Burlington Emergency & Veterinary Specialists » Surgery http://bevsvt.com Mon, 26 Jun 2017 16:39:47 +0000 en-US hourly 1 http://wordpress.org/?v=4.1.18 Radio Interview with Bruce and Hobbes 92.1 WVTKhttp://bevsvt.com/2017/radio-interview-with-bruce-and-hobbes-92-1-wvtk/ http://bevsvt.com/2017/radio-interview-with-bruce-and-hobbes-92-1-wvtk/#comments Fri, 21 Apr 2017 22:53:39 +0000 http://bevsvt.com/?p=2165 Our Hospital Administrator, Whitney was fortunate enough to be interviewed by Bruce and Hobbes on WVTK. Listen to the interview about BEVS, you’ll get some great info on the hospital and how to find us in a pinch! The interview aired on Thursday, April 20th, 2017.

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Certified Veterinary Pain Practitioner (CVPP)!http://bevsvt.com/2016/certified-veterinary-pain-practitioner-cvpp/ http://bevsvt.com/2016/certified-veterinary-pain-practitioner-cvpp/#comments Wed, 09 Nov 2016 21:12:45 +0000 http://bevsvt.com/?p=2081 We are pleased to share that Dr.  Pamela Levin is now a Certified Veterinary Pain Practitioner (CVPP).  Certified Veterinary Pain Practitioners are veterinary professionals that the International Veterinary Academy of Pain Management (IVAPM) has recognized as having the training and skills necessary to practice animal pain management effectively and ethically.  IVAPM’s certification program is rigorous and comprehensive, covering pain medications, physical rehabilitation, therapeutic laser and acupuncture.  Certified Veterinary Pain Practitioners are committed to recognizing and treating pain in all their patients in the safest and most effective manner possible.  Dr. Pamela Levin is the only CVPP in the State of Vermont. We are so proud of this incredible accomplishment!

Dr. Levin is available for consultations on Tuesdays and Thursdays at BEVS.

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Got a puppy?http://bevsvt.com/2016/got-a-puppy/ http://bevsvt.com/2016/got-a-puppy/#comments Thu, 18 Aug 2016 19:34:51 +0000 http://bevsvt.com/?p=2034 Are you worried that your puppy might be predisposed to hip dysplasia? At BEVS we are offering the PennHip screening for hip laxity. A test that can be performed as early as 16 weeks of age and will allow us to predict the chances and development of future hip dysplasia.

PennHip evaluation is the best test for early detection of hip laxity, which is the key factor in the development of canine hip dysplasia. The hip joint is a ball-and-socket joint, with the ball of the femur (femoral head) fitting into the hip socket (acetabulum). Hip laxity refers to the degree of “looseness” of the ball in the hip socket.

It has been proven that dogs with loser hips are at higher risk of developing hip dysplasia than dogs with tight hips. PennHip evaluation allows us to identify hip laxity as early as 16 weeks of age, helping breeders make decisions on breeding strategies and allowing us to advise dog owners on life style adjustments and preventive approaches to minimize pain and progression of the disease.

PennHIP screening includes three separate radiographs (x-rays): 1. extended view, 2. compression view and 3. distraction view. For the distraction view, a custom distraction device is applied to reveal the maximum amount of hip laxity. To achieve this, the dog’s muscles are completely relaxed by administering sedation or general anesthesia. Below are examples of the three PennHIP radiographs of a 4 year old Labrador Retriever.

Extended View

photo 1

Compression View

compression view

Distraction View

distraction view

Traditional hip screening methods rely solely on the hip-extended view (picture 1) to evaluate both the presence of hip arthritis and joint laxity (subluxation). Using traditional systems many dogs hips would be considered normal because the hip-extended view might not show evidence of arthritis or subluxation (laxity). While the hip-extended view can detect existing arthritic changes, it often conceals hip laxity thereby giving a false impression of joint tightness. So, in the absence of arthritic changes, the hip-extended view does not reliably distinguish between dogs that are disease susceptible and those that are not.

For the compression view, the dog’s hind legs are positioned in a neutral, weight bearing orientation and the femoral heads (balls of the femur) are gently seated into the acetabulum (hip sockets). This view can identify critical anatomic landmarks of the hip and determine how well the femoral head fits into the acetabulum.

For the distraction view (picture 3) the dog’s hind legs are positioned in the same neutral position as the compression radiograph and a distraction device is used to reveal the dog’s inherent joint laxity. This exclusive feature of the PennHIP procedure permits accurate measurement of maximal hip laxity. When comparing this dog’s hip-extended view (photo 1) to the distraction view (photo 3), the distraction view reveals much greater joint laxity, if present. The PennHIP method uses the amount of joint laxity revealed in the distraction view (photo 3) to tell us if a dog is actually susceptible to developing hip dysplasia and hip arthritis later in life.

We will submit the films to Antech Imaging Services and a PennHip certified radiologist will evaluate the images and provide us with a Distraction Index (DI). The DI is a measurement of hip laxity which is expressed as a number from 0-1. It represents how far the ball of the femur can be distracted from the socket. It has been established that a value less than 0.3 would indicate uncommon occurrence of hip dysplasia.

The report also includes a full description of arthritic changes and a breed laxity profile ranking. Based on the DI, dogs are ranked within their breed. For the dog breeder this ranking helps in the selection of breeding candidates—dogs in the tighter half of the population are recommended for breeding. By selecting breeding dogs with tight hips (lower DI), meaningful progress toward better hips can be made within a few generations.

For breeders: Information compiled in PennHIP’s international database permits informed selection of breeding stock based on hip tightness relative to other members of the same breed. Breeders can reduce the incidence and severity of Canine Hip Dysplasia (CHD) in future generations of dogs by applying selection pressure towards tighter hips. Among current hip screening methods, PennHIP has the highest heritability value to bring about these genetic changes.

For service and working dog organizations: Service and working dog organizations were the first to adopt PennHip as their main method for hip screening. The investment in training service/working dogs is enormous. The ability to prescreen the dog’s genetic predisposition to CHD is an invaluable tool when evaluating a future service/working dog’s hip integrity.

For companion dog owners: If your dog is identified to be at risk for CHD, your veterinarian can recommend, at an early age, appropriate strategies (diet, medication, and/or activities) to delay or diminish the ultimate course of the disease.

 

Source: www.pennhip.org

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Today My Dog Had Surgeryhttp://bevsvt.com/2015/today-my-dog-had-surgery/ http://bevsvt.com/2015/today-my-dog-had-surgery/#comments Fri, 30 Oct 2015 16:38:20 +0000 http://bevsvt.com/?p=1870 Yesterday, my rambunctious, three year old yellow lab mix Addison underwent a bilateral elbow arthroscopy procedure. Arthroscopy is a minimally invasive surgical procedure orthopedic surgeons use to visualize, diagnose and treat problems inside a joint. Addie was experiencing intermittent lameness that became more severe after exercise. Upon physical exam and joint palpation with Dr. Garrett Levin, DACVS it was suggested to move forward with radiographs and a CT scan to determine if there was elbow dysplasia and bone abnormalities. The CT report confirmed elbow dysplasia and elbow arthroscopy was performed on both elbow joints. A fragmented medial coronoid process was removed from both elbows which is like having a rock in your shoe! Addie is doing great the day after surgery, she is comfortable and walking well. She will continue to be on exercise restriction for 8 weeks and is looking forward to the 4 week mark so she can get in the pool for some exercise! 

addie

Even though I see animals undergo procedures everyday I was still a nervous dog mom throughout the procedure. Being a ‘client’ for a day helped remind me what it’s like to be on the other side, which is sometimes easy to forget because treatments and procedures become so routine. As always, I was amazed at the level of support and compassion given to me by my co-workers. We are all animal lovers and pet parents so even though much of what we see is routine, we can always empathize with the stress of having a sick pet. I am fortunate that Addison will make a full recovery (she is contently munching on a bone in the office right now) and has many hikes, walks and runs ahead of her.

Whitney Durivage, hospital manager at BEVS

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Mala Boo’s Storyhttp://bevsvt.com/2015/mala-boos-story/ http://bevsvt.com/2015/mala-boos-story/#comments Wed, 08 Apr 2015 17:52:58 +0000 http://bevsvt.com/?p=1669 Mala Boo is a beautiful, adventurous 8 year old Labrador. One day last October after returning from a  hike she began showing signs of neck pain. The neck pain became more severe and progressed to tetraparesis (unable to walk and very little movement of her 4 limbs). At BEVS she underwent a neurologic examination and CT scan showing a slipped disc (intervertebral disc disease), compressing the spinal cord at C5-C6 on her neck. Mala Boo’s amazing family decided to go through with surgery knowing a long road and tough recovery was ahead of them. The same day as the exam and CT, Mala Boo underwent a ventral slot (bone tunnel made on the spinal canal floor to retrieve the disc material compressing the spinal cord). Mala Boo was kept sedated and received different types of pain medication to control what we call wind up pain – a pain that persists even after the insult has been removed.

One of the most extraordinary moments in my career occurred 2 days post surgery while the owners were visiting.  Mala  Boo was still very painful and unable to move. We were going over all of the options and that prognosis can be good but recovery is long and difficult. At that moment, Mala moved her front limb for the first time since she became tetraparetic, and reached for her owner. At that moment, they said, we are going to continue, Mala deserves that support. After that, slow improvements could be observed daily. Mala would be able to hold her head up for few minutes which progressed to her moving her legs more vigorously and wagging her tail. Five days after surgery, Mala was discharged from the hospital, still unable to walk and on several pain medications. Mala’s mom Micheline cared for Mala every day, giving her pain medications, doing her home exercises, expressing her bladder and carrying her outside. Again, Mala showed daily improvements and 2 weeks after surgery, she was be able to stand with very little support and did not show any more signs of pain. The Vanovac family continued her exercises at home, holding her up for balancing exercises, doing range of motion, stimulating Mala to move with treats – luckily Mala Boo loves her treats! Five weeks after surgery, Mala could walk on her own and was enjoying the snow outside. What initially was a slow walk with some paw placing mistakes, gradually became a normal walk and finally Mala Boo (and her family) got her life back. Mala Book and her family have many more hikes ahead of them.

Written by: Dr. Helia Zamprogno, PhD, Practice Limited to Surgery

 

Mala Boo 2

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Ruby’s Storyhttp://bevsvt.com/2014/rubys-story/ http://bevsvt.com/2014/rubys-story/#comments Thu, 20 Nov 2014 19:00:09 +0000 http://bevsvt.com/?p=1582 Meet Ruby a  four year old dachshund who loves to run and play hard with her  corgi and 3 dachshund housemates. Ruby’s parents noticed that she was weak in her hind end when they went to bed in the evening and the following morning (approximately 10 hours later) she was able to bear weight on her hind limbs, but was not able to walk on her own. Her parents had a previous dog that needed back surgery, so they knew it was time to take her in to BEVS for emergency care.  They also noticed that she was not able to urinate and her symptoms were worsening quickly.  After a thorough neurological exam, it was noted that Ruby still had deep pain present (ability to feel and withdraw from pain in her feet), she was diagnosed with IVDD – Intervertebral Disc Disease and referred to our surgeon, Dr. Helia Zamprogno for CT/Myelogram and surgery. The CT and myelogram identify the herniated disc, allowing the surgeon to decide the location that requires surgery and the correct side to approach from. 85 – 95% of dogs that are taken to surgery with deep pain will walk again with surgical correction.  50% of dogs that do not have deep pain at the time of surgery will walk again with surgical correction within 24 hours of loosing deep pain. The longer a dog waits for surgery after losing deep pain the less likely they are to walk again, even after surgical correction. Recovery from surgery requires dedicated nursing care, physical rehab and time as it can take several weeks to regain the strength and proprioception needed to walk again. At home care involves a safe well padded area to rest, bladder management (regularly expressing the bladder when they are not able to urinate on their own) and giving daily medications.

Here Ruby is recuperating with her brother Max.

Ruby and Max

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