VETERINARY MEDICINE, Jul 1, 2005 - Veterinary Medicine
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VETERINARY MEDICINE, Jul 1, 2005
Features
Answering your questions: Sedating and anesthetizing patients that have organ system dysfunction
By John D. Jacobson, DVM, MS, DACVA
Preanesthetic evaluations can reduce morbidity by alerting a clinician to take action to optimize a patient's preoperative status and perioperative management.
Current and future alternatives to surgical neutering in ferrets to prevent hyperadrenocorticism
By Nico J. Schoemaker, DVM, PhD, DECAMS, DABVP (avian practice) , Johannes T. Lumeij, DVM, PhD, DECAMS, DABVP (avian practice) , Ad Rijnberk, DVM, PhD, DECVIM
Because evidence points to surgical neutering as an important risk factor for hyperadrenocorticism in ferrets, we reviewed the literature to find current and possible future alternatives to surgically neutering ferrets.
Degenerative lumbosacral stenosis in dogs
By Marc Kent, DVM, DACVIM (internal medicine, neurology)
Degenerative lumbosacral stenosis is a common cause of cauda equina syndrome and a relatively frequent neurologic disorder in older dogs. If this condition is recognized early, treatment may help alleviate significant morbidity.
Departments
Editors' Note: Come see us online
By Mindy Valcarcel
If you haven't visited our Web site, www.vetmedpub.com, lately, give it a try.
Letters: Charles Short: An inspiration for excellence
I read with pleasure your interview with Dr. Charles E. Short in the January issue, being one of the many who was fortunate enough to have been inspired by him.
An Interview with... Dr. Shirley D. Johnston
Veterinarians should embrace their role in public health and step forward as proactive animal advocates, says the first female dean of a U.S. veterinary college. "We need to become the leaders in welfare issues, not the resisters."
Practical Matters: Evaluating pupillary light reflexes aids prognostication
By Cynthia S. Cook, DVM, PhD, DACVO
Carefully evaluating the pupillary light reflex (PLR), both direct and indirect (consensual), is critical when assessing the prognosis for vision, particularly in patients with glaucoma. So properly performing this quick and easy evaluation is essential.
Practical Matters: Routinely assess sterilizer efficacy with indicator strips and spore tests
By Dean Gahring, DVM, DACVS
To be sure that an entire surgical pack has been sterilized, place indicator tape on the outside of surgical packs and indicator strips on the inside, as well.
Practical Matters: NSAIDs and corticosteroids are a risky combination
By Elizabeth M. Hardie, DVM, DACVS
Dogs referred to North Carolina State University's Integrated Pain Management Service often have a history of receiving systemic corticosteroids and NSAIDs concurrently. This drug combination may alleviate pain, but it exposes animals to a markedly increased risk of gastrointestinal bleeding and perforation.
Dental Corner: How to perform a surgical extraction
By Daniel T. Carmichael, DVM, DAVDC
In May, I explained how to perform a nonsurgical extraction on single-rooted teeth including the incisors, first premolars, deciduous canines, and mandibular third molars. A surgical approach is indicated to extract canines, certain large incisors, and multirooted teeth and to retrieve root tips.
Idea Exchange: Have hesitant dogs play follow the leader
Most patients are happy to follow me from the exam room to the back treatment area.
Idea Exchange: Another use for pill vial labels
Place pill vial labels on pet carriers left at the hospital to keep track of who owns which one.
Idea Exchange: Stay dry when bathing large dogs
When bathing my 90-lb dog, I start at its hind end.
Idea Exchange: Educate staff with word-of-the-week quizzes
Like many veterinary clinics, we have a lot of staff turnover.
Idea Exchange: An inexpensive warming bottle (an antiquated idea from 1946)
On extra cold nights or in the spring and fall when fires are scarcely needed for the well and thrifty, a warming bottle may fill the need felt for heat by the housepet or patient in the small-animal hospital.
Idea Exchange: Warm ear cleaning solution
When instructing clients to clean their pets' ears for otitis, I have them first slightly warm the solution under a hot-water tap and check the temperature on the inside of their wrists.
Mind Over Miller: Professionalism counts!
By Robert M. Miller, DVM
Practice consultants often recommend linking associates' pay to their performance. That is, pay them a percentage of the income they generate. I disagree emphatically. Why? Because it creates a conflict of interest and may influence doctors to run unnecessary tests or even to perform questionable surgical procedures.

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