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Limited licensure ignites debate
April 1st 2008National Report - Some call it evolutionary. Others consider it a mistake. No matter how it's defined, limiting the licenses of veterinarians is stirring national debate, from college classrooms to the American Veterinary Medical Association (AVMA). The outcome could mean licensure limitations, experts say.
Mind Over Miller: There go we all
April 1st 2008The panel moderator acknowledged the elderly, silver-haired gentleman at the microphone. "It's a pleasure to have you with us again, Doctor." The old man, professor emeritus, famous veterinary surgeon, author of a text that was required reading for most members of the audience during their schooling, nodded, smiled, and waved his hand toward the stage.
Research shines new light on shoeing practices
April 1st 2008In A Handbook of Horse-Shoeing, published in 1898, Dr. A. W. Dollar described the correct manner for evaluating a horse prior to fitting shoes. "The horse must be seen both at rest and in motion," wrote Dollar, "the object being to form a clear idea of the conformation and action of the limb, of the form and condition of the hoof, of the way in which the horse brings the foot to, and lifts it from, the ground."
Surgery STAT: CPSS surgery and aftercare
April 1st 2008Congenital portosystemic shunts usually are single vessels that develop inside or outside the liver (Photo 1). Because these vessels carry blood around the liver instead of through it, the normal hepatic processes of metabolism, storage and production are disrupted. Most animals with congenital portosystemic shunts (CPSS) present with mild to moderate clinical signs that are not life-threatening. The most critical component for their long-term treatment is restriction of dietary protein to reduce substrates for ammonia formation by colonic bacteria. Diets for dogs with CPSS should be 15 percent to 20 percent protein on a dry-matter basis, readily digestible, high in zinc and vitamin E, and low in manganese. Sources of gastrointestinal hemorrhage (gastritis, parasites), which provide additional protein substrate, should be treated. Ammonia production and absorption can be reduced by administration of lactulose, antibiotics such as neomycin or metronidazole, or unflavored yogurt with active cultures. Cystitis..
Oral melanoma: Improving dogs' survival
April 1st 2008It is not often that one is able to bear witness to a sea change. The veterinary community has, in my opinion, seen one with the development of the melanoma vaccine. This unique form of therapy, a DNA-based vaccine, would justify my opinion, but the successful collaboration between veterinary oncologists, human oncologists and the pharmaceutical industry also serve to mark this event as extraordinary.
Letters: Providing the right fluids in patients with hypernatremia
April 1st 2008In the January 2008 issue, the article "Toxicology Brief: Sodium hypochlorite bleach ingestion in two dogs" states that lactated Ringer's solution was used to treat hypernatremia and hyperchloremia. It seems that a fluid such as dextrose 5% in water may be more appropriate, as well as something without sodium to replenish bicarbonate.
Medical error and liability: How technology can be a safeguard
April 1st 2008As discussed previously, the emergence of a "reasonable physician" standard of care affects both human and veterinary practitioners, defining our approach to error management. Under this standard, adverse events previously defensible by deference to custom might now result in decisions of negligence if it is determined that such events were easily preventable.