, priorities,and andprotecting protecting know our them. always puts your interests them. It’s It’sananapproach approachthat that always puts your interests first way business banking should be? be? first -–isn’t isn’tthat thatthe the way business banking should