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IN THIS ISSUE: Prescriptions Cancer Treatment And More …

2015 Year in Review

issue 15.06| November-December

magazine of the NEW YORK STATE VETERINARY MEDICAL SOCIETY issue 15.06 | November-December

magazine of the NEW YORK STATE VETERINARY MEDICAL SOCIETY

ISSN 2333-3375 • USPS 407-350 100 Great Oaks Blvd., Suite 127, Albany NY 12203 Tel. (800) 876-9867 • Fax (518) 869-7868 • Email [email protected] • Web www.nysvms.org

Connections is published bimonthly by the New York State Veterinary Medical Society Inc., 100 Great Oaks Blvd., Suite 127, Albany NY 12203. Subscriptions are $1/year to members as part of their annual dues, $25/year to subscribers and $50/year to nonmember in New York State. Opinions expressed in articles and editorials of Connections are those of the authors and are not necessarily those of the New York State Veterinary Medical Society Inc. Second-class postage paid at Albany, N.Y. Postmaster: Send address changes to: NYSVMS, 100 Great Oaks Blvd., Suite 127, Albany NY 12203.

Communications Education/Conference Executive Director Specialist Specialist NYSVMS Legal Counsel Membership Assistant Jennifer J. Mauer, CAE Stephanie Quirini Dory Fisk, CMP Barbara J. Ahern, Esq. Jennifer Hill

NYSVMS OFFICERS REGIONAL OFFICERS President Capital District Long Island Dean M. Snyder, DVM Mark E. Will, DVM Surinder S. Wadyal, DVM President-elect Catskill Mountain New York City Susan E. Wylegala, DVM David C. Leahy, DVM Allan P. Bregman, DVM Past President Central New York Northern New York Christopher Brockett, DVM Victoria Bentley, DVM Jessica Scillieri Smith, DVM Treasurer Finger Lakes Southern Tier Lawrence W. Bartholf, DVM Robert Hamilton, DVM Joshua H. Clay, VMD AVMA Delegate Genesee Valley Westchester/Rockland Walter K. McCarthy, DVM Andy Fleming, DVM Robert J. Weiner, VMD Hudson Valley Western New York James C. Zgoda, DVM Jeanne Best, DVM

2 New York State Veterinary Medical Society TABLE OF CONTENTS DEPARTMENTS

5 President’s Message Year in Review page 12 7 Legal

9 Practice Manager

21 In Memoriam

22 Classified Ads

INDUSTRY

14 USFDA Veterinary Feed Directive

15 Cancer Treatment Using

the EWICO System

ASSOCIATION

17 “Dining With ” Bill and

Vet Mobility Act Signed Into

Law; TNR Legislation Vetoed

18 NYS-VC Fall Held at Cornell University

College of

20 Colorized X-Ray Photography

Want to learn more? Visit Connections online in the Knowledge Center: www.NYSVMS.org

New York State Veterinary Medical Society 3 Save the Date New York State Spring Veterinary Conference

May 13-15, 2016 Hilton Westchester Rye Brook, NY

Hosted by New York State Veterinary Medical Society 4 & Cornell University College of Veterinary Medicine New York State Veterinary Medical Society NYSVMS UPDATE President’s Message

Surinder Wadyal, DVM, was of and devocalization of tasked with the challenging job dogs from moving through the “It means we of analyzing the Society’s current NYS legislature with the help and future needs for legislative of the Government Relations have set the and legal services. The MRC Committee and Grassroots proper course meticulously reviewed proposals, Legislative Network. We also and interviewed several firms, worked with the NYC Council for the Society over most of this year. The surge to amend the mandatory of engagement by members installation of automatic for the future. in just the last three years has sprinkler systems in places And the future positioned NYSVMS to need where animals are sheltered more and more human capital on a 24-hour basis. If this bill is bright, resources to tackle intensely had remained as written, many complicated and technical issues. veterinarians would not have promising Dean M. Snyder, DVM The Board ultimately voted to been able to shoulder the burden and exciting! engage the firm Wilson Elser of these sprinkler installation Moskowitz Edelman & Dicker to costs and numerous NYC It means a As we look back at the many provide both legislative and legal facilities would have closed. This NYSVMS achievements in services beginning in January. happened because everyone better and 2015, I am amazed at all we worked together as a team-VMA- And finally in April, we completed faster delivery accomplished this year. We were NYC leadership and members a strategic plan that will really able to tackle the major (who took time off to come and provide a road map for the of services areas of our strategic plan, while testify before the City Council), next three years and beyond. also laying the groundwork NYSVMS and Wilson Elser. starting in for 2016 and beyond. This plan focuses on five strategic areas: advocacy and We organized two successful 2016 and Personally, I am most proud government relations; member NYS Veterinary Conferences of the organizational changes service and value; professional offering members the chance expanded legal made to our governance development and education; to earn continuing education and legislative structure. In 2015, we revised marketing and communications credits through thought- the committee structure to and state society structure. provoking seminars and resources streamline our operations It’s hard to imagine that cutting-edge labs, as well as and ensure multiple species today’s first-year veterinary networking with other veterinary to meet are represented throughout students will be graduates at professionals at exciting evening your needs.” the association. One of our the conclusion of this strategic events. Mark your calendars signature priorities in the plan, in the year 2020! now for NYS-VC Spring May history of the Society has been 13-15, 2016 in Rye Brook. now to tackle these issues restructuring the organization So, what does all of this mean and more heading into 2016. to comply with the current laws to you as the member? It While much has been I want to take this opportunity by forming two corporations: means we have set the proper accomplished, the work is not to thank everyone on the a not-for-profit corporation course for the Society for the done! There are still many issues Executive Board, Committee with 501(c)(3) tax-exempt future. And the future is bright, that need to be addressed chairs and members, Regional status, NYSVMS Educational promising and exciting! It means including encroachment officers, Cornell University Fund Inc. which will perform a better and faster delivery of of veterinary services from College of Veterinary Medicine educational and charitable services starting in 2016 and outside organizations; crippling faculty and staff and YOU the work and a new New York expanded legal and legislative student debt, compounding members for an incredible year not-for-profit entity to perform resources to meet your needs. medication legislation; animal guardianship and proposed as president. I am confident our advocacy and lobbying In 2015 we faced many legislative legislation attempting to as I pass the presidential gavel activities, a 501(c)(6) NYSVMS. issues both statewide and in New mandate medical procedures, to Susan Wylegala, DVM that York City. We helped prevent the The Management Relations to name a few. But I feel that we are in great shape to LEAP movement of two bills, declawing Committee (MRC), chaired by NYSVMS is in a great position to even higher heights. •

New York State Veterinary Medical Society 5 PURPLE PARTY Silent Auction & WineWall

Fundraiser to Benefit Cornell Veterinary Student Scholarships and the NYSVMS Political Education Committee (V-PEC) Saturday, May 14, 2016, 5-7 pm New York State Spring Veterinary Conference | Hilton Westchester, Rye Brook, NY

Funds raised during the Silent Auction benefit The Silent Auction will once again feature the NYSVMS legislative advocacy through the popular wine wall. Donate a bottle of wine valued Veterinary Political Education Committee and at more than $25 dollars to the Wine Wall. Attendees will purchase a ticket to receive a gift-wrapped the NYSVMS Scholarship, awarded annually to a surprise bottle. Many of the bottles won are valued veterinary student at Cornell. Established in 1994 between $50 and $100! as a permanently-endowed scholarship, it provides Popular Donation Items Include: gift baskets, wine tuition assistance to New York State residents who and beer baskets, overnight stays, artwork, jewelry, are third or fourth-year students and show interest in sporting event tickets, electronics and historical organized veterinary medicine. veterinary objects.

Contact NYSVMS headquarters and let us know what YOU CAN DONATE!

I wish to donate an item to the Silent Auction _____ and/or Wine Wall _____

Donor Name: ______

Organization Name: ______

Mailing Address: ______City: ______State: _____ Zip: ______

Phone: ______Fax: ______Email: ______

How will you deliver item: Directly to conference Ship to NYSVMS Other ______

Describe the item you are donating (please be as descriptive as possible): ______

______

Approximate Retail Value: $______

Please fax this form to (518) 869-7868 or email the form to Dory Fisk, [email protected] NYSVMS, 100 Great Oaks Blvd., Suite 127, Albany, NY 12203 6 FORM DONATION New York State Veterinary Medical Society Want to learn more? Visit Connections online. LEGAL Prescriptions for Controlled Versus Non-controlled Substances

YSVMS necessary in order to provide address of the owner or person any legal requirement otherwise continuously all the information required in custody of such animal; mandating that the prescription be signed by the prescriber; receives questions by DOH when the prescription (2) The printed name, address, from members is filled, and entered in the Drug Enforcement Administration (3) Specific directions for use about writing prescription monitoring registry. registration number, telephone including but not limited to, the Nprescriptions for controlled, The regulations adopted number and handwritten dosage and frequency of dosage versus non-controlled, for controlled substance signature of the prescribing and the maximum daily dosage. substances. Below are some prescriptions (for Schedule practitioner. The printed general guidelines provided (4) The date upon which such II, III, IV and V substances; name of the prescriber who prescription was prepared and by the NYSVMS legal counsel. provisions that apply to has signed the prescription More information is available actually signed by the prescribing Schedule II only are indicated) shall be imprinted or stamped practitioner. A prescription shall in the Knowledge Center require that the prescription legibly and conspicuously on on the NYSVMS website. be dated as of, and signed shall contain the following: the prescription, shall appear on, the date it is issued. in an appropriate location on With the passage of the (1) Name, sex (Schedule II only), the prescription form and shall (5) The quantity of dosage units Prescription Drug Reform Act of address and age of the ultimate not be entered in or upon the prescribed and the number of 2012 (which included I-STOP), user for whom the substance space or line reserved for the times the prescription may be additional information was is intended, or, if the ultimate prescriber’s signature. The refilled. On an official New York required on prescriptions for user is an animal, the species of imprinted or stamped name shall State prescription, the quantity controlled substances. This such animal and the name and additional information is not be a substitute for or fulfill of dosage units shall be indicated Strength since 1962

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PLIT Ad 8.5 x 5.5 4C equine w bleeds.indd 1 10/8/2013 4:03:19 PM in both numerical and written proficient, as defined in New substance provided by any 7. Number of refills; and word form. For Schedule III, York State Education Law Section previously issued prescription. 8. Dispense-as-Written box. IV and V prescriptions, which 6829; and if the patient is limited The required information for may be refilled (Schedule II English proficient, a specification In addition, effective March non-controlled substance may not), the prescription of the preferred language 30, 2013, prescriptions should prescriptions is slightly shall also contain the number indicated by the patient. Failure also contain a section wherein different, and are summarized of times the prescription may to include such indication on prescribers may indicate whether in the Practice Guidelines be refilled, in both numerical the part of the prescriber shall an individual is limited English for Veterinary Medicine: and written word form. not invalidate the prescription. proficient, as defined in New All written prescriptions York State Education Law Section (6) An electronic prescription (9) Except as provided for certain should include the 6829; and if the patient is limited shall contain the information prescriptions that may be written following information: English proficient, a specification described above (1-5) except for a three month supply, no of the preferred language such prescription shall contain such prescription shall be made 1. The name, address, indicated by the patient. an electronic signature and shall for a quantity of substances telephone number, license However, the law requiring this be transmitted and received which would exceed a 30-day number and signature of the information also provides that by electronic means. Such supply if the substance were prescribing ; failure to include such indication electronic signature shall meet used in accordance with the 2. The name and address of the on the part of the prescriber shall the signature requirements directions for use, specified on client; not invalidate the prescription. set forth in regulations. the prescription. No additional 3. The species and name, prescriptions for a controlled Prescriptions for non-controlled (7) A prescription generated on number or other identifying substance may be issued by a substances must also be an electronic system and printed information for the animal; practitioner to an ultimate user written on official New York out or transmitted via facsimile within 30 days of the date of any 4. The name, strength and Prescription Forms. is not an electronic prescription • prescription previously issued quantity of the drug(s); and shall be manually signed. Barbara Ahern, Esq., unless and until the ultimate user 5. Directions for use including, if NYSVMS Legal Counsel (8) A section wherein prescribers has exhausted all but a seven applicable, withdrawal time; may indicate whether an days’ supply of that controlled individual is limited English 6. Date of issue;

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SIMMONS Veterinary Practice Sales and Appraisals Joe Stephenson, MA Associate Broker 41 Main Street New Paltz, New York 800-474-4775 845-943-4998 8 [email protected] York State Veterinary www.simmonsinc.com Medical Society Want to learn more? PRACTICE MANAGER Visit Connections online. Top 4 Tips for Cash Flow Management

s this fiscal year practice management, as well that make solid commitments and effective accounts ends, it is more as their ability to wear several to an A/R management receivable management important than hats. With A/R management plan have reported up to a partner, such as TekCollect, ever to fully becoming more and more 75 percent reduction to the to stay ahead of the curve.” understand important to a businesses’ number of delinquencies that Maximize your year-end Ayour accounts receivable, bottom line, it’s critical that eventually become write- opportunities to create positive and make a plan for creating you are working smart, as offs. TekCollect client Chris cash flow in your practice. positive cash flow for the first well as working hard. Are your Brockett, DVM of Saratoga Utilizing any combination of quarter. Where should you make employees trained to handle Veterinary Hospital has this the above will not only relieve changes now to keep your cash collections conversations? Are to say: “Our practice has pressure on your staff and flow healthy through the New they aware of the latest laws really benefited from the customers but will also secure Year and beyond? Check out and strategies for recapturing systems put in place through greater financial health for 2016. these top tips that you can use lost income? If not, it’s time TekCollect. The price is so today, with comments from to examine whether an reasonable for the services Check out this Veterinary NYSVMS members who have outside party could handle you receive, and the return Client Testimonial to learn successfully utilized them: your delinquencies more on investment makes it a more: https://www.youtube. efficiently. Check out what complete win. Our clients com/watch?v=4U6k9lyLp2 1. Eliminate Alienation: Anthony Ciccarelli of Steele know what to expect when U&feature=youtu.be. Your clients and patients • and Associates, another working with us, and our A/R are so valuable to the Tim Olesky, Division Vice TekCollect client, says: “Even is in excellent shape.” health of your practice, so President, TekCollect with a contingent agency it’s vital to maintain your 4. Being Proactive, Not TekCollect provides the most working for us, we still had relationships, even through Reactive: With the end advanced accounts receivable, an employee spending two a debt scenario. With early, of the year almost here, collections, and client retention to three days a week on professional contact provided you may be experiencing services available. To learn more collections, not to mention my by a neutral third party, an influx of clientele due about us, visit our website (http:// own involvement. We needed www.tekcollect.com/Frontend/ your practice can continue to factors like the holidays a change. Thanks to our Content/Home.aspx) and follow servicing your clients without and weather change. You’ll partnership, I now only spend us on Facebook (https://www. fear of uncomfortable be busy, your staff will be about four to six hours a facebook.com/TekCollect?ref=aymt_ financial discussions. Here’s busy, and it’ll be easier to month on A/R management, homepage_panel) and Twitter what TekCollect client Lisa let things slide through the (https://twitter.com/TekCollect). As because I know it is being Lafferty, DVM of Latham fourth Quarter. That puts a NYSVMS Affinity Partner, TekCollect taken care of more efficiently Veterinary Hospital has to you at a crucial disadvantage provides discounted, customized than we could accomplish say: “Our previous agencies going into 2016. Before your services to NYSVMS members. in-house.” were getting decent results, operations are inundated, but we were saddened to 3. Improve Your Ongoing make a pledge to stay ahead hear about our clients being A/R Health: As a vet, of the curve on your cash treated harshly throughout you’re probably preaching flow. NYSVMS, Executive their debt situations. Our preventative maintenance Director, Jennifer Mauer, CAE, experience since switching to your clients, with regular says: “Like many medical has been extremely positive! check-ups, shots and professionals, veterinarians We’re placing accounts earlier cleanings to stave off illness are fantastic scientists, but than ever, and our collection down the road. The same often are not strong business rates have jumped. We love principle applies to cash people. With their small staff, how our clients are treated flow management. 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New York State Veterinary Medical Society 9 2015 NYSVMS Legislative Session in Review

FEATURE

2015 Year in Review As we celebrated the 125th significant was preventing banning canine devocalization. While opinions may differ about anniversary of the New York the declaw legislation from The bill proposed prohibited these medical procedures, we State Veterinary Medical Society, appearing on the Assembly devocalization, except when the all agree that no legislative this year proved to be one of Agriculture Committee meeting procedure is medically necessary body should be allowed to transition and explosive growth. agenda. This prevented the to treat or relieve an illness, ban a medical treatment The board, members and staff bill from advancing to the full disease, or injury, or correct a procedure. We cannot allow worked symbiotically to advocate Assembly floor for debate and congenital abnormality suffered governments to mandate what on behalf of the members on a possible vote. Our Grassroots by the animal. The bill required is best for our patients. The a variety of issues to expand Legislative Network (GRLN) veterinarians, performing NYSVMS Government Relations member benefits, organize started a local community allowable procedures, to report Committee and the GRLN are two successful veterinary campaign to educate lawmakers to their municipal clerk prior fiercely committed to protect conferences, streamline the on the Committee, as well as to performing devocalization your right to choose the best governance structure and plan the Assembly Majority leaders, surgery and to the Board for treatment for your patients. strategically for the future. about how this legislation would Veterinary Medicine once they Here are just some of the many adversely affect animals and finished. The Government NYC Legislative accomplishments this year. their owners. And it worked! This Relations Committee’s Victory bill saw no other action through efforts stalled the movement Wilson Elser Moskowitz Edelman Legislative Victories the end of the legislative session. of this bill, and will offer & Dicker joined the NYSVMS NYSVMS scored several legislative alternative solutions in 2016. NYSVMS has voiced opposition government affairs team in July victories in 2015—the most for years about legislation to proactively address a series of

10 New York State Veterinary Medical Society New York City legislative issues Excellence) Award. With over which affect the profession. 1900 entries from all over the world, NYSVMS is pleased to Our prominent success was offer members a nationally halting legislation to require recognized publication. Members the mandatory installation of also received digital alerts automatic sprinkler systems in throughout the year on such animal hospitals, kennels, issues as: the canine influenza shops and veterinary clinics outbreak with a fact sheet to where animals are sheltered on post; compounding; Fairness to a 24-hour basis. New York City Pet Owners Act and international Council Member Corey Johnson ketamine rescheduling. And introduced legislation last year don’t forget to friend us on for the purported purpose of Facebook and follow us on reducing the possibility of fires Twitter, which feature timely within animal service facilities. news articles and interesting In light of concerns raised (Left to right) Assemblyman Michael Fitzpatrick, Linda Jacobson, DVM, NYSVMS links you can use on your own by NYSVMS and VMA-NYC, PEC Chair and Senator Thomas O’Mara. (Photo by: Bruce McDonough) hospital social media sites. Councilman Johnson amended the legislation to exempt both The Knowledge Center is animal service facilities in consistently updated with new operation prior to Dec. 31, 2016, resources and articles to educate equipped with an automatic you and your staff. Here are just smoke detection system, and some of the reference materials those which provide 24-hour in- that were added this year: H3N2 person supervision of the animals Canine Influenza Fact Sheet; LVT/ and are equipped with smoke Unlicensed Personnel Duties; Vet alarms. NYSVMS and VMA-NYC Tech Student Internships; LVTs withdrew their opposition in Performing Laser Therapy; Animal response to these changes. In Massage; Standards for Breeder August, the City Council passed Wellness; Microchipping Policy; the legislation, and is expected Tips on Addressing Cyberbullying to be signed by the mayor soon. and Electronic Prescriptions. Your dues dollars were directly You also receive discounts from invested in the coordinated a host of Affinity Partners. efforts of NYSVMS, VMA-NYC The Society negotiated with and Wilson Elser Moskowitz these companies to provide a Edelman & Dicker to protect the plan that will benefit practices John Sykes, DVM was just one of the many presenters during the Hall of Veterinary Health at the NYS Fair this summer. interests of our NYC members. and save you money! • Insurance broker: USI Affinity • Energy provider: Energy Plus • Accounts receivable: Tek Collect • Healthcare credit card: Care Credit • Credit card processing: Bruneau Saxton. Expanded Member To read the benefits you receive Benefits from each of these businesses, NYSVMS continues to sharpen go to the NYSVMS Affinity communication tools to deliver Partners page on our website. members the latest news in a timely matter. All members Two Successful receive the weekly Thursday NYS Veterinary e-newsletter, as well as the bi- Conferences monthly Connections magazine. For the second year, two NYS Robin Sturtz, DVM (left) and Rebecca Goodale, DVM, members of CLA This Spring, NYSVMS received a Veterinary Conferences hosted presented to Cornell University College of Veterinary Medicine students in 2015 APEX (Awards for Publication by NYSVMS and Cornell University November. (Photo by: Rebecca Goodale)

New York State Veterinary Medical Society 11 Attendees interact during a lecture at the NYS-VC Fall (Photo by: Rene van Ee, DVM).

College of Veterinary Medicine December 2016. NYSVMS Health is a signature event of The following members attended were held in the spring and fall. sponsored the first of a series of NYSVMS to promote veterinary 2015 fundraisers and NYSVMS With doubled attendance and programs with Ag & Markets and medicine to the public. thanks them greatly: Lawrence the NYS Cattle Health Assurance Bartholf; Anthony Beane; Victoria sold out, standing room only The Agriculture Awareness Program in December on drug Bentley; Christopher Brockett; classrooms, the NYS-VC Spring Grant Program provides residue avoidance. More of these Marlene Button; Ed Chapman; was a tremendous success. regionals funding to assist programs will be scheduled Lisa Esposito; Cathy Heiber; Linda Over 65 seminars on a variety local programs that promote throughout NYS in 2016. Jacobson; Laurel Kaddatz; Art of topics held the attention of agricultural awareness and DVMs and LVTs from NYS and The Council for Leadership encourage students to choose Kronfeld; David Leahy; Lincoln other states around the US. An Advancement (CLA) hosted a career in large animal Lee; Walter McCarthy; Susan expanded, sold out trade show two programs for students at medicine and public health. McClellan; Kenneth Rotondo; offered veterinarians and LVTs Cornell College of Veterinary Long Island VMA organized John Sangiorgio; Jessica Scilleri- the chance to view the latest Health—a panel titled Making an educational forum for the Smith; Dean Snyder; Robert products and services. The the Transition: How to Survive horse-owning community Sofarelli; Linda Tintle; Surinder Welcome Reception included and Thrive During the Leap in conjunction with Cornell Wadyal; Robert Weiner; Frank a book signing by keynote from Vet School to Practice and Ruffian Equine Specialists Welcome; Mark Will; Susan speaker, Alexander de Lahunta, An Introduction to Organized in Elmont. Northern NY VMA Wylegala and James Zgoda. (Mark DVM, PhD, DACVIM, DACVP. Veterinary Medicine: The used the grant to fund two Chmielewicz and Doug Aspros The Purple Party, Silent Auction NYS Model. The new student programs—the Northern due to their positions on the and Wine Wall raised over membership category has Adirondack Central School’s Board for Veterinary Medicine are $10,000, a record total that will now been implemented. Ag/FFA program in Ellenburg currently not permitted to attend again benefit the Veterinary any fundraisers). Thank you to NYSVMS continued to partner for supplies and workbooks Political Education Committee for the veterinary science everyone who donated to PEC! and the NYSVMS Scholarship. with other organizations that You helped keep veterinary align with its mission and class and Canton Central For a recap and photos of Fall School’s Ag/FFA in Canton for medicine and issues 2015 NYS-VC, go to page 18. activities. For the first time at the forefront of NYS politics. NYSVMS sponsored the NY Farm the annual FFA awards dinner which recognizes students, NYSVMS Committee Bureau’s symposium Opening Tackling the the Barn Door: Communicating alumni and supporters as part Activities of National Agriculture Week. Accreditation Issue With a new governance With The Public About Your NYSVMS continued to push for structure and expanded Animals and Your Business in The Veterinary Political changes to the AVMA Council specialty committees NYSVMS October. Two members of the Education Committee on Education this year, an began exploring new ideas. Executive Board attended (V-PEC) offers members the initiative that began in 2012. to represent the Society. opportunity to attend local The Large Animal/Food legislator fundraising events Positive steps forward have been Production Committee is working NYSVMS in the which help forge relationships made including: the COE no longer with NYS Agriculture & Markets Community between the veterinarian allows AVMA board members on the Vet Feed Directive (see to be included on site visits to The Hall of Veterinary Health and the legislator. These article on page 14). The Executive veterinary schools; funding committee again hosted our open lines of communication Board authorized a statewide was secured to hire outside, 25,000 sq. ft. exhibit at the are essential when issues education effort as veterinary independent legal counsel to the NYS Fair in August. A team concerning veterinary medicine knowledge of VFDs is limited. COE; and the composition of the of volunteers from across arise and could adversely The phase in of the VFD rules COE changed to comprise three NYS spoke with over 13,000 impact the way we practice. began in October and culminates at-large members, instead of people. The Hall of Veterinary

12 New York State Veterinary Medical Society PATTERSON VETERINARY

Attendees discuss exhibitor products at the NYS-VC Spring (Photo by: Mario Lorenzo). appointed representatives from consumers. She wrote legal ePetHealth/EquiHealth | DIA | Preventative Maintenance Program the AVMA Board of Directors columns for the magazine on Anesthesia Vaporizer Service | Anesthesia Technical Support Hotline | eShelf and the House of Delegates. everything from controlled Patterson Veterinary University | VetSource | Specialty Sales Force substances to the VCPR and Patterson 3D Design Service | GPS — Guiding Practice Success Planning for countless documents that the Future populate our Knowledge Center. Your . Our solutions. NYSVMS leadership embarked She answered a barrage of WE PROVIDE THE SOLUTIONS TO BACK YOUR NAME. on a two day retreat in April to emails with questions from update our LEAP strategic plan. members about all aspects The result is a comprehensive of veterinary medicine. She plan focusing on five strategic represented NYSVMS before the areas: advocacy and government Board of Veterinary Medicine. To learn more about Signature Solutions products and services contact your Patterson representative, visit pattersonvet.com or call 800.225.7911. relations; member service and It is due in part to all of her 16PV0036 (6/15) value; professional development hard work that we have grown and education; marketing to where we are today. and communications and We would also like to recognize state society structure. This Frank Nemeth and Tom Gosdeck, plan builds on the progress Esq. of Hill, Gosdeck & McGraw made over the previous three for their years of service to years, and serves as a visionary NYSVMS as legislative counsel. roadmap for the year 2020. There are too many legislative Veterinary Practice Sales & Appraisals The Management Relations victories to list, but the most Committee analyzed the significant achievement was Society’s legislative and legal passage of the legislation that Contact us TODAY if you are: needs as it grows by leaps included animal dentistry in the and bounds. After a very Veterinary Medicine Practice Act. SELLING a practice comprehensive, nearly yearlong NYSVMS worked for five years process to review proposals, the to make this a reality and could BUYING a practice Executive Board voted to retain not have done this without the Wilson Elser Moskowitz Edelman guidance and knowledge of & Dicker to provide legislative Tom and Frank. They worked MERGING multiple practices and legal services to the Society tirelessly with the Government beginning January 1, 2016. Relations Committee and SEEKING an associate or GRLN to craft an aggressive partnership buy-in or buy-out Acknowledgements legislative agenda. They served We want to thank Barbara as a resource and guiding light Ahern, Esq., general counsel, to legislators and their staff. for her years of service and While much has been For more information, call: dedication to NYSVMS. She accomplished this year, there provided the Society with is still much more work to be 800-567-1264 immeasurable guidance and done. The groundwork has been advice to members, LVTs, laid and NYSVMS will continue Nate Lynch is a Certified Valuation Analyst. regulatory agencies, staff and to leap forward in 2016! • New York State Veterinary Medical Society www.natelynch.com 13 INDUSTRY USFDA Veterinary Feed Directive

he U.S. Food and prevention or control of disease Drug Administration and the VFD rule places those placed into effect applications under the control the Veterinary Feed of a licensed veterinarian. Directive (VFD) According to FDA, medically OctoberT 1, 2015, an important important antibiotics are piece of the agency’s overall those that are of therapeutic strategy to promote the judicious importance in human medicine use of antimicrobials in food- and there is a risk of microbial producing animals. This strategy resistance development if they will bring the use of these drugs are used in an injudicious manner. under veterinary supervision so It must be emphasized that that they are used only when a veterinarian can only legally necessary for assuring animal authorize a VFD or prescription health. The VFD final rule outlines within the context of a the process for authorizing veterinary-client-patient law restricts medicated feed in a manner other than as use of VFD drugs (animal drugs relationship (VCPR). New York containing this VFD drug to use directed on the labeling is not intended for use in or on animal State utilizes the Federal by or on the order of a licensed permitted” feed that require the supervision veterinarian.” Information definition of a VCPR 13. An affirmation of intent for of a licensed veterinarian) and that is required on a VFD is: which basically means the combination VFD drugs as provides veterinarians in all veterinarian must: 1. Veterinarian and client described in 21 CFR 558.6(b)(6) states with a framework for information authorizing the use of medically • Engage with the client to 14. Veterinarian’s electronic or important antimicrobials in assume responsibility for 2. Premise information, where written signature making clinical judgement the animals specified in the feed when needed for specific 15. Three copies of the VFD will about patient health. VFD are located animal health purposes. be issued by the veterinarian: “The actions the FDA has taken • Have sufficient knowledge 3. Date of VFD issuance one for their own records, one of the patient by virtue of for their client and one to the to date represent important 4. Expiration date of the VFD steps toward a fundamental patient examination and/ client’s VFD feed distributor. change in how antimicrobials or visits to the facility where 5. Name of the VFD drug(s) Recordkeeping for VFD can be can be legally used in food- patient is managed. 6. Species and production class either written or electronic and producing animals,” said • Provide for any necessary of animals to be fed the VFD must be retained for 2 years. Michael R. Taylor, FDA deputy follow-up evaluation or care. feed VFD’s can be generated and commissioner for foods. “The handled electronically. For this purpose, the VCPR does 7. Approximate number of VFD final rule takes another not mean the veterinarian is animals to be fed the VFD More information on VFD, important step by facilitating simply acquainted with the feed by the expiration date of VCPR, ELDU and drug residue veterinary oversight in a way client and the client’s animals. the VFD avoidance will be offered in that allows for the flexibility informational meetings around The veterinarian cannot provide 8. Indication for which the VFD needed to accommodate the the state over the next year by clients with VFD drugs without is issued diversity of circumstances that NYS Department of Agriculture filing the VFD documents. veterinarians encounter, while 9. Level of VFD drug in the feed and Markets through a FDA Producers can feed the VFD ensuring such oversight is and duration of use cooperative agreement. Date drugs to animals only after conducted in accordance with and times for veterinary CE receiving a lawful VFD issued 10. Withdrawal time, special nationally consistent principles.” meetings will be announced by a licensed veterinarian. The instructions and cautionary Essentially, the Veterinary through NYSDAM and NYSVMS. client is obligated to use the statements • Feed Directive (VFD) rule ends VFD feed as indicated on the Melanie Hemenway, DVM, NYS performance enhancement uses 11. Number of reorders VFD and as specified on the Department of Agriculture of feed grade antimicrobials. authorized product’s label. Labels for VFD & Markets, NYSCHAP Some of the same products, 12. Statement: “Use of feed drugs will include a cautionary Coordinator, Melanie. however, are labeled for containing this VFD drug statement saying “Federal [email protected] 14 New York State Veterinary Medical Society INDUSTRY Cancer Treatment Using the EWICO System

ancer is a a specific acupuncture frustrating and point that strengthens this difficult disease to underlying deficiency thereby treat. Surgery can stimulating an innate self- be demanding on maintaining and self-repairing Canimals weakened by cancer; homeostatic bodily system. chemotherapy can greatly reduce Change is the ultimate law of all appetite and vitality; radiation of life and nature. When young, is restricted in its application. a high degree of cellular activity Many owners struggle to find is normal at a young age. At a successful therapeutic options certain state, cellular growth that have no negative side slows and finally stops; this is effects. As veterinarians, we normal behavior. Our bodies often struggle to find a balance have several mechanisms to for our clients to treat these prevent or regulate the growth diseases while still supporting our and multiplication of cells. patient’s quality of life. We are When these mechanisms are continually searching for safe, lost, cancer can occur. Using the yet effective treatment options. EWICO system, these control One such system involves the mechanisms are regained. use of a specific acupuncture point stimulation using the Acupuncture is the most Figure 1: An example of a few acupuncture pathways, meridians EWICO (Embryo Containing important method to regain point on the controlling cycle must be chosen. Dr. Thoresen is Information of the Whole this lost control. To use this to bring control to the primary now using points based on the Organism) system. In April 2015, treatment effectively, one must cancerous organ or tissue. If ECIWO points. Ying Qing Zhang, the New York Complementary first receive training in the theory control is regained in the primary a Chinese professor, published and Alternative Veterinary and practice of acupuncture, tissue, one may also expect good in 1981, a recently discovered Medicine Association (NY CAVMA) the location of acupuncture control over any metastasis. (www.nycavma.org) hosted pathways, meridians (see figure ‘bio-holographic law’. Zhang Dr. Are Thoresen, a Norwegian 1), and one must be able to To understand which meridian had noted that many pathologic veterinarian who specializes in make an accurate acupuncture (acupuncture pathway) to bodily processes manifested cancer treatment, for a four-day diagnosis. Currently in this treat, the practitioner must as tender points along the seminar on cancer treatment country, there are two well understand the Five Element metacarpal/metatarsal using the EWICO system. recognized acupuncture training (Phase) theory. In Chinese bones. These areas along the classes; the Chi Institute, in medicine, one aspect of the metacarpal and metatarsal Before describing the EWICO Reddick, Fla. (www.tcvm.com); Five Element theory is called the bones therefore reflect system, a basic energetic and through the International Ko-cycle. This cycle describes the entire body. The ECIWO explanation is needed. There is Veterinary Acupuncture Society which organ ‘controls’ another. systems are interconnected (almost) always an underlying (IVAS) (www.ivas.org). It is using this Ko-cycle that the with intercommunication via deficiency or weakness which the connective tissue. Soviet When approaching a patient controlling meridian is found. is the cause of all excessive research has shown that this using this system, one must aim For example, the mammary conditions. In this example, system uses chemiluminescence, to locate the primary site of the chain is located on the stomach cancer would serve as the which is transmitted through cancer ( i.e., the tissue organ or meridian. The liver energetically excess condition. Typical the connective tissue; not meridian that shows cancer). It is controls the stomach. Therefore, cancer treatments ‘treat the surprisingly located exactly very important to know the exact for any primary mammary chain excess’ by directly attacking where the Chinese described pathways where the cancer is cancer, the key is to control the cancer cells, or by surgically the location of acupuncture located. Then knowledge of the stomach meridian through removing the cancer. In meridians. Dr. Bjorn Nordenstron acupuncture theory is needed strengthening the Liver. contrast, the foundation of the has shown that this system as then one must select and EWICO treatment is to control Once the controlling pathway is of vital importance in treat the best acupuncture the cancer by stimulating is discerned, the exact point balancing body processes.

New York State Veterinary Medical Society 15 For example, one can use information. Dr. Thoresen will the ECIWO points on the liver be returning to New York to meridian to control cancer of continue his training classes the spleen or stomach; and any with our members of the NY tissue along the course of these CAVMA in November 2016.• meridians, like cancer of the Cynthia Lankenau, DVM lower medial tibia or mammary cancer. Dr. Thoresen has over 80 Dr. Cynthia Lankenau is a 1981 graduate from Cornell’s College of percent success rate in resolution Veterinary Medicine and a graduate of canine mammary cancer using of the International Veterinary only one acupuncture point! Acupuncture Society certification It is a fascinating non-toxic, no class of 1991. She is currently in a adverse side-effect therapeutic private mixed animal practice that method to treat cancer. Go to specializes in alternative therapies. www.nycavma.org for more

“… the foundation of the EWICO treatment is to control the cancer by stimulating a specific acupuncture point that strengthens this underlying deficiency thereby stimulating an innate self-maintaining and self- repairing homeostatic bodily system.”

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Kurt D. Liljeberg, DVM Bill Crank, DVM John Bryk, DVM George R. Sikora, DVM Western NY Representative Eastern NY Representative Eastern NY Representative Eastern NY Representative Toll Free: 800.380.6872 Toll Free: 877.487.7765 Toll Free: 877.487.7765 Toll Free: 877.487.7765 16E-mail: [email protected] E-mail: [email protected] E-mail: [email protected] York State VeterinaryE-mail: [email protected] Medical Society ASSOCIATION “Dining With Dogs” Bill and Vet Mobility Act Signed Into Law; TNR Legislation Vetoed

new law in New any ban could only encourage AB6990 (Glick) and SB250 of the state’s Animal Population York State will more dogs to be left in locked (LaValle) were reintroduced in Control Program Fund, supported allow dogs on cars, risking their health. 2015, with some amendments by license fees, could have made in the last days of the been allocated to TNR programs restaurant patios. Governor Cuomo also signed legislative session. NYSVMS and away from the fund’s Governor Andrew the Vet Mobility Act of 2015 worked with advocates original purpose: to support ACuomo signed the “dining with in November. As a result of to insure the profession’s low-cost spay/neuter of dogs dogs” bill into law in October. 2012 Super Storm Sandy and standards of practice were and cats for low-income owners. States including California, its aftermath, a bill providing met and that the legislation Florida and Maryland already limited licensing exemptions for In a public statement about his applies only in circumstances have similar laws. Dog lovers and specially trained, out-of-state decision, the governor called the of major catastrophic events. many restaurant owners in New veterinarians related to natural proposed bill “problematic” for York support the idea, noting disaster response was introduced Gov. Cuomo vetoed legislation a number of reasons, including the animals would have to be in 2013 in both houses of the that would have used public evidence that shows TNR does leashed and restaurants could legislature. These bills did not funds to support statewide not reduce feral populations choose not to allow canines. move in the concluding days of trap, neuter, release (TNR) and that feral cats have a major Supporters noted the rules have the 2014 Legislative session. programs for feral cats. The impact on wildlife, “including long been ignored and that decision came in October, threatened and endangered after a lengthy public debate. species, habitats, and food Under the proposed legislation sources for native predators.”• Grow (A2778/S1081), up to 20 percent Your Practice With Care

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www.veterinaryfinancialadvisors.comNew York State Veterinary Medical Society 17

������������������������������� ASSOCIATION NYS-VC Fall Held at Cornell University College of Veterinary Medicine a Great Success!

early 600 to serving as a forum for the veterinarians presentation of advances Save the date for the and veterinary in veterinary medicine, the technicians event promotes interaction 2016 NYS-VC Spring May attended the among students, faculty, 13-15 at Westchester NNYS Fall Veterinary Conference practitioners, and alumni. held October 16-18 at Cornell The Welcome Reception Hilton in Rye Brook. University College of Veterinary with the exhibitors included Medicine featuring lectures on a silent auction and a Finger Clinical Service award: John term as AVMA Alternate Delegate oncology, companion animal Lakes wine and beer tasting. Randolph, DVM, DACVIM and and Allan Bregman, DVM was reproduction, exotic species, Daniel Elmer Salmon Award for elected as Treasurer to replace practical pharmacology, A Floating Classroom Cruise on Distinguished Alumni Service: Lawrence Bartholf, DVM who is antibiotic resistance, Cayuga Lake was offered for the Paul Pion, DVM, DACVIM, retiring. Changes to the bylaws wound management, first time to learn about harmful founder and CEO of VIN. Joseph were also approved (http://c. controlled substances and algal blooms affecting domestic Kinnarney, DVM, President ymcdn.com/sites/www.nysvms.org/ general care of pet pigs. animals and common causes of fish kills in the Finger Lakes. of AVMA offered an update resource/collection/6AC4D7D6- Friday featured a specialized on current AVMA activities. 4DAE-4EAC-965F-B5EDFCCFDC57/ equine program and practitioner The NYS-VC Celebration Dinner bylawsrevised2015.pdf.) Margret “Meg” Thompson, luncheon, a NYS required honored: NYSVMS Veterinarian DVM, DACVR, Interim Director Special thanks to the NYS-VC Fall controlled substances law of the Year: Laura Cook, DVM, of Cornell University Hospital for Planning Committee and the update seminar and a Cornell Central NY member; NYSVMS Animals, was elected President- NYS-VC Fall Sponsors: Simmons expansion hard hat tour. Distinguished Life Service award elect of NYSVMS for 2016; Walter Northeast, Best Pet Rx, Merial The fourth annual Clinical Laurel Kaddatz, DVM, WRVMA McCarthy, DVM was elected Limited and Patterson Veterinary Investigators’ Day showcased member; NYS-VC 2014 Outstanding to a four year term as AVMA Supply. Save the date for the CVM residents and interns Speaker award: Ursula Krotscheck, Delegate and Eric Bregman, 2016 NYS-VC Spring May 13-15 at research to the veterinary DVM, DACVIM; Cornell University VMD, was elected to a four-year Westchester Hilton in Rye Brook. community at large. In addition Hospital for Animals Outstanding • 2015 NYS-VC Fall Exhibitors: Special thanks to the NYS-VC Fall sponsors: Abaxis Merial Asteris Inc. Midwest Veterinary Supply Bayer Animal Health MWI Veterinary Supply BCF Technologies Nevsco Best Pet Rx Nutramax Laboratories Veterinary Companion Therapy Laser by Sciences Inc. LiteCure Patterson Veterinary Supply Cuattro Digital Imaging Roadrunner Pharmacy Diamond Back Drugs Rose Micro Solutions Elanco Companion Animal Health SCAVMA Elsevier/Success Concepts Simmons New York Medical Books Sound Eklin EVO eZpay, LLC Standard Process Henry Schein Animal Health Universal Imaging Heska Corporation VCA Hills Pet Nutrition Virbac Animal Health IDEXX Laboratories Zoetis Animal Health LaBella Associates, PC 18 New York State Veterinary Medical Society Forty-three speakers presented on various subjects throughout the Attendees were able to participate in labs during the conference. (Photo by: conference. (Photo by: Michael Carroll, Cornell University College of Michael Carroll, Cornell University College of Veterinary Medicine) Veterinary Medicine)

Laura Cook, DVM (right) accepts the NYSVMS Veterinarian of the Year award Laurel Kaddatz, DVM (left) accepts the NYSVMS Distinguished Life Service from Dean Snyder, DVM, President. (Photo by: Rene van Ee, DVM) award from Dean Snyder, DVM, President. (Photo by: Rene van Ee, DVM)

Joseph Kinnarney, DVM, President, AVMA (left) with Paul Pion, DVM, Dancing the night away at the Celebration Dinner. (Photo by: Rene van Ee, DVM) DACVIM, recipient of Daniel Elmer Salmon Award for Distinguished Alumni Service. (Photo by: Rene van Ee, DVM)

New York State Veterinary Medical Society 19 ASSOCIATION Colorized X-Ray Photography

ast spring, I took a class My dad helped me navigate staff decided to x-ray her. Her side of photography. I plan to on Nonconventional the Cornerstone utility and set left front leg was missing when continue a career in Ophthalmic Imaging at the right exposure. He used she arrived. I used Photoshop photography, but also have Rochester Institute the preset Radius/Ulna R CC. I for this image as well, applying an interest in anything to do of Technology. One thought it would be interesting the same technique. with animals. My father is a to photograph a piggy bank veterinarian of a small animal Lof the nonconventional Using this colorizing with change inside, however practice, located on the first techniques I was taught was technique on x-rays can assist the exposure was incorrect, so floor of the house where x-ray photography. The class veterinarians in distinguishing the coins appeared as bright I grew up, so I was always demonstrated techniques about the different anatomy of white circles. I colorized the surrounded by animals. how to colorize black-and-white an animal. It can highlight • image in Adobe Photoshop, images. I was excited, since I the issue, making it easier Teri Zgoda using the quick selection tool had access to an x-ray machine to interpret the image and back home at my father James and adding color gradients. This article and photos were determine proper care. submitted by the daughter of Zgoda, DVM’s veterinary office. The turtle image was provided I am in my third year of the NYSVMS member, James Zgoda, DVM. When I was working at the to me. Someone brought the biomedical photographic hospital this summer, I gathered turtle into my father’s office communications program anything I thought would after she was hit by a car. She at RIT, which is the scientific look interesting using x-ray. started laying eggs, so the

20 New York State Veterinary Medical Society IN MEMORIAM Colleagues Who Will Be Missed

the first James Law Professor many ways. His goal was to work of Comparative Medicine. for the greater good. He always He also spent two years as treated everyone fairly and to a professor of comparative see the good side in all situations. pathology at Cornell’s medical He was a father to all of us.” college in New York City. Aside from being a superb Dean Poppensiek retired in veterinarian, Dr. Gould will also 1988. In honor of the occasion be remembered for his great the university established love of adventure. He was a the Poppensiek Lectureship, skilled sailor who mastered the an annual event with art of celestial navigation when distinguished guest speakers he took up sailing in the early from around the world. 1970s. He made round trips from Dean Poppensiek was Sag Harbor to the Caribbean predeceased by Edith Marion, annually before eventually to whom he was married for building a house in Anguilla. He 63 years, and his son, Neil was a longtime member of the Allen. He is survived by his Sag Harbor Yacht Club, where daughter, Leslie Marion Howe, he served as commodore. • and five grandchildren.

Charles Gould ‘59 George Poppensiek, was responsible for veterinary Charles Norman Gould, DVM virus vaccine production. Emeritus Dean, of Bridgehampton died Cornell College of He returned to Cornell in 1949 October 14 at age 80. as director of the Diagnostic Veterinary Medicine Born in Montauk to Abby and George Charles Poppensiek, Laboratory and to pursue Norman Gould, who owned a VMD, emeritus dean of advanced studies in virology, dairy farm in East Hampton, on Cornell’s College of Veterinary pathology and biochemistry. June 13, 1935, he was proud of Medicine from 1959 to 1974, Dean Poppensiek was awarded his roots and liked to tell friends passed away Sept. 8 in Ithaca, an MS in 1951 and became a that his grandparents married N.Y. He was 97 years old. research associate in the Cornell at the Montauk Lighthouse. College of Veterinary Medicine, Dean Poppensiek matriculated at Known as Charlie, Dr. Gould where he was involved in the Cornell College of Agriculture graduated from East Hampton studies on a combined vaccine in 1936. He subsequently High School in 1953. He attended for canine infectious hepatitis transferred to the University the New York State College of and distemper. He then spent of Pennsylvania, where he Agriculture and graduated from four years as supervisory completed his bachelor’s degree the New York State College of veterinarian for immunologic and earned his VMD. He joined Veterinary Medicine at Cornell in investigations at the USDA’s Plum the faculty of the University 1959. He served in the U.S. Army Island Animal Disease Center. of Maryland (UM) and served Veterinary Corps before starting as veterinarian for UM’s herds When Dean Poppensiek again to practice in Connecticut. and flocks. He also assumed returned to Cornell, it was as He returned to the South Fork major responsibility for clinical dean of CVM. Among other and founded the Olde Towne and laboratory diagnoses of achievements, he led the Animal Hospital in 1965. He during a serious outbreak development of the Veterinary retired in 1999; the practice in Prince George’s County, Research Tower and oversaw the is now owned by Dr. Claude where UM is located. This doubling of the college faculty Grosjean, Dr. Rick Altieri and Dr. led to a new post at Lederle and a significant increase in Dawn Stelling, who recalled that Laboratories in Pearl River, research activity. When his term Dr. Gould “mentored us all in so N.Y., where Dean Poppensiek as dean ended, he was named

New York State Veterinary Medical Society 21 CLASSIFIED ADS Positions, For Sale and More …

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IMPORTANT SAFETY INFORMATION: For use in dogs only. The most common adverse reaction is vomiting. Other adverse reactions TMNexGard and FRONTLINE VET LABS are trademarks reported are dry/flaky skin, diarrhea, lethargy, and anorexia. The of Merial. ®PINKERTON is a registered trademark of safe use of NexGard in pregnant, breeding, or lactating dogs has not New York State Veterinary Medical Society Pinkerton Service Corporation. ©2014 Merial Limited, 23 Duluth, GA. All rights reserved. NEX14TTRADEAD (06/14). been evaluated. Use with caution in dogs with a history of seizures.

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100 Great Oaks Blvd., Suite 127 Albany NY 12203

24 New York State Veterinary Medical Society