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  • Article

    Endotracheal Wash: Setting Up for Success

    Views: 418 - Comments: 0

    Airway sampling may seem like a daunting procedure to perform in a private practice setting. However, it can be an invaluable tool to aid in the diagnosis and treatment of certain airway diseases. The main methods for airway sa...

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  • Article

    Perianesthetic Hypothermia: Why Do We Care?

    Views: 535 - Comments: 0

    Hypothermia occurs when there is a decrease in core temperature, causing the patients temperature to fall below the normal range. The normal range varies, but in general, it should be about 100°F to 102.5°F for dogs and cats, and...

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  • Article

    Rabbit Gastrointestinal Syndrome: A Clinical Review

    Views: 535 - Comments: 0

    Gastrointestinal stasis is one of the most commonly treated conditions in rabbits, especially in the emergency setting. Often GI stasis is seen as a result of poor husbandry, however other underlying diseases, stress conditions or...

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  • Article

    Avian Emergencies Part Two: Common Emergencies and Procedures

    Views: 484 - Comments: 0

    Just as with dogs and cats, there are many different types of emergency presentations that you might see during an avian veterinary visit. To learn about the avian physical exam and gaining a thorough history, check out Part One o...

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  • Article

    Avian Emergencies Part One: Understanding the Basics of Bird Treatment

    Views: 1,101 - Comments: 0

    At DoveLewis, an astounding variety of species are walked, wheeled and carried through our doors on a daily basis. In addition to dogs and cats, we regularly treat a cornucopia of exotic pets and wildlife, including (but not limit...

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  • Article

    Be Here Now

    Views: 697 - Comments: 0

    There are many different reactions that we may be experiencing as our “new normal” continues to unfold during the COVID-19 pandemic. Feeling a little out of control is normal right now. It is an uncomfortable reality. Sometimes...

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  • Article

    Mission, Vision, and the Houses of Hogwarts

    Views: 273 - Comments: 0

    Author’s Note: I love talking about all-things-Harry-Potter because I believe that words can be magical. But not all magic is good. Recently, J.K. Rawling inflicted pain with her words with misinformed and damaging, transphobic co...

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  • Article

    Facial Wound Reconstruction in a Chihuahua: A Pictorial Essay

    Views: 626 - Comments: 0

    A one-year-old male neutered Chihuahua, Jax, was playing in his yard on a warm summer evening (Figure 1). While sniffing through the slots in the fence, he was bitten by the neighbor's large breed dog, suffering a severe avulsion...

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  • Article

    Mass Removal in an Aged Patient

    Views: 694 - Comments: 0

    A 14-YEAR-OLD MALE DACHSHUND was presented to DoveLewis' ER for evaluation of a large mass over the right eye (figure 1). The mass was present as a small nodule for a year, but over the past 6 months, it started growing rapid...

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  • Article

    An Ultrasound Pretender

    Views: 829 - Comments: 0

    Imaging artifacts during ultrasound can sometimes lead to misinterpretation of normal anatomy as pathology. An example of this is given below with some tips to avoid this confusion during abdominal ultrasounds.   Ileo-c...

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  • Article

    Alternative E-Collar Methods

    Views: 2,417 - Comments: 0

    Although the summer season is coming to a close, it's likely that you and your patients are staying active outside in new ways. Here at DoveLewis, summer is our dog-fight, hiking-mishap, and BBQ-bone-eating season. These are all e...

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  • Article

    Hospital-acquired Conditions and Complications

    Views: 2,103 - Comments: 0

    When providing care for the critically ill patient, secondary conditions and complications are likely to occur. A lack of uniformed reporting in veterinary medicine leaves us with little organized data, but human medicin...

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  • Article

    Surgical Case Summary: Regurgitation vs Vomiting

    Views: 1,082 - Comments: 0

    The Case A 4-month-old female Dachshund presented as a referral for vomiting. She had been evaluated by her family veterinarian three times within a month for episodes of vomiting that also included diarrhea. Medical manage...

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  • Article

    A Tale of Two Toxicities: Ethylene Glycol

    Views: 1,411 - Comments: 0

    The Hook: Description of Toxicity Two patients, Duke and Hippo, presented to DoveLewis for ingestion of ethylene gylcol. Ethylene Glycol (EG) is a life threatening, rapidly metabolized toxin found in automotive antifreeze so...

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  • Article

    Soft Palate Laceration

    Views: 1,267 - Comments: 0

    Case A two-year-old Labrador retriever mix neutered male dog presented as a referral for suspected stick-related trauma. The day prior to presentation, the dog had been playing fetch with tree branches and the caretaker observe...

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  • Article

    To Err is Human

    Views: 3,851 - Comments: 2

    Humans are fallible. Humans make mistakes. And humans are at the core of veterinary medicine. That means that if we engage in the practice of caring for animals, errors will occur. That error might be getting client information wr...

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  • Article

    Brachycephalic Airway Obstructive Syndrome

    Views: 2,249 - Comments: 0

    Brachycephalic airway obstructive syndrome (generally shortened to brachycephalic syndrome) encompasses a group of anatomic abnormalities that can result in severe inspiratory stridor. Most commonly identified abnormalities includ...

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  • Article

    Breaking Down Brachycephalic Care

    Views: 4,574 - Comments: 0

    From general practice to emergency medicine, brachycephalic patients can be challenging. Their unique anatomy makes them more vulnerable to certain conditions – like respiratory issues, cardiac illnesses and heat stress – and comm...

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  • Article

    Being Prepared to Make Quick Decisions in Surgery

    Views: 3,195 - Comments: 0

    We have all been in a surgery where we find something unexpected or we are forced to make a decision quickly that will affect the outcome of the case. Although quick decision making becomes easier with practice, I’ve put together...

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  • Article

    Addisonian Crisis: A Summary of Emergency Presentation, Diagnosis, and Stabilization

    Views: 3,163 - Comments: 0

    AS “THE GREAT PRETENDER,” Addison's disease (hypoadrenocorticism) can look like just about anything. Thought to be most commonly secondary to immune-mediated adrenalitis, primary Addison's usually results in deficiency of both glu...

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  • Article

    Grounding: A Wellness Tool During COVID-19

    Views: 4,248 - Comments: 1

    With the passing of time, there are many different reactions that we may be experiencing as our “new normal” unfolds during the COVID-19 pandemic. One feature that seems to linger is a persistent, low level anxiety that has shifte...

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  • Article

    Pathophysiology of Shock

    Views: 8,448 - Comments: 0

    Shock is commonly seen in both the emergency room and the primary care clinic. It is a potentially reversible condition that significantly contributes to the death of patients from a variety of illnesses. An understanding of the p...

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  • Article

    Journaling: A Wellness Tool During COVID-19

    Views: 3,985 - Comments: 0

    An unexpected outcome of this pandemic has been that it’s changed my days off. This weekend, the general sense of unease that has settled in since the pandemic began was accompanied by something else. Up until a month ago, my time...

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  • Article

    Diaphragmatic Breathing During COVID-19

    Views: 4,695 - Comments: 0

    There are many different reactions you may be having during this stressful and uncertain period. One of the frustrating realities of human cognition is that we not only react to the world around us, but we also have internal react...

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  • Article

    Resilience Strategies During COVID-19

    Views: 5,025 - Comments: 0

    There is a lot that we are trying to contend with during this crisis. For many of us, there’s an underlying sense of urgency and helplessness as we try to find something to control in this surreal, and often uncomfortable, new lan...

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  • Article

    Coping with PPE Shortages: DIY Cloth Face Masks

    Views: 3,418 - Comments: 0

    Current PPE shortages mean finding creative and innovative ways to offer protection for team members. The recommendation for medical staff is to wear N95 respirator masks during COVID-19. These masks are best at catching at l...

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  • Article

    Using Online Reviews as Educational Tools (Part 2): Examples from DoveLewis

    Views: 1,336 - Comments: 0

    We all have a love-hate relationship with reviews. They can be difficult to read and reply to as a business, especially when they are negative reviews. But the fact is that 90% of consumers read online reviews before visiting a bu...

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  • Article

    Encouraging Clients to Write (Positive) Reviews

    Views: 2,502 - Comments: 0

    Have you ever interacted with a client who had nothing but wonderful things to say about you and your staff? A few minutes later, they walk out the door leaving you wondering how you could have asked them to share their experience...

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  • Article

    COVID-19 Client and Clinic Resources

    Views: 3,951 - Comments: 0

    With so much information at our fingertips with COVID-19, we wanted to share new procedures we are doing today (though these may change tomorrow) to help protect our staff, clients, and community. Here at DoveLewis, we are being t...

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  • Article

    DIY Sanitizer for COVID-19 Shortages

    Views: 3,768 - Comments: 0

    Many of you may be encountering the same supply shortages we are during the COVID-19 pandemic. You may be encountering a limited supply of hand sanitizer left and may not be able to obtain more in a reasonable time period. So, Dov...

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  • Article

    Well-being During COVID-19

    Views: 4,259 - Comments: 0

    We may be beginning to feel like we have more questions than answers amidst the COVID-19 pandemic. It is not unusual to experience a wide range of thoughts, feelings, and reactions. Some of these reactions may include: Anxie...

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  • Article

    How to Get Started in the World of Social Media

    Views: 1,687 - Comments: 0

    Social media is a powerful tool to use in your clinic. There are about 3.4 billion active social media users worldwide. With this many people on social media, it is your best opportunity to reach new clients while also building tr...

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  • Article

    Efficient Record Sharing: A CSR's Perspective

    Views: 3,960 - Comments: 1

    As a 24-hour emergency hospital, DoveLewis sees a lot of patients that are brand new to our staff. A dog could come to us after ingesting a packet of gum, and that might be the only time in their life that we'll provide veterinary...

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  • Article

    Three Things You Need to Know About Cleaning an Isolation Exam Room

    Views: 5,425 - Comments: 1

    Patients with symptoms of parvovirus, respiratory infections, or any zoonotic diseases get attended to in our isolation room in order to protect our other patients and clients. After working with these cases, it’s important to kno...

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  • Article

    Tips for Organizing Staff Resources

    Views: 5,412 - Comments: 3

    Chances are at your clinic, you have about thirty important documents that live in ten different places. Seven of them haven’t been updated in the last three years, half were created by someone who doesn’t work there anymore, and...

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  • Article

    Syncope in a Chronic Mitral Valve Disease Patient

    Views: 2,908 - Comments: 0

    Sonny, a 12-year-old, male castrated Chihuahua was presented to the Dove Lewis emergency department. Sonny’s owner reports three episodes of syncope that day. Two events occurred after running up the stairs, and one while drinking...

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  • Article

    Treating Intestinal Lipoma

    Views: 1,808 - Comments: 0

    Hank, a 10-year-old male neutered coonhound, presented for a 10-day history of gastrointestinal signs including vomiting and diarrhea that improved with hospitalization and medical management at an emergency hospital. Radiographs...

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  • Article

    Triage Care of the Acute Abdomen

    Views: 6,197 - Comments: 1

    “Acute abdomen” in human medicine is defined as sudden and severe abdominal pain of unclear etiology. In veterinary medicine, it is typically a more general term used to describe a patient with any acute significant abdominal sign...

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  • Article

    Common Toxicities Seen in the ER

    Views: 11,387 - Comments: 0

    General approach to toxicities The initial approach to the intoxicated patient should focus on obtaining an accurate exposure history from the owner, along with a rapid physical exam assessment and initiation of stabilizing the...

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  • Article

    Determining the Fate of Feline Aortic Thromboembolism

    Views: 4,627 - Comments: 0

    Feline aortic thromboembolism affects approximately 25-30 percent of cats with heart disease. Thrombus formation occurs secondary to stagnation of blood in a dilated left atrium (blood stasis), the highly reactive state of feline...

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  • Article

    Keeping a Pace on Diltiazem Toxicity With Bradycardia

    Views: 3,586 - Comments: 0

    A 12-year-old neutered male Chihuahua weighing 3.8 kg was presented for evaluation of weakness following suspected ingestion of any of a variety of medications, potentially including extended release diltiazem, ibuprofen, aspirin,...

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  • Article

    The Twists and Turns of Corn Cob Ingestion

    Views: 1,993 - Comments: 0

    A 5-year-old male neutered Labrador retriever was referred for abdominal exploration following a three-day history of gastrointestinal signs. He was known to have consumed corn cobs three days earlier followed by vomiting, abdomin...

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  • Article

    Severe Pedal Necrosis: When Bandage Management Goes Wrong

    Views: 8,211 - Comments: 2

    Bandages are commonly used in the management of injuries to the distal extremity in veterinary patients. Bandages offer many benefits for healing of wounds and other injuries to the limb; they provide support, decrease edema, main...

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  • Article

    The Anorexic Cat: A Breakdown of Appetite Stimulants

    Views: 12,206 - Comments: 1

    We’ve all encountered the frustration that is the anorexic cat. It is possible to run a comprehensive diagnostic panel and still not understand why the patient is not eating. Add full body imaging and your client can easily spend...

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  • Article

    Tube Placement and Care: A Step-by-step Guide

    Views: 7,288 - Comments: 5

    Placing and managing various tubes is an important part of a veterinary technician’s role in patient care, and knowing the proper procedures and most effective methods will ensure that you are offering the best possible treatment....

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  • Article

    Radland - Anal Sac Mass

    Views: 1,535 - Comments: 0

    A 12-year-old female spayed basset hound presented to DoveLewis Veterinary Emergency & Specialty Hospital with a history of vomiting, lethargy and multiple episodes of straining to urinate. Physical exam findings included a la...

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  • Article

    Tone and Volume for Your Client Conversations

    Views: 13,648 - Comments: 4

    In the 1970’s, Albert Mehrabian created a tool called the communication model. Within this model, he came up with the idea that only 7% of what is being communicated are the literal words. That means that according to his theory,...

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  • Article

    Receiving Constructive Criticism

    Views: 7,209 - Comments: 2

    Being open to criticism, good or bad, is vital to being successful in any job. How else are you going to know what to improve on, how to grow, and areas may require more focus? When it comes to receiving criticism, it doesn’t a...

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  • Article

    When Thrombosis Gets Complicated

    Views: 3,705 - Comments: 0

    Coagulation is a protective mechanism to prevent excessive hemorrhage following trauma. However, regulatory mechanisms are normally in place to control the timing and extent of the clotting process. For example, the procoagulant e...

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  • Article

    Cannabis in Veterinary Medicine

    Views: 7,212 - Comments: 2

    As a small animal veterinary professional, particularly one practicing in Portland, OR, it seems highly likely that you have been or will be asked about cannabis as a treatment option for a pet’s condition. It is tempting to just...

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