Supporting the future of veterinary medicine - University of ...

2009-2010Veterinary Medical CenterGuide for Referring VeterinariansSupporting the future of veterinary medicine

Now, an easy way to add MRI, CT, and ultrasoundto your practice (radiologists included)!Advanced Veterinary Imaging Direct (AVID) is a new outpatient medical imaging serviceat the Veterinary Medical Center. AVID gives your practice direct access to the mostadvanced imaging technology for veterinary use in the nation – with anesthesiaprovided by the VMC’s anesthesia group and consultation and interpretation providedby the VMC’s team of board-certified radiologists. We are committed to providing thekind of service your clients have come to expect from your practice.Call us at 612-624-9583 or visit www.vmc.umn.edu/avid to learn how your patientscan benefit from Advanced Veterinary Imaging Direct.How to use AVIDStart by submitting an Online Imaging Request form.Go to www.vmc.umn.edu/a.vmc.umn.edu/avidvid to complete theform or access printable forms. The AVID Web sitealso has information about payment policies andapproximate costs, directions to the VeterinaryMedical Center, and details about the followingprocedures available through AVID:• Computed tomography (CT) scan• Magnetic resonance imaging (MRI)• Ultrasound or ultrasound with biopsy• Special procedures (cystourethrography, dynamicesophagography, fluoroscopy, intravenousurography, upper GI series)Should you choose MRI or CT?Our radiologists have prepared guidelines tohelp you decide. Visit the AVID Web site atwww.vmc.umn.edu/avid to view or download acopy, or call 612-624-9583.Advanced Veterinary Imaging Directwww.vmc.umn.edu/avid612-624-9583

Providing your patients withurgent/emergency care 24/7• It’s Sunday, and a dog needs an emergencyendoscopy for an esophageal foreign body removal.• A cat is hit by a car at 1 a.m. and needs ventilatorysupport with 24-hour critical monitoring.• A pet needs a chest tube or tracheostomy —on a holiday.The VMC’s emergency/critical care team is composed ofveterinarians and certified veterinary technicians experienced inemergency/critical care.Stabilizing the patient is theemergency room’s primarygoal.Caring, profofessional emergency care is available ailable 24 hoursa day, , 7 days a weekeek, , 365 days a year at the Univniverersity ofMinnesota Veterinarerinary y Medical Center er (VMC).Why y is the VMC your best choice? Here’s what we e offer:er:• A team of experienced, board-certified emergency/criticalcare specialists• A full staff of certified veterinary technicians, many withspecialty credentials in emergency and critical care• A fully equipped and staffed intensive care unit with multipletemperature-controlled oxygen cages, mechanical ventilation,and continuous ECG/blood pressure monitoring• The support of the VMC’s 13 specialty services forcontinuing care• A licensed social worker with extended hours to providesupport with difficult cases• A Clinical Investigation Center that provides patientsaccess to cutting-edge research protocols for select cases• Fees consistent with other regional urgent care facilitiesConsider us your afterer-hour-hours s backup up team!Give your clients our direct emergency number:612-625-9711An ultrasound in the ER helps the clinician detect cavity fluid.The Veterinarerinary y Medical Center er is located on the St. PaulCampus of the Univniverersity of Minnesota, just west of theMinnesota State Fairgrairgrounds.The intensive care unit can house up to 40 critical patients.

Clinical Investigation CenterAdvancing Veterinary and Human Medicine through Clinical Trials“The best medical centers not only apply the most current information, they create it.”The Clinical Investigation Center (CIC) providesthe infrastructure for clinical trials at theVeterinary Medical Center (VMC). With theCIC, College of Veterinary Medicine facultymembers have a central place to go to forstudy administration, coordination, technicalassistance, and more. (See our diagram below.)We want to be your fi rst call for help whenyou have questions about veterinary clinicaltrials at the VMC. We can connect you to theright people so you can help your clients takeadvantage of all the opportunities they can.CIC technicians Marianne Robeck, CVT, and Sara Pract, CVTClinical Investigation CenterThe InfrastructureCollege DepartmentsThe InvestigatorsVeterinary Medical CenterThe Patients, Facilities,and Technologies• Most clinical trials offset costs for the pet owner as well as offer an opportunityto participate in new discoveries.• Clients in our studies get increased one-on-one attention and care.Contact usFind out what clinical trials are underwayat the Veterinary Medical Center and howthey can help your clients.Phone: 612-624-2485E-mail:Web:vcic@umn.eduwww.cvm.umn.edu/cicCo-directors: Bert Stromberg, Ph.D.Robert Washabau, V.M.D., Ph.D., DACVIMClinical trials veterinarian:Kelly Hall, D.V.M., DACVECCCoordinator: Kathy Stuebner, CVTTechnicians: Sara Pracht, CVTMarianne Robeck, CVT

Dear Referral Partners,The recession certainly made Fiscal Year 2009 a challenge for everyone but the VMC adapted andcontinued to make improvements in patient care, customer service, and operational efficiency over the pastyear. Operational improvements and the cost benefits that come with them, have allowed us to keep most ofour fees static for these past two years. We appreciate that your clients and practices have been impacted bythe economy as well and we are committed to keeping our high-quality specialty care accessible andreasonably priced during these difficult times.We recognize that you and your practice have options for specialty care in the Twin Cities. Access tospecialty care helps elevate the practice of veterinary medicine and drives the profession forward – keyelements of the service mission for the College of Veterinary Medicine. Your referrals are also critical toour teaching and research missions – support that ultimately yields dividends to your practice and theprofession.Each year, 90 plus veterinary students graduate from the University’s College of Veterinary Medicine andenter our esteemed profession. Veterinarians trained in the college’s busy teaching hospital receiveconsiderably more hands-on experience than their peers at other institutions. As a result they learn tomultitask in the management of complex cases, develop excellent client communication skills, leveragestaff effectively, and be productive members of the medical team. Our graduates are increasingly soughtby practices beyond the Upper Midwest but, fortunately, most of them want to remain in our area, work inyour practices, and perhaps own them one day.The VMC works seamlessly with the college’s Clinical Investigation Center to provide your referredpatients with cutting-edge diagnostic and treatment options being developed at the University. Clientownedanimals are currently benefitting from novel treatments for cancer that may prove useful in humansas well, noninvasive techniques for correcting cardiac anomalies, and new imaging techniques for the earlydetection of joint disease. New protocols are added to the CIC web site regularly and highlighted in collegeand hospital publications. The University of Minnesota College of Veterinary Medicine is rapidly gainingin reputation as a leading research institution. Your referrals are critical to that success!The VMC is more than just a specialty hospital. We are an integral part of the College of VeterinaryMedicine dedicated to its three-part mission of teaching, research, and service and committed to veterinarymedicine and public health. As a referral partner of the VMC, you not only provide your valued patientswith the highest quality of care available but support the future of veterinary medicine in Minnesota andbeyond!Sincerely,David E. Lee, DVM, MBAHospital Director

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSTable of ContentsVeterinary Medical Center Administration ................................................................................................ 3Helpful Telephone Numbers ......................................................................................................................... 4What You Should Know About Us ............................................................................................................... 5Referring to the Veterinary Medical Center ............................................................................................... 6Small Animal Referral Information Form .................................................................................................. 7Estimates for Common Services/Procedures ............................................................................................... 8Small Animal ............................................................................................................................................... 8Large Animal ............................................................................................................................................... 9Payment and Financial Assistance ............................................................................................................. 10What You Can Expect From Us ................................................................................................................. 11Client Rights & Responsibilities ................................................................................................................. 12Client Instructions on Appointment Day ................................................................................................... 13If Your Animal is Hospitalized ................................................................................................................... 13Visiting Hours and Policies ......................................................................................................................... 14Small Animal ............................................................................................................................................. 14Large Animal ............................................................................................................................................. 15Social Work Services ................................................................................................................................... 16Companion Animal Love, Loss, and Memories Group ............................................................................ 17Customer Relations ...................................................................................................................................... 17Directions and Parking ................................................................................................................................ 18From north of the Twin Cities metro area ................................................................................................. 18From south of the Twin Cities metro area ................................................................................................. 18From west of the Twin Cities metro area .................................................................................................. 18From east of the Twin Cities metro area ................................................................................................... 19College of Veterinary Medicine Map ........................................................................................................ 19Accommodations for Out-of-Town Clients ................................................................................................ 20Small Animal Services ................................................................................................................................. 21Animal Behavior Services .......................................................................................................................... 21Cardiology Services ................................................................................................................................... 22Complimentary and Alternative Medicine (CAM) ..................................................................................... 23Dentistry Services ...................................................................................................................................... 24Dermatology Services ................................................................................................................................ 261

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSVeterinary Medical Center AdministrationHospital DirectorExecutive Assistant to the Hospital DirectorDirector of OperationsAssistant to the Director of OperationsDirector of Receiving ServicesAssociate Medical Director – Small Animal CoreAssociate Medical Director – Small Animal SpecialtiesAssociate Medical Director – Large AnimalLab DirectorInterim Pharmacy DirectorCustomer Service DirectorCustomer Service CoordinatorSocial ServicesDavid Lee, DVM, MBA612-624-4769leex3103@umn.eduDeanette Haag612-624-4674dhaag@umn.eduPat Berzins612-624-8791berzi001@umn.eduNick Skaja612-624-4769skaja006@umn.eduDebra Vogt, MBA612-626-6466dvogt@umn.eduElizabeth LaFond, DVM, Dipl. ACVS612-625-7001lafo0005@umn.eduGary Goldstein, DVM, Dipl. AVDC612-625-1781golds034@umn.eduErin Malone, DVM, PhD, Dipl. ACVS612-625-4762malon001@umn.eduLeslie Sharkey, DVM, PhD, Dipl. ACVP612-624-6171shark009@umn.eduAlisa Craig, PharmD612-625-6233schl0378@umn.eduLisbeth Peacock612-626-8474peaco025@umn.eduDeb Armstead-Haak612-626-6236armst009@umn.eduJeannine Moga, MA, MSW, LICSW612-624-9372moga0019@umn.edu3

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSHelpful Telephone NumbersVETERINARY MEDICAL CENTERADMINISTRATION ………………………………………………………………………612-624-4769CLIENT BILLING INFORMATION ………………………………………………………..612-625-2745CUSTOMER RELATIONS COORDINATOR …………………………………………………612-626-6236DIRECTIONS LINE (RECORDED MESSAGE) ……………………………………………….612-624-1270INFECTION CONTROL…………………………………………………………………...612-328-7935MEDICAL RECORDS……………………………………………………………………..612-625-3755PHARMACY, SMALL ANIMAL REFILLS ………………………………………..................612-624-3488PHARMACY, SMALL ANIMAL ……………………………………………………………612-625-6233EMERGENCY LINESMALL & LARGE ANIMAL 24-HOUR EMERGENCY LINE ………………………………612-625-9711INFORMATION AND APPOINTMENTSSMALL ANIMAL INFORMATION/APPOINTMENT LINE…………………………612-626-VETS (8387)SMALL ANIMAL REFERRAL HOTLINE (LOCAL) ………………………………..................612-625-6761SMALL ANIMAL REFERRAL HOTLINE (TOLL-FREE) ……………………………………...800-258-6838SMALL ANIMAL REFERRAL FAX…………………………………………………………612-624-8779LARGE ANIMAL HOSPITAL/PIPER CLINIC APPOINTMENT LINE………………..................612-625-6700OTHER HELPFUL NUMBERSACADEMIC/STUDENT AFFAIRS …………………………………………………………..612-624-7474ALUMNI RELATIONS/DEVELOPMENT ……………………………………………………612-626-6146CONTINUING EDUCATION ……………………………………………………………….612-624-3434COLLEGE OF VETERINARY MEDICINE, DEAN’S OFFICE ………………………..................612-624-6244EQUINE CENTER INFORMATION LINE………………………………………………….. 612-624-7414HISTORICAL MUSEUM ………………………………………………………..................612-625-7770LIBRARY ……………………………………………………………………..................612-624-4281MINNESOTA UROLITH CENTER ………………………………………………………….612-625-4221PUBLIC HEALTH-EPIDEMIOLOGY ………………………………………………………..612-624-6483PUBLIC RELATIONS/COMMUNICATIONS ………………………………………………..612-624-6228RAPTOR CENTER ……………………………………………………………………….612-624-4745TOXICOLOGY……………………………………………………………………………612-625-4234VETERINARY DIAGNOSTIC LABORATORY (VDL) ……………………………………612-625-8787WILDLIFE REHABILITATION CENTER…………………………………………………….651-486-9453VISIT OUR WEBSITE AT: ………………………………………………..http://www.cvm.umn.edu/vmc4

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSWhat You Should Know About UsMissionThe VMC is a patient-centered, customer-driven, economically viable hospital advancing animalhealth while supporting excellence in teaching and discovery.VisionThe Veterinary Medical Center will be nationally recognized for the high quality, innovative,efficient, value-oriented patient care; innovation in clinical teaching programs; and leadership inclinical trials. We will deliver high-quality, patient-centered care in partnership with our clientsand referring veterinarians in a compassionate, respectful, energized environment. An evidencebasedapproach will be used for clinical decision making. Professional students, residents, interns,and staff will be known for their commitment to lifelong learning, critical thinking, and service.Our clinical programs will emphasize development of non-technical, as well as traditionalknowledge, skills, and technical competencies. We will be nationally recognized as a leader inclinical trials for translation of discoveries into new approaches for the diagnosis, treatment, andprevention of animal disease and development of spontaneous animal models of human disease.ValuesScience and knowledge…we support the discovery, integration, application and communicationof knowledge in a clinical setting.Teaching and learning…we provide a clinical environment that facilitates the education ofprofessional students, house officers and veterinarians.Professional development…we are dedicated to developing the skills, expertise and diversity ofour faculty and staff.Engagement…we proactively develop and support partnerships with individuals andorganizations that share our interests.Accountability and sustainability…we hold ourselves to the highest ethical standards, takeresponsibility for our actions, strive continuously to enhance our programs and services,measure our effectiveness, report on our progress and make changes whenever necessary.Leadership…we lead by influencing science, agriculture and animal and public health. We fostera culture that is not afraid to take risks and fail, learns from its mistakes and furthers veterinarymedicine as a result.5

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSReferring to the Veterinary Medical CenterRDVMInformationYou may refer patients to us in one of four ways:1. Small Animal RDVM Referral Hotline: 612-625-6761 or 800-258-68382. Small Animal Fax: 612-624-8779Complete and fax the Small Animal Referral Information form (see next page).3. Large Animal Hospital/Piper Performance Clinic Phone: 612-625-67004. Small and Large Animal 24 Hour Emergency Line: 612-625-9711Please follow these guidelines for Small Animal Referrals• Fill out the referral form completely and attach the medical record.Please do not write “see enclosed records.” Use our forms whenever possible to make certainour clinicians have all the information they need.• Indicate whether you are referring for a consultation, diagnosis, diagnosis and treatment, orsecond opinion.• Confirm all phone numbers for owners before making referrals to avoid a delay in processingthe appointment.• If anesthesia is anticipated, send the results of lab work completed within the previous month.• Send a copy of the medical record and appropriate radiographs in advance of the client’sappointment.Please follow these guidelines for Large Animal Referrals• No referral form is needed• Upon calling, you will be transferred to a LA clinician to discuss your referral case.• Send a copy of any applicable information, medical records, etc. with the client.• Please verify with the client the location of the referral site where you are sending them (PiperPerformance Clinic/Large Animal Hospital)Other helpful information• Our fee increases usually occur in July. Included in this manual is an updated list of costs forcommon procedures. Fees are subject to change without notice. Please feel free to discuss costsat time of referral.After-hours referrals• Call Emergency Services, 612-625-9711, to arrange emergency referrals after hours.Emergencies are defined as a medical incident or condition which, if not treated immediately,would result in long-lasting morbidity or mortality.• Non-emergency referrals should be arranged during our normal business hours.• Please remember that many specialists are not typically in the hospital after hours or onweekends.Problem solving• Call the RDVM Referral Hotline at 612-625-6761 or 800-258-6838, if you do not receiveinformation on your patient in a timely manner.• Concerns may be discussed with the Customer Contact Center supervisor at 612-626-5284 or612-624-1408.6

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSUniversity of Minnesota Veterinary Medical CenterSmall Animal Referral Information FormFax: 612-624-8779 RDVM Referral Hotline: 612-625-6761/800-258-6838Date: ____________________Have you called the VMC about this referral? YES NO VMC Reference #:_________Referral InformationClient InformationDVMClient NameClinic/HospitalAddressAddressCity/ZipCity/Zip Home Phone ( )Phone ( ) Work Phone ( )Fax ( ) Cell Phone ( )Email _________________Requested Service Behavior Dentistry Internal Medicine Nutrition Ophthalmology Theriogenology Cardiology Dermatology Neurology Oncology Surgery Other:_________Animal InformationAnimal NameBreedSexDOB / /ColorIs Animal Aggressive YES NOPatient should be seen: within 24 hrs within 24-72 hrs > 72 hrsPrimary Complaint / Reason for Referral: ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________Owner/Referring DVM expectations for this case: _____________________________________________________________________________________________________________________________________________________________________________________________________________________________Medical History related to referral:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________Medication History (please provide dates, dose, and response):___________________________________________________________________________________________________________________________________________________________________________________________________________________Diagnostic Procedures Performed: Tests attached to fax OR Tests to be send with owner CBC Urinalysis Infectious disease titres/tests Endocrine testing Chemistry Urine Culture Cytology/biopsy reportsImaging to be sent with owner: Radiographs Ultrasound Other (specify) _______________Additional Diagnostics:_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________FAX: 612-624-8779 RDVM Referral Hotline: 612-625-6761/800-258-68387

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSEstimates for Common Services/ProceduresThe prices below are estimates of the total cost if the animal does not develop any majorcomplications. The total bill will vary depending on what degree of work-up is necessary. Theseestimates do not include follow-up recheck appointments, since rechecks are frequently done withthe client’s own veterinarian.Small AnimalFor a first visit, fees are charged for a diagnostic examination and appropriate diagnostic work(laboratory or medical imaging). Estimates for common services include:Medicine workup$800-$1,100 or $440 each dayEmergency visit $155Daily ICU charge$227-$680 depending on level of serviceUltrasound (outpatient)* $370-$503*Please note: Ultrasounds are usually not available the same day as examinationBack surgery $2,700 - $3,200Behavioral Medicine Consultation$200 - $350 (Feline)$400 - $600 (Canine)Cataract - Bilateral $2,100 - $2,500Conjunctival Flap – Unilateral $1,500 - $1,800Extracapsular Repair of ACL $1,700 - $2,000Emergency Laparotomy $3,400 - $3,900Enucleation $1,100 - $1,500Femoral Head and Neck Osteotomy $1,400 - $1,800Fracture, long bone$3,200 - $3,500 (simple – complex)Fracture, pelvic $3,200 - $4,000Gastric Dilatation Volvulus $2,600 - $3,100Gastrointestinal Scoping (procedure only) $605Laryngeal Paralysis $1,200 - $1,600Mass Removal - Medium $900 - $1,300Portosystemic Shunt $2,200 - $2,700Total Hip Replacement $4,000 - $5,000Triple Pelvic Osteotomy $2,500 - $2,900Tibeal Plateau Leveling Osteotomy $2,800 - $3,100For price clarification, specific case estimates, or to obtain estimates on other services, contact the RDVMReferral Hotline at 612-625-6761 or 612-626-VETS for client inquiries.*Prices as of July 1, 2009. Please note prices are subject to change.8

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSEstimates for Common Services/ProceduresLarge AnimalEquineDental float $230 - $290Medical Colics $945 - $1,575Colic Surgery$4,200 - $6,300 (unless a resection is required)Colic Exploratory $2,625 - $3,150Small Intestinal Resection $5,250 - $7,350Large Colon Resection $6,300 - $10,500Diarrhea - Adult Horses $2,520 - $6,300Diarrhea - Foals $3,150 - $4,200Septic Foals$1,575 - $2,100 (for first 24 hours)Laser Surgery - Skin Tumors $260 - $945Upper Respiratory Problems $550 - $680Arthroscopy - One joint $1,200 - $2,460Arthroscopy - Two joints $1,520 - $2,520Laparoscopic Ovariectomy $1,575 - $2,100Laparoscopic Cryptorchidectomy $1,050 - $1,250Laryngeal Tiebacks/Tieforwards $2,625Enucleation $1,150 - $1,785Sinus Surgery (mass, tooth removal) $1,675 - $2,625Penile Amputation $1,890 - $2,500Foot Lameness Workups$365 - $735 (including bilateral navicular radiographs)Scintigraphy - Half body bone scan $850 - $1,730Scintigraphy - Whole body bone scan $1,155 - $2,100MRI - Both Feet $2,625 - $2,835Small ruminants and CamelidsBlocked goats - Tube Cystotomy $1,050 - $1,680Dystocias - Goats$230 - $470 (medical and surgical)Dystocias – Camelids Medical treatment $185 - $630Surgical treatment $1,365 - $1,900Camelid Tooth Abscess - Lateral Buccotomy $2,415 - $3,465Camelid Colic$1,365 - $3,465 (surgical)Camelid Weight Loss $230 - $1,680Cria -Neonatal Problems $315 - $3,150Camelid Diarrhea $475 - $3,675BovineDA Surgeries (omentopexies, abomasopexies) $315 - $1,050Calf Umbilical Hernia Repair $370 - $475Cow Exploratories $475 - $3,150Calf Diarrheas $575 - $2,100C-Section $525 - $950*Prices as of July 1, 2009. Please note prices are subject to change.For price clarification or specific case estimates, please call 612-625-6700.9

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSPayment and Financial AssistancePreparing Clients for their VisitThe Veterinary Medical Center provides your clients ready access to state-of-the-art, high qualityspecialty care. While we strive to make this level of care affordable to those who need it, thereality is that secondary and tertiary level care can sometimes be very expensive. As a referralpartner, you and your practice can help by explaining this aspect of referral level care to yourclients before they arrive for their first appointment at the VMC.Clients often have multiple questions about the cost of care, and options for payment at the VMC.The most frequently asked questions, along with details about the VMC’s payment policy, arelisted below:Do clients need to pay for their animal’s appointment at the conclusion of each consultation?Yes. Similar to most veterinary clinics, the VMC asks that clients pay in full on the date outpatientservices are rendered.Does the Veterinary Medical Center require a deposit?Yes. For patients being admitted to the hospital for inpatient care, clients are required to pay adeposit in the amount of 75% of the written estimate. If inpatient care is ongoing, clients will beadvised of changes to the estimate and additional deposits may be requested, as needed. Thebalance of the patient’s care must be paid in full at the time of patient discharge.Does the Veterinary Medical Center offer a payment plan?The VMC does not offer in-house financing. However, CareCredit, a national financing program,is accepted by the VMC. Clients may apply for CareCredit to cover the estimated cost ofveterinary treatment/hospitalization (CareCredit is not used to cover diagnostic consultations).Clients who are granted CareCredit may choose a payment plan that best meets their needs.CareCredit applications are available at the Cashier’s Window.Please note that not all clients qualify for CareCredit. Clients with poor credit scores may bedeclined.Does the Veterinary Medical Center offer a sliding fee scale?The VMC does not offer a sliding fee scale at this time.If the Veterinary Medical Center is a teaching hospital, do they offer lower cost care byallowing students to treat patients?Although College of Veterinary Medicine students are involved in many aspects of veterinary careat the VMC, students do not diagnose or treat patients. All of the care provided to patients isdelivered and coordinated by our doctors and veterinary technicians, many of whom are boardcertifiedin their area of specialization. As such, we do not allow students to provide treatment forpatients at a reduced cost.Does the Veterinary Medical Center have any grant programs for low-income clients? TheVMC has limited grant money available for low-income clients whose cases qualify for financial10

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSassistance. The Companion Animal Fund provides one-time, $1,000 grants to be applied totreatment for conditions with a good prognosis after treatment.To qualify clients must: 1) present their animal for evaluation at the VMC’s Small Animal orLarge Animal hospital; 2) show evidence of financial need; and 3) apply, and be declined, forCareCredit. While the Companion Animal Fund may be used in cases where emergencyeuthanasia is necessary, it may not be used for the treatment of chronic, terminal, or behavioralconditions. Interested clients may apply for the Companion Animal Fund at the Small AnimalHospital Cashier Desk.What You Can Expect From UsDuring the week, your client will be contacted for non-emergency appointment requests as soon aspossible after your referral. Weekend and holiday referrals will be handled on the next business day.Emergencies will be triaged immediately through Emergency Services.The VMC clinician of record will either contact you by phone within one business day of discharge or sendyou a written summary of the care provided here and instructions for follow-up care.If the animal dies at the VMC, you will be notified within 24 hours. The time frame may be longer foranimals that die over a weekend or holiday.If a necropsy is performed, you will receive a copy as soon as it is processed (approximately four to sixweeks). You may contact the VMC clinician of record to receive preliminary data by phone prior to thattime.Necropsies are free for animals treated at the VMC or if the case has clinical-teaching-research significanceto our veterinarians. In all other cases clients will be asked to pay for necropsies. We can assist witharrangements for body disposal, including cremation through the Veterinary Hospital Association (VHA).Problems?If you do not receive the service you expect from us, please feel free to contact any of the following:Amber Hodges, Customer Contact Center Supervisor 612-626-5284Lisbeth Peacock, Director, Customer Service 612-626-8474Deb Armstead-Haak, Customer Relations Coordinator 612-626-6236Pat Berzins, Director of Operations 612-624-8791David Lee, DVM, MBA, Hospital Director 612-624-476911

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSClient Rights & ResponsibilitiesClient Rights - As a client, you have the right to1. Considerate, respectful, and impartial carefrom every doctor, staff member, andvolunteer at the Veterinary Medical Center(VMC).2. Accurate and easily understood informationabout your animal’s health and VMC policies,including payment policies.3. If English is not your native language, if youhave a physical or mental disability, or if youdon’t understand something, assistance willbe provided so you can make informeddecisions.4. Know the names and positions of all staffmembers and students involved in the care ofyour animal.Client Responsibilities - As a client, you areresponsible for1. Ensuring healthy habits in your animal,such as exercise and a healthy diet.2. Disclosing relevant, accurate, and completeinformation about your animal’s health andhistory.3. Minimizing the risk of bites, scratches, etc.,and avoiding the spread of diseases bylimiting you and your animal’s interactionswith other animals.4. Using client feedback processes to addressissues that may arise and clearlycommunicating your wants and needs.ClientInformation5. Receive care from properly licensedveterinarians and properly trained technicians.All clinicians, interns, and residents holdactive Minnesota veterinary licenses. Studentswho participate in caring for animals at themedical center receive oversight fromlicensed veterinarians.6. Know your animal’s diagnosis, prognosis,treatment alternatives, and the risks andbenefits of each alternative.7. Participate in decisions about your animal’scare.8. Decline treatment, and to receive a fullexplanation of decisions on the part ofveterinarians to decline treatment.9. Talk in confidence with staff members andveterinarians and have your animal’s healthcare information protected.10. Fair, fast, and objective review of anycomplaint you have regarding the VeterinaryMedical Center.5. Abiding by administrative and operationalprocedures, including visiting hours,leashing requirements, payment, andappointment scheduling and cancellationpolicies.6. Maintaining awareness of the VeterinaryMedical Center’s obligation to providetimely, equitable care to other patients.7. Showing respect for other clients, patients,and personnel.8. Working collaboratively with providers todevelop and carry out agreed-upontreatment plans.9. Meeting financial obligations.10. Recognizing the reality of risks and limitsof the science of veterinary medicine.12

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSClient Instructions On Appointment Day• If you have been referred to the Veterinary Medical Center by your regular veterinarian, please haveyour veterinarian fax a copy of your animal’s medical record in advance of your appointment so theclinicians have time to review your case. Your veterinarian can also give you any X-rays that have beentaken to bring along to the appointment.• Plan to provide information about your animal’s medical history, diet, physical activities, and any recentbehavior changes during the medical evaluation. This information can be of great help to our veterinarystaff and students.• Please arrive with your animal ten minutes before your scheduled appointment time. There is a clientparking lot located next to the small animal hospital. You will receive a parking pass for your vehicleupon checking in at the registration desk. The parking pass must be displayed prominently in thewindshield of your car for free parking. Please be aware that registration staff are not allowed to holdyour pet while you return to your car with the parking pass.• For the protection of your pet and the safety of others, please keep your pet in your control, by eitherkeeping your pet in a sturdy transport carrier or on a leash. In the event a patient arrives without a leash,a temporary one will be issues for your use. If children accompany you, please be aware that otheranimals in the lobby may be timid or scare easily toward your family members and pets if these animalsare approached. Children should be closely supervised and always use caution when interacting withunfamiliar animals.• Please write down any questions you have for our staff, so that all of your concerns are addressed.If Your Animal is Hospitalized• The staff of the VMC recognizes how worried families become when a pet is hospitalized, andhow important it is for pets to have nurturing time with their loved ones. We encourage clients to visittheir pet regularly, which is often a comfort to both the patient and the person. Visitation time is limitedso we may focus on your animal’s care and allow the needed time for healing.• It is important to note that not all animals are comforted by human contact when they areseriously ill. The treatment team may limit the frequency and duration of family visits if the patientdevelops signs of distress during visitation (such as increased heart rate, increased respiration, or othersigns of agitation). Visitation may also be terminated or denied at any time to ensure the safety andtimely treatment of patients.• Our customer contact center staff will be available to answer questions about your animal’s stayor to take a message for another member of our clinical staff at 612-626-VETS (8387). To expedite thisprocess, please be prepared to give us your animal’s six-digit case number.• At the time of discharge your veterinarian will provide you with instructions about home care,medications, follow-up examinations, and other post-discharge details. Please make sure that youunderstand and carefully follow all of the instructions, because they are an important part of youranimal’s overall treatment program.13

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSmall AnimalVisiting Hours and PoliciesIn order to ensure optimal medical care for all hospitalized patients, clients with pets in theSmall Animal Hospital are expected to comply with the following guidelines:1. Small Animal Hospital visiting hours are from 10:00 a.m. to 12:00 pm and 5:00 pm to8:00 pm, Monday through Friday. Weekend and holiday visiting hours are from10:00 am to 12:00 pm and 3:00 pm to 6:00 pm. These hours apply to all hospitalizedpatients. Visits with hospitalized patients will be limited to 60 minutes per visit, with twovisits maximum per day.2. All visits must occur in specified visiting areas, including the Commons (west hospitalcubicles), the ICU Visiting Room, and the Client Comfort Room (VMC 310). Please donot visit with your pet outside of these areas or take your pet outdoors without thepermission and supervision of a student or staff.3. If your pet cannot be safely removed from his/her kennel for visitation, staff may escortyou into the Intensive Care Unit or Wards for visitation. Only immediate family ispermitted to visit in clinical areas, and only one person will be allowed to visit at a time.Your visit to ICU or your pet’s hospital ward will be limited to a total of 30 minutes (twovisits per day). Children under the age of 18 must be accompanied by an adult familymember. Visitation may be terminated or denied at any time at the discretion of ICU staff,dependant on the condition of patients and/or a veterinary crisis in the unit.4. Clients may visit patients housed in Isolation during standard visiting hours and at thediscretion of hospital staff. Visitation to isolation cases is limited to window viewing onlyfor a maximum of 15 minutes per visiting block.5. Visiting outside standard visiting hours and time limits is not permitted without anappointment with and supervision by, your veterinarian. After hours visitation withoutclinician authorization will be denied.6. All visitors are required to check in at the front desk prior to entering visiting areas.Visitors will be asked to sign in and to wear a badge identifying them as a visitor.7. Please adhere to the VMC’s infection control guidelines when visiting your animal!Clients may not bring raw meat, including BARF diets, into the hospital for patientconsumption in order to prevent potentially infectious agent contamination of all ICUpatients. Please do not sit or lie in your animal’s kennel, and make sure to disinfect yourhands before and after each visit.8. All clients are strongly advised to pre-arrange visit consultations with their doctor. Pleasebe aware that direct communication with your doctor may not be available at the time ofvisitation. Your doctor will be informed of your visit. Circumstances may necessitate thatcommunication with your doctor occur by phone at a later time.9. Please turn off your cell phone during your visit.10. Please do not enter clinical areas of the hospital or otherwise walk through areas marked“Authorized Personnel Only.”11. Clients are not permitted to view anesthesia induction/recovery, or surgery.12. Clients with hospitalized animals are encouraged to leave the hospital once visiting hoursconclude. Please check with the front desk for a list of local lodging and dining options.Due to University security restrictions, clients may not stay at the VMC overnight.14

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLarge AnimalVisiting Hours and PoliciesOur goal is to provide all animals in the Veterinary Medical Center Large Animal facilities withthe best possible care. We need your help to maintain appropriate infection control, as well as toensure that hospital staff has adequate time to maintain facilities and care for all patients.In order to ensure optimal medical care, clients with animals at in the Large Animalfacilities will be required to comply with the following guidelines:1. Large Animal Hospital and Equine Center visiting hours are from 12:00 p.m. to 6:00p.m., Monday through Friday and from 10:00am to 1:00pm on weekends andUniversity holidays. Clients with hospitalized patients may visit for up to 60 minutesper day.2. While visits to the Equine Center may occur at any time during visiting hours, visits topatients at the Large Animal Hospital are by appointment only during the times listedabove. Please discuss your visitation needs with your doctor or technician.3. All visits must occur in or outside your animal’s specified stall. Please do not walkyour animal outside of the stall without the permission and supervision of a student orstaff.4. Visitation will be limited to immediate family or up to 2 individuals designated by theowner (this may include friends, trainers, or barn staff). All children under the age of 18must be accompanied by a parent or guardian.5. If your animal is considered contagious or potentially contagious, visits will berestricted. Animals hospitalized in isolation or partial isolation stalls (including criticalneonates) may be visited by appointment with your veterinarian for up to 20 minutes,one visit per day. All visitors to isolation or partial isolation stalls will be expected toadhere to infection control protocols, including but not limited to disinfecting, gowningand gloving upon arrival and departure. All visits to isolation are supervised to facilitatecompliance with infection control protocols and to ensure the safety of patients andvisitors. Visitation may be terminated or denied at any time at the discretion of yourveterinarian, dependent on the condition of the patient and/or the need for yourveterinarian to attend to incoming emergencies.6. Visiting outside standard visiting hours and time limits is not allowed without anappointment with a veterinarian, technical staff, or the student assigned to your animal’scase. After hours and extended visitation is not possible without prior authorization.7. All visitors are required to sign in at the front desk prior to entering visiting areas.8. Please adhere to the VMC’s infection control guidelines when visiting your animal!Please wash your hands thoroughly before and after each visit, and do not touch animalsother than your own.15

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSocial Work ServicesThe University of Minnesota Veterinary Medical Center recognizes the unique and enduringbonds that form between people and their animals – animals who are family members,confidantes, guardians, and best friends. When these bonds are tested by illness, behaviorproblems, injury, or death, it can feel overwhelming.In an effort to provide the most compassionate care for patients and their families, theVeterinary Medical Center offers the services of trained social work staff who understand both thejoys and the challenges associated with animal companionship. Social Work Services staff areavailable to provide support, advocacy, and referral services to clients dealing with issues relatedto their animals’ health, wellness, and death.Jeannine Moga, MA, MSW, LICSWOn site Social Work Services include:• Support and non-medical guidance for treatment decisions• Assistance with end-of-life planning• Family-centered euthanasia support• Grief counseling and education• Referrals to community resourcesSocial Work Services are complimentary and confidential for all Veterinary Medical Centerclients and their families. Phone consultations and a bi-weekly bereavement group are alsoavailable to all community members at large. While clients may be introduced to this servicethrough veterinary staff, they may also contact Social Work Services staff directly any time theywould like assistance. The use of Social Work Services is also voluntary, and the decision toaccept or decline Social Work assistance will never affect the quality of veterinary care clientsreceive.Clients may call the Social Work office (612-624-9372) for more information. Consultations areavailable on weekdays between 8:00 a.m. and 4:30 p.m. Limited evening and weekendappointments are available by request.For bereavement group information and grief support materials, visitwww.cvm.umn.edu/vmc/aboutVMC/Client_Support_Services/16

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSCompanion Animal Love, Loss, and Memories GroupThe University of Minnesota Veterinary Medical Center, in partnership with the School of SocialWork, offers a biweekly bereavement group to support the grief process of veterinary patients’families.Whether you are facing overwhelming treatment decisions, end-of-life issues, or the recent deathof your animal, the CALLM Group will provide you with a supportive and confidentialenvironment in which to share your experiences and feelings. CALLM sessions are facilitated bySocial Work Services staff and are held in Peters Hall on the University of Minnesota’s St. Paulcampus.Dates: CALLM meets on the second and fourth Wednesday of every month. Dates may beadjusted to accommodate holidays. Please confirm with Social Work Services staff at 612-624-9372 before planning to attend.Time: Sessions begin promptly at 6:30 p.m. and conclude at 8:00 p.m.Location: Ben Pomeroy Student – Alumni Learning Center, St. Paul campusFee: Sessions are free for Veterinary Medical Center clients and community membersTo register: Space is limited! For more information and to reserve your seat, please contact SocialWork Services at 612-624-9372.Parking: Parking available in VMC lot; passes available in Ben Pomeroy Center.For more information, visit:www.cvm.umn.edu/vmc/Forclients/Client_Support_Services/CALLM/Customer RelationsThe Customer Relations Office was created four years ago as a resource for VMC clients and thereferring veterinary community to provide advocate services for our valued customers.The office is dedicated to the needs of our clients as they relate to the service provided by theVMC. This includes assisting clients in any area from general VMC information, to addressingclient concerns about quality of care.Deb Armstead-HaakOffice hours: Monday – Friday, 8:00 am to 4:30 pmPhone: 612-626-6236This office is a great place to direct feedback that may be used to benefit services to future clientsand the referring veterinary community. Our goal – to provide excellent care to all of Minnesota’sanimals – is an ongoing process requiring continuous improvement. Therefore, we welcome yourcomments.17

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSDirections and ParkingThe Veterinary Medical Center is located at 1365 Gortner Avenue on the St. Paul campus of theUniversity of Minnesota. The Leatherdale Equine Center and Piper Performance Clinic are severalblocks northeast of the Medical Center at 1801 Dudley Avenue. The St. Paul campus adjoins theMinnesota State Fairgrounds halfway between Minneapolis and St. Paul. Please call 612-624-1270 forpre-recorded directions. You will need a permit to park in the lots for the Small Animal Clinic, LargeAnimal Hospital, and Equine Center. The permit will be provided to you after you check in at theFront Desk.From north of the Twin Cities metro areaTake Interstate 35W south to the Cleveland Ave exit. It is a left exit. Follow Cleveland Avenue southto Larpenteur Avenue. Turn left (east) and drive to the first stoplight, Gortner Avenue. Turn right(south) on Gortner.Small Animal Hospital: Follow Gortner past three stop signs. The entrance to the Small AnimalHospital parking lot is the first driveway on the right after the Fitch Avenue (third) stop sign.Large Animal Hospital: Follow Gortner Avenue south to Commonwealth Avenue. Turn right (west)and drive one block to Boyd Avenue. Turn right onto Boyd and make another immediate right into thearea between buildings, parking parallel to the Large Animal Hospital on your left. The Front Officeentrance is near the 2 nd story overhead walkway.Piper Performance Clinic/Leatherdale Equine Center: Follow Gortner Avenue past one stop signto Dudley Avenue. Turn left (east) and follow Dudley; the Equine Center parking lot is on the left.From south of the Twin Cities metro areaTake Interstate 35W North to Interstate 94 East. Go three miles on 94 East to Highway 280 (a leftexit). Follow Highway 280 north to the Larpenteur Avenue exit. Turn right (east) and drive for one andone-half miles to Gortner Avenue. Turn right (south), on Gortner.Small Animal Hospital: Follow Gortner past three stop signs. The entrance to the Small AnimalHospital parking lot is the first driveway on the right after the Fitch Avenue (third) stop sign.Large Animal Hospital: Follow Gortner Avenue south to Commonwealth Avenue. Turn right (west)and drive one block to Boyd Avenue. Turn right onto Boyd and make another immediate right into thearea between buildings, parking parallel to the Large Animal Hospital on your left. The Front Officeentrance is near the 2 nd story overhead walkway.Piper Performance Clinic/Leatherdale Equine Center: Follow Gortner Avenue past one stop signto Dudley Avenue. Turn left (east) and follow Dudley; the Equine Center parking lot is on the left.From west of the Twin Cities metro areaTake Interstate 94 East to Highway 280 (a left exit). Go north on 280 to the Larpenteur Avenueexit. Turn right (east), for approximately one and one-half miles to Gortner Avenue. Turn right (south)on Gortner Avenue.Small Animal Hospital: Follow Gortner past three stop signs. The entrance to the Small AnimalHospital parking lot is the first driveway on the right after the Fitch Avenue (third) stop sign.18

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLarge Animal Hospital: Follow Gortner Avenue south to Commonwealth Avenue. Turn right (west)and drive one block to Boyd Avenue. Turn right onto Boyd and make another immediate right into thearea between buildings, parking parallel to the Large Animal Hospital on your left. The Front Officeentrance is near the 2 nd story overhead walkway.Piper Performance Clinic/Leatherdale Equine Center: Follow Gortner Avenue past one stop signto Dudley Avenue. Turn left (east) and follow Dudley; the Equine Center parking lot is on the left.From east of the Twin Cities metro areaTake Interstate 94 West to the Highway 280 exit. Go north on 280 to the Larpenteur Avenue exit. Goright (east) for approximately one and one-half miles to Gortner Avenue.Small Animal Hospital: Follow Gortner past three stop signs. The entrance to the Small AnimalHospital parking lot is the first driveway on the right after the Fitch Avenue (third) stop sign.Large Animal Hospital: Follow Gortner Avenue south to Commonwealth Avenue. Turn right (west)and drive one block to Boyd Avenue. Turn right onto Boyd and make another immediate right into thearea between buildings, parking parallel to the Large Animal Hospital on your left. The Front Officeentrance is near the 2 nd story overhead walkway.Piper Performance Clinic/Leatherdale Equine Center: Follow Gortner Avenue past one stop signto Dudley Avenue. Turn left (east) and follow Dudley; the Equine Center parking lot is on the left.College of Veterinary Medicine Map19

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSAccommodations for Out-of-Town ClientsIf your pet is hospitalized, you may need overnight accommodations. Here is a partial list for yourconvenience. Some offer a special rate for University of Minnesota clients and visitors. Mention this whenmaking your reservation. We cannot vouch for the quality of the motels or their services.Name and Address Phone NotesBest Western Bandana Square1010 W. Bandana Blvd.St. Paul, MN651-647-1637 $10 one-time charge for pets under50 pounds. AAA, AARP, otherdiscounts apply. U of M discountBest Western Kelly Inn161 Saint Anthony AvenueI-94 & Marion St.St. Paul, MNavailable.651-227-8711 Pets welcome at no charge. Check forspecial rates. AAA, AARP, otherdiscounts apply. U of M discountavailable.Courtyard by Marriot225 3rd Avenue SouthMinneapolis, MNDays Inn Midway1964 University Avenue WestSt. Paul, MNEmbassy Suites Hotel425 South 7th StreetMinneapolis, MNFour Points by Sheraton1330 Industrial Blvd.Minneapolis, MNHoliday Inn Express2715 Long Lake RoadRoseville, MNHoliday Inn Metrodome1870 Old Hudson RoadSt. Paul, MNLaQuinta Inns & Suites901 Snelling Avenue NorthSt. Paul, MN612-375-1700 No pets allowed.651-645-8681 Pets rooms available. Checkavailability. AAA, AARP, otherdiscounts apply. U of M discountavailable.612-333-3111 No pets allowed. Call for rates; askfor discounts, AAA, AARP612-331-1900 Pets allowed up to 40 pounds; dogsover 40 pounds at hotel’s discretion.U of M rate based on availability.651-636-5800800-451-7258No pets allowed; U of M discountavailable, AAA, AARP.651-730-5300 No pets allowed. Need statementproving U of M visit for discountedrate, AAA, AARP.651-646-4584 Pet rooms available.Radisson University Hotel615 Washington Ave., S.E.Minneapolis, MNRed Roof InnsBurnsville: I-35W & Burnsville ParkwayPlymouth: 2600 Anapolis Lane (I-494 atHighway 55)Woodbury: I-94 & Valley Creek Road612-379-8888888-201-1718952-890-1420763-553-1751651-738-716020No pets allowed. U of M discountavailable; no proof required.All Red Roof Inns accept pets. Nodeposit required. Check for specialrates. AAA, Sam’s Club, senior rate,U of M discount available.

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSmall Animal ServicesAnimal Behavior ServicesFacultyMargaret Duxbury, DVM, Dipl. ACVBServiceInformationResidentsLorna Reichl, DVM, Resident, July 2009 – June 2012Staff Dana Emerson, BS, VT, Behavior Technician Debra Vogt, MBA, DRSKim Horne, AAS, CVT, Specialties SupervisorContactServicesConsultationsUsefulInformationPhone: 612-624-0797 (Behavior Service and appointment line)Information for veterinarians:Dr. Duxbury’s Phone: 612-624-5550; Email: mduxbury@umn.edu• House calls and in-clinic consultations providing diagnosis, prognosis, andtreatment for all pet behavioral problems (canine, feline, equine, avian, andother companion animals)• Behavioral wellness – problem prevention consultations• Pre-purchase consultations• Technician Services: Fitting and instructions on use of basket nuzzle, GentleLeader or Easy Walk HarnessMonday through Wednesday, 8:30 a.m. to 2:30 p.m.• Clients are asked to complete a pre-appointment questionnaire, bring a videotapeof the pet’s undesired behavior and a log of incidents with a description of thecontext in which the problem occurs (frequency, duration, location, events orpersons involved). Family members and other household pets may be asked toattend appointments.• We encourage the referring veterinarian to provide a summary of existingmedical problems, their current treatment, and treatment prescribed for thebehavior problem.• Initial appointments last about two to three hours. A detailed written summary ofrecommendations is mailed to the client and referring DVM after theappointment.• Follow-up is usually provided via phone calls or emails. Recheck appointmentmay be recommended depending on the problem and progress made.• http://www.cvm.umn.edu/vmc/aboutvmc/smallanimalspecialties/abs/services/index.htm21

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSCardiology ServicesFacultyAnthony Tobias, BVSc, PhD, Dipl. ACVIM (Cardiology)Christopher Stauthammer, DVM, Dipl. ACVIM (Cardiology)ResidentsJanet Olson, DVM, Resident, July 2007 – June 2010Damon Leeder, BVSc, Resident, July 2009 – June 2012Staff Kristin Hohnadel, BS, VTS (Cardiology) Debra Vogt, MBA, DRSDenise Obitz-Cooney, CVT, SupervisorContact Phone: 612-626-VETS (8387) Emergency: 612-625-9711Email: cardiovt@umn.eduServices• OFA Heart Certifications/Prebreeding evaluation• Electrocardiography• 24-hour ambulatory electrocardiography (Holter monitoring)• Radio-telemetric ECG monitoring• Echocardiography—2D, m-mode, Doppler-spectral & color flow• Transvenous pacemaker implantations (single and dual chamber)• Minimally-invasive catheterization procedures including patent ductus arteriosusocclusion and balloon valvuloplasty• Pericardiocentesis• Blood pressure measurement22

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSCardiology ServicesHoursSpecialEquipmentUsefulinformationMonday through Friday, 8:00 a.m. to 5:00 p.m.• ATL HDI 5000CV full digital echocardiography system - 2D, m-mode, spectraland color flow Doppler• Doppler and Dinamap blood pressure units• Hewlett Packard ECG machine• Digital Holter monitor system• Biopac hemodynamic monitoring system for cardiac catheterization• OEC C-arm fluoroscopy unit• Pressure injector for angiography• Sapphire Digital ECG radiotelemetryDisease conditions and prognosis are discussed thoroughly with the client. Inaddition, we discuss treatment options along with the benefits, possible side effects,and costs. Intensive care treatment is available for patients requiring hospitalization(e.g., patients with congestive heart failure, pericardial effusion, syncope due to anarrhythmia, or arrhythmia evaluation).Complementary and Alternative Medicine (CAM)FacultyHwa Choi, DVM, PhDContact Phone: 612-626-VETS (8387) Emergency: 612-625-9711Staff Perin Bullers-Schwartz, BS, CVT Kim Horne, AAS, CVT, SupervisorMaureen Parks, BS, CVTDebra Vogt, MBA, DRSServicesTraditional Veterinary Oriental Medicine can be used to treat most medicalconditions as well as relieving pain, strengthening the immune system, andimproving specific or overall organ function.• Musculoskeletal problems; osteoarthritis, muscle strain, neck/back/shoulderpain, postlaminectomy pain, ridigidy of neck, back, atrophy of the limbs,flaccidity of limbs, tremor or spacticity of limbs, convulsion, paralysis,hemiplasia, nervous system problems, such as nerve paralysis and poliarthritis,• Skin problems, such as allergic dermatitis, contact dermatitis, nodule under theskin, red/itchy skin and alopecia.• Emotional disorder; propensity to anger, worry, fear, anxiety, restlessness.• Respiratory problems; rhinitis, sinusitis, asthma, study nose, running nose,cough, wheezing, heaves non-surgical colic, chronic bronchitis, common cold,and flu.23

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSCAM ServicesServices(con’t)HoursUsefulinformation• Cardiovascular diseases: high blood pressure and high cholesterol• Gastrointestinal disorders; vomiting, anorexia, nausea, diarrhea, constipation,acid/food regurgitation, drooling, liver/stomach diseases.• Endocrine/metabolic disorders; hypo or hyper- thyroidism, obesity, diabetes.• Genitourinary disorder; kidney/bladder disorder, urinary incontinence, recurrenturinary tract infection, kidney/bladder stone, painful urination, scanty/difficulturination, and renal disorder.• Cancer; alleviation of side effect from conventional therapy (chemotherapy,radiation therapy), unconventional therapy for canine and feline cancer.Tuesday, Wednesday, and Friday (8:30 a.m. to 1:00 p.m.) and at other times byspecial arrangement. Consultative services are available on request forhospitalized patients.The Complementary and Alternative Medicine Service uses both Western andTraditional Oriental Medicine for diagnosis and treatment, providing a unique,comprehensive approach to veterinary health care. The patient may also bereferred to one of the other specialty services offered by the VMC (such asinternal medicine or neurology) before or after being evaluated by thecomplementary medicine staff.Dentistry ServicesFacultyGary Goldstein, DVM, FAVD, Dipl. AVDC, Associate Medical Director SASpecialtiesKevin Stepaniuk, B.Sc, DVM, FAVD, Dipl. AVDCResidentsWade Gingerich, DVM, Resident, July 2009 – June 201224

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSDentistry ServicesStaff Marsha V. Goldstein, BS, RDH, CVT Denise Olsson, CVTDenise Obitz-Cooney, CVT, Supervisor Debra Vogt, MBA, DRSContact Phone: 612-626-VETS (8387) Emergency: 612-625-9711Email: toothvet@umn.eduServicesEndodontics• Conventional root canal therapy• Surgical root canal therapyPeriodontics• Dental prophylaxis, including ultrasonic scaling, hand scaling, and polishing.• Periodontal surgeries• Bone augmentationOral surgery• Surgical and non-surgical extractions• Oral and maxillofacial surgery, including mandibulectomies, maxillectomies,jaw fracture repair, and cleft palate surgery.Restorations and Prosthodontics• Composite restorations• CrownsOrthodontics• Bite evaluations - genetic counseling• lnterceptive orthodontics, including selective extraction of deciduous and/orpermanent teeth• Treatment of malocclusions that may be causing oral trauma and pain, includingfixed or removable appliances, brackets, buttons, and elastics.Oral diseases• Diagnosis and treatment of oral tumors• Evaluation of oral manifestations of systematic disease• Treatment of gingivostomatitis, feline resorptive lesions, oral autoimmunedisorders and other oral diseasesOral/dental radiology• Digital dental radiology• CT ScansAnesthesia• Anesthesia will be monitored before, during and after all dental procedures byour full time board certified anesthesiologists and anesthesia technicians• Pre-operative laboratory work ups and physical examinations will be completedbefore any pet undergoes general anesthesia• Dental nerve blocks will be administrated in situations where pain managementis necessaryOther• Telephone consultations• Dental and dental equipment consultation• Veterinary technician training in periodontal therapy and instrument care• Monthly dental rounds open to all veterinarians and their staff• Prearranged seminars to accommodate the needs of your hospital25

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSDentistry ServicesHoursSpecialEquipmentMonday through Thursday, 8 a.m. to 6:00 p.m.Friday, 8:00 am to 4:30 pmThe veterinary dental operatory at the University of Minnesota Veterinary MedicalCenter is a state-of-the-art facility. This 500 square foot facility houses twoworkstations for basic and advanced dental procedures. Each work station isequipped with a surgical table, a digital dental radiology unit, a high speed airdriven unit, surgical lighting, and dental assistant chairs to perform “four” handeddentistry. The staff includes a board certified veterinary dentist, a registered dentalhygienist/certified veterinary technician, a veterinary dental technician and adental resident. The dental service has over 50 years of veterinary dentalexperience.Dermatology ServicesFacultyCases seen at the dental service include but are not limited to periodontics,endodontics, oral surgery (including extractions, palate surgery, oral tumors,trauma and fractures), restorations (including crowns), orthodontics and oralmedicine. While the dental operatory is fully capable of managing and treating alloral diseases, the dental service works closely and consults with, other services atthe Veterinary Medical Center to ensure the pet receives the best care possible.Sandra Koch, DVM, Dipl. ACVDSheila Torres, DVM, PhD, Dipl. ACVDResidentsAndrea Peterson, DVM, Resident, July 2009 – June 201226

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSDermatology ServicesStaff Stephanie Duggan, AAS, CVT Kim Horne, AAS, CVT, SupervisorLisa Gerads, AAS, CVTDebra Vogt, MBA, DRSContact Phone: 612-626-VETS (8387) Emergency: 612-625-9711Email: vetderm@umn.eduServices• Examine and develop treatmentplans for patients with skinproblems• Conduct allergy testing (intradermalskin tests, blood/serum tests)• Perform skin biopsies, skinscrapings, and cytology• Perform fungal cultures• Treat acute and chronic ear problems• Perform ear flushing• Perform video otoscope exam• Perform cryosurgery on selected skintumors• Perform trichogramsHoursAppointments are generally between 9:00 a.m. and 3:00 p.m. Dermatologytechnicians are available every weekday between 8:00 a.m. and 5:00 p.m.SpecialEquipment• Intradermal skin test materials• Ear flush equipment• Cryosurgery instrument• Video otoscopeUsefulInformation• Allow two hours for the first-time appointment exam.• A form is available from our referral center that you complete. It provides uswith a summary of your patient’s history and previous tests/treatments.▪ Some medications interfere with skin test results and should be withdrawn priorto testing; dermatology technicians can provide more information.Emergency ServicesFacultyKelly Hall, DVM, Dipl. ACVECCLisa Powell, DVM, Dipl. ACVECC27

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSEmergency ServicesJulie Schildt, DVM, Dipl. ACVECCKelly Tart, DVMJeffrey Todd, DVMResidentsSarah Gray, DVM, Resident, July 2008 – June 2011Elise Craft, DVM, Resident, July 2009 – June 2012Staff Vickie Skala, CVT, VTS (ECC), Supervisor Michelle Yanta, CVTLinda Winkler, Shift SupervisorDarcy Farmer, CVTJessica Gatzemeyer, CVT, VTS (ECC) Laurel Bock, CVTDebra Vogt, MBA, DRSMonique RamboHours/Contact 7 days/week, 24 hours/day Phone: 612-625-971128

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSEmergency ServicesServices• 24-hour emergency service• Supportive care and initial diagnosticsfor emergency patients• Critical care monitoring• Chest tube placement• Tracheostomy tube placement• Pericardiocentesis• Thoracocentesis• Radiographs• Emergency surgical procedures• Blood transfusions• 24-hour ICUmonitoring/hospitalization• Bloodwork including profile, CBC,partial coagulation panels, blood gasanalysis, and crossmatching• Emergency endoscopy for foreign bodyretrieval• Emergency fluoroscopy primarily formyelogramsSpecialEquipment• Ventilator• Capnography• 0 2 cages• ECG/Blood pressure monitoring• IsolationUsefulInformation• Please call before referring patients.• Emergencies are defined as a medical incident or condition which, if not treatedimmediately, would result in long-lasting morbidity or mortality.• Stable animals that need a workup will be sent home and clients instructed tomake an appointment with the appropriate service.General PracticeFacultySherry Fonseth, DVMSue Lowum, DVMStaff Kim Horne, CVT, Supervisor Lori Schmieg, VTDebra Vogt, MBA, DRSStephanie Stelter, VTContact Phone: 612-625-VETS (8387) Emergency: 612-625-9711Services General Practice provides 4 th year veterinary students the opportunity to gainexperience typically found in general private practice setting including:• New puppy/kitten evaluation and education• Develop individualized preventive health care protocols• Heartworm disease prevention, testing and symptom29

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSGeneral Practice Services• Geriatric managementGeneral Practice facilitates the Advanced Veterinary Imaging Direct Service providingthe most advanced imaging technology available to private practitioners. Interpretationprovided by the VMC’s team of experienced radiologists include:• Magnetic resonance Imaging (MRI)• Computed tomography (CT) scan• Ultrsound +/- Fine needle aspirates or biopsySpecial procedures: Cystourethrography, Dynamic esophagography, Fluroscopy,Intravenous urography and Upper gastrointestinal (GI) series.HoursUsefulInformationAppointments are generally scheduled Monday through Friday, between 8:00 amand 4:00 pm.General Practice technicians are available Monday – Thursday, 7:30 am – 5:00 pm;Friday, 7:30 am – 4:00 pmGeneral Practice is a teaching service, so appointments are longer than typicallyseen in private practice.Genetic ServicesFacultyEdward Patterson, DVM, PhD, Dipl. ACVIMContact Phone: 612-625-5799ServicesHoursUsefulInformation• Molecular genetic testing and counseling for a variety of diseases, including some of theprogressive retinal atrophies, some breeds with Von Willebrand’s disease, cystinuria inNewfoundlands, Cooper toxicosis in Bedlington terriers, PFK and PK deficiency in anumber of dog breeds and in Abyssinian and Somali cats• Treatment recommendations for genetic disorders• DNA banking for dogs with suspected and known genetic disorders and follow-upparticipation in research projects at the University and other research institutions whenapplicable (current projects include studies of the genetics of epilepsy in all breeds,exercise-induced collapse in Labrador retrievers, and anesthetic-induced malignanthyperthermia)• Breeding recommendations, including calculation of inbreeding coefficients• Free telephone consultations to referring veterinarians• Speaker for breed and kennel clubs regarding genetic counseling, molecular genetic tests,and specific concerns in their breed.One day per month or at other times if prearranged.• Services are limited to dogs and cats.• Appointments, including a physical exam/recommendations, are one hour long.• Consultations are 30 minutes long.30

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSIntensive Care Unit ServicesFacultyKelly Hall, DVM, Dipl. ACVECCLisa Powell, DVM, Dipl. ACVECCJane Quandt, DVM, Dipl. ACVA, Dipl. ACVECCJulie Schildt, DVM, Dipl. ACVECCKelly Tart, DVMJeffrey Todd, DVM31

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSICU ServicesResidentsSarah Gray, DVM, Resident, July 2008 – June 2010Elise Craft, DVM, Resident, July 2009 – June 2012StaffKelsey Brown, CVTAllison Conrad, CVTCarrie Erickson, CVT, Shift SupervisorDarcy Farmer, CVT, VTS (ECC)Julie Johnson, CVTRosemary Klass, CVTBriana Klecker, CVTMegan Kuhnau, CVTTeresa Lilya, CVTDebra Vogt, MBA, DRSSabrina Neil, CVTBeth Olmstead, CVTMonique Rambo, CVTRachael Rylander, CVTTeresa Schrachta, CVTDora Schroeder, CVT, VTS (ECC)Vickie Skala, CVT, VTS (ECC), SupervisorAndrew Vick, CVTLinda Winkler, Shift SupervisorContact Phone: 612-626-VETS (8387)Services• Blood transfusions• Oxygen therapy• TPN• IV fluids• Central IV catheters• MLC catheters• BP• ICU• Ventilator• Peritoneal dialysis• Continuous thoracic suction• Tracheostomy care• Direct BP• Defibrillator• Phone consultationsHours7 days/week, 24 hours/day - 8:00 a.m. to 4:00 p.m.Critical care clinician always available by phone.Phone consultation with ECC Clinician on duty, Monday through FridaySpecialEquipment• Ventilator• ECG• Isolation• Direct BP• Capnography• O 2 Cages32

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSInternal Medicine ServicesFacultyRobert Washabau, VMD, PhD, Dipl. ACVIM, Department Chair, VeterinaryClinical SciencesP. Jane Armstrong, DVM, MBA, Dipl. ACVIMRobert Hardy, DVM, Dipl. ACVIMJody Lulich, DVM, PhD, Dipl. ACVIMLindsay Merkel, DVMRita Miller, DVM, Dipl. ACVIM33

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSInternal Medicine ServicesCarl Osborne, DVM, PhD, Dipl. ACVIMEdward Patterson, DVM, PhD, Dipl. ACVIMDavid Polzin, DVM, PhD, Dipl. ACVIMMichelle Ritt, DVM, Dipl. ACVIMResidentsAmy Cordner, DVM, Resident, July 2007 – June 2010Noelani Reinker, DVM, Resident, July 2007 – June 2010No PhotoAvailableMaura Carney, DVM, Resident, July 2007 – June 201034

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSInternal Medicine ServicesEva Furrow, DVM, Resident, July 2008 – June 2011Brian Hardy, DVM, Resident, July 2008 – June 2011Elizabeth Orcutt, DVM, Resident, July 2008 – June 2011Catherine Rivara, DVM, Resident, July 2009 – June 2012Kristin Schafgans, DVM, Resident, July 2009 – June 2012Staff Marie Bodin, CVT Kellie Strand, CVTMissy Greer, CVT, Case ManagerKatie Thomas, CVTLaura Kennedy, CVTStacy Ziegenhagen, CVTDarcy Marx, CVT, SupervisorDeb Vogt, MBAContact Phone: 612-626-VETS (8387) Emergency: 612-625-9711Email: samvet@umn.edu35

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSInternal Medicine ServicesServicesHoursSmall Animal Veterinary Internal Medicine encompasses the disciplines ofendocrinology, gastroenterology, hematology, immunology, infectious disease,nephrology/urology, and respiratory disease. In addition, some patients suspectedof having cancer are first evaluated by the internal medicine service. Servicescommonly provided through internal medicine include:• Video endoscopy (including: rhinoscopy, gastro-duodenoscopy, bronchoscopy,proctoscopy/ colonoscopy, cystoscopy, vaginoscopy)• Endocrine testing (including: adrenal, thyroid, parathyroid, insulin and sexhormone evaluations)• Bone marrow biopsies and aspirates• Tumor biopsies• Transtracheal washes• CSF taps• Blood pressure• Imaging procedures: ultrasound, CT scans, contrast studies and other specialprocedures• Urological procedures (including: lithotripsy, voiding hydropropulsion)Monday through Friday, 8 a.m. to 4 p.m.Emergency endoscopy 24 hrs/day, 7 days/weekUsefulInformationNeurology ServicesFaculty• Special diagnostic procedures, such as ultrasound, CT scans, endoscopy, arerarely available the day of the appointment and usually require scheduling by theattending clinician the next day. Priority is given to critical oncological and outof-townpatients.• Appointments are longer than typically seen in private practice, usually two tothree hours. Referring veterinarians may call in advance for estimates on specificprocedures, to find out if the patient is likely to need ICU care or to speak withthe medicine case manager.Alistair McVey, DVM, Dipl. ACVIM (Neurology)ResidentsClarissa Robles, DVM, Resident, July 2009 – June 201236

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSNeurology ServicesStaff Amber Gack, CVT Anna Hoffmann, CVTDenise Obitz-Cooney, CVT, Supervisor Debra Vogt, MBA, DRSContact Phone: 612-624-5398 Emergency: 612-625-9711Email: vetneuro@umn.eduServicesHours• General neurology service (both medical and surgical)• Almost all of our caseload are dogs or cats• Diagnosis and treatment for most neurological problemsMonday through Friday, 8:00 a.m. to 4:30 p.m.Neurology technician only on Friday, 8:00 a.m. – 4:00 p.m.SpecialEquipment• 3T MRI• Nicollet Viking 4 electrodiagnosticmachine• Electromyography• Nerve conduction studies• Brainstem auditory evoked response(hearing test)UsefulInformation• Patients are generally seen on a referral basis with appointments scheduled forMonday or Wednesday unless emergency. Diagnostics and/or surgeries set up tofollow on a future date (typically the following Tuesday or Thursday).• Dr. Ned Patterson is also available for an “epilepsy clinic” on selected Tuesdays,which is reserved for patients that are typically primary epileptics that have beendifficult to control.• A neurological evaluation is completed at the time of initial examination. Afterdiscussion with the clients about a diagnostic and therapeutic plan, only initialblood work and radiographs may be performed on the same day.• Emergencies are processed and treated as soon as possible, either through theneurology service or in consultation with other services in the hospital.• For more timely service, please call us before sending in emergency referrals.Nutrition ServicesFacultyJulie Churchill, DVM, PhD, Dipl. ACVNStaff Kim Horne, AAS, CVT, Supervisor Joan Smith, CVTDebra Vogt, MBA, DRSContact Phone: 612-624-5024 Emergency: 612-625-9711Email: vet-nutrition@umn.edu37

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSNutrition ServicesServicesHoursPreparationfor ReferralOutpatient services:• Consultations for life stage nutrition, weight optimization and integration ofnutrition in maintaining wellness and disease prevention.• Weight loss clinic: Outpatient appointments to determine the cause of obesity andto assess client and pet behavior. A variety of therapeutic diets are used forweight loss and may be used to develop a weight loss plan tailored to theindividual family and the pet’s medical and nutritional needs. Partnering withowner and other members of the heathcare team are emphasized.Inpatient services:• Nutritional consultations include a daily nutritional assessment on all ICUpatients. Assistance provided in integrating nutritional management in themedical/surgical care of hospitalized patients.• Parenteral nutrition (TPN) formulations.• Selection and assistance with feeding tube placement and feeding plans.• Homemade diet analysis or individual recipe formulations.Variable receiving schedule Monday through Friday 8:30 a.m. to 1:30 p.m.Consultative services are also available upon request for hospitalized patients.• To optimize client service and patient care, we value a case summary includingprior diagnostics, therapeutic trials, tests and results, and your specific concerns.• The owner will be contacted ahead of the appointment to collect diet historyinformation.Oncology ServicesFacultyMike Henson, DVM, PhDBrian Husbands, DVM38

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSOncology ServicesAntonella Borgatti Jeffreys, DVM, Dipl. ACVIM (Oncology),Dipl. ECVIM-CAResidentsClaire Cannon, DVM, Resident, July 2009 – June 2012Staff Julie McClure, CVT Stephanie Magras, BS, CVTSusan Burrell, CVT (Radiation Therapy) Michelle Miller, BS, CVTDenise Obitz-Cooney, CVT, Supervisor Erikka Hill, BS, CVTKim Janisch, VT (Radiation Therapy) Debra Vogt, MBA, DRSContact Phone: 612-625-7229 Emergency: 612-625-9711ServicesExperimentalStudiesHoursUsefulInformation• The oncology service offers a full range of diagnostic and therapeutic options forpets with cancer, including surgery, chemotherapy, and radiation therapy.Staffed by a dedicated team of veterinarians, veterinary technicians, andresearchers, the oncology group gives loving care for pets with cancer, andconducts advanced research, often in collaboration with investigators studyingsimilar cancers in humans.• Additionally, the oncology group offers help dealing with difficult medicaldecisions and end of life care through Social Work Services.Participation in clinical studies may reduce the costs of diagnostics and treatmentsin qualified cases.Monday through Friday, 7:30 a.m. to 4:00 p.m.We provide all clients with an estimate of prognosis and explain both curativeintentand palliative care options. Clients can expect a discussion of potentialbenefits and side effects as well as an estimate of costs for any therapies proposed.39

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSOphthalmology ServicesFacultyGia Klauss, DVM, Dipl. ACVOStaff Melissa Boyd, CVT Amy Giannobile, CVTDenise Obitz-Cooney, CVT, Supervisor Debra Vogt, MBA, DRSContact Phone: 612-625-9272 Emergency: 612-625-9711Email: vmcophth@umn.eduHours Monday – Friday, 8:00 a.m. to 4:30 p.m.ServicesSpecialEquipmentUsefulInformation• Diagnosis and medical and/or surgical treatment of all eye disorders in allspecies of animals (small animals, large animals and exotic animals)• Eye certification exams (CERF and EERF)• Slit lamp biomicroscopy, direct and indirect ophthalmoscopy, and Tonopen®tonometry for routine ophthalmic examination• Operating microscope and microsurgical instrumentation for ophthalmic surgery• Phacoemulsification and intraocular lens implantation for cataracts• Streak retinoscopy for determination of refractive error• Ocular ultrasonography, including High Resolution Imaging for evaluation ofglaucoma, corneal and iris diseases• Diode laser for treatment of glaucoma, ocular tumors and retinal detachment• Shunt implants for treatment of glaucoma• Cryosurgery for treatment of ocular tumors and distichiasis• Electroretinogram to test retinal function• Canine Eye Registry Foundation Examination (CERF)• Equine Eye Registry Foundation Examination (EERF)Ophthalmologists are on call after hours and on weekends for sight-threateningemergencies. However, they are not available for routine appointments or routinetelephone consultations during that time.40

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSRehabilitation ServicesFacultyElizabeth LaFond, DVM, Dipl. ACVS, CCRP*, Program Director*Certified Canine Rehabilitation PractitionerStaff Kimberly Barrett, CVT Siri Rea, CVT, VTS (Anes)Pat Berzins, DOOContact Phone: 612-626-VETS (8387)Services• Orthopedic, neurologic, and softtissue injuries• Post injury rehabilitation• Post-surgical rehabilitation• Chronic injury management• Performance animal conditioning• OA management• Weight management (may work inconjunction with VMC NutritionServices.HoursMonday through Friday. Inquire for appointments.SpecialEquipment• Underwater Treadmill and Swim Tank• Land treadmill• Therapeutic ultrasound• Electrical stimulation• Therapeutic exercise equipment• Therapeutic low level laserUsefulInformationHow toRefer• Our staff designs a treatment plan for each patient based on injury or needs, andwe provide a detailed explanation for the client. We offer outpatient andinpatient rehabilitation, conditioning programs and owner education. Owners areusually able to be present for treatments.• A heated underwater treadmill and swim tank are used in conjunction withtherapeutic exercises to promote postoperative healing and provide painmanagement for arthritis, neurologic disease, and surgical interventions.• Therapeutic ultrasound can provide local heating of deeper tissues to assist withtherapeutic exercises involving muscle stretching and can directly promotehealing and reduce pain.• Electrical stimulation treatments can be used to reduce pain and increase musclestrength.• Low level laser can be used to improve local circulation and promote woundhealing.Download the referral form from the VMC website. Send the completed and signedform with the patient.www.cvm.umn.edu/img/assets/18864/RehabReferralForm.pdf41

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSeizure ClinicFacultyEdward Patterson, DVM, PhD, Dipl. ACVIMContact Phone: 612-625-VETS (8387) Emergency: 612-625-9711Hours Selected Tuesdays from 9:00 a.m. – 12:00 p.m.UsefulInformationLimited to dogs and catsSurgery ServicesFacultyRoberto Novo, DVM, MS, Dipl. ACVS, Section ChiefGreg Anderson, DVM, Dipl. ACVSMichael Conzemius, DVM, PhD, Dip. ACVSBetty Kramek, DVM, Dipl. ACVS42

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSurgery ServicesElizabeth LaFond, DVM, Dipl. ACVS, Associate Medical Director, SA CoreServicesElizabeth Pluhar, DVM, PhD, Dipl. ACVSVicki Wilke, DVM, PhD, Dipl. ACVSResidentsBrian Martin, DVM, Resident, July 2007 – June 2010Charles McBrien, DVM, Resident, July 2008 – June 2010Duane Robinson, DVM, Resident, July 2008 – June 201143

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSurgery ServicesNathan Rose, DVM, Resident, July 2008 – June 2011Katie Wucherer, DVM, Resident, July 2009 – June 2012Diana Allevato, DVM, Resident, July 2009 – June 2012StaffRachel Bassett, CVT, VTS (Anes/OR), SupervisorAndrea Boll, CVT, ORNicole Schoenhals, CVT, ORRachel Czachor, CVT, Receiving/OR Shannon Radford, CVT, ORKari Erickson, CVT, ORPat Berzins, DOOChris Harper, CVT, ORDarcy Marx, CVT, Receiving SupervisorKelly Noyes, CVT, Case ManagerContact 612-626-VETS (8387) Emergency: 612-625-9711Email: sasvet@umn.eduServicesOrthopedic surgery• Fracture repair• CCL repair, including tightrope procedure, tibial plateau leveling,osteotomy and extracapsular repairs• Total hip replacement• Triple pelvic osteotomy• Arthroscopy• Force plate analysis/gait analysisNeurosurgery• Intervertebral disc surgery• Brachial plexus tumors• Craniotomy• Vertebral fracture repairThoracic surgery• Lung lobectomy44

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSurgery Services• Pericardectomy• Cardiovascular surgery• Persistent right aortic arch repair• Patent ductus arteriosus occlusionGastrointestinal surgery• Intestinal resection and anastamosis• Gastropexy• Gastric dilatation volvulus• Subtotal colectomy• Liver lobectomy• Splenectomy• LaparoscopyReconstructive surgery• Tumor resections• Skin grafts and flaps• Wound debridement and repairHead and neck surgery• Maxillectomy/mandibulectomy• Retrobulbar abscesses• Rhinotomy• Total ear canal ablationSoft palate resectionHoursRegular surgery receiving and surgery hours:Monday through Friday, 8:00 a.m. to 4:00 p.m.On-call emergency surgery, 24 hrs/day, 7 days/weekSpecialEquipment• Arthroscopy• Laparoscopy/thoracoscopy• Biometrix hip implants• Tibial plateau leveling osteotomyequipment• Surgical stapling• Operating microscope• Intra-operative radiography• Fluoroscopy, including intraoperativeLigaSure® sutureless vessel sealingtechnology• CO 2 laser• Interlocking nail system• Tightrope procedure equipment• MRIUsefulinformation• Surgery appointments and procedures are scheduled based on urgency. Electivecases are scheduled as soon as possible; however, surgery will not be scheduledthe same day as the initial appointment and there are no guarantees that surgerywill be scheduled the day following the initial appointment. Priority is given tocritical patients, fracture cases, oncology patients, and out-of-town clients.• Appointments may take two to four hours, especially if radiographs are needed.45

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSTheriogenologyFacultyPeggy Root Kustritz, DVM, PhD, Dipl. ACTStaff Kim Horne, AAS, CVT, Supervisor Deb Vogt, MBAContactLeave messages at: 612-624-7290 or 612-626-VETS (8387) or emailroot001@umn.edu. (Email preferred contact)Messages may not be answered on the same day.Services• Diagnosis and treatment of disordersof the genitourinary tract of male andfemale dogs and cats• Breeding management• Breeding soundness evaluations• Management of infertility• Consultations by phone or email• Artificial inseminationHoursDr. Root is available in the clinic on Mondays and Thursdays.UsefulInformationSmall Animal WardsStaffFor answers to frequently asked questions, see: http://www.tc.umn.edu/~rootk001Patient ServicesYvonne Appenzeller, CVT, SupervisorStephanie Beard, CVTPerin Bullers-Schwartz, CVTAmy Eastman, CVTJennifer Fisher, CVTSarah Hayes, CVTCatie Krohnfeldt, CVTSusan Jennie, CVTMaureen Parks, CVTShane Smith, CVTSmall Animal Receiving Float PoolStaff Keturah Oberly, VT Vickie Skala, CVT, SupervisorSarah Penn, CVTKeturah Oberly, CVTAmy Giannobile, CVTSmall Animal Ancillary Float PoolStaffDrew Bickford, CVTBrent Bassett, CVTKelby Howell, CVTTricia Anclam, CVTJean Dominquez, CVTCindy Henrikson, CVT, Supervisor46

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSmall Animal Medicine & Surgery Internship Program2009-2010Krista Adamovich, DVMZachary Goodrich, DVMTaye Hart, DVMNaomi Johnson, DVMStephanie Kemp, DVM47

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSA Medicine & Surgery Internship Program 2009-2010Nina Kieves, DVMJasmin Paris, DVMLarge Animal Medicine ServicesFacultyLarge Animal ServicesAnna Firshman, BVSc, PhD, CERP, Dipl. ACVIMMolly McCue, DVM, PhD, Dipl. ACVIMStephanie Valberg, DVM, PhD, Dipl. ACVIM48

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Medicine ServiceChristie Ward, DVM, MVSc, Dipl. ACVIMJulie Wilson, DVM, Dipl. ACVIMResidentsHolly Bedford, DVM, Resident, July 2006 – June 2010Stacy Tinkler, DVM, Resident, July 2006 – June 2010Rafaella Teixeira, DVM, Resident, July 2009 – June 2013Staff Michelle Briese, CVT Amanda Kiger, CVTSheryl Ferguson, VTS (LAIM), Manager Heather Lehrer, VTSergio Gonzales, Supervisor, hospital crew Sue Loly, CVT, SupervisorSue Hartley, CVTMolly Beyers, CVTAngie Homan, CVTJennifer Olson, CVTAmber Jakes, CVTMaggie McQuestion, CVTMaija Karkanen, CVTPaul Weinand, CVT49

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Medicine ServiceContact Phone: 612-625-6700 Emergency: 612-625-9711ServicesHoursIntensive care and diagnostic services are provided by our specialists who haveundergone years of post DVM training in internal medicine and comprise the onlyteam of equine or large animal veterinarians in the state to be certified by theAmerican College of Veterinary Internal Medicine.• Critical Care: We offer 24-hour care for neonates and adults of all large animalspecies, including horses, camelids, cattle, pot-bellied pigs, and small ruminants.Certified veterinary technicians are present 24 hrs a day and are supervised byour veterinarians to provide the very best in care. Support includes oxygentherapy, mechanical ventilation, Anderson and camelid slings, plasma and wholeblood transfusions, IV fluid therapy, total parenteral nutrition and a full range ofdiagnostics. CT scans are available for foals, small camelids and other animalsunder 400 pounds body weight.• Wellness examinations for older horses:In-depth health evaluations for geriatric problems including dental abnormalities,Cushings and metabolic disease, organ dysfunction, laminitis, neoplasia andnutrition issues.• Colic and weight loss: Evaluations may include endoscopy of the stomach forulcers, rectal examination and biopsy, abdominal ultrasound, abdominocentesis,malabsorption tests, and liver or kidney biopsy.• Cardiac evaluation: Heart murmurs, exercise intolerance, or arrhythmias can beevaluated by cardiologists using Holter monitors, ECG and cardiac ultrasound ortreadmill stress testing.• Respiratory Diseases: Infectious and allergic diseases are evaluated usingendoscopy, tracheal or bronchoalveolar lavages, bacterial culture, virus isolation,and/or skin testing. Treadmill evaluation combined with endoscopy is used forhorses with upper airway abnormalities. Nebulization and aeromask therapies areavailable.• Neurologic Diseases: Full evaluation of horses with wobblers, headshaking, andother neurological conditions. Diagnostics include spinal taps, EPM testing,radiography, myelograms, and muscle biopsy.• Tying-up and other muscle diseases: Full examination including exercisetesting and muscle biopsy evaluation by our laboratory.• Ophthalmology: Two board certified ophthalmologists provide expertdiagnostic evaluation, treatment, and surgery for corneal ulcers, trauma uveitis,cataracts and other eye problems.Other board certified specialists are available for consultation in the fields ofbehavior, clinical pathology, dentistry, dermatology, integrative medicine,nutrition, oncology, ophthalmology, pathology, radiology, reproduction surgery,and ultrasound.• Monday through Friday 9:00 a.m. to 4:30 p.m. for regular appointments.• Emergency services are available 24 hours/day, 7 days a week. The hospital isstaffed by trained technicians 24 hours/day.50

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Medicine ServiceSpecialEquipment• 3T MRI• Videoendoscopy and gastroscopy• High speed treadmill• Neonatal critical care unit• Isolation unit with video monitoring• Camelid and equine slings• Ultrasound with color flow Doppler• Aqua Cow for downer cows• Dental Swiss float and Stubbspneumatic floats• 24 hour cardiac monitors• Digital radiology• CT scanning for neonates• Oxygen and nebulizer therapyUsefulInformation• Appointments are longer than are typical in private practice since a completeworkup can usually be performed in one day. Animals can be dropped off thenight before and trailer parking is available.• Feel free to call ahead to ask about estimates or specific proceduresLarge Animal Rehabilitation ServicesFacultyAnna Firshman, BVSc, PhD, CERP, Dipl. ACVIMCertified Equine Rehabilitation Practitioner (CERP)Stephanie Valberg, DVM, PhD, Dipl. ACVIMStaff Sheryl Ferguson, VTS (LAIM), Manager Sue Loly, CVT, SupervisorMaggie McQuestion, CVTContact Phone: 612-625-6700 Emergency: 612-625-9711HoursMonday through Friday, 7:30 a.m. to 4:00 p.m.SpecialEquipment• Neuromuscular electrical stimulation• Aquapacer• Game Ready System• Land Treadmill• Therapeutic exercise programs• Gait analysis system• Shock-Wave Therapy• Force Plate• Therapeutic Ultrasound Therapy51

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Rehabilitation ServiceUsefulInformationWe provide a full service rehabilitation and physical therapy program for horsesand other large animal species. Out staff are specifically training in veterinaryrehabilitation and work alongside board certified veterinary surgeons and internalmedicine specialists to provide state-of-the-art care for patients following surgicalor medical management of various musculoskeletal and neurologic disorders.Rehabilitation modalities and facilities include an underwater treadmill, landtreadmill, therapeutic ultrasound, neuromuscular electrical stimulation,cryotherapy, heat therapy, therapeutic exercises, and massage therapy. To monitora patient’s progress, animals are assessed at regular intervals. Assessment toolsinclude a force plate to measure the amount of weight placed on each limb, andgait analysis software. The aim of this service is to achieve a quicker and morecomplete return to function after surgery or injury.The AquaPacer Equine Underwater Treadmill System was developed to helpequine athletes achieve peak performance. The AquaPacer can be used forrehabilitating an injury or as an aid in preparing the performance horse.Therapeutic sessions in the AquaPacer can be fully customized to each horse orpony through variable water heights, variable treadmill speeds, and variable watertemperature. Affordable packages are available.Therapeutic Exercise Programs can be designed to achieve a quicker and morecomplete return to function after surgery or injury. Each program is specificallydesigned to meet the horse’s individual requirements. These programs can beperformed on an in- or out-patient basis.The Game Ready System is used for post-workout therapy, chronic lameness,acute lameness, cellulitis, tendonitis, pre- and post-operative care, and bowedtendons.For Shock-Wave Therapy, a mild sedative is administered for the course of thetreatment, which lasts approximately 20 minutes. Five treatments are administered10 to 14 days apart, and then the horse is reevaluated. Five additional treatmentsmay be required, although some horses may only need intermittent therapy.Therapeutic Ultrasound Treatments vary by injury; however, on average theyconsist of one or two daily treatments of 10 to 15 minutes each for one to twoweeks. This is followed by veterinary reevaluation.Electrical Stimulation Treatments are usually administered once or twice weeklyat 10 to 15 minutes per site. They are often combined with massage to increasetheir effectiveness.52

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLarge Animal Surgery ServicesFacultyErin Malone, DVM, PhD, Dipl. ACVS, Associate Medical Director, LargeAnimal HospitalMary Boyce, DVMNicolas Ernst, DVM, Dipl. ACVSMicky Trent, DVM, MVSc, Dipl. ACVSTroy Trumble, DVM, PhD, Dipl. ACVSAnne Nicholson, DVM53

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Surgery ServiceResidentsMegan Swaab, DVM, Resident, July 2008 – June 2010Jane Manfredi, DVM, Resident, July 2009 – June 2012Jose Mendez, DVM, Resident, July 2009 – June 2012Staff Michelle Briese, CVT Amanda Kiger, CVTSheryl Ferguson, VTS (LAIM), Manager Heather Lehrer, VTSergio Gonzales, SupervisorSue Loly, CVT, SupervisorSue Hartley, CVTMolly Beyer, CVTAngie Homan, CVTJennifer Olson, CVTAmber Jakes, CVTMaggie McQuestion, CVTMaija Karkanen, CVTPaul Weinand, CVTContact Phone: 612-625-6700 Emergency: 612-625-9711Services:• Equine• Bovine• SmallRuminants• Camelids• Others• Soft tissue and orthopedic surgeries, routine and emergency.• Critical care surgeries include colics, wounds, fractures, and breakdown injuries.• Routine procedures include laser surgery, neonatal procedures, urogenital surgery,abdominal surgery, limb surgery, wound repair, tumor removals, upperrespiratory/throat surgery, dental procedures, etc.• Minimally invasive surgeries, diagnostic and therapeutic, including laparoscopic,endoscopic, and arthroscopic surgeries, and laser surgeries (CO2 and diode).• Performance evaluations and prepurchase evaluations, including lamenessevaluations, upper respiratory evaluations, treadmill evaluations, endoscopy,nuclear scintigraphy (bone scans), ultrasound, thermography, muscle sorenessexams, radiology and dental examinations.• Rehabilitation services, including acupuncture, massage, shockwave therapy,therapeutic ultrasound, pain management, and integrative medicine.• Field consultations can be arranged for lameness evaluations or surgical procedures.54

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Surgery ServiceServicesHours• All surgeons are board certified or board eligible. We are supported by boardcertified radiologists and anesthesiologists as well as certified veterinarytechnicians. Ancillary services include ultrasound and small ruminant specialistsas well as board certified specialists in internal medicine, theriogenology,neurology, ophthalmology, oncology, dentistry, dermatology, pathology, andradiology.• Monday through Friday 9:00 a.m. to 4:30 p.m. for regular appointments.• Emergency services are available 24 hours/day, 7 days a week. The hospital isstaffed by trained technicians 24 hours/day.SpecialEquipment• Arthroscopic equipment• Digital radiology• Thermography• CO2 laser and diode laser• Laparoscopic equipment• Platelet rich plasma• Force Plate and Gait Analysis• Nuclear scintigraphy• Ultrasound• High speed treadmill• Videoendoscopy• MRI• MesotherapyUsefulInformation• Emergency surgeries will be scheduled immediately. Elective cases are typicallyscheduled to arrive on the day prior to surgery to allow evaluation for anesthesiaand adequate food withdrawal. However, same-day surgeries are possible forroutine procedures in healthy horses.• Referral appointments for in-depth evaluation of lameness or performanceproblems often require serial nerve blocks, radiographs, and performanceobservations. A complete evaluation often requires 4-5 hours. Clients arewelcome to stay and observe the entire evaluation. However, trailer parking isavailable if clients would like to make use of the local shopping malls or otherentertainment. Arrangements can be made for animals to be dropped off orpicked up outside of regular hours.• Feel free to call ahead to ask about estimates or with questions on selectedprocedures.Large Animal Camelid ServicesFacultyDr. Anna Firshman BVSc, PhD, DACVIM.Dr Firshman is board certified in large animal internal medicine and has a strongbackground in the treatment of camelids. She was previously a faculty member atOregon State College of Veterinary Medicine and she has conducted severalresearch studies aimed to improve our understanding of camelid health and wellbeing.Her specific area of expertise involves the treatment of camelid metabolicand medical disorders.55

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Camelid ServiceDr. Cindy Wolf, DVM.Dr. Wolf is a University of MN camelid field service veterinarian who has beenproviding veterinary care for camelids since 1986.Dr Scott Madill, BVSc, DVSc, Dipl. ACTDr. Madill is board certified in Theriogenology and specializes in male and femalereproductive disorders.Staff Jen Olsen, CVT Paul Weinand, CVTContact Phone: 612-625-6700 Emergency: 612-625-9711ServicesHoursSpecialEquipmentUsefulInformationServices:MedicalSurgicalReproductiveMedicalImagingCamelid Medicine and SurgeryMonday through Friday, 7:30 am – 4:00 pmEmergency Services are available 365 days/year, 24 hours/day• Dedicated camelid examination area • MRIwith camelid stocks• Scintigraphy• Neonatal intensive care unit and ward • Videoendoscopy• Floatation tank• Ultrasonography• Neurological stall with a sling• Diode and CO 2 lasers• Surgical suites• Advanced dental equipment• Digital radiography• CT scannerThe mission of the University of Minnesota Veterinary Medical Center’s camelidservice is to provide the most current, caring and comprehensive veterinary care tocamelid owners, their animals and referring veterinarians. Our hospital plays anintegral part in the training of veterinarians and veterinary technicians in the careof camelids. Camelid clinical research performed in our hospital is resulting in thediscovery and dissemination of new knowledge and skills to improve camelidhealth worldwide.• Includes internal medicine and critical care, heat stress treatment, evaluation ofcolic, endoscopy, cardiology, ophthalmology, neurology, dentistry, dermatologyand nutritional consults.• Includes soft tissue and orthopedic surgery, lameness evaluations, laparoscopic,reproductive and laser surgery.• Includes ultrasonography, breeding soundness evaluations, breedingmanagement, management of infertility, hormone analysis, pregnancy diagnosisand treatement for dystocia.• Includes radiology, ultrasound, CT and MRI56

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSLA Camelid ServiceVeterinaryDiagnosticLaboratoryAdditionalServices▪▪Includes bacteriology, clinical chemistry, cytology, endocrinology,hematology, molecular diagnostics, necropsy/general exam of tissues,parasitiology, pathology (surgical), serology, toxicology and virology.Includes anesthesia, pharmacy, client support services and complementarytherapies including acupuncture and rehabilitationLarge Animal Theriogenology ServicesFacultyScott Madill, BVSc, DVSc, Dipl. ACTStaff Sheryl Ferguson, VTS (LAIM), Manager Angie Homan, CVTSue Loly, CVT, SupervisorContact Phone: 612-625-6700 Emergency: 612-625-9711Services Equine Bovine Ovine Caprine CamelidBreeding Management Shipping of cooled and frozenequine semen for breedingBreeding soundness evaluations High risk pregnancy monitoring Embryo collection & transfer Bull semen collection & freezingStallion collection trainingHerd and flock Reproductive exams Hours• Monday through Friday 8:00 to 4:30 p.m.• On-call emergency service from 4:30 p.m. to 8:00 a.m.• In-hospital patients monitored 24-hours/daySpecialEquipment• Ultrasound (rectal, transvaginal, andtransabdominal• Computerized semen freezing• Electroejaculator• LaparoscopyUsefulInformation• Appointments may be longer than typically seen in private practice due to the indepth diagnostics and consultation.• Feel free to call ahead to ask about estimates or specific procedures.57

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSUniversity of MinnesotaWest Metro Equine Services, Maple Plain, MNFacultyKerry Kuhle, DVMResidentsSara Wefel, DVM, Resident, July 2008 – June 2010Staff Sheryl Ferguson, VTS (LAIM), Manager Sue Loly, CVT, SupervisorContact For questions/appointments call 763-479-2932ServicesHoursThe University of Minnesota West Metro Equine Services provides a boardcertifiedinternal medicine clinician and equine ambulatory resident for generalequine practice in the Maple Plain area. Consults with VMC staff for advanceddiagnostic procedures, including lameness examinations and ultrasoundevaluations, are available upon request in the Maple Plain area or at the VMC. AllRadiographs are evaluated by VMC board certified veterinary radiologists. Caserecords and radiographs are electronically accessible at either the clinic or theVMC for continuity of case care.Monday through Friday 8:00 a.m. to 5:00 p.m.Also available for weekend and evening emergencies.SpecialEquipment• Digital Radiography• Ultrasound• Shock wave• Dental Swiss Float• Acupuncture58

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSAnesthesia ServicesFacultyAncillary ServicesLynelle Graham, DVM, Dipl. ACVAMaria Killos, DVM, Dipl. ACVAJane Quandt, DVM, Dipl. ACVA, Dipl. ACVECCResidentsTiffany Granone, DVM, Resident, July 2008 – June 2011Lindsey Mathews, DVM, Resident, July 2009 – June 2012StaffRachel Bassett, CVT, VTS (Anes/OR),SupervisorLisa Becker, CVTRachel Czachor, CVTShana Eisenberg, CVT, VTS (Anes)Gayle Geiser, CVTPat Berzins, DOO59Diedre Kranz, CVT, VTS (Anes)Ryan Nichols, CVT, VTS (Anes)Sigrid Rea, CVT, VTS (Anes)Krista Peterson, CVT, VTS (Anes)Laura Webster, CVTDave Meyer, CVT

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSAnesthesia ServiceContactServicesHoursSpecialEquipmentandCapabilitiesUsefulInformationTelephone consultations available (allow 24 to 48 hours for response); for trueemergencies, call 612-625-8755, and ask to speak with an anesthesiologist on duty.• Anesthesia, sedation and pain management services for large and small animals,including exotic species• Techniques include the use of injectable drugs, inhalant anesthetics, ventilatormanagement, regional anesthesia/analgesia (peripheral nerve blocks, dental blocks,epidurals/epidural catheterization), constant rate infusions and balancedanesthesia/analgesiaMonday through Friday 7:30 a.m. to 6:30 p.m.On-call emergency services 6:30 p.m. to 7:30 a.m., Monday through Friday; 24/7weekends/holidays.• Multiple board certified anesthesiologists with over 50 years of combinedexperience.• All technicians are nationally certified; six are additionally specialty-qualified (VTS-Anesthesia).• Personnel available 24/7/365 for emergency procedures.• Individually tailored anesthetic plan for each patient.• Each patient is continuously monitored throughout the anesthetic period bydedicated personnel; detailed anesthetic records are completed for each patientbecoming a permanent part of the patient’s medical record.• A variety of monitoring techniques are utilized through each anesthetic episode,depending on patient condition and need, including ECG, blood pressure, pulseoximetry, capnography, and temperature.• Variety of pain management techniques including routine premedication, epidurals,epidural catheters, constant rate infusions, transdermal fentanyl and/or lidocaine,local/regional blocks and postoperative analgesic recommendations.• Routine use of all modern inhalants anesthetics, including sevoflurane andisoflurane.• Regular use of a multitude of injectable anesthetics, analgesics and other supportivemedications.• Ability, and desire, to work with cases requiring unique care (difficult airways,sepsis, profound volume loss, icterus, diaphragmatic hernias, etc).• Routine peripheral venous catheterization in all patients.• Wide variety of intravenous fluid therapy options, including replacementcrystalloids, artificial colloids, blood substitutes, concentrated human albumin,species specific plasma, packed red cells and whole blood.• Mechanical ventilators• Point of care laboratory evaluation available• Small animal cases arriving for same-day service must be checked in at the smallanimal hospital by 7:00 a.m.• Large animal cases arriving for same-day service must be checked in at the largeanimal hospital by 7:00 a.m.• Please send any completed blood work and radiographs with the client. Pleasespeak with an anesthesiologist directly regarding specific anesthetic concerns forany of your referred patients.60

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSClinical PathologyFacultyLeslie Sharkey, DVM, PhD, Dipl. ACVP, Lab DirectorJed Overmann, DVM, Dipl. ACVPLaura Snyder, DVM, Dipl. ACVPResidentsSara Hill, DVM, Resident, July 2007 – June 2010Helen Michael, DVM, Resident, July 2008 – June 2011StaffSusan AndersonJoanne BacklundJessica KellyKim Little, MS, ASCP, ManagerLois MeihakChristine PalmMary PlathTammy Ruska, SupervisorKarin ShaferPat NorgrenContact Phone: 612-625-8707 Emergency: 612-625-971161

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSClinical Pathology ServiceServicesHoursSpecialEquipmentUsefulInformationAreas of testing include:• Hematology• Clinical Biochemistry• Hemostasis• Cytology• Urinalysis• Fecal analysis• ImmunologyOther testing areas are handled in the Minnesota Diagnostic Laboratory or atnumerous referral laboratories.• Monday through Friday 8:00 a.m. to 5:30 p.m.• Staffed by board certified medical technologists and medical laboratorytechnicians.• Emergency services are provided for holidays and after hours.• Coverage is provided by specially trained and supervised veterinary students ona limited test menu.• Advia 2120 - Hematology analyzer• Olympus AU400e - Chemistry analyzer• Diagnostica Stago STACompact - Coagulation AnalyzerParticipation in external proficiency testing through the Veterinary LaboratoryAssociation Quality Assurance Program and internal quality control protocolsguarantee quality assurance.Medical Imaging ServicesFacultyKari Anderson, DVM, Dipl. ACVRDan Feeney, DVM, Dipl. ACVR62

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSMedical Imaging ServiceChristopher Ober, DVM, PhD, Dipl. ACVRLaura Ziegler, DVM, Dipl. ACVRTsyuoshi Murakami, DVM, Dipl. ACVRResidentsSara Tibbs, DVM, Resident, July 2007 – June 2010Chris Warrington, DVM, Resident, July 2009 – June 2012StaffJoAnn Anderson, Adm. StaffDiane Sontag, Adm. StaffDaniel E. Cronk, LVT (PACS, NM, CT)Tracy Flannery, CVT (CT, RAD, I131)Greg Knoblauch, CVT (CT, Rad, MRI)Brenda Meilke, CVT, VTS (ECC), SupervisorMarcia Kocourek, Adm. StaffDebra Rue, RN, CVT (US)Susan Steward, RT (MR, CT)Andrea Zins, CVT (US)Dick Hermes, CVT (US)Contact Phone: 612-625-1200 Website: http://www.cvm.umn.edu/vetrad63

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSMedical Imaging ServiceServicesRadiographic and special procedures, CT, MRI, and US studies; Teleradiology(call or visit website for information).Advanced Veterinary Imaging Direct: Outpatient Diagnostic Imaging –www.vmc.umn.edu/avid• New out-patient service for regional veterinary specialists and practitioners• Services available include ultrasound (including guided biopsy), CT, MRI, andradiographic special procedures – visit the website for more informationMedicalImagingServices• Diagnostic and interventionalfluoroscopy• Diagnostic and interventionalultrasonography• Special procedures‣Angiography‣Cystourethrography‣Esophagography‣Fistulography‣Intravenous urography‣Myelography‣Upper GI Series‣Barium enema‣Vaginography‣Arthrography• Computed and digital radiography• Computed Tomography (CT)• Magnetic Resonance Imaging (MRI)• Feline hyperthyroid radioiodine therapy• External beam radiation therapy• Radionuclide imaging for small and largeanimals‣Portal scintigraphy (for PSS)‣Thyroid scintigraphy‣GFR scintigraphy‣Bone scintigraphy‣And othersSpecialEquipmentSpecialEquipment(con’t)UsefulInformation• Kodak Computed Radiography (CR) for both small and large animal patients• Elkin Digital Radiography (DR) for equine patients• Kodak Picture Archiving and Communications System (PACS)• GE Logic 9 ultrasound machine with full Doppler, harmonic and 3D capabilities• Siemens Sequoia ultrasound machine with full Doppler and harmonic and 3Dcapabilities• Toshiba EccoCee ultrasound machine with Doppler capabilities• General Electric CT/e spiral CT scanner• General Electric Signa HDx 3.0T MRI Scanner• NuCam gamma camera (Diagnostic Services) and Segami workstation withimaging capability for both small and large animal patients• Schimadzu Platinum One digital fluoroscopy unit• Varian linear accelerator dual energy photon and multiple energy electronexternal beam radiotherapy machine with multileaf collimationPlease visit the Advanced Veterinary Imaging Direct website for informationregarding outpatient imaging procedures offered at the Veterinary Medical Center:• http:// www.vmc.umn.edu/avid• Direct phone number: 612-624-9583Please visit the University of Minnesota Veterinary Radiology website forinformation regarding teleradiology services offered by the Medical ImagingGroup: http://www.cvm.umn.edu/vetrad; Direct phone number: 6123-625-120064

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSSmall Animal Pharmacy ServicesAlisa Craig, PharmD, Interim Pharmacy DirectorStaff Joan Johnson, CPhT Farron Lord, CPhTApril HoeskaContact Small Animal Pharmacy 612-625-6233Small Animal Refill Line 612-624-3488HoursMonday through Friday, 8:00 a.m. to 5:00 p.m.UsefulinformationFederal law prohibits our pharmacy from selling medications to private practices,filling prescriptions for non-VMC patients or filling prescriptions written by non-VMC veterinarians. Sales of pharmaceuticals for true emergencies (e.g., antidotes)are acceptable.Other ServicesThe Raptor Center/Avian ServicesFacultyStaffPatrick T. Redig, DVM, PhDJulie Ponder, DVMMichelle Willette, DVMLori Arent, Clinic ManagerOtherInformationContact 612-624-3681ServicesHoursFull range of medical, surgical, and rehabilitative treatment of raptorsReferral treatment of companion birds, including:• Orthopedic and soft tissue surgery• Endoscopy• Radiology• Internal MedicineMonday through Friday, 8:30 a.m. to 4:00 p.m.Saturday, 9:00 am – 12:00 noon65

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSVeterinary Diagnostic Laboratory ServicesServicesServices(con’t)The Minnesota Veterinary Diagnostic Laboratory (VDL) is in the College ofVeterinary Medicine, University of Minnesota, and is the official laboratory of theMinnesota Board of Animal Health. The laboratory provides a full range ofdiagnostic services, including:• Bacteriology/Mycology• Electron microscopy• Endocrinology‣ OFA certification• Immunohistochemistry‣ Enhanced surgical diagnostics• Molecular Diagnostics‣ Brand new, state of the art, facility• Necropsy• Parasitology• Serology• Virology• Special Public Health related testing‣ Bovine Spongiform Encephalopathy (BSE)‣ Chronic Wasting Disease (CWD)‣ Rabies‣ West Nile Virus (WNV)‣ Equine encephalitidesThe laboratory is accredited by the American Association of VeterinaryLaboratory Diagnosticians as a full-service diagnostic laboratory for all animalspecies.Contact Address: 1333 Gortner Avenue, St. Paul, MN 55108Email: vdl@umn.eduFax: 612-624-8707Phone: 612-625-8787 or 800-605-8787 (work hours)Web: www.vdl.umn.eduHoursUsefulinformation• The Laboratory is open Monday through Friday, 7:45 am to 4:30 pm (CTZ)• After hour’s submissions are accepted at the Small Animal Emergency Entranceof the Veterinary Medical Center, 1365 Gortner Avenue, St. Paul, MN 55108• Consultative Services are also available upon request for hospitalized patientsThe VDL offers a developing web-based option for interacting with its clients.Among services available online at www.vdl.umn.edu are:• Downloadable forms• On-line submission option• Lab results on-line, downloadable in Excel• Updated fee schedule and user guide66

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSClinical Investigation CenterAre you wondering if there are clinical trials at the VMC that could help your clients? How do you findout what clinical research is being done at the VMC? You can contact us in the Clinical InvestigationCenter.The Clinical Investigation Center (CIC) promotes research at the College of Veterinary Medicine byproviding support services for research in the Veterinary Medical Center. The best medical centers notonly apply the most current knowledge, they create it. To this end, clinical research is inseparable fromthe provision of state-of-the-art health care.Your participation is essential to the success of clinical trials at the VMC. In some cases, you may havea client who could benefit from participating in one of our studies. In other cases, we may be looking fora particular condition that is hard to find thus we rely on our referral community to assist us. From timeto time, we will request referrals for our clinical trials by fax or U.S. mail.For the most up-to-date information about clinical trials at the VMC, please visit the CIC website athttp://www.cvm.umn.edu/cic/home.html. This site includes information about current studies and who tocontact about each one. There is also a link to this site on the VMC website under “For ReferringVeterinarians”.Co-DirectorsBert Stromberg, PhD, Professor of ParasitologyRobert Washabau, VMD., PhD, Professor of MedicineStaffContactKelly Hall, DVM, Clinical Trials Manager• Phone: 612-624-6288• Email: wilke022@umn.eduKathy Stuebner, CVT, Research Coordinator• Phone: 612-624-2485• Email: stueb005@umn.eduSara Pracht, CVT, Study Technician• Phone: 612-626-3574• Email: prach011@umn.eduMarianne Robeck, CVT, Study Technician• Phone: 612-624-1352• Email: robec008@umn.eduEmail: vcic@umn.eduFax: 612-626-3569Special EventsFor a list of events sponsored by the College of Veterinary Medicine please visit:http://www.cvm.umn.edu/newsandevents/events/home.html67

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSVeterinary Continuing EducationYou are invited to take your continuing education credits at our classes, labs, online courses andconferences sponsored by the College of Veterinary Medicine. As a research university, our goal isto bring evidence-based, cutting-edge training and information to veterinary professionals andscientists in our region, our nation and the world.Our faculty inspire and challenge, and as researchers and practitioners, they have both unique andshared insights as you work together to use world class diagnostics, treatment protocols andadvanced inquiry to the benefit of your clients. Why not study with those who do the science andpractice the art of veterinary medicine? An up-to-date calendar of programs is posted on our websiteat www.cvm.umn.edu/outreach. Our website also offers you the secure registration online.To discuss continuing education opportunities, please contact:Alicia M. Johnson, Director, Veterinary Continuing EducationPhone: 612-624-2268Email: amj@umn.eduContactEmail: vop@umn.eduPhone: 612-624-3434 or 800-380-8683Website: www.cvm.umn.edu/outreach68

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSVeterinary Conferences 2008-2009September 2009 February 2010Veterinary Emergency & Critical CareSymposium (VECCS)September 9-13, 2009Chicago, ILhttp://www.veccs.org/Veterinary Dental ForumOctober 29-November 1, 2009Phoenix, AZhttp://www.veterinarydentalforum.com/Minnesota Veterinary Medical Association(MVMA)February 4-6, 2010http://www.mvma.org/convention_info.aspWestern Veterinary Conference (WVC)February 14-18, 2010Las Vegas, Nevadahttp://www.wvc.org/October 2009 March 2010Veterinary Cancer SocietyOctober 16-19, 2009Austin, TXhttp://www.vetcancersociety.org/AAVLD Animal Health Association NIAAOctober 7-14, 2009San Diego, CAhttp://www.aavld.org/American College of Veterinary Surgeons(ACVS)69Association of American Veterinary MedicalColleges (AAVMC)March 11-15, 2010East Lansing, Michiganhttp://www.aavmc.org/meetings.htmMidwest Poultry FederationMarch 17-18, 2010St. Paul, MNhttp://www.midwestpoultry.comOctober 8-10, 2009Washington, DChttp://www.acvs.org/April 2010December 2009American Association of Equine Practitioners(AAEP)December 5-9, 2009Las Vegas, Nevadahttp://www.aaep.org/January 2010North American Veterinary Conference(NAVC)January 16-20, 2010Orlando. FLhttp://www.tnavc.org/North American Veterinary DermatologyForum (NAVDF)April 14-17, 2010Portland, Oregonhttp://www.navdf.org/futureDates.aspxJune 2010American College of Veterinary InternalMedicine (ACVIM)June 9-12, 2010Anaheim, CAhttp://www.acvim.org/August 2010International Rehabilitation SymposiumAugust 4-7, 2010

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSGifts to the College of Veterinary MedicineThe college recognizes the need for individuals to recognize their beloved pets, for others toremember those special animals, and to help out fellow animal lovers. Below are a few programsthat the College offers.Tribute FundCelebrate, honor, or memorialize animal owners, veterinarians, family members, friends, associates,volunteers, or that special someone – on any occasion. By making a gift through theTribute Fund program, you can reach out to someone special during times of joy or sorrow and letthem know they are not forgotten. A tribute gift can commemorate or acknowledge:• Birthdays• Graduations• Births and deaths (human or animal)• Anniversaries• Weddings• Promotions• Special accomplishments or recognition• Recoveries from illness, disease, or accidents• ClientsEach tribute gift is acknowledged by a personalized card sent to the person or family in whosename your gift is made (the card will not mention the amount of your gift). As the contributor, youwill receive a separate acknowledgment and a receipt for your records.Your tribute gift will help companion animals by:• Finding solutions for diseases and other causes of animal suffering• Upgrading patient facilities and equipment used to diagnose and treat patients referredto the Veterinary Medical Center• Assisting veterinary students in mastering their profession, ultimately advancing thehealth of companion animals well into the futureFor additional information about making a tribute gift, please contact the advancement office at612-624-1247 or e-mail stato001@umn.edu. Credit card contributions can be made 24 hours a dayonline through the College Website at www.cvm.umn.edu/devalumni.Nestlé Purina Memories GardenThe bond between people and their pets is special – and unique. Our pets enrich our lives everyday, in both obvious and subtle ways. Whether it’s an affectionate rub from your purring cat or aconcerned look from your dog, pets provide warmth and companionship just when we need itmost. Over the years, a very special relationship develops. When the time comes, it can be difficultand painful to say goodbye.Keep the fond memories alive now and forever. The University of Minnesota Veterinary MedicalCenter invites you to create a lasting legacy in memory of your pet or your favorite pet lover.Purchase a brick engraved with your own special inscription memorializing your pet’s life andyour special relationship. A special installation ceremony will be held in the spring. Brick ordersreceived by April 1 will be ready for the ceremony – guaranteed!70

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSWith a gift of $250 or $500 (depending on brick size), a brick engraved with your uniqueinscription will become a permanent part of the garden.Your gift helps to provide a quiet outdoor space for pet owners and their pets and supports theVMC’s Social Work Services program.You will receive:• An engraved brick in memorial garden• A memorial certificate• Profiles, the publication of the College of Veterinary Medicine• An invitation to the brick installation ceremony created to celebrate pets’ livesFor more information about purchasing a brick, please contact the advancement office at612-624-1247 or stato001@umn.edu.Companion Animal FundThe Veterinary Medical Center has a Companion Animal Fund that provides one-time grants of upto $500 to assist qualified clients, including nonprofit organizations, with treatment of companionanimals. The Companion Animal Fund is supported by client donations, so the availability offunding varies.Qualification criteriaTo qualify for a grant from the Companion Animal Fund, the following qualifications must bemet:• The animal must be assessed and diagnosed at the Veterinary Medical Center.• The animal’s medical condition must be acute, non-recurring, and non-routine, such asa fracture or foreign body ingestion. Chronic, congenital, and terminal conditions arenot covered.• The animal must have a good medical prognosis. Or• The animal needs humane euthanasia in an emergency situation.Individual clients must fulfill financial-need criteria:• Total combined household income must be less than $25,000 per year.• Written documentation of income is required.• Income of spouses, housemates, partners, and relatives living in the household isincluded.Non-profit organization criteria include:• 501c(3) status• References from veterinarians• Background in placementsThe reasons that the client or non-profit organization is applying for assistance are to bedocumented in detail on the application.How to make a donation to the Companion Animal FundPlease contact the advancement office at 612-624-1247 or stato001@umn.edu.71

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSOur CliniciansAAdamovich, Krista .................................................. 47Allevato, Diana ........................................................ 44Anderson, Greg ....................................................... 42Anderson, Kari ....................................................... 62Armstrong, P. Jane ................................................. 33BBedford, Holly ......................................................... 49Boyce, Mary ............................................................ 53CCannon, Claire ........................................................ 39Carney, Maura ........................................................ 34Choi, Hwa ................................................................ 23Churchill, Julie ....................................................... 37Conzemius, Michael ................................................ 42Cordner, Amy ......................................................... 34Craft, Elise ......................................................... 28, 32Craig, Alisa .............................................................. 65DDuxbury, Margaret ................................................ 21EErnst, Nicolas .......................................................... 53FFeeney, Dan ............................................................. 62Firshman, Anna .......................................... 48, 51, 55Fonseth, Sherry ....................................................... 29Furrow, Eva ............................................................ 35GGingerich, Wade ..................................................... 24Goldstein, Gary ....................................................... 24Goodrich, Zachary.................................................. 47Graham, Lynelle ..................................................... 59Granone, Tiffany .................................................... 59Gray, Sarah ....................................................... 28, 32HHall, Kelly .......................................................... 27, 31Hardy, Brian ........................................................... 35Hardy, Robert ......................................................... 33Hart, Taye ............................................................... 47Henson, Mike .......................................................... 38Hill, Sara .................................................................. 61Husbands, Brian ..................................................... 38JJeffreys, Antonella .................................................. 39Johnson, Naomi ....................................................... 4772KKemp, Stephanie .....................................................47Kieves, Nina .............................................................48Killos, Maria ............................................................59Klauss, Gia ...............................................................40Koch, Sandra ...........................................................26Kramek, Betty .........................................................42Kuhle, Kerry ............................................................60LLaFond, Elizabeth ............................................. 41, 43Leeder, Damon ........................................................22Lowum, Sue .............................................................29Lulich, Jody .............................................................33MMadill, Scott .......................................................56, 57Malone, Erin ............................................................53Manfredi, Jane.........................................................54Martin, Brian ...........................................................43Mathews, Lindsey ....................................................59McBrien, Charles ....................................................43McCue, Molly ..........................................................48McVey, Alistair ........................................................36Mendez, Jose ............................................................54Merkel, Lindsay.......................................................33Michael, Helen .........................................................61Miller, Rita ...............................................................33Moga, Jeannine ........................................................16Murakami, Tsyuoshi ...............................................63NNicholson, Anne .......................................................53Novo, Roberto ..........................................................42OOber, Christopher ...................................................63Olson, Janet .............................................................22Orcutt, Elizabeth .....................................................35Osborne, Carl ..........................................................34Overmann, Jed ........................................................61PParis, Jasmin ............................................................48Patterson, Edward ....................................... 30, 34, 42Peterson, Andrea .....................................................26Pluhar, Elizabeth .....................................................43Polzin, David ............................................................34Powell, Lisa ........................................................ 27, 31QQuandt, Jane ...................................................... 31, 59

2009 – 2010 · VMC GUIDE FOR REFERRING VETERINARIANSRReichl, Lorna ........................................................... 21Reinker, Noelani ..................................................... 34Ritt, Michelle ........................................................... 34Rivara, Catherine ................................................... 35Robinson, Duane ..................................................... 43Robles, Clarissa ....................................................... 36Root Kustritz, Peggy ............................................... 46Rose, Nathan ........................................................... 44SSchafgans, Kristin ................................................... 35Schildt, Julie ...................................................... 28, 31Sharkey, Leslie ........................................................ 61Snyder, Laura ......................................................... 61Stauthammer, Christopher .................................... 22Stepaniuk, Kevin ..................................................... 24Swaab, Megan ......................................................... 54TTart, Kelly ......................................................... 28, 31Teixeira, Rafaella .................................................... 49Tibbs, Sara ...............................................................63Tinkler, Stacy ..........................................................49Tobias, Anthony ......................................................22Todd, Jeffrey ...................................................... 28, 31Torres, Sheila ...........................................................26Trent, Micky ............................................................53Trumble, Troy .........................................................53VValberg, Stephanie ............................................ 48, 51WWard, Christie .........................................................49Warrington, Chris ...................................................63Washabau, Robert ............................................. 33, 67Wefel, Sara ...............................................................58Wilke, Vickie ............................................................43Wilson, Julie ............................................................49Wolf, Cindy ..............................................................56Wucherer, Katie ......................................................44ZZiegler, Laura ..........................................................6373

Is your equine patient ready for the ring?We can help!University of Minnesota Equine CenterPiper Performance Cliniclocated on the St Paul campus of the University of Minnesota• New lameness expertsDr. Troy Trumble andDr. Nicolas Ernst• Board-certified orthopedicsurgery specialists• Advanced diagnostics, includingdigital radiography and MRI• High-speed treadmill and realtimecomputerized gait analysisDennis O’Neil PhotographyShadowBox owned and ridden by Alexandra McDonald• Cutting-edge treatments andrehabilitation, including aquatreadmillCall 612-625-6700 for an appointmentEmergency services available 24/7

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