Moorabbin - Camberwell - Pt Cook 
p: (03) 9553 1775  f: (03) 8677 7630
In this edition:
  • Register for next free lecture at the Rivoli Theatre - Wednesday July 15th
  • Gastrointestinal Biopsy Techniques - with link to full article
  • Orthopaedic lunch time seminars launched - earn one CPD point
  • Southpaws team hard at work on CPD
  • Peace of Mind TPLO package

Southpaws Newsletter, June 12, 2015

Next Free Lecture at the Rivoli Theatre - Wednesday July 15th

Register Now

Reservations for our next free lecture for veterinarians are filling fast. At the beautiful art-deco Rivoli Theatre on Wednesday July the 15th Charles and James will present 
"Decision Making in Hindlimb Lameness" discussing all aspects of hindlimb lameness including lumbosacral disease, hip dysplasia, stifle disease, neoplasia and many others. You will gain insight into the surgical and medical procedures available to manage these conditions. As always questions from the audience will help stimulate new perspectives and experiences from our two speakers. Canapes and drinks will be served at our Camberwell Consulting Suites, Shop 4, 555 Riversdale Road, Camberwell from 7:00 PM with plenty of parking opposite and a shortwalk down to the theatre for the lecture commencing at 7:35 pm. Seats are limited (by the size of the theatre) so registrations are essential. To register for this free event, please click on this link and we hope to see you there. Popcorn will of course be supplied.
Gastrointestinal Biopsy Techniques
Gastrointestinal (GI) biopsies can provide information that cannot be gained from any other method. That being said, the need for biopsies has decreased through appropriate use of therapeutic trials. The need for full-thickness surgical biopsies has been further reduced through the use of endoscopy. When indicated, implementation of proper biopsy technique and sample preparation greatly enhances the quality and amount of information gained. 
Generally, the decision to perform a biopsy is based on the presence of clinical signs attributable to the GI system that cannot be attributed to other body systems. These include chronic vomiting, weight loss, GI blood loss, gastroduodenal reflux or evidence of small intestinal diarrhoea. GI biopsy is probably the last step in making a diagnosis after other less-invasive tests have been exhausted unless there is evidence of obstruction, severe haemorrhage or perforation. The more clinically ill the patient is (ie severe weight loss, poor body condition score, hypoalbuminaemia, anorexia, ultrasonic evidence of infiltrative disease) the more likely therapeutic trials should be skipped and biopsies should be performed. 
Patients of appropriate age that have clinical signs attributable to inflammatory bowel disease (IBD) should have therapeutic trials prior to biopsies. These include empirical treatment for Giardia and endoparasites, supplementation with cobalamin and folate, dietary trials, antibiotic trails, corticosteroids or other immunosuppressive medications. 
When therapeutic trials have been unsuccessful, abdominal imaging (ultrasound or CT) should be performed to try to identify lesions which may not be accessible endoscopically, including lesions in the liver, spleen, lymph nodes, lower duodenum, jejunum, pancreas and/or kidneys. If clinical signs are attributable to the upper gastrointestinal tract, and abdominal imaging has eliminated lesions which may not be accessed, endoscopy with biopsies is generally preferred to full-thickness surgical biopsies. Endoscopy is contraindicated if there is evidence of GI perforation characterised by free abdominal air or peritonitis. 

To continue reading this full article including comments and expectations from gastrointestinal biopsies, endoscopic biopsy advantages and disadvantages and full thickness and colonic biopsies please click here for a PDF copy. 
Orthopaedics Training Seminars Launched
Dr James Simcock and Dr Ralph Webster are making available lunch time seminars at primary care clinics entitled  "Canine Orthopaedic Surgery - Assessment and Options". In a one hour format James and Ralph will review orthopaedic conditions in dogs with diagnosis and treatment options and will allow time for participants Q&A. The seminars earn 1 CPD point for AVA member participants and 36 page copies of the notes will be available to each clinic for reference. James and Ralph will bring along a lunch for your team. If you would like a visit to your clinic for a lunch time seminar and discussion, please contact us by the usual means and request a visit. We may take some time to get around to clinics if the series is popular. 
Southpaws Team Hard At Work on CPD

The Southpaws team are really busy at the moment with continuing education - both as participants and as lecturers. We have a number of papers under review for publication, plus papers coming up at conferences and our upcoming lecture at the Rivoli Theatre on July 15th "Decision Making in Hindlimb Lameness" (see above).
Dr Charles Kuntz is presenting at the upcoming ANZCVS Science Week on the Gold Coast from 9-11 July. Charles' papers include "GIT Biopsies - Where, How and When ? Keeping Your Internist Happy." and with Dr Rod Straw "Extremity STS - Open Wound Management vs Radiation". For the web-link to the program please click here.
Dr James Simcock has been busy in his role as an examiner for the Australian College of Veterinary Scientists.  James has also been doing work with Improve International providing lectures and wet lab sessions on orthopaedic and soft tissue surgery. James will also be undertaking further training in Los Angeles for novel treatments for elbow disease including Canine Unicompartmental Elbow Arthroplasty. Watch this space for new treatments to become available at Southpaws. 
Dr Ralph Webster, Surgical Registrar is studying to complete his final ACVS specialist boards in the USA in early 2016. Ralph will be taking leave from Southpaws around October this year to concentrate on his studies.
Dr Alex Santamaria is busy studying for her Phase 1 exams with the American College of Veterinary Surgeons to be held in San Diego in April, 2016. Alex is also working on papers for publication including work on treatment of osteosarcomas using carbo-pump therapy and a case study on epidural haematomas post-epidural anaesthetic.

"Peace of Mind" TPLO Package

Our new TPLO Peace of Mind Package means a once off payment for clients with nothing further to pay for management of cruciate disease in the affected leg. The "Peace of Mind" package includes all charges including resolution of complications should they occur for up to 24 months. Our all inclusive price includes any radiographs, recheck appointments, bandages and revision surgery costs should this be required. 

What's Not Included?

The "Peace of Mind" package doesn't cover cruciate disease in the patient's other leg nor any external services, such as physiotherapy and doesn't include blood work or the treatment of other issues that may arise in the patient other than the cruciate disease in the affected leg. Clients must also follow our treatment and management instructions to maintain Peace of Mind coverage.

Prices (inc. GST)

The prices for the "Peace of Mind" TPLO package are about $100 higher than our previous prices and this partially covers the costs of expected radiography. However, it's clear that with all cruiciate related costs included, this new pricing provides real peace of mind to clients - pay once and pay no more.
  • <15 kg      - $4300
  • 15-30 kg   - $4450
  • 30-45 kg   - $4550
  • 45-60 kg   - $4700
To find out more about our Peace of Mind TPLO package please contact us by any of the usual means.
Copyright © 2015 Southpaws Specialty Surgery for Animals, All rights reserved.
Moorabbin | Camberwell | Point Cook
Phone: (03) 9553 1775 Fax: (03) 8677 7630

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