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Liz Hughston, MEd, RVT, CVT, VTS (SAIM, ECC), Adobe Animal Hospital, Los Altos, California


Your client, Mrs. Murphy, has called the practice, worried because she has needed to empty Snowball’s litter box more frequently and fill his water bowl several times a day. She thinks he has lost weight since his last annual examination (when he had a BCS of 7/9), even though he eats all his food and then begs for more. You check Snowball’s record and note that he is 9 years old....
Louise S. Dunn, Snowgoose Veterinary Management Consulting, Pfafftown, North Carolina


Open Book Management (OBM) proposes that a business can become more successful by sharing certain financial and productivity metrics with its team members. Introduced by John Case1 and Jack Stack2 more than 20 years ago, the concept has gained proponents and adversaries.

OBM involves 4 basic practices3:

  • Training employees so they become business literate and can understand...

There are plenty of reasons to use images to market your practice. Images capture more attention on social media, tap into our naturally visual brains, and break up large chunks of text. Whether it’s for your blog posts, your social media cover photos, or your website banner, at some point, you’re going to need images for...
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Brittany Jean Carr, DVM, CCRT, and Sherman O. Canapp, DVM, MS, CCRT, Diplomate ACVS & ACVSMR
Veterinary Orthopedic & Sports Medicine Group, Annapolis...
Amara Estrada, DVM, DACVIM (Cardiology) University of Florida

A grade 2-3 systolic murmur is auscultated over the left apex region, which is plateau (band-shaped) and occurs throughout systole, thus making it difficult to identify S1 or S2 sounds.

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Tanya Wright, DVM, and Michelle L. Oblak, DVM, DVSc, Diplomate ACVS (Small Animal), ACVS Fellow of Surgical Oncology
Ontario Veterinary College, University...
Jan Bellows, DVM, FAVD, DAVDC, DABVP, All Pets Dental


Intraoral radiograph of the rostral mandibles revealing advanced external resorption affecting both canine teeth
Appropriate therapy for tooth resorption will depend on clinical and radiographic appearance, as well as owner preference once treatment options have been discussed. Intraoral radiography is central to the decision-making process; if intraoral radiography is unavailable and tooth resorption is...
Knowing how a drug works, its effects and any side effects can improve the safety of veterinary anesthesia.


When she wanted to offer one crystal-clear message to veterinarians about anesthesia best practices, Christina Braun, Dr. Med. Vet, Dipl. ACVAA, offered one of her favorite quotes from J.W. von Goethe: “You only see what you know.”

It’s unlikely the German writer and statesman was referring to...