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19Th Annual Small Animal Symposium 19TH ANNUAL SMALL ANIMAL SYMPOSIUM SUNDAY, MARCH 18, 2018 9 A.M. TO 6:30 P.M. SAN FRANCISCO AIRPORT MARRIOTT How do you I keep How do I create a What are some of clients from using dedicated the top conditions Google as their isolation space in geriatric pets? veterinarian? where there is none? Welcome to this full day of learning! We work in a dynamic field where we have the opportunity to make an impact every day. Excellence requires continual study, and SAGE Centers for Veterinary Specialty and Emergency Care is proud to provide this full day of education to Bay Area veterinarians, technicians, managers, and client service staff. We hope you will enjoy the program and use the day to foster ties within our veterinary community. Following the event, please complete our online evaluation and let us know your thoughts. Your suggestions are welcome and essential to ensuring that this event is the best it can be year after year! What’s new at SAGE In August 2017, we launched a new collaboration with PetCure Oncology at our Camp- bell facility to deliver stereotactic radiotherapy, along with other more traditional forms of radiation therapy. SAGE was the first veterinary hospital to deliver these treat- ments using Varian Medical Systems’ newest linear accelerator, the Halcyon Treatment System. We welcomed 11 new veterinarians to our growing team since last year—several of them will be speaking at this year’s event. We hope you get a chance to meet with those who are in attendance. Meet our new SAGE veterinarians Sarah Silverman Cardiology Redwood City Zachary Wilcox Emergency/Critical Care Redwood City Kiera Steele Emergency/Critical Care Concord Noelani Reinker Internal Medicine Redwood City/Campbell Vivian Lau Neurology Redwood City Sara Lefman Emergency/Critical Care Redwood City Christine Wong Emergency/Critical Care Campbell Moria Borys Internal Medicine Dublin Kelly Fishman Physical Rehabilitation Redwood City Zuhal Elhan Emergency/Critical Care Dublin Shyla Myrick Emergency/Critical Care Campbell Sage Philosophy We believe animals Our Mission are amazing. We are here because we appreciate and love animals. We will give pets and their families the best possible To set the highest standard of care with kindness and respect. compassionate, collaborative veterinary care that improves the We believe in lives of pets and people. continual learning. Our profession is based on scientific knowledge. Our success depends upon creative problem solving, up-to-date training, and the finest skills. We are committed to advancing veterinary medicine and Our Values improving pet care throughout the Bay Area. Compassion We believe in collaboration. Service We work in partnership with referring veterinarians Integrity and one another, knowing it is fundamental to our integrated approach and to continuity of care. All Collaboration of us are responsible for maintaining the high Sustainability standards and positive attitude that make Sage a great place to work. Innovation We believe we are part of a greater whole. In pursuing our mission, we have both opportunities and an obligation to contribute to our communities, to minimize our environmental impact, and to model sustainability. SAGE would like to thank the sponsors of our 19th Annual Small Animal Symposium Track Sponsors Lunch Sponsor A&E Medical Imaging, Inc. Animal Arts Animal Memorial Service AnimalScan Diamondback Drugs DVM Multimedia Elanco Epic Golden Gate Pharmacy JP Morgan Chase Just Food for Dogs Henry Schein Hill’s Pet Jurox KindredBio Medicus Biosciences Nova Biomedical Radiocat rVetlink San Mateo Neighborhood Pharmacy Servetusa Trupanion Umpqua Bank VDx VISC Shamrock Office Solutions TABLE OF CONTENTS . TRACK 1 — Clinical 1 What is Minimally Invasive Surgery, and Why Is It Important?..............................................1 Dr. Chuck Walls Dr. Leigh Glerum Movement Disorders.....................................................................................................................7 Dr. Vivian Lau When Is the Right Time to Spay/Neuter?.....................................................................................15 Dr. Lissa Richardson Intra-Articular Therapies for Osteoarthritis Management.....................................................29 Dr. Margot Daly Geriatric Patient Care.................................................................................................................33 Dr. Kelly Fishman The Highs and Lows of Cannabis..............................................................................................39 Dr. Micki McCabe Dermatology: Avoiding the Pitfalls of Pruritits........................................................................43 Dr. Stacey Holz TRACK 2 – Clinical 2 Bacteria Resistance......................................................................................................................49 Dr. Christine Wong Common Toxicities......................................................................................................................87 Dr. Sara Lefman Shock and Fluid Management.......................................................................................................92 Dr. Terence Krentz Immune Suppressant Medications................................................................................................94 Dr. Moria Borys Review of and Updates on Diabetes........................................................................................106 Dr. Kris Bruskiewicz Dr. Heidi McClain Probiotics...................................................................................................................................107 Dr. Noelani Reinker Syncope......................................................................................................................................109 Dr. Sarah Silverman TRACK 3 – Clinical 3 Feline Oral Inflammation Differentiation.......................................................................................125 Dr. Kevin Stepaniuk Ophthalmological and Maxillofacial Manifestations of Dental Disease............................130 Dr. Kevin Stepaniuk Understanding Fractured Teeth and the Appropriate Treatment Recommendations.........134 Dr. Kevin Stepaniuk Tick-borne Diseases.................................................................................................................140 Dr. Annette Litster Reading a Biopsy Report...........................................................................................................145 Dr. Beki Regan Incomplete Margins: Now What?...........................................................................................190 Dr. Wendi Velando Rankin Stereotactic Radiotherapy: What We Can Do for Pets...........................................................237 Dr. Kelsey Pohlmann TRACK 4 – Nursing Feline Heartworm Disease: An Update.......................................................................................244 Dr. Annette Litster The Window to the Wall..........................................................................................................251 Kim Adams, RVT Back to Basics with Bloodwork................................................................................................284 Dr. Monie Yee Anemia: What Does the CBC and Blood Smear Show Us?..........................................................285 Jo Woodison, RVT Point of Care Diagnostics in the ER.............................................................................................296 Jo Woodison, RVT Clandestine Oral Pathology Missed on Examination..................................................................307 Dr. Kevin Stepaniuk Anesthetic Drugs: How Do They Work?....................................................................................312 Liza Morales, RVT Judy Kpa, RVT TRACK 5 – NURSING Assessment of the Critically Ill Patient............................................................................................316 Kristin Frietas, RVT, VTS Evans Syndrome: A Technicians Role.....................................................................................323 Yvonne Brandenburg, RVT, VTS Techniques for Postop Success................................................................................................333 Liz Hughston, RVT, VTS Stephen Cital, RVT, VTS Dermatology: Joining Forces with the Microscope....................................................................357 Dr. Stacey Holz Clandestine Oral Pathology Missed on Examination......................................................................360 Dr. Kevin Stepaniuk Managing Respiratory Cases....................................................................................................365 Jo Woodison, RVT Polytrauma: Where to Start?.....................................................................................................366 Jo Woodison, RVT TRACK 6 – Management/Client Care What if We Applied the Ritz Carlton Model in Our Practice?......................................................374 Robin Brogdon, MA What are Your Clients Turning to Dr. Google For?...............................................................374 Robin Brogdon, MA Pet Nutrition & Profitability: Evolve and Grow......................................................................376 Jeff Wineke Compassion Fatigue....................................................................................................................379 Julie Squires How to Feel Better in Veterinary Medicine Part 1......................................................................382
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