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Article
Surgical Case Summary: Regurgitation vs Vomiting
Views: 203 - Comments: 0The 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: 653 - Comments: 0The 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: 451 - Comments: 0Case 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: 2,828 - Comments: 2Humans 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: 1,464 - Comments: 0Brachycephalic 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: 3,013 - Comments: 0From 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: 2,409 - Comments: 0We 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: 2,368 - Comments: 0AS “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: 3,171 - Comments: 1With 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: 5,873 - Comments: 0Shock 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: 3,059 - Comments: 0An 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: 3,587 - Comments: 0There 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: 3,947 - Comments: 0There 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: 2,767 - Comments: 0Current 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: 954 - Comments: 0We 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: 1,775 - Comments: 0Have 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: 3,390 - Comments: 0With 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: 3,215 - Comments: 0Many 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: 3,576 - Comments: 0We 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: 1,231 - Comments: 0Social 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: 3,013 - Comments: 1As 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: 4,217 - Comments: 1Patients 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: 3,846 - Comments: 3Chances 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: 2,019 - Comments: 0Sonny, 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: 1,371 - Comments: 0Hank, 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: 5,116 - 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: 8,855 - Comments: 0General 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: 3,537 - Comments: 0Feline 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: 2,515 - Comments: 0A 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: 1,578 - Comments: 0A 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: 5,888 - Comments: 2Bandages 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: 9,614 - Comments: 1We’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: 5,752 - Comments: 3Placing 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: 1,261 - Comments: 0A 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: 10,270 - Comments: 4In 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: 6,188 - Comments: 2Being 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: 2,938 - Comments: 0Coagulation 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: 6,357 - Comments: 2As 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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Article
Medical Math - Constant Rate Infusion
Views: 15,315 - Comments: 11A Constant Rate Infusion (CRI) is utilized to administer a continuous dose of drug in intravenous fluids. We are most used to CRIs for pain management, as in this form the drug can be maintained at effective plasma concentrations...
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Article
Gastroduodenal Perforation in a Dog Treated with Steroids and NSAIDs
Views: 2,640 - Comments: 0An elderly Golden Retriever from out of state was presented for evaluation of abdominal effusion and possible surgery. The patient had a history of osteoarthritis and was being managed chronically with deracoxib. One week prior, s...
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Article
Exploring Pulmonary Hypertension
Views: 3,128 - Comments: 0An 11-year-old, female spayed mixed breed dog was referred to cardiology for two episodes of syncope. Her owners reported an occasional cough and a slowly decreasing activity level and appetite over a two-week period. She was prev...
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Article
Treating Proptosis with Temporary Tarsorrhaphy
Views: 4,144 - Comments: 0Proptosis is a protrusion of the globe from the boney orbit. It most commonly results from trauma to the head or neck. The degree force necessary to result in proptosis varies depending on the patient. Dolicocephalic b...
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Reducing Turnover by Increasing Engagement
Views: 3,243 - Comments: 3The country is dealing with record low unemployment rates. Economically and for the citizens of the US, this is positive news. For employers it does make hiring and retention more challenging. Employees are faced...
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Ask the Right Questions
Views: 12,761 - Comments: 6We’ve all had the thought after working with a client-- why didn’t you mention this earlier? Why am I just hearing about this now? This would have been nice to know an hour ago… While it may be easy to blame the client, it’s im...
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Email Etiquette- Do’s and Don’ts
Views: 6,134 - Comments: 1There are a lot of ways to communicate these days. Phone calls, text messages, instant messages, email, direct mail-- the list goes on. While it’s important to note how your clients prefer to be communicated with, it’s also import...
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Communication in Crisis: What Clients Go Through in an Emergency
Views: 9,371 - Comments: 4Pet emergencies occur every minute of every day – but for our clients it is a singular monumental event. Pets are, in fact, family. They are family that like to eat socks, brawl in the street, enjoy an occasional pot brownie (doub...
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Handling Client Complaints
Views: 5,222 - Comments: 0Handling client complaints can be draining from the start. Prior to working with the client, you should have already started your research on the issue, have notes on hand, and your team should be aware of the complaint. While it’...
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Article
Glo Germ: A Staff Training Tool
Views: 4,358 - Comments: 3Here at DoveLewis, we take all things cleaning very seriously. It’s important that every staff member is up to date on our latest cleaning protocols. While it can be time consuming to spend time with each staff member reviewing ho...
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Special Stones: Urate and Cystine Urolithiasis
Views: 5,682 - Comments: 0Urate Urolithiasis: Urate-containing uroliths are the third most common urolith in dogs and cats. They comprise about eight percent of submissions for dogs and about five percent for cats. Formation of urate uroliths occurs...
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When the Unblocking Gets Tough
Views: 6,177 - Comments: 0Feline urethral obstruction is a common complication of feline lower urinary tract disease. Approximately 12% of cats have metabolic derangements, which along with severe dehydration can cause patients to be critical. ...
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