Archive

Archive for the ‘Telemedicine’ Category

Read About Us in Veterinary Practice News

January 6, 2012 Leave a comment

Introduction to Veterinary Answers, LLC

October 25, 2008 Leave a comment
Veterinary Answers is a phone, fax, and email consultation service provided by specialist veterinarians to assist general practice veterinarians with their cases and practice. Our goal is to provide veterinarians with the information that will allow them to refer fewer patients and provide the highest standard of care available. We provide this service to licensed veterinarians only.

In addition to assistance with individual cases, we also provide article searches, we will set up hospital protocols for infection control or commonly encountered diseases, and answer any question you have in small animal veterinary medicine.

In this blog, we will review current literature and provide our assessment of recent articles that bring up clinically relevant or controversial topics.

Contact us with your questions or comments.
Toll Free Phone (877) 262-3024

Toll Free Fax (888) 496-4473

Email – jfryer@veterinaryanswers.com

www.veterinaryanswers.com

More Consultants

April 29, 2008 1 comment

Veterinary Answers is here to help with all the species you see in your practice!

Anesthesia

Courtney S. Baetge, DVM – Board Eligible in Anesthesia

Dermatology

Terri Bonenberger, DVM, DACVD

Emergency / Critical Care

Michael S. Garvey, DVM, DACVIM (SA-IM), DACVECC

Megan Ridley, DVM

Exotics/Avian

Christal Pollock, DVM, DABVP-Avian

Large Animal Internal Medicine

Natalie Carrillo, DVM, DACVIM (LA-IM)

Oncology

Chelsea Greenberg, DVM, DACVIM (Oncology)

John Hintermeister, DVM, Board Eligible in Oncology

Ophthalmology

Joan Dziezyc, DVM, DACVO

Nicholas Millichamp, Bsc, PhD, DACVO

Neurology

Georgina Barone, DVM, DACVIM (Neurology)

Radiology

Pet Rays 1-888-4-PETRAYS or http://www.petrays.com

Small Animal Internal Medicine

Jennifer S. Fryer, DVM – Board Eligible in Internal Medicine

Michael S. Garvey, DVM, DACVIM (SA-IM), DACVECC

PetRays Affiliation

March 12, 2008 Leave a comment

Veterinary Answers is now partnering with PetRays to provide our clients with rapid access to quality radiology consultations with a 4 hour turnaround on routine requests and 30 minutes on STAT requests.  Soon, all Veterinary Answers consultants will be available at the click of button via your PetRays account software.  This will speed up our turnaround on consults and provide you with an archive of both your radiology and medicine reports. 

Call 1-888-4PetRays to set up an account to start receiving rapid radiology consults.

PetRays Affiliation

March 12, 2008 Leave a comment
Veterinary Answers is now partnering with PetRays to provide our clients with rapid access to quality radiology consultations with a 4 hour turnaround on routine requests and 30 minutes on STAT requests. Soon, all Veterinary Answers consultants will be available at the click of button via your PetRays account software. This will speed up our turnaround on consults and provide you with an archive of both your radiology and medicine reports.

Call 1-888-4PetRays to set up an account to start receiving rapid radiology consults.

Severe DKA and Severe Financial Constraints – What are the Options?

November 15, 2007 Leave a comment

thumper_lap.jpg

Ms. Smith brings in her 14 year old cat Mama Cat. The cat is a diabetic who receives twice daily insulin. Ms. Smith tells you that she hasn’t come back for a glucose curve for the last year because she couldn’t afford it. She thought Mama Cat was doing OK on her dose of insulin. The cat started vomiting a few days ago. Ms. Smith came home from work today to find that Mama Cat can’t get up. She wants to do everything possible for Mama Cat, but wants to do it inexpensively. And she promises to heed your advice on follow-up visits in the future.Mama Cat is hypothermic and obtunded. A blood glucose is >600 and the cat has 1+ ketones in her urine. Ms. Smith has declined referral to the local 24 hour clinic. You are uncomfortable managing such a sick cat. But Ms. Smith really wants you to treat her. You look in the fridge. Your bottle of Regular Insulin expired a month ago – a testament to the fact that it has been a long time since you have treated a DKA. What should you do now?

First of all, don’t worry. If you can get an IV catheter & fluids in Mama Cat, you have made huge progress towards saving her. The first thing Mama Cat needs is fluid resuscitation. You can worry about the insulin later, once she is better hydrated. That gives you plenty of time to send your assistant to the drug store to get some more Humulin R. Once you have that insulin, you can use the IM technique, which requires less monitoring for you & your staff and less expense for the owner. It works just as well as a CRI of insulin. Control her nausea with metoclopramide to get her eating (or put an NE tube in). You will find that her glucose, potassium, and phosphorus will regulate faster and with less need for monitoring.

We frequently receive calls like this at Veterinary Answers. We will talk you through the steps you need to take and send you a written report to use as your guide. We want Mama Cat to pull through just as much as you do. And we will be there for you every step of the way.

Severe DKA and Severe Financial Constraints – What are the Options?

November 15, 2007 Leave a comment

thumper_lap.jpg

Ms. Smith brings in her 14 year old cat Mama Cat. The cat is a diabetic who receives twice daily insulin. Ms. Smith tells you that she hasn’t come back for a glucose curve for the last year because she couldn’t afford it. She thought Mama Cat was doing OK on her dose of insulin. The cat started vomiting a few days ago. Ms. Smith came home from work today to find that Mama Cat can’t get up. She wants to do everything possible for Mama Cat, but wants to do it inexpensively. And she promises to heed your advice on follow-up visits in the future.Mama Cat is hypothermic and obtunded. A blood glucose is >600 and the cat has 1+ ketones in her urine. Ms. Smith has declined referral to the local 24 hour clinic. You are uncomfortable managing such a sick cat. But Ms. Smith really wants you to treat her. You look in the fridge. Your bottle of Regular Insulin expired a month ago – a testament to the fact that it has been a long time since you have treated a DKA. What should you do now?

First of all, don’t worry. If you can get an IV catheter & fluids in Mama Cat, you have made huge progress towards saving her. The first thing Mama Cat needs is fluid resuscitation. You can worry about the insulin later, once she is better hydrated. That gives you plenty of time to send your assistant to the drug store to get some more Humulin R. Once you have that insulin, you can use the IM technique, which requires less monitoring for you & your staff and less expense for the owner. It works just as well as a CRI of insulin. Control her nausea with metoclopramide to get her eating (or put an NE tube in). You will find that her glucose, potassium, and phosphorus will regulate faster and with less need for monitoring.

We frequently receive calls like this at Veterinary Answers. We will talk you through the steps you need to take and send you a written report to use as your guide. We want Mama Cat to pull through just as much as you do. And we will be there for you every step of the way.

Focus on Referral Issues

November 14, 2007 Leave a comment

This article in the recent issue of Trends Magazine, highlights many of the issues that prompted me to found Veterinary Answers. AAHA held forums to promote better relationships between general practitioners and specialists. The forums were held in Denver, CO; Orange County & Fremont, CA; Houston, TX; Chicago, IL; Boston, MA; and Washington, DC and were attended by 121 specialists & 74 general practitioners. Unfortunately, specialists were overrepresented. But I think the results are pertinent.

Please add your perspective on these issues, too.

The Referring Veterinarian’s Perspective

  • They would like “mutual respect and a non-judgmental attitude” in communications with specialists.
  • They prefer that their calls be returned during business hours.
  • They would like to have a specialist give due to consideration to consultations and advice on cases that cannot be referred.

The Specialist’s Perspective

  • Because of busy schedules, they return most calls after hours.
  • Most specialists return consult calls last.
  • Specialists are hesitant to discuss advice when a case is not going to be referred.
  • They are also hesitant to give advice on cases they have not seen for a long time.

I have been on both sides here. It is so frustrating to have a difficult case that cannot be referred, yet you and owner desperately want to help the animal. I have also been the busy specialist who didn’t see her less urgent messages until she could finally sit down at her desk at 8:30 in the evening, long after most veterinarians (hopefully) have gone home. I can’t tell you how many consults I gave on the fly to a vet who needed help. I gave the best advice I could while juggling several issues at once (an occasionally with an ultrasound probe in my hand). It wasn’t fair to anyone. My advice wasn’t as well reasoned as it should have been, I probably sounded stressed, and the veterinarian at the other end of the phone did not receive any documentation of our conversation. While doing referral work, most of my time was spent talking with owners and RDVMs about hospitalized cases, doing ultrasound, and SOAPing patients. Everything else developed a low priority so that my patients could receive the best care. Something had to give, and unfortunately, it was often the referring veterinarians who paid the price.

Veterinary Answers gives calling veterinarians their undivided attention. Every call is followed with a written report that is faxed or emailed to the veterinarian to document the conversation. We work together with veterinarians to advance the level of care they give all of their patients. We understand the limitations veterinarians face, from owner financial constraints to limited resources. Together, we will work with you to help your patients despite these obstacles.

Focus on Referral Issues

November 14, 2007 Leave a comment

This article in the recent issue of Trends Magazine, highlights many of the issues that prompted me to found Veterinary Answers. AAHA held forums to promote better relationships between general practitioners and specialists. The forums were held in Denver, CO; Orange County & Fremont, CA; Houston, TX; Chicago, IL; Boston, MA; and Washington, DC and were attended by 121 specialists & 74 general practitioners. Unfortunately, specialists were overrepresented. But I think the results are pertinent.

Please add your perspective on these issues, too.

The Referring Veterinarian’s Perspective

  • They would like “mutual respect and a non-judgmental attitude” in communications with specialists.
  • They prefer that their calls be returned during business hours.
  • They would like to have a specialist give due to consideration to consultations and advice on cases that cannot be referred.

The Specialist’s Perspective

  • Because of busy schedules, they return most calls after hours.
  • Most specialists return consult calls last.
  • Specialists are hesitant to discuss advice when a case is not going to be referred.
  • They are also hesitant to give advice on cases they have not seen for a long time.

I have been on both sides here. It is so frustrating to have a difficult case that cannot be referred, yet you and owner desperately want to help the animal. I have also been the busy specialist who didn’t see her less urgent messages until she could finally sit down at her desk at 8:30 in the evening, long after most veterinarians (hopefully) have gone home. I can’t tell you how many consults I gave on the fly to a vet who needed help. I gave the best advice I could while juggling several issues at once (an occasionally with an ultrasound probe in my hand). It wasn’t fair to anyone. My advice wasn’t as well reasoned as it should have been, I probably sounded stressed, and the veterinarian at the other end of the phone did not receive any documentation of our conversation. While doing referral work, most of my time was spent talking with owners and RDVMs about hospitalized cases, doing ultrasound, and SOAPing patients. Everything else developed a low priority so that my patients could receive the best care. Something had to give, and unfortunately, it was often the referring veterinarians who paid the price.

Veterinary Answers gives calling veterinarians their undivided attention. Every call is followed with a written report that is faxed or emailed to the veterinarian to document the conversation. We work together with veterinarians to advance the level of care they give all of their patients. We understand the limitations veterinarians face, from owner financial constraints to limited resources. Together, we will work with you to help your patients despite these obstacles.

The Future of Veterinary Answers

November 1, 2007 Leave a comment

 

What’s In Store For Veterinary Answers?

  • More Consultants! Tell us which specialties you would like us to add
  • Continuing education seminars – We can provide a speaker for your next event or staff meeting.
  • Research – As veterinarians on the front line, you are the first to see cases of emerging diseases, trends in antibiotic resistance, clusters of immune-mediated or neoplastic diseases. We can work together to address trends more quickly.

Tell us what else you would like to see.