For the survey, veterinary surgeons and nurses were asked: "Thinking about the last time you (or your OOH provider on your behalf) were called by a pet owner out-of-hours within the last fortnight, was the call ...
a) Something which was clearly NOT an emergency (eg vaccination, nail clip, dematt, pet passport etc.)
b) A condition which should have been seen in normal working hours (either because it has been present for some time already with no deterioration or because - in your opinion - it could have waited till the morning).
c) A genuine emergency, which needed prompt attention to prevent the animal suffering.
475 members took part, 69% of which were vets and the remainder vet nurses.
Of the out-of-hours (OOH) calls they had taken:
28.2% were genuine emergencies, which needed prompt attention to prevent the animal suffering.
64.8% were about a condition which should have been seen in normal working hours (either because it has been present for some time already with no deterioration or because it could have waited till the morning).
6.9% were about something which was clearly NOT an emergency (eg vaccination, nail clip, dematt, pet passport etc.)
So in total, 71.7% of the calls to veterinary surgeons OOH are unnecessary.
This raises a number of important questions, chiefly whether a profession struggling with a staffing crisis can afford to maintain the blanket requirement for all practices to make provision for OOH, particularly now that society places so much greater demands on the profession than it did when the rules were invented, demanding wormers in the middle of the night and then blackening the name of the vet on social media if they refuse. It happens.
Is it time to go the same way as some other countries and let the market meet the demand?
Or can anything else be done to relieve the pressure that OOH places on the profession? Ideas floating around include making all veterinary OOH telephone lines premium rate, charging at least enough to focus the caller's mind on whether it is actually necessary to renew their pet passport at 3:00am. Or perhaps a concerted effort by all parties to communicate the message that OOH is A&E. You shouldn't ring unless you really need to. But that message may not carry much weight when at the end of the day, it's the insurance company footing the bill.
Reducing the number of spurious calls doesn't, of course, help the staffing crisis. But it is surely pertinent to ask whether an obligation for 100% of general practices to make arrangements to service something which is 70% unnecessary is the most efficient way to operate.
Maybe the time has come for the profession to consider OOH and general practice as two very distinct things. Discuss.
The RCVS didn't want to comment.
The Allium species includes onions, garlic, and their relatives. All members of the Allium family are poisonous to cats and dogs and even minimal amounts can be dangerous. For example, a 5kg cat would only need to ingest 1-2 garlic cloves to show clinical signs. Poisoning causes haemolytic anaemia with treatment being supportive, as there is no antidote. In severe cases blood transfusions may be required.
Powdered versions of these plants are more concentrated and are often used in gravy and stuffing in the traditional Christmas dinner, so toxicity can occur much more easily.
Will Peel, Product Manager at TVM UK said: "Alliums are toxic to animals and as there is no antidote it’s important that veterinary staff are fully prepared and are able to react quickly and provide the best care possible.
"Our focus is on helping veterinary staff prepare for all eventualities so we hope that these new guidelines will prove beneficial."
The guidelines can be downloaded for free from https://www.tvm-uk.com/vet-resource-library/.
For the study1, which was carried out by Professor Stephen May and Dr Liz Armitage Chan, Senior Lecture in Veterinary Education (pictured right) at the Royal Veterinary College, twelve new grads were enrolled in a private social media discussion group, and their identities investigated through narrative inquiry.
The authors found that participants typically adopted one of two professional identities: the academic identity or a broader 'challenge-focused' identity.
Those who identify as academic prioritise and place greatest value on things like definitive diagnosis and best-evidence treatment.
The problem, say the authors, is that although there are opportunities for this, they are rare in general practice, where a veterinary surgeon's typical work environment more frequently involves seeing lots of clients who aren’t interested in a diagnostic work-up for unnoticed issues in their pets; who can’t afford further treatment; have pets with conditions that don’t require treatment; and themselves need emotional support.
Vets who therefore exclusively value patient diagnosis from an academic viewpoint foremost are therefore more likely to feel career dissatisfaction.
Meanwhile, the other professional identity type is one where a sense of achievement is linked to overcoming the full range of professional challenges thrown up by the work environment in which vets typically operate as well as their technical competence at their job. These vets are therefore more suited to work in all types of practice.
Liz said: "The negative impact on wellbeing of an identity emphasising diagnosis and treatment was a surprising outcome, but it is easy to see how this identity develops. So much of veterinary education is focused on this area and it has always been the focus of students’ exams: if a student is ambitious and wants to achieve top grades and high-level faculty recommendations, they will inevitably prioritise their attention in this way."
The authors say the research has important implications for veterinary and other clinical degree programmes, and has already influenced the structure of the curriculum at the RVC to ensure students are well prepared for the veterinary workplace and can make an informed choice about where they choose to work.
Liz added: "Now we recognise the detrimental effect this can have on our graduates’ wellbeing, we have implemented changes to our curriculum and exams, so students are encouraged to think more holistically about the veterinary role and identify the different ways career satisfaction can be achieved. It is important to recognise that all the graduates experienced stress as they encountered complex contextual challenges, but for those who saw these challenges as part of their identity, this stress turned into a sense of satisfaction at a challenge overcome, rather than being ongoing and debilitating."
Reference
The first charge was that in April 2016, having examined a horse named Alfie on behalf of his owner, Mr Villar gave an opinion to the potential buyers but failed to make it clear that he had not undertaken a pre-purchase examination; failed to declare to the buyer that he had a conflict of interest with regard to the owner; and, failed to explain the pre-purchase examination process to the buyers.
The second charge was that, in July 2016, during a telephone conversation with the buyer, Mr Villar was dishonest and failed to provide clear and accurate information because he told the buyers that he had only been asked to trot Alfie to check he was sound when he had, in fact, carried out a more substantial examination.
The third charge was that Mr Villar had offered to either the owner or the buyer, or both, that he would prepare a veterinary insurance certificate in relation to Alfie when he knew he did not have sufficient records (eg the microchip or passport number) to do so.
The fourth charge was that Mr Villar failed to respond adequately to communications from the buyers about Alfie.
The Committee found that Mr Villar had not in fact carried out a pre purchase examination (“PPE”) and referred to guidance from the British Equine Veterinary Association which identified that pre-purchase examinations are carried out on behalf of buyers. It noted that in this case, Mr Villar had undertaken an examination on behalf of the owner. Accordingly, it did not find that Mr Villar had failed to explain the PPE process to the potential buyers.
However, the Committee did find that Mr Villar had failed to declare that he had a conflict of interest in regards to Alfie’s owner. The Committee said that Mr Villar should have told the buyer that he had been acting on behalf of the owner and was not a neutral party in the potential sale.
The Committee found all aspects of the second charge not proven, on the basis that it was not satisfied so as to be sure that Mr Villar had told the potential buyers that he had only been asked to trot Alfie and check that he was sound.
The Committee found all aspects of the third charge proven on the basis that, in an email sent to the College in March 2016, Mr Villar admitted that he did not have the sufficient records to prepare a veterinary insurance certificate.
The Committee found the fourth charge not proven on the basis that the buyers were not his clients. The Committee therefore concluded that he had no obligation to respond to them, and indeed could not do so in certain respects in order to preserve the confidentiality of his client.
The Committee then determined that the charges found proven, when taken individually or in combination, did not amount to serious professional misconduct.
Ian Green, chairing the Committee and speaking on its behalf, said: "The following mitigating factors were present in this case: the circumstances of the incident, the fact that there was no premeditation, the fact that he was requested by his client to advance an opinion to [the buyers] concerning Alfie and that his ill judgement was on the spur of the moment and the fact that he had no financial gain. These are all important factors. Likewise, the fact that he did not know that the [buyers] regarded him as their pre-purchase examination vet is an important matter.
"The respondent’s conduct was clearly against the principles of behaviour articulated by Mr Morley [who acted as an expert witness for the College] in his expert report and in his evidence. Nevertheless, the Committee does not find that in the particular circumstances of this case, namely being asked to speak to a potential purchaser without warning and without being made aware of the contractual arrangements which had been made between the respondent and [the owner], the respondent should not properly be the subject of a finding of disgraceful conduct in a professional respect."
The Disciplinary Committee considered four charges against Dr Strokowska. The first was that, whilst registered in the 'Practising Outside the United Kingdom' category of the Register of Veterinary Surgeons maintained by the RCVS, she practised as a veterinary surgeon in the counties of Somerset, Shropshire, London, Lancashire and Norfolk between July 2016 and August 2017 when she was not registered as UK-practising. The charges were that her conduct in relation to this was dishonest and misleading to her employer and/or clients.
The second charge was that, between October 2016 and July 2017, Dr Strokowska made posts on social media which included photographs of and comments about animals being treated at the practices where she worked, without the consent of the owners or the practices.
The third charge was that, between January 2017 and March 2017, Dr Strokowska made posts on social media which included photographs, videos and comments about animals being treated at Goddards Veterinary Hospital in Wanstead, without the consent of the treating and/or operating veterinary surgeon.
The fourth charge was that, between July 2017 and September 2017, Dr Strokowska made representations to the practice principal of Barn Lodge, in Lancashire, and/or a student vet working at the practice that she had gained consent for photographs and social media posts when she had not, and that her conduct was dishonest and misleading.
At the outset of the hearing, the Dr Strokowska admitted to having practised as a veterinary surgeon in the UK when she was registered as practising outside the UK, but disputed that she had been dishonest or misleading with regards to this.
She also admitted to the entirety of the second charge and part of the third, but, under the latter charge, denied that she had, without consent, taken a video of an animal being operated on by a veterinary colleague.
Finally, she admitted to dishonest and misleading conduct with regard to part of the fourth charge, but denied that, in July 2017, she informed the practice principal that she had been told that she would be allowed to take photographs at Barn Lodge and post these on social media, when she had not been so told.
The Disciplinary Committee went on to consider the facts of the case for each of the charges that remained in issue.
Having considered all of the evidence, the Committee accepted that she did not have her registration status with the RCVS in her mind while she was working in the UK during the period in question. Accordingly, the Committee did not find her to have been dishonest.
With regards to the third charge the Committee considered the issue of whether the video in question had been posted "without the consent of the treating and/or operating veterinary surgeon". After examining the relevant evidence (which included the video in question) the Committee determined that the evidence did not support the facts charged and thus that charge three was not proved.
With regards to the fourth charge, Strokowska denied that her conduct in relation to informing the principal that she had been told that she would be allowed to take photographs and post these on social media was dishonest or misleading, on the basis that she believed she had permission to take and post photographs on social media. The Committee was not able to be sure as to how she sought this consent and the response provided and so the charge was found not proved.
The Committee then went on to consider whether the charges that were admitted amounted to serious professional misconduct.
The Committee found that it was the respondent’s responsibility to ensure that her registration status was appropriate at the time she was doing locum work in the UK. However she had provided her RCVS registration number to all the practises she had worked for and in the view of the committee there was no intention to deceive anyone. In the judgement of the Committee, her conduct was not sufficiently grave so as to constitute serious professional misconduct.
The Committee, in its judgement, concluded that her conduct in relation to the second charge did fall far short of the behaviour to be expected of a member of the veterinary profession, and amounted to serious professional misconduct.
The Committee considered that all members of the profession are obliged to ensure that they comply with the provisions of the Code of Professional Conduct, and the supporting guidance, in relation to the use of the internet and social media.
Unauthorised posting of photographs of animals being treated by a veterinary surgeon on social media may well cause distress to the owners, and damage to the reputation of the profession as a whole, and to the reputation of individual practices.
The aspect of the third charge admitted by the respondent involved posting a photograph with accompanying text of a dog without the consent of the treating and/or operating veterinary surgeon. The Committee considered that this was, indeed, a matter of professional discourtesy, but did not consider that it amounted to serious professional misconduct.
The respondent admitted the fourth charge and admitted that her conduct was dishonest and misleading. The Committee, in its judgement, considered that by choosing to lie in response to a genuine professional enquiry about her conduct, her behaviour fell far short of that to be expected from a member of the veterinary profession, and constituted serious professional misconduct.
The Committee next considered what, if any, sanction to impose.
In mitigation the Committee considered that the postings were an attempt to promote the health and welfare of animals; the lack of risk of harm or actual harm to an animal or human; no apparent financial gain from her actions; her youth and inexperience at the time of the misconduct; her open and frank admissions at an early stage; her subsequent efforts to avoid repetition; the lapse of time since the incident; and her demonstration of insight into the effects of her postings on some owners.
The Committee considered the available sanctions in order starting with no further action. The Committee did not consider that this was appropriate where the serious professional misconduct found in this case involved dishonesty, even given the mitigating factors relating to that as outlined above, nor in view of the repeated nature of the social media posts without owner consent.
The Committee determined that a reprimand and warning as to future conduct was the appropriate sanction in the circumstances of this case.
Dr Strokowska was reprimanded for her serious professional misconduct in relation to her admitted failure to obtain necessary consent for posts on social media and her dishonesty in communication.
She was warned that she should in future be fully aware of, and comply with, the provisions of the RCVS Code of Professional Conduct and its supporting guidance, in particular as it relates to the use of social media, including the need to ensure that she has obtained all the necessary consents from all relevant parties.
DVS highlights that the phenomenon of large group veterinary businesses is on the rise: big corporations such as Pets at Home Vet Group have recently bought stakes in several of the UK’s biggest referral practices and CVS Group, for example, now owns more than 360 of the UK’s veterinary surgeries, including referral practices.
By contrast, Davies Veterinary Specialists has now reduced the shareholdings of its founder (Jerry Davies), financial director (Mike Thomas) and managing director (Clive Elwood), in order to increase the holdings of Ian Battersby (internal medicine), Ronan Doyle (soft tissue surgery), David Gould (ophthalmology) and Nat Whitley (internal medicine) and create 8 new shareholders: Louise Clark (anaesthesia), Nuria Corzo-Menendez (diagnostic imaging), Mike Farrell (orthopaedic surgery), Laurent Garosi (neurology), Mark Goodfellow (oncology), Patricia Ibarrola (internal medicine), Pedro Oliveira (cardiology), Peter Smith (neurology).
The company says that its increasing number of shareholders will build a more effective business democracy, and in turn help uphold its core values of integrity, professionalism, compassion and respect.
Clive Elwood said: "Maintaining our independence is important to us as a business because it ensures we retain the culture and ethos that provides leading multi-specialist care to all of our patients and exceptional service to our customers and referring colleagues.
"I am delighted we have managed to achieve this transaction, which represents the next stage in the development of our amazing practice. Retaining ownership means we can demonstrate that there remain alternative business models and career paths outside corporate practice. It is a pleasure to welcome such a fantastic group of new shareholders who will, I am certain, contribute greatly to our future success."
DVS says it will continue to evolve the management and governance structure of the practice as it grows. In the future DVS shareholders will set overall strategy and direction for the business and ensure effective governance by the Board of Directors. As well as clinical skills, the development of management and leadership skills will be encouraged across the practice. A strong commitment to learning, research, innovation and teaching will support the delivery of exemplary patient care.
To find out more visit www.vetspecialists.co.uk
The newspaper report said things have been so bad at the school that 20 staff left following conflicts with Professor Argyle and an investigation by the University and College Union (UCU) found "shocking levels of harassment".
Furthermore, an agency hired by the university to investigate the claims broadly supported the UCU's findings.
Nevertheless, a University of Edinburgh spokesperson told VetSurgeon.org that: "An internal review has fully and robustly investigated these claims of bullying and found no evidence of misconduct. The decision was upheld after an appeal."
"We have also held discussions with UCU, and have well-developed plans for staff development at the Easter Bush campus and for a survey of all staff who work there"
A UCU spokesperson added: “UCU raised the very serious concerns on a culture of bullying and harassment at the university’s veterinary school with the employer last year, and has been working together with senior management to address these issues. We will be discussing the next steps with management and we will consult with our members to gauge their views on the plans to improve working conditions”.
For the full report, visit (paywall): https://www.thetimes.co.uk/article/top-vet-professor-david-argyle-at-centre-of-bullying-claims-at-edinburgh-university-5hlnmwjl8
Macie was rushed to the PDSA's emergency out-of-hours service after swallowing an eight-inch kitchen knife (click to enlarge image right).
Owner Irene Paisley took the puppy to the PDSA after it began choking. She said: "Macie was making a squeaking sound – I thought she’d swallowed part of a toy. Then she was sick, but there was no sign of a toy and she started choking."
Having lost her previous Staffie to cancer just two months earlier, Irene feared the worst.
"I was terrified. Poor Macie was still choking and, by the time we arrived at the vet’s, there was blood coming out of her nose. The loss of our previous dog was still very raw and the thought of losing Macie, who had only been with us for two weeks, was devastating."
The young puppy was admitted, and x-rays immediately revealed the severity of the situation. The knife handle had passed through Macie’s stomach and into her intestines, while the tip of the knife was still in her gullet. She underwent emergency surgery straight away.
Irene said: "I couldn’t believe it when they said Macie had swallowed a knife. I have no idea where she got hold of it – she could have pinched it out of the dishwasher, but no-one saw what happened. None of us could sleep that night as we knew Macie might not survive."
Happily, the operation was a success and the following morning Macie was transferred to the PDSA Pet Hospital in Shamrock Street, where her recovery began.
PDSA vet, Emily Ronald, said: "I’ve never seen an x-ray like Macie’s. She was extremely lucky to survive. Her saving grace was that she swallowed the handle-end first – the blade-end would undoubtedly have pierced her organs, likely causing fatal injuries.
"The morning after surgery, she was bouncing all over the place as if nothing had happened. Macie has been back for frequent check-ups over the past two weeks and we’re pleased she’s recovering and healing well."
Expressing her gratitude to PDSA, Irene said: “Although she’s only young, Macie is already a big part of the family. She brings us so much joy and happiness, and means the world to the children. Without PDSA, she wouldn’t have received her life-saving treatment and wouldn’t be here today.”
Emily added: "Macie is just one of the lucky pets to benefit from PDSA’s emergency service which has received generous funding from players of People’s Postcode Lottery. Thanks to their support we’re able to provide thousands of life-saving treatments across the UK."
The British Veterinary Association has expressed concern following the announcement by the University of Surrey that it is launching a new school of veterinary medicine, with the first cohort of students due to start in 2014.
Peter Jones, President of the BVA, said: "Reports of a new veterinary course at the University of Surrey will be of significant concern to our members, particularly veterinary students and recent graduates.
"We are already seeing an increasing intake of students at the existing veterinary schools. Another veterinary course will place even more graduates onto the veterinary employment market putting significant pressure on the employment prospects of individual graduates.
"It could also impact on the ability of the profession to accommodate the increasing demand for extra mural studies (EMS) placements and the ability of all schools to continue to provide high quality education and high quality teaching staff.
"The end result could be an oversupply of highly qualified veterinary surgeons carrying significant amounts of debt unable to find employment within the profession.
"New graduates are already reporting difficulties in finding their first jobs with some saying that it takes 6 to 9 months.
"Last year the veterinary profession was removed from the Home Office's shortage occupation list because it became apparent that we currently have sufficient veterinary surgeons to meet demand. Another veterinary course could tip the balance too far the other way.
"The news from the University of Surrey also illustrates that a greater oversight of the number of veterinary graduates coming onto the market is badly needed to properly plan future requirements of the veterinary profession in the UK."
The app, which was designed to provide veterinary surgeons, nurses and receptionists with quick access to up-to-date biological data on a wide range of exotic pets, now contains information about 40 different exotic pet species, from Grey Parrots to Sugar Gliders.
Each species entry offers an overview of the pet, details of common conditions, therapeutics and treatment videos.
Mark, pictured right with a Sulcata tortoise said: "There are a wide range of exotic pets that are becoming increasingly popular with pet owners, yet very few vets understandably have advanced knowledge in this niche area. The "Veterinary Care for Exotics" app for vets means vets, vet nurses and receptionists can now have this knowledge at their fingertips, giving them the reassuring back-up they need when presented with more unusual pets."
The app can be downloaded from Google Play and from Apple's app store, priced at £11.99.
For more information contact Mark Rowland: trinitycpd@gmail.com.
32% said they find dog care to be too restrictive
29% said it would be too difficult to go on holiday
24% said they don’t want to walk the dog every day and 25% that having a dog is too expensive.
41% of those who said they regret getting a dog bought it during lockdown.
The company says Veterinary HPM Hypoallergy contains hydrolysed salmon protein for high digestive tolerance and optimal nutritional value, and no hidden proteins in its carbohydrate sources. Extensive hydrolysis is used to ensure hypoallergenic safety whilst maintaining palatability.
The company also claims the new diet has a higher level of animal protein and lower level of carbohydrate than other comparable products on the market for both cats and dogs, providing a clinical diet that is closest to their nutritional needs as carnivores.
Veterinary HPM Hypoallergy is designed to complement Veterinary HPM Dermatology Support, which is already available.
Tracey West, Nutrition Manager at Virbac said: "I am delighted to be able to introduce the much anticipated Veterinary HPM Hypoallergy to the Veterinary HPM Clinical Diets range.
"As pioneers in dermatology with more than 35 years of experience in this field, Virbac is proud to bring you, not 1 but 2, advanced nutritional solutions to help manage one of the most challenging clinical conditions faced in veterinary practice."
For more information, speak to your Virbac Territory Manager.
Dermanolon contains triamcinolone acetonide and salicylic acid. Presented in a 75ml spray bottle, Dechra says it is designed to target lesions in hard to access spots and is a useful alternative for animals when shampooing is not possible.
Triamcinolone acetonide, a moderately potent steroid with an anti-inflammatory and vasoconstrictive action, suppresses the inflammatory response and the symptoms of various disorders often associated with itching.
Salicylic acid gives a keratolytic effect and also removes excess skin cells when applied cutaneously and provides a drying effect, which prevents maceration.
Dechra Brand Manager Carol Morgan said: "Seborrhoeic dermatitis is associated with a higher skin pH compared to that of healthy dogs so Dermanolon’s low pH of approximately 2.7 reduces the pH of the skin following application giving an antibacterial and antimycotic effect.
"It also contains ethanol that prevents the build-up of a greasy film on the skin and has bactericidal properties."
Carol added: "Seborrhoeic dermatitis can be a debilitating condition for animals and a challenge to treat effectively. Adding Dermanolon to our portfolio offers veterinary professionals another valuable tool for the care and treatment of animals with dermatological diseases."
For more information on Dechra’s dermatology range, visit: www.dechra.co.uk.
IMV says it has acquired BCF to widen its offering in the reproduction management sector, particularly in imaging. As part of this strategy the company acquired ECM, a French veterinary ultrasound manufacturer, last June, and has launched AlphaVision, a video-assisted bovine insemination system.
Alan Picken, Managing Director of BCF, will lead the imaging division of IMV Technologies and become a member of the Management Board of the Group.
Philippe Gravier, Chief Executive Officer of IMV Technologies, said: "For over 50 years, IMV has been at the forefront of innovations in animal artificial insemination and embryo transfer. Following the acquisition of ECM earlier this year, the integration of BCF supports our vision to supply health status and reproduction-readiness tools to veterinarians, breeding technicians and livestock owners.
"I am very excited that BCF is joining the IMV Technologies Group. Our 100 employees have worked hard to build this company to where it is now. There is no doubt that IMV’s strong brand, customer loyalty and extensive distribution network will help to expand further our imaging activities. Like IMV, I share the vision that market differentiation is in supporting customers to improve animal care, achieved through constant innovation and marketing leading products and services."
Developed by Zoetis, Apoquel is a prescription-only Janus kinase (JAK) inhibitor approved for veterinary use that targets the itch and inflammation pathway.
Ben Hurst, Product Manager, Zoetis UK said: "Atopic dermatitis is one of the most common allergies in dogs, affecting approximately 10% of the dog population1.
"Itching caused by an allergic skin disease can impact the quality of life for both the dog and its owner unless they are controlled with effective management.
"Apoquel chewable tablets now offer a new, convenient and palatable solution for dog owners."
Apoquel chewable tablets are administered twice daily for up to 14 days (at 0.4 to 0.6 mg/kg), then once daily for maintenance therapy.
Zoetis says marketing authorisation for the EU market is expected later this year following the Committee for Medicinal Products for Veterinary Use (CVMP) positive opinion received on 7th October 2021.
Nerfasin vet is available in two concentrations - a 100 mg/ml (10%) solution for cattle and horses and 20 mg/ml (2%) solution for cattle, horses, cats and dogs.
Nerfasin vet is on sale in 25 ml vials.
For more information visit: www.dechra.co.uk.
In part one of the article, Professor Ernst made the case that homeopathy has no place in veterinary (or human) evidence-based medicine.
In part two, he considered a number of other types of so-called alternative medicine (or 'SCAM', as he called it in the self-published version) for animals, including acupuncture, chiropractic, energy healing and dietary supplements, concluding that most such SCAMS are unproven and that 'arguably it is unethical to use unproven medicines in routine veterinary care'.
Now is it just me, or does anyone else find the Veterinary Record position rather worrying?
Surely a scientific journal should concern itself with one thing and one thing only: the search for scientific truth?
Surely, therefore, the question of how many veterinary surgeons use a therapy is completely irrelevant. Or am I being idealistic?
I also struggle with the idea that Professor Ernst could be told to go away and provide more balance.
How exactly is anyone supposed to balance the argument that there's no evidence that a therapy works? The only counter or balancing argument would be that it does. Catch 22.
Most learned people know that homeopathy is not just a little bit implausible, but completely off-the-scale-bonkers-in-a-'world-is-not-flat-sort-of-a-way', along with energy healing and chiropractic.
But acupuncture? I'll bet Professor Ernst's words will make for uncomfortable reading for some. That's precisely what seems to have made the Veterinary Record balk. But surely that's the whole point of science. To challenge our beliefs, even (or especially) if it makes us uncomfortable.
You can read Professor Ernst's blog at: https://edzardernst.com/
Deltanil, which contains deltamethrin for control of external parasites in dairy cattle and sheep including lice and flies, is now available in an additional 2.5ltr HDPE plastic bottle presentation. Virbac says the new 5 year shelf life significantly facilitates effective stock management.
Neoprinil, a nil milk withhold pour-on containing eprinomectin for control of external and internal parasites in cattle, now comes in 1ltr, 2.5ltr and 5ltr bottles.
Both products are still available in the Farmpack/Flexibag presentations, which Virbac says gives suppliers, retailers and farmers a range of application options to cover all on-farm situations.
Dr. Rosie Reyneke, Technical Product Manager - Farm Animal, Virbac UK, said: "The range now caters for farms of any size across the entire breadth of sheep, beef and dairy communities and provides farmers with the options to make a choice that suits them.
"We are also delighted to be able to help simplify stock management with the additional shelf life now in place for Deltanil"
For more information, ring: 01359 243243, email: enquiries@virbac.co.uk or visit: https://uk.virbac.com.
The RCVS Disciplinary Committee heard two charges against Dr Nemes, the first being that he had posted comments on social media about another veterinary surgeon, his employer, Dr Toth, which were offensive and/or derogatory and/or inappropriate.
The second charge was that Dr Nemes had posted his comments without having sufficient regard to maintaining their confidentiality and/or privacy.
Dr Nemes admitted the charges, though he did inform the Committee that his admission with respect to the second charge was caveated by the proposition that the comments were posted in private messages on Facebook with a limited membership, namely employees of Healers Veterinary Centre (Dr Toth’s practice).
The Committee noted the Respondent’s admissions as to the charges raised against him and pronounced the facts found proved.
In relation to the first charge, the Committee found that the comments on social media were, without a doubt, highly unprofessional. They included offensive language, were gratuitously personal against Dr Toth, and were made within an online chat which included junior lay staff, all employed by Dr Toth.
This behaviour was seen to directly contravene a numbers of parts of the RCVS Code of Professional Conduct, in particular Paragraph 5.3 that states: "Veterinary Surgeons and Veterinary Nurses should not speak or write disparagingly about another Veterinary Surgeon or Veterinary Nurse."
In relation to the second charge, the Committee found that Dr Nemes had paid no regard to maintaining the confidentiality and/or privacy of his malicious and damaging entries to the chat.
At the outset of his evidence, Dr Nemes admitted that the proven charges amounted to serious professional misconduct. The Committee noted however that the question of whether he was guilty of serious professional misconduct or not was in fact a matter for it to decide, notwithstanding his admission.
The Committee considered the fact that the period of time that Dr Nemes was involved in making postings was effectively about two weeks, that his involvement followed his wife’s dismissal from employment (representing a breach of Dr Nemes’ resignation conditions), and that he was very stressed at the time.
It also considered Dr Nemes’ point that he had never anticipated that Dr Toth would see the Facebook Messenger conversation, and that the relevant RCVS supporting guidance to the Code concerning good practice when using social media and online networking forums was only published in late November 2014 when Dr Nemes’ involvement in the conversation was virtually at an end.
In summing up, Ian Green, Chair of the Committee, said: "The Committee carefully considered the circumstances surrounding the Facebook Messenger entries which the Respondent posted from 13 November 2014. It noted that at the time he had handed in his resignation, morale at the practice was very low. The Facebook Messenger chat site had been started amongst the receptionist/animal carers. A perusal of the entries before the Respondent joined on 13 November 2014 demonstrates that morale was low among that group.
"…Notwithstanding the nature of the remarks posted on the Facebook Messenger, which the Committee deplores, it has reached the conclusion that, whilst the Respondent’s behaviour amounts to misconduct and falls short of the standards expected of a member of the veterinary profession, it does not amount to serious misconduct and does not fall far short.
"In the circumstances it has reached the unusual conclusion that, notwithstanding the Respondent’s admission, the appropriate finding is that he is not guilty of disgraceful conduct in a professional respect."
Speed Reader can test for T4, Cortisol, CPSE, Progesterone and cCRP. Virbac highlights that it is the only in-clinic diagnostic biomarker test for CPSE, to screen dogs for Benign Prostatic Hyperplasia, of which 80% of intact male dogs over the age of 5 years old are at risk of developing (1,2).
Virbac says the Speed Reader gives practices an opportunity to increase in-clinic diagnostic testing, reduce their reliance on external laboratories, deliver immediate results and improve profitability.
Offered with an intuitive touch screen user interface and integrated printer, Speed Reader tests can be performed in as little as 15 minutes using a simple step-by-step procedure displayed on the touch screen.
Andrew Connolly, Head of Marketing – Companion Animals at Virbac said: "The Speed Reader biomarker range is a fantastic addition to Virbac’s diagnostic portfolio.
"Not only does Speed Reader offer practices improved in-clinic diagnostic testing, but having listened to customer feedback we are also offering Speed Reader with transparent, straightforward pricing and without complex commitment contracts."
References
The popular novels, which were written by real life Yorkshire vet Alf Wight, depicted Herriot - and others like him - as working all hours, doing favours for clients free of charge and being paid in cake, all with scarcely a mention of how he made ends meet.
This misguided image still informs expectations of the profession today, they say.
Henry Tremaine, a specialist in equine surgery and dentistry, said: "The nostalgic thing is of this romantic life driving around in an old car being appreciated by the clients - but actually the reality is working very long hours in stressful conditions with poor reward, being poorly equipped, and with unappreciative clients.
"That’s being consigned to history - gradually - but I think the public still cling onto the notion that that’s what a vet’s life is."
His comments echo those of BSAVA President, Sue Patterson, who earlier this year blamed James Herriot for the assumption among some clients that vets' love of animals would make them prepared to work for nothing: "I think James Herriot is to blame because we’re all supposed to love animals and work for nothing, but we all run businesses."
At the BEVA Congress earlier this month, equine vet and congress speaker, Ben Mayes, who graduated in 1992, also criticised the Herriot legacy for making it harder for vets to achieve a good work-life balance: "We’ve been left in that Herriot mentality, and it was a nightmare."
This week's edition of the Vet Record has six case studies of veterinary surgeons who have pursued careers through non traditional routes, including Peter Harlech Jones, Daniella Dos Santos, (pictured right), and Enrique Vega.
Daniella Dos Santos said: "James Herriot continues to inspire vets and future vets, and we know from our own research that he along with other vets in literature is still very popular across the profession.
"At the same time, the profession is very different to what was depicted in the age of Herriot and it continues to undergo significant change. We need to make sure that there is a diverse range of role models in place that reflect modern demographics and modern ways of working while continuing to inspire future generations of vets."
Adele Waters, Vet Record editor, added: "James Herriot may be a popular cultural figure, but he is 70 years out of date and we should retire him gracefully. With 60 per cent of UK vets being female, Herriot is no longer representative of the modern working vet, and today we should really be talking about Jane Herriot instead."
Josep Aisa has arrived from Glasgow University, where he spent four years as a lecturer focusing on soft tissue procedures. He has authored numerous scientific papers and given presentations to international veterinary meetings, specifically on orthopaedic conditions.
Josep has a keen interest in oncological surgery and also boasts a broad area of expertise including orthopaedics.
Veronica Mortera has just finished a three-year residency in Neurology and Neurosurgery at Bristol University where she specialised in spinal surgery and inflammatory diseases of the brain. In 2014, she completed an internship in Small Animal Medicine and Surgery at Glasgow University where she authored a paper on MRI abnormalities in dogs with portosystemic shunts.
Veronica also spent three months in Geneva with the World Health Organization helping in the development of Public Health guidelines.
Joining Veronica in the neurology department is Francesca de Strobel, who earned a PhD from the University of Padua, in Italy, after writing a thesis on intervertebral disc degeneration in a large animal model.
Francesca began work as a Small Animal Veterinarian and Clinical Assistant in Neurology at the University’s Veterinary Teaching Hospital before moving to the UK in 2014 to begin an internship in neurology at Dick White Referrals, where she completed a three-year residency programme in small animal veterinary neurology and neurosurgery.
She enjoys all aspects of neurology and neurosurgery, with a particular interest for spinal surgery, metabolic and intracranial disorders.
North Downs is also extending its facilities with new consultation rooms, extra theatre and procedure rooms, more kennels, new staff facilities and extended vet space, along with a new meeting room. It is also creating a central imaging suite, with new MRI and CT scanners.
Hospital director Terry Emmerson said: "These are very exciting times at NDSR as work on the new extension begins and the plans actually start to take shape.
"It’s definitely a powerful illustration of our commitment to offer the very best service possible to all our patients, both in terms of facilities and equipment and in our clinical care."
Photo: From left, Veronica Mortera, Josep Aisa and Francesca de Strobel
Carbodote Prime is the first activated charcoal product for cats and dogs to contain a cathartic, which speeds up intestinal transit time so that bound toxins are expelled more quickly.
Carbodote Repeat is for those situations where repeated administration of plain activated charcoal is needed due to the type of the toxin involved.
Carbodote Repeat can be administered to the patient every 4-6 hours over 24-48 hours.
Both products are presented as a ready-mixed, easy to swallow gel formulation, for less mess and reduced risk of aspiration.
TVM says the 60ml ‘dial and dispense’ syringes make administration easy for both veterinary staff and pet owners.
For more information, visit www.tvm-uk.com/carbodote or contact your Territory Manager.
Amongst the proposals agreed by Council was to move towards an independent appointment system for Council membership to replace the current election system.
In addition, Council voted:
Council was tied on whether to separate the position of RCVS President and the Chair of RCVS Council, meaning that this will come back for decision at a later date following the consultation.
RCVS President susan paterson, said: “The unique way that RCVS Council is currently constituted with annual elections to Council is an old model of self-regulation which is no longer found in other professions including doctors, nurses, pharmacists, solicitors and social workers, among others.
“As a responsible regulator we have a duty to operate in a way that recognises modern principles of regulation, and best meets our objectives to enhance society through improved animal health and welfare by setting, upholding and advancing the educational, ethical and clinical standards for the veterinary professions.
"The College’s recommendations would see us retain self-regulation in the sense of independence from government, and maintain registrants within our governance framework, while better assuring the public that we are acting on their behalf.
“It is our firm belief that, among other things, moving to an all-appointed Council member system, whereby those who serve on Council are selected via an independent process based on their knowledge and experience to ensure input from all parts of the veterinary sector, will better serve our aims, as will having a better balance of professional and lay members.
"Of course, veterinary expertise, knowledge and experience will also remain a vital part of any future arrangements throughout our committee structure, so the veterinary voice will be as important as ever in our policy and decision-making processes.
rcvs.org.uk/who-we-are/rcvs-council/council-meetings/18-january-2024/
Further details about the consultation process will be published in due course.
Discuss here: https://www.vetsurgeon.org/f/non-clinical-questions/30878/what-do-you-think-about-the-rcvs-proposals-to-stop-council-elections-and-move-to-appointed-members-with-equal-or-almost-equal-number-of-lay-members/243481
The association has written a joint letter with the British Equine Veterinary Association and the Association of Veterinary Anaesthetists to the Veterinary Medicines Directorate asking for licence to be granted to specials manufacturers to produce isoflurane whilst the shortage persists, which Zoetis forecasts will be until March 2019.
In addition, the association's incoming Chair of the BSAVA Scientific Committee, Ian Self, an RCVS Specialist in Veterinary Anaesthesia and Analgesia has provided advice to support practitioners looking for alternative anaesthesia options, available here: https://www.bsava.com/News/ArticleID/2535/Isoflurane-supply.
The association has also made Chapter 14 of its online edition of the BSAVA Manual of Canine and Feline Anaesthesia and Analgesia 3rd edition free to access until the end of March 2019. The manual contains further information on alternative solutions such as TIVA (Total Intravenous Anaesthesia protocols) which some will be unfamiliar with.
The manual can be accessed here: https://www.bsavalibrary.com/content/chapter/10.22233/9781910443231.chap14