Page 3 - Clinical Connections - Spring 2024
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LETTER FROM THE EDITOR


          Stepping Back into a Fast-
          Flowing River
            t is said you can't step into the same river                    imaging  use  in  exotics,  the  combination  of
            twice.  Any alumni who have returned                            veterinary expertise and advanced technology
          I recently for CPD or another event will testify                  enables diagnostics and treatments that help
          that the adage rings true for the RVC – and                       a broad range of patients with complex heart
          it certainly rings true for me. Returning to the                  conditions. I’d encourage readers to take a
          RVC in November 2023, the RVC is certainly                        look at the range of cases discussed by the
          a  very  different  river  to  the  one  I  stepped               cardiology team in the article.
          out of 16 years ago when I was a Lecturer                           Page eight features an article by Richard
          in Emergency and Critical Care, following a                       Meeson, Head of the Orthopaedic Service,
          residency here.                                                   about advances enabled by the evolution
            The transformation of the Hawkshead                             of gait assessment technology.  The new
          Campus  by  extensive  building  work  is  an                     instrumented  treadmill  and  pressure
          obvious change but advances in practice,                          mat provides instantaneous data on the
          research and teaching methods – and shifts                        characteristics of how a dog uses its legs. It
          in teams – are also significant things that makes it a very different   also produces a graphical ‘heat-map’, which can be shared with
          'river' than before.                                clients, as well as referring practices
            Some things, however, are reassuringly familiar – including   As with other technology discussed in Clinical Connections, our
          those colleagues who have stayed through the years. It has been   fantastic team of veterinary specialists and dedicated veterinary
          great to see them and observe the great strides they and their   nurses are key to referred patients getting the best from these
          teams have made in the advancement of practice, research and   technological advancements.
          veterinary education.                                 Our pathology article by Sonja Jeckel, on page nine, is
            Some things that were akin to acorns decades ago are now   concerned  with the health of backyard  chickens.  Though it is
          extremely robust trees. I'm extremely proud to see that the Blood   impossible to precisely say how many there are in the UK, as
          Donor Programme, which I helped establish, is thriving and has   only  flocks  of  50  or  more  need  to  be  registered  with  Animal
          enabled transfusions to help numerous dogs and cats over the   and Plant Health Agency, the numbers (and therefore welfare
          past two decades. The centre pages feature an article about the   and disease risks) appear to be increasing. As specific disease
          evolution of the Blood Donor Programme and the Transfusion   diagnostics in backyard chickens can be prohibitively expensive,
          Medicine Service, which it feeds. Numerous staff, donor animals   there is a risk that diseases that can spread through flocks go
          and their owners have enabled this success, with the welfare of   undiagnosed. The RVC Farm Animal Pathology and Diagnostics
          donors always having been paramount.                Services supports vets by providing a cost-efficient specialised
            You will have hopefully seen our front page article about the   post mortem examination service.
          RVC Cancer Biobank, which has expanded significantly recently.   Last but not least, the equine article, by Melanie Perrier on
          The biobank helps companion animals at the RVC and beyond   page 10, is on headshaking, which may be caused by a primary
          – and the research it enables can also support human health by   disease or may be idiopathic. Melanie discusses the complexity
          contributing to the knowledge base on cancer.       of  diagnosis  of  idiopathic  headshaking,  which  should  involve
            Page four has an article by Vicki Baldrey about how advanced   ruling out a primary disease. CT, once again, proves to be a very
          imaging is supporting our exotics patients. CT is an increasingly   useful tool to identify or rule out this out. A range of treatment
          used and incredibly valuable imaging technology that enables   options – and not so clinically efficacious ‘treatments’ that have
          our exotics specialists to make fast diagnoses and provide timely,   been used historically and may be favoured by some owners –
          targeted interventions. The article includes a range of interesting   are discussed in the article.
          cases, including a ferret, a tortoise and a rabbit.
            The recently expanded Cardiology Service takes us through
          a  typical  week  of  fascinating  cases  on  page  five. As  with  CT   Amanda Boag, Vice Principal (Clinical Services)







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