ONLINE EDITION VOLUME FIVE I ISSUE ONE I JANUARY/FEBRUARY 2017 An inconvenient truth Simply reflecting on poor socialisation is not enough... 10 hours PPD Feline tooth resorption Taking a proactive approach Recognition, diagnosis and treatment The role of disease risk analysis in zoo and wildlife medicine Exercise-induced pulmonary haemorrhage Motivation An overview It comes from within THE JOURNAL OF VETCOMMUNITY.COM @VPTODAY | WWW.VETERINARYPRACTICETODAY.COM Practice Makes Perfect PPS have been providing successful solutions to the veterinary profession since 1998. We are the only consultancy providing financial advice and services exclusively to the veterinary profession. 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Bury St. Edmunds Suffolk IP30 9HR According to the Oxford English Dictionary the word denotes ‘circumstances in Tel: 01359 245310 which objective facts are less influential in shaping public opinion than appeals to Fax: 01359 245253 emotion and personal belief’. So much for evidence-based medicine then! [email protected] www.veterinarypracticetoday.com The trend towards ‘post-truth’ has really taken hold since the EU Referendum in June and the election of Donald Trump to the presidency in the US. And ardent Editorial ‘Brexiteer’, Michael Gove, has famously said that, “people in this country have had Editors enough of experts”. Maggie Shilcock [email protected] Tel: 01359 245310 Picking up on this point, Michael Deacon, political sketch-writer in The Telegraph wrote, ‘The so-called experts, of course, will tell you that if you want to fly a David Watson passenger jet, you need to have undergone some kind of formal training as a pilot. [email protected] According to them, this will make everyone’s journey “safer”. Associate editor Sarah Kidby ‘Take a closer look at the facts, however, and you’ll observe a deeply concerning [email protected] Tel: 01359 245310 pattern. Almost every plane that has ever crashed was being flown by a qualified pilot. The logic is indisputable. Qualified pilots crash planes. Therefore, we would be Design far safer if we were flown by people who have never even set foot in a cockpit before. Graphic designers It’s simple common sense.’ Melody-Anne Neville Gemma Baker The blanket disparagement of experts is a worrying development and should ring Bradley Young alarm bells for us all as veterinary professionals. It runs the risk of undermining the Hanneke Lambert ethical core of our sworn undertaking to ensure the well-being of animals placed [email protected] under our care. Production Publications manager In this issue of Veterinary Practice Today, our ‘Comment’ article warns of the tragic Clara Ashcroft consequences of potential dog owners ignoring the advice of veterinary experts when [email protected] choosing a puppy; and Owen Atkinson warns of the enhancement of antimicrobial Tel: 01359 245310 resistance when cattle farmers and their advisers ignore the latest guidance from experts on the use of antibiotics. Advertising Media and marketing co-ordinator It is all very well for people to have opinions – ‘twas ever thus. But when those Carole Bloys opinions are misinformed and reinforced by the ‘post-truth’ phenomenon – invariably [email protected] promulgated via social media – they become dangerous and downright destructive. [email protected] Tel: 01359 245310 David Watson Subscriptions Editor [email protected] Tel: 01359 245310 ©2017 Vision Media All rights reserved. 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WWW.VETCOMMUNITY.COM | ONLINE EDITION @VPTODAY | WWW.VETERINARYPRACTICETODAY.COM 3 Contents Comment Large animal 2214 6 COVER STORY 30 “I know it is in here somewhere – keeping your car boot organised” An inconvenient truth As a ‘farm vet’, your car is not only Quality of life assessment and your vehicle but also your office, out ethical decision-making are areas of which you work day and night. that companion animal vets must navigate regularly. 34 Responsible use of antibiotics on dairy farms Looking at the social aspects of antibiotic supply to dairy farms 6 and practical steps to ensure more responsible use. 14 Why did the chicken enter the consulting room? Examining domestic fowl is no more or less complicated than examining 40 any other animal that you may be presented with in practice. 22 Mobility clinics Mobility clinics are often one of the clinic formats that practices offer ‘later down the line’ or fail to promote altogether. 24 Nature raw in tooth and claw – Small animal when animals eat other animals One of the most common enquiries received by the VPIS is 8 COVER STORY the ingestion of anticoagulant Feline tooth resorption rodenticides. Feline dentistry is challenging owing to the small size of cat teeth 27 Insight: Matching and and the fact that the oral cavity is mismatching difficult to access. Why young veterinary graduates are disillusioned and what should be done about it. 8 22 40 Large animal on call – a look at the logistics Being well-prepared and well-equipped allows you to concentrate on what matters most – the call! 44 Insight: Optimist or pessimist – the part played by the environment Research suggests pigs can be optimists or pessimists depending upon their environment and personality. 4 VETERINARY PRACTICE TODAY | VOLUME FIVE | ISSUE ONE | 2017 WWW.VETCOMMUNITY.COM | ONLINE EDITION Featured contributors David G Parsons Equine Management BVetMed MSc CertPMP NSch MRCVS 48 Equine worming protocols 68 COVER STORY After working in mixed The damage caused by internal practice and in the Poultry How to have the most motivated Department of the Central parasites depends on the type of team possible Veterinary Laboratory. worm, its life cycle, the number of Motivation isn’t done to someone, David set up his own practice working specifically with poultry, gamebirds and worms present and the health of it’s a feeling that comes from within. the horse. pigeons. In addition to servicing his own client base, David undertakes consultancy work (dgp@ 70 52 COVER STORY Client care standards poultryhealthcentre.com) and teaches poultry are important medicine at the University of Bristol School of Exercise-induced pulmonary We are only as good as our Veterinary Sciences. haemorrhage (EIPH) worst employee. EIPH is seen in horses performing a whole range of sporting disciplines. 72 Lone working and how to manage Carolyn Baguley the risks MA VetMB CertAVP(Cattle) MRCVS RCVS Advanced Employers need to consider what Practitioner in Cattle Health extra precautions may be required and Production 48 to ensure that ‘lone workers’ are at no greater risk than Carolyn graduated from Cambridge University other employees. veterinary school in 2005, and then worked in small animal practice for two 76 Don’t let that difficult last consult years. In 2007, she moved to New Zealand to be the last one with your client too pursue her real interest – farm vetting - spending Broaching and discussing the the next three years in a mainly dairy-focused practice. Carolyn has been at Scarsdale Vets since topics of euthanasia and/or returning to the UK in 2010, and is their senior palliative care management farm assistant. is difficult for both veterinary professionals and owners. Emma Lloret 79 Insight: Time to cut loose? DMV, MRCVS The cost of veterinary medicine – daring to be different Emma qualified from the University Cardenal Herrera CEU (Spain) in 2014. In pursuit of her dedication to a career in wildlife medicine, Wildlife and exotics 76 Emma has spent the last two years working as the veterinary surgeon for the Wildlife Aid Foundation, one of the largest wildlife rescue centres in the UK. 55 COVER STORY The role of disease risk analysis in zoo and wildlife medicine Kirsty Ranson, The effect of disease transmission BVMBVS MRCVS into a conservation-sensitive Kirsty qualified in 2011 species can be catastrophic.