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  • Article

    The Anorexic Cat: A Breakdown of Appetite Stimulants

    Views: 113 - Comments: 0

    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: 386 - Comments: 0

    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: 224 - 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: 1,213 - Comments: 0

    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: 1,096 - Comments: 0

    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: 442 - 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: 1,900 - 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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  • Article

    Medical Math - Constant Rate Infusion

    Views: 2,405 - Comments: 0

    A 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: 573 - Comments: 0

    An 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: 705 - Comments: 0

    An 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: 943 - Comments: 0

    Proptosis 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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  • Article

    Reducing Turnover by Increasing Engagement

    Views: 1,117 - Comments: 2

    The 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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  • Article

    Ask the Right Questions

    Views: 3,646 - Comments: 0

    We’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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  • Article

    Email Etiquette- Do’s and Don’ts

    Views: 1,509 - Comments: 0

    There 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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  • Article

    Communication in Crisis: What Clients Go Through in an Emergency

    Views: 2,792 - Comments: 2

    Pet 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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  • Article

    Handling Client Complaints

    Views: 1,640 - Comments: 0

    Handling 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: 1,950 - Comments: 0

    Here 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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  • Article

    Special Stones: Urate and Cystine Urolithiasis

    Views: 1,660 - Comments: 0

    Urate 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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  • Article

    When the Unblocking Gets Tough

    Views: 2,588 - Comments: 0

    Feline 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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  • Article

    Rat Bait - What’s Not to Love?

    Views: 2,120 - Comments: 0

    Anticoagulant rodenticide toxicity represents that rare gem in realm of canine toxicities: a toxin for which there is both a rapid, bedside diagnostic test and an antidote. Even severely affected clinical cases stand a reasonable...

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  • Article

    Zinc Induced Hemolytic Anemia in a Dog

    Views: 1,698 - Comments: 0

    An 8 kg, 2 year old male neutered Boston Terrier presented to the general veterinarian with a one week history of lethargy and decreased appetite and a two day history of pigmenturia.  The owner noted that the dog was with hi...

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  • Article

    The Curious Incident of the Lost Cephalic Catheter

    Views: 3,321 - Comments: 0

    A 6-year-old male neutered German Shepherd dog, named Chief, presented on emergency for acute onset of vomiting and restlessness. Initial diagnostics were consistent with gastric dilation and volvulus and he was taken to surgery a...

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  • Article

    Talent Wars: How to Attract and Retain Talent

    Views: 2,061 - Comments: 0

    The job market has changed. Certified Veterinary Technicians are difficult to find and retain. In this article, Monica Maxwell discusses why CVT recruiting is so difficult and strategies to help clinics attract and retain the empl...

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  • Article

    Clearing the Air on Spontaneous Pneumothorax

    Views: 1,652 - Comments: 0

    A five year old male castrated Great Dane was referred to DoveLewis for emergency stabilization after being diagnosed with a severe pneumothorax. The day before, the patient has started coughing but rapidly progressed to dyspne...

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  • Article

    When Good Organs Go Bad – Pancreatitis

    Views: 3,353 - Comments: 0

    The pancreas lives in the cranial abdomen close to the stomach and duodenum. With a right and left limb, this organ plays both endocrine and exocrine roles and is vital to nutritional function. The pancreas secretes glucagon and i...

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  • Article

    Intraosseous Catheter Placement

    Views: 4,014 - Comments: 0

    Although a seemingly intimidating procedure, intraosseous (IO) catheter placement is a wonderful tool in the arsenal of emergency medicine practitioners. It is useful in rapid placement during shock, in neonates, or in exotics for...

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  • Article

    Vitamin D3 Toxicity: Rare but Noteworthy

    Views: 3,614 - Comments: 0

    Cholecalciferol is an uncommon cause of toxicity in the dog and cat, however after seeing several cases recently, I thought that it warranted a review. Thankfully, these cases were seen shortly after ingestion and all did well wit...

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  • Article

    Current Concepts and Ideas in Pain Management

    Views: 2,832 - Comments: 0

    Pain was adopted as the fifth vital sign in human medicine in 1996 following the objective pulse, blood pressure, respiration and temperature.  In veterinary medicine we are following suit as identification and treatment of p...

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  • Article

    Esophageal Foreign Bodies

    Views: 2,736 - Comments: 0

    Esophageal foreign bodies in dogs are an uncommon presentation in the veterinary ER - estimated to comprise ~ 0.09% of veterinary ER admissions. However, when they do occur, they are quite memorable cases because they can be assoc...

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  • Article

    Ovarian Remnant Syndrome

    Views: 2,136 - Comments: 0

    Bogey, an eight year old spayed female Labrador retriever dog was referred for a vaginal mass which had appeared in the last 24 hours. The owner noticed that the vulvar area seemed larger than normal over the past month and rep...

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  • Article

    The Worst Diabetic Crisis

    Views: 3,278 - Comments: 2

    Diabetes mellitus is arguably one of the most common and frustrating endocrine diseases to treat in both human and veterinary medicine. It seems that no two patients are exactly alike in the way they present, the laboratory findin...

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  • Article

    Who’s Hungry? Getting Nutrition into Our Patients

    Views: 3,186 - Comments: 0

    Nutrition in hospitalized patients is often overlooked in the early hours of illness. With blood work to run and radiographs to take, diarrhea to clean up and blood pressures to measure we forget that our patient has not eaten in...

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  • Article

    Esophageal Perforation in a Labrador Retriever

    Views: 2,947 - Comments: 0

    An 11 month old Labrador retriever presented on emergency after sustaining a stick impalement injury. During a game of fetch, the young dog dove for the stick inadvertently shoving one end deep into the back of his oropharynx. Fol...

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  • Article

    Block Party: Local Regional Anesthesia in the ER

    Views: 4,093 - Comments: 0

    If pain control was a party, the opioids, NSAIDs, and neuromodulating therapies would be the most glamorous and gregarious attendees. But sometimes a very effective member of the party is the often forgot wallflower, the local, or...

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  • Article

    Pericardiocentesis – A Review

    Views: 3,952 - Comments: 0

    Pericardiocentesis is a potentially life-saving therapeutic procedure commonly performed on the ER floor. Although considered relatively safe, this invasive procedure may be associated with serious complications. If left untreated...

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  • Article

    Aspiration Pneumonia

    Views: 6,535 - Comments: 0

    Aspiration pneumonia is unfortunately a frequent occurrence in veterinary patients, and is recognized far more commonly in dogs than in cats. The initial injury (aspiration pneumonitis) actually occurs due to chemical irritation f...

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  • Article

    Tracheal Foreign Body in a Cat

    Views: 3,415 - Comments: 2

    A five year old male neutered Domestic Shorthair cat presented on an emergency basis to DoveLewis for having difficulty breathing. He is an indoor-outdoor pet and the owners reported that he was outside (absent) the previous night...

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  • Article

    The Pain Management Toolbox

    Views: 4,498 - Comments: 0

    We give and receive love and companionship from animals, have them as members of our families and know that they can suffer pain, fear and distress. Animal pain may very well be worse than human pain since animals cannot speak and...

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  • Article

    Caudectomy in the ER

    Views: 5,914 - Comments: 0

    In the emergency room, we often encounter tail injuries that require caudectomy, or tail amputation. Trauma is the most common reason for caudectomy in the ER. Skin and soft tissue wounds, including severe bite or animal wounds, d...

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  • Article

    Dog Bite Prevention Week at DoveLewis: Who, When and Why

    Views: 6,436 - Comments: 0

    It’s National Dog Bite Prevention week! As the Safety Manager at DoveLewis, animal bites are always at the front of my proverbial stove. I would like to say that we have a zero bite record, but that would be false. As an emergency...

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  • Article

    An Unusual Case of Stump Pyometra

    Views: 4,841 - Comments: 0

    An eight year old Female spayed French bulldog present for surgical consultation. She was adopted about seven years ago in another state by her current owner. Previous medical history included ovariohysterectomy performed whi...

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  • Article

    How We Stayed Social in 2016

    Views: 6,920 - Comments: 0

    Social media isn’t going away. It’s growing at exponential rates around the world, and this is good news for veterinary medicine! A new avenue to educate clients and create growth opportunities? Yes, please. Social media can deliv...

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  • Septic Peritonitis in Dogs and Cats Thumb
    Article

    Septic Peritonitis in Dogs and Cats

    Views: 10,818 - Comments: 0

    Septic peritonitis is a relatively common reason for admission to our hospital and represents an important cause of morbidity and mortality. These cases can be challenging to stabilize before and during surgery and are often hospi...

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  • Article

    Summer Feline Toxins

    Views: 5,951 - Comments: 2

    With the arrival of summer and that warm weather, for which us Pacific Northwesterners are starved, comes an increase in the cases of specific cat toxins we see. The flowers are blooming and the bugs are out in full force! These f...

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  • muzzled Yorkie
    Article

    Dog Bite Prevention Q & A

    Views: 15,399 - Comments: 0

    DoveLewis Safety Manager Coby Richter answers some common questions about dog bite prevention. She discusses important precautions that all of our staff members take and how our policy regarding muzzling was developed....

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  • wound management in a cat
    Article

    Wound Management of a Complex Dog Bite

    Views: 8,795 - Comments: 3

    A 6 year old Female spayed Maine Coon cat was mauled by a dog sustaining severe injuries to her left forefoot including loss of the second digit. The wounds were debrided and partially closed by her primary care veterinarian ten d...

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  • dog in respiratory distress
    Article

    Respiratory Distress: Emergency Treatment

    Views: 19,841 - Comments: 4

    When faced with a patient in respiratory distress or arrest, the timing of patient assessment and intervention is critical. First one must determine if the patient is in respiratory arrest, regardless of the underlying cause....

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  • canine serotonin syndrome from 5HTP ingestion
    Article

    Serotonin Syndrome

    Views: 10,842 - Comments: 2

    A 5-year-old spayed female 22.7kg Standard Poodle presented for evaluation due to mental alteration and abnormal breathing. The owner revealed that approximately 11 hours prior to presentation the dog had ingested a bag containing...

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  • Article

    A Winter’s Tale: Ethylene Glycol

    Views: 7,726 - Comments: 2

    Given the recent overall trend for a drier but very cold winter season, ethylene glycol as an intoxication may become more prevalent in our metro area. Ethylene glycol can be found in numerous car fluids (motor fluid, brake fluid,...

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  • Article

    Gastric Ulceration

    Views: 8,815 - Comments: 0

    Gastroduodenal ulceration is a common pathology in people with numerous etiologies. There are a few different classifications of gastroduodenal ulcers in people. They are based on differentiating the location and/or cause of th...

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