4
865.974.8387 | vetmed.tennessee.edu/vmc UPDATES & RESOURCES FOR OUR VETERINARY PARTNERS VOLVET NEWS | WINTER 2017 Join us any week and receive a free 1-hour continuing education credit per session. Friday Morning Faculty Rounds are held in the Tickle Seminar Room at the UT College of Veterinary Medicine from 8 – 9 am each week. Topics/presenters may change due to doctors’ schedules. For inquiries and to RSVP, please contact Sue Schwarten at (865) 974-5505 or [email protected]. Electrochemotherapy is a new clinical therapeutic modality used in veterinary medicine for treating horses for skin tumors, including sarcoids, mast cell tumors, and carcinomas. This new treatment tool has been used in people for a wide variety of skin and subcutaneous tumors. We now have the ability to provide this treatment for horses at the University of Tennessee College of Veterinary Medicine. With electrochemotherapy, a chemotherapeutic drug, such as cisplatin or bleomycin, is injected into the skin tumor, and electrical pulses are delivered, in microseconds, into the tumor. The electrical pulses cause the pores of the cancer cells to open, increasing the cells’ susceptibility to the drug. The electrical pulses cause a substantial increase, up to one hundred times, in the uptake of the cancer drug by the cancerous cells. The electrical pulses also cause the tumor’s blood vessels to seal the drug within the tumor, significantly increasing the therapeutic benefit of the drug. Electrochemotherapy offers an effective alternative to current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown to be much higher than that obtained with most other treatments such as surgical excision, cryosurgery, laser surgery, topical administration of antiviral drugs, immunomodulatory therapy, and topical or intra-lesional administration of a chemotherapeutic drug alone. In one study, 97.9% of horses with one or more sarcoids treated using electrochemotherapy continued to have resolution of the tumors 4 years after treatment. Treatment is performed with the horse anesthetized using a short-acting injectable anesthetic agent. A typical electrochemotherapy session lasts about 20 minutes. For small tumors (i.e., those < 2 cm in diameter), electrochemotherapy is generally effective after only one or two treatments. Treatments are repeated at 2-week intervals. Tumors greater than 5 cm in diameter should be surgically debulked first, if possible, before electrochemotherapy treatment is administered. The most common adverse effect is slight swelling at the treatment site. We are excited to offer this treatment for many types of skin cancer. Appointments for this new therapy may be made by calling the appointment desk at the Equine Hospital at 865-974-5701. Feb. 10 Drs. Sarah Schmid (SA Internal Medicine) & Robert Snowden (LA Surgery) Feb. 17 Drs. Lark Walters (Oncology) & Carrie Davis (SA Anesthesiology) Feb. 24 Drs. Jose Guevara (SA Surgery) & Jennilee Morrison (Avian & Exotics) Mar. 3 Drs. Nystrom (Emergency & Critical Care) & Elizabeth Cypher (LA Surgery) Mar. 10 Drs. Janina Bartels (Diagnostic Imaging) & Maryanne Murphy (Nutrition) Mar. 17 Drs. Courtney Sampson (Neurology) & Jason Couto (SA Intern) Mar. 24 Drs. Michael Lane (SA Internal Medicine) & Whitney DeGroot (SA Surgery) Mar. 31 Drs. Hannah McLean (Rehabilitation & Sports Medicine) & Linda Hyatt (SA Intern) To find out more about all of UTCVM's Continuing Education opportunities, visit vetmed.tennessee.edu/ce Friday Morning Electrochemotherapy FACULTY ROUNDS A NEW THERAPY FOR SKIN LESIONS IN HORSES WINTER 2017 THE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE Do you monitor customer review websites? Search engines are often overlooked as a way to find online mentions of your company or its services and employees. You can use a search engine such as Google or Bing to locate customer reviews. You can even create Google Alerts that will notify you when your practice is mentioned online - www.google.com/alerts. These are just a few examples of free ways to monitor the conversation. Hosted by University of Tennessee Veterinary Social Work February 20-21, 2017 UT Conference Center 600 Henley St | Knoxville, TN 37902 For more information call 865.755.8839 vetsocialwork.utk.edu SAVE THE DATE Emotional CPR Training REGISTER BY February 25th! SATURDAY, MARCH 4, 2017 Equine Performance & Rehabilitation Center Arena THE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE 2407 River Drive | Knoxville, TN 37996 HORSE OWNERS 2017 CONFERENCE REHABILITATE • RECOVER • RENEW REGISTER NOW: vetmed.tennessee.edu/ce 865-974-7264 THE DIAGNOSIS: This young hunting dog had marked acute and ongoing fibrinosuppurative and histiocytic pleuropneumonia with intralesional acid fast negative filamentous bacteria. Hunting dogs are most commonly found to have these pathologic changes associated with inhalation or percutaneous inoculation and migration of foreign material. Environmental bacteria introduced by the foreign body are usually associated with these changes, including Nocardia sp. and Actinomyces sp. In this case the granules formed by filamentous bacteria throughout the pleura and thoracic effusion are most consistent with Actinomyces sp.

A NEW THERAPY FOR SKIN LESIONS IN HORSES FACULTY … · current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown

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Page 1: A NEW THERAPY FOR SKIN LESIONS IN HORSES FACULTY … · current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown

865.974.8387 | vetmed.tennessee.edu/vmc

UPDATES & RESOURCES FOR OUR VETERINARY PARTNERS

VOLVET NEWS | WINTER 2017

Join us any week and receive a free 1-hour continuing education credit per session. Friday Morning Faculty Rounds are held in the Tickle Seminar Room at the UT College of Veterinary Medicine from 8 – 9 am each week. Topics/presenters may change due to doctors’ schedules. For inquiries and to RSVP, please contact Sue Schwarten at (865) 974-5505 or [email protected].

Electrochemotherapy is a new clinical therapeutic modality used in veterinary medicine for treating horses for skin tumors, including sarcoids, mast cell tumors, and carcinomas. This new treatment tool has been used in people for a wide variety of skin and subcutaneous tumors. We now have the ability to provide this treatment for horses at the University of Tennessee College of Veterinary Medicine.

With electrochemotherapy, a chemotherapeutic drug, such as cisplatin or bleomycin, is injected into the skin tumor, and electrical pulses are delivered, in microseconds, into the tumor. The electrical pulses cause the pores of the cancer cells to open, increasing the cells’ susceptibility to the drug. The electrical pulses cause a substantial increase, up to one hundred times, in the uptake of the cancer drug by the cancerous cells. The electrical pulses also cause the tumor’s blood vessels to seal the drug within the tumor, significantly increasing the therapeutic benefit of the drug.

Electrochemotherapy offers an effective alternative to current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown to be much higher than that obtained with most other treatments such as surgical excision, cryosurgery, laser surgery, topical administration of antiviral drugs, immunomodulatory therapy, and topical or intra-lesional administration of a chemotherapeutic drug alone. In one study, 97.9% of horses with one or more sarcoids treated using electrochemotherapy continued to have resolution of the tumors 4 years after treatment.

Treatment is performed with the horse anesthetized using a short-acting injectable anesthetic agent. A typical electrochemotherapy session lasts about 20 minutes. For small tumors (i.e., those < 2 cm in diameter), electrochemotherapy is generally effective after only one or two treatments. Treatments are repeated at 2-week intervals. Tumors greater than 5 cm in diameter should be surgically debulked first, if possible, before electrochemotherapy treatment is administered. The most common adverse effect is slight swelling at the treatment site.

We are excited to offer this treatment for many types of skin cancer. Appointments for this new therapy may be made by calling the appointment desk at the Equine Hospital at 865-974-5701.

Feb. 10 Drs. Sarah Schmid (SA Internal Medicine) & Robert Snowden (LA Surgery)

Feb. 17 Drs. Lark Walters (Oncology) & Carrie Davis (SA Anesthesiology)

Feb. 24 Drs. Jose Guevara (SA Surgery) & Jennilee Morrison (Avian & Exotics)

Mar. 3 Drs. Nystrom (Emergency & Critical Care) & Elizabeth Cypher (LA Surgery)

Mar. 10 Drs. Janina Bartels (Diagnostic Imaging) & Maryanne Murphy (Nutrition)

Mar. 17 Drs. Courtney Sampson (Neurology) & Jason Couto (SA Intern)

Mar. 24 Drs. Michael Lane (SA Internal Medicine) & Whitney DeGroot (SA Surgery)

Mar. 31 Drs. Hannah McLean (Rehabilitation & Sports Medicine) & Linda Hyatt (SA Intern)

To find out more about all of UTCVM's Continuing Education opportunities, visit vetmed.tennessee.edu/ce

Friday MorningElectrochemotherapyFACULTY ROUNDSA NEW THERAPY FOR SKIN LESIONS IN HORSES

WINTER 2017 THE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE

Do you monitor customer review websites? Search engines are often overlooked as a way to find online mentions of your company or its services and employees. You can use a search engine such as Google or Bing to locate customer reviews. You can even create Google Alerts that will notify you when your practice is mentioned online - www.google.com/alerts. These are just a few examples of free ways to monitor the conversation.

Hosted by University of Tennessee Veterinary Social Work

February 20-21, 2017UT Conference Center

600 Henley St | Knoxville, TN 37902

For more information call 865.755.8839

vetsocialwork.utk.edu

SAVE THE DATE

Emotional CPR Training

REGISTER BY February 25th!

SATURDAY, MARCH 4, 2017

Equine Performance & Rehabilitation Center ArenaTHE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE2407 River Drive | Knoxville, TN 37996

HORSEOWNERS

2017

CONFERENCEREHABILITATE • RECOVER • RENEW

REGISTER NOW:vetmed.tennessee.edu/ce865-974-7264

THE DIAGNOSIS: This young hunting dog had marked acute and ongoing fibrinosuppurative and histiocytic pleuropneumonia with intralesional acid fast negative filamentous bacteria. Hunting dogs are most commonly found to have these pathologic changes associated with

inhalation or percutaneous inoculation and migration of foreign material. Environmental bacteria introduced by the foreign body are usually associated with these changes, including Nocardia sp. and Actinomyces sp. In this case the granules formed by filamentous bacteria throughout the pleura and thoracic effusion are most consistent with Actinomyces sp.

Page 2: A NEW THERAPY FOR SKIN LESIONS IN HORSES FACULTY … · current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown

THE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE

New Livestock Feed RulesVETERINARY FEED DIRECTIVE REQUIREMENTS

In December 2013 the Food and Drug Administration (FDA) proposed a three year plan (GFI-209) to phase out the use of "medically important" antimicrobials in food animals when used to enhance growth or improve feed efficiency. This ruling took effect January 1, 2017.

What Does This Mean for Producers?FDA is taking action to promote the judicious use of medically important antimicrobial drugs in food animals. The goal of the strategy is: • To phase out the use of medically important

antibiotics in food animals for production purposes (e.g., to enhance growth or improve feed efficiency)

• Bring the therapeutic uses of such drugs (to treat, control, or prevent specific diseases) under the oversight of licensed veterinarians.

What Types of Drugs Will be Targeted?This action focuses on feed additive antibiotics that are considered “medically important” human drugs such as: • Penicillin, Tetracycline, Erythromycin, Cephalosporin,

and Florfenicol. • These products are used with the intent of enhancing

growth or improving feed efficiency. • OTC medications that are used in feed or drinking

water of food-producing animals.

How will producers be able to purchase feed additive antibiotics?The producer will have to have a valid client patient relationship (VCPR) with a veterinarian. There are a few steps required to establish a VCPR. These are: • The licensed veterinarian has assumed clinical

responsibility for the animals and the owner of the animals has agreed to follow the veterinarian’s instructions.

• The veterinarian has sufficient direct knowledge of the animal’s condition and their care and has examined the producer’s animals in the past 12 months , or annual visits to the premises where the animals are kept

• The veterinarian is available for follow-up evaluation, or has arranged for emergency coverage in the event of adverse reactions or the failure of the treatment.

• A VCPR cannot be established nor maintained solely by telephone or other electronic means.

Veterinarians will still be able to prescribe feed grade antibiotics, ONLY if deemed necessary to treat, or control a current disease outbreak. After the prescribed time period has elapsed, the antibiotic will have to be removed from the feed. A VFD order will only last for 6 months, then a new VFD will have to be issued. Using a feed grade medication for any other purpose than is on the label is extra label use and is illegal, even for the veterinarian.

What about OTC Injectables?As of right now OTC injectables will not be involved in this ruling, but they are next in line to become script items. FDA has announced that in January 2018 OTC injectables will be considered for becoming script items. However, an established time frame has not been confirmed as to when this will occur.

What Won’t Change?Producers will still be able to obtain and use medications that are considered non - “medically important” feed grade products. These include: • Ionophores such as Rumensin, Bovatec, • Bacitracin

• Coccidiosis medications. These medications are rarely used in human medicine, so their use will not be changed.

What will be the veterinarian’s responsibility? • Licensed to practice in state • VCPR • Issue in compliance with conditions of the approved

medication • Includes all required information

Required Information • Vet’s & Client’s names/address/telephone # • Premises specified VFD animals are located. A

separate VFD is required per physical location • Date issued • VFD expiration • Name of VFD drug(s) • Species & production class being fed VFD • Approximate number of animals to be fed by

expiration date • Indication issued • Drug level and duration of use • Withdrawal time/special instructions/cautions • # refills if permitted by drug approval • The statement: “Use of feed containing this veterinary

feed directive (VFD) drug in a manner other than as directed on the labeling (extra label use) is not permitted”

• An affirmation of intent for combination VFD drugs • Veterinarian’s electronic or written signature

Optional Information • Specific description of treated animals with pen

location/number • age/weight range of animals • Information Vet deems appropriate to ID • If Vet is OK with substitution for a generic, then do

nothing • If not – indicate that a substitution is not allowed

Cattle drugs previously requiring a VFD • Tilmicosin • Florfenicol

Cattle drugs which change from over-the-counter sales to use only by veterinary feed directive in 2017: • Neomycin • Hygomycin B • Tylosin • Lincomycin • Virginiamycin • Penicillin • Chlortetracycline • Sulfadimethoxine • Oxytetracycline • Sulfamerazine • Tylosin • Sulfamethazine

LIST OF PRODUCTS www.fda.gov/animalveterinary/safetyhealth/antimicrobialresistance/judicioususeofantimicrobials/ucm390429.htm

USEFUL VFD WEBSITESwww.fda.gov/AnimalVeterinary/DevelopmentApprovalProcess/ucm071807.htm#listing

www.globalvetlink.com

Tech support: 515-817-5704

Information curtosy of UT Extension Veterinarian, Dr. Lew Strickland. ag.tennessee.edu/AnimalScience/Pages/LewStrickland.aspx

AcupunctureAcupuncture is a complementary modality to traditional therapy for treatment of certain diseases and to control pain. Faculty certified in the use of acupuncture perform this service for patients in the large animal hospital.

AnesthesiaOur anesthesia and pain management team is composed of board-certified anesthesiologists, anesthesia residents, and licensed veterinary technicians who work together, with other clinicians, to control acute and chronic pain.

Diagnostic ImagingWe offer a full line of diagnostic imaging services, including general radiology, ultrasound, computed tomography, magnetic resonance imaging, dynamic video endoscopy, nuclear scintigraphy, and Doppler flow echocardiography. Thousands of imaging studies are performed annually on horses, cattle, llamas, alpacas, sheep, goats, and pigs.

Emergency and Critical CareOur expert emergency services and critical care team is available 24-hours a day, 7 days a week to evaluate and treat medical conditions and perform surgery on horses and livestock. Our ICU separates critically ill patients from the general hospital population and includes specially-designed stalls for managing recumbent and neurologically-compromised patients. A neonatal ward provides dedicated services for sick foals. A completely contained and air purified isolation facility provides intensive care for patients with contagious diseases, such as EHV and Salmonella.

Farriery and PodiatryExpert podiatry and farriery, including custom-made corrective shoes and orthotics for horses, are provided by a certified Journeyman Farrier. The farrier works closely with our expert clinicians, surgeons, and rehabilitation therapists to treat horses with a wide variety of hoof problems, including chronic laminitis, navicular syndrome, quarter cracks, white line disease, and angular/flexural limb deformities.

Field ServicesExpert faculty offer on-farm support to owners and veterinarians working with horses and livestock. Four mobile hospitals offer expertise in equine dentistry, infectious disease, parasite management, sports medicine, and chiropractics, as well has routine health care services. Radiographic and ultrasonographic imaging, endoscopy, and computer-assisted lameness assessment are also offered to clients and veterinarians.

On-site Hyperbaric Oxygen Therapy (HBOT)The goal of hyperbaric oxygen therapy is to increase the amount of oxygen delivered to the diseased tissue to speed recovery and improve return to function of the healing tissues. Hyperbaric oxygen therapy may be used alone or in conjunction with conventional therapies.

Internal MedicineOur specialists provide health care for large animals with complex medical problems, such as those associated with the intestines, lungs, liver, kidney, endocrine organs, muscles, and nervous system. Internal medicine faculty are experts in infectious disease, immunology, and neonatology.

OphthalmologyOur board-certified veterinary ophthalmologists provide the most current diagnostic and therapeutic techniques available in veterinary ophthalmology. Horses are commonly evaluated for diseases affecting the interior and exterior of the eye, as well as the tissues surrounding the eye, including corneal ulceration, squamous cell carcinoma, and equine recurrent uveitis.

Regenerative MedicineThe regenerative medicine service provides adult-origin stem cells and platelet-rich plasma to our veterinarians and practitioners enrolled in this program. These treatments are used for the management of various equine diseases, including but not limited to ligament and tendon disease, joint diseases, wounds, fractures, and laminitis.

Reproductive Medical ServicesWe have three board-certified theriogenologists to assist you (equine, farm animal, and small animal).

Equine Performance and Rehabilitation Center (EPRC)The EPRC, under the direction of veterinary specialists in surgery, sports medicine, and rehabilitation, houses a full-size event arena, free-walker, underwater treadmill, cold saltwater therapy, farriery and podiatry center, whole body vibration platform, therapeutic ultrasound, shock-wave therapy, and solarium, among other modalities such as chiropractics. The center is used to restore horses to normal form, function, and athletic performance using these tools in addition to physical therapy, adjunctive treatments, and exercise conditioning.

SurgeryThe Equine and Farm Animal Hospitals include a standing and recumbent surgery suite for farm animals as well as four separate equine surgical suites: standing surgery, soft tissue surgery, orthopedic surgery, and abdominal/gastrointestinal surgery. Specialists in surgery correct a wide variety of disorders in horses and often use minimally-invasive techniques such as arthroscopy, laparoscopy, and thoracoscopy. State-of-the-art techniques in fracture repair, correction of upper airway disorders, and urogenital surgery are offered.

Large Animal HOSPITAL SERVICES

Page 3: A NEW THERAPY FOR SKIN LESIONS IN HORSES FACULTY … · current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown

FDA APPROVES NEW DRUG FOR RINGWORM IN CATS

The U.S. Food and Drug Administration has announced the approval of Itrafungol (itraconazole oral solution), a new animal drug for treating dermatophytosis caused by Microsporum canis in cats. Commonly called ringworm, dermatophytosis is a fungal infection of the skin. Itrafungol works by selectively binding to certain fungal proteins, causing irreversible structural degeneration of the fungi.

www.fda.gov/AnimalVeterinary/NewsEvents/CVMUpdates/ucm528537.htm

VOLVET NEWS | WINTER 2017

Born in Burgundy (France), Dr. Mulon obtained his Doctor of Veterinary Medicine Degree from the National Veterinary School of Alfort, near Paris (France). He competed an internship in farm animal Medicine and Surgery in the College of Veterinary Medicine at the University of Montréal (Canada) the following year and pursued a residency program in Large Animal Surgery at the same institution. Dr. Mulon, an internationally recognized expert in surgery of livestock, was a clinical instructor at the University of Montréal for 4 years, a clinical assistant professor at Texas A&M for 2 years and a private practitioner for 5 years before joining UTCVM as an Assistant Professor of Farm Animal Medicine and Surgery in 2016.

Why did you want to become a veterinarian?I always loved to be around animals; my uncle and aunt’s farm was my second home, and I wanted to do like them. I loved to process the herd and administer dewormers and vaccines, trimming the feet, being on lambing and kidding watch, and more simply to feed the herd with hay and concentrates. One day I was allowed to watch a caesarian section on a ewe; that was so impressive, I knew what I wanted to become. That perception was strengthened by shadowing a hometown mixed-practice veterinarian from the age of 13 until the day I earned my degree. I always felt I had been lucky to meet him and will stay forever extremely grateful to him; he really transmitted his passion for our profession to me. What do you do at UTCVM?As part of the Farm Animal Medicine and Surgery Service, I divide my time mostly within the farm animal hospital, classroom and hands-on teaching, and research. In clinics, there is no normal day as many of our patients arrive on short notice, and the variety of the cases is so broad that it would be impossible to even start thinking of being bored! I love the multi-species aspect of my job, as well as the diversity of cases that come through the door —from the premature, fragile cria, to the lame, more or less fractious bull. My area of interest is farm animal surgery, both soft tissue and orthopedics. I really enjoy being in the surgery suite, challenged by unusual cases requiring specific needs. I never found something professionally more rewarding than having the opportunity to demonstrate and explain the different pathologies to the students while resolving them with their help. I love when they have a chance to palpate, see, assess and treat a specific disease that they have heard about during lectures.

What do you enjoy about UTCVM?I am lucky to work on a daily basis with extremely dynamic and collegial colleagues. This makes the day fly by. I also enjoy the diversity of the people from around the world working together for the benefit of our patients, adding

ideas, strength and expertise to assure the best care possible. Having such extraordinary people close by allows a constant flow of innovative ideas.

What do you enjoy about teaching/working with students?What I like is their dynamism and their thirst to learn. They are our fuel, the reason to come here every morning. Every one of them is singular, and all bring to the classroom or to the clinical rotation their questions, their experiences. I particularly enjoy the moments when they can apply their classroom knowledge to real patients and that bright light appears in their eyes meaning they’ll remember it for the rest of their career. I like working with and for them and hold them in great esteem; I see them not only as veterinary students but as future colleagues who will embrace our profession.

What role do you play in RDVM practices?I would love to help in any way I can. I have been lucky to have seen quite a few rare cases since I graduated and am thankful to the veterinarians who refer them. While distance may sometimes preclude the referral, I enjoy sharing opinions and expertise over the phone with those dedicated veterinarians. What would you like referring veterinarians to know about you?As an ACVS-LA board certified surgeon, I enjoy all the surgical conditions, from the simplest to the most complicated and unusual. In the vast field of Farm Animal Surgery, my main areas of interest are minimally invasive surgeries (laparoscopy, endoscopies of the teat for dairy cows) and all the orthopedic conditions including the always-challenging infectious diseases, and the foot-related diseases. Having been in private practice, I know what it is like to think about a particular case I have seen driving back to the clinic or to the next client; do not hesitate to contact us if you have a question, because we are here to help you the best we can.

Learn more about Dr. Mulon by visiting vetmed.tennessee.edu/home/Pages/faculty_staff_details.aspx?NetID=pmulon or finding him on ORCID: orcid.org/0000-0001-8722-4370

Meet Dr. Pierre-Yves Mulon, DVM, DACVS (Large Animal)

FACULTY PROFILE

Welcome to our team!

Dr. Van Amstel's Retirement

vetmed.tennessee.edu/vmc Under the Veterinarians tab, click on VOLVet Portal to log in or register.

• Keep track of patient information and lab results

• Order diagnostic lab tests and receive discounted FedEx shipping rates

• Quick access to the Referral Guide for specialty service information, FAQs, estimates and links to client handouts and other resources

Are you using the?

vetmed.tennessee.edu/vmc

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• Phacoemulsification surgery for cataracts• Surgery for lens luxation• Drainage surgery for glaucoma• Parotid duct transposition for dry eye disease

• Applanation tonometry• Conjunctival/collagen grafts for corneal disease• Cryoepilation and electrolysis for eyelash abnormalities• Diamond burr and grid keratotomy for indolent ulceration

• Differential wavelength pupillography for diagnosis of SARDS

• Electroretinography• Eyelid surgeries• Genetic (OFA) screenings and genetic counselling for

ophthalmic disease• Glaucoma surgery, both filtering and cycloablative• Indirect and direct ophthalmoscopy• Laser surgery (both diode and CO2)• Medical therapy and diagnostics for both external and

intraocular disease• Ocular ultrasonography• Slit lamp biomicroscopy • Strontium therapy for ocular squamous cell carcinoma

Special ophthalmology services are provided to cases referred

from general veterinary practitioners as well as other veterinary

ophthalmologists. Staffed by veterinarians who are board

by the American College of Veterinary Ophthalmologists

(ACVO), residents, and technicians we provide the most current

diagnostic and therapeutic techniques available for large, small,

and exotic animals.

Our services range from outpatient evaluation and treatment

to admission to the UTCVM for intensive monitoring and

treatment.

Additionally, we provide advanced equine ocular surgical

procedures, including various options for corneal reconstruction, cataract surgery, and eyelid surgery. We team

with large animal veterinary anesthesiologists to provide the

safest surgical recovery possible for horses with ocular diseases.As part of the multidisciplinary team at the UTCVM, when

needed we have at our fingertips experts in other specialties

for consultation to provide a more holistic approach to the

treatment of eye disease. The net result is the most up-to-date

and effective treatment for your patients.

PATIENT REFERRALS865-974-3939 | [email protected] SERVICE QUESTIONS865-974-8387 | [email protected]/vmc/SmallAnimalHospital/ophthalmology

BOARD CERTIFIED VETERINARIANS

VETERINARY RESIDENTS

VETERINARY TECHNICIANS

HIGHLIGHTS

SERVICE OVERVIEW

Ophthalmology

ThomasChenDVM, MS, DACVO

DianeHendrix DVM, DACVO

DanWardDVM, PhD, DACVO

LoriBest DVM, Resident

Georgina Newbold DVM, Resident

LeAnn HicksLVMT, VTS (ECC)

JamieStuffle LVMT

vetmed.tennessee.edu/vmc Under the Veterinarians tab, click on Payment Policy/Online Payment

to register to make payments online.

Questions? 865-974-8387 | [email protected]

Pay online by credit card!Did you know that you can pay your practice's balance online? Register and pay online today!

Get some for your practice today! 865-719-9215 | [email protected]

Provide answers to your clients’ questions about their visit to UTCVM

Tel: (865) 974-VETS (8387)https://vetmed.tennessee.edu/vmc

1

Welcome to the UT Veterinary Medical CenterThe UT Veterinary Medical Center is a comprehensive veterinary healthcare facility

dedicated to patient care and education. Our doctors and our professional staff,

experienced in a broad range of medical specialties, are dedicated to compassionate

care for our patients. They have full access to advanced diagnostic facilities all located

within the Veterinary Medical Center. As a resource for veterinarians and their clients

throughout the region, we value our relationships and promise to provide the same

level of care for your animal that we want for our own.Our Veterinary Medical Center includes the John & Ann Tickle Small Animal Hospital,

Avian & Exotics Hospital, Equine Hospital, Farm Animal Hospital, as well as the Equine

Performance & Rehabilitation Center. Our clinical services* are led by specialists who

are responsible for and oversee the care of all patients. Each medical team includes

a board-certified veterinary specialist, resident and intern veterinarians, fourth-year

veterinary students, licensed veterinary technicians, and veterinary assistants. These

individuals are responsible for the care of your animal and for prompt communication

with you and your veterinarian. Please do not hesitate to ask for clarification if you are

unsure of the names of individuals on your animal’s medical team.

*for a list of services, please refer to page 14

VMC_FolderInsert_6x9_r8.indd 1

6/25/14 7:46 AM

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The UT Veterinary Medical Center is a comprehensive veterinary healthcare facility dedicated to patient care and education. Our doctors and our professional staff, experienced in a broad range of medical specialties, are dedicated to compassionate care for our patients. They have full access to advanced diagnostic facilities all located within the Veterinary Medical Center. As a resource for veterinarians and their clients through-

out the region, we value our relationships and promise to provide the same level of care for your animal that we want for our own.

2407 River Drive, Knoxville, TN 37996 865-974-8387 https://vetmed.tennessee.edu

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The UT Veterinary Medical Center operates under the umbrella of the UT College of Veterinary Medicine, one of 28 accredited veterinary colleges in the country.Located at the University of Tennessee Institute of Agriculture, the UT Veterinary Medical Center has a comprehensive team of experts who offer compassionate medical care in each of its four hospitals. The wide variety of complex diseases and injuries treated at the UT Veterinary Medical Center not only allows us to set the standard of care, but also allows our students, future veterinarians, to experience the breadth of veterinary medicine.

My veterinarian: _________________________________________________________________Clinic/hospital: _______________________________________________________________Address: ________________________________________________________________________________________________________________________________________________________________Tel: ___________________________________________________________________________Fax:_______________________________________________________________________________________

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Dr. Fred Barkwell Happy Pets Clinic 1234 Main Street, Suite 102 Friendsville, TN 37737 865-555-BARK 865-555-9874

ARTWORK CAN BLEED

.125” ON ALL SIDES

The UT Veterinary Medical Center is a comprehensive

veterinary healthcare facility dedicated to patient care

and education. Our doctors and our professional staff,

experienced in a broad range of medical specialties,

are dedicated to compassionate care for our patients.

They have full access to advanced diagnostic facilities

all located within the Veterinary Medical Center.

As a resource for veterinarians and their clients through-

out the region, we value our relationships and promise

to provide the same level of care for your animal that

we want for our own.

2407 River Drive, Knoxville, TN 37996

865-974-8387

https://vetmed.tennessee.edu

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The UT Veterinary Medical Center operates under

the umbrella of the UT College of Veterinary Medicine,

one of 28 accredited veterinary colleges in the country.

Located at the University of Tennessee Institute of

Agriculture, the UT Veterinary Medical Center has a

comprehensive team of experts who offer compassionate

medical care in each of its four hospitals. The wide

variety of complex diseases and injuries treated at the

UT Veterinary Medical Center not only allows us to set

the standard of care, but also allows our students,

future veterinarians, to experience the breadth of

veterinary medicine.My veterinarian: _________________________________________________________________

Clinic/hospital: _______________________________________________________________

Address: _________________________________________________________________________________

_______________________________________________________________________________

Tel: ___________________________________________________________________________

Fax:_______________________________________________________________________________________

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UTCVM Client Guides

MeganMcCracken DVM, DACVS-LALarge Animal Emergency & Critical Care

Jeremy DavisCJFFarrier, Equine PodiatryPhoto credit: Mary English, LVMT

Please join us in wishing Dr. Sarel Van Amstel, a beloved clinician and professor, a happy retirement!

After 20 years of service at UTCVM and more than 40 years in the veterinary profession, Dr. Van Amstel retired in December 2016. His dedication to the students' education and to the health and wellbeing of farm animals will be greatly missed.

Page 4: A NEW THERAPY FOR SKIN LESIONS IN HORSES FACULTY … · current therapies. Electrochemotherapy is especially effective in resolving equine sarcoids, and its success has been shown

RCVS Knowledge - Veterinary Evidence PODCASTS

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THE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE

EVENTS & CONTINUING EDUCATION OPPORTUNITIES

THE UNIVERSITY OF TENNESSEE COLLEGE OF VETERINARY MEDICINE

RCVS Knowledge (knowledge.rcvs.org.uk) has introduced another new resource for evidence-based veterinary medicine.

veterinaryevidence.podbean.com

Veterinary Evidence is a platform for a wide range of veterinary topics from economics to clinical practice and teaching; anything that may help clinicians and technicians in practice.

Need evidence that is not yet on the RCVS portal? Thinking of submitting to Veterinary Evidence? For these and other veterinary evidence information needs, please contact Ann Viera, veterinary librarian, [email protected], 865-974-7338 or the veterinary librarian in your state or region.

THANK YOU TO OUR SPONSORS FOR SUPPORTING UTCVM PUBLICATIONS!

Thoracic cavity of a 3 year old, male intact Foxhound dog with a fever (105.5 F), lethargy, and dyspnea.

— Submitted by Dr. Lani Bower, Anatomic Pathology Resident

Look inside to find out the diagnosis!

The University of Tennessee is an EEO/AA/Title VI/Title IX/Section 504/ADA/ADEA institution in the provision of its education and employment programs and services. All qualified applicants will receive equal consideration for employment without regard to race, color, national origin, religion, sex, pregnancy, marital status, sexual orientation, gender identity, age, physical or mental disability, or covered veteran status. E181701-00-003-17

SPECIAL FEATURES

IN EVERY ISSUE

• Electrochemotherapy for Horses

• New Livestock Feed Rules from FDA

• Faculty Profile: Dr. Pierre-Yves Mulon

• New Drug for Ringworm in Cats

• Twilight Bark: New Faces at UTCVM

• Large Animal Hospital Services

• Friday Morning Faculty Rounds

• Practice Builder Tip

• What's Your Diagnosis?

• VOLVet Portal Information

Feb. 20-21 Emotional CPR Training - Veterinary Social Work

Feb. 24-26 Music City Veterinary Conference MCVC (Murfreesboro, TN)

March 4 Horse Owners Conference

March 19 Cat Behavior Lecture - Dr. Julie Albright @ McClung Museum

March 25 Family Fun Day: Purrs from the Past @ McClung Museum

April 1 Science of Motion® JLC Method - Special CE Seminar

April 8 UTCVM Open House

July 15 VPAC - Veterinary Partners Appreciation Conference

Oct. 7-13 International Veterinary Social Work Summit