Health and Wellness
Our basic health and wellness program for patients include thorough annual exams, up to date vaccination protocols, prevention of parasitism, client education on puppy and kitten home care, nutrition consultation, and recommendations regarding spay and neuter procedures. Our first puppy/kitten visits are typically 30-40 minutes in length as we feel it is important to inform clients and give them time to ask questions regarding their pet.
Canine Annual Visit:
Feline Annual Visit
- Annual Exam
- Rabies Vaccination (Initially yearly, followed by every 3 years)
- DAPP Vaccination (Initially yearly, followed by every 3 years)
- Leptospirosis (yearly)
- Intranasal or Bronchicine Injectable (yearly)
- Intestinal Parasite Exam (Fecal)
- Heartworm Test (Annual)
- Parasite Prevention (Heartworm, Flea and Tick, and Intestinal Parasites)
- Annual Exam
- FELV/FIV test (kittens and unknown status)
- Rabies (yearly)
- Feline Leukemia vaccine (yearly for outdoor exposure)
- Intestinal Parasite Exam (one stool sample may be used to represent multicat household)
- Parasite Prevention (Fleas, Heartworm, Intestinal Parasites)
***Puppies, kittens, and unvaccinated adult pets require boosters and protocol is tailored to age and previous history.
***Antibody vaccine titers may be performed on a case by case basis including patients with severe vaccine reactions and autoimmune disease.
***Patients with previous history of mild to moderate vaccine reactions are premedicated with Benadryl prior to vaccinations and often vaccinations are spread out and given at separate appointments.
***Rabies vaccinations must be given in conjunction with a physical exam. If adult patients are up to date on the annual exam and rabies and are otherwise healthy, pets may come in for other vaccines and heartworm test (dogs) via a technician appointment and will not require an exam.
Spays, Neuters, and Declaws
Spays (Ovariohysterectomies) and Neuters (Castrations) are performed under general anesthesia at a minimum age of 6 months. A spay is recommended to prevent pregnancy, mammary cancer, and development of pyometra which is a life threatening condition in which the uterus becomes infected and requires emergency surgery. Neutering prevents pregnancy, may reduce aggression, helps prevent inappropriate marking, prevents testicular tumors, and prevents benign prostatic hyperplasia in male dogs. Spaying or neutering your pet will benefit their longterm health and reduce the stray population. There is a condition in male dogs and cats called cryptorchidism in which one or both of the testicles do not descend into the scrotal sac, but are still inside the abdomen. With this condition, there is an increased incidence of abdominal testicular cancer. In order to prevent this condition, an abdominal exploratory is necessitated to remove the testicular tissue in question. At the time of spay/neuter, pets are microchipped at no cost to owner, however, the owner is responsible for the activation fee for Home Again Microchipping.
Declaw (Onychectomy) is a procedure in cats in which the claw/distal digit is amputated to prevent destruction in the household and to reduce trauma caused by cat aggression. It is a procedure that we perform based on the owner's request and after careful education and discussion. If declaw is necessitated, we recommend only a forelimb declaw (front paws) to allow cats to be able to scratch themselves with their hind paws. We do not recommend declawing cats that are indoor/outdoor as claws help them protect themselves from getting hurt and give them the ability to climb. Feline patients undergoing the declaw procedure receive pain medication pre and post operatively, are given local lidocaine blocks to prevent pain, are hospitalized overnight for post operative management, and receive a long acting antibiotic injection to prevent infection. All declaws are performed with a laser which minimizes discomfort/pain and most kittens are playful and weight bearing after surgery. This is very different from the traditional amputation performed in previous years. Most of our declaws are performed during the spay/neuter surgery to minimize multiple anesthetic procedures and costs. However, adult declaws are also performed on a case by case basis.
One of the services that we are proud of is our state of the art anesthesia. Each surgery is preceded by an exam and pre-operative bloodwork to ensure that the patient is a good candidate for anesthesia. All patients have IV catheter placement, receive preoperative pain medications, and are on IV fluids during surgery for cardiovascular support. Each patient is induced with IV anesthetic, intubated and placed on gas anesthesia for the remainder of the procedure. A registered veterinary technician assists the veterinarian in each anesthetic case with maintaining anesthetic protocol, induction, recovery and each case is tailored to the patient's species, age, and current medical condition. Each patient is monitored throughout the entire procedure by measuring heart rate, respiratory rate, temperature, rhythm via auscultation or ECG and blood pressure via a Doppler blood pressure instrument. Artificial ventilation is assisted in each anesthetic case to prevent a hypoxic event. Local nerve blocks and epidurals are administered as needed in cases such as orthopedic surgery to provide a good anesthetic plane for our patients as well as Fentanyl patches. Feline castration is the only procedure performed with intramuscular injectable anesthesia without intubation and IV catheter due to the quick and efficient nature of the procedure.
We offer a variety of surgical services including soft tissue, orthopedic, ophthalmic, and oral surgery. Surgeries are performed using sterile technique which includes gowns, caps, masks, sterile gloves, and sterile surgical instruments. Separate surgery rooms are used for all procedures that require sterile technique. Anesthesia is constantly monitored by a registered veterinary technician and a second technician is available in the event the veterinarian needs additional assistance in advanced procedures. Upper Arlington Veterinary Hospital focuses on oral surgery and soft tissue surgery. Northstar Animal Care focuses on soft tissue surgery and orthopedic surgery. Here is a list of different types of surgeries offered by our facilities:
- Spays and Neuters
- Dewclaw Removal
- Umbilical/Inguinal Hernias
- Abdominal Exploratory (gastrotomy, enterotomy, IRA, Intestinal tumor removal)
- Anal Sacculectomy
- Limb Amputation
- ACL Knee Surgery (Tight Rope Procedure)
- Medial Luxating Patellar Surgery (Tibial Tuberosity Transposition)
- FHO ( Femoral Head Osteotomy)
- Fracture Repair
- Digital Amputation
- Perineal Urethrostomy
- Aural Hematoma Surgery
- Tail Amputation (secondary to trauma or cancer)
- Skin/Subcutaneous Mass Removals
- Oral Mass Removal
Dentistry and Periodontal Surgery
We offer comprehensive dental care for our canine and feline patients including instruction on home care including brushing of teeth, oral supplements, and diet. We recommend dental cleanings performed under general anesthesia to remove tartar via an ultrasonic scaler followed by polishing with fluoride. For patients with significant gingivitis, injections of Clinoral (antibiotic infusion) is given subgingivally. Digital dental radiographs are obtained for our patients who have abnormalities on visual exam and full mouth radiographs are taken in cats due to root/periodontal disease unable to be visualized on oral exam. We are comfortable performing full mouth extractions and removal of deciduous teeth. Surgical removal and biopsies of oral masses is offered in oncological cases. Dr. Adam Parson has experience in surgical fixation of oral trauma/fractures.
Internal Medicine is the branch of medicine that deals with the diagnosis and (nonsurgical) treatment of diseases of the internal organs. A thorough physical exam, an in-house laboratory, radiography, ultrasonography, ultrasound-guided aspirates, cytology, histopathology (biopsies), and a tertiary laboratory allows us to practice advanced medicine within our hospitals. The following is a list of medical disorders we diagnose and treat:
- Diabetes Mellitus
- Diabetic Ketoacidosis
- Diabetes Insipidus
- Feline Hyperthyroidism
- Canine Hypothyroidism
- Hyperadrenocorticism (Cushings Disease)
- Hypoadrenocorticism (Addison's Disease)
- Immune-Mediated Hemolytic Anemia (IMHA)
- Immune-Mediated Thrombocytopenia (ITP)
- Evan's Syndrome
- Esophageal/Gastric Ulceration
- Feline Hepatic Lipidosis
- Cholangiohepatitis (Gall Bladder Infection/inflammation)
- Acute and Chronic Liver Disease
- Splenic Disease
- Feline Infectious Peritonitis (FIP)
- Small and Large Bowel Disease
- Inflammatory Bowel Disease (IBD)
- Parvoviral Infection
- Perianal Fistulas
- Acute Renal Failure
- Chronic Renal Failure
- Urolithiasis (Bladder Stones)
- Urethral Obstructions
- Congestive Heart Failure (Feline HCM, Dilate Cardiomyopathy, Mitral Valve Disease)
- Pericardial Effusion
- Musculoskeletal Disease
- Polyarthropathy (Nonsurgical Joint Disease)
- Seizures (Epilepsy, Secondary to Brain Tumors, Inflammatory)
- Idiopathic Vestibular Disease (Old Dog)
- Portosystemic Shunts
- Neurologic Disease
- Musculoskeletal Disease
- Oncology (Diagnosis and Chemotherapeutic Treatment of Cancer)
List of In-House Diagnostics:
- Urinalysis (ultrasound guided cystocentesis)
- Ultrasound-guided Aspirates
- Bone Marrow Aspirates
- Joint Taps
- Abdominal Exploratory with Biopsy
- Doppler Blood Pressure
***In the event that one of our patients requires advanced diagnostics, intensive care, and specialty consultation beyond what our hospitals offer we refer our patients to Medvet Medical Center for Pets and Ohio State University School of Veterinary Medicine. We foster a close relationship with both facilities and are committed to communicating closely with them about the health of your pet via phone, fax, and email. Once certain disease processes have been diagnosed with advanced procedures at one of these two referral centers, we are happy to continue treatment with the guidance of a specialist who is available for phone consultations.
Radiography and Ultrasonography
We offer radiographs and ultrasonography to aid in the diagnosis of multiple pathologies including trauma, cardiopulmonary disease, gastrointestinal disease, urinary disease, and cancer. Ultrasound is also used to obtain thoracic and abdominal fluid, fine needle aspirates of organs and lymph nodes, cystocentesis (obtaining urine), and pericardiocentesis (emergency removal of fluid from the pericardial sac of the heart). Clients may also obtain OFA Certification
to rule out hip dysplasia in their dogs. X-rays are obtained routinely in large breed dogs predisposed to hip dysplasia during their spay/neuter procedure while under anesthesia.
Pain Management and Laser Therapy
We offer a multimodal approach for pain management in our patients for both acute pain and chronic pain. Examples of acute pain include traumatic pain, postoperative pain, orthopedic pain (limping), painful infected ears, abscesses, pancreatitis, gall bladder disease, kidney infections, bladder stones, etc. Examples of chronic pain include neck pain, back pain, and osteoarthritis. Animals often have underlying pain that is not easily detectable until it becomes severe and they show obvious symptoms. It is very important that a thorough orthopedic exam is performed during every annual exam especially in older patients. A large proportion of our older patients have osteoarthritis (arthritis) and their quality of life may be significantly improved with medical therapy and other modalities. Only about 15-20 % of cats with severe arthritis show symptoms to owners such as limping or vocalizing. Some studies show this percentage may actually be lower. They may have subtle symptoms such as stiffness, reluctance to use the litterbox everytime, reluctance to jump, loss of muscle mass, sleeping more, hiding, reluctance to be picked up, irritability, decreased interaction, or even excessive grooming/pulling hair out. Dogs with osteoarthritis may have symptoms such as stiffness, loss of muscle mass, limping (both weight-bearing or nonweightbearing), difficulty sitting down/standing up, difficulty jumping onto couch, difficulty getting into the car, and irritability when touched. We offer treatments including several supplements such as glucosamine and omega fish fatty acids as well as nonsteroidal anti-inflammatories (Deramax, Rimadyl, Novox, and Metacam). Adequan injections have also been very successful as an additional option for arthritis management. For additional pain control we often add narcotics such as Tramadol and Gabapentin. We are very excited about the use of our Class IV Laser Therapy for pain management as it reduces inflammation, improves blood flow, and releases natural endorphins in the body which reduce pain in the patient. Laser therapy is safe, painless, and effective and the veterinary staff, pet, and owner participate in the giving the treatment in a comfortable setting. Patients are able to get comfortable on a dog/cat bed for treatment and often feel good as the treatment provides warmth to their body as their owners are petting them. Please feel free to call us and speak to our staff as we would love to give you more information.