Veterinarians and disruption models | i-Vet IN THE NEWS  

This is a really interesting topic – that was discussed in a range of leadership meetings and lectures in the past week at AVA Conference. I re-post it here for your consideration and welcome any feedback on our facebook or linked-in group pages.

Mar 22, 2016

By Jane Rothfield

Disrupt, or be disrupted. It sounds ominous.

You might be wondering just how disruption techniques apply to veterinarians, whose job description has remained remarkably stable for a very long time.

Disruption is a phenomenon where high end professionals are ‘disrupted’ by those entering the profession at the other end. Typically, these ‘disrupters’ are first ignored or overlooked by the incumbents and then are gradually displaced or overtaken. With the high-speed development of technology, digital disruption has become a major force.

Digital disruption is exploding into those veterinary niches where supplementary services can be improved or developed. One example is the tech startup ‘I-Vet’, Australasia’s first national online vet video consultation service. Dr Sue Samuelsson founder and CEO of i-Vet said “i-Vet will alter the way pet owners buy a range of veterinary and care services, especially for clients without easy physical access.”

Pet owners will receive face-to-face video advice and guidance from an experienced veterinary surgeon, anytime, anywhere, at industry-leading prices. Vets can supplement their existing income by taking on locum work, and can timetable this work around their other commitments.

And the benefits? Owners are charged $70 for a consultation with no need to travel and they can specify the time they want to access the service.

Another area ripe for disruption is the sale of pet medications. In the US, Americans buy about $7 billion worth of over-the-counter and pet prescription medications every year. Traditionally, these have been bought from the veterinary clinic, providing the business with 25% to 35% of their revenue.

However, online retailers like PetMed Express are offering lower prices than the clinics, noticeably affecting traditional clinic profits. In response to this, the company Vets First Choice offers outsourced online pharmacy services to veterinarians. Vets can retain their traditional clients while competing on price with online suppliers.

From a pet owner’s point of view, the online store appears to be operated by the local clinic, but Vets First Choice coordinates and ships the orders from its pharmacy in Omaha. It employs six pharmacists and many more pharmacy technicians, and stocks more than 6,000 medications. The result is that for three years running, Vets First Choice has been listed on Inc. magazine’s list of the 5,000 fastest-growing privately owned companies in the USA.

Savvy investors know that the internet can potentially reduce costs. With the ever-increasing demands on vets, companies that use new technologies to deliver a higher level of customer service and lower prices will become ‘go-to’ destinations for pet owners.

Vets First Choice and i-Vet are continually aiming to continue its disruptive business. For example, the companies are targeting prescription management and compliance by reminding pet owners when their pet’s prescription is due to be restocked.

Disruption is the way forward for veterinary practices. Broadly, their owners will eventually face three choices:

  • keep going until the business is overtaken by more aggressive competitors,
  • exit the business entirely and return capital to investors, or
  • redefine their core strategy and build up a new business model by using disruptive practices.

Disrupt, or be disrupted. That’s the future.


Dr Sue Samuelsson is a caring and dynamic vet in the Northern Territory, Australia who has had a profound effect on many remote communities around East Arnhem Land. She is the creator of i-Vet, an innovate online service designed for pet owners. Away from her busy schedule she enjoys catching barramundi in the Daly River.

Source: Veterinarians and disruption models | i-Vet IN THE NEWS | Dr. Sue Samuelsson | LinkedIn

OIE alerts and animal health information now available on your smartphone or tablet: OIE – World Organisation for Animal Health

The new WAHIS Alerts application from the World Organisation for Animal Health (OIE) delivers alerts and animal health information from the World Animal Health Information System (WAHIS) direct to your mobile phone or tablet.Paris, 16 May 2016 – In today’s globalised world, infectious diseases can spread dramatically in a very short space of time. Early detection of diseases at their animal source is essential to bring them under control quickly, thus protecting both human and animal populations. To ensure transparency in the animal health field, the 180 Member Countries of the OIE have an obligation to report the animal disease situation in their territories via the OIE World Animal health Information System, WAHIS.

To provide public access to world animal health data, the OIE makes the WAHIS portal available on its website. It gives free access to data on animal diseases, including zoonoses, arranged according to country, region, month and year.

To increase the ease and speed with which this information can be accessed, the OIE has just launched the WAHIS Alerts application, which enables disease alerts (immediate notifications) and OIE follow-up reports to be sent direct to your mobile phone or tablet.

Users can choose to receive only those notifications and reports related to the regions and diseases that interest them, thus enabling them to keep up to date with the most relevant latest health news.

The application is free to download from the Android, Apple and Windows applications stores.

More information about WAHIS

One of the core missions of the OIE is to guarantee transparency in the animal health situation worldwide, and its 180 Member Countries have a legal obligation to notify the Organisation of any cases of OIE-listed diseases (of which there are 118) and any case of an emerging disease. They must report occurrences of disease in domestic and wild animals, both terrestrial and aquatic. These notifications help to improve the health and welfare of animals and are a means of ensuring the safety of international trade without creating unjustified sanitary barriers.

Since 2005, information on OIE-listed diseases in domestic and wild animals has been available to everyone through the WAHIS interface. This interface can also be used to access other information, such as data on animal populations and the human and material resources of Veterinary Services and laboratories.

Source: OIE alerts and animal health information now available on your smartphone or tablet: OIE – World Organisation for Animal Health

Chronic pain treatment with stem cells – ARC Centre of Excellence for Nanoscale BioPhotonics (CNBP)

We had a fantastic Plenary Session at the AVA Conference today on the advances in understanding pain by Professor Mark Hutchinson of ARC Centre of Excellence for Nanoscale BioPhotonics (CNBP)… See this earlier article on the subject. The reference is: Australian Life Scientist

Chronic pain treatment with stem cells

By Life Scientist Staff Wednesday, 18 May, 2016 39  22  9  0  2

The Australian Research Council (ARC) has awarded a Linkage Grant of $340,000 to a research consortium investigating how stem cells can be used to relieve chronic pain.

The consortium brings together innovative cell labelling technologies developed by the ARC Centre of Excellence for Nanoscale BioPhotonics (CNBP) and a transdisciplinary team of researchers from Macquarie University, the University of Adelaide and regenerative medicine company Regeneus (ASX:RGS).

CNBP Director Professor Mark Hutchinson has previously demonstrated that neuropathic pain — pain caused by damage or disease affecting nerves — is controlled by our immune system. The good news, said Professor Hutchinson, is that stem cells secrete molecules that control or modulate the immune system.

“Because neuropathic pain is driven by the immune system, we can use stem cells to control and shut down the pain,” explained Professor Hutchinson, who is based at the University of Adelaide. “However, stem cells can secrete both good (anti-inflammatory) and bad (inflammatory) molecules; therefore, the use of cells that secrete the right molecules is going to be critical.”

With this in mind, CNBP Deputy Director Professor Ewa Goldys and her group at Macquarie University have developed cell labelling technologies to identify and select cells based on the molecules that they are secreting. This technology will be used for the manufacture of stem cells for the treatment of chronic pain.

“Our efforts will be largely based on utilising CNBP technology, incorporating innovative cell detection, molecular sensing and labelling know-how, operating at the nanoscale level,” Professor Goldys said.

The study will also build on Professor Hutchinson’s previous work which established that female chronic pain is more widespread than male pain. He noted, “Building on our ability to sense what is happening in the body at the cellular and molecular level, this project aims to develop a new understanding of pain as well as its differences related to gender.

“Establishing the fundamental mechanism in pain, the role of immune signalling and molecular mediators, we will enable true pain-modifying treatments which address pivotal trigger points in both females and males.”

Regeneus has patents and patent applications on the use of stem cells for the treatment of neuropathic pain and has had previous success with the use of stem cells for the treatment of neuropathic pain. The outcomes of the research project are expected to lead to the development of allogeneic off-the-shelf stem cell products that have been tailored for the treatment of neuropathic pain in both veterinary and human markets.

Image caption: Immune cell responses within the central nervous system in response to chronic pain. Image courtesy of CNBP under CC BY 2.0

Source: Chronic pain treatment with stem cells

Public health | AVA Conference | Adelaide

A week of quality veterinary conference is starting now!

Who is joining their professional colleagues in Adelaide this week for the Australian Veterinary Association Conference?

In particular ~ check out the Public health stream talks and topics!

Inside the headquarters for military dogs …“As an Army vet, this is really an amazing place to work”

(Source: AVMA Website)

​Lackland Air Force Base breeds and trains dogs for Department of Defense, serves as hub for veterinary care

Posted May 11, 2016

Training of military working dogs wraps up by early afternoon at Lackland Air Force Base in San Antonio as the temperature rises, and it’s mostly quiet inside the cool halls of the LTC Daniel E. Holland Military Working Dog Hospital.

Signs announce that the next day is Spot Day, though. Once a month, every dog on the base comes through the hospital for a check of weight, body condition, and diet and to receive preventives against heartworms, fleas, and ticks. The parade of dogs brings in more than 600 that are housed on one side of the hospital and about 200 housed on the other.

 

In many senses, Lackland Air Force Base is the headquarters for U.S. military dogs. The Air Force is the executive agent for almost all Department of Defense working dogs. Lackland breeds some of the dogs, buys others, and prepares and trains most of them for duty.

The Military Working Dog Veterinary Service, part of the Army Veterinary Corps, not only treats dogs on the base but also serves as the hub for veterinary care for all military working dogs, providing worldwide consulting and referral services.

At the Holland Military Working Dog Hospital, dogs from bases around the globe rest calmly in crates recovering from surgery before going into wards. In contrast, dogs in the kennel off the rehabilitation area bark excitedly whenever someone walks through.

Buying and breeding

About 85 percent of the dogs that enter U.S. military service originate from overseas, primarily from Eastern Europe, said Stewart Hilliard, PhD, a civilian psychologist who leads dog evaluation and breeding at Lackland. Buying dogs from abroad, whether through a U.S. or foreign vendor, is currently less expensive than breeding dogs or buying dogs bred in the United States.

Dr. Hilliard said working dogs seem like an anachronistic concept. “It turns out that dogs have never been more important than they are now,” he said. In particular, he added, “Dogs are the single most effective and cost-effective countermeasure helping us to detect and locate explosives of all kinds.”

Teams from Lackland purchase dogs overseas about four times a year and make several trips stateside a year. Dr. Hilliard said that before purchasing, his staff “administers behavioral tests to dogs to decide if they have the proper character and temperament and behavior to be effective working dogs.” Veterinarians on each team do a health inspection.

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​ ​Military working dog Rocco, led by Senior Airman Jordan Fuller of the Air Force, prepares to subdue a simulated aggressor during a 2015 demonstration at Lackland Air Force Base in San Antonio. (Photo by Senior Airman Taylor Curry/Air Force) ​

Among the challenges of buying overseas, Eastern Europe is becoming increas­­ingly unstable, Dr. Hilliard said. And there are indications that dogs in the region are displaying a higher incidence of hip dysplasia and other skeletal abnormalities. Also, competition for the dogs from nations around the world is more intense.

The breeding program at Lackland began in 1998 with Dr. Hilliard at its head. He was a dog breeder and trainer before becoming a psychologist, adding academic training in behavior to his practical experience. He said the breeding program at Lackland is the most challenging thing he’s done. He has found that it is not uncommon to breed two high-quality dogs and produce puppies that are all better suited to be family pets than “soldier dogs.”

Nevertheless, the program is establishing bloodlines. It has begun relying more on artificial reproduction and has only one standing male but 24 to 25 breeding females. Through frozen semen, the program has access to 15 to 20 males, some long dead.

“It used to be the case that we would produce an elite dog every few litters,” Dr. Hilliard said. “In the last two years, it has gotten to the point where it is not unusual for us to produce an elite dog” in each litter.

Preparation and training

The training program at Lackland involves much more than obstacle courses and bite suits. A row of simulation airplanes borders a simulation parking lot. A train car sits among buildings housing mock-ups of various scenarios.

Although the exact number varies, Dr. Hilliard said the training program produces about 270 military working dogs per year. Almost all are dual-purpose detection and patrol dogs, detecting either explosives or narcotics. Most are German Shepherds, but some are Belgian Shepherds, with the latter almost exclusively Malinois.

​ ​
​ ​​YYork, a military working dog in training in 2014 out of Lackland Air Force Base, was fostered by a commander in the Texas Air National Guard. The double first letter of his name indicates that he came out of the breeding program at Lackland. (Photo by Senior Master Sgt. Mike Arellano/U.S. Air National Guard) ​

Some dogs are detection-only, and these can be sporting dogs such as retrievers and pointers. The Transportation Security Administration also trains detection dogs at Lackland, using a variety of breeds but mostly nonthreatening sporting dogs such as black Labrador Retrievers. The Navy sometimes uses terriers for detection because the small dogs are good for close quarters.

Dogs require preparation before entering the training program. Col. Cheryl Sofaly, the veterinarian who directs the Military Working Dog Veterinary Service, said puppies born on the base are monitored closely. After weaning, they go out to foster care with members of the community, returning to the base for checkups and behavioral work.

In foster care, the puppies are able to have normal dog experiences. They encounter people and traffic, parks and stores. So the puppies are used to going anywhere, Dr. Sofaly said. Dr. Hilliard added later, “These seemingly mundane experiences are crucial to the development of well-adjusted working dogs, and the foster care method is an ideal and inexpensive method to provide such socialization.”

Formal training starts at 7 months. At 1 year of age, the dogs are evaluated by Dr. Hilliard’s team for the training program. Foster families or others can adopt dogs that don’t make the cut.

Dogs not bred at Lackland are bought between the ages of 1 and 3. They spend two to four months in the kennels being made ready for the training course.

Before dogs start training, veterinarians routinely perform a gastropexy. The dogs are susceptible to gastric dilatation-volvulus because of breed and temperament. Dr. Sofaly said the procedure has been very successful at preventing GDV.

The training course itself is 120 days long, with 60 days for detection and 60 for patrol. Dr. Hilliard said the program integrates modern methods of positive reinforcement and signaling techniques with more traditional methods of aversive control.

Dr. Hilliard’s team measures the performance of dogs at the end of the course to assess whether they have absorbed the lessons and developed the skills they need to go out into the field. Dogs that don’t make the cut are assessed for adoption.

Veterinary care

The Holland Military Working Dog Hospital is the showpiece of the Military Working Dog Veterinary Service. Completed in 2008, the 32,000-square-foot hospital replaced a 5,800-square-foot facility.

“As an Army vet, this is really an amazing place to work,” said Dr. Sofaly, a diplomate of the American College of Veterinary Internal Medicine. “It’s the only hospital like it within the Department of Defense.”

Counting Dr. Sofaly, the hospital has 12 veterinarians, including seven specialists, plus residency programs with the American Board of Veterinary Practitioners in canine and feline practice and with the American College of Veterinary Behaviorists.

​ ​
​ ​Maj. Stephanie Kennedy of the Army Veterinary Corps performs a prophylactic gastropexy on a military working dog in January at Lackland Air Force Base. (Photo by Senior Airman Colville R. McFee/Air Force) ​

Radiology probably gets the bulk of the consulting requests, Dr. Sofaly said. Military bases around the world can perform CT or MRI scans on dogs. Common problems include lumbosacral disease and other athletic injuries. The dogs that come to the hospital from outside Lackland usually come for specialty surgery.

The hospital veterinarians are proud of quickly adopting a standardized anesthesia protocol developed by a veterinary anesthesiologist with the Army Reserve, Dr. Sofaly said. All veterinarians in the Army Veterinary Corps are expected to use the protocol.

Whenever a dog has a health problem, Dr. Sofaly said, “If we can fix the problem, and the dog can go back to service, that’s the first choice.” Sometimes the problem can’t be fixed well enough for the dog to go back to service. She said, “Those dogs would basically be medically evaluated for retirement, and then they would be made available for adoption.”

The rehabilitation area features underwater treadmills and is bursting with other equipment. The plan is to refurbish an older building to make a larger space. Dogs in rehabilitation often start indoors on the underwater treadmills, then progress to treadmills outdoors.

The hospital has four wards plus a bathing area. An upcoming construction project is to build another kennel bank. The hospital also has its own laboratory for routine tests. Fort Sam Houston, also located in San Antonio, does other testing, such as for Chagas disease and rabies antibodies.

In addition to Spot Day, dogs housed on the base have a twice-yearly examination, with bloodwork once a year.

Heatstroke is rare despite the hot climate. Dog handlers manage the times of day and length of training, and the veterinarians teach handlers to watch for signs that a dog is overheating.

Retirement

The Air Force has an adoption coordinator for military dogs up for retirement as well as for dogs that don’t make the cut before or after training.

“There always comes a time where maybe the dog is not as effective as they used to be,” Dr. Sofaly said. Perhaps the dog is developing arthritis. Then it’s time to consider retirement.

Each dog is given a prognosis for adoption, primarily based on behavior. Despite being trained for patrol functions including controlled aggression, retired military dogs often make good pets. Dr. Sofaly said, “By the time they are a senior citizen dog, they know when they’re working, and they know when they’re not working.”

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​ ​Staff Sgt. Sharif DeLarge of the Air Force hugs military working dog OOlaf after a controlled aggression exercise in 2014 at Lackland Air Force Base. (Photo by Staff Sgt. Vernon Young/Air Force) ​

Dr. Hilliard added later that the modern model for U.S. military working dogs is not to breed or procure aggressive or hostile dogs for service but to choose animals that are balanced, confident, and even friendly with handlers and strangers. He said, “The majority of these dogs can make a smooth and safe transition to civilian life.”

The Department of Defense began the retirement program in 2000. In previous decades, many military dogs were euthanized at the end of their working careers, but now, very few are euthanized—and then almost always because of irreversible medical conditions.

Dr. Sofaly has a retired military dog herself. She said, “It’s nice to take an older dog that has worked really hard and done its time and bring them into a home environment. And then really once they settle in, they just become part of the family.”

In a crate nearby, a black Lab up for retirement wags friendlily.

The AVMA Convention 2016, Aug. 5-9 in San Antonio, will feature sessions relating to military working dogs. A daylong walking tour at Lackland Air Force Base highlights the breeding, training, and veterinary care of these dogs. Other sessions are “The Role and Medical Management of Military Working Dogs in Combat” and “Canine Post- Traumatic Stress Disorder in Military Working Dogs.” Registration for the convention and the walking tour is at www.avmaconvention.org.

Source: Inside the headquarters for military dogs