County
Animal Hospital has taken the medical records system into the digital
age. Your pet's medical record is entirely digital. This results in a
printable (i.e. legible) concise, organized medical record that is readily
understood. Medical records can be instantly produced (or e mailed) for
specialist referrals with the touch of a button. Our doctors and staff
have instant access to your pet's records from anywhere in the hospital
or even when away from the office. The system is connected to the internet
by a broadband connection. Laboratory results are imported directly from
the reference laboratory's website. Photographs, radiographs and digital
ultrasound and endoscopic images can be imported and electronically stored.
Clients can access their pet's medical records and communicate with the
doctors and staff members through their personal pet portals (see the
link on the home page). The often doctors consult with specialists and
clients by email. Clear organized medical records improve the efficiency
and accuracy of medical diagnosis and treatments. The network also has
a superb reminder system that helps us stay in touch with you and monitor
your pet's progress at home. Clients can also use our website to schedule
appointments (through the Pet portal) or order medications through the
electronic Vetstore (see link on the home page).
An
electrocardiogram (ECG) is a tracing of the electrical activity of the
heart. It is useful for detecting abnormal cardiac rhythms (arrhythmias)
and cardiac enlargement. The electrocardiogram is non-invasive, painless
and can be performed on most animals without sedation.
Echocardiography
is an ultrasound study of the heart. This technique is non-invasive, painless
and can be performed on most patients without sedation. It allows the
beating heart to be directly observed. The cardiac chambers and walls
can be measured and the valve leaflets can be directly examined. Doppler
echocardiography is an advanced technique that allows the velocity of
blood flowing through the heart to be measured. This is especially helpful
in the study of congenital heart defects in puppies and kittens and in
valvular disease in older animals. Still and video loops of echocardiographic
studies are stored in digital form on a computer for telemedicine consultations
with a cardiology specialist.
Sonograms
are ultrasound examinations of various parts of the body. Most commonly
the abdomen is examined. The liver, gall bladder, kidneys, urinary bladder,
uterus, prostate, stomach and intestines can be examined. In some patients
the pancreas and adrenal glands can be seen as well as the major arteries
and veins. Ultrasound can also be used to study other body parts such
as eyes and testicles. An echocardiogram is a sonogram of the heart. Organs
and tumors can be directly sampled for biopsy with the aid of ultrasonographic
visualization and sedation. Still images and video loops are stored on
a computer digitally.
Electronic medical records, still images and video loops of ultrasound
studies, radiographs and other data are transmitted over the internet
to specialists all over the world through Dark Horse Medical Ventures.
This allows your pet to have the benefit of a specialist without having
to travel to a referral hospital. Cardiologists, radiologists, internists
and avian and exotic specialists are frequently consulted. The turn around
time for these consultations is usually less than 24 hours, but can be
less than 2 hours in emergency situations. Telemedicine brings the expertise
of a large referral hospital to County Animal Hospital. This saves time,
money, inconvenience and sometimes a pet's life.
Our in-house lab is used to examine fecal samples, urine samples and cytology
slides (samples of cells/fluid from lumps or ears). In addition we can
run complete blood counts and full serum chemistry profiles (including
blood gases and electrolytes) within a few minutes. This is very helpful
when emergency surgery needs to be preformed, or when a critically ill
pet presents and quick answers are needed. Back
to Top House
calls
In general, it is best to bring your pet to hospital for most medical
services. House calls are sometimes requested when the owner is unable
to come to the hospital or when the pet can not be moved. Owners who are
considering euthanasia for their terminally ill pets occasionally will
request that this be done as a house call so that the pet is spared the
last trip to the hospital. We are pleased to offer house calls as a service
to our clients. House calls need to be scheduled in advance. Emergency
house calls are difficult to arrange during office hours because it is
difficult to rearrange the doctor's appointment schedule on short notice.
The cost of a house call depends on the mileage from the hospital to your
home and the length of time the doctor spends in your home.
The Storz Video Otoscope allows the ear to be examined in exqusite clarity
and with magnification. Images can be recorded digitally and printed for
future referrence. This equipment enhances the doctor's ability to view
conditions in the canine and feline ear with greater clarity and allows
the pet owner to see as well. This facilitates successful treatment. Most
commonly the scope is used right in the examination room for routine examinations,
but it is very useful for doing meticulous ear cleanings and examinations
under anesthesia when medically necessary.
Animals with difficulty breathing may benefit from breathing higher levels
of oxygen. We have an oxygen incubator for small animals and an oxygen
hood for larger dogs for this purpose.
Many diseases will cause a rise in blood pressure. A high blood pressure
may then cause other problems. CAH uses a doppler blood pressure unit
to accurately determine an animal's pressures. This is non-invasive and
performed on the animal awake.
Hip dysplasia is a developmental disease of the hip joints of many breeds
of dogs. Large breeds like German shepherd dogs and retrievers are commonly
affected. This disease is often crippling and can result in a painfully
shortened life span in severely affected dogs. Responsible and caring
dog breeders should have their breeding dogs (males and females) screened
radiographically for hip dysplasia prior to breeding. The Orthopedic Foundation
for Animals (OFA) was founded in the early 1960's to evaluate radiographs
taken of dog's hips and to certify those animals with normal hips. The
breeder's veterinarian X-rays the dog's hips in a standard position under
anesthesia. The resulting radiograph is then sent to the OFA who, in turn,
refers the films to a panel of board-certified veterinary radiologists
(usually veterinary college professors) who evaluate them. Caring breeders
would only breed those dogs whose hips were certified as normal by the
OFA. Dogs must be 2 years of age or older before they can be certified.
OFA has lessened the severity and frequency of hip dysplasia to some degree,
but the disease persists. In the 1980's a better method of evaluating
the canine hip joint was developed at the University of Pennsylvania.
This method, known as the Penn Hip evaluation, involves taking additional
radiographic views. A Penn Hip study measures how tight the hip joints
are. An actual measurement of tightness is made on the radiographs themselves
resulting in a numerical value called the distractive index. Dogs with
the tightest hips have the lowest distractive index and least likelihood
of developing hip dysplasia. The Penn Hip study can be performed and evaluated
at four months of age or older. Only veterinarians who have been specifically
trained and certified by Penn Hip can submit radiographs for evaluation.
The Penn Hip method will advance the fight against canine hip dysplasia
because it replaces the subjective review of a radiologist with an easily
repeated measurement. Breeding studies have shown that the distractive
index is highly inheritable. Penn Hip maintains and publishes a database
for each breed. This database makes available to breeders and veterinarians
the range of distractive indices for each breed. Breeders can improve
the hips in their dogs by breeding dogs in the tighter half of the distractive
index range for the breed. Dr.
Robert Weiner is certified by Penn Hip and is happy to provide
more information on Penn Hip for individual breeders or breed clubs.
CAH offers medical boarding to cats, dogs, birds and other small pets.
Since we are a hospital, we can accommodate pets that have special medical
or dietary requirements. Please make reservations for this service in
advance. Please bring along your pet's medications and their regular food.
If you do not bring any food, we will feed a premium brand of pet food.
If you desire, your pet can be bathed, at an additional charge, before
discharge.
Cornell Cooperative Extension teaches a class for 8-19 week old puppies
at CAH. In this class, you and your pet will learn about socialization,
household etiquette, general puppy care and obedience basics. The class
is 8 weeks long and the whole family is encouraged to attend. For more
information on the Puppy Kindergarten Class, go to the Puppy
Kindergarten page.
The doctors at CAH suggest that you brush your pet's teeth daily using
a cat/dog toothpaste. However, even with home brushing, at some point
the doctor may recommend a professional dental cleaning. A pet dentistry
is exactly the same as one you would receive, except that the pet needs
to be anesthetized. Your pet's teeth will be ultrasonically and hand-scaled,
the teeth and gums will be probed and charted for lesions, extractions
are performed as necessary, then the teeth are polished and fluoride treated.
Owners of pet birds should know that their feathered family members need
regular medical care and good diets. Many bird owners don't even realize
that there are veterinarians who accept birds as patients. Every pet bird
should have an annual physical examination performed. New acquisitions
should have a post purchase examination as soon as possible. Physical
examinations ensure that your pet is healthy and provide an opportunity
for our doctors and staff members to discuss proper bird care nutrition
and behavioral problems with you. We offer a full range of diagnostic
medical and surgical services for birds including blood testing, radiology
and endoscopy. We also carry Harrison Bird Diets. An informative collection
of bird care pamphlets is available for free at the office. Ask the receptionist
for a "bird kit".
Our
in-house lab is used to examine fecal samples, urine samples, cytology
slides (samples of cells/fluid from lumps or ears) and certain blood tests.
Other blood work and biopsies are sent to a local veterinary laboratory.
CAH has a dedicated room for x-ray services. X-rays, properly called radiographs,
are still images of various body parts. They are used to help diagnosis
problems of soft-tissues, i.e. stomach, intestines, liver, kidneys, bladder,
heart and lungs. They are also used to examine bones for fractures, arthritis
and other diseases. Sometimes, special dyes and contrast agents are used
for further diagnostics. Most animals receive sedation to allow accurate
x-rays to be taken. This room is also used for our ultrasound exams.
Most drugs that are prescribed for your pet are conveniently available
from our in-house pharmacy. This also includes heartworm and flea/tick
medications. Sometimes, the doctor may write out a prescription, which
can be filled at any human pharmacy.
There are many diseases in which food plays a role in the treatment, including
heart disease, kidney disease, obesity and allergies. CAH stocks a full
line of veterinary prescription foods for the benefit of your pet.
Endoscopy
allows minimally invasive examinations of the gastro-intestinal system,
nose, ears and bladder. Sometimes, foreign bodies in the stomach can be
removed using an endoscope.
Endoscopy is also used to examine the internal organs of birds. Animals
are anesthetized for this procedure.