Martin Hosegood MRCVS has been selected to run for (your) Vetlife in the Virgin London Marathon.

Martin said: "Through my role at VDS where I assist those on the receiving end of an allegation of professional negligence or professional misconduct, I have seen the fantastic work that Vetlife does to assist anyone in the veterinary community who is having a difficult time. I’ve run the marathon before for other charities but there will be something special about running it to help support my own profession. I feel privileged to have been chosen."

Martin (aka Obed) is a Bristol graduate who worked mainly in large animal practice for 25 years before becoming a VDS claims consultant in 2010. He has also been advising a large safari park on the health, conservation and management of a wide range of zoo species for many years and still continues this role now, albeit in a reduced capacity.

Martin will be running on April 26th with 38,000 other runners – almost five times the number that ran the first race in 1981. Other competitors will include Tim Peake, who will be running the race aboard the International Space Station, Dame Kelly Holmes MBE, James Cracknell and Rosie Allister, Chair of Vetlife Helpline. 

Rosie said: "It’s brilliant that Martin is giving up his time and training miles to support Vetlife. People who call Vetlife Helpline can often feel very alone; knowing the profession is behind us and wants to help can make a real difference. I’m hoping Martin waves as he overtakes me on the day! And that more vets and VNs will help us fundraise for Vetlife in the future."

Anyone willing to sponsor Martin can do so at: http://uk.virginmoneygiving.com/ObedMartinHosegood

The Royal Veterinary College has carried out the first ever open-heart surgery to treat a stenotic tricuspid valve in a dog.

The three-year-old Labrador, Mabel, suffered from congenital tricuspid dysplasia. She was referred to cardiology specialists at RVC Small Animal Referrals where her tricuspid valve was found to be completely fused in the middle, with just two very small openings for her blood to flow through. 

In a procedure that took a little over an hour, the RVC team examined and worked on the valve. The College reports that Mabel’s surgery was a success and her stenosis was relieved.

Mabel was subsequently found to have a moderate amount of regurgitation into the right atrial chamber, but after a few more days of additional monitoring at the RVC she was able to return home. 

The surgery was carried out by Professor of Small Animal Surgery Dan Brockman at the Queen Mother Hospital for Animals. He was assisted by a team of RVC specialists to provide pre and post-operative care, including a perfusionist, a team of three anaesthetists, two surgery nurses, three surgeons and a cardiology veterinary specialist-in-training. In addition, Professor of Veterinary Cardiology Virginia Luis Fuentes and veterinary specialist-in-training Dr Rosie Payne were members of the Cardiology Service’s investigation into Mabel’s condition.

RVC students were also involved in the Mabel’s initial examinations at the hospital, providing them with an insight into the procedure. The examinations included cardiac ultrasound using the newest generation of cardiac ultrasound equipment, which is able to capture 3D and 4D images. The new ultrasound scanner was funded in part by the RVC’s charity, the Animal Care Trust. 

After the surgery, the emergency and critical care (ECC) team and the Cardiology Service took over Mabel’s care, with Professor Brockman remaining involved. This saw up to four senior ECC clinicians, a number of veterinary specialists-in-training and half a dozen highly trained ECC technicians working in shifts around the clock to care for Mabel and ensure a good recovery.  

According to the RVC, there have been previous attempts by veterinary surgeons to open stenotic valves with balloon valvuloplasty. However, because it is very difficult to tear the stenotic valve, this approach has not proved very successful. There is also a high risk when putting canines onto bypass. Canines have fragile blood vessels, and cannulae need to be inserted into several of these vessels, creating a danger that a major vessel tears. 

Commenting on why the RVC team decided to perform this procedure at this point, and on Mabel, Dan said: "Lots of things fed into this decision. First and foremost, we had a patient whose pathology made surgery the best solution. I explained to the owner and was very honest that this procedure would be really breaking new ground. Based on what the human paediatric cardiac surgeons will do, and our limited experience of balloon-valvuloplasty suggests this is the best approach for these dogs

"The operation itself is risky, much worse than most other operations. In our hands, for this type of disease, we have about an 80% chance of getting them through the procedure. The owner has to gamble what life the dog has left against the promise of a more normal quality of life and life-span following the operation."

In relation to Mabel’s prognosis if the surgery had not been undertaken, Professor Luis Fuentes said: "It is likely that the signs of right-sided heart failure would have been more difficult to control. Her ability to exercise would have become less and less, and she would have also been at risk of having abnormal heart rhythms associated with the enlargement of the right atrium. Generally we expect them to develop more and more signs as the disease progresses. These are difficult cases to manage on a long-term basis with drugs. Her life expectancy would have been substantially reduced.

"I thought Mabel was almost a perfect candidate to have the procedure here as Dan has a lot of experience replacing tricuspid valves in dogs with tricuspid dysplasia. In those cases there is usually leaking, but Mabel’s case was unusual in that she has minimal leaking and she was most affected by the stenosis. That means you may not have to implant any additional valve structure."

Speaking two weeks after the operation, owner Annabelle Meek, from Melton Mowbray, said: "Mabel has just come back in from wandering around the perimeter of my garden for the first time since before the operation. It’s more than half an acre and she has been ambling around happily following a scent.

"I would like to thank absolutely everybody. It’s been an enormous team effort on all sides. Every single person I met at the RVC, from the man on the gate to all the hospital staff, was so friendly. After she came home Dan Brockman phoned me every day to see how she was doing. The RVC should be very proud of what they have done for Mabel."

The WSAVA has launched a petition to save ketamine from being placed under international scheduling, a move which the association says would prevent those who most need the drug having access to it.

The proposal to schedule ketamine is likely to be considered at the 59th UN Convention on Narcotic Drugs (CND) taking place between now and the 22nd March 2016 in Vienna.

Apparently, the proposal stems from a widespread misconception that ketamine is only a recreational drug. WSAVA argues that it is in fact the only anaesthetic suitable for use in middle and low income countries, and it also has particular value 'in the field' for trauma, traffic and sporting injuries. It is also the common and often only product used for sterilization initiatives - instrumental in the feral dog/cat population and critical for the control of zoonotic diseases, such as rabies.

To sign the petition, visit: http://chn.ge/1RFSou6. You can also share the petition post on facebook: https://www.facebook.com/WSAVA/.

Cave Veterinary Specialists, a referral centre based near Taunton, Somerset, has announced the launch of a significantly extended neurology and neurosurgery service.

The centre now has three new international specialists in the field: Salih Eminaga (DVM GPCert (SAS) DipECVN MRCVS and European Veterinary Specialist in Neurology);  Philip Strom (DVM, DACVR, MRCVS, American Specialist in Diagnostic Imaging) and Fernando Liste-Burillo (DVM, MSc, PhD) - Diagnostic Imager. 

In addition, Cave has invested in a new 1.5 Tesla high field MRI system.

Tom Cave, the co-owner of Cave Veterinary Specialists said: "“Demand for our neurology and neurosurgery service has continued to grow over the past 12 months but accepting emergency cases could be challenging with visiting MR imaging for brains and spines only available once or twice a week.

"Now that we have acquired our own on-site high field veterinary specific MR scanner we can expand to provide what we have wanted to do: a 24/7 neurology and neurosurgery service led by a European specialist in neurology and supported by recognised specialists in diagnostic imaging, anaesthesia, and our superb nursing team. All these components are required to successfully support patients particularly those that undergo brain and spinal surgery.

"Having a multidiscipline team that also covers orthopaedic surgery, soft tissue surgery, internal medicine, and oncology means we can also provide the highest level of care for patients with multiple problems such as trauma cases”."

The extended neurology and neurosurgery service will be able to accept referrals or advise on cases including:

• neurological emergencies such as spinal trauma, head trauma, cluster seizure management and status epilepticus;
• spinal diseases
• seizures and other paroxysmal diseases
• inflammatory central nervous system diseases and brain tumours. 

For more information, visit: http://www.cave-vet-specialists.co.uk

Bayer Animal Health has been enjoying considerable success in its efforts to raise awareness of the danger of lungworm amongst pet owners.

The company signed model and 'Strictly Come Dancing' presenter Tess Daly to front it's Be Lungworm Aware campaign at Crufts this year.

Coincidentally, her previous involvement in the Be Lungworm Aware campaign has led her to believe that her Golden Retriever, Sam, died of lungworm.

She said: "Back then I didn’t even realise lungworm existed. It was only subsequently that I became aware of the parasite and symptoms and I thought, ‘hang on this sounds horribly familiar’.

"It wasn’t confirmed what was causing Sam’s symptoms, but he was very tired, off his food and coughing a lot. Eventually we had to send him to a specialist vet centre as his symptoms worsened. They did all sorts of tests on him, and even a blood transfusion in an attempt to save his life, it was awful. We had to liquefy all his food and feed him through a syringe, and by this point he was vomiting and had severe diarrhoea, and in the end we had no choice but to put him down, he just couldn’t carry on."

Tess's involvement in the campaign is definitely paying dividends in raising awareness. Here she is talking about it in a Daily Telegraph video. There's also a piece in What's on TV. And although the Daily Mail seems more interested in her 'casual but slick ensemble', the photographs get the message across and there's a video there too.

Bayer has also launched an interactive lungworm map to assist with plotting the prevalence of the disease across the UK. The company says it is part of a wider research programme to better monitor and document the spread of the disease. Vets are asked to report cases of lungworm in their practices to be added to the map, so dog owners can then view reported cases of lungworm in their area at www.lungworm.co.uk.

Public Health England has released figures showing that the number of people testing positive for Lyme disease was up over 30% in the period July to September 2015, from 300 lab confirmed cases to 421.

The figures are being highlighted by MSD Animal Health, organisers of the Bravecto 'Big Tick Project', a campaign to raise awareness of tick-borne disease amongst vets and pet owners.

The TV presenter and naturalist Chris Packham said: "The rise in the number of confirmed cases of Lyme disease in the UK reported by Public Health England suggests the need for greater awareness of this damaging illness. Vets have a huge part to play in educating pet owners.

"As well as highlighting the risks that ticks present to both human and companion animal health we need to be more alert to the signs and symptoms of tick-borne disease and the sensible steps we can all take to protect ourselves and our animals.”

Professor Richard Wall who has led Bristol University’s Big Tick Project team said: "Given the reported increase in cases of Lyme disease, the results of the Big Tick Project study will help us to understand these changes both in terms of the longer seasonal activity of ticks and their increasingly widespread geographic location and could have important implications for both human and animal health by quantifying the diversity and prevalence of the pathogens they may be carrying."

According to the NHS around 2,000 to 3,000 people in the UK are affected by Lyme Disease each year but charities campaigning for greater awareness of the disease suggest this could be as many as 15,000.

Growing concern over the rise in the tick-borne infection has prompted Government ministers to set up a network of regional experts to help diagnose and treat the problem.

Last autumn, Health Minister Lord Prior told a House of Lords debate: "Some patients suffer debilitating illness with symptoms that persist after treatment for several months or longer."

Lord Prior revealed that the Department of Health is to set up a network of experts around the country to support GPs and hospital staff, most of whom have never seen cases of the disease. The increase in the disease is being blamed on rising numbers of tick populations which are active for longer due to climate change, a rise in numbers of wild mammals such as deer that host them.

The clinical signs of Lyme disease in dogs include recurrent lameness due to inflammation of the joints. Sometimes the lameness lasts for only three to four days either in the same leg or in other legs and the joints may be swollen, warm, and painful. In some cases, kidney failure may occur and the dog may exhibit such signs as vomiting, diarrhoea, lack of appetite, weight loss, increased urination and thirst.

Merial has announced that it has joined forces with the Animal Health Trust to hold Equine Flu Awareness Month in April. 

Organisers say that the aim is to increase awareness, understanding and virus surveillance of this highly contagious evolving disease.  

The AHT’s head of epidemiology and disease surveillance, Dr Richard Newton said: "The creation of Equine Flu Awareness Month is an important step forward for the equine industry. There have been 52 recorded outbreaks of equine influenza in the last two years, and whilst this may sound considerable, we believe it’s actually just the tip of the iceberg."

Equine Flu Awareness Month will integrate the Horserace Betting Levy Board (HBLB) Equine Influenza Surveillance Programme at the AHT with disease outbreak alerts and horse owner education to increase awareness of flu surveillance and vaccination.

The surveillance programme provides ongoing free sampling to all practices registered to the service. 

Richard added: "We are fortunate that the HBLB invests in this important scheme which also benefits the industry as a whole. We know that just 40% of the total UK herd is vaccinated, so when you consider that all racehorses and many other competing and performance horses are vaccinated under compulsory rules, that leaves the remainder of the herd even less protected and the total percentage well short of the 70% required in order to prevent an epidemic¹^,².

"All isolated viruses in the recent outbreaks are known to be of the Florida Clade 2 sublineage of H3N8 equine influenza, and nearly all outbreaks were in unvaccinated horses or in those whose vaccinations were not up to date³. 

"Historical models indicate that an epidemic occurs every 10 to 15 years⁴. The last large outbreak in the UK, which affected vaccinated racehorses, occurred in 2003, so surveillance of virus activity, vaccination and development of vaccines to match the circulating strains are key to preventing another outbreak.

"Many horses that don’t travel are still at risk of equine influenza, but frequently go unvaccinated. These animals are not only at risk of contracting and amplifying virus from their stable-mates that do travel, but are also at risk of airborne infection as equine flu is capable of travelling over a mile as an aerosol on the wind." 

Equine Flu Awareness Month will include a focus on practice vaccine amnesties and practice promotional tools with the objective to increase awareness among horse owners, for them to better understand the risks and signs of equine flu. 

Louise Radford MRCVS from Merial said: "In addition to the HBLB funded surveillance scheme providing free registration and virus testing, other services include Tell-Tail™ alerts for practices when there is an outbreak in the region, and Tell-Tail™ links to alert clients to outbreaks of equine flu and encourage them to vaccinate."

She added: "Tell-Tail™ Links is a great way to let your clients know when there is an increased risk of equine flu due to an outbreak in the area. When the first broadcast was launched, a text was sent from a practice in Cardiff to 777 horse owners and within 2 weeks, 47 new horses were booked in for a primary vaccination course." 

As part of the initiative, Merial is also running a draw to win one of three BEVA vouchers worth up to £1000. To enter, sign up or renew your Tell-Tail™ registration during April 2016 at: www.equinefluawareness.com. 

To sign up to the free HBLB Equine Influenza Surveillance Service run by the AHT, visit: www.equiflunet.org.uk

References

1. Baker D. Equine Vet J 1986;18(2):93–96. 
2. Merial Proactive Insight benchmarking 2015.
3. Equiflunet. Available at: http://equiflunet.org.uk/ (Accessed December 2015).
4. Elton D, Cullinane A. Equine Vet J 2013;45(6):768–769

RCVS Knowledge has announced the official launch of Veterinary Evidence – a new resource designed to unite practitioners interested in promoting and using the principles of evidence-based veterinary medicine (EBVM) within practice.

Veterinary Evidence – which is supported by the RCVS – represents RCVS Knowledge’s wider mission statement of providing the veterinary community with practice relevant, evidence-based information resources. Papers and publications are now available for use, completely open-access.

Veterinary Evidence aims to become the go-to portal for evidence-based veterinary information, promoting and publishing peer-reviewed papers alongside discussion of EBVM through opinion, clinical and methodological articles.

The site will host a wide range of material – from randomised controlled trials to case studies, Knowledge Summaries and interviews. The content is designed to educate readers in research techniques, responding to the desire amongst many veterinary professionals to become involved in effective practice-based research – including critical appraisal and clinical audit. 

Jacqui Molyneux, Chair of the RCVS Knowledge Board of Trustees said: "As a practising veterinary surgeon I, along with many others, recognise the emerging importance of evidence-based veterinary medicine and I believe it will become more and more important as time goes on. We all wish to do the best for our patients but how do we find out what the current ‘best’ is? That’s where this portal will become so useful; collecting and publishing articles that directly help practising vets and nurses to answer that question."   

Bradley Viner, the President of the RCVS and a Trustee of RCVS Knowledge, said: "The College was very happy to support our charity partners at RCVS Knowledge in launching this excellent new resource which will be relevant to all veterinary surgeons and veterinary nurses in clinical practice. Furthermore, clinical governance is now firmly established as an important principle in the Code of Professional Conducts for both professions and so, by encouraging practitioners to undergo a continuing process of reflection, analysis and improvement, Veterinary Evidence will also be helping them fulfil their professional responsibilities." 

Access the full site at: www.veterinaryevidence.org

The RCVS and the BVNA have launched VN Futures, a companion project to Vet Futures, which aims to draw up a blueprint for the future of the veterinary nursing profession.

One of the recommendations of the Vet Futures report (Taking charge of our future: a vision for the veterinary profession for 2030), which was published in November 2015, was to “encourage veterinary nurse leaders to develop a report and recommendations which are directly relevant to veterinary nurses and their future...”.

Following a joint meeting between the RCVS VN Council and the Council of the BVNA in October 2015, it was decided that a ‘VN Futures’ project would provide the relevant leadership and engagement to achieve this.

An initial meeting with a broad range of stakeholders took place at the RCVS on 7 January 2016, and, following this, a VN Futures Action Group has now been established to take the project forward, with the aim of delivering an action plan at the Vet Futures Summit in the summer.

The Action Group includes a mix of individuals involved in the training, representation, regulation, employment and management of veterinary nurses. The biographies of the team are available at www.vetfutures.org.uk/vnfutures.

The timeframe under consideration for Vet Futures is until 2030, however, it was considered that a five-year timeline may be more appropriate for veterinary nursing, given that it’s a younger profession, the retention rate is lower, and the training cycle is shorter.

The VN Futures project is running a series of evening meetings to engage with VNs and those involved in the profession, as follows:

• 14 March, University of Bristol, Langford, Bristol BS40 5DU
• 18 April, the College of Animal Welfare, Topcliffe Close, Capitol Park, Tingley, Leeds WF3 1DR
• 11 May, Edinburgh Napier University, Sighthill Campus, Edinburgh EH11 4BN
• 17 May, Nottingham Belfry Hotel, Mellors Way, Notts NG8 6PY, this will be a discussion stream within an RCVS Regional Question Time meeting
• 31 May, SSE SWALEC Stadium, Cardiff CF11 9XR, this will be a discussion stream within an RCVS Regional Question Time meeting

The meetings are free to attend and will start at 6.30pm, with a buffet supper. For more information and to register, please visit: www.vnfutures.eventbrite.com

Liz Cox, Chair of the RCVS VN Council, said: “The VN Futures project aims to deliver an action plan that will help take the veterinary nursing profession into its next phase of development. With the new Charter now in place, and a willingness from Defra to review Schedule 3, the time is ripe for us to take control of what happens next.

“The key to VN Futures’ success will be collaboration – I am delighted that we are working with the BVNA on this, together with other representative bodies – and also engagement: we want to hear VNs’ aspirations for their profession to ensure our action plan is as relevant and far-reaching as possible. I look forward to seeing a good turn-out for our roadshow events.”

Sam Morgan, BVNA President, said: “BVNA is delighted to be working alongside RCVS VN Council on this project. We fully believe in the importance of the veterinary nurse within practice and think this project can help shape the future of the profession. Being involved in the Vet Futures project, via BVA, was an eye-opener, and that only just touched on our own profession; we now have the chance to look at veterinary nursing specifically, and it is an opportunity not to be missed. Knowing where we want to take the profession will make it so much easier to reach the goal.”

Elanco Animal Health has launched #PetMagicMoments, a social media campaign designed to drive engagement between veterinary practices and their clients and encourage customer footfall to veterinary practices. 

As part of the #PetMagicMoments campaign, the company is inviting veterinary professionals and pet owners to share some of the magic moments they've had with their pet on Facebook, Twitter and Instagram. There's a weekly prize of a personalised photo cushion for the image that gets the most likes, shares or retweets, and a main prize draw for £500 worth of Forest Holidays’ vouchers. 

In addition, Elanco is asking veterinary practice staff to share heart-warming stories that happen in practice, using the hashtag #VetMagicMoments. The practice that shares the most popular post or tweet will win a monthly prize of a £250 restaurant voucher.

Elanco has produced a launch pack to support the campaign and promote it to colleagues and clients. The pack includes:

• A campaign guide
• Three social media ‘how to’ guides covering Facebook, Twitter and Instagram
• A staffroom poster
• A #VetMagicMoments photo-frame for each participating practice
• Point of sale material (bunting, pack of balloons, waiting room display kit, waiting room poster, window graphics)
• Sweets for practice staff

Matthew Rowe, Milbemax marketing manager at Elanco Animal Health, said: "Facebook users account for 90% of all UK social media users¹ with nearly one in four dogs and cats having their own social media feed or page². Our #PetMagicMoments campaign will build a community of pet owners, vets and vet nurses who share the love they have for their pets, while driving engagement between veterinary practices and their clients on social media and encouraging customer footfall direct to the veterinary practice which will lead to increased revenues for veterinary practices."

Elanco says it will also be sharing worming advice, pet related information, news, statistics and competitions and quizzes, which will all be available for veterinary practices to share via their own social media.

To sign up for the #PetMagicMoments campaign visit www.petmagicmoments.com and download the campaign guide.

For further information, contact your local Elanco Animal Health territory manager.

The International Veterinary Epilepsy Task Force (IVETF), a group of 26 veterinary practitioner, neuropharmacology, neuropathology and neurology experts led by Holger Volk, Professor of Veterinary Neurology and Neurosurgery at the RVC, has issued new guidelines for treating and caring for dogs with epilepsy.

The guidelines have been adopted by the American College of Veterinary Internal Medicine (ACVIM) and published in the form of a ‘consensus statement’ in the Journal of Veterinary Internal Medicine (JVIM).

Professor Volk, who co-chaired the consensus statement process, said: "I was honoured to have been asked to co-chair such an important forum in American veterinary practice. This will be another landmark paper to help improve the care vets deliver for the patients with epilepsy, both in America and beyond.

"Epilepsy is one of the most common neurological diseases encountered by veterinary surgeons and practitioners around the world. The prevalence of the condition means there have been numerous research studies carried out over the years. But, despite such frequent research, there has been a lack of consistency when it comes to diagnosis and treatment.

"This lack of cohesion and collaboration made it difficult for owners and veterinary professionals to communicate effectively on the issue of pet epilepsy. This has led to the global veterinary community changing its approach and, in recent years, working more closely together."

Professor Volk says the aim of these latest guidelines is to provide joined up and collaborative thinking, teaching and learning on various different aspects of the condition that specifically affect America. These include the development of treatment strategies and any potential issues with chronic anti-epileptic drug treatment.

The ACVIM guidelines follow on from seven in-depth consensus statements produced by the IVETF and published open access in BMC Veterinary Research last year, outlining recommendations and classifications on all aspects of canine epilepsy. It was the first time this many veterinary neurology clinicians and neuroscientists formally agreed on the key aspects of the condition.

Professor Volk, who is also the Clinical Director of the RVC’s Small Animal Referral Hospital, added: "There is a real exciting buzz around canine and feline Epilepsy currently. Finally getting to global consensus from the international veterinary community will accelerate research and lead to improved patient care and quality of life for owners and patients alike."