VOICE
WVMA In This Issue 2
From the President Working Together for a Stronger Profession
3
From the Executive Director Lessons Learned
5
Legal Briefs Reporting Suspected Prescription Drug Abuse To Law Enforcement
6
In the News AVMA Launches New Economics Division
7
Quam Joins WVMA Team
9
Test Your Dairy Drug Use IQ
11
Test Your Dairy Drug Use IQ - Answers
12-15 Classifieds
May 2013
WVMA 500 – Rev It Up! At the 2013 WVMA Convention The WVMA is excited to offer world-renowned speaker, Tim Gard, as our convention keynote on Saturday, October 12. In his presentation, Gard will address how to use humor in stressful situations.
TIM GARD
Gard will electrify you with enthusiasm for all that lies ahead. He will equip you with the ability to approach responsibilities full of eagerness to cooperate, learn, teach and develop. He will inspire you to work better as a vital link to achieve progress and enhance productivity.
You will learn: How to turn adversaries into an advantage The way to become a reliable, good-natured humor leader How to approach situations with a perspective to cooperate, teach, learn and develop The steps to using ordinary things to neutralize life’s stressors A fresh approach to stress reduction About Tim Gard During the last decade, Gard has delivered his entertaining, informative presentations nationally and internationally, speaking to government groups, professional associations, and corporations of every kind. Through his work he expands the understanding of humor skills as stress reduction tools. His development of easy-to-implement techniques has inspired action from publishers, television, and radio talk shows around the world. His methods and techniques are an effective way to deal with, diffuse, and even avoid intensely stressful encounters that can—and often do—occur every day. Bring your entire clinic team to the keynote! If a doctor from your clinic registers for Convention, your entire team can attend the keynote at no cost!
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from the president
Working Together for a Stronger Profession K.C. Brooks, DVM, DABVP
Our recent success in securing an exemption for veterinarians from the Prescription Drug Monitoring Program (PDMP) has been well received. Almost every conversation I have had with my colleagues since the signing of Assembly Bill 3 has eventually led to a comment expressing gratitude for what the WVMA was able to accomplish to save our profession millions of dollars and much frustration. I am both pleased and proud of our organization. Unfortunately, PDMP is the tip of the iceberg when it comes to the legislative challenges our profession faces in the near future.
membership), some Wisconsin veterinarians still fail to join. If you understand the value of your membership, please do not be bashful in sharing to those who do not. Likewise, practice owners are in a powerful position to encourage membership by your employed veterinarians. Strength in numbers is certainly true in this case. Our second association need is a grassroots organization that is able to reach out to our legislators on a personal level when we need to educate them on the importance of issues such as unlicensed practice. The WVMA has already establish the Capwiz network tool which we have used successfully to get phone calls and e-mails to representatives in a timely fashion.
Since the signing of the PDMP exemption, our legislative team has dealt with no fewer than three very significant issues that could adversely affect veterinarians if they were to gain traction via legislative action. By staying well-connected and establishing good We would like to expand on Capwiz to find WVMA members with a communication lines with our legislators, we have been able to personal relationship with one or more Wisconsin legislators. This beat back several potential bills that could have been introduced. relationship may be through family, church or civic groups or a Our next major priority is to tackle the unlicensed practice of relationship developed by being the legislator’s veterinarian. We veterinary medicine in Wisconsin. Unfortunately, our state is loaded are looking for members to not only cultivate those relationships, with “wannabees” who feel it is their right to practice veterinary but also inform the WVMA office so we can have you reach out to medicine without a license. Groomers giving vaccinations and legislators via personal contact when important issues dictate providing “dental” services, lay palpaters, farm hands performing that approach. If you have these personal connections, please surgery and non-veterinarians providing embryo transfer services share them with the WVMA office, as they will be invaluable when it are just a few examples of those who feel the Veterinary Practice comes time to contact legislators about important matters. Act means nothing if enforcement remains non-existent. This problem has been a source of frustration for veterinarians and the And finally, please consider donating to the WVMA VETMED PAC. WVMA for many years, but finally there is hope on the horizon. The Through VETMED PAC, veterinarians and others are able to help WVMA and our legislative team has developed a plan that will likely the candidates who positively impact the veterinary profession. produce results if it can be executed. However, execution of the plan It allows individuals to have a voice that reaches the state level. requires our association to become stronger on several levels. By gathering the support of many, individual voices are amplified, creating a collective force politicians recognize and respect. The first need is a commitment from as many Wisconsin veterinarians as possible. A surprising number of veterinarians Donations can be made online on our homepage. in our state are still not members of our association. Although The time to act is now. Please show your support in any way that our association is receiving national attention for its drug you can. It’s your profession, your livelihood and your future! -K.C. residue prevention efforts and legislative victories like the PDMP exemption (which are just small highlights of the value of a WVMA
2013 wvma board President
K.C. Brooks, DVM, DABVP
President-Elect
Chris Booth, DVM
Past President Robert Klostermann, DVM District 1 Peter Gaveras, DVM District 2 Zachary Janssen, DVM District 3
2 May
Ann Sosalla, DVM
2013
James Ziegler, DVM District 4 District 5 Jane Clark, DVM District 6 Alan Holter, DVM District 7 Kimberly Kratt, DVM District 8 Michael Wolf, DVM District 9 Robert Zukowski, DVM Student Rep. Marsha Bush, PhD
Ex-officio members
Staff
Treasurer Thomas H. Howard, DVM AVMA Delegate Ann Sherwood Zieser, DVM Dean, UW-SVM Mark Markel, DVM, PhD State Veterinarian Paul McGraw, DVM WVDL Director Tom McKenna, DVM, PhD Student Rep. Matt Slentz
Executive Director Kim Brown Pokorny Torrie Kennedy Executive Assistant Marketing and Development Manager Sarah Young Communications and Project Specialist Bailey Quam
from the executive director
WVMA Voice The WVMA Voice is published on the 15th day of each month by the Wisconsin Veterinary Medical Association, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718; (608) 257-3665; toll-free (888) 254-5202; fax (608) 257-8989; e-mail: wvma@wvma.org; website: www.wvma.org. It is sent free of charge to all WVMA members. Office hours: 8 a.m.–5 p.m., Monday-Friday.
Classified/Relief Veterinary Advertising: Member:
First 30 words $10; each additional word $1.50.
Non-member: F irst 30 words $50; each additional word $1.50. Additional $10 fee for blind box ads. Classified ads run for two months and must be renewed for additional months. Classified ads are to be received by the first working day of the month. Display advertising is available at the editors’ discretion. Call (608) 257-3665 for more information. The deadline for receipt of all material submitted for publication is the first working day of the month, to insure consideration for the next month’s newsletter. Subscriptions are available for $36 annually. (Non-member, in-state veterinarians not eligible.)
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Lessons Learned
Kim Brown Pokorny
It is important to reflect on the lessons we learned through the Prescription Drug Monitoring Program (PDMP) exemption process. We need to recognize and evaluate their roles and impacts in veterinary clinics across Wisconsin. Lesson 1
Verify the source of your information. Is the source knowledgeable on the topic or are they repeating something they heard from an unreliable source? Misinformation created significant chaos and extra work for veterinary clinics across the state. In this case, the WVMA was the only organization/business working daily on this issue. The information we provided our members was factually written and interpreted by an attorney. It was the best information on PDMP and was provided to the members to avoid confusion from nonreliable sources. Every state has different laws. Make sure your source is knowledgeable on Wisconsin law. This pertains to all veterinary issues, not just PDMP. Lesson 2
While we have received an exemption from PDMP, we still have a responsibility to monitor and take action on suspected human abuse of animal medications. We need to selfregulate or we will be regulated. This month’s Legal Briefs covers the benefits and risks of reporting suspected abuse and what do to if records are requested from law enforcement. The bottom line is we need to do the right thing, for the right reason! Lesson 3
Your DEA reporting requirements have not changed. PDMP was a state law and does not impact your federal DEA responsibilities. Lesson 4
Do not underestimate the power of your personal relationships with influential legislators. These relationships leveraged at the right times are powerful and very helpful when working legislatively on your behalf. If you have a personal relationship with a legislator, please let the WVMA office know. We are building a database of personal connections we can utilize on future veterinary medical issues. Lesson 5
Engaging legislatively to protect you requires substantial resources. We ask every veterinarian in Wisconsin to become a member of the WVMA. This will allow us to continue to successfully engage on issues important to veterinary medicine in Wisconsin. Almost daily, the WVMA is working on issues equally as important and potentially as costly as PDMP. We thank you for your support both through dues and outreach!
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LEGAL BRIEFS
Reporting Suspected Prescription Drug Abuse To Law Enforcement By Megan Senatori, DeWitt Ross & Stevens S.C.
four months ago, one of my clients told me her dog started suffering from serious separation anxiety. After consulting with the client, Q About examining the dog, and accepting the client’s representations about her dog’s behavior, I prescribed Xanax. The client said she was going
to be out of town for work, so asked me to prescribe three months’ worth of Xanax for her dog, which I did. Since then, the client has called our clinic several times for early refills. The first time, she said she lost the prescription. We refilled it. About a month later, she said she accidentally dropped the refill in the toilet. We refilled it again. This is a newer client who I do not know very well. I am beginning to suspect that my client is using the Xanax for herself. Do I have a legal duty to report my suspicion to law enforcement and, if I do so, is there a risk that my client will sue me for making such a report? Please help!
A of veterinary medicine, but, it can be very stressful to the
Fortunately, this issue does not arise that often in the practice
veterinarian(s) involved when it does arise.
First, we are not aware of a specific legal duty for veterinarians to report suspected drug abuse by a client to law enforcement. While there is a Wisconsin statute that requires persons to notify law enforcement or render aid where the person “knows that a crime is being committed,” that statute only applies when the “victim is exposed to bodily harm.” Wis. Stat. § 940.34. While it is possible that a fact scenario could arise involving drug abuse that could fall within Wis. Stat. § 940.34, it would be a rare case in our view. Typically, there would not be a “victim” exposed to “bodily harm” when a client is abusing prescription drugs obtained from a veterinarian. Some veterinarians may nonetheless feel that the right thing or ethical response is to make a report to law enforcement. However, they are concernd about potential civil liability. For example, the client could claim that the veterinarian breached the duty to keep veterinary records confidential under Wis. Stat. § 453.075, which states: The owner of any animal patient of a veterinarian, or any other person who submits to the veterinarian a statement of written informed consent signed by the owner, may, upon request to the veterinarian: (1) Receive a copy of the animal patient’s health care records upon payment of reasonable costs. (2) Have the animal patient’s x-rays referred to another veterinarian upon payment of reasonable costs. Reading the statute technically, it unfortunately does not have an exception that would allow a veterinarian to share confidential health care records (or the information contained within the records) with law enforcement without informed client consent. We believe the statute should be amended to clarify that a veterinarian who suspects a violation of law can report it without violating Wis. Stat. § 453.075. The statute should also provide for civil immunity as long as a veterinarian makes a good faith report.
Since Wis. Stat. § 453.075 does not presently have such an exception, it is possible a client could claim the veterinarian violated Wis. Stat. § 453.075 by making a report to law enforcement (ie, sharing confidential information). A client could also bring some other type of civil claim against the veterinarian, such as defamation, if the client contends the report was false and it damaged the client’s reputation in some manner. Overall, it is our view that the risk of civil liability for making a good faith report exists; however, the risk is probably low. The Veterinary Examining Board (“VEB”) could view such a report as a violation of the confidentiality provisions of Wis. Stat. § 453.075, but, again, we believe that the circumstances would mitigate against any VEB action. As a best practice, we suggest that veterinarians take the following precautionary steps: Consider dispensing shorter prescriptions (30 days) and disallowing automatic refills. If you are suspicious, do not refill the prescription until the prescription runs out; Always keep a detailed log of drugs prescribed and dispensed for non-food and fiber patients, as required by VE 7.03(2)(L); Always keep a detailed log of drugs dispensed for food and fiber patients, as required by VE 7.03(3)(g). If you suspect a drug abuse problem, consider speaking with your client. Your client may be reaching out for help and hoping that someone notices the problem. If you believe that a report to law enforcement is appropriate, consider trying to make an anonymous report, if possible. For example, the Madison Crime Stoppers provides an option for anonymous reporting of crimes on their website, https://www.tipsubmit.com/WebTips. aspx?AgencyID=142. Alternatively, you may consider asking law enforcement to keep your identity confidential (however, note that if criminal prosecution results, a defendant may try to obtain the name of the informant and could prevail on that challenge). If you are contacted by law enforcement and asked to produce a copy of the health care records, request a subpoena to safeguard against a civil claim.
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IN THE NEWS
AVMA Launches New Economics Division; Dr. Michael R. Dicks Joins AVMA as Director New division and new committee focus on economic viability of veterinary medicine to protect animals, public health As part of its renewed focus on economic issues impacting the veterinary profession, the American Veterinary Medical Association (AVMA) hires Dr. Michael R. Dicks as director in the Association’s new Veterinary Economics Division. “As an economist with over 25 years of applied research and policy analysis experience, I’m excited about this opportunity to help the AVMA better understand the changing veterinary profession. Along with the work of the new Veterinary Economic Strategy Committee, we’ll be working to ensure that veterinary medicine remains a great career option for current professionals and those entering the profession in the future, and understanding the workforce and profitability will be critical to achieving that goal,” Dr. Dicks says. “Veterinarians have contributed so much in the areas of patient care, disease control, animal welfare and health, food safety, research, and medical innovations, and we’ll need America’s best and brightest to continue to enter the profession if we’re to see similar contributions—that benefit both animals and people—into the future.” The AVMA decided to create the Veterinary Economic Division in 2011 at the same meeting it established the Veterinary Economics Strategy Committee (VESC) to advise AVMA leaders on the future of the profession. Dr. Dicks and his staff will provide support services for the VESC and other economic entities and working groups and provide the leadership needed so that the Association can best deal with the economic issues that veterinarians face today. The AVMA has also funded new research that will provide information about the economics of the veterinary profession. “When we set out to hire our new Veterinary Economics Division leader, we knew right away that it would be a tall order to find somebody with the knowledge and skills to launch such an important new endeavor for the Association, but Dr. Dicks definitely has the background to accomplish our goals,” says Dr. Douglas Aspros, AVMA president. “He’s been a professor and economist in the fields of international trade and economics for over 20 years. His knowledge, analytical skills and real-world experience will be essential in helping us launch our new Veterinary Economics Division to help ensure the future of our industry and our members.” Dr. Dicks has a wealth of experience as a professor and leader in the field of economics, and in his new position he’ll be applying his skills as an economist to all economic aspects of the profession. Prior to coming to the AVMA, Dr. Dicks was the Lou and Wes Watkins Chair for International Trade and Development at the School of International Studies at Oklahoma State University (OSU) since 2010,
6 May
2013
and a professor in the OSU Department of Agriculture and Natural Resources Economics since 1989. He’s also been a professor at the Virginia Polytechnic Institute and State University and a research associate at the University of Missouri-Columbia, his Alma matter. He also has a great deal of experience in government units, research centers and international projects. Before coming to the AVMA, he was lead scientist in the USDA/Economic Research Service for Natural Resource Policy program, which is tasked with providing the USDA and Congress with analysis of resource policy, and he was section leader with the USDA/Economic Research Service/Aquaculture and Alternative Products Section, a new section he developed to collect and disseminate economic information on U.S. aquaculture products sectors. He was director of the OSU and Kansas State University/Great Plains Agricultural Policy Center, a congressionally funded center he developed that focusses on the economic implications of federal policies on Great Plain states. He was also director of the OSU/International Trade and Development Center that focuses on assisting small and medium sized Oklahoma businesses to initiate or increase exports and to provide energy, food, water, and sanitation development assistance to communities in developing countries. Earlier in his career, he worked as a research analyst for the U.S. Department of Agriculture Forest Service from 1982-1984, served as a research analyst-consultant in the Tunisia Technological Transfer Project from 1981-1983, and worked in Kenya as part of the Peace Corps from 1976 to 1979. Dr. Dicks received his Ph.D. in agricultural economics from the University of Missouri, Columbia in 1985, and his master’s in agricultural economics in 1982 from the same university. In his new role as head of the AVMA Veterinary Economics Division, Dr. Dicks will focus his knowledge of economics and trade at the veterinary profession to help AVMA members. The AVMA’s new Veterinary Economics Division will participate in the formulation and execution of the Association’s policies, objectives and programs relating to the economic issues that AVMA members face today. These efforts will include: conducting benchmarking surveys and studies on veterinary economic statistics, conducting economic analysis on policies and issues, developing and managing programs and projects consistent with the AVMA’s economic strategic goals, developing business engagements and partnerships, and functioning as a liaison with AVMA staff, volunteer leadership, and stakeholder groups to establish the economic goals of the Association in order to best ensure the future of the veterinary profession for Association members.
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Quam Joins WVMA Team
RSVP today for Veterinary Emergency Service’s Continuing Education Series
Acute Kidney Injury (AKI)
In March, the WVMA hired Bailey Quam as their communications and project specialist. Quam graduated from the University of WisconsinMadison this past December with a degree in life sciences communication.
Presented by Dr. Ben Nolan, DVM, DACVIM, (SAIM), Ph.D. We will be discussing the following: 1. How to identify AKI. 2. Outline common causes of AKI (ischemic, toxic, infectious, post-renal/obstructive). 3. Outline treatment options for AKI. 4. Describe prognosis for AKI.
Thursday, May30th, 2013
Growing up on her family’s cattle and crop farm in Lodi, Quam was active in 4-H, FFA, the Wisconsin Junior Angus Association, UWMadison Saddle and Sirloin along with Babcock House Cooperative. Being active in these organizations allowed her learn more about the livestock industry and network with people across the country. Quam was a National FFA Proficiency finalist in Beef Production Entrepreneurship, Diversified Livestock Entrepreneurship, competed in several national 4-H meat and animal judging contests and most recently was first runner-up for Wisconsin Fairest of the Fair.
For more details and to RSVP please call: 608-831-1101 - Space is limited
VES-Middleton
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“Just graduating from UW-Madison, Bailey brings a new, fresh perspective of the latest in communications and marketing,” says Kim Brown Pokorny, WVMA executive director. “Her skills will allow us to continue to enhance and highlight veterinary medicine through new avenues, especially social media.” Previously, Quam was the communications and marketing assistant at the University of Wisconsin Cooperative Extension.
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2013
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Test Your Dairy Drug Use IQ Submitted By the WVMA Drug Residue Task Force
The WVMA’s Drug Residue Task Force, in response to several questions related to appropriate drug use, created the following common scenarios to illustrate the complexities of judicious drug use on dairy farms. As you read through these, determine if the drug usage is: A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage
C) Appropriate Extra-Label usage D) Illegal usage
See page 11 for answers and explanations! Scenario 1: A fresh cow comes in with a smelly uterine discharge and 103 F degree fever. The farmer administers 30cc of Penicillin G intramuscularly (two sites, 15cc per site) for 5 days. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage
A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage
Scenario 2: A cow with a hard, hot quarter is given 75cc Sulfadimethoxine 40% Injectable Solution IV and then followed up day 2-4 with 2, 15 gm boluses per day. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage Scenario 3: An adult dairy herd is experiencing an outbreak of pneumonia that seems to respond to Draxxin given 12cc subcutaneously, one time. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage Scenario 4: An adult dairy herd is experiencing an outbreak of pneumonia that seems to respond to LS50, 120cc IV, followed by 60cc IM per day for 2 more days. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage Scenario 5: A high producing fresh cow contracts a DA. The surgery is performed in the barn and in order to prevent post-surgical infections, she receives 24cc Excenel, subcutaneously per day for three days.
Scenario 6: A cow returns from parlor with a swollen hock and is severely lame. Banamine is administered 12cc IM, once per day for two days. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage. Scenario 7: A two day old, 90 pound bull calf presents with a snotty nose and a 103 F fever. The dairy producer gives the bull calf two Sulmet Oblets 5 g on day 1, followed by 1 Oblet on days 2-5. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage Scenario 8: A two day old bull calf presents with a snotty nose and a 103 F fever. The dairy producer gives the bull calf 3cc of Nuflor on day one and repeats on day three. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage Scenario 9: A two week old dairy heifer presents with watery diarrhea and a 103 F fever. The dairy producer gives the calf 3cc of gentamycin orally once a day for three days. A) Appropriate Over The Counter usage B) Appropriate On Label – Prescription usage C) Appropriate Extra-Label usage D) Illegal usage
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Test Your Dairy Drug Use IQ Answers Scenario 1:
Answer C) Recall the label on Procaine Penicillin G states that it is indicated for bacterial pneumonia, should be given at a dosage of 3000 IU per lb (1cc per 100 lbs), only 10cc per injection site, only for 4 days. Therefore, the treatment described is a legal Extra-Label usage provided that it occurs in the context of a VCPR and all the steps of AMDUCA have been followed. It is incumbent upon the prescribing veterinarian to adjust withholding times, with consideration for dose, route, frequency, duration, volume per injection site, body weight and condition of the animal. Scenario 2:
Answer D) Sulfadimethoxine is absolutely prohibited from Extra-Label usage. It is labeled for “shipping fever”, pneumonia, foot rot, and calf diphtheria. The usage described for mastitis is “Illegal”. Fluoroquinolones (Baytril,Advocin) and medicated feed additives are also prohibited from ANY Extra-Label usage. Scenario 3:
Answer C) Draxxin is labeled “not for use in female dairy cattle 20 months of age or older or in calves to be processed for veal”. Because of this, the tolerance levels in meat and milk for adult dairy cattle are ZERO. It would be difficult for a veterinarian to work through the AMDUCA algorithm and arrive at Draxxin as the best choice. However, if Draxxin were used, it could be a legal Extra-Label usage. Be forewarned that there are no published withdrawal times for either milk or meat when used in adult dairy cattle. You would be responsible for defining a safe withholding interval (with consideration for dose, route, frequency, duration, volume per injection site, body weight and condition of the animal.) Also, you would be responsible for ANY residues occurring at ANY level. The same thing would be true for any macrolide (Micotil, Zactran) or florfenicol (Nuflor) similarly labeled Scenario 4:
Answer D) LS50 is problematic for several reasons. First, it is hard to imagine a scenario
where a veterinarian could work through the AMDUCA algorithm and arrive at LS50 as the only choice. Also, taking bulk powder intended for oral administration in poultry and bottling it with water for injection clearly represents compounding. Compounding is not allowed for an entire farm or to be stocked in a veterinary clinic. Compounding is illegal where FDA approved drugs are available. Spectinomycin is commercially available (Adspec). This usage as described would be illegal. Scenario 5:
Answer C) There are no antibiotics approved in cattle for post-surgical care. Ceftiofur products (Naxcel, Excenel, Excede) may be used in an Extra-Label manner for other indications provided that the label directions for dose, frequency, and route of administration are followed. The treatment described would be a legal Extra-Label usage provided that it occurs in the context of a valid VCPR. Scenario 6:
Answer D) Because flunixin products are labeled for IV use only, this treatment would constitute an Extra-Label usage. According to AMDUCA, Extra-Label drug use for “ease of administration” is not allowed. It would be the prescribing veterinarians’ responsibility to establish prolonged meat and milk withholding intervals to assure no residues occurred. Currently, FARAD recommends a 72 hour milk WHI and a 30 day meat WHI if a SINGLE DOSE is administered. It is incumbent upon the prescribing veterinarian to adjust withholding intervals based on dose, route, frequency, duration, volume per injection site, body weight, and condition of the animal.This usage is also problematic from an animal welfare and Beef Quality Assurance standpoint. Scenario 7:
Answer C OR D) This actually is the labeled indication, dose, frequency, duration, and route of administration. The label meat WHI is 10 days. However, the label states that this medication is NOT intended for use in calves
less than a month old, or in calves on an all milk diet. Such use could result in prolonged tissue residues. Also, when bull calves are shipped, they may be used for “Bob Veal” and be slaughtered that same day. Don’t assume someone will feed them out for weeks or months. Scenario 8:
Answer C OR D) This actually is the labeled indication, dose, frequency, duration, and route of administration. The label meat WHI is 28 days. However, the label states that its “not for use in female dairy cattle 20 months of age or older or in calves to be processed for veal.” There are many drugs that share this warning, including Baytril, Draxxin, Micotil, Zactran. When bull calves are shipped, they may be used for “Bob Veal” and be slaughtered that same day. Don’t assume someone will feed them out for weeks or months. Scenario 9:
Answer C) While technically this is not a prohibited act, gentamycin is not approved for use in cattle and this would be considered ELDU. In the 1990’s, most veterinary organizations voluntarily agreed to stop using aminoglycosides in cattle. Since there is no tolerance for gentamycin residues in tissues, the heifer would have to remain in the herd long enough for no detectable residues to be found at slaughter. There have been springers shipped for slaughter shortly after calving that have triggered positive gentamycin tissue residues.
Information provided by the WVMA is intended to be general in nature. The WVMA cannot provide legal advice or formal recommendations. You should always consider consulting with your attorney or other professional advisors regarding the specifics of your situation.
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Classified Ad Changes The WVMA has made changes to the classified ad fee structure beginning with new ads submitted for the May 2011 issue. All classified ads including veterinary relief ads will be published at the following rate: Members: First 30 words, $10. Every additional word after 30 is $1.50 per word. Non-members: First 30 words, $50. Every additional word is $1.50 per word. Ads will run 2 consecutive months, and then be removed, unless the WVMA is notified you would like to continue your ad for another 2 month run. You will be invoiced at the end of the first month during a 2 month period. Ads are placed online at the beginning of the month they are featured in the newsletter. Immediate placement of ads is an additional $25 fee. Additional $10 fee for blind box ads.
Small Animal Seeking FT or PT veterinarian at Delavan Animal Clinic. Friendly staff, good clients, flexible work schedules offered. Our Southern Lakes area offers abundant outdoor recreation. Call us at (262) 728-3303. SA veterinary clinic looking for PT veterinarian for mostly Saturday mornings and occasionally during the week/ vacation coverage. The ideal candidate will need to possess strong communication skills and enjoy working in a challenging environment. This is a non-benefited position and the hours may fluctuate as needed. Email resume, cover letter, letter of references and salary requirements to info@northsidepethosp.com Energetic, outgoing SA associate is needed for a progressive 6 doctor MA practice. Our clinic is growing rapidly and consists of approximately 50% dairy and 50% equine and SA. Top quality SA services are provided by the outstanding staff including 5 certified technicians. We have many tools including in-house CBC and Blood Chemistry, Doppler, EKG, and digital radiography. A spacious 6900 sq. foot building makes this MA practice enjoyable. Experienced or new grads welcome. Compensation and benefits are negotiable
12 May
2013
and commensurate with experience. Our office is located in Athens, WI, central portion of the state just north-west of Wausau. Athens is a wonderful small town with great schools and steady growth. Many recreational opportunities are close by. Contact Jeannie Christopherson or Dr. Thomas Albrecht at (715) 257-7003 or athensvet@aol.com for more details or questions. SA associate veterinarian needed with ownership possibility to the right candidate who wishes to make the beautiful Northwoods of Wisconsin their permanent home. We have an excellent support family and you will practice in a fully equipped clinic. Daytime hours Monday-Friday with the occasional Saturday hours and one week out of every 6 weeks on call. Send resume to Northern Paws Animal Hospital, 1175 Lincoln St., Rhinelander WI, 5450,1 or call Dr. Raymond Goodroad at (715) 282-7490 after 7:00pm. We are a 3.5 doctor AAHA-accredited hospital seeking a PT experienced doctor to join our practice team. State of the art facility includes Ultrasound, Digital Radiography, Digital Dental Radiography, Doppler Blood Pressure, Tonometry, Idexx in-house laboratory and much more. Excellent support staff includes licensed technicians. Pay structure negotiable and benefits include retirement, CE, professional liability insurance, and no afterhours emergency call. Our team is focused on patient care and client education. Email resume to Amy: info@bellecityvet.com. Well established AAHA accredited, multi doctor, SA practice seeks associate DVM. Experienced or new graduates welcome. The ideal candidate must possess solid medicine, dental and surgical skills, be an excellent communicator and have a positive attitude while working within a team; or if a recent graduate is eager to develop these skills. Our practice focuses on providing compassionate patient care and comprehensive client education. We offer a competitive benefits package. To apply, email resume to thompsonamc@centurytel.net Tired of the rat race? Want more time with clients/ patients? Hill-Dale is committed to quality, not quantity. With 37+ years of service, this AAHA accredited SA hospital is progressive, well-equipped and well-established. Seeking a PT or FT dedicated individual with proficiency in general surgery, proficiency or interest in dentistry and willingness to share after hours call (no overnights) equally with 2 other doctors. Must want to live in the thriving, yet quaint community of Baraboo (30 miles north of Madison, www.baraboo.com). 2+ years’ experience required. Benefits include discounted pet care, vacation/sick time, retirement plan and strong
partnership potential. Visit www.hill-dale.com for more information, or submit resume directly to resume@hilldale.com. Looking for a FT SA veterinarian to join our 3 doctor team, in a well-established practice located in the Fox River Valley area. Competitive salary and benefits offered. 1-5 years experience preferred, but will consider new graduates. Mail resume to Country View Animal Hospital, 425 N. Tullar Rd., Neenah, WI 54956 or e-mail to info@ cvah.info, Attn: Cathy. Established SA practice in the Milwaukee area is seeking a PT associate. Our practice offers laser surgery, ultrasound, endoscopy, and more with a friendly atmosphere and central location. Open to flexible work schedule. Call (262) 378-0590 for more information. Seeking an enthusiastic team player with a must for strong communication, surgery, and internal medicine skills. Team up with doctors with competencies in ultrasound, orthopedics, critical care, laser surgery and laser therapy. Great support staff. Serve 2 stateof-the-art, paperless hospitals in North Central Wisconsin. Prefer experienced DVM. Please send resume & cover letter to North Country Veterinary Clinic. Attn: Lyn Ludwig, DVM, W6880 Hilly Haven Ln., Phillips, WI 54555. Email: lynludwig@hotmail.com. Website: www. northcountryvetclinic.com. Phone: (715) 339-6777. Shelter from the Storm’s non-profit Spay Me! Clinic is seeking a PT veterinarian looking for an opportunity to make a difference with rescues, shelters and people with a financial hardship working in our high quality, high volume, low cost spay/neuter and wellness clinic, focusing on the wellness program. You must be able to work in a high paced environment and have strong leadership skills. You will be working in a well-equipped clinic with digital X-ray, ultrasound, in house blood machines, and with a strong support staff. The right candidate will be detailed oriented, have good communication skills, be self-motivated and well organized. Send resumes to wis_ animalrescue@yahoo.com.* Seeking EXPERIENCED vet 2-3 days/wk. with room for growth in established full service practice. Join us in providing exceptional care in a friendly team based atmosphere with superb support staff. We work hard and have fun! Strong focus on client education, preventive and dental care, surgery, and respect of clients and their pets. Resume: Bay View Veterinary Clinic, 890 Main St., Mukwonago, WI 53149, or email bayviewvet@wi.rr.com. No Calls.* A.M.Vet Service is looking for a FT/PT SA veterinarian and a CVT. We are a fast-paced, growing country practice. Contact Dr. Hines at amvs@maqs.net.*
Emergency Veterinarian needed for our fully equipped, 10,000 sq. ft. emergency/critical care and specialty hospital in Milwaukee. We have Critical Care specialists, a boarded surgeon, board certified internal medicine specialist, board certified dentist, behaviorist, rehabilitation therapy and an excellent technical and support staff that provides the highest quality care to our patients, pet owners, and referring vets. The ideal candidate will be emergency trained, possess strong communication skills, and enjoy working in a stimulating and challenging environment. We offer an excellent salary and benefits package. Email your resume to Marla Lichtenberger, marlavet@aol.com or call (414) 543-7387 for more information.*
Mixed Animal Energetic, outgoing associate is needed for a progressive 6 doctor MA practice. Our clinic consists of approximately 55% dairy and 45% equine and SA. We are looking for someone interested in both large (equine) and SA opportunities. Top quality SA services are provided to clientele with 4 certified techs and a well-equipped SA hospital including digital radiography. We offer an in-house equine facility for trailer-in or hospitalized patients. Stalls also double as surgery rooms for minor surgeries and ICU. A stock is also available to perform exams, standing procedures, dentals, and reproductive procedures. We also offer portable x-ray and ultrasound. Contact Jeannie Christopherson or Dr. Tom Albrecht at
(715) 257-7003 or athensvet@aol.com for more details or questions. Well established, mixed (predominately dairy) practice seeking new or experienced associate to join our mentoring-orientated team. Stable, 4 Doctor/3 CVT practice in outstanding dairy/small town environment offers excellent support staff, truck and equipment, competitive salary and generous benefits package. On-call duties are shared equally and compensated. We can be very flexible in accommodating all of your personal and professional practice needs, including affordable partnership opportunity. Interest in companion animal/equine is a plus. Contact Dr. Elroy Roedel at PO Box 158, Loyal, WI 54446; Phone: (715) 255-8888 days, (715) 255-8889 evening; FAX: (715) 255-9542 or e-mail: loyalvet@frontier.com.* Position available for friendly, energetic SA (90%)/ dairy (10%) associate veterinarian to join our quality health care practice in Verona, WI. Well-equipped clinic offers competitive salary, benefits and potential future buy-in opportunity. It’s a great time to join our friendly, hardworking, fun, experienced staff. Verona is rapidly growing but retains a small town essence, 10 minutes from Madison. Send resume to: Attn: Bob - Verona Veterinary Medical Service, S.C., 655 Half Mile Road, Verona, WI 53593; Fax to (608) 848-5906; or email to veronavetmed@tds.net.*
Dairy Represent ANIMART as the wet calf expert (dairy, veal, and dairy beef calves) through consulting, education, and problem solving. It is our goal to help our producers reach the full genetic potential of their herds. Practice experience critical to perform duties. Highly competitive salary based on experience with full benefit package. Travel required throughout Wisconsin and surrounding states. DVM, Licensed in WI, other states desirable. Contact: Karen Hunt at (920) 3194324 or email karenh@animart.com.*
with medicine cases, soft tissue surgeries and have great client communication skills. Leave message Dr. Barb Korte, (608) 269-3357, email: beachcomber1957@gmail.com. Experienced SA veterinarian licensed and accredited in WI offering competent, caring, reliable relief work in SE WI. Dr. Shahid Chughtai at (414) 861-1114 or email at gooddoc796@aol.com. AAHA veterinarian with 20+ years experience available for relief work in NW WI. Excellent diagnostic, surgical, and communication skills, Contact: David Wiltrout, DVM, (715) 462-9475, or email: dvmweepaws@aol.com. Quality SA relief services available covering SE WI. Over 20 years experience in this SA and emergency medical care. Dr. Pete Gaveras, (414) 476-9390. Experienced SA relief veterinarian available for work in eastern/central Wisconsin. Please contact Karla Dietrich, DVM at kjddvm83@gmail.com, (920) 210-5991. Experienced SA veterinarian available for relief work, 15 years relief experience, WI licensed and accredited. Please call/email Mark Clemons, DVM (262) 862-1121, macdjc4209@aol.com. Dependable, 20+ years experience. Med/Surg serving Northern/Central Wisconsin. Contact Rich Piwoni, at (715) 627-0957, rapiwoni@hotmail.com.* Experienced SA clinician/diagnostician available for relief work in the Fox Valley/East Central area. Excel at adaptability and client communication/education. Melissa L. Knoll, DVM, email: mknolldr@gmail.com or (920) 896-0034. SA relief vet since 1995. Thorough, reliable, easy going. Will travel to Green Bay, Kenosha, Janesville, Wisconsin Dells and areas in between. Julie Lakin DVM, (920) 269-7264. Experienced SA clinician available for work in central and western Wisconsin. Excellent communication skills; enjoy working with clients and staff. Nancy Leverance, D.V.M. Email: nleverance@network2010.net or call (608) 6179408 or (608) 429-9408.
SA relief Veternarian for central Wisconsin. Experienced. Versatile. Call Dr. Gary, (715) 652-2065 home, (715) 305-7014 cell.
Caring and compassionate relief veterinarian available. 25+ years of AAHA experience. Competent medical and soft tissue surgery skills. Emphasis on quality and integrity. Paul Danhaus, DVM. (715) 571-8091 or paul. danhaus@gmail.com.
Quality relief care since 1992. Special interests include surgery and dermatology. Personable, reliable service. Please call Robert Patyk, DVM, at (262) 567-2832. Or email: robert.patyk@att.net.
Experience in GP and Emergency, confident in medicine and surgery. Would love to provide quality medicine to your clients in your absence. Willing to travel and can provide references. (541) 602-3966, ehrose33@aol.com.
Providing you with reliable veterinary relief service has been my business for the past 13 years. I’m proficient
SA and equine relief work. 21 years experience. Proficient in SA soft tissue surgery and equine ultrasound and
Relief
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power floating. Will travel. Call Sabine Hartmann, DVM (715) 267-7443 or twinoaks@tds.net.* Experienced, enthusiastic SA veterinarian looking for relief work in South Central WI. 30+ years of experience. Competent in medicine and soft tissue surgery. You can walk out when I walk in! WI licensed and accredited. Please call/email to Deborah Schroeder, DVM (608) 2428766, drdebs001@aol.com. Communicative, productive SA veterinarian available for relief work in western WI, surrounding areas. Licensed in MN/WI. Experienced in surgery, medicine, dentistry, staff management. Outstanding customer service, clientbuilding skills. Victori Ribeiro, MS, DVM, (651) 503-0482; neyx0003@umn.edu. SA veterinarian for relief work. Reliable - Compassionate -Thorough - Adaptable. Experienced and accredited. Goal: permanent member of progressive practice with emphasis on client education. Angela Patchett, ampatchett@dr.com, or (920) 960-2461.* Do you need a Sat off? Past SA hospital owner would like to work a few days a month! SW Milwaukee area. E-mail: ulbrichtkathy@yahoo.com.* SA veterinarian available to provide relief beginning midMay. Experience in day practice and emergency medicine and surgery. Please contact me at slennix@yahoo.com. Resume and references available.
MOBILE TTA Mark Hein, DVM • Cruciate Disease • Patellar Luxations
608-792-8184
tta@centurytel.net wisconsinveterinaryorthopedics.com
14 May
2013
Experienced SA relief veterinarian available. Versatile. Great with staff, clients and pets. Willing to travel. Dr. Lori Zimmerman, (608) 592-7779 or doclori@hotmail.com.
Relief Needed Solo SA practitioner needs vacation with family! Dates needed are 7/25-7/26, 8/30, 8/12-8/16 and 8/19-8/23. Please email drg@northwoodsvetcenter.com.*
Tech/Staff Sauk Point Veterinary Clinic on Madison’s West-side is looking for a PT/FT CVT. We are a progressive practice focusing on client education and exceptional client service. We are seeking a self-motivated, hard-working individual who wishes to utilize their skills to the fullest extent. Contact Kathy Anderson at (608) 829-0055 or email applications to customerservice@saukpointvet.com. Wales Animal Clinic is seeking FT experienced CVT to join our team. We are looking for someone who is compassionate, self-motivated, has excellent communication skills and the ability to multi-task. Applicant needs strong technical skills, be able to assist in surgery, perform routine lab work, assist with radiology and anesthesia. Work a four day work week and no weekends. We offer a comprehensive benefits package. If interested, send resume to Wales Animal Clinic, 219 Summit Ave., Wales, WI 53183; or email humanresources@walesanimalclinic.com. Rehabilitation veterinary technician needed for our fully equipped, 10,000 sq. ft. emergency/critial care and specialty hospital in Milwaukee. We have a Critical Care Specialist on staff and a certified dentist. We also provide an excellent technical and support staff that provides the highest quality care to our patients, pet owners and referring veterinarians. The ideal candidate will be a CVT with post-graduate training in rehabilitation therapy (CCRP) or (CVMRT). Applicant must have a strong interest in how massage and neurology are used as part of the stimulating and challenging environment. 1+ years working experience with a Class IV Cold Laser and TENS a plus. We offer an excellent salary and benefits package. This position will start as PT with the possibility of going FT. Email your resume to De’Andre White, deandrew@ erforanimals.com or call (414) 543-7387 for more information. Are you a highly qualified manager looking for the next challenge? Well here it is! A 5 doctor clientoriented veterinary clinic is seeking an exceedingly motivated manager to oversee our excellent front office team. Performing front office tasks and having
excellent organizational office procedures is imperative to be successful in this position. Must possess a strong initiative to be professional and lead a stellar customer service team while providing compassionate care for our patients and for our clients. A commitment to client service as well as a desire to perform all aspects of office management is essential. We are looking for the right individual with 2+ years of managerial/supervisory experience who has leadership qualities and the desire to be part of a dynamic and compassionate team. Experience in veterinary office management is preferred; however, general office/business management may be acceptable. Submit resumes; Email: customer_care@ careanimalhospital.com, Mail: 8989 74th St., Kenosha WI 53142, or Fax (262) 694-5046. No phone calls please. FT Veterinary Technician needed for our 4 doctor Veterinary practice located in the Fox River Valley area. Competitive salary and benefits offered. Experience and Wisconsin certified a plus. Please send resume to Country View Animal Hospital 425 N. Tullar Rd., Neenah, WI 54956, Attn: Cathy, or submit to info@cvah.info.* Great Lakes Veterinary Clinic is seeking a FT CVT for our 4 doctor SA clinic in the Fox Cities. Responsibilities include: anesthesia, dentistry, radiography, lab skills, patient care, exam room histories, assistance to our doctors, and client education. We offer competitive benefits and salary is commensurate with experience. Please see our website at www.greatlakesvetclinic and view our video of the clinic. For more information contact Tamera Hagner, Practice Manager at (920) 727-1570, tamerahagner@ glvcvet.com, or 2845 County Road JJ, Neenah, WI 54956.* FT Position: Enthusiastic person with great communication skills and proficiency with computers. Customer Service Representative must have the personality to work in a fast-paced environment. Send resume to: valerinej@ymail.com.* Office manager needed 16-20 hours/week. Duties include staff training, inventory, customer service and marketing. Minimum one year management experience. One hour from Madison. Send resume to mkvcwaupun@yahoo.com.* Irongate Equine Clinic, a full-service, three veterinarian equine ambulatory practice located in Madison, Wisconsin, has an opening for a PT veterinary technician. Qualified candidates should possess excellent technical and horse-handling skills, strong communication abilities, and, preferably, a background in horses. Duties include assisting veterinarians in a wide variety of procedures on-the-farm and at our central breeding facility. Other responsibilities will include some routine laboratory work and processing of Coggins tests. Flexibility in scheduling, a strong work ethic, and a positive attitude with co-workers and clients is a must.
To apply, please email your cover letter, resume and references to sarah@irongateequine.com.* Exceptional Care for Animals is a comprehensive, 24 hour emergency and critical care facility, providing compassionate care to companion animals. ECA is seeking experienced FT/PT CVT’s, to join our busy hospital. 1+ year working as a CVT in a hospital setting is preferred. Applicants must be skilled in: animal restraint, venipuncture, IV catheter placement, lab sample collection and processing, surgery monitoring, anesthesia induction, radiography, pharmacy, client education and communication, reception/front desk work. Applicants must also be reliable and flexible to work weekends and holidays. ECA offers competitive compensation along with a comprehensive benefits package, including medical/dental, 401K, and paid vacation. If you share our commitment to deliver the highest quality of patient care with “Exceptional” client services, please e-mail your resume with cover letter to Susan Abel, at susana@ecamadison.com.*
For Sale Engler ultrasonic dental scaler $500. Pet Map Blood Pressure and all cuffs $750. PC-Vet Wireless ECG $1750. Call or e-mail, (608) 574-7387 or dpmobilepetvet@ hotmail.com.
new doctor to help transition clinic to the new owner. Excellent opportunity to be your own boss! Serious inquiries only, respond to Blind Box 13PFS05, c/o WVMA, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718. Central Wisconsin SA Clinic for Sale. This is a builtfrom-scratch facility of 3,200 square feet in a strip mall in central Wisconsin. It was opened in 2007. It is a beautiful clinic with two exam rooms, HEPA filtered operating room, runs, treatment area, isolation ward, oxygen cage, digital x-ray, business office, doctors’ office and lounge area. All equipment is included in the price. There is a vacant space available for expansion next door. You will find the build-out to be a very workable space for any type of practice: emergency, specialty or general practice. Inquiries to Blind Box 13PFS06, c/o WVMA, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718. SA practice for sale in central WI on northern border. Gross $1M and very well equipped. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.* SA Practice for Sale. Aprox 50 miles from Madison. In town of 9,000. $30,000 buys equipment, inventory and practice. Lease building or $110,000 buys everything. Owner financing available. Blind Box 13PFS01, c/o WVMA, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718.*
Under Contract! SA practice for sale western Milwaukee suburb. Gross revenue $650,000 with beautiful free standing building. Real estate appraised at $600K. Purchase practice and real estate for $900,000. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.* West-Central Wisconsin. Solo practice in rural area. Presently 100% SA. Surgical laser equipped. Building has 2 apartments on 2nd floor. Motivated seller would like to retire soon. Send inquiry of interest to Blind Box 13PFS03, c/o WVMA, 2801 Crossroads Dr. Ste. 1200, Madison, WI 53718.* SA practice for sale in Wausau area. Revenue $900,000/ year. Hospital is beautiful and nicely equipped. Excellent cash flow! Buy practice and RE for $805,000. Contact Total Practice Solutions Group, Dr. Kurt Liljeberg, (800) 380-6872, or kurt@tpsgsales.com.* When buying or selling a veterinary practice, count on the experience of Total Practice Solutions Group. See our display ad this issue. Contact Dr. Kurt Liljeberg of Total Practice Solutions Group for a free consultation, (800) 380-6872, or kurt@tpsgsales.com.*
2004 Chevy Silverado. 146000 2WD 8ft box, reg. cab. 1988 Bowie America. Both in working order. Will sell together for $5000 or $3750 for truck and $1250 for box. We have pictures if interested. Contact us at (262) 8592560 for easiest and fastest response.*
Security since 1962
TTA Instruments & Implants-Full set including all instruments, cages, plates, forks and screws in implant cases. Purchased in 2008 for approximately $10,000 and used on less than 10 cases. Email: rbbrewer@aol.com for more information.*
Solutions for your practice Workers’ Compensation • Business Property/ Liability • Flood Coverage • Umbrella Liability • Commercial Auto • Employment Practices Liability
Practice For Sale Established, solo, MA practice (80%SA). Fully equipped clinic, 4.38 acres, lovely 3BR/2.5BA custom home & 2-car garage. Gross $340,000. Owner retiring. Seasoned staff; loyal clients. Beautiful area known for outdoor recreation. Bike-Ski-Kayak. Work where you play! $550,000. Respond to Blind Box 13PFS04, c/o WVMA, 2801 Crossroads Dr., Ste. 1200, Madison, WI 53718. 100% SA clinic located 25 miles north of downtown Milwaukee. Business, inventory, and real estate with small living quarters above the clinic. Owner will work
Solutions for your livelihood Professional Liability • Veterinary License Defense • Professional Extension (Animal Bailee) • Safety and Risk Management Resources Solutions for your home Automobile • Renters • Homeowners .
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
www.avmaplit.com
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Wisconsin Veterinary Medical Association 2801 Crossroads Dr., Ste. 1200 Madison, WI 53718
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October 10-13, 2013 Alliant Energy Center Madison, Wisconsin
May 2013