SATURDAY, MARCH 4

COMPANION ANIMAL

(3.5 CE credits per session)
8 a.m. to 12 p.m.
Open Wound Management: Principles of Wound Healing, Surgical Management of Skin Fold Pyoderma, Facial Folds, Tail Folds, Recessed Vulva, Surgical Management of Gastrointestinal Foreign Bodies
Charles Schmiedt, DVM, DACVS
Open wound management will focus on understanding wound care is dictated by the stage of the healing of the wound.  Appropriate wound triage will be discussed and current evidence for some wound treatments will be reviewed. 

The lecture on “Surgical Management of Skin Fold Pyoderma” will review the pathogenesis of skin fold pyoderma and the surgical approach to care for it will be discussed.  Special emphasis will be placed on recessed vulvar conformation and the episioplasty technique. 

Surgical Management of Gastrointestinal Foreign Bodies covers the basics of removal of gastrointestinal foreign bodies from all parts of the gastrointestinal system.  Basic physiology, anesthetic strategy, and surgical techniques will also be discussed. 

8 a.m. to 12 p.m.
An Update on Feline CKD, The Leaky Dog: What to Do When Phenylpropanolamine Doesn’t Work, Advancements in Veterinary Endourology
Tanner Slead, DVM, DACVIM (SAIM)
An Update on Feline CKD: This update will review unique aspects of feline CKD pathophysiology, discuss current recommendations and new advancements in diagnosis (e.g., FGF-23) and monitoring as well as introduce new therapeutic strategies including iron supplementation, EPO stimulators, ARBs and intestinal adsorbents

When you have a leaky dog, what do you do when Phenylpropanolamine doesn’t work? This session will review known and newly emerging causes of or contributors to female urinary incontinence along with differences between female and male incontinence and differing diagnostic approaches. There also will be a discussion on phenylpropanolamine usage and specifics regarding dose and duration. You’ll be introduced to alternative medical interventions (e.g., estrogens, diet), possible contributors to female urinary incontinence and learn when to refer or pursue other advanced diagnostics.

The last track will cover the advancements in veterinary endourology, such as when to recommend cystoscopy and interventional techniques including urethral bulking, artificial occludes along with atypical presentations of ectopic ureters and current treatment recommendations and strategies. Important interface between urinary incontinence and recurrent UTIs, what the causes are that may require diagnosis via cystoscopy and minimally invasive interventions will be included in the discussion. Dr. Slead will outline various congenital anatomic abnormalities that may contribute to female urinary incontinence and/or UTIs and how they can be addressed endoscopically. The session will conclude with an overview on how to approach to male and female canine urolithiasis and when to pursue medical vs. minimally invasive vs. surgical management, diagnosis of and minimally invasive treatments for canine lower urinary tract neoplasia as well as stenting recommendations for benign or malignant urinary tract obstructions.

1:30 p.m. to 5:30 p.m.
Tracking Down the Source of Pruritus in Your Canine Patients, The Allergic Dog: What Am I Missing? The Atopic Dog: Long-Term Relief Is Within Reach
Karin Beale, DVM, DACVD
Treating a pruritic pet can be frustrating, stressful and concerning and is a common reason for clients to seek veterinary care. Dogs with itchy (pruritic) skin are seen on a daily basis and may present to emergency facilities due to the impact that itching, licking and chewing have on their quality of life. There are many causes of pruritus; any inflammatory dermatitis or differential that has the high potential for secondary skin infections can lead to pruritic skin. For a successful outcome to be achieved, it is important that the pruritus be treated, an underlying cause identified and secondary infections controlled.

Getting to a diagnosis range from being simple in some cases or extremely challenging and time-consuming, requiring additional diagnostics such as elimination diet trials, cultures, bloodwork and histopathology. Dr. Beale will help you identify sources and treat skin issues from the easy to the most difficult.

SPONSORED BY:

1:30 p.m. to 5:30 p.m.
Tackling a Challenging Mystery Case from Beginning to End!
Elizabeth Snyder, DVM, DACVIM, Kathryn Rhue, DVM, DACVIM,
Michelle Fabiani, DVM, DACVR, Rebecca Cervenec, DVM, DACVIM, Moderator: Richard Stone, DVM, DACVIM
Back by popular demand! Four specialists from the Houston area will dissect a difficult case from the initial presentation when the client arrives to final diagnosis. The format of this session begins with four short talks from an oncologist, emergency and critical care specialist, a radiologist and cardiologist about one case. The short talks will follow by round table discussions with each of the specialists who will rotate to each round so everyone has a chance to ask questions and discuss the case from a different viewpoint.  

EXOTIC MEDICINE

(3.5 CE credits per session)
1:30 p.m. to 5:30 p.m.
Head Tilt to Paresis; Neurologic Disease in the Domestic Rabbit, What To Do About that Wobbly Rabbit, Rabbit Dental Disease: From Malocclusion to Dental Abscess, Rabbit GI Stasis Syndrome and GI Obstruction: Diagnosis and Update of Treatments
Todd Riggan, DVM, DABVP (Exotic/Companion Animal)
The first track will consist of an overview of the neuro anatomy of the rabbit and discussion of the more common and some of the less common neurologic diseases in the domestic rabbit. Objectives of this first session are recognizing neurologic disease in rabbits with an emphasis on torticollis (head tilt), performing a neurologic examination and reviewing the diagnostic steps and treatment protocols for otitis and E. cuniculi.

Following the rabbit neurology session, attendees will review domestic rabbit dental anatomy and the various dental conditions frequently seen in private practice. Dr. Riggan will cover how to recognize normal and abnormal dental conditions in the rabbit and proper care and treatment of these conditions, including incisor malocclusion, cheek teeth spurs and dental abscesses.

Discussion of the domestic rabbit GI tract anatomy and the conditions involved with gastrointestinal stasis and obstruction will be had as well as discussion of causes, diagnosis and treatment. The objective of the last session is to become comfortable with the anorectic rabbit and understand the proper handling and diagnostic workup to achieve the best treatment outcomes for these cases. You will learn a step-wise approach to the anorectic rabbit patient using items available in most small animal clinical practices through physical examination, diagnostic imaging and serum biochemical testing.

LARGE ANIMAL MEDICINE

(3.5 CE credits per session)
8 a.m. to 12 p.m.
Identification and Life History Characteristics of Ticks, Host Inspection Practices, Tick Removal and Preservation, Factors Affecting Geographic Range and Population Dynamics of Ticks, Endemic and Emerging Tickborne Diseases
Pete Teel, DVM
This session will help attendees recognize morphological characteristics of common tick species and characteristics for identification of emerging/invasive species. Dr. Teel will explain life history elements that differentiate tick biology and their relevance to animal health.

Attendees will learn to identify primary body areas of infestation and best practices for tick removal and explain why this is important.

Dr. Teel will define ecological interactions that affect tick range expansion as well as those that affect tick population dynamics.

The final lecture will name and describe endemic tickborne diseases of cattle in Texas and the transboundary area and the primary tick vectors associated with each. Dr. Teel will detail an emerging tickborne disease of cattle in the U.S. and its invasive tick vector and describe the current geographic range of this tick. Finally, Dr. Teel will name three tickborne foreign animal diseases of concern to livestock species in Texas and describe the relevance of each FAD to state and national concerns

1:30 p.m. to 5:30 p.m.
Equine Lameness – The Simple Mechanical Approach to Podiatry, Endocrine Disease and the Equine Foot – What can I Do? Production Animal Agriculture – A Panhandle Veterinary and Producer’s Perspective, Veterinary Clinical Education – A Community-Based Approach
Britt Conklin, DVM
Equine Lameness – The Simple Mechanical Approach defines 5 mechanical principles and guides the practitioner on the proper development of a mechanical shoeing prescription once a diagnosis has been made.  Components of this lecture have been delivered at more than 100 continuing education venues and give the practitioner the simple format for effectively communicating with farriers.

Endocrine Disease and the Equine Foot will help the practitioner understand the etiology of one form of laminitis and then address the nutritional, pharmaceutical, therapeutic, husbandry and pedal management in these cases.  Content will include, EMS, PPID, Diagnostics, Shoeing, and patient management.

Production Animal Agriculture – A panhandle veterinary and producer’s perspective content will speak to the landscape of regional animal agriculture and the question of the veterinary profession for supporting its future.  The lecture will provide statistics and information on the impact of the Texas’ beef, dairy and swine production on the Texas and US food supply and potential new areas veterinary practices should be looking at as alternative services for their producers.

Veterinary Clinical Education – A community-based approach will reflect on the model Texas Tech University School of Veterinary Medicine has implemented.  As an iteration and enhancement of several other distributive veterinary medical models, TTU SVM has developed a unique clinical educational program that provides real world experience with novel methods of implementation. 

HOSPITAL STAFF

(3.5 CE credits per session)
8 a.m. to 12 p.m.     
Reducing Stress for Cats in a Hospital Setting, When to Refer for Endoscopy: Case Examples, Nursing Tools and Tips of an Internal Medicine Technician
Michelle Hervey, BS, LVT
How to Reduce Stress for Cats in a Hospital Setting - This session will discuss tips on how to make our feline patients more comfortable when visiting the veterinary hospital. There will be images of the hospital’s feline only waiting area, exam room and treatment areas.

When to Refer for Endoscopy: Case Examples – This lecture will cover Endoscopy and Interventional Radiology cases that were referred to the veterinary specialty hospital. There will be real cases discussed that required the use of endoscopy and advanced imaging for specialty procedures.

Nursing Tools and Tips from an Internal Medicine Technician – The last session will discuss many ways the veterinary technician can and will be prepared for any patient treatment or procedure. There will be discussion regarding what tools to always carry to stay prepared and ready for anything.

8 a.m. to 12 p.m.     
The Art of the Chart: What Is Important to Record, How To Record It and What Humane Medicine Parallels We Can Learn from When It Comes to Legal Issues, Medication Delivery in ICU
Leslie Wereszczak, MS, LVMT, VTS-ECC               
The Art of the Chart: When it comes to medical records, there is a saying that if it isn’t written down, it didn’t happen. This lecture discusses the importance of keeping accurate medical records. It includes discussion of what is important to record, how to record it and what human medicine parallels we can learn from when it comes to legal issues. Conversation about the nursing process also will be discussed and how following it can enhance proper chart documentation.

Special Delivery: Medication Administration in the ICU: Medications are an essential tool for the successful treatment of our ECC patients. Drug efficacy can be greatly affected by improper storage, handling and dilution. Interactions with other drugs can be harmful or even deadly. This lecture will discuss the common pharmaceuticals administered to our ICU patients and the evidence behind how to properly handle and administer them.

1:30 p.m. to 5:30 p.m.
What’s To See in a CBC? The Leukocytes • What’s To See in a CBC? The Erythrocytes • What’s To See in a CBC? The Thrombocytes
Walter Brown, BS, RVTg, VTS ECC
What’s To See in a CBC? The Leukocytes: Walter will kick off his lectures by covering the basis of the complete blood count. In this fundamental and foundational course, he will cover hematology terminology, anatomy and physiology of leukocytes, basic leukogram analysis and abnormal and normal cell morphology. The goal of this lecture is to develop an understanding of how to read and analyze a CBC.

What’s To See in a CBC? The Erythrocytes: Walter will present a series of hematology courses covering the basis of the complete blood count. In this fundamental and foundational course, we will cover hematology terminology, anatomy and physiology of erythrocytes, basic erythrogram analysis and abnormal and normal cell morphology. The goal of this lecture is to develop an understanding of how to read and analyze a CBC.

What’s To See in a CBC? The Thrombocytes: This lecture is one of a series of hematology courses covering the basis of the complete blood count. In this fundamental and foundational course, we will cover hematology terminology, anatomy and physiology of thrombocytes, basic thrombogram analysis and abnormal and normal cell morphology. The goal of this lecture is to develop an understanding of how to read and analyze a CBC.

PRACTICE MANAGEMENT

(3.5 CE credits per session)
8 a.m. to 12 p.m.     
Hunt for the Good Stuff: Prioritizing Positive Emotions in Veterinary Medicine, Don’t Believe Everything You Think (Avoiding Mental Landmines in Practice), Proof Positive: Successful Teams Seek Psych Safety, Conquering Incivility and Taming Toxicity
Philip Richmond, DVM, CAPP, CRT, CHC-BCS, CCFP
The session entitled “Hunt for the Good” kicks off with an explanation of the PERMAH theory of well-being, which is the work of Dr. Martin Seligman, one of the co-founders of positive psychology. The P in the acronym stands for positive emotions. Happiness, optimism and gratitude are included in this category. The induction of positive emotion has a demonstrable, proven benefit to an individual’s overall subjective well-being. In the case of practicing clinicians, positive emotion has been shown to induce faster and more accurate diagnoses. Attendees will be instructed on optimism as a learned skill of resiliency—one that has to do with our explanatory style regarding events and the world around us. Gratitude practices and interventions will be covered with an opportunity to engage.

In Dr. Richmond’s second session, he will cover how overgeneralizing, mind reading, jumping to conclusions and assumptions are thinking traps that impede performance. Successful communication and well-being are dependent on the ability to focus, challenge and reframe automated behaviors. Learn to stay solution-focused rather than problem-focused. Understand how becoming self-aware of the processes allows you to understand clients and coworkers more effectively.

Learn more about how psychological safety is the most important aspect of successful teams. Our ability to feel safe to share ideas, to grow from failure and to be honest with empathy allows our team to bypass the “interpersonal mush” that can exist otherwise. A sense of belonging, ability to be vulnerable and strong interpersonal relationships are the initial ingredients to create this environment. We can assess psychological safety in a team using different tools. If psychological safety is lacking, we can help foster it using specific interventions, including civility and growth mindset work.

Civility research in medicine demonstrates the power of encouraging, engaging behaviors on patient care, performance, job satisfaction and retention. The lack of civility, manifested in different ways, increases the likelihood of burnout, medical errors and poor well-being. How do we know if our workplace is civil? How do we improve civility and rapport at our practices?

1:30 p.m. to 5:30 p.m.
How To Provide Quality Customer Service and Client Communication Every Day
Nan Boss, DVM
Excellent customer service communication requires skills like speaking and writing clearly, effectively, efficiently and politely. A single bad experience can affect how your customers perceive your clinic. In fact, one-third of consumers say they would consider switching companies after just one instance of bad customer service. Being able to convey a message effectively is critical to offering excellent customer support. Without communication, there’s no customer service possible. Dr. Boss shares how to train your staff to provide quality customer service daily.

ULTRASOUND WET LABS

(4 CE credits per lab)
8 a.m. to 12 p.m. SOLD OUT
Saturday Morning (4 hours): DVM and Veterinary Staff Ultrasound Lecture and Lab for Beginners
Instructors Include:  Marc Bordelon, DVM, MBA, Bethany Schilling, DVM, Theresa Brown, DVM, Stephanie Myers, DVM
Basics of Ultrasound for the General Practice:  This lecture and lab covers the physics of ultrasound including PZT Crystals, common terms and landmarks on the canine and feline. The lab will also cover how to operate knobless ultrasound machines, introduction to Butterfly App, proper probe placement, defining types of scans and their practical uses. Lab time will include scanning phantom models.

1:30 p.m. to 5:30 p.m.
Saturday Afternoon (4 hours): DVM Ultrasound Lecture and Lab Advanced                      
Instructors Include:  Marc Bordelon, DVM, MBA, Bethany Schilling, DVM, Theresa Brown, DVM, Stephanie Myers, DVM
The Ultrasound for the General Practitioner “Implementing POCUS in Your Practice” goes more in-depth on cardiac scans and KSU studies. Lab time will include scanning live pets.

To register for a lab, you must be registered for a minimum of one day of the conference (Friday, Saturday or Sunday). The lab has an additional fee of $250 for DVMs or veterinary clinic staff. The fee includes refreshments and a roundtrip shuttle from the Marriott Waterway Hotel in the Woodlands to Lonestar College in Tomball (a 20-minute bus ride one way) and back.

SPONSORED BY:
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