PAWSITIVE HAPPENINGS - January 2018 Veterinarian Newsletter

Posted January 15, 2018 in Articles
Clinic Updates
Internal medicine changes at SNHVRH and VECCNH:
We are preparing for our upcoming surgical room upgrade - but surgery services are still fully operational and happy to assist with any difficult cases - whether by phone consult or in person.
MVER recently cared for the lone survivor of a house fire; a tiny female cat with singed fur and whiskers, and burns to her ears and paw pads. Thankfully, she recovered well and is headed to her new home with the firefighters who helped save her.
Dr. Chris Rollings, DACVIM will have evening appointments available to accommodate your clients who may find evening appointment easier for their own schedule.

Critical care, Cardiopulmonary medicine, Imaging
Chris Rollings, DVM, DACVIM
Heather Jones DVM, MS, DACVIM (neuro)
Keith Montgomery DVM, DACVO
Kim Johnson DVM, DACVIM (onc)
Marlene Hauck DVM, PhD, DACVIM (onc)
Sean Kennedy DVM, DACVS
Stephanie Lister Grey DVM, MSc DACVS
April Chambers, DVM
Jessica Cioffi, DVM
Adrian Cloutier, DVM
Casey Cole, BVM
Gina Dinallo, DVM
Ashley Dunn, DVM
Ali Haghnazary, DVM 
Tricia Prine, DVM            
Amanda Profita, DVM
Timothy Hunt, DVM
Dr. Amy Lomas has decided to move to a new opportunity away from SNH. We wish her the best with her future endeavors. Dr. Garrod and Dr. Lomas will remain in close contact and assure a smooth transition of care and continued, uninterrupted patient case management.
We are happy to welcome Dr. Chris Rollings to our group of specialists. As our staff internist, Dr. Rollings brings a wealth of experience to the hospitals. He completed residency at the University of Pennsylvania Veterinary Teaching Hospital (VHUP), and has been board certified since 2004. He completed an additional fellowship in veterinary nephrology/hemodialysis at the University of California Davis Veterinary Teaching Hospital, and lectured at VHUP before spending six years as a veterinary internist at Angell Memorial. Recently, Dr. Rollings has worked as an internal medicine consultant for IDEXX Laboratory. Although Dr. Rollings enjoys the complexity of all areas of small animal internal medicine, his special interests include nephrology, gastroenterology, and infectious disease.

Cerebral infarcts in dogs and cats
"Yes, dogs and cats can have strokes! As the use of MRI in veterinary patients has become more commonplace, we have realized that strokes are actually quite common in our four-legged companions. A stroke is the cessation of blood flow to an area of the brain resulting in dysfunction of the nutrient-starved neurons in the affected area. Why strokes happen in dogs and cats is not fully understood; however, high blood pressure, kidney disease, hyperadrenocorticism (Cushings), and blood clotting abnormalities are some known risk factors. Certain breeds are also at higher risk of having a stroke, including the Cavalier King Charles Spaniel and Greyhound.
Signs of a stroke are variable with the location affected in the brain; however, difficulty walking, weakness, and falling are common signs. As in people, the signs are very sudden in onset.

A stroke can only be diagnosed with a full workup including an MRI of the brain. This is because there are many conditions which can affect the brain and result in similar signs, such as tumors, inflammation, infection, and trauma.

If an MRI shows evidence that a pet has had a stroke, the next step is to try to determine why. This typically involves monitoring blood pressure and testing for metabolic abnormalities which may predispose a dog or cat to have a stroke; in many dogs and cats, however, we are unable to identify a cause.

Treatment of pets who have had a stroke is mainly through supportive care and physical therapy. Most dogs and cats can recover successfully from a stroke with sufficient time."

Heather M. Jones, DVM, MS, DACVIM (Neurology)