What Does a Vet Tech Do?

October 8, 2014

Feeding Your Pet for Optimal Health

September 17, 2014

AAHA Certification: The AMC Takes the Test to Meet Veterinary Practice Standards of Excellence

July 30, 2014

AAHAlogoDedicatedThe Animal Medical Center undergoes a triennial accreditation evaluation by the American Animal Hospital Association (AAHA). The AAHA is an industry leader that sets the standards for small animal hospitals in North America, standards which are often emulated internationally. For example, in Japan, the Japanese Animal Hospital Association (JAHA) serves a similar role to AAHA in the United States. Recently, AAHA has added new accreditation categories for referral hospitals and university hospitals.

The Benchmarks
Over 900 different standards are assessed during the accreditation evaluation. The standards focus on the quality of care in the areas of: anesthesia, contagious diseases, dentistry, pain management, patient care, surgery and emergency care. The standards are grouped into 20 large categories covering quality of care in diverse areas such as contagious disease, dentistry, diagnostic imaging, emergency and critical care, and pain management. Mandatory standards detail 46 critical/crucial hospital functions required of every AAHA accredited hospital. These “deal breaker” standards include the requirement that dentistry is performed under general anesthesia with tracheal intubation, and all patient care is provided under the supervision of a licensed veterinarian. The standards require hospitals to provide diagnostic services (x-ray and laboratory) facilitating quick and accurate diagnosis of your pet’s illness. Accredited hospitals must dispense medications so treatment can begin immediately.

The focus of the benchmarks is not just on patient care, but on how the veterinary team interacts to achieve high quality patient care. Standards pet owners might not expect as part of the evaluation process include an assessment of confidentiality, security and integrity of medical records, fire safety, diagnostic image archiving, continuing education, and referral standards. While not exactly medical standards, these functions are clearly critical to an accredited hospital’s ability to provide top-notch patient care.

Exam Prep
The AMC is continuously prepping to meet the AAHA accreditation standards. Our accreditation team reviews the benchmarks and educates the staff regarding their responsibilities in implementing each standard. When a new standard is issued, the appropriate hospital team writes our policy to ensure the new standards are met. That policy is then distributed to the implementation teams. Each new standard improves the quality and safety of The AMC’s patient care.

A Pop Quiz
On-site examiners perform a full-day thorough and comprehensive review of the hospital. Preparing for an AAHA evaluation is like preparing for a pop quiz; they can ask questions about any of the 900+ standards and they don’t have to give you a heads-up as to which ones are on the quiz. The examiners speak with a variety of staff and review hospital policies to ensure standards are met. If any deficiencies are identified, they suggest methods of improvement.

Perfect Scores
The accreditation process is rigorous and encompasses all aspects of pet healthcare. Only 15% of all veterinary hospitals meet these stringent quality standards. The AMC is proud to say it has been an AAHA accredited hospital since 1976 and passed its most recent evaluation with flying colors. We achieved a perfect score in six of the 20 categories of standards. All of the standards ultimately affect the care pets receive at The AMC, but most important to pet owners are the A pluses The AMC received for management of contagious diseases and emergency and critical care medicine. Overall, we received a solid A, or 94%, which does not mean we got six questions wrong. We scored 30,250 out of a possible 32,310 points! No wonder it took weeks to prepare for this evaluation.

Standards Met
For over 100 years, The AMC has been a leader in veterinary teaching, research and exceptional clinical care. The AAHA is another leader in veterinary medicine whose opinions and stance are relied upon for setting high hospital standards. Achieving AAHA certification is just one way we continue to provide the highest quality of medicine and surgery to nearly 40,000 patients every year.


Choosing a Veterinary Hospital

July 31, 2013

Exotics1Is there a new puppy in your family? Has the backyard cat installed himself on your family room sofa? Have you inherited grandma’s piano and her parrot? If so, you won’t want to leave the important decision regarding the choice of your new pet’s healthcare provider to chance. Here are some tips for choosing the right veterinarian and veterinary hospital for your pet.

Location, location, location
In Sunday’s New York Times, healthcare reporter Elizabeth Rosenthal, talks about choosing a hospital for your own care. She writes, “Indeed, with thousands of good hospitals across the nation, the best selling point for routine medical care may simply be convenience…” Whether or not you agree with her point of view regarding your personal healthcare, proximity may be a consideration in choosing a primary care veterinarian. A new puppy will need several rounds of vaccines and a spay or neuter surgery requiring transporting the pet to and from the hospital on multiple occasions. But if you have a parrot, the closest veterinary hospital may not have a veterinarian with expertise in avian medicine and you will need to choose a clinic providing bird care, not necessarily the closest clinic.

Proximity plays an even more important role in the selection of an emergency hospital. When your pet is hit by a car and in shock, has serious bleeding or can’t breathe, time is of the essence and the closest animal ER is the best ER for your pet.

Assessing hospital quality
If you personally needed a heart valve replacement, for example, you might look for data on outcome for valve replacement surgery at the various hospitals in your area. In New York State we have the New York State Hospital Report Card. You could also search the doctor ratings on the website of your healthcare provider. Since this type of information is lacking for veterinary hospitals, you might turn to online sources to read the opinion of pet owners who have posted their experiences. I must admit, to me, these online reviews can often seem more like rants and may not provide the objective information you need to guide your pet healthcare decision making process.

A better method of assessing hospital quality would be to look for a hospital accredited by the American Animal Hospital Association (AAHA). Their website also allows you to search for the AAHA accredited hospital nearest you. Choosing an AAHA accredited hospital assures pet owners that the hospital they select has the staff, equipment, medical procedures and facilities that AAHA believes are vital for delivering high-quality pet care. The Animal Medical Center has been AAHA accredited since 1976, and to maintain our accreditation we voluntarily receive triennial evaluations on over 900 standards of small animal hospital care.

Finding the right specialist
The easiest way to find a specialist for your pet is for your primary care veterinarian to recommend one she works with on a regular basis. This will ensure a good line of communication and seamless medical care. If your veterinarian doesn’t have a recommendation:

  • Search the website of the type of specialist you are looking for, e.g. veterinary cardiology, veterinary surgery or veterinary dentistry.
  • For a cutting edge therapy, you might have to travel a good distance to find the specialist your pet needs. Use a scientific search engine like PubMed or Google Scholar. Search for the procedure your pet needs. When the search identifies a particular hospital where the procedure is commonly performed or a veterinarian who is a frequent author of scientific articles on the procedure, focus your search on this clinic or veterinarian. Examples of this type of procedure include repair to a ruptured ligament in the knee or image modulated radiation therapy.

Quick tips on finding the right veterinary hospital

  • Know where the closest animal ER is and keep its address and phone number in your GPS device, cell phone and on the refrigerator list so you are prepared for an emergency.
  • Don’t be afraid to visit potential veterinary hospitals before booking an appointment. Find out if their clinic schedule matches your availability. Ask the receptionist about their preventive healthcare protocols.
  • In case your pet develops an unusual medical condition or requires specialized surgery, ask your trusted primary care veterinarian about the network of specialists they recommend.

I Took My Kittens to the Vet: My View From the Other Side of the Table

September 13, 2012

I did something new last week: I took my kittens to the veterinarian!

Since my father was a veterinarian, he cared for my childhood pets and, of course, I and my colleagues at The Animal Medical Center have taken care of my recent pets. Consequently, I have never made an appointment or sat in the waiting room of a veterinary clinic other than to chat with a pet owner.

Foster care kittens

Last week things changed. You may remember my last foray into fostering.

My family and I temporarily adopted a pregnant cat, helped her deliver her kittens, and subsequently cared for her babies until it was time to let them go. This time, I am fostering two kittens already weaned from their mother. They are both underweight and under socialized. They came to me for a bit of TLC to spiff them up before getting a forever home. The female turned the corner the previous weekend when she started asking for attention and food. Her renaissance made the little orange male look even more malnourished and he retreated into a scruffy ball of fur with no appetite, even for delicately poached chicken breast or the most expensive kitten food from my local pet store.

Had the orange boy been my personal kitten, he would have come to work with me and undergone a full battery of tests. But, my foster care agreement specifies sick kittens come back to the rescue organization for medical care. So, I contacted them first thing in the morning and arranged for an appointment late in the day.

A day of worry

I spent the entire time, from making the appointment until leaving for the clinic, worrying about what was going to happen. Was the kitten so sick it couldn’t be helped? Could the whole problem be the healthy kitten spent all day pouncing on the little one, hoping for a playmate, preventing the little one from eating? The worst worry: what if the healthy kitten was ready for a forever home, the sick kitten required hospitalization, and I had to go home with an empty kitten carrier to an empty kitten palace because both kittens had to stay at the clinic?

The clinic visit

Luckily one of my friends at work drives past the rescue organization on her way home so the kittens and I got a ride, supplemented by a comforting conversation during the trip; the familiar face of the foster care coordinator was reassuring as well. The veterinarian, who might have been young enough to be my son, kindly thanked me for my participation in the foster care program, but when he said the kitten had lost 6 ounces, my pleasure melted away. Because the young veterinarian sees foster kittens daily and kittens are definitely not my core patient base, he gently explained foundling kittens frequently just stop eating for no apparent medical reason. The fix for the problem is simple: force feeding the kitten in the clinic for a few days to jump start their appetite and get them back on track. He also listened to my concern about the disparity in the size and energy level of the kittens. Together we decided the kittens should be separated and I would keep the healthy one while the poor-doer would stay in the hospital.

The moral of the story

I know from experience, it is impossible not to worry about your sick pet. And I also know your veterinarian wants your sick pet to get better almost as much as you do! But a kind word, an open ear, and a treatment plan that took my input about the kittens into consideration put my mind at ease and got the sickly kitten back on the road to good health.


Fracture Repair in Dogs and Cats

July 21, 2011

A couple of weeks ago I was interviewed by a reporter about pet owner administered first aid for dogs and cats when an injury may have resulted in a fractured bone. The article has good information for pet owners to read now in preparation for a potential emergency in the future. This blog post will pick up where that article left off and explain the fracture repair techniques used by veterinary surgeons The Animal Medical Center.

For the veterinarian, the critical piece of successful fracture management is to immobilize the fracture. This can be accomplished using one of several different methods. For some fractures, more than one method might be appropriate and for others there may be only one solution to fix the broken bone. All x-rays were taken by the AMC’s Diagnostic Imaging Service.

For centuries, fractures have been treated by immobilization using casts or splints. These days the old style plaster of Paris cast has been replaced in human medicine by plastic or fiberglass. In animals we tend to use splints of fiberglass or plastic for repair of simple fractures where the bones do not need realignment. The arrows in the photo to the right point to two toe fractures in a young dog which healed when the paw was placed in a splint.

Optimal healing of a fracture requires the joints above and below the fracture be immobilized. When the fracture occurs in a location where these joints cannot be adequately immobilized by an external bandage or cast, the fracture must be repaired internally via a surgical procedure. The x-ray to the left shows the use of two small pins in the front of the hind leg bone known as the tibia.

If a bone is fractured in multiple places or spirals along the length of a bone, a simple pin will not provide enough support to immobilize the fracture and allow healing. Shown below are before and after x-rays of a fractured arm (radius and ulna) in a dog. Notice the splint on the before films. The AMC’s Emergency Service placed the splint to immobilize the fracture until surgery could be performed. The AMC surgeons chose to repair the leg with a plate and screws since both bones of the leg were broken.

As research discovers more about fracture healing, methods of repair are changing. When possible, minimally invasive procedures are chosen as large invasive surgeries disturb the covering of the bone (periosteum), the blood clot at the fracture site and the muscles which provide the blood supply to the fracture. The AMC surgeons are using a new technique called MIPO (minimally invasive plate osteosynthesis) or percutaneous plating. This method of fracture stabilization, involves application of a bone plate through small skin incisions on either end of the fracture site. The fracture is aligned and the plate and screws are placed using guidance from a special intraoperative x-ray machine. Not all fractures are amenable to MIPO.

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This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit http://www.amcny.org. To make an appointment, please call 212.838.7053.

Images: AMC Diagnostic Imaging Department


National Pet Fire Safety Day

July 18, 2011

Last Friday, July 15, 2011, was National Pet Fire Safety Day. When we hear about pets and fires in the home, we often think of the dog who awakens his owner, saving lives with a warning bark about a fire in the house.

But pets are also the victims of fire. According to Pet Safety Alert, 40,000 pets are killed in fires annually, most of them in residential fires.

Every year, The Animal Medical Center provides care to pets who have been trapped in burning buildings and rescued by New York’s bravest, our friends at the NYC Fire Department.

As a pet lover, you can take action to prevent pet-related fires and to protect your pet if there is a fire.

To help firefighters find all of your pets, the folks at ADT Home Security Systems offer a free window cling to alert firefighters to the presence of pets in the home. You can request one through their website.

Firefighters want to help pets suffering from smoke inhalation, but the oxygen masks designed for humans are not shaped to fit a pet’s nose. If you are feeling philanthropic, donate a pet oxygen mask to your local firefighting team.

Pet proofing your home can help to prevent a catastrophic fire. Candles are a huge danger for pets. A wagging tail can knock a candle off the coffee table and into a pile of flammable papers. My own cat, who had a big puffy tail, swished it over a lit candle and nearly went up in flames! Space heaters and backyard grills present a hazard, as they can easily be knocked over by a pet and start a fire.

To protect the entire family, make sure your smoke detectors and carbon monoxide detectors have their batteries changed twice a year. A good time to change the batteries is when you change the clocks for daylight savings time in the spring and fall.

Like people, pets can suffer from carbon monoxide poisoning. If everyone in the family is ill and your pet is exhibiting the following signs, see your veterinarian and mention you are concerned about carbon monoxide poisoning.

  • Nausea
  • Vomiting
  • Cough
  • Loss of exercise stamina
  • Disturbances in gait

________________________________________________________

This may also be found in the “Tales from the Pet Clinic” blog on WebMD.com.

For over a century, The Animal Medical Center has been a national leader in animal health care, known for its expertise, innovation and success in providing routine, specialty and emergency medical care for companion animals. Thanks in part to the enduring generosity of donors, The AMC is also known for its outstanding teaching, research and compassionate community funds. Please help us to continue these efforts. Send your contribution to: The Animal Medical Center, 510 East 62nd Street, New York, NY 10065. For more information, visit http://www.amcny.org. To make an appointment, please call 212.838.7053.

Photo: iStockphoto


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