Friday, February 23rd

Small Animal I

Dr. Ed Fallin
Sponsored by Veterinary Referral & Critical Care

9:50 am | "Defensive Medicine: Philosophy, Strategy or Necessity"
Is “defensive medicine” becoming a cancer, eating at the heart of our ability to provide timely, practical, and affordable veterinary service? Should veterinarians spend more time keeping their legal adviser happy than actually curing animals? Simple, practical solutions for an ever-growing problem facing veterinary practitioners.

11:10 am | "When Bad Things Happen to Good Veterinarians: Addressing Medical Errors in Your Practice"
A patient in your hospital has just received a potentially life threatening dose of medication that you erroneously calculated and prescribed. An honest mistake has transformed into your worst nightmare. Your next step could determine the future of your practice. An ethical approach to addressing what could be one of the most important decisions of your life will be the topic of this discussion.

Dr. Guillermo Couto
Sponsored by IDEXX

12:05 pm | "What is this CBC Telling me?"
Basic principles of interpretation of the CBC will be discussed using cases to illustrate different aspects. At the end of this talk, the CBC will talk to you!

2:00 pm | "Anemia- Case Discussions- Part 1"
The value of the history, physical examination, CBC interpretation, and other diagnostic tests in the diagnosis of anemia's will be discussed, placing emphasis on in-house diagnostics and differential diagnoses.

2:50 pm | "Anemia- Case Discussions- Part 2"
The value of the history, physical examination, CBC interpretation, and other diagnostic tests in the diagnosis of anemia's will be discussed, placing emphasis on in-house diagnostics and differential diagnoses.

4:10 pm | "Leukocytes: Do Normal Numbers Mean Normal Patients?" 
No!!! Despite what they teach us in vet school, as many as 50% of patients with severe systemic inflammation and a variable proportion of dogs and cats with hematopoietic neoplasia have normal total WBC and normal differential counts. Cases will be used to illustrate this neglected aspect of hematology.

5:00 pm | "Fever of Unknown Origin: Clinical Approach"
We frequently encounter patients with protracted and unexplained fever. Is it infections, immune-mediated, neoplastic? A simple and straightforward approach usually gets us to our destination. Clinic cases will be used to discuss this approach.

Small Animal II

Dr. Dana Liska
Sponsored by Zoetis

9:50 am | "Dermatology Diagnostics: Using Simple Test for Maximum Yield" 
This presentation will cover the basic dermatology diagnostic tests such as tape cytology, how and when to perform a bacterial culture and sensitivity test, and the keys points for skin scrapes, DTM, and biopsy. 

11:10 am | "Bacteria, Resistance and Antibiotics: Knowledge is Power"
This is a broad overview of how bacteria gain resistance and what we, as practitioners, can do to be good stewards of antibiotic therapy.

12:05 pm | "Four Steps to Better Dermatology" 
This is a clinically relevant approach to ruling out parasites, managing secondary infections, addressing food allergic dermatitis and the most important aspects of managing atopic dermatitis

2:00 pm | "Challenging Our Perspectives and Interactive Case Based Dermatology" 
Bring a smart phone or I-pad or WiFi enabled computer! This presentation uses polling software so attendees can vote on how they would proceed with real dermatology patient cases.

2:50 pm | "Challenging Our Perspectives and Interactive Case Based Dermatology, cont..."
Bring a smart phone or I-pad or WiFi enabled computer! This presentation uses polling software so attendees can vote on how they would proceed with real dermatology patient cases.

Dr. Jessica Walters
4:10 pm | "Backyard Poultry Management for the Veterinary Practitioner" 
Backyard poultry production is increasing in popularity with a need for reliable veterinary care. This session will focus on the basics of backyard poultry production for the small animal practitioner with the goal of establishing a baseline of management knowledge associated with disease risks. It will include discussion of management practices, bio-security, and overall health of backyard poultry.

Leslie Knachel, MPH
5:00 pm | "Board of Veterinary Medicine- Drug Regulations" 
The session will offer an overview of recent regulatory actions. A review of the regulations for prescribing of opioids, storing drugs and maintaining drug records will be provided.


Equine

Dr. Becker, Chief Monaco & Lt. Mainville
9:50 am
 | "Large Animal Rescue" 
Technical Large Animal Rescue (TLAR) is the safe and practical extrication of a live large animal from entrapment (upside down in ditches, stuck in mud, trapped in trailer, etc.). It is not the “rescue” of neglected or abused animals.

TLAR is a specialized type of “Heavy Rescue" and is a new idea within the Virginia fire service. Over the last decade, the occurrence of large animal incidents has become more common. Emergency services have begun to respond to these calls as the public has a "911 Call Does It All" mentality. The increased number of these incidents has uncovered the need for specialized training in this field. The need for veterinarians to be able to coordinate their service with emergency providers is critical. In this presentation we will concentrate on the role of the Veterinarian.

Dr. Barry David
10:50 am | "Medical Emergencies in the Field"

1:00 pm | "Respiratory Tract Disease"

1:50 pm | "GI Tract Disease"


Dr. Angela Pelzel-McCluskey

3:00 pm | "Equine Piroplasmosis in Virginia " A comprehensive review of equine piroplasmosis in the United States including the recent cases identified in Virginia. Discussion of current high-risk equine populations, surveillance, diagnostics, regulatory response, and chemotherapeutic treatment of infected equids.


4:10 pm | "Trace-ability of Equine Microchips" 
A case-study based presentation of the current capabilities and limitations of equine microchip trace-ability in the United States. Review of recent equine industry initiatives relating to microchip identification, the role of the equine practitioner, and ongoing challenges that need to be addressed.

Dr. Barry David
5:00 pm | "Case Presentations"

 

Public Practice
Dr. Valerie Ragan
9:50 am | "Alternative Veterinary Career Paths" 
In this presentation, recent data about the motivations for veterinarians to change career paths will be presented. In addition, we will explore an overview of opportunities in veterinary medicine, with a focus on pathways towards determining and pursuing a successful and personally fulfilling career choice.

Dr. Megan Kirchgessner & Brendan Delbos, MS
10:50 am | "Virginia Aquaculture and the Role of the Veterinarian"
Aquaculture is the fastest growing food production industry in the world. Nationally, Virginia is ranked 11th in overall aquaculture sales and 10th in aquaculture food fish sales. As such, licensed Virginia veterinarians have a unique opportunity to interact with aquaculture producers to ensure the health of farmed-raised fish.

Dr. David Gaines
1:00 pm | "Tick Ecology in Virginia"
This section will cover the ticks and tick-borne diseases important in Virginia, and will focus some attention on Lyme, and Rickettsial diseases such as Rocky Mountain spotted fever and ehrlichiosis.


Laura Young, MPH
1:50 pm | "Human Tuberculosis Epidemiology and Agricultural Transmission Risks"


Dr. Angela Pelzel-McCluskey
3:00 pm | "Equine Piroplasmosis in Virginia"
A comprehensive review of equine piroplasmosis in the United States including the recent cases identified in Virginia. Discussion of current high-risk equine populations, surveillance, diagnostics, regulatory response, and chemotherapeutic treatment of infected equids.

4:10 pm | "Equine Microchipping"   A case-study based presentation of the current capabilities and limitations of equine microchip trace-ability in the United States. Review of recent equine industry initiatives relating to microchip identification, the role of the equine practitioner, and ongoing challenges that need to be addressed.

Leslie Knachel, MPH
5:00 pm | "Board of Veterinary Medicine- Drug Regulations"
The session will offer an overview of recent regulatory actions. A review of the regulations for prescribing of opioids, storing drugs and maintaining drug records will be provided. 

Food Animal

Dr. Kathleen Becker, Chief Monaco & Lt. Mainville
9:50 am | "Large Animal Rescue" 
Technical Large Animal Rescue (TLAR) is the safe and practical extrication of a live large animal from entrapment (upside down in ditches, stuck in mud, trapped in trailer, etc.). It is not the “rescue” of neglected or abused animals.

TLAR is a specialized type of “Heavy Rescue" and is a new idea within the Virginia fire service. Over the last decade, the occurrence of large animal incidents has become more common. Emergency services have begun to respond to these calls as the public has a "911 Call Does It All" mentality. The increased number of these incidents has uncovered the need for specialized training in this field. The need for veterinarians to be able to coordinate their service with emergency providers is critical. In this presentation we will concentrate on the role of the Veterinarian.

Dr. Joan Bowen
10:50 am | "Practical Treatment of Sheep and Goat Diseases" 
The first contact between sheep and goat producers and a veterinarian is often for the immediate treatment of common life-threatening emergencies such as enterotoxemia, mastitis, pneumonia, tetanus or neonatal challenges.  These problems often occur due to the producer’s lack of knowledge about bio-security, livestock management or ruminant nutrition.  Veterinarians are uniquely qualified to diagnose and medically treat these common diseases as well as prevent recurrences through improving diet, management practices and vaccination strategies.

1:00 pm | "Prevention of Pregnancy Toxemia" 
Many sheep and goat producers lack a livestock production background and base their herd nutritional program on ingredient availability, Internet resources, local feed store recommendations and traditional feeding practices.  Few small-scale producers utilize nutritionists or quantitative analysis of the total ration, and their feeding practices often lead to metabolic imbalances such as pregnancy toxemia, lactational ketosis and hypocalcemia.  Fortunately, the majority of these problems can be treated successfully when recognized early in the course of disease, and additional cases can be prevented through correction of the diet.


1:50 pm
| "On Farm Sampling and Field Necropsy" 
In addition to routine testing for disease control and prevention programs, sheep and goat producers often depend on their veterinarian for on the farm assistance with body condition scoring, FAMACHA, California Mastitis Testing and hair sampling for genetic testing.  Veterinarians are encouraged to offer field necropsy on the farm when possible, and concerns for some of the challenges with this practice are described.

Dr. Michael Apley
Sponsored by Merck

3:00 pm | "Defining Resistance and Susceptibility: What S, I and R mean to you?"
This session reviews how susceptibility testing is conducted, where breakpoints come from, and how you can use S, I, and R in practice.

4:10 pm | "Antibiotic Resistance in Human and Veterinary Medicine"
With the focus today on antimicrobial stewardship in both human and veterinary medicine, it is good to know what the challenges are in both communities. There is some overlap, and also a lot of unique challenges associated with each.

5:00 pm | "Pharmaceutical Regulations, Changes and Trends, Including What is Likely in the Future"
We will be over a year into VFDs by this meeting, with some rather direct lessons learned. Now, what is next? The biggest changes probably aren’t coming from the national legislature.


Saturday, February 24th

Small Animal I

Dr. Otto Lanz
Sponsored by VA-MD College of Veterinary Medicine

8:00 am | "TPLO vs. TTA: Is There a Reason to Choose One Over the Other"

9:15 am | "Basic Fracture Repair: What Can I Do When Owners Do not Want or Cannot Afford Referral?
Attendees are asked to send example radiographs of fractures for discussion. Email to Talya@vvma.org

Dr. Gary Norsworthy
Sponsored by Purina and Abaxis

10:10 am | "Helping Charlie: A Study of Feline Weight Loss"
This six-hour symposium is entitled "Helping Charlie." Charlie is one of Dr. Norsworthy's mythical patients presented for weight loss. The diagnostic approach to weight loss in cats is explored. Charlie was diagnosed with hyperthyroidism so the diagnostic and therapeutic options will be discussed in detail in the first through third sessions. Following his treatment for hyperthyroidism, he developed chronic renal disease leading to a discussion on how to manage this disease using new tools including high protein (yes, HIGH protein) diets, benazepril, and calcitriol. CRD will be discussed in the fourth through six sessions.

Several side issues will be raised and explored including aging kittens and adult cats, sensitive thyroid palpation, body condition scores vs. muscle condition scores, relevant and irrelevant laboratory tests for hyperthyroidism and renal disease, and very practical issues related to radioactive iodine therapy. This symposium is presented by a practitioner and is designed for practitioners. You should leave with many practical tips for managing several feline diseases.

11:20 am | "Helping Charlie: cont..." See above

1:20 pm |  "Helping Charlie: cont..." See above

2:20 pm |  "Helping Charlie: cont..." See above

3:20 pm |  "Helping Charlie: cont..." See above

4:10 pm |  "Helping Charlie: cont..." See above


Small Animal II

Dr. William Bush
Sponsored by Bush Veterinary Neurology Service

8:00 am | "Seizure or Not Seizure- That is the Question"
The signs or symptoms of a seizure are often, but not always due to aberrant electrical activity in the cerebral cortex. This session will define seizure and then focus on distinguishing seizure from seizure-like events.  Many video cases and their corresponding EEG will be presented to assist the participants in better addressing this vital question

9:15 am | "Why is Your Patient Having Seizures?" 
Many but not all dogs have seizure for an unknown or genetic reason compared to a structural cause of the seizure. Since the treatment and prognosis for a structural cause is vastly different it is important to be able to make this distinction using historical and physical examination findings. This session will focus on the historical and examination findings that are important for distinguishing seizure from a structural compared to genetic or unknown cause.

10:10 am | "Acute and Chronic Seizure Management" 
This talk will address when and how to treat seizure. There will be a discussion of the benefits and downsides of maintenance anti-epileptic drugs (AEDs) currently available but the main focus will be the risks, prevalence and treatment of cluster seizure, status epilepticus and non-convulsive status epilepticus.

Dr. William Tyrrell
Sponsored by CVCA Cardia Care for Pets

11:20 am | "CHF Diagnosis and Treatment in the Canine and Feline" 
The two hour talk will go over both diagnosis and treatment of congestive heart failure in the canine and feline.  Emphasis on physical examination findings, radiography, cardiac biomarkers, echocardiogram and both acute and chronic therapy will be discussed.  The goal of the lecture is to articulate practical diagnostics and therapies that can be utilized every day in your hospital

1:20 pm | "CHF Diagnosis and Treatment in the Canine and Feline, cont.." See above

Dr. Leslie Sinn
Sponsored by Ceva

2:20 pm | "Low Stress Handling in the Veterinary Setting" 
This presentation will review key areas in your practice where you can begin to apply the principles of low stress handling and will provide you with take away points that you can quickly implement.

3:20 pm | "Neutriceuticals and Supplements for Behavioral Health
Complete an internet search of neutraceuticals or supplements for behavioral health and the list is confusingly long. This presentation will navigate the science and the hype and review what actually works and what does not.

4:10 pm | "Sedation and Management of the Behaviorally Challenging Patient
Approximately 30% of the cats and dogs that walk into your practice are aggressive.  What pharmaceuticals can you use to facilitate handling, decrease stress and improve safety for your patients and staff?



Equine

Dr. Becky Funk
Sponsored by VA-MD College of Veterinary Medicine

8:00 am | "Anestrus and Transition, Can We Start the Cycle?

9:15 am | "Behavior and Showing, Can We Stop the Cycle?

Dr. Jack Easley
10:10 am | "Why do We Float Horses' Teeth?" 
Scientific studies of eruption and wear principles and their relationship to malocclusions have changed the paradigm of “floating” teeth.  Since crown reductions and odontoplasty techniques alter the occlusal forces placed on continually-erupting teeth, they are considered now to be orthodontic procedures.  

11:20 am | "Every Veterinarian Can Take Good Dental Radiographs" 
Skull and dental radiographs have traditionally confused most equine practitioners.  Having a standardized approach to taking and orienting dental radiographs bring simple and straightforward results.  

1:20 pm | "Diagnosis & Treatment of Common Forms of Dental Disease" Most forms of dental disease can be grouped into developmental, periodontic, endodontic and traumatic categories.

2:20 pm | "Special Dental Concerns of the Geriatric Horse" Aged horses are the fastest growing segment of the equine population today, with many entering into a second and third career by the time they reach their mid-twenties.  Age brings many unique factors to be considered when evaluating the mouth and providing dental care and/or treatment

Dr. Sophie Bogers
Sponsored by VA-MD College of Veterinary Medicine

3:20 pm | "Surgery vs. Regenerative Medicine for Treatment of Joint Disease"

4:10 pm | "My Worst Sound Cases: Assessment and Treatment Decision Making"


Food Animal

Dr. Julio Giordano
Sponsored by Bohringer Ingelheim Animal Health

8:00 am | "First Service Management and Impact of Different Voluntary Waiting Period Duration"
These presentations will cover the latest concepts on reproductive biology and management of lactating dairy cattle as well as the implications of reproductive performance on herd profitability. The implementation of reproductive management strategies for dairy farms with different management philosophies and resources will be discussed. Special emphasis will be placed on programs that integrate synchronization of ovulation for timed artificial insemination with technologies for detection of estrus

9:00 am | "Reproductive Management Strategies for Second and Subsequent AI Services"
These presentations will cover the latest concepts on reproductive biology and management of lactating dairy cattle as well as the implications of reproductive performance on herd profitability. The implementation of reproductive management strategies for dairy farms with different management philosophies and resources will be discussed. Special emphasis will be placed on programs that integrate synchronization of ovulation for timed artificial insemination with technologies for detection of estrus


10:10 am
| "Reproductive Management Programs for Heifers"

This presentation will cover recent research on reproductive management programs for dairy heifers. The implications of heifer reproductive performance after the end of their Voluntary Waiting Period (VWP) on dairy herd profitability will be discussed. Special emphasis will be placed on programs that integrate synchronization of estrus and ovulation with detection of estrus. 

11:00 am | "Automated Heat and Health Monitoring Systems"
This presentation will cover recent research on the use of automated monitoring technologies for detection of cows with health disorders and estrus in dairy herds. The integration of these technologies with traditional health and reproductive management programs will be discussed. 

Dr. Michael Apley
Sponsored by Merck

1:30 pm | "What Difference do Antibiotic Really Make?"
Have you ever wondered exactly what difference we make in clinical outcomes with antibiotics? It just so happens that food animals provide us with the most negative control data to evaluate the effect, and you might be surprised at what we really accomplish.

2:20 pm | "Therapy of Bovine Respiratory Disease in Cattle"
Watch videos of diseased cattle, give your clinical score, and then see what their lungs and cultures told us. How good are you at predicting lung damage from outward appearance?

3:30 pm | "The Use of Steroids and NSAIDS in Food Animals"
Here is a review of the current literature as to what steroids and non-steroidal anti-inflammatory drugs do in cattle. Just the facts, ma’am.

4:20 pm | "Antibiotic Stewardship in Human and Veterinary Medicine, Including Measurement of Antimicrobial Use in Food Animals"
So, after listening to all of the above, what do we actually do about antibiotic resistance? Does what we do every day in practice matter? What are people doing about stewardship?

 

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Henrico, Virginia 23233
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