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The essential publication for BSAVA members

Tellington Touch
Exploring the
relaxation technique
P4
Clinical
Conundrum
Case of an anorexic
chicken P8
companion
DECEMBER 2010
Christmas Quiz
Win BSAVA manuals
P12
How to use
progesterone
testing in practice
01 OFC.indd 1 19/11/2010 14:46
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3 Association News
Latest news from BSAVA
47 Tellington Touch Technique
A massage technique which can relax animals and
improve the prospects for successful therapy. John
Bonner reports
811 Clinical Conundrum
Consider the investigation and treatment of an
anorexic chicken
1213 Christmas Quiz
Test your knowledge for the chance to win Manuals
1418 How To
Use progesterone testing in practice
1920 Make the Most of CPD Modules
Build an impressive CPD record in 2011
21 Peek at Party Night
Introducing two of the acts appearing at Congress 2011
22 Congress News
The new iPhone app and focus on Poisons lectures
2324 Petsavers
Latest fundraising news
2527 WSAVA News
The World Small Animal Veterinary Association
2829 The companion Interview
Professor John Cooper
3031 CPD Diary
Whats on in your area
Additional stock photography Dreamstime.com
Aphelionimages; Arthurdent; Elnavegante; Eriklam; Francis51; Ivan Bliznetsov;
Mdobiczek; Orlando Florin Rosu; Paul Mckinnon; Yuri Arcurs
companion is published monthly by the British Small
Animal Veterinary Association, Woodrow House,
1 Telford Way, Waterwells Business Park, Quedgeley,
Gloucester GL2 2AB. This magazine is a member
only benefit and is not available on subscription. We
welcome all comments and ideas for future articles.
Tel: 01452 726700
Email: companion@bsava.com
Web: www.bsava.com
ISSN: 2041-2487
Editorial Board
Editor Mark Goodfellow MA VetMB CertVR DSAM DipECVIM-CA MRCVS
Senior Vice-President Richard Dixon BVMS PhD CertVR MRCVS FRSE
CPD Editorial Team
Ian Battersby BVSc DSAM DipECVIM-CA MRCVS
Esther Barrett MA VetMB DVDI DipECVDI MRCVS
Simon Tappin MA VetMB CertSAM DipECVIM-CA MRCVS
Features Editorial Team
Caroline Bower BVM&S MRCVS
Andrew Fullerton BVSc (Hons) MRCVS
Design and Production
BSAVA Headquarters, Woodrow House
No part of this publication may be reproduced in any form without written permission
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For future issues, unsolicited features, particularly Clinical Conundrums, are
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New
Formulary
for you
The BSAVA Small Animal Formulary is
considered the gold standard for
information on drug use in companion
animal practice. The latest edition will be
available to members at Congress along
with a useful free gift
A
s a BSAVA member you are entitled to a free copy of the
new edition of the Formulary as one of your many benefits

.
All the information in the latest edition of the Formulary has
been reviewed and updated by an editorial panel of experts, with
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Pick it up at Congress
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Happy Christmas
BSAVA wishes all our members
a very happy Christmas and
a prosperous 2011.
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ASSOCIATION NEWS
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BSAVA is proud to announce that the Guide to the Use
of Veterinary Medicines has recently been endorsed by
the Veterinary Medicines Directorate
VMD approve
Medicines Guide
place as an essential reference tool
for practices up and down the
country. Visit the Advice section on
the BSAVA website (www.bsava.
com) to browse the updated pages
or download the new PDF. The updated version of the
BSAVA Guide to the Use of Veterinary Medicines is
now available for the iPhone 4 from the iTunes Library.
Summer updates
Ahead of the annual review of the Guide, in line with
the release of the updated veterinary medicines
regulations from the VMD, the following sections have
been revised:
Premises licensing and inspections
Correct storage and dispensary management
Supply and dispensing procedures
Suitably qualified person
Controlled drugs
Responsible use of antimicrobial agents
Importing medicines
T
he complete Guide to the Use of Veterinary
Medicines has been available to the whole
profession via the BSAVA website since May
2009, and is seen as a valuable resource for all
members of the veterinary practice team. Edited by
Fred Nind and Pam Mosedale, with contributions from
experts in the field, the aim of the Guide is to provide
comprehensive and authoritative information relating to
the safe and legal use of veterinary medicines in
companion animals in the UK. As the editors note,
everyone who uses veterinary medicines has a legal
and moral responsibility to use them appropriately.
Many infringements of the law relating to the
possession, use and disposal of veterinary medicines
are criminal offences and we hope that this Guide will
help practitioners stay on the correct side of the law in
an area where this can sometimes be problematic.
The Guide to the Use of Veterinary Medicines is
regularly reviewed and updated to help veterinary
practitioners navigate the minefield of issues, changes
and regulations that face the profession. The
endorsement of the Guide by the VMD confirms its
Free 2011 desk calendar
W
hen you renew for 2011 you will receive a free BSAVA desk
calendar containing useful dates and details to help you make the
most of your membership in the coming year. All details on the
calendar were correct at time of going to print, but it is always worth
checking the website regularly for news and updates www.bsava.com.
M
embers are the life-blood of this Association, and so to reward
consecutive years of loyalty BSAVA is offering two really useful
rewards. For two years of consecutive loyalty, paying members will be
able to access the useful online VetMed Resource from CABI (Commonwealth
Agricultural Bureaux International). Information will be sent to you with your
renewal. If you are renewing for a third consecutive year or more, then you will
get an additional member benefit a DVD containing podcasts of all the 2010
Congress lectures. Of course you can always access the Congress lecture
archive online at any time, and in May you will be able to go to the website to
download the MP3s for the 2011 event. However, it is going to be very useful to
have all of the 2010 talks on disk to listen to in the car, on a run, in the office,
or in the comfort of your own home all helping to make Congress last
throughout the year.
Absolutely
essential dates
31 December the day your 2010
membership ends. Remember to renew
so you dont miss out on your benefits from
1 January 2011. Membership loyalty is
rewarded with CABI VetMed Resource
access if renewing two consecutive years,
and MP3s on disk if renewing for 3rd
consecutive year (see article on right).
3 January Congress Early Bird deadline.
Register before this date and online to get
the very best price. (You must renew your
membership for 2011 to be entitled to the
member discount tickets wont be
dispatched until membership subscription
is received).
10 March Practice badge deadline and
please note, only a BSAVA member can
purchase a veterinary practice badge.
Loyalty rewards
more reasons to renew
03 Page 03.indd 3 19/11/2010 14:45
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TELLINGTON TOUCH
Tellington Touch is a gentle massage technique which, its
proponents insist, can relax an animal and improve the prospects
for successful veterinary or behavioural therapy. Although many
practitioners remain sceptical, increasing numbers of vets and
VNs say that the method has a useful role to play in their routine
clinical work. John Bonner reports
A
nimal behaviourist Sarah Fisher was
unimpressed when first told about the changes
in an animals physical and behavioural
responses that were supposed to result from rubbing
its skin with light, circular movements. Her husband,
the actor Anthony Head, heard about the method while
working in Los Angeles and suggested that it was
worth trying on their own animals.
I thought it was complete nonsense. I told him,
Tony, you have been in California for too long, I think it
is time that you came home, she recalls.
Overcoming scepticism
Despite her initial doubt, Sarah later picked up a copy
of a book by Linda Tellington-Jones, the American
horsewoman who developed the method and felt that
her ideas did make sense. She tested them out on
her own horse, a warmblood with poor posture as a
result of it suffering a fracture to its pelvis as a
two-year-old. Regular massage sessions produced
changes in the horses movements and it went on to
achieve unexpected success in the dressage ring.
Sarah met Tellington-Jones while visiting the US in
1994 and trained under her to become a recognised
TTouch practitioner. Initially, she was only working with
horses but since 1998 she has also been working with
dogs, and she says the basic concept of the Tellington
touch method will work with most species she has
used it successfully on cats, rabbits, guinea pigs,
wildlife species such as owls, and even with snakes.
There is an obvious correlation between an
animals emotional state and tension in its body. If you
can relax an animal and improve its posture then its
behaviour will change as a result. The stimulation that
we give has a direct effect on the animals nervous
system but it operates below the threshold that would
trigger an aversive response in any animal that is tense
because it is in pain, Sarah explains.
Spreading the word
Having brought the concept back to Britain, she began
training others in the skills needed to become listed as
a TTouch practitioner. Her public lectures attract
audiences from a wide range of disciplines, not just
vets and VNs but dog trainers, physiotherapists and
horse riding instructors. She says the methods are
useful for those dealing with healthy animals, as well
as those with physical or behavioural problems.
Tellington
Touch
technique
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TELLINGTON TOUCH
The technique teaches people an awareness of
animal behaviour and the importance of calm quiet
handling, while for the animal it will improve
proprioception (ie, the ability to sense stimuli arising
within the body) and mind body awareness. Improving
an animals physical balance will improve its mental
balance and make it easier to train. A dog that is
anxious and fearful cant retain information any more
than a human can in that situation.
Some groups find Sarahs ideas much easier to
take on board than others. She still faces a lot of
hostility from dog trainers who tell her that touching a
dog will reinforce any problem behaviour. Yet groups
like physiotherapists, whose work involves a keen
appreciation of the importance of proprioception, have
been much more accepting. Barbara Houlding is a
chartered physiotherapist who now works exclusively
with companion animals. She trained, and is now a
visiting lecturer, at the Royal Veterinary College.
We use these methods routinely in our clinical
practice, they are integrated into everything that we do
in terms of movement therapy, hydrotherapy,
rehabilitation and so on. We measure clinical outcomes
and there is no doubt that TTouch is effective, it
enhances movement patterns and improves function.
Finding acceptance
Others have changed their opinion about the method
after seeing a practical demonstration. Veterinary
surgeon Robin Walker has now retired from practice
but was one of the pioneers of behaviour therapy in
Britain. I recall a small number of violently reactive
puppies over the years, exploding in screaming rage
when handled. I am sure that the gentle non-grabby
techniques that Sarah uses would have helped
because it was always being grasped for restraint that
triggered the eruption.
Originally, however, Robin believed that Sarahs
methods were essentially harmless but unlikely to
produce any genuine benefits. He says he revised that
opinion after attending a dog trainers meeting and
seeing her deal with a group of highly reactive dogs,
deliberately chosen in an effort to show that those
methods were flawed. Instead, she was able to
handle them and get them used to being touched. So I
have no doubts that it really does work, he says.
Testing theories
With Robins encouragement, Sarah has been trying to
employ a more rigorously scientific approach to
analysing and understanding methods that have
developed through an entirely empirical process. By
recording her clinical observations she has developed
a theory about the way that postural problems manifest
themselves, which she would like to test in a formal
clinical study. She believes that dogs suffering chronic
pain will often reveal clues to their internal condition
through changes in their coat pattern such as
patches where the hair has fallen out, become very dry
or is growing in the wrong direction.
An incident that helped formulate this theory
occurred when she was asked to look at a dog in a
welfare charity shelter that had bitten three times and
had been labelled unpredictable. When I asked about
the circumstances of those incidents, each time was
after the dog was picked up or held. I noticed that the
dog was lame and it also had a line of fur on the side of
its leg that was growing up towards the pelvis rather
than down the leg. I asked if it could be X-rayed and
that showed there was an old plate in its leg that was
working loose.
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TELLINGTON TOUCH
Tellington Touch technique
Experience and understanding
Carol Avenell, a veterinary nurse at the Watkins and
Tasker practice at Yatton, near Bristol, noticed a
change in the way that the TTouch method is being
presented after hearing a talk given by Sarah in the
practice. I went to a lecture on this method about six
years ago and to be honest I wasnt very impressed, it
all seemed very wishy-washy. But the talk a few weeks
ago was different, the ideas behind it seemed much
more convincing.
Carol took her own dog, a border collie called Loki
with her to the meeting. Although well behaved towards
other dogs that it meets outside, her dog can react
violently towards any others that approach too close
when they are in a more confined space. Sarah
recommended that we try him in a close-fitting body
suit called a Thundershirt which is supposed to produce
the same gentle stimulation as a massage. She also
suggested replacing his collar and lead with a harness
because the collar rubbed against a point on the spine
which she said influences the fight/flight response.
I was still very sceptical but when they brought another
dog into the room, Lokis only reaction was to roll over
and go to sleep. So I am definitely converted.
Having listened to the enthusiastic assessment of
Carol and her fellow VNs, veterinary surgeon Andy
Fullerton is keen to explore the possibilities for using
TTouch in the practice. He wants the nurses to receive
training in administering the technique to particularly
anxious animals before they come into the consulting
room and have to be lifted on to the table. I dont
know if these methods can provide a long term
solution to a behavioural problem but it would certainly
make our lives easier if our patients are a little calmer.
It would help if we have to carry out any necessary
procedures. And, of course, it also means that we are
less likely to be bitten.
In practice
At the Hollycroft Veterinary Centre in Hinckley,
Leicestershire, the method has been used for several
years now by Marie Miller, the practice bookkeeper,
who is also a qualified TTouch practitioner. However,
Max Eaves, one of the practice partners, warns
colleagues against putting too much faith in these
techniques as a way of dealing with potentially
aggressive patients. If a dog is wound up to the point
that it could bite then I think it is better to rely on a more
traditional approach, using chemical restraint. But
Marie certainly finds these techniques very useful when
applied alongside standard reward-based methods in
treating animals with behavioural problems, he says.
Another application of these methods in the
practice is in helping animals undergo a smooth
recovery from anaesthesia, according to VN Kerry
Troop. Gentle massage, particularly around the
patients ears, can help to reduce signs of panic as the
animal comes round. Marie is based in Coventry and
she isnt here full time. So we will often ask her to come
in when we know that we are going to be dealing with
an animal that is already highly stressed and we know
it is going to have to undergo a particularly
uncomfortable procedure, she explains.
Doubts and limitations
However, there is one clinical area in which Sarah is
unhappy about claims that some of its practitioners
have made for the TTouch method. She says there is
insufficient evidence to support the suggestion that it
can have any direct effect on an animals experience
of pain. There could well be reasons why such
treatment could have indirect effects that could
improve a patients comfort levels but she would like to
see much more research in this area. Yes, if you can
encourage an animal to relax then that will affect its
posture and that may reduce the pain that it
experiences from conditions like osteoarthritis. Another
important issue is pain memory and the animals
expectations of what is going to happen to it when it
has to be handled. If the patient is more relaxed then it
will probably be less fearful and that may mean that it
is less sensitive to any painful stimuli.
Looking for proof
All this leads back to the most intriguing aspect of the
TTouch technique if such treatment does have
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TELLINGTON TOUCH
significant effects on an animals physiology and
behaviour, then what exactly is the mechanism?
Probably the only way to find out would be to use
advanced imaging methods like functional MRI in an
attempt to identify specific neurological responses to
the gentle stimuli that are generated by these methods.
In the absence of such studies, the only available
explanation is the educated guesswork of the trained
scientists who have witnessed the effects of this rather
enigmatic therapeutic method. Barbara Houlding
points out that it is wrong to assume that it works by
slowing down the traffic through the patients neural
networks. It is not that these methods have a soporific
effect, the patient is alert, treatment raises awareness
so that they can cope much better in difficult
situations. The stimulation appears to be accessing
particular parts of the brain, in this case the limbic
system, which is that area of the brain associated with
the fight or flight response.
Robin Walker has another explanation, although the
two theories may not be mutually exclusive. I have
postulated that stroking or petting a dog can induce
endorphins and that histamine is produced in response
to the endorphin with a result that the dog experiences
tingling or perhaps even stinging sensations. In a
highly sensitive dog this could be aversive and trigger
aggression and certainly stroking can evoke seizures in
some dogs. So I would suggest that a technique
involving focussed gentle touching would be likely to
evoke less response than rough sweeping caresses
over large areas of the body. Similarly, gently pressure
by a body wrap might be comforting without evoking
an acute focussed sensation.
Robin also suggests that rather than being a novel
technique, TTouch may simply be rediscovering an
ancient method for relaxing an animal. His research
uncovered a fragment of poetry by Marcus Aurelius
Nemesianus, who lived in Carthage in the late 3rd
century AD. In his Cynegetica, a reflection on hunting,
he offers this advice to equine owners. It is also good
to pat the beast while he eats so that he will relax and
take pleasure from the grain while letting the
nourishment flow through his body with great ease. For
this important job you will need stable boys.
WHAT THE BSAVA
BEHAVIOUR MANUAL
SAYS ABOUT T TOUCH...
TTouch therapy was developed in 1978 from the
Feldenkrais method, which was designed to help
people to focus on their bodies (Fogle, 1999a,b).
The TTouch technique involved stimulating the skin
only, with tiny rhythmic circular movements. This
has an indirect effect on the rest of the body,
including the central nervous system, and also
releases oxytocin (amongst other hormones),
which is important in bonding and nurturing. Thus
the act of touching and stroking a pet may increase
the affiliative tendencies of the animal; alternatively,
owners using this technique are spending more
time touching their pet in a formally structured
action, which may in itself bring about an
adjustment in their relationship.
Animals should not need to be restrained for
touch therapy. It is a positive action that owners
can perform at home to help anxious animals but
one should be wary about
advocating its use for
aggressive animals, particularly
if status is an issue or if the
motivation is uncertain.
BSAVA Manual of Canine and
Feline Behavioural Medicine,
2nd edition P266.
MORE INFORMATION
Tellington Touch: www.ttouch.com
Sarah Fisher www.ttouchtteam.com
and www.tilleyfarm.co.uk
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CLINICAL CONUNDRUM
Clinical
conundrum
Victoria Roberts, Honorary Veterinary Surgeon to
The Poultry Club of Great Britain invites you to
consider the investigation and treatment of an
anorexic chicken
When examining backyard fowl,
what should be assessed?
In order to maintain position in the pecking
order, a hen will disguise signs of illness.
Deviations from the indicators of good
health (listed below) should be noted:
Dry nostrils
A red comb (some breeds have
naturally dark combs)
Bright eyes (colour varies with breed)
Shiny feathers (and all present)
Good weight and musculature for age
Clean vent feathers with no smell
Smooth shanks
Straight toes
The bird is alert and active.
Palpation of the pin bones on either
side of the vent can indicate if a bird has
lost weight: if they are sharp, the bird has
little fat; and if they are well padded, the
bird is too fat. The sternum should be well
covered with muscle; if it feels sharp, the
bird is cachexic. Gentle palpation of the
abdomen will assess for ascites and egg
binding. Rectal temperature should be
taken; normal range is 4042C. Checks
should be made for ectoparasites, and the
vent inspected for faecal matter, with a
sample examined under the microscope
for parasite eggs. The birds mouth should
be opened to check mucous membrane
colour and integrity. A sick hen will droop
and may close her eyes despite the
stress of handling.
Clinical examination
On clinical examination there are two
concerns: that the wattle and comb are
pale, and that there is weight loss. Anorexia
in any species affects all body systems and
is especially dangerous in birds due to their
high metabolism, leading to cachexia in a
short space of time. Unfortunately, by the
time the bird shows signs of anorexia, and
Case presentation
A 2-year-old Brahma bantam presents with anorexia, weight loss and a pale
comb. The flock is used for exhibition and the owner considers them as
beloved pets.
Figure 2: Normal Dark Brahma hen with
a healthy face for comparison
Figure 1: A young Dark Brahma bantam
(not the patient) note the pale face
What areas of the history should
be concentrated upon when
dealing with backyard fowl?
Type of food used (including any treats)
Method of housing
Flock size
Worming regime
External parasite prevention regime
Vaccination regime
Addition of new stock
Any visits to exhibitions or other breeders
Vermin control.
This flock of one cock and three hens
is treated with a herbal wormer monthly,
and fed on a commercial maintenance
ration outside the breeding season with
some whole wheat. They are housed in
an ark, which is regularly moved on to
fresh ground. The birds are not
vaccinated and there is no external
parasite regime. Neither they nor their
owner have been to a show recently. Wild
birds do not have access to the feeders
and drinkers, and no mice or rats have
been seen.
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CLINICAL CONUNDRUM
the owner notices these (being a prey
species these signs are delayed as long as
possible), it may be too late to resolve. In
this case the pin bones are sharp and there
is muscle loss on either side of the sternum.
The crop is empty and the bird has not
been seen to eat for 2 days.
What is the significance of
wattle, face and comb colour in
chickens?
The comb, face and wattles of a chicken
are indicators of good health (or otherwise)
due to the efficient blood supply. A normal
adult comb should be vibrant red in both
cocks and hens (although there are breed
variations). Usually the first sign recognised
by the owner that the health of the bird may
have deteriorated is when the colour and
shape of the comb, face or wattles varies
from normal. In this case the comb is pale
and shrunken.
What is the main differential
diagnosis for a pale and
shrunken comb?
Anaemia: Checking a PCV (normal
2443%) will indicate the severity of the
anaemia. The most common cause of
anaemia is external blood loss due to
ectoparasite infestation.
Northern fowl mites (Ornithonyssus
sylvarum) will be found on the bird at all
times and because blood sucking is
continual, anaemia is caused rapidly.
Red mites (Dermanyssus gallinae) will
not be found on the bird as they spend
daylight hours hiding in the dark of the
hen hut. Feeding occurs at night only.
Identification of the 13 mm plump red
mite requires nocturnal inspection of
the hen house with a torch.
What are your differential
diagnoses for weight loss and
inappetence?
Liver disease (typically due to E. coli
infection)
Endoparasites: helminths intestinal
(Capillaria, ascarids, trichostrongyles,
tapeworms), caecal (Heterakis) or
gizzard (Gizzard worm)
Egg peritonitis
Avian tuberculosis
Northern fowl mite or red mite
Poisoning
Coccidiosis (Emeria species)
Kidney disease
Environmental factors
Bullying
Lack of water
High levels of ammonia.
Results
Microscopic examination of faeces
performed as part of the standard clinical
examination revealed eggs of ascarids and
Heterakis, both of which cause anorexia
and cachexia. (A pictorial guide to the
identification of parasite eggs found in
chicken faecal material can be found in the
BSAVA Manual of Farm Pets.)
Given the history of no ectoparasite
control, the owner was asked to inspect the
hen house with a torch. This night time
investigation confirmed the clinical
suspicion of red mites, which were
considered the likely cause of the anaemia.
What is your treatment
strategy for:
1) The hen house?
2) The anorexic hen?
3) The rest of the flock?
Hen house
Modern non-toxic treatments against mites
include products based on diatomaceous
ADVERSE COMB COLOURS
White or pale: The comb is pale and shrunken in young birds, gradually colouring up
as they get older, but sudden onset in an adult suggests anaemia or general debility.
Purple edges: An indication of inadequate peripheral circulation, often due to cardiac
disease. Some birds manage well until stressed when being handled or washed for a
show. ACE inhibitors and furosemide are useful dosed for weight at canine dose rate.
Black: Washing will distinguish blood, which will run red when carefully washed off,
from a black discharge seen in erysipelas. In winter consider frostbite: areas on the
spikes of the comb damaged by frostbite can subsequently drop off. Combs at risk
should be covered with petroleum jelly when frost is forecast.
Yellow: A common cause of jaundice is avian tuberculosis. No treatment.
White spots: Fowlpox virus. Pigeons are carriers, and chickens, turkeys and quail
can be affected. This disease is spread by biting flies, is uncommon and vaccines
are available.
White scabs and flakes: Scaly face or favus, caused by the fungus Microsporum
gallinae (related to ringworm and athletes foot). Favus can occur on the face, the comb
or the wattles. Suggested unlicensed therapies include terbinafine or another long-term
cream preparation for athletes foot, rubbed in well (use gloves) for 27 days. Sprays
are to be avoided as they may cause eye damage. The scale will clear quite quickly
but the treatment needs to be continued for the specified time in order to remove any
fungal spores and prevent recrudescence. Favus is contagious to other birds and the
fungal spores persist on wood for years, so if an affected hen was often roosting next
to the wall of a wooden hen house, for example, the inside of the hut should be treated
with a fungicide such as a strong solution of Virkon or F10, letting it dry on the wood.
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CLINICAL CONUNDRUM
Clinical conundrum
earth and these effectively dehydrate the
mites. Alternatively, a blowlamp can be
used carefully in all crevices, and the
house sprayed with a licensed imidacloprid
product or dusted with a pyrethrim-based
flea powder. Felt on the roof can be
replaced with corrugated bitumen or clear
corrugated plastic over plyboard to remove
the dark places where red mites breed.
Vigilance is needed as wild birds will
re-infest outdoor poultry, and the mite has
only a 10-day life cycle in warm weather
thus quickly propagating infestation.
Herbal products for control do not seem to
be effective. Some breeders add flea
powder to dust baths but this dilutes the
chemical and is not to be recommended.
Use of previously infested, untreated hen
houses should be avoided as red mites
can live for 6 months without feeding.
If Northern fowl mites had been found
on the bird, the flock would have needed
systemic treatment with an avermectin (not
licensed for poultry).
Anorexic hen
Although it is tempting to treat a heavy
infestation of parasitic intestinal worms with
a single dose of wormer, this can lead to
toxic products from the dead/dying
helminths adversely affecting the bird.
Therefore, using fenbendazole, although
an effective (but unlicensed) wormer, could
cause toxicity. The use of flubendazole
included in the feed and inserted via a
crop tube is likely to be safer.
Flock treatment
Prophylactic control of external and internal
parasites should be practiced by the
owner, but ignorance of this is common in
first-time chicken keepers. For control of
endoparasites herbal wormers are not
effective, the flock should be given
flubendazole (Flubenvet 1% 30 g in 10 kg
feed for 7 days) immediately and then
every 4 months. This licensed product
controls all internal parasites of poultry.
Appropriate treatment of the hen house
should prevent re-infestation with red mites
as long as there is no contact with wild
birds, but vigilance is required.
CROP TUBING
Normal physiology
The digestive system of a chicken
begins with the prehension of food by
the tongue and beak. Saliva from glands
on the roof of the mouth is added to the
food and swallowed in to the
oesophagus. It is then stored in the
expansive crop for a time and
subsequently passed, mostly at night, to
the acid-producing proventriculus. From
here it is passed to the gizzard, where
the food is ground up with the aid of
previously ingested grit, and passed
between the proventriculus and the
gizzard until it is small enough to enter
the duodenum for further digestion,
which is similar to mammals, except for
the paired, blind-ended caeca where
some cellulose is digested by bacteria.
These looser caecal droppings are
voided around one in ten with the
ordinary firmer droppings.
Abnormalities of the crop
The crop is usually empty but if it is
pendulous and liquid filled, suspect
Candida, which upsets the emptying
process or if firm, stemmy grass, which
can block the exit to the proventriculus.
Candida can be controlled by acidifying
the crop contents (either syringe 20 ml of
cider vinegar diluted 1 part in 50 parts
water or if the chicken is drinking, give
the cider vinegar mixture in a plastic
drinker for a week). If stemmy grass can
be felt in the crop (Figure 3), it will have
to be surgically removed under
inhalational general anaethesia (GA).
An incision is made in the ventral
plucked neck over the crop and the
grass removed. The crop is then
flushed with saline and the crop wall
sutured separately from the skin.
However once the muscular tone of the
crop has been damaged, the problem is
likely to recur.
Abnormalities of the
intestinal tract
If no faeces have been produced,
suspect an intestinal blockage, which
could be in the gizzard and/or
proventriculus. Ultrasonography can be
useful here, but alternatively, endoscopy
is commonly used. The safe
administration of a GA will depend on
the debility of the chicken, but if deemed
safe, the oesophagus, crop,
proventriculus and gizzard can be
examined endoscopically under
inhalational GA and any blockage
removed by endoscopic forceps.
Surgery and incision of the
proventriculus or gizzard is not
recommended. If no blockage is found,
the immediate supportive treatment is
to crop tube.
How to crop tube safely
Crop tubing aims to replicate normal
physiology by introducing food into the
crop and allowing subsequent passage
into the proventriculus. This is a simple
technique but one which must be
performed with care to avoid iatrogenic
damage. Crop tubing is not appropriate
if there is crop distension caused by
food, especially stemmy grass, or an
intestinal blockage.
Figure 3: Dorking with a pendulous crop
08-11 Clinical Conundrum.indd 10 19/11/2010 14:42
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11
CLINICAL CONUNDRUM
FROM BACKYARD
CHICKENS TO PET
LLAMAS
the BSAVA Manual
of Farm Pets has it all
Victoria Roberts,
along with Freda
Scott-Park, has
edited a Manual on
farm animals which
has become an
essential addition
to the general
practitioners library
since its launch in
2008. With an
increasing number
of clients becoming hobby farmers,
the companion animal vet will often
find themselves treating animals that
have traditionally fallen to their
colleagues in large animal practice.
This Manual provides practical
information on health, husbrandry,
medicine and surgery.
Members: 49.00
Non-members: 75.00
For more information or to order this
Manual, please contact
administration@bsava.com
Outcome
In this case, after 1 day of crop tubing with
high-quality feed plus anthelmintic, the hen
began to feed herself and made a full
recovery with appropriate weight gain in
about 2 weeks. The hen house was treated
with diatomaceous earth, and after 3
weeks no mites were seen at night. The
owner was advised to use the correct
anthelmintic and to handle the birds
regularly to check for weight changes and
external parasites.
intravenously if the bird is large enough.
Daily fluid requirements are considered
to be 50 ml/kg/day.
For mild dehydration, warm isotonic
fluids are easily administered
subcutaneously (in the axillary region,
the inguinal web and the interscapular
area) but this route is not as useful in
birds with poor peripheral circulation or
birds that are hypoproteinaemic. Veins
usually accessible for intravenous
administration include the right jugular,
medial metatarsal and ulnar; however,
haematomas are easily caused in the
ulnar vein and vein collapse is common.
Catheters can be left in place for about
72 hours. Intraosseous administration via
the distal ulna or proximal tibiotarsal
bone is easier, and crystalloids, blood,
antibiotics, glucose and parenteral
nutrition can be provided via this route. Figure 4: Chicken oropharynx
Figure 6: Crop tube inserted on the right
side of the neck
Figure 5: Crop tube
The mouth and oropharynx of a bird is
similar across species the choana is a
natural split in the hard palate, the tongue
is hard and pointed, and the larynx is
centrally placed (Figure 4). The
commercially available crop tubes are
stainless steel with a smooth, rounded end
and come in various sizes (Figure 5). A
dog urinary catheter may be used instead
as long as the food/electrolytes/fluid can
pass through the lower apertures the end
must not be trimmed as a blunt end is
required to avoid trauma to the
oesophagus. In order to get the food/
electrolytes/fluid into the oesophagus, the
crop tube must be placed on the right side
of the oropharynx (Figure 6). A recovery
paste diet such as a/d (Hills Pet Nutrition)
can be diluted with warm tap water and
syringed into the crop at a rate of 20 ml per
hour for 4 hours or until the chicken is
strong enough to feed itself.
Fluid administration
Alternatively, fluids can be administered,
if necessary, subcutaneously via the
non-pneumatic long bones, or
08-11 Clinical Conundrum.indd 11 19/11/2010 14:42
PUBLICATIONS
12
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Test your knowledge with the annual BSAVA Publications Quiz, based
on the Manuals weve released in the last 12 months (Cardiorespiratory
Medicine; Exotic Pets; Rehabilitation, Supportive and Palliative Care;
and Reproduction and Neonatology). Do it just for fun, or for your
chance to win these four new veterinary manuals complete it online
in the companion area at www.bsava.com, or simply email your
answers to companion@bsava.com before 31 December 2010.
The winner will be drawn from all the correct responses
Christmas quiz
CARDIORESPIRATORY MEDICINE
What J is the vein that can be
examined to evaluate systemic
venous pressure?
A:
What O is the term used to
describe the inability to breathe
unless in an upright position?
A:
What H is the type of monitor used
to continuously record an ECG for
up to 7 days?
A:
What S is the index being
measured on this
echocardiogram?
A:
What T is the mite that causes a
common form of dermatitis in guinea
pigs?
A:
What S is another name for an
albino hedgehog?
A:
EXOTIC PETS
1
3
2
5
6
4
1213 Pubs Christmas Quiz.indd 12 19/11/2010 14:42
PUBLICATIONS
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13
REHABILITATION, SUPPORTIVE AND
PALLIATIVE CARE
What H is type of massage
technique being demonstrated
here?
A:
What G is the drug originally
introduced as an anticonvulsant,
but has also been used to treat
chronic pain?
A:
What P is the type of nutrition that
should be provided if the patient is
suffering from gut failure?
A:
What P is the condition commonly
associated with copper coloured
irises in cats?
A:
What Q is the muscle into which a
microchip should be inserted in
tortoises?
A:
What H is a common problem
associated with avian anaesthesia?
A:
What G is the type of mastitis
commonly associated with
systemic signs of septicaemia?
A:
What P is a term used to describe
fetal disposition, which is missing from
this list: presentation, position?
A:
What I describes the
placement of the catheter in
this puppy with dehydration?
What S is the process
of releasing germ cells
into the lumen of the
seminiferous tubules
following
spermiogenesis?
A:
A:
REPRODUCTION AND NEONATOLOGY
9 10
7
8
13
14
15
16
11
12
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HOW TO
How to
Use progesterone
testing in practice
Angelika von Heimendahl, co-editor of the
new edition of the BSAVA Manual of Canine
and Feline Reproduction and Neonatology
discusses how to get the most out of this
endocrine test in practice
is further obscured by a poor correlation between the
time of ovulation and behavioural oestrus. Practically
the situation is often complicated by dog breeders
choosing the day on which to breed, commonly using
arbitrary criteria. Such criteria include having set days
(e.g. 11 and 13 days after the onset of pro-oestrus) for
breeding, measuring electric conductivity in the vaginal
mucosa (using a Draminski Ovulation Detector) or
looking for ferning in the saliva under the microscope.
In contrast the most useful methods employed in
veterinary practice to determine the optimum mating
time are measurement of the plasma progesterone
levels (Figure 1) and exfoliative vaginal cytology.
The bitch, a spontaneous ovulator, shows a marked
increase in progesterone at the time of ovulation. Prior
to ovulation lutenization of granulosa cells inside the
maturing follicles produce this progesterone, and
following ovulation go on to form the corpora lutea,
which produce progesterone for around 60 days
regardless of whether the bitch is pregnant or not.
The reproductive physiology of the bitch is unusual
in that the oocytes are immature at the time of
P
rogesterone is the most important hormone in
female canine reproduction. It is easy to
measure, either in-house or at a laboratory,
and can be used to date ovulation and parturition,
and for investigation of other abnormalities of the
oestrous cycle.
Oestrous cycle in the bitch: when
to mate?
Determination of the optimal breeding time of the bitch
can be difficult. There is significant individual variation
relating to the day on which ovulation occurs, and this
Anoestrus Anoestrus Metoestrus/dioestrus
Oestrus Pro-oestrus
Oestrogen
Pregnant
Non-pregnant
Progesterone
Parturition
Luteal phase
0
Ovulation
20 40 20 40
Days in relation to preovulatory luteinizing hormone surge
H
o
r
m
o
n
e

c
o
n
c
e
n
t
r
a
t
i
o
n
60 80 100 120
Figure 1: Different
stages of the
oestrous cycle in
relation to changes
in plasma hormone
concentrations
and ovulation
Adapted from the BSAVA
Manual of Canine and
Feline Reproduction and
Neonatology, 2nd edition
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15
HOW TO
ovulation and cannot be fertilized until 2 days later.
Once they have completed maturation they remain
fertile for 23 days. This results in a 3-day fertilization
period that commences from 2 days after ovulation to
up to 5 days after ovulation (Figures 2 and 3). Fertile
matings may occur before the onset of the fertilization
period as sperm can survive for 7 days or more in the
female reproductive tract.
Time period Days in relation to
ovulation
Fertile period 5 to +5
Fertilization period +2 to +5
Peak fertility 1 to +4
Preferred time for natural
service or fresh semen
insemination
0 to +4
Preferred time for frozen
semen insemination or
breeding where semen quality
is not optimal
+2 to +4
Figure 2: The timing of peak fertility in relation to the
day of ovulation in the bitch
Measuring progesterone levels
The increase in blood progesterone around ovulation
follows a distinct pattern and is therefore easy to
interpret. Progesterone levels double roughly every
2 days. Given that the rise is progressive, it is only
necessary to take blood samples every second or
third day. Longer sampling intervals decrease the
accuracy of ovulation detection. Maximum
concentrations of progesterone are reached between
20 and 30 days after the end of oestrus, whether the
bitch is pregnant or not. These decline gradually to
basal levels either just before parturition or slightly later
if the bitch was not pregnant.
Progesterone concentrations may be measured
by radioimmunoassay (RIA), quantitative or qualitative
enzyme-linked immunosorbent assay (ELISA), or
immunochemiluminescence assay. Many veterinary
diagnostic laboratories offer measurement of
progesterone with reporting of the results on the
same day.
In-house testing to determine ovulation
There are several semi-quantitative progesterone
ELISA kits available and all have a similar
methodology. The results are usually obtained within
3045 minutes of sample collection and are measured
through a colour change in the wells (Figure 4).
The tests are fairly easy to run, although they
require a warm room, technical accuracy when adding
the substrates, and ensuring the timing is within the
prescribed limits.
If the bitch is in early in pro-oestrus, the test
indicator will produce a strong colour indicating low
levels of progesterone. The fading of the test colour
Figure 4: Results from an in-house progesterone
ELISA showing colour change. Well 1 = Standard B;
10 ng/ml. Well 2 = Sample 1; 3 ng/ml. Well 3 =
Sample 2; 10 ng/ml. Well 4 = Standard A; 3 ng/ml
End of
Pro-oestrus
Oestrogen peak
2 days
LH peak
2 days
Oestrus Ovulation
2 days
Fertilization
period
3 days
Met-oestrus End of fertile
period
(Maturation)
Figure 3: Occurence and timing of hormones around
the period of ovulation (e.g. 2 days after the
luteinizing hormone peak, ovulation occurs)
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HOW TO
Use progesterone testing
in practice
indicates rising progesterone and impending ovulation.
Once ovulation has occurred, progesterone levels will
further increase and remain high for the next 2 months,
when the test colour will stay very pale.
In-house ELISAs can have two problems. Firstly, a
rise in progesterone levels prior to ovulation is
sometimes interpreted as ovulation imminent.
Unfortunately, the progesterone concentration can
sometimes stay at this level for several days. Therefore,
testing should continue and sampling repeated 2 days
later to avoid misunderstandings with the breeder. It is
important to continue testing until ovulation has
occurred, especially as the oocyte is not fertile for the
first 2 days after ovulation and matings should not be
advised too early.
The second problem is that the window of the test
is defined by the resultant colour change and once the
progesterone level exceeds 10 ng/ml the test will
interpret the result as mate immediately for the next
2 months of the bitchs cycle. Therefore the in-house
ELISA will only give relevant results if the bitch is
tested at least once pre-ovulation and subsequent
tests are interpreted in light of the result on that date. If
the first test confirms that ovulation has already taken
place, other methods such as vaginal cytology, will
have to be used.
Laboratory testing to determine ovulation
The commercial laboratory tests are either RIA or
immunochemiluminesence, and just to make things
more complicated are reported either in ng/ml or nmol/l
(Figure 5). Laboratory tests are more accurate than
in-house tests and because of the precise value of
progesterone levels, predictions can be made more
easily (Figure 6). In cases where the optimum breeding
time is to be determined, postage and reporting of
Event Progesterone level
Luteinizing hormone
surge (3648 hours
before ovulation)
1.52.5 ng/ml (4.57.5 nmol/l)
Ovulation 58 ng/ml (1524 nmol/l)
Fertile period 1025 ng/ml (3075 nmol/l)
Figure 5: Important progesterone concentrations
One should also consider practicalities such as
weekends and bank holidays when planning matings.
Normally given the predictable rise of progesterone
and the time available after ovulation this system
works well.
results up to 48 hours after sampling is not a problem
as the mating does not have to be performed until
several days after ovulation.
To determine the days when the bitch should be
mated two factors have to be considered: ovulation and
maturation. Bitches will ovulate at a progesterone
concentration of around 6 ng/ml (18 nmol/l), but the time
taken to achieve this concentration can vary widely
between individuals with a range of 730 days from the
onset of pro-oestrus. After ovulation the oocytes have to
mature for a further 2 days before they can be fertilized.
Once mature they will be viable for another 23 days. In
order for the breeder to get the benefit of a
progesterone test that will give them the right mating
dates (Figure 7), even when ovulation occurs late, it is
important to space the samples sensibly.
Plasma progesterone
levels
Action/Interpretation
<1 ng/ml (6 nmol/l) Re-test in 4 days
<2 ng/ml (6 nmol/l) Re-test in 3 days
>2 ng/ml (6 nmol/l) Re-test in 2 days
6 ng/ml (18 nmol/l) Ovulation
>25 ng/mol (75 nmol/l) Usually indicates the end of
the fertile period
Figure 6: Possible testing regime
Number of matings Days for mating
Two matings: Ovulation +1 day and +3 days
or Ovulation +2 days and
+4 days
One mating Ovulation +2 days
or Ovulation +3 days
Figure 7: Possible mating regimes
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HOW TO
Determining parturition date
Given the relatively short gestation length in the bitch,
it is useful to have tools to determine the physiological
end of the pregnancy. Although the actual duration of
pregnancy in dogs is quite constant at 61 days
48 hours from fertilization, long-term sperm survival
in the female reproductive tract often makes it
impossible to determine the actual beginning of
pregnancy in relation to the mating. Furthermore,
multiple matings and the unreliability of owner
information can make this even more difficult.
Often vets are presented with an animal at the
end of pregnancy that they have not seen before.
Initially it is always useful to be given the actual dates
of the mating and check for yourself in a diary, rather
than relying on someone else to count out the days
from possible conception. Clinical examination may
not offer additional information. Clinical signs at the
end of pregnancy are not specific and vary between
breeds and individuals. Litter size, especially single
puppy pregnancies, are also a contributing factor.
An added complication with single puppies is that
they are often the result of inaccurately timed matings
in correlation to the time of ovulation, and do not
always induce parturition.
Advising owners to measure body temperature
three times a day can be useful, especially in smaller
and medium-sized dogs. The temperature will fluctuate
slightly in the last week but drop 2C, typically below
37C, 12 to 24 hours before parturition. This change in
body temperature is caused by the drop in plasma
progesterone 2436 hours before parturition.
Unfortunately the drop in temperature is not always so
marked in larger dogs.
Progesterone testing for parturition
As mentioned above, plasma progesterone levels
decline to <1 ng/ml before parturition. Measuring
plasma progesterone can therefore alert to
impending parturition. However, as it is important to
have the results immediately, the in-house
progesterone ELISA kits marketed for ovulation are
preferred to postal diagnostics. It is vital to remember
that the kits are designed for ovulation testing and are
being used to look for the opposite result (i.e. falling
progesterone) in this case. This means the test will
have strong colour at parturition, when the bitch has
very little or no progesterone.
When presented with a bitch with apparently
non-progressive labour, progesterone testing can be
very helpful. In these cases of suspected primary inertia
the test can give results within 30 minutes and will
confirm if parturition is underway. If the progesterone
level is still high the bitch is not ready and parturition
has not started. Alternatively, if the progesterone level
is low, luteolysis has occurred and a Caesarean
operation can be attempted. In cases of planning an
elective Caesarean section (e.g. single puppy
pregnancy in a Bulldog), the test can be repeated
every day towards the end of gestation until the drop in
progesterone is noted. Given that puppies born before
57 days post-fertilization have poor survival rates such
accurate timing of Caesarean sections is crucial.
Progesterone testing for other conditions
Progesterone testing can be useful in a range of other
reproductive conditions.
Split heats are quite common in young bitches,
but also occur in around 5% of older animals. The
pro-oestrus phase is quite short and does not
progress into oestrus. It is often followed by a shorter
interoestrus interval. Measuring progesterone levels
any time in the next 50 days can establish if ovulation
has taken place or if the season was non-ovulatory.
Delayed puberty is suspected if a bitch has not
shown any seasons by the time she is 2 years of age.
To exclude whether a silent oestrus has taken place in
the last 2 months, a progesterone level would be the
first test, before further investigations are initiated.
Silent oestrus can be a big problem as some
animals show no or hardly any signs of swelling or
discharge during their season. In order to breed from
these females testing has to start on the first day of any
suspicious sign of pro-oestrus to make sure the fertile
period is not missed.
Conclusion
Progesterone testing is a very useful, inexpensive
and readily available tool in female canine
reproduction. It can be used at different stages of the
reproductive cycle and give information about the
right time for mating and parturition as well as some
oestrous cycle abnormalities. n
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HOW TO
REPRODUCTION MANUAL OUT NOW
Use progesterone testing
in practice
The second edition of the BSAVA Manual of Canine
and Feline Reproduction and Neonatology has just
been released.
Determining the best time to mate a bitch in
order to maximise the chances of pregnancy, using
methods such as measurement of hormone
concentrations, exfoliative vaginal cytology
(Figure 1) and vaginoscopy, is just one of the topics
covered in the new edition.
Figure 1: Appearance of exfoliated vaginal cells
during oestrus
Reproduction and neonatology are important
aspects of general veterinary practice, with a large
number of consultations being undertaken by
veterinary surgeons both for the prevention of
breeding and for optimising reproductive
performance and neonatal survival. There has been
substantial development in the field since the first
edition of the Manual was published in 1998, and
this is reflected in this new second edition.
Edited by Gary England and Angelika von
Heimendahl, this latest addition to the BSAVA
Manual range provides a practical approach to
Figure 2: Immature canine oocyte at the germinal
vesicle stage of meiosis stained with fluorescent
dye to visualise the nucleus
reproduction and neonatology with chapters divided
into five main sections:
n The reproductive cycle
n Infertility
n Pregnancy and parturition
n Neonatology
n Clinical approach to common conditions
including a chapter on the clinical relevance of
biotechnological advances (Figure 2).
Call our Membership and
Customer Services Team on
01452 726700 to purchase
your copy, or order online at
www.bsava.com to save
on postage and packaging.
Published November 2010
Member price: 45.00
Price to non-members:
75.00
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CPD
Make the most of
CPD Modules
Upper urinary tract disease: an
evidence based approach to
25 January Hattie Syme
Lower urinary tract disease:
plumbing problems: old and
new approaches to lower
urinary tract disease
15 February Hattie Syme
This course will consist of a series of
lectures on topics including urinary tract
infections, urolithiasis, idiopathic feline
lower urinary tract disease (iFLUTD),
bladder tumours and urinary incontinence
and urine retention.
Urolithiasis: Non-surgical management
of stone disease
Urinary tract infections: A step-wise
strategy for dealing with problem cases
FLUTD: The evidence (and lack of it)
for currently proposed treatments
Urinary incontinence and urine
retention
Respiratory diseases of the
dog and cat; a comprehensive
review
26 April Brendan Corcoran
This course will give a complete overview
of our understanding of the common
respiratory diseases, methods of
diagnosis and most effective forms of
therapy. As well as emphasise clinical
information achievable in a general
practice setting, but will also cover
more advanced diagnostic techniques
and treatments.
Practical application
Applying diagnostic techniques
Latest developments
Future trends
Too much fluid, too low flow:
Caring for the patient with
heart disease
24 May Jo Dukes McEwan
Use of diuretics and cardiac drugs can be
a see-saw, controlling congestive heart
failure signs and avoiding complications of
treatment. This course will aim to
demonstrate that the approach to such
patients is essentially logical.
Getting the most out of your clinical
examination
Case-based interpretation of diagnostic
material
Management of common cardiac
conditions
Update on management of congestive
heart failure in dogs and cats
Ill never see a case of this
will I? (Emerging infectious
diseases of dogs/cats)
28 June Sue Shaw
The course will particularly focus on the
diagnosis and management of chronic
kidney disease since this problem is so
frequently encountered in general practice.
Other topics that will be considered will
include protein losing nephropathy and
acute kidney injury.
Chronic kidney disease: What works?
Acute kidney injury: how to avoid it and
what to do when it happens.
A problem oriented approach to
polyuria/polydipsia
Protein losing nephropathy
Based at Woodrow House in Gloucester this is a
modular programme that can help you build an
impressive CPD record in 2011
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CPD
Make the most of CPD Modules
The combination of climate change,
companion animal travel and increasing
wildlife reservoirs of infection are
combining to produce the emergence of
companion animal diseases in the UK.
This course is aimed at practising
veterinary surgeons at all stages of their
career who would like information on more
recently recognised non-viral infectious
and parasitic diseases that are increasingly
being recognised in UK dogs and cats.
Vector-borne
Heartworms including
angiostrongylosis
Leishmaniosis
Tick-borne diseases
A practical guide to oncology
no more lumps in your
throat! Part I
27 September Mark Goodfellow
Diagnosis, cytological examination,
staging and treatment of:
Lymphoma
Leukaemia
Plasma cell tumours
Choice of protocol, managing
adverse effects and optimising patient
quality of life
Achieving safe use of cytotoxic drugs
in a practice environment.
A practical guide to oncology
no more lumps in your
throat! Part II
25 October Mark Goodfellow
The course aims to equip the clinician to
diagnose, stage and treat common
malignancies in the dog and cat for which
a combination of surgery, chemotherapy,
radiotherapy or novel therapies are the
present standard of care.
Diagnosis, staging and treatment of:
Mammary tumours
Mast cell tumours
Transitional cell carcinoma
Osteosarcoma
Melanoma
Exploration of the role of multimodal
treatment regimes in cancer care
Novel therapies choosing the right
case for a magic bullet.
BOOK EARLY TO SAVE
Book before 13 January 2011 to get a 5% discount on course fees to get more from
your CPD budget.
Medical neurology of the dog
and cat: how to make sense
of the wobbly, weak or
collapsing patient
22 November Jacques Penderis
The course aims to equip the clinician to
diagnose, stage and treat common
malignancies in dogs and cats. In
particular this session will focus on
tumours in which chemotherapy is the
preferred treatment modality.
This day course is will provide you with a
logical approach to recognising,
investigating and managing dogs and cats
with neurological disease in practice.
How do I localise lesions and what
does the localisation tell me about
potential causes?
Medical conditions of the spine in dogs
and cats: pain, progressive paralysis
and acute paralysis.
Seizures and syndromes that look like
seizures
Neurological conditions that present as
exercise intolerance or intermittent
collapse.
Member Non-Member
Early Bird Price 5% discount
Full modular 1362.07 2043.11
Individual module 203.14 304.70
4 Modules booked at the same time 772.58 1158.86
Prices from 13 January 2011
Full modular 1433.76 2150.64
Individual module 213.83 320.744
4 Modules booked at the same time 813.24 1219.86
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Congress
Back by popular demand
Last year Fred MacAulay was a huge
Congress hit, endearing himself to the
audience by revealing he is a
knowledgeable owner, and occasional
breeder, of Labradors. He was also, luckily,
completely hilarious. So weve asked him
back to host our Comedy Club section at
Party Night in April.
Alongside another headline comedian
(to be announced), Fred will ensure the
night starts with a laugh, bringing his
unique brand of humour that is at once
idiotically intelligent and seriously silly.
Part of Freds comedic charm is his
ability to tell engaging stories, and hes
built up plenty of material. He is one of the
oldest comedians on the circuit and didnt
launch his stand-up career until he was in
his thirties, leaving the less amusing but
more secure world of accountancy. He
made the right move. Not only is he a
regular on panel shows like Have I Got
News For You and Mock the Week, hes
also hosted his own morning show on BBC
Radio Scotland since 1997 occasionally
featuring the veterinary expertise of
BSAVAs Scottish Region Chair, Ross Allan.
So Freds risk has definitely paid off
and a good job too, as he recently
confessed to The Herald, I was never that
good an accountant. Comedy has given
me a quality of life I would never have had
otherwise. Accountants do OK, but I was
never that good an accountant. I dont
think I could name many downsides to
doing what I do.
Next month companion will announce the full line-
up for Party Night at Congress 2011 the evening
that guarantees to deliver top acts, chuckles and a
packed dance floor. As a teaser here are two of the
acts that will be putting on the glitz for the biggest
night of entertainment in the veterinary calendar
Athough you can enquire about getting
tickets for Party Night at Congress,
they often sell out, so to make sure you
dont miss out add them to your
registration. Visit www.bsava.com for
more information or to register.
Remember Early bird deadline
is 3 January.
Formed in 1991, they continue to tour the
globe with their colourful show, performing
to thousands. Theyre also a big hit at
events like Congress and celebrity parties,
with an impressive client list that includes
Buckingham Palace, Microsoft and Warner
Bros Pictures. Theyve also played
alongside Oasis, Barry Manilow and
Phil Collins.
The reason The Counterfeit Stones
have remained so popular is that they are
the perfect party band. They stick to
playing the big danceable hits of the 60s
and 70s and with outrageous stage
costumes to match, it proves to be
everybodys hottest ticket.
A fine forgery
Mick Jagger describes
them as the most famous
Stones band in England,
Jerry Hall thinks theyre
hilarious and The
Guardian says they are
better than the originals
so you dont want to
miss your chance to see
the Counterfeit Stones at
Congress.
The Counterfeit
Stones are the worlds
most successful tribute
act to the Rolling Stones.
Peek at
21-22 Congress.indd 21 19/11/2010 14:38
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Congress
accidental and
avoidable, are
more commonplace
and trigger many calls
to veterinary surgeries.
Often decontamination,
supportive management and
observation will be enough, but other
cases may be protracted, challenging,
and frustrating in equal measure. VPIS
data suggest that 12% of cases
referred to it have fatal outcomes.
Alex will take delegates through the
most common poisons in dogs with his
talk The top ten poisons in the dog in
the 21st century at 15.00 on Thursday
in Hall 5, and then discuss Common
poisons in the cat at 16.50 on Friday in
Hall 1. For the full programme visit
www.bsava.com or see details in your
Congress pack.
T
he new iPhone app from BSAVA is
about to be launched to help you
make the most of the event. It takes
considerable technical development to
create a truly useful app, and then has to
be submitted to Apple for approval.
Once this has been accepted the
application then becomes available on
iTunes. So from January delegates with
iPhones can download the app and
have superb Congress tools at their
fingertips, including:
Congress
New Congress
iPhone app
BSAVA has developed its own iPhone app to
provide useful information for Congress delegates
Exhibition floor plan
Detailed exhibitor listings
Lecture timetables
My Congress section
Membership (if applicable) and
delegate booking information
My Lectures allows you to build your
own lecture schedule
ICC/Symphony hall plan
Accommodation guide
Travel timetables
Registration opening times
Poison solutions at Congress
Alexander Campbell from the Veterinary Poisons Information Service
at Guys & St Thomas NHS Foundation Trust, will explore the most
common poisons issues for cats and dogs at Congress in April
A
lexander Campbells talks at
Congress promise to be both
fascinating and revealing. Calls
to the VPIS from veterinary surgeries
have been on the increase in recent
years, making the service an essential
facility for our profession. Cats and
dogs are obviously the pets most
commonly involved in suspected cases
of poisoning, and the vet often has to
act quickly.
Cats
Alexander will explain that the pattern
of poisonings in cats is considerably
more variable than for dogs, partly
down to their behaviour as much as
anything else. Whilst they might not be
as greedy or experimental with their
approach to unscheduled feeding as
their canine counterparts, they are
loners, so an incident of poisoning might
not be discovered for some time. Pot
plants and cut flowers are one of the
biggest threats.
There is increasing awareness that
plants of the Lilium and Hemerocalis
species are potentially nephrotoxic to cats.
All parts of these plants, including the
flowers and the pollen, have been
implicated. Mortality is high if treatment is
initiated late or if anuria develops.
Antifreeze is also a lethal threat. Ingestions
of even small volumes of ethylene glycol
antifreezes or de-icers by cats present a
significant, life-threatening hazard. Several
malicious cases received considerable
media coverage in 2009 and the VPIS saw
an increase in reports that year.
Dogs
Poisonings in dogs, though usually


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Speaker biographies
Useful contacts
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PETSAVERS
Improving the health of the nations pets
A
bby Boles, a long standing supporter of
Petsavers, is taking part in the 2011 Virgin
London Marathon on behalf of Petsavers.
If you would like to support Abby you can do so
by making a donation on her Justgiving page
www.justgiving.com/abbypetsavers. If you are
taking part in an event and are looking for a good
cause to donate to wed love to talk to you. n
T
he current Petsavers photography competition is
currently underway and we have been receiving
some great entries. Its not too late for staff and
clients of your practice to take part. The competition is
open until Thursday 27 January 2011 and is open to all
amateur photographers, UK residents, pet owners, vets
and vet nurses. There are two categories: Adult
(16 years of age and older) and Junior (under 16). In each
category 1st prize will receive 200 worth of photography vouchers, 2nd prize
100 of photography vouchers and 3rd prize 50 of photography vouchers.
If you would like to help us promote the competition and make your clients
aware of it, we have promotional flyers and posters available.
If you would like to order some posters and flyers please contact us at:
info@petsavers.org.uk or call 01452 726723. n
Support
Petsavers in
the London
Marathon
It isnt too late to
get snapping
LAST DAY FOR THE
CHRISTMAS POST
For people buying Petsavers Christmas Cards
orders must be received by Wednesday 15
December to allow time for your order to be
processed and sent to you.
1
Posters: Petsavers is not widely known outside the veterinary
community; you can help us change this by displaying a Petsavers
information poster in your practice.
2
Petsavers Bulletins: Petsavers bulletins detail Petsavers projects in
a way that is clear and understandable to the general public.
Petsavers has funded a great many studies over the years that have
benefited pets. You can help us demonstrate to your clients the good work
that we do by displaying the Petsavers bulletin in your veterinary practice.
3
Collection Boxes: A collection box is an easy no-hassle way of
helping Petsavers raise much needed funds.
4
Spread the word: Many of your clients will unfortunately lose their
beloved pets to illness and will want to make a donation to a charity
that funds research into common diseases, but may not be aware of
Petsavers so why not make us known to them.
5
Web-links: By putting a web-link on your practice website to the
Petsavers website, you can help us raise our online profile.
5 easy ways to help
support Petsavers
Abby Boles receiving the Petsavers Achievement
Award at The Pet Plan Veterinary Awards, BSAVA
Congress 2010. Pictured with compere for the
evening Alistair McGowan and Petsavers Chair,
Mark Pertwee
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PETSAVERS
Dr Joy Archer of the
University of Cambridge
Evaluation of new urine tests for
the detection and monitoring of
chronic kidney disease in dogs
Chronic kidney disease
(CKD) is a significant health
problem in dogs and cats,
particularly in ageing
animals. Currently the most
accurate measure of
declining renal function is
the glomerular filtration rate (GFR).
Determining the GFR involves complex
techniques and the collection of numerous
timed blood and urine samples. The
endogenous marker serum creatinine is
very insensitive in early CKD. Cystatin C is
produced by all cells at a constant rate and
filtered by the glomerulus, and is a simpler
measure of GFR often used in human
medicine. At the University of Cambridge
automated assays for Cystatin C in dog
serum have been validated, and the
adaption and validation of this assay for
dog urine is in progress. A less invasive
method for monitoring CKD is urine
microalbumin, the method for which has
been validated in the Cambridge lab. This
study will evaluate the Cystatin C method
and two ELISA methods Collagen 4 (a
glomerular damage marker) and alpha-
glutathione S-transferase (GST; a tubular
damage marker) with dog urine.
Reference intervals for dog urine will be
determined for Cystatin C, Collagen 4 and
GST. These three methods for detecting
early CKD will be compared with micro
albumin and conventional routine methods
of urine analysis. It is hoped that the use of
these tests will help with early diagnosis of
CKD, allowing prompt therapy and a better
quality of life for animals with CKD. n
Petsavers grants for 2010
This year Petsavers has awarded a total of 31,143 in
clinical research grants; here is a look at just some of
the projects your donations have helped us to support
Professor Clare Knottenbelt of
the University of Glasgow
Nicotine concentration in the hair
of dogs and cats exposed to
environmental tobacco smoke
This study will compare the
hair nicotine concentration
of pets that are exposed to
environmental tobacco
smoke with the hair nicotine
concentration of unexposed
pets. Pets owned by smokers are commonly
exposed to tobacco smoke, and as nicotine
adheres to the surface of hair, it is likely that
pets also ingest nicotine through self-
grooming. This means that the potential for
associated diseases may be significant in
pets that are exposed to environmental
tobacco smoke. Hair nicotine concentration
could therefore be used to establish links
between environmental tobacco smoke
exposure and the development of smoking-
related diseases in pets. The findings of this
project could prompt further studies detailing
the effects of passive smoking on pets and
encourage owners to refrain from exposing
pets to environmental tobacco smoke.
Dr Virginia Luis Fuentes of the
Royal Veterinary College
Diagnosis of pulmonary
thromboembolism in canine
immune-mediated haemolytic
anaemia using computed
tomographic pulmonary
angiography: a pilot study
This study will screen dogs
with immune-mediated
haemolytic anaemia
(IMHA) for pulmonary
thromboembolism (PTE)
using helical computed
tomographic pulmonary
angiography (CTPA). Current point-of-care
tests such as echocardiography and
cardiac troponins will be compared with
CTPA to assess their predictive value for
Ms Karen Humm of the Royal
Veterinary College
The Alan Hoby award:
Comparison of the diagnostic
accuracy of NT-proBNP in urine,
pleural effusion and serum in cats
The aim of this study is to
compare the level of
NT-proBNP in the urine,
pleural fluid and serum of
cats with heart failure and
cats with pleural fluid due to
other causes. The study will
also compare the level of NT-proBNP in the
urine, pleural fluid and serum of individual
cats to determine whether the peptide is
consistently high or low in all three fluids.
This will allow us to determine whether
NT-proBNP levels in urine or pleural fluid
can be used to diagnose heart failure. It is
Dr Karin Allenspach of the
Royal Veterinary College
Association of single nucleotide
polymorphisms in Toll-like
receptor genes with inflammatory
bowel disease in German
Shepherd Dogs
The aim of this study is
to test whether
polymorphisms in TLR4 and
TLR5 genes are associated
with inflammatory bowel
disease (IBD) in German
Shepherd Dogs. German
Shepherd Dogs are predisposed to IBD and
it is estimated that between 20 and 30% of
German Shepherd Dogs develop IBD in
their lifetime. It is hoped that this study will
lead to further research in defining the
precise pathophysiology of this common
problem in German Shepherd Dogs.
hoped that this could lead to a quicker
diagnosis of heart failure and a more
prompt instigation of appropriate treatment.
This award is named in memorial of the
late Mr Alan Hoby. This project was funded
in his memory from funds generated from
his estate.
PTE. This study will provide a robust
protocol for PTE detection in dogs using
CTPA. A reliable mechanism for detecting
PTE in dogs could lead to further studies in
which the efficacy of thromboprophylactic
drugs can be evaluated.
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Message from
the President
Six months in the job and counting!
Professor Jolle Kirpensteijn updates us
on the WSAVAs latest initiatives
Jolle Kirpensteijn,
WSAVA President New ways to manage a World Congress
David Wadsworth, Peter Ihrke, Colin Burrows and I
attended the Southern European Veterinary
Conference (SEVC) in Barcelona to meet our new core
Professional Congress Organiser (PCO), Kenes
International. Many thanks goes to our hosts and
friends from AVEPA and SEVC for organising such a
stellar event. During the meeting with Kenes many
things had to be worked out including a new contract,
many new standard operating procedures (SOPs), the
bid process for 2015 and the exciting Congress in
2014. David Wadsworth and I will serve as Congress
liaison officers until April 2012 and I will continue in this
role after David retires as past president.
Kenes is an experienced global conference
organiser in the medical field it has organised more
than 2,800 congresses in over 100 countries,
attracting around 110,000 attendees per year, and has
some 50 long-term clients. Kenes has offices in
Geneva, London, Munich, Hamburg, Berlin, Leipzig,
Madrid, Istanbul, Tel-Aviv, Singapore and Santiago de
Chile. A staff of over 300 specialists worldwide will
ensure that Kenes will cater to our needs.
Kenes will take over a lot of the logistical
responsibilities. One example is the installation of the
new Congress Programme Committee. A chair is
being appointed and member positions will be
filled shortly afterwards. The new Congress
Programme Committee will create a grid for the
scientific content of the World Congress for the five
years starting 2014, aimed at ensuring the top-notch
quality of our Congress. We will inform you about
this exciting development as soon as there is more
news. But that is of course not all there will be
SOPs for the local organising committee, the
exhibition, the social programme, and so on. All these
changes will make the organisation of the World
Congress clearer, less stressful and more rewarding.
Remember that it is our primary duty to make the
organisation easier with a much smaller financial risk
to the local committee. All changes are closely
watched and controlled by our Congress Scientific
Committee, chaired by Dr Nicola Neumann, which
dictates the strategy of the current process. Nicola
has done a superb job, together with Ed Hall, Colin
Burrows, Siraya Chunekamrai and Amanda Evans.
Once created, the SOPs will be available to those
who are interested.
For further information you can reach Nicola at
neumann@eircom.net.
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WSAVA NEWS
Forthcoming World Congresses
We are all eagerly anticipating our next Congress in
Korea on beautiful Jeju Island. The local organising
committee is working hard to make this an event we
will not forget easily. Save the date in your calendar:
1417 October 2011. I wish my Korean friends
(haeng-un-eul bil-eoyo; good luck) with the
organisation of this prestigious event.
After Korea, WASVA/FECAVA Congress will be in
England, where the BSAVA is up to the challenge of
organising the biggest World Congress ever in
April 2012.
In 2013 we will visit stunning New Zealand
Christchurch was shaken up a bit by the recent
earthquake but the local organising committee assure
us that it was business as usual, although our hearts
go out to the people that were affected.
After 20 years, our family will return to the African
continent and South Africa in 2014. One of our main
goals will be to reach the entire continent with our
excellent continuing education efforts. This meeting
will have a true regional outreach, touching vets all
over Africa.
Treasury transfer
The Treasury transfer has not been easy and has put
our new Treasurer, Shane Ryan, and our supportive
staff including our Hon. Secretary Walt Ingwersen and
Chief Administration Officer June Ingwersen to the
WSAVA Assembly members at the Geneva Congress 2010
Bidding process for the 2015
World Congress
The bidding process will change for 2015 and beyond.
Because of the wonderful regional enthusiasm of the
2014 bids, the Congress Scientific Committee, our
PCO and the executive board have decided that Asia/
Oceania will be the next Congress region (2015). This
will automatically mean that the Americas will follow in
2016 and Europe/Middle East/Africa in 2017, and so
on. Details of the bidding process will follow shortly.
Thank you Geneva!
We all enjoyed a wonderful meeting in Geneva and we
cannot say it enough: the Swiss did a marvelous job in
hosting us and making the 2010 World Congress a
huge success. Chris Amberger and his team will be in
our minds for a long time.
2527 WSAVA.indd 26 19/11/2010 15:08
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WSAVA NEWS
test. The good news is that our financials will be crystal
clear and easy to read and obtain for all interested. We
are a legal entity in the world now and Canada is our
homestead, thanks to the hard work of all involved.
WSAVA Foundation
More good news the WSAVA Foundation is chomping
at the bit to be inaugurated and start working to
promote global veterinary care all over the world. Brian
Romberg and his team have done an outstanding job
in pushing this important initiative forward.
Standardisation projects
Last but not least, new standardisation projects
including the One Health Initiative, V5 Nutritional
Standards Project, the Global Pain Council and the
Wellness Project are underway to shape our future. One
Health, under the leadership of Professor Michael Day,
will rock the world because it is the first of its kind that
takes companion animals seriously as an essential part
of the One Health protocols. Its first meeting will be at
NAVC and both Michael Day and Di Sheehan will
promote our committee at the first One Health Congress
in Melbourne, Australia on 1416 February 2011.
V5 stands for the 5th vital assessment and
addresses the important role nutrition plays in a
healthy pet. We need to shift the focus from therapy to
prevention and one of the cornerstones is keeping
your pet healthy proper nutrition is of course of the
essence of this.
The Wellness Project will be developed in the next
six months. The Global Pain Council will translate
knowledge of pain management and evaluation of pain
in companion animals from well-established protocols
in certain countries to the rest of the world. Key opinion
leaders will identify the major issues and develop
protocols that can be used by everybody. Wellness of
pets is a mainstay of every veterinary surgeon and
linking global standards to wellness and welfare is the
key to improving veterinary care everywhere.
None of these projects would be possible without
the help of volunteers, our friends at other Associations
and our sponsors. Dr Janet Donlin, Chief Veterinary
Officer at our prime sponsor Hills, has been appointed
to be our direct liaison in the company and we could
have not dreamed for a better person to replace Hein
Meyer. Hein, of course, has been our longstanding
friend within Hills Pet Nutrition and his strategic view to
combine our efforts and global reach has truly
changed the veterinary world. Janet is a wonderful
person too who combines care for pets and people
with a human touch for business. Welcome Janet to
our veterinary family!
2011 was recently elected by the American Senate
to be the Year of the Veterinarian. Lets celebrate this
all over the world together with our theme of 2011:
Global One Health. The veterinary surgeon is an
essential element of the One Health Initiative and we
will dedicate all our efforts to promoting this globally
starting with the first meeting of the One Health Project
Group in January 2011 and ending with a keynote
lecture from one of the most worlds famous virologists
at the WSAVA 2011 World Congress.
I wish you all a happy WSAVA new year!
And finally
If you want to be really up-to-date about what a WSAVA
President does these days, follow me on Twitter
(WSAVAPrez log) or type in WSAVA on Facebook.
Dr Janet Donlin, Chief Veterinary Officer of Hills Pet
Nutrition (third left) with (from left), Dr Di Sheehan,
Vice President of WSAVA; Dr Veronica Leong, Board
member of WSAVA; Mrs Isabel Romberg; Mrs Mary
Holt; Mrs Jane Wadsworth
2527 WSAVA.indd 27 19/11/2010 15:09
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THE companion INTERVIEW
Professor
John
Cooper
BVSc DTVM FIBiol FRCPath
Dip ECVD FRVCS
John Cooper was born in Hertfordshire in 1944, one of three children of a civil
servant and a teacher. He grew up in Essex where he developed his passion for
natural history. After qualifying from Bristol veterinary school in 1966 he gained a
postgraduate qualification in tropical veterinary medicine. He has gone on to spend
more than 15 years working overseas in Africa, the Middle East and the Caribbean,
including a period in Rwanda working with the highly endangered mountain gorilla.
He has recently returned from a spell as professor of veterinary pathology at the
University of the West Indies in Trinidad. He currently holds visiting professorships
at the universities of Cambridge, Nottingham Trent and Nairobi, Kenya. He has
written extensively on diagnostic pathology, wildlife and forensic medicine, tropical
diseases, zoonoses and human health. He is an RCVS-recognised specialist in
veterinary pathology and was a member of the Royal College Council from
198091. He is married to Margaret, who trained as a lawyer and has made a
special study of animal and conservation law. They have a shared interest in natural
history, youth activities, overseas travel, international development and human
rights. They have two adult children and two grandchildren
Q
What do you consider to be your most
important achievement during your career?
A
To have helped develop wildlife and exotic
animal work as a veterinary speciality while
retaining my interest in and providing care for
domesticated species.
What has been your main interest outside work?
Natural history.
When and where were you happiest?
In my first year after qualifying, in Tanzania, East Africa
and again in Kenya, when Margaret joined me there
two years later.
Who has been the most inspiring influence on your
professional career?
The naturalist and broadcaster Maxwell Knight who
through his writings and personal tuition helped me to
appreciate the natural world and taught me that being
28-29 Interview.indd 28 19/11/2010 14:35
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THE companion INTERVIEW
What is the most frustrating aspect of
your work?
Dealing with people who do not
acknowledge or reply to emails and other
communications, especially when I have
gone to the trouble, often at short notice, to
provide them with help or information.
If you were given unlimited political
power, what would you do with it?
Eliminate torture and close down the US
prison camp at Guantanamo Bay.
Which historical or literary figure do
you most identify with and why?
John Hunter (17281793), the anatomist
and surgeon. Among his many
achievements, he helped found and
maintain Britains first veterinary college.
Why? Because he and his work epitomise
to me the real meaning and significance of
comparative medicine what many people
are now calling One medicine. John
Hunter enthusiastically embarked on
studies of the animal kingdom as a whole
and he attributed his breadth of interest
and knowledge to his life-long fascination
with the living world. Interestingly, he could
not be considered a literary figure because
his writing skills (as opposed to his
knowledge) were limited. Wisely, he used
an amanuensis to record many of his
an observant nature detective could assist
in clinical diagnosis and was the
foundation of forensic investigation.
What is the most significant lesson you
have learned so far in life?
Deep water! I have learnt the hard way
that living adventurously is great fun but
can have adverse consequences.
What do you regard as the most
important decision that you have made
in your life?
Professionally, in 1966, deciding to be the
first veterinary surgeon to serve overseas
with VSO (Voluntary Service Overseas).
Personally, getting married to Margaret.
THE companion INTERVIEW
findings. I often wonder how he would have
coped in the present computer-dominated
climate when so many gifted people are
expected to type their own manuscripts as
well as produce good science.
If you could change one thing about
your appearance or personality, what
would it be?
To be more discerning as to when my
taking a strong, sometimes abrasive stand
over an issue is productive and when it is
not and may as a result cause distress or
offence to an individual.
What is your most important
possession?
My personal, hand-written diaries, which
date back to 1955 when I was 11 years old.
I began them in order to earn a much
coveted scout badge. I wrote a natural
history journal for three months and have
continued ever since.
What would you have done if you hadnt
chosen to work in the veterinary
sphere?
I would have become an entomologist. I
would thereby have had an excuse to
chase butterflies and to explore the rain
forests and to be paid for it! n
I have learnt the hard way that living
adventurously is great fun but can have
adverse consequences
companion WHATS NEW FOR 2011?
Merry Christmas from the companion team
and all at BSAVA.
For 2011 companion is launching a new clinical feature to
sit alongside the hugely popular Clinical Conundrum and How
to, and we need your help to mould it into something exciting,
innovative and, most importantly, useful. Is there a nagging
question or confusing scenario that you and your colleagues
encounter again and again? Is there a discipline or topic that
you want comprehensively reviewed? Do you wish you had a
personal specialist you could ask questions of? If so, get in
touch and help us turn your idea into a feature your colleagues
will value too.
We want to hear all your ideas, however grand or
seemingly inconsequential they may be. All suggestions that
form the basis of a future article will be rewarded with a pack
of BSAVA goodies. Plus youll have the satisfaction of seeing
your personal query dealt with comprehensively in print.
Of course we always welcome submissions to the Clinical
Counudrum. Its been great to see more and more submissions
from all avenues of the profession, but we would particularly
like to see more cases from those in general practice. As the
popularity of the feature continues to grow we have increased
the honorarium to 150, and there is a team of editors keen to
help you turn your case into an exciting feature. The case
doesnt have to be the weird or unusual it just needs to
demonstrate thorough investigation of an initially confusing
situation. Its an excellent way to share your experiences with
others or to dip a toe into case writing, perhaps as practice for
a certificate, with as much or as little
input from us as you want or need.
So for 2011 get involved, tell us
what clinical queries you have, or
set that exciting case to paper.
We want to hear from you. Email
companion@bsava.com or call
Kay Pringle on 01452 726718. n
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CPD diary
JANUARY 2011
DAY MEETING
Tuesday 7 December
Medicine, surgery and emergency care of reptiles
Speakers: Simon Girling and Romain Pizzi
Mottram Hall, Cheshire SK10 4QT
Details from administration@bsava.com
EVENING MEETING SOUTH WALES REGION
Wednesday 8 December
Cruciates
Speaker: Bill Oxley
Shepherds The Vets, Ty Arc, Brackla Park, Bridgend CF31 2BF
Details from southwalesregion@bsava.com
EVENING MEETING KENT REGION
Wednesday 15 December
Christmas Referrals Fair
Speaker: Chris Little
Best Western Russell Hotel, 136 Boxley Road, Maidstone ME14 2AE
Details from kentregion@bsava.com
EVENING MEETING SOUTH WALES REGION
Wednesday 12 January
Feline endocrinopathies
Speaker: Andrea Harvey
Venue TBC
Details from southwalesregion@bsava.com
EVENING MEETING SOUTH WEST REGION
Wednesday 12 January
Local anaesthesia and pain management
Speaker: Jo Murrell
Communal Building, School of Veterinary Science, University of Bristol,
Langford, North Somerset BS40 5DU
Details from southwestregion@bsava.com
EVENING MEETING NORTHERN IRELAND REGION
Thursday 13 January
Pet chickens
Speaker: Victoria Roberts
Ramada Belfast, Shaws Bridge, Belfast BT8 7XP
Details from nirelandregion@bsava.com
DAY MEETING SURREY AND SUSSEX REGION
Tuesday 18 January
The anorexic cat
Speaker: Danielle Gunn-Moore
Holiday Inn, Gatwick, Povey Cross Road, Horley RH6 0BA
Details from surreyandsussexregion@bsava.com
EVENING MEETING KENT REGION
Wednesday 19 January
Repairing jaw fractures
Speaker: Cedric Tutt
Best Western Russell Hotel, 136 Boxley Road, Maidstone ME14 2AE
Details from kentregion@bsava.com
EVENING MEETING SOUTHERN REGION
Tuesday 25 January
Ferret medicine and management
Speaker: John Chitty
Potters Heron Hotel, Romsey SO51 9ZF
Details from southernregion@bsava.com
DAY MEETING
Tuesday 25 January
Upper urinary tract disease
Speaker: Hattie Syme
BSAVA Headquarters, Gloucester GL2 2AB
Details from administration@bsava.com
DAY MEETING
Thursday 27 January
Critical care medicine: how to save the sickest
Speaker: Amanda Boag
Radisson SAS, Manchester Airport M90 3RA
Details from administration@bsava.com
EVENING MEETING SURREY AND SUSSEX REGION
Thursday 27 January
Adrenal disease in dogs and cats
Speaker: Krista Vissert Hooft
Leatherhead Golf Club, Kingston Road, Surrey KT22 0EE
Details from surreyandsussexregion@bsava.com
EVENING MEETING MIDLANDS REGION
Thursday 9 December
Top tips in abdominal surgery
Speaker: Liz Welsh
The Hilton Warwick, A429, Stratford Road, Warwick,
Warwickshire CV34 6RE
Details from midlandregion@bsava.com
EVENING MEETING NORTH EAST REGION
Wednesday 8 December
An approach to the hot dog and cat!
Speaker: Roger Wilkinson
Idexx Laboratories, Wetherby, Grange House, Sandback Way,
Wetherby, West Yorkshire LS22 7DN
Details from northeastregion@bsava.com
DAY MEETING NORTH EAST REGION
Sunday 23 January
Lameness and acquired heart disease in the cat: a
practical update
Speakers: Tim Shearman and Rob Williams
Ramada Hotel, Leeds Road, Wetherby, West Yorkshire LS22 5HE
Details from northeastregion@bsava.com
DAY MEETING SCOTTISH REGION
Sunday 30 January
Neurology for vets: localisation and case studies
Speaker: Jacques Penderis
Edinburgh Vet School, Easter Bush Veterinary Centre, Roslin,
Midlothian EH25 9RG
Details from scottishregion@bsava.com
30-31 Diary.indd 30 19/11/2010 14:35
companion
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31
CPD DIARY
FEBRUARY 2011
MARCH 2011
EVENING MEETING SOUTH WEST REGION
Wednesday 2 February
Clinical research in practice
Speaker: Richard Mellanby
Communal Building, School of Veterinary Science, University of Bristol,
Langford, North Somerset BS40 5DU
Details from southwestregion@bsava.com
EVENING MEETING NORTHERN IRELAND REGION
Sunday 13 February
Ophthalmology
Speaker: Jim Carter
Ramada Belfast, Shaws Bridge, Belfast BT8 7XP
Details from nirelandregion@bsava.com
DAY MEETING EAST ANGLIA REGION
Sunday 13 February
Ophthalmology
Speakers: Christine Heinrich and David Gould
The Cambridge Belfry, Cambourne, Cambridge CB23 6BW
Details from eastanglia.region@bsava.com
EVENING MEETING METROPOLITAN REGION
Wednesday 16 February
Haematology: blood smear evaluation
Speaker: Balazs Szladovits
Venue TBC
Details from metropolitanregion@bsava.com
EVENING MEETING SCOTTISH REGION
Thursday 17 February
The vomiting dog
Speaker: Jimmy Simpson
Holiday Inn, Westhill, Aberdeen AB32 6TT
Details from scottishregion@bsava.com
EVENING MEETING SURREY AND SUSSEX REGION
Wednesday 23 February
Ultrasonography of the gastrointestinal tract
Speaker: Andrew Denning
Leatherhead Golf Club, Kingston Road, Surrey KT22 0EE
Details from surreyandsussexregion@bsava.com
EVENING MEETING SOUTHERN REGION
Thursday 24 February
Chemotherapy in practice
Speaker: Gerry Polton
Potters Heron Hotel, Romsey SO51 9ZF
Details from southernregion@bsava.com
EVENING MEETING NORTH WEST REGION
Wednesday 2 March
Rabbits: one paw beyond the grave
Speaker: Molly Varga
Swallow Hotel, Preston PR5 0UL
Details from northwestregion@bsava.com
EVENING MEETING SOUTH WEST REGION
Thursday 3 March
Mast cell tumours
Speaker: Tom Cave
Arundell Arms Hotel, Lifton, Devon PL16 0AA
Details from southwestregion@bsava.com
EVENING MEETING NORTH WEST REGION
Wednesday 2 February
Solving the medical dilemma
Speaker: Rebecca Littler
Britannia Hotel, Northenden M22 4FH
Details from northwestregion@bsava.com
EVENING MEETING SOUTH WEST REGION
Wednesday 16 February
Please help! Yet another cat with liver disease:
but what is going on?
Speaker: Angie Hibbert
Sandy Park Conference Centre, Exeter EX2 7NN
Details from southwestregion@bsava.com
EVENING MEETING NORTH EAST REGION
Tuesday 8 February
Im a small animal vet: what do I know about chickens!
Speaker: Victoria Roberts
IDEXX Laboratories Wetherby, Grange House,
Sandbeck Way, Wetherby, West Yorkshire LS22 7DN
Details from northeastregion@bsava.com
DAY MEETING
Tuesday 15 February
Lower urinary tract disease: plumbing problems
Speaker: Hattie Syme
BSAVA Headquarters, Gloucester GL2 2AB
Details from administration@bsava.com
DAY MEETING
Thursday 17 February
Endocrinology I: PU/PD and alopecia
Speaker: Ian Ramsey
BSAVA Headquarters, Gloucester GL2 2AB
Details from administration@bsava.com
DAY MEETING SCOTTISH REGION
Sunday 30 January
Nursing care of the neuro patient
Speaker: Gillian Calvo
Edinburgh Vet School, Easter Bush Veterinary Centre, Roslin,
Midlothian EH25 9RG
Details from scottishregion@bsava.com
EVENING MEETING KENT REGION
Wednesday 16 February
Managing the avian inpatient
Speaker: John Chitty
Best Western Russell Hotel, 136 Boxley Road, Maidstone ME14 2AE
Details from kentregion@bsava.com
30-31 Diary.indd 31 19/11/2010 14:35
British Small Animal Veterinary Association
Woodrow House, 1 Telford Way, Waterwells Business Park,
Quedgeley, Gloucester GL2 2AB
Tel: 01452 726700 Fax: 01452 726701
Email: administration@bsava.com
Web: www.bsava.com
For more information or to
book visit www.bsava.com,
email administration@bsava.com
or call 01452 726700.
BSAVA Small Animal
Modular Series 2011

27 January
Critical care medicine
How to save the sickest
Speaker: Amanda Boag

17 February
Endocrinology I
PU/PD and alopecia: why old dogs
and old men are different
Speaker: Ian Ramsey

28 April
Endocrinology II
Endocrine emergencies, collapse,
and effect on blood pressure
Speaker: Mike Herrtage

26 May
Clinical pathology
Interpretation of biochemical
data and an introduction to
diagnostic cytology
Speaker: Elizabeth Villiers
Fees:
Early Bird Price: bookings received by 12 January
Full modular Member: 1362.07 Non-member: 2043.11
Individual module Member: 203.14 Non-member: 304.70
Prices from 13 January 2011
Full modular Member: 1433.76 Non-member: 2150.64
Individual module Member: 213.83 Non-member: 320.74
Also discounts for booking multiple courses at the same time

30 June
GIT I
Diseases of the canine and feline
pancreas
Speaker: Penny Watson

29 September
GIT II
Oesophagus, stomach and intestines
Speaker: Alex German

27 October
Haematology
Speaker: Clare Knottenbelt

24 November
Clinical nutrition
Let food be your rst medicine
Speaker: Penny Watson
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