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How Veterinarians Were Selected Consumers’ Research Council of America has compiled a list of Top Veterinarians throughout the United States by utilizing a point value system. This method uses a point value for criteria that we deemed valuable in determining top Veterinary care professionals. The criteria that was used and assessed a point value is as follows: |
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Experience: |
Each year the Veterinarian has been in practice |
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Education: |
Education, specialty training and continuing education |
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Professional Organizations: |
Membership in Veterinary organizations/affiliations |
| Simply put, Veterinarians that have accumulated a
certain amount of points qualified for the list. This does not mean that
Veterinarians that did not accumulate enough points are not skilled at
administering Veterinary care, but merely did not qualify for this list
because of the points needed for qualification.
Similar studies have been conducted with other professions using a survey system. This type of study would ask fellow professionals whom they would recommend; we found this method to be more of a popularity contest. For instance, professionals who work in a large office have a much better chance of being mentioned than a professional who has a small private practice. In addition, many professionals have a financial arrangement for back-and-forth referrals. For these reasons, we developed the point value system. Since this is a subjective call, there is no guarantee that this study that is 100% accurate. As with any profession, there will be some degree of variance in opinion: If you survey 100 patients from a particular physician on their level of satisfaction, you will undoubtedly hear that some are very satisfied, some moderately satisfied and some dissatisfied. This is really quite normal. We feel that a point value system takes out the personal and emotional factor and deals with factual criteria. We have made certain assumptions. For example, we feel that the more years in practice is better than less years in practice; more education is better than less education, etc. The top Veterinarian list that we have compiled is current as of a certain date and other Veterinarians may have qualified since that date. Nonetheless, we feel that the list of top Veterinarians is a good starting point for you to find a qualified animal healthcare specialist. No fees, donations, sponsorships or advertising are accepted from any individuals, professionals, Veterinarians, clinics, animal healthcare facilities, corporations or associations. This policy is strictly adhered to, ensuring an unbiased selection.
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Board Certification and Education Following graduation, Veterinarians must pass the North American Veterinary Licensing Examination. State licensing boards set eligibility requirements; candidates must apply for NAVLE certification through their state boards. Graduates may continue clinical training through an internship or residency and must obtain state board approval before opening a clinical practice. An extended period of formal study is required
for board certification in a specialty, such as Though each specialty has its own specific requirements, board certification in general requires a Veterinarian to spend at least two to three years (sometimes more) immersed in that specialty field under the supervision of a current expert. Following the practical experience, the candidate must pass a stringent examination. Some specialties also require the veterinarian to pass a practical examination or to publish a paper on that specialty. Only after a candidate has successfully completed all the requirements can that individual become board certified in their chosen field. AVMA Board Specialties:
Education
There are 27 accredited Veterinary colleges or universities in the United States. The Veterinary curriculum focuses on biomedical science, including anatomy, physiology, bacteriology, virology, medicine, and surgery. Programs also include coursework in topics such as professional development, practice management, and client relations. In most colleges of Veterinary medicine, the professional program comprises two phases. During the first phase, preclinical sciences, such as anatomy, physiology, pathology, pharmacology, and microbiology are emphasized. Most of the students' time is spent in classroom and laboratory study. The second phase of professional study is principally clinical. Students learn the principles of medicine and surgery in the classroom and through hands-on clinical experience. Students learn to apply their knowledge in a clinical setting under the supervision of graduate Veterinarians on the faculty. In the clinics, students treat animals, perform surgery, and deal with owners who use the school's clinical services.
Feline Pregnancy Pregnancy in cats should be determined as early as possible following mating. Early diagnosis helps ensure proper care. Feline pregnancy diagnosis can be accomplished by the following methods:
The pregnant cat needs a well-balanced diet to promote fetal growth. Overfeeding and excessive weight gain should be avoided. Feeding recommendations of commercial cat food suppliers for pregnant and nursing queens should be followed. Advice and discretion should be followed before supplementation of vitamins, minerals, high proteins, or fats are used. Taurine deficient diets may result in poor fertility, fetal resorption, and small litter size. Nonstrenuous daily exercise to maintain muscle tone is necessary for easy queening. Obesity and poor muscle tone can result in low conception rates and difficult queening. Medication, vaccination, and worming should be avoided during pregnancy. A clean, warm, dry, secluded area with a large nesting box should be provided at least 10 days before queening. Queening Nesting may be exhibited 12 to 24 hours before queening and rectal temperature falls in the first stage of labor. Normal presentation of the fetuses can be forward or backward as they enter the birth canal. Thirty- to 60-minute intervals are frequently seen between the deliveries of 1 or 2 kittens. During this time, the queen removes the placenta and cord from the kitten and cleans and stimulates the kitten to breath and move. The queen ingests the placentas and cleanses the vulvar area. The kittens may be nursed before delivery of the next. Occasionally, there may be a 12- to 24-hour delay following the delivery of 2 or 3 kittens before the rest are born. The first litter of a queen with one or two large kittens may be difficult and assistance may be needed. Healthy queens seldom have difficulty with delivery. Queens that are inbred, have nutritional deficiencies, or a disease may have poor uterine contractions (inertia) and require assistance. Trauma or a nutritional deficiency may result in a pelvic deformity causing difficult delivery. Surgical intervention or medication may be needed for difficult births. The queen usually eats stillborn kittens and placentas. Cannibalism is seen usually in the highly nervous, first-time queens. The queen usually remains continuously with her kittens for 24 to 48 hours. The kittens take about 2 mL to 3 mL of milk 3 times an hour. Kittens double their weight and open their eyes in 7 days. They are able to take 5 mL to 7 mL of milk at a feeding during the second week. At this time, the queen leaves the nest for several hours. In her absence, normal kittens sleep quietly. After feeding, the queen washes each kitten and consumes the urine and feces voided in response to grooming. The kittens explore and play at 3 weeks of age and the queen teaches them to urinate and defecate away from the nest. Lactation is supplemented by solid food beginning the 4th week and weaning is completed by the 7th or 8th week. Animal Glaucoma Animal Glaucoma is a group of eye diseases in which the normal fluid pressure inside the eyes slowly rises, leading to vision loss or even blindness. Although raised intraocular pressure is a significant risk factor for developing glaucoma, there is no set threshold for intraocular pressure that causes glaucoma. One animal may develop nerve damage at a relatively low pressure, while another person may have high eye pressures for years and yet never develop damage. Untreated glaucoma leads to permanent damage of the optic nerve and resultant visual field loss, which can progress to blindness. There are two main types of glaucoma – primary and secondary. In primary glaucoma, the cause of the increase in pressure is due to decreased outflow from the drainage angle. It is frequently an inherited problem. Beagles, Basset Hounds, and Cocker Spaniels are especially prone to this type of glaucoma. In secondary glaucoma the pressure is too high because something else is wrong in the eye, such as a lens luxation, bleeding, inflammation, or tumor. Signs of Glaucoma:
The treatment chosen, either surgery or medical treatment, will be influenced by what the goal of therapy is (to stop pain in a blind eye or to preserve vision). Medical treatment consists of a number of different drugs used in combination. Some are given by mouth and effect the whole body, while others are put directly into the eye and have a local effect. The drugs that work when the problem is first diagnosed may not work forever. Therefore, the intraocular pressure needs to be monitored on a regular basis so that the medication regimen can be altered to fit the needs of the patient. Unfortunately glaucoma cannot be cured, only controlled. When medical treatment fails, surgical therapy can help prolong vision, or eliminate pain. Surgical procedures are available that may help to provide long-term control. One of these procedures uses a laser to destroy the part of the eye that produces fluid and thereby reduces the pressure. Another surgery inserts a tube into the eye that shunts the fluid under the conjunctiva (pink tissue) deep in the eye socket. Neither surgery is 100% effective nor multiple surgeries over several years may be required to preserve vision.
Introducing a New Baby to a Pet A new baby in the home can upset pets. An animal should never be left alone with an infant at any time. An infant is incapable of pushing the animal away if it cuddles up to them for love or heat. Schedule 5 to 10 minutes daily to pet, groom, and play with the pet. Maintain this schedule when the baby comes to convey to the pet that it is still important. When there is more than one pet, each one needs at least 5 minutes of undivided attention daily. If pets get along well with each other, play and talk to them together. Before the baby comes, begin adjusting your pet to the new feeding and walking schedule that will be necessary after the baby is born. It is best not to subject your pet to too many changes all at once. If you can take the dog with you on most outings, it reduces the chance that your pet will feel displaced in the family and resort to attention-seeking behavior. Before the baby is brought home, expose your pet to articles of clothing that the baby has used. Allow the pet to smell these items and leave them around the house. When the baby comes home, another person should hold the baby while you greet your pet. Your pets have missed you and it is important to pay attention to them. If you have a dog that jumps, it should be put in another room until things are calm and you can greet it. Pets should be restrained or confined in the presence of the infant when there is only one person at home with the infant. The key is to avoid aggression and any circumstance in which the pet is unsure of appropriate behavior. An aggressive dog may lunge at the baby when your guard is lowered. If the pet does not exhibit aggressive behavior, it can be unleashed after 3 weeks or so, but it still must be closely supervised. Sharing and trading off attention for the dog and the baby provides a warm, loving environment. A muzzle does not protect an infant or a young child from crush injuries and fractures caused by large dogs. Pets should not sleep in a room with an unattended infant or young child. The pet may inadvertently smother the child. Use a baby monitor, an intercom, or a room monitor, and close the door. Young children should be taught to treat pets gently. A pet that is in pain may bite in defense. |
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Common Animal Health Problems Cats
have sharp teeth, equally effective for catching prey or inflicting deep
puncture wounds. Their bite carries bacteria deep into the wound and the hole
closes immediately, providing the bacteria an excellent place to grow and
multiply. Under the hair, these bite wounds are almost invisible, so the
first sign of trouble will probably be when you notice lameness, pain and
swelling, which means the wound has become infected. The next stage, development
of an abscess, happens quickly. White blood cells, the body's natural defense
against bacteria, move into the area and start killing bacteria. Pretty
soon we have dead bacteria, dead white blood cells, and dead little bits
of cat all combined into a gooey mess. The rest of the body
protects itself from spreading infection by making a protective barrier around
this dead, gooey mess. This is an abscess.
If close to the surface, the abscess will eventually drain on its own. The central area of skin, deprived of its blood supply, slowly dies and falls off, allowing pus to escape. The animal feels better right away and the wound heals. Unfortunately, the abscess usually comes back, because the wound heals with some of the pus still inside. To prevent the long period of illness before an abscess drains on its own, and to keep the abscess from coming back afterwards, your Veterinarian will drain it surgically. Veterinarians usually open the abscess at the bottom and top, flush it with an antibacterial solution, and insert a Penrose drain tube. This device keeps the hole open, allowing pus to drain for a day or two, and the abscess begins to heal. After removal of the drain tube, the surgical openings will heal and all the infection will be gone. Bite wound abscesses can usually be prevented if antibiotics are given within the first twenty-four hours. If your pet is a regular patient at your Veterinarian's office, has a history of bite wound infections, and was in a fight recently, call them right away. In such cases, your Veterinarian will generally be willing to dispense antibiotics without an examination.Adult heartworms are about six inches long, and live in the heart and large blood vessels of the host animal, usually a dog. Adult male and female worms produce thousands of microscopic baby worms, which live within blood vessels throughout the host's body. These baby heartworms do not mature in the animal where they were born. (If they did, the animal would quickly die, and that would be the end of the heartworms.)
Next, the mosquito bites another animal, infecting the new host with adolescent heartworms, ready to develop into adults. After six or seven more months, the life cycle is complete. New adult male and female heartworms are producing thousands more baby heartworms. There are no symptoms of heartworm infection at all until the disease is very advanced. At this stage, the symptoms are those of congestive heart failure – dull coat, lack of energy, coughing, difficulty breathing, perhaps fainting spells and an enlarged abdomen. Your Veterinarian can prescribe one of three different drugs used for once-a-month heartworm prevention. In cold climates, wintertime prevention medication is not usually necessary. Although heartworms can be fatal and treatment for the disease involves risk, the condition is nearly always curable. Treatment requires careful medical care and complete rest at home afterwards. The first thing your Veterinarian will do is evaluate your pet's condition, performing a physical examination, laboratory tests and chest x-rays to evaluate the condition of the heart and lungs. Your Veterinarian might find other health problems that need attention first, but if the heartworm infestation is very severe, they may want to modify their treatment plan. Each stage of heartworm infestation must be treated separately. First the adult worms are eliminated by giving a series of injections spaced out over a two day period. When your Veterinarian finishes treatment, the heartworms will be dead or dying. Although that is what is desired, the heart at this point is still full of worms. The worms gradually break into smaller and smaller pieces until the fragments are tiny enough for the body to eliminate them. The critical period of heartworm treatment is when worm fragments are small enough to disperse into the body but still large enough to plug small arteries in the lungs. Vigorous activity must be avoided at this stage since it makes the heart pump faster, pushing bits of dead heartworm out into areas where they can cause trouble.
Tapeworms are the most common intestinal parasite of cats. Kittens become infected with them when they swallow fleas; the eggs of the tapeworm live inside the flea. When the cat chews or licks its skin as a flea bites, the flea may be swallowed. The flea is digested within the cat's intestine; the tapeworm hatches and then anchors itself to the intestinal lining. Therefore, exposure to fleas may result in a new infection; this can occur in as little as two weeks. Cats infected with tapeworms will pass small segments of the worms in their stool. The segments are white in color and look like grains of rice. They are about 1/8 inch long and may be seen crawling on the surface of the stool. They may also stick to the hair under the tail. If that occurs, they will dry out, shrink to about half their size, and become golden in color. Tapeworm segments do not pass every day or in every stool sample; therefore, inspection of several consecutive bowel movements may be needed to find them. Your Veterinarian may examine a stool sample and not find tapeworms, and then you may find them the next day. The key to tapeworm prevention is by controlling fleas on your cat. If you have a tapeworm problem, you probably have a flea problem. Regular use one of the safe over-the-counter flea preventives such as Advantage® is recommended.Feline Immunodeficiency Disease (FIV)
FIV belongs to the same family of viruses as HIV (Human Immunodeficiency Virus) and immunodeficiency viruses in other species. This family of viruses (Lentiviruses) is known for being species-specific, for life-long infection, and for slowly progressive diseases. FIV is not transmissible from cats to people, and HIV is not transmissible to from people to cats. Risk factors for FIV include:
Older cats are more likely to be infected; the average age of cats with FIV is 5 years at the time of diagnosis. Aggressive male cats that roam and fight with other cats are more likely to be infected than females and nonaggressive males. Sick cats are much more likely to have FIV. Free-roaming cats are more likely to be infected than indoor cats. When a cat becomes infected with FIV, there may be no clinical signs for many years. However, 4 to 6 weeks after infection the white blood cell count declines and at this point some cats will have swollen lymph nodes. Also, some cats have a fever, anemia, or diarrhea at this early stage. FIV is toxic to a type of white blood cell, the T helper cell, which is critical to a healthy immune system. This virus slowly depresses the function of the cat's immune system, leading to chronic health problems and opportunistic infections. Many FIV-positive cats have chronic inflammatory conditions of the teeth and mouth. Other chronic problems, such as diarrhea, pneumonia, skin disease, sinus infections and some eye diseases as well as neurological problems have been seen in FIV-positive cats.
Rabies is a disease caused by a
virus that can affect the central nervous system (brain and spinal cord)
of any kind of mammal, including humans.
Report all animal bites, especially those from wildlife, to your local health department. They can tell you which species pose a threat for rabies in your area, and this will help determine the need for preventive treatment. Occasionally, the rabies virus can spread to pets, such as dogs, cats, and domestic ferrets. However, household pets rarely get rabies due to successful vaccination programs. A pet that always stays indoors is highly unlikely to be exposed to the virus. In extremely rare situations, a person can get rabies without being bitten by a rabid animal (nonbite exposure). Humans have acquired rabies by handling a rabid animal or by inhaling airborne virus in places where it exists in high quantities, such as caves filled with bats. Rabies virus is in the Rhabdoviridae family. The virus cannot live outside its host's body for more than a couple of seconds, but live virus has been found in animals that have been dead as long as 48 hours.
Rabies infection in humans begins with vague symptoms such as fever, cough, or sore throat followed in several days by more serious and rapidly progressing symptoms such as restlessness, hallucinations, and seizures. The final stages are coma and death. The incubation period—the time from exposure to the rabies virus until symptoms appear—is usually 4 to 6 weeks. In rare cases, the incubation period can last from several days to more than a year after exposure to the virus. If you are concerned that you may have been exposed to the rabies virus, it is important to seek medical attention before symptoms develop. Rabies is nearly always fatal if not treated before the appearance of symptoms.
Some parasites live continuously on a single host, and others live intermittently on their host. Many parasites spend as little as 10% of their life actually feeding on a host. Some live on different host species at different stages of their life cycle – ticks that carry Lyme disease live on white-footed mice as larvae, and on deer or other mammals as adults. Some can live on various host species, and others are restricted to a specific host species, often to a single area of the host's body. For example, Demodectic Mange is caused by a hair follicle mite and is usually found only on the head or legs. Hosts provide a number of essential resources for parasites, such as:
Flea infestations on small or
weak pets can cause life-threatening anemia (iron-deficiency anemia,
decreased red blood cells circulating through the blood, which means a
decreased oxygen level in the blood). While grooming themselves, cats
ingest about 50% of the fleas on their body. If the fleas carry
pathogens, the cat may become diseased. Fleas have four life stages:
egg, larva, pupa, and adult, but only adults live on pets. The eggs,
larvae, and pupae live in carpets and on blankets, so it is important to
treat the pet's environment in cases of infestation. Compared to fleas, ticks are relatively large, with soft rounded bodies. Most ticks attach to their host and feed for as long as 12 to 24 hours before they fall off. Young ticks (nymphs) may feed on one host, drop off, and then feed on a different host as adults. Most ticks spend about 10% of their lifetime attached to their hosts. Individual tick bites can cause local reactions, including skin damage, irritation, inflammation, and hypersensitivity. A large number of tick bites can cause anemia. Some ticks secrete toxic saliva that can cause paralysis. All ticks can carry and transmit disease. Bird owners are often advised to clip the wings of their birds. A common first reaction is that clipping is a cruel thing to do, but there are good reasons for it. First and foremost is the bird's safety, but there are other reasons as well: Unclipped birds can easily panic and fly into windows, glass doors or mirrors, injuring themselves. They can fly into kitchens and land on hot stoves, burners, and pans. They can fly into overhead ceiling fans or dangerous electrical appliances. Small birds, able to get into smaller spaces, have flown into open cupboards and drawers and been locked in or have gotten trapped behind refrigerators, while others have drowned in open toilet bowls. There are many things around our homes that are toxic or dangerous to birds – lead paint, household cleaners, etc. A bird that can fly can reach such items more easily. There is no end to the number of dangerous and lethal items that your bird may find attractive or edible.
Baby birds should not be clipped until they have learned to fly, which gives birds confidence, enables them to properly develop their chest muscles, teaches them balance and enables them to learn how to maneuver and land safely. Birds have very light, fragile bones which can easily be injured by a clumsy landing or a fall. Birds should be re-clipped when their feathers have grown back enough so that they can fly more than a few feet. This is usually after a molt, and for most birds, about once a year. If clipping is done during a molt, then some of the clipped feathers may still continue to grow out, and new feathers may grow in as well. If you wait until the molt is complete there should be a need for only one clipping. However, if your bird is flying, you may not be able to wait and will have to do multiple clippings. The only feathers that should be clipped are the primary flight feathers, which are the ten long feathers on the outermost part of the wing. After the clipping, your bird will still be able to fly a couple of feet. This enables him to protect himself from a fall by giving him enough lift to land safely. If clipped too drastically, he won't be able to maneuver to avoid hitting something dangerous, or to break his fall. As a result he may injure his beak, breastbone or wings or even break a leg as he plummets to the ground.
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Neutering
There are several reasons to neuter a pet. One significant reason is to prevent pet overpopulation. There are far more cats and dogs in the United States than there are available homes and stray cats and dogs overburden animal shelters. Other reasons for neutering include the following:
When to neuter a pet Cats and dogs must be in good health, be at the right age for neutering, and must be up-to-date on all vaccinations. Cats should be tested for feline leukemia and feline immunodeficiency virus before the procedure. In most cases, the procedure is performed when the animal is about 6 months of age. Animal behaviorists generally agree that neutering pets prior to sexual maturity is the best way to decrease undesirable behavior. There is currently a move in the Veterinary community toward early age neutering. Scientific studies suggest that early age neutering is no more of a risk than performing the surgery at 6 months, provided the animal is healthy. Neutering can also be performed on older pets. Depending on the pet's age, the Veterinarian may perform presurgical tests to make sure that the pet can be safely anesthetized. Many anesthetic drugs are metabolized in the liver and kidneys, so it is essential that the liver and kidneys be functioning normally. Female pets should be spayed for all the same reasons listed above.
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Euthanasia Euthanasia
is a method of humane killing which is sometimes employed when animals have a
terminal illness or severe injury and are not expected to recover, especially if
the animal is in pain or its quality of life is seriously compromised. This
procedure is also known as having an animal “put to sleep.” In rare cases,
euthanasia may be necessary if an animal is vicious and dangerous, despite the
efforts of the owners and professionals to modify its behavior.
Pet and livestock owners might decide to euthanize when an animal is suffering significantly due to injury or terminal illness, is overly aggressive, or when the owner is no longer able to keep or care for the animal and is unable or unwilling to find a new home for it. Additionally, many stray animals, in particular, cats, are euthanized due to overpopulation and the lack of adoptive homes. For most pet owners, the decision to euthanize a pet is extremely difficult. For this reason, it's important to choose a veterinarian you trust and who shows understanding and compassion. If you have young children, it's best to include them in the decision. Having a pet euthanized without telling children the truth about it can make the animal's death even harder for them. The euthanasia procedure itself is almost always carried out by injecting a painless, death-inducing drug. Before the fatal injection, many veterinarians will give the animal a tranquilizer. During this time, you may wish to hold your pet until the doctor is ready to proceed. After your pet is gone, it's natural to experience grief and loss. There are many books, organizations, and support groups dedicated to consoling those who've lost a pet. Don't hesitate to seek help if you need it. |
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