2016 cvc virginia beach proceedings - fetch, a dvm360 …€¦ · · 2017-06-30the 2016 cvc...

2016 CVC Virginia Beach

Proceedings

Virginia Beach Convention Center

Virginia Beach, VA

May 12-15, 2016

CVC Virginia Beach brought to you by

TM

ii

The 2016 CVC Virginia Beach Proceedings Book is also available to attendees on a CD-ROM or

in a downloadable format. For ordering or for more information, contact The CVC Group at

(800) 255-6864, ext. 6.

The ideas, content, and conclusions presented in the 2016 CVC Virginia Beach Proceedings,

in whole or part, are those of the speakers and do not necessarily represent the

viewpoint, position, or endorsement of the CVC Group or UBM.

©2016 UBM. All rights reserved.

Published by UBM Americas, Veterinary, 8033 Flint, Lenexa, KS 66214.

All rights reserved. None of the content of this publication may be

reproduced, stored in a retrieval system, or transmitted in any form or by any means

(electronic, mechanical, photocopying, recording, or otherwise) without the prior

written permission of the publisher.

ISBN13: 978-1-60759-291-4

ISBN10: 1-60759-291-6

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Table of ContentsSmall Animal AnesthesiaRalph Harvey, DVM, MS, DACVAA10 best things about feline pain management ..................... 1

Clinical pain: How to prevent or manage pain

and suffering ...................................................................... 4

Favorite techniques: Yours and mine for restraint,

sedation, and brief anesthesia .......................................... 9

Highly successful techniques simply using local

and regional anesthetics ................................................. 11

High-risk cases: Anesthesia for patients too sick

for anesthesia .................................................................. 13

Implementing the AAHA Anesthesia Guidelines for

Dogs and Cats in your practice ....................................... 15

New drugs and clinical techniques: What’s working

for your hospital ............................................................... 18

What to worry about: Anesthetic emergencies and

crisis management ......................................................... 21

Backyard Poultry MedicineMarcy Souza, DVM, MPH, DABVP, DACVPMBackyard poultry biosecurity and zoonoses ...................... 24

Backyard poultry cases ....................................................... 26

What to do when that chicken becomes a pet ................... 27

BehaviorE’Lise Christensen DVM, DACVBGet lost! Stranger-directed aggression in cats................... 29

Hit yourself with a newspaper: Practical treatment of

house soiling in dogs ....................................................... 31

It’s not you, it’s me: Redirected aggression in cats

and dogs .......................................................................... 33

Make it stop! Unruly behaviors and how vets, clients,

and bad trainers accidentally make them worse ............ 34

Out the window: Multi-modal treatment options for

thunderstorm phobia ....................................................... 37

Safe at home: Quick and practical tips for owner-

directed aggression in cats and dogs ............................. 39

Trigger time! Medication options for situational

anxiety, panic, and phobia .............................................. 40

Gary Landsberg, DVM, DACVB, DECAWBMAbnormal repetitive behavior: Circle, snap, and

stare oh my! ..................................................................... 42

Dementia in dogs and cats: How to identify it and what

you can do to improve pets’ behavioral health ............... 46

Stress: Its effects on pet health and behavior .................... 49

Canine Sports MedicineDebra Canapp, DVM, CCRT, CVA, DACVSMRDiagnostic musculoskeletal ultrasound: A guide in

rehabilitation of soft tissue surgery injuries .................... 53

Rehabilitation of forelimb conditions .................................. 55

Rehabilitation of hindlimb conditions .................................. 58

Rehabilitation therapy of the orthopedic patient, how

important is it? ................................................................. 61

Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR

Hindlimb lameness: Where do we start? ............................ 64

How to incorporate platelet rich plasma therapy into

your practice .................................................................... 67

How to incorporate stem cell therapy into your practice ... 69

Forelimb lameness: Where do we start? ............................ 72

CardiologyNeal Peckens, DVM, DACVIMFeline myocardial disease: Prevalence, detection,

and diversity ..................................................................... 75

Pulmonary hypertension in canine patients ....................... 77

The coughing canine: Cardiac vs. respiratory .................... 81

Cardiac biomarkers: The clinical utility of NT-proBNP

....................................................No Proceedings Required

Steven Rosenthal, DVM, DACVIMAcute management of heart failure


Beyond the big 3: Additional therapies in patients receiving

furosemide, an ACE inhibitor, and pimobendan


Nutritional management of the cardiac patient


Diagnosing and managing cardiac arrhythmias


Case studies in cardiac disease


Clinical PathologyCraig Thompson, DVM, DACVPBig, bad bag of blood: Cytology of the liver

................................................ Proceedings Not Submitted

Cytology for every practitioner


Monkey business: Patterns and algorithms in pathology


Pitfalls! Top clinical pathology air balls


When to delve deep: Indications for and

interpretation of bone marrow aspirates


When to panic: Clinical pathology red fl ags


Clinical PharmacologyMelissa Clark, DVM, PhD, DACVCPAdverse drug reactions common and lesser known .......... 84

Antibiotic review: Things you wish you remembered from

vet school, and things you might never have learned .... 86

Can I substitute? Ensuring your patients get the right

drugs in the clinic or at a human pharmacy .................... 88

Puppies, kittens, and drugs: What’s safe for pediatrics .... 91

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Critical CareGarret Pachtinger, VMD, DACVECCAcute abdomen and the FAST approach ........................... 93

Conquering common coagulopathies .............................. 100

Derailing the pain train: Analgesia and infl ammation

in the ER ......................................................................... 103

Emergency management of hepatic lipidosis .................. 107

Practical fl uid therapy: It’s more than just water and salt .113

Sweet! Emergency management of DKA ..........................116

Take your own pulse, and then save some lives:

ER lifesaving procedures ............................................... 122

Top 20 emergency medicine pearls .................................. 127

Erica Reineke, VMD, BS, DACVECCEmergency management for the polytrauma patient ....... 131

Traumatic brain injury ........................................................ 134

Urethral obstruction: Emergency treatment

and stabilization ............................................................. 137

Vince Thawley, VMD, BS, DACVECCApproach to respiratory distress ...................................... 140

Approach to the poisoned patient .................................... 144

Emergency management of acute kidney injury ...............147

Erica Reineke, VMD, BS, DACVECC and Vince Thawley, VMD, BS, DACVECC

Pearls of emergency medicine .......................................... 151

DentistryMatthew Lemmons, DVM, DAVDCBasics for practitioners: Oral anatomy and pathology ..... 156

Feline dentistry: Cats are not small dogs ......................... 159

Periodontal disease treatment strategies ......................... 161

Pitfalls in veterinary dentistry ............................................ 164

Root canal therapy: What it is, when it’s needed,

and why it works ............................................................ 166

Taking the bite out of tooth extractions ............................ 168

The missing two-thirds of dentistry: Fundamental dental

radiograph interpretation ................................................171

Things that make bumps in the mouth:

Oral neoplasia and cysts ................................................174

DermatologyDarin Dell, DVM, DACVDCanine Atopic Dermatitis: Integrating new therapies

into your strategy ........................................................... 177

Clinical update on dermatophytosis: Better ways to

fi ght the fungus among us ............................................. 180

CPR for sewer ear: How to improve your outcome

in otitis externa ............................................................... 183

Feline allergy: Beyond Depo-medrol ................................ 185

How to win friends and infl uence people with shampoo .....188

Unusual doesn’t mean uncommon: Skin diseases you

don’t want to miss ......................................................... 191

Melissa Hall, DVM, DACVDCrusted cats ...................................................................... 194

Endocrine alopecia ............................................................ 197

Methicillin-resistant staphyloccus .................................... 200

Pemphigus foliaceus ......................................................... 203

Practical cytology .............................................................. 206

Updates on canine atopic dermatitis ................................ 208

James Noxon, DVM, DACVIMManaging chronic otitis: The keys to getting started

on the right foot .........................No Proceedings Required

Managing chronic otitis: Tips to maximize the value

of your treatment ......................No Proceedings Required

Managing chronic otitis: Treating the diffi cult case

and preventing recurrence .......No Proceedings Required

dvm360 Full CircleSue Ettinger, DVM, DACVIM and

Andrew Roark, DVM, MSCancer and communication .........No Proceedings Required

Garret Pachtinger, VMD, DACVECC and Eric GarciaTechnology tips and tricks for the effi cient veterinary team


Andrew Roark, DVM, MS and Meghan Leigh Pierson“Because I’m the boss”: How to end staff vs.

management drama .................No Proceedings Required

Technician/DVM confl ict: Different jobs,

same problems .........................No Proceedings Required

Why can’t we be friends?

Staff-on-staff drama .................No Proceedings Required

dvm360 Leadership ChallengeErnie Ward, DVMTomorrowland today:

My future vision of practice .......No Proceedings Required

EndocrinologyDavid Bruyette, DVM, DACVIMA sure-fi re approach to cases of canine thyroid disease

........................................................................................ 210

Resolving feline thyroid problems ..................................... 213

Solving the puzzles of puddles: PU/PD ............................ 217

The art and joy of identifying and treating canine

hyperadrenocorticism ................................................... 220

The keys to identifying and treating acromegaly in cats .. 222

What adrenal disorders affect cats? ................................. 225

What to do when insulin therapy stops

working in diabetic pets ................................................ 229

Exotic Animal MedicineMarcy Souza, DVM, MPH, DABVP, DACVPMBasics of ferret medicine ................................................... 231

Dental diseases of small mammals .................................. 234

Evidence-based medicine:

Drug dosing in exotic animals ....................................... 237

GI diseases of small mammals ......................................... 238

Respiratory diseases of small mammals .......................... 240

Feline Medicine Robin Downing, DVM, DAAPM, DACVSMR,

CVPP, CCRPBuilding an acute pain management pyramid for cats..... 242

Building a chronic pain management pyramid for cats ... 245

CRIs for cats: Yes you can! ............................................... 248

Finding feline pain where it lives: Perfecting your

pain palpation plan ........................................................ 251

Non-pharma options for feline pain: Nutrition,

nutraceuticals, and rehabilitation .................................. 253

Make every dog a GARD dog.

®HEARTGARD, NexGard, and the Dog & Hand logo are registered trademarks, and ™FRONTLINE VET LABS is a trademark, of Merial. ©2015 Merial, Inc., Duluth, GA. All rights reserved. MER15NAVCSIGNAGE (1/16).

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Pain and fear in felines: Linked more often than

you think ......................................................................... 257

Palliative care and hospice care for cats .......................... 259

Pharma and feline pain: Making the best choices ........... 261

They don’t deserve to hurt: Fundamentals of

feline pain ....................................................................... 264

Howard Seim III, DVM, DACVSHow to assess and address linear foreign bodies,

plus what to do about abdominal trama in your

feline patients ................................................................. 265

Relieving distress and obstruction: Cystic and

urethral calculi excision ................................................. 267

Surgical successes: How to place an esophagostomy

tube, plus a novel approach to perineal urethrostomy . 272

The innards and outs of feline GI surgeries ...................... 274

When and how to repair a diaphragmatic hernia ............. 277

Kelly St. Denis, DVM, DABVPFeline-friendly handling: The lightest touch is the

strongest hold ................................................................ 280

Senior cats: What to expect when they’re aging .............. 282

The senior cat: Managing quality of life ............................ 284

The vomiting cat: A quirky feline trait or a sign

of disease? ..................................................................... 286

The vomiting cat: From diet to dexamethasone making

therapeutic decisions .................................................... 289

The vomiting cat: Working your way to a diagnosis ......... 292

Gastrointestinal MedicineScott Owens, DVM, MS, DACVIMBeyond the bloodwork: Diagnostics for liver disease ...... 295

Colorectal disease in dogs ................................................ 298

Diagnosing and treating canine pancreatitis .................... 301

It’s just a gallbladder, what could go wrong? ................... 303

Management of PLE in dogs ............................................. 305

Your guide to the vomiting dog ......................................... 307

Katie Tolbert, DVM, PhD, DACVIMDysphagia and dysmotility: Recognizing it early

and correctly .................................................................. 310

Feline constipation: Novel treatment strategies ............... 312

Feline vomiting: New tactics for identifying the cause

and treating it ................................................................. 314

New evidence for using gastroprotectants in cases for

ulcers and other pains in the gut ................................... 316

The hows and whys of using gastric acid suppressants . 318

HematologyMary Anna Thrall, DVM, MS, DACVP and

Heidi Ward, DVM, DACVIMCanine Anemia Case Challenge ....No Proceedings Required

Feline Anemia Case Challenge .....No Proceedings Required

Practical approach to the Diagnosis of Anemia


ImagingRachel Pollard, DVM, DACVRHow to perform the complete abdominal

ultrasound examination ................................................. 320

Expert2: The Power of Interaction

Imaging coughing dogs (Part 1): Cases ............................ 321

Imaging coughing dogs (Part 2): Cases ............................ 321

The changing role of the upper GI series

(Part 1): Cases ................................................................ 324

The changing role of the upper GI series

(Part 2): Cases ................................................................ 324

Top ER imaging diagnoses (Part 1): Cases ....................... 325

Top ER imaging diagnoses (Part 2): Cases ....................... 325

Internal MedicineDavid Bruyette, DVM, DACVIMInternal medicine case investigations


In this Case: Real Discussions,Real ResultsDavid Bruyette, DVM, DACVIM and

Ellen Behrend, VMD, PhD, DACVIMHormones from hell: So you thought Cushing’s

was easy? ..................................No Proceedings Required

David Dycus, DVM, MS, DACVS, CCRP and Laura D’Amico, DVM, MS, DACVS

It’s a cruciate rupture: Now what? .................................... 327

Gary Landsberg, DVM, DACVB, DECAWBM and Sagi Denenberg, DVM, DACVB, DECAWBM, MACVSc, MRCVS

Do these fearful and aggressive dogs need drugs? ........ 331

Learn then EarnE’Lise Christensen DVM, DACVB and

Karen Felsted, CPA, MS, DVM, CVPMC’mon back, kitties: How to increase your cat visits

(and your bottom line) .................................................... 334

Melissa Clark, DVM, PhD, DACVCP and Karen Felsted, CPA, MS, DVM, CVPM

Therapeutic drug monitoring: Good for your patients,

good for your practice these phenobarbital levels? ..... 336

David Bruyette, DVM, DACVIM and Karen Felsted, CPA, MS, DVM, CVPM

Diabetes mellitus in dogs: Acute care and long-term

management and helping clients pay for it ................... 339

Low-Stress, Pet-Friendly PracticeMarty Becker, DVMApples and oranges: Signifi cant differences between

Fear FreeSM and fearful practices .................................. 344

Fear FreeSM practice: With it you’ll thrive.

Without it, you may not survive ..................................... 346

The top ten ways to get started with

Fear FreeSM practice ...................................................... 347

Mikkel Becker, CPDTLead the way! Use client education to show your

community how your practice is a behavior and

training friendly clinic that enhances pets

emotional well-being ..................................................... 349

Jonathan Bloom, DVMFear FreeSM low-stress handling (in) action ....................... 350

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Fear FreeSM, low-stress handling: thank you for coming.

Have a nice stay! ............................................................ 352

Jonathan Bloom, DVM and Karen Felsted, CPA, MS, DVM, CVPM

Learn then Earn

Never fear, low-stress is here! How to cash in

on calmness ........................... Proceedings Not Submitted

Ralph Harvey, DVM, MS, DACVAAThe big goal: Reducing fear, pain, and stress in

veterinary patients ......................................................... 354

Gary Landsberg, DVM, DACVB, DECAWBMBehavioral management of fear and aggression in

your patients .................................................................. 358

Happy cats and happy dogs = Happy vets, staff,

and owners .................................................................... 361

NeurologyTheresa Pancotto, DVM, MS, DACVIMCentral vs. peripheral vestibular disease .......................... 364

Conservative management of IVDD: When the money’s

just not there .................................................................. 367

Neurolocalization of intracranial disease .......................... 370

Neurolocalization of spinal cord disease .......................... 373

New anti-epileptic medications: When and how

to use them .................................................................... 376

Rehabilitation for neurologic patients ............................... 380

NutritionCailin Heinze, MS, VMD, DACVNBattling the bulge: Treating obesity in dogs and cats ...... 382

Evidence-based cancer nutrition ...................................... 385

Nutritional management of common

gastrointestinal diseases ............................................... 388

Nutritional management of diabetes: It’s not just

all about carbs ............................................................... 392

Renal diets: What to feed and when to start .................... 395

They are feeding what? Unconventional diets ................. 398

OncologySue Ettinger, DVM, DACVIMCanine lymphoma: Review and what’s new ..................... 401

Feline GI lymphoma: High-grade, low-grade, vs. IBD ...... 405

How to talk to clients about cancer: Things you didn’t

learn in vet school .......................................................... 408

My top tips for managing cancer patients in

your practice ...................................................................411

Treating advanced cancer like a chronic disease: Use of

metronomic chemotherapy for metastatic cancer ........414

What to do with lumps and bumps. See something.

Do something. Why wait? Aspirate! ...............................416

OphthalmologyKen Abrams, DVM, DACVOCataract confusion clarifi ed ...............................................419

Mysterious yet common eye diseases .............................. 421

Sudden blindness and pseudo-sudden blindness .......... 423

Jennifer Hyman, VMD, MA, DACVOCorneal exam and medical treatment ............................... 426

Current glaucoma techniques ........................................... 428

Corneal surgery ................................................................. 430

Reuben Merideth, DVM, DACVOFundamental Ophthalmic Surgical Skills for

Primary Practitioners ............. Proceedings Not Submitted

Anne Weigt, DVM, MS, DACVOEyelid disease: Medical and surgical therapy .................. 432

Eyelid reconstructive techniques ...................................... 434

The dilated pupil: What are the causes? ........................... 436

OrthopedicsDavid Dycus, DVM, MS, DACVS, CCRPA surgeon’s perspective on current trends for the

management of osteoarthritis ....................................... 438

Fixation techniques for patella luxations .......................... 441

Fracture management: Diagnosis and choice of a

fi xation technique .......................................................... 444

Hip dysplasia: Treatment from the young to the old ........ 447

It’s a cruciate rupture: Now what? .................................... 450

It’s a puppy, what could possibly go wrong?

Developmental orthopedic conditions .......................... 454

Pain ManagementStephanie Kube, DVM, DACVIM, CVPP, CCRTChronic pain: It’s giving me a headache! Traditional

treatments to temper it .................................................. 457

Chronic pain: My headache is back! Alternative

therapies and new treatments to ponder ...................... 458

Healthier together: Pain management and

physical rehabilitation .................................................... 459

Neuropathic pain: How to identify when pangs,

twinges, stings, and tingles have gone awry ................ 460

Neuropathic pain: Prescribing relief .................................. 461

Taking the bite out of fi erce, acute pain a

neurologist’s perspective .............................................. 462

ParasitologyEmilio DeBess, DVM, MPVMCanine leptospirosis .......................................................... 463

Disease and infection prevention practices: Is your

clinic up to snuff? .......................................................... 467

Parasite prevalence in off-leash dog parks ...................... 470

Public HealthJenifer Chatfi eld, DVM, DACZMDo captive wildlife put veterinary team members at

risk for disease? ............................................................. 472

Ebola and pets: What we know ......................................... 473

How do feral cats impact public health? .......................... 475

Practitioners and the fl u .................................................... 476

Veterinary practice ownership and disaster response

responsibilities ............................................................... 477

Jason Stull, VMD, MPVM, PhD, DACVPMAntimicrobial stewardship: Optimal treatment decisions

for your patients and our future ..................................... 478

Disease surveillance in veterinary practice: How this

benefi ts you and your patients ...................................... 481

What’s new with pet-associated zoonotic diseases:

MRSA, MRDOs and MORE ........................................... 485

Zoonoses: Protecting your immunocompromised

clients and staff ............................................................. 488

FEES: PRICE YOUR SERVICES RIGHT

REVENUE: REJUVENATE YOUR GROWTH CENTERS

EXPENSES: BE MORE EFFICIENT

STRATEGIC PLANNING: YOUR BLUEPRINT FOR SUCCESS

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Suzanne Tomasi, DVM, MPH, DACVPMClient exposures to veterinary pharmaceuticals:

Concerns for clinicians and public health


Infection control and biosecurity in veterinary

practice: The toolkit for your practice


Shelter MedicinePhilip Bushby, DVM, MS, DACVSMore of what you need to know about the 2016 revisions to

the Veterinary Medical Care Guidelines for Spay-Neuter

Programs: Surgical and postoperative care; operations

management .................................................................. 492

Safe and effi cient canine and feline spay-neuter

techniques used by shelter DVMs (and general practice

DVMs): Discussion and video demonstrations ............. 493

What you need to know about the 2016 revisions to the

Veterinary Medical Care Guidelines for Spay-Neuter

Programs: Patient care and clinical procedures;

preoperative care and anesthesia ................................. 496

Soft Tissue SurgerySara Colopy, DVM, PhD, DACVSCystotomy, OVH for pyometra, and GDV:

What you need to know ................................................. 497

Hit-by-car repairs: Diaphragmatic hernias, hip luxations,

degloving injuries, and more ......................................... 505

How to handle postsurgical complications: Persistent

bleeding, dehiscence, and odd oozing ......................... 512

Matthew Keats, DVM, DACVSAirway obstruction: Crisis averted! Tracheotomy or

tracheostomy saves the day ..........................................517

Brachycephalics: How can we protect them? .................. 520

Gallbladder mucocele: Incidental or surgical? ................. 523

Jennifer Wardlaw, DVM, MS, DACVSGetting started with physical rehabilitation in

your practice .................................................................. 526

Postoperative care for the neurologic patient .................. 527

ToxicologyTim Evans, DVM, PhD, DACT, DABVTEverything you didn’t think you’d need to know about

mycotoxins affecting small animals


Everything you didn’t think you’d need to know

about plants toxic to small animals


Is it toxic and how toxic is it? Electronic toxicology

resources available to practitioners


Prescribed, OTC, and recreational drugs associated

with small animal intoxication


So many pet food recalls...Is manufactured

pet food actually safe? .......... Proceedings Not Submitted

The neighbor did it! Common malicious

poisonings and how to prove it


UrologyLeigh Perry, VMD, DACVIMBefore azotemia: How to use urinary biomarkers as early

indicators of renal disease ........No Proceedings Required

FLUTD: Pathophysiology and treatment

considerations ..........................No Proceedings Required

Phosphate homeostasis: Why it’s so important

in patients with CKD and how to manage it


Practical considerations for patients with

chronic kidney disease ..............No Proceedings Required

Treating urethral sphincter mechanism incompetence:

Medical and mechanical options


Ureteral obstructions: Diagnosis

and treatment .............................No Proceedings Required

USDA/ NVAPCassidy Rist, DMV, MPHModule 4: Preventing disease introduction

and spread .................................No Proceedings Required

Module 7: Foreign animal disease detection in

Category 1 animals ....................No Proceedings Required

Module 9: Interstate and International health

certifi cates for Category 1 animals


E. Scott Weber III, VMD, MSc, DACVPM, CertAqVetModule 13: Aquatic animal health regulations

and health certifi cation .............No Proceedings Required

Module 18: Avian infl uenza and

Exotic Newcastle Disease ........No Proceedings Required

Module 21: Animals’ fi tness to travel


Your Practice Presence: Get Onlineand Go Off the ChartEric Garcia3 things every successful marketing program

must have ....................................................................... 529

Communicating to a new generation of clients ................ 532

How to unplug: Taking a digital sabbatical ....................... 535

Veterinary Hospice and Palliative CareDani McVety, DVMAvoiding career burnout .................................................... 537

Don’t burn the bridge: Body language with

diffi cult clients ................................................................ 538

Ethics and euthanasia: What “convenience euthanasia”

truly is and how it can ruin our profession .................... 539

The art of euthanasia and the science of death ............... 540

The myth of compassion fatigue from a

hospice veterinarian ...................................................... 546

Veterinary hospice care: Comfort beyond a cure ............. 547

WVLDI-Veterinary LeadershipKaren Bradley, DVM and Sarah Wooten, DVMMinion, Martian, or overlord? Choose your

own adventure ...........................No Proceedings Required

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xv

The great fake out: Imposter syndrome in

veterinary medicine ...................No Proceedings Required

Women as bitches leaders:

The struggle is real ....................No Proceedings Required

Practice ManagementBrian Conrad, CVPMAsk for more: Building better relationships with

vendors and suppliers ........... Proceedings Not Submitted

Client trust: Where did it go, and how do we get

it back? .................................. Proceedings Not Submitted

Creating the “easy” experience for clients ....................... 553

Interactive case studies: Management scenarios

gone wrong ............................ Proceedings Not Submitted

Make your next team meeting work .................................. 555

Preparing your hospital to be ready for change ............... 557

Brian Conrad, CVPM and Andrew Roark, DVM, MSManagement Happy Hour .............No Proceedings Required

Sheila Grosdidier, BS, RVTHR trends and what to do now to get the team

you need (Part 1) ............................................................ 558

HR trends and what to do now to get the team

you need (Part 2) ............................................................ 558

Sheila Grosdidier, BS, RVT and Mark Opperman, CVPM

Behind the camera: What video in practices has taught

us and will teach you ..................................................... 561

Bash Halow, LVT, CVPM2016’s hottest tools to grow your practice ....................... 564

Build a receptionist team that grows your business ........ 567

Front vs. back: A truce and healing .................................. 569

How to sell the most fl ea and tick products ..................... 571

How to talk to clients about money .................................. 572

Increasing compliance with wellness profi les .................. 576

Laurie Hess, DVM, DABVPCrazy good client compliance: Taming the beast

every doctor chases ...................................................... 578

How any veterinarian can add revenue with exotics ........ 581

Who’s treating this patient? GPs and specialist can

practice better together ................................................. 585

Dani McVety, DVMPlatinum level communication and body language to

recruit and retain exceptional employees ..................... 589

Shawn McVey, MA, MSWHow to hire winners using emotional intelligence tools ... 590

Managing change: 10 steps to get everyone on

the bus ........................................................................... 594

Service 101: Building client relationships ......................... 598

Service 201: How to focus on the client ........................... 602

Service 301: Managing the client service puzzle .............606

Mark Opperman, CVPM10 “must” things I would do in practice (Part 1) ............... 610

10 “must” things I would do in practice (Part 2) ............... 610

Denise Tumblin, CPABetter alternatives to across-the-board fee changes ...... 618

How associates earn more by producing more without

selling their souls ........................................................... 621

How to get 16% ROI on your practice .............................. 623

Mine your data: Medical and fi nancial payoffs just

waiting to happen .......................................................... 627

The “LEAN” system: Be more effi cient without

cutting corners ............................................................... 630

What team members today want:

How to get it and give it ................................................. 632

Ernie Ward, DVM5 physical exam hacks for better accuracy and

client talk ........................................................................ 635

Kittens and 10 million deaths: Talking to clients and

staff about antibiotic resistance .................................... 637

Make your peace between profi t and charity

in practice ...................................................................... 639

Sarah Wooten, DVMIntroverts unite...separately: 10 tips to survive and

thrive in an extroverted profession ................................ 641

Say this, not that: How to get clients to say “yes” more .. 642

Tips from the trenches: Subtle ways you sabotage

client relations ................................................................ 643

Kimberly Pope-Robinson, DVM, CCFPHow to be happy in veterinary medicine:

Excise the obstacles! ..................................................... 644

How to be happy in veterinary medicine:

Where’s the obstruction? .............................................. 644

How to manage emotions in tough conversations ........... 645

Technician ProgramMikkel Becker, CPDTPutting the treat into treatment: Teaching pet owners

to get pets from the living room to the exam room

in a calm state ................................................................ 646

Jonathan Bloom, DVMFear FreeSM, low-stress handling- understanding the

art, design, and feel of this fashion tech-style .............. 647

David Bruyette, DVM, DACVIMThyroid disease in dogs and cats ..................................... 648

Debra Canapp, DVM, CCRT, CVA, DACVSMRA technician’s role in hydrotherapy ................................... 654

Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR

How to assist with orthopedic surgeries .......................... 656

Jenifer Chatfi eld, DVM, DACZMDo I need a fl u shot? .......................................................... 659

Sara Colopy, DVM, PhD, DACVSSurgical assist pearls for technicians ...............................660

Kristen Cooley, BA, CVT, VTS (Anesthesia)Insights into anesthetic drugs ...........................................666

Lights out! The anesthetic induction period ..................... 670

xvi

= ZERO homework

3 active ingredients + 2 ears + 1-dose regimen

CAUTION: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian. CONTRAINDICATIONS: Do not use in dogs with known tympanic membrane perforation. CLARO™ is contraindicated in dogs with known or suspected hypersensitivity to florfenicol, terbinafine hydrochloride, or mometasone furoate.

©2016 Bayer, Shawnee Mission, Kansas 66201Bayer (reg’d), the Bayer Cross (reg’d) and Claro™ are trademarks of Bayer. CL16854 OneDoseZeroHomework.com

the only veterinarian-administered, single-dose regimen for canine otitis externa.

Introducing

Monitoring without monitors ............................................. 674

On PAR: Perils of postanesthetic recovery ....................... 677

The cool observer: Monitoring anesthesia

with confi dence .............................................................. 681

The ins and outs of the anesthesia machine .................... 685

David Dycus, DVM, MS, DACVS, CCRPSplinting basics for orthopedic patients ........................... 688

Sue Ettinger, DVM, DACVIMMy top tips on managing cancer patients ........................690

Ralph Harvey, DVM, MS, DACVAAHigh-risk cases: Anesthesia for patients too

sick for anesthesia ......................................................... 693

Cailin Heinze, MS, VMD, DACVNPet food: Interpreting labels and

understanding regulations ............................................. 695

Candice Hoerner, CVT, VTS (Dentistry)2th-1-1 Dental emergency! Trauma to the oral cavity....... 698

Dirty mouth? Clean it up! A complete

periodontal cleaning ...................................................... 700

Getting owners to consent to dentistry in your practice .. 703

No bones about it! An intro to oral anatomy ..................... 705

Save a tooth! Advanced periodontal treatments .............. 708

Say ahhhh! Oral examination and charting ....................... 710

Gary Landsberg, DVM, DACVB, DECAWBMFeisty felines: Bringing up the behaviorally

challenging kitten ........................................................... 713

Matthew Lemmons, DVM, DAVDCTake dentistry beyond prophies .........................................717

Tasha McNerney, BS, CVT, CVPPA painless career choice: Careers for technicians

in pain management ...................................................... 720

Pain management and profi tability: Stop the hurt............ 722

What’s your role? A team approach to talking to pet

owners about pain management .................................. 723

Oriana Scislowicz, BS, LVTBreed positivity in your practice ....................................... 725

Bring fast success to your practice with modern

marketing tactics ........................................................... 727

Going back to work after baby-and beyond:

Tailor your career to fi t your life ..................................... 729

Dani McVety, DVMAvoiding career burnout .................................................... 731

Garret Pachtinger, VMD, DACVECCPuppies are not small dogs: Pediatric emergencies ........ 732

Kenichiro Yagi, BS, RVT, VTS (ECC, SAIM)Anemia: It’s not only about bleeding ................................ 735

CPR: The RECOVER guidelines ........................................ 738

Just breathe! Respiratory emergencies ............................ 742

Place that lifeline! Advanced vascular access .................. 746

Shock has two faces: The keys to perfusion .................... 750

The bloody truths: Myths and facts of

transfusion medicine ..................................................... 754

Otic SolutionAntibacterial, antifungal, and anti-inflammatory

For Otic Use in Dogs Only

CAUTION: Federal (U.S.A.) law restricts this drug to use by or on the order of a licensed veterinarian.

DESCRIPTION:CLARO™ contains 15.0 mg/mL florfenicol, 13.3 mg/mL terbinafine (equivalent to 15.0 mg/mL terbinafine hydrochloride) and 2.0 mg/mL

mometasone furoate. Inactive ingredients include purified water, propylene carbonate, propylene glycol, ethyl alcohol, and polyethylene

glycol.

INDICATIONS:CLARO™ is indicated for the treatment of otitis externa in dogs associated with susceptible strains of yeast (Malassezia pachydermatis)

and bacteria (Staphylococcus pseudintermedius).

DOSAGE AND ADMINISTRATION:Shake before use.CLARO™ should be administered by veterinary personnel. Administer one dose (1 dropperette) per affected ear. The duration of effect should last 30 days.

1. Clean and dry the external ear canal before administering the product.

2. Verify the tympanic membrane is intact prior to administration.

3. Remove single dose dropperette from the package.

4. While holding the dropperette in an upright position, remove the cap from the dropperette.

5. Turn the cap over and push the other end of the cap onto the tip of the dropperette.

6. Twist the cap to break the seal and then remove cap from the dropperette.

7. Screw the applicator nozzle onto the dropperette.

8. Insert the tapered tip of the dropperette into the affected external ear canal and squeeze to instill the entire contents (1 mL) into the

affected ear.

9. Gently massage the base of the ear to allow distribution of the solution.

10. Repeat with other ear as prescribed.

Cleaning the ear after dosing may affect product effectiveness.

CONTRAINDICATIONS:Do not use in dogs with known tympanic membrane perforation (see PRECAUTIONS).

CLARO™ is contraindicated in dogs with known or suspected hypersensitivity to florfenicol, terbinafine hydrochloride, or mometasone

furoate.

WARNINGS:Human Warnings: Not for use in humans. Keep this and all drugs out of reach of children. In case of accidental ingestion by humans,

contact a physician immediately. In case of accidental skin contact, wash area thoroughly with water. Avoid contact with eyes. Humans

with known hypersensitivity to florfenicol, terbinafine hydrochloride, or mometasone furoate should not handle this product.

PRECAUTIONS:Do not administer orally.

The use of CLARO™ in dogs with perforated tympanic membranes has not been evaluated. The integrity of the tympanic membrane

should be confirmed before administering the product. Reevaluate the dog if hearing loss or signs of vestibular dysfunction are

observed during treatment.

Use of topical otic corticosteroids has been associated with adrenocortical suppression and iatrogenic hyperadrenocorticism in dogs

(see ANIMAL SAFETY).

Use with caution in dogs with impaired hepatic function (see ANIMAL SAFETY).

The safe use of CLARO™ in dogs used for breeding purposes, during pregnancy, or in lactating bitches has not been evaluated.

ADVERSE REACTIONS:In a field study conducted in the United States (see EFFECTIVENESS), there were no directly attributable adverse reactions in 146 dogs

administered CLARO™.

To report suspected adverse drug events and/or obtain a copy of the Safety Data Sheet (SDS) or for technical assistance, contact Bayer

HealthCare at 1-800-422-9874.

For additional information about adverse drug experience reporting for animal drugs, contact FDA at 1-888-FDA-VETS or online at

http://www.fda.gov/AnimalVeterinary/SafetyHealth.

PHARMACOLOGY:CLARO™ Otic Solution is a fixed combination of three active substances: florfenicol (antibacterial), terbinafine (antifungal), and

mometasone furoate (steroidal anti-inflammatory). Florfenicol is a bacteriostatic antibiotic which acts by inhibiting protein synthesis.

Terbinafine is an antifungal which selectively inhibits the early synthesis of ergosterol. Mometasone furoate is a glucocorticosteroid

with anti-inflammatory activity.

MICROBIOLOGY:The compatibility and additive effect of each of the components in CLARO™ solution was demonstrated in a component effectiveness

and non-interference study. An in vitro study of organisms collected from clinical cases of otitis externa in dogs enrolled in the clinical

effectiveness study determined that florfenicol and terbinafine hydrochloride inhibit the growth of bacteria and yeast commonly

associated with otitis externa in dogs. No consistent synergistic or antagonistic effect of the two antimicrobials was demonstrated. The

addition of mometasone furoate to the combination did not impair antimicrobial activity to any clinically significant extent.

In a field study (see EFFECTIVENESS), at least 10 isolates from successfully treated cases were obtained for S. pseudintermedius and M. pachydermatis.

EFFECTIVENESS:In a well-controlled, double-masked field study, CLARO™ was evaluated against a vehicle control in 221 dogs with otitis externa. One

hundred and forty six dogs were treated with CLARO™ and 75 dogs were treated with the vehicle control. All dogs were evaluated for

safety. Treatment (1 mL) was administered once on Day 0 to the affected ear(s). Prior to treatment, the ear(s) was cleaned with saline.

The dogs were evaluated on Days 0, 7, 14, and 30. Blood work and urinalysis were obtained on Day 0 pre-treatment and Day 30 at

study completion. Four clinical signs associated with otitis externa were evaluated: erythema, exudate, swelling, and ulceration.

Success was based on clinical improvement at Day 30. Of the 183 dogs included in the effectiveness evaluation, 72.5% of dogs

administered CLARO™ solution were successfully treated, compared to 11.1% of the dogs in the vehicle-control group (p=0.0001).

ANIMAL SAFETY:In a target animal safety study, CLARO™ was administered aurally to 12-week-old Beagle puppies (4 dogs/sex/group) at 0X, 1X, 3X, and 5X

the recommended dose once every 2 weeks for a total dosing period of 28 days (3 times the treatment duration). No clinically relevant

treatment-related findings were noted in hearing tests, body weight, weight gain, or food consumption. CLARO™ administration was

associated with post-treatment ear wetness or clear aural exudate, increased absolute neutrophil count, decreased absolute lymphocyte

and eosinophil counts, suppression of the adrenal cortical response to ACTH-stimulation, decreased adrenal weight and atrophy of the

adrenal cortex, increased liver weight with hepatocellular enlargement/cytoplasmic change, and decreased thymus weight. Other

potentially treatment-related effects included mild changes to AST, total protein, inorganic phosphorus, creatinine, and calcium.

STORAGE INFORMATION:Store between 20ºC-25ºC (68ºF-77ºF), excursions permitted 10ºC-30ºC (59ºF-86ºF).

HOW SUPPLIED:CLARO™ solution is supplied in a single-use dropperette in a blister. Each dropperette contains one 1 mL dose.

CLARO™ is available in cartons of two, ten, or twenty dropperettes.

Bayer (reg’d), the Bayer Cross (reg’d) and CLARO™ are trademarks of Bayer.

©2015 Bayer HealthCare LLC.

Distributed by: Bayer HealthCare LLC Animal Health Division Shawnee Mission, Kansas 66201 USA NADA 141-440, Approved by FDA.

(florfenicol, terbinafine, mometasone furoate)

xviii64

Anesthesia*Ralph Harvey, DVM, MS, DACVAAUniversity of TennesseeKnoxville, TN

BehaviorE’Lise Christensen, DVM, DACVBVeterinary Behavior Consultations

of NYC and COCastle Rock, CO

**Sagi Denenberg, DVM, DACVB, DECAWBM, MACVSc, MRCVS

Langford Veterinary ServicesLangford, Bristol

*Gary Landsberg, DVM, DACVB, DECAWBM

North Toronto Veterinary Behaviour Specialty Clinic

Thornhill, Canada

Canine Sports Medicine and Rehabilitation*Debra Canapp, DVM, CCRT, CVA,

DACVSMRVeterinary Orthopedic and Sports

Medicine GroupAnnapolis Junction, MD

*Sherman Canapp, DVM, MS, CCRT, DACVS, DACVSMR

Veterinary Orthopedic and Sports Medicine Group

Annapolis Junction, MD

CardiologyNeal Peckens, DVM, DACVIMCVCA – Cardiac Care for PetsVienna, VA

Steven Rosenthal, DVM, DACVIMCVCA – Cardiac Care for PetsTowson, MD

Clinical PathologyCraig Thompson, DVM, DACVPPurdue UniversityWest Lafayette, IN

Clinical PharmacologyMelissa Clark, DVM, PhD, DACVCPAnimal Medical CenterNew York, NY

Critical Care*Garret Pachtinger, VMD, DACVECCVeterinary Specialty and Emergency

CenterLevittown, PA

Erica Reineke, VMD, BS, DACVECCUniversity of PennsylvaniaPhiladelphia, PA

Vince Thawley, VMD, BS, DACVECCUniversity of PennsylvaniaPhiladelphia, PA

Dentistry*Matthew Lemmons, DVM, DAVDCMedVet IndianapolisCarmel, IN

DermatologyDarin Dell, DVM, DACVDAnimal Dermatology ClinicIndianapolis, IN

Melissa Hall, DVM, DACVDAnimal Dermatology ClinicTustin, CA

James Noxon, DVM, DACVIMIowa State UniversityAmes, IA

Endocrinology*David Bruyette, DVM, DACVIMVCA West Los Angeles Animal HospitalLos Angeles, CA

**Ellen Behrend, VMD, PhD, DACVIMAuburn UniversityAuburn, AL

Exotic Animal MedicineMarcy Souza, DVM, MPH, DABVP,

DACVPMUniversity of TennesseeKnoxville, TN

Feline Medicine Robin Downing, DVM, DAAPM,

DACVSMR, CVPP, CCRPThe Downing Center for Animal

Pain ManagementWindsor, CO

Kelly St. Denis, DVM, DABVPCharing Cross Cat ClinicBrantford, Canada

Howard Seim III, DVM, DACVSColorado State UniversityFort Collins, CO

Gastrointestinal MedicineScott Owens, DVM, MS, DACVIMMedVet IndianapolisCarmel, IN

Katherine Tolbert, DVM, PhD, DACVIM

University of TennesseeKnoxville, TN

HematologyMary Anna Thrall, DVM, MS, DACVPRoss University School of Veterinary

MedicineSt. Kitts, West Indies Heidi Ward, DVM, DACVIMGulfcoast Veterinary Oncology and

Internal MedicineSarasota, FL

ImagingAnthony Pease, DVM, MS, DACVRMichigan State UniversityEast Lansing, MI

*Rachel Pollard, DVM, DACVRUniversity of CaliforniaDavis, CA

Robert Toal, DVM, DACVRVCA Southpaws Veterinary Specialists

and Emergency CenterFairfax, VA

Low-Stress, Pet-Friendly PracticeMarty Becker, DVMNorth Idaho Animal HospitalSandpoint, ID

*Mikkel Becker, CPDTVetStreet.comSeattle, WA

*Jonathan Bloom, DVMWillowdale Animal HospitalOntario, Canada

*Ralph Harvey, DVM, MS, DACVAAUniversity of TennesseeKnoxville, TN

*Gary Landsberg, DVM, DACVB, DECAWBM

North Toronto Veterinary Behaviour Specialty Clinic

Thornhill, Canada

NeurologyTheresa Pancotto, DVM, MS,

DACVIM, CCRPVirginia Maryland College of Veterinary

MedicineBlacksburg, VA

MeetThe Speakers

*Participating in the Technician Program**Online collaborator

MeetT

he S

peake

rs

Nutrition*Cailin Heinze, MS, VMD, DACVNCummings Veterinary Medical Center at

Tufts UniversityNorth Grafton, MA

Oncology*Sue Ettinger, DVM, DACVIMDr. Sue Cancer VetTarrytown, NY

OphthalmologyKen Abrams, DVM, DACVOEye Care for AnimalsWarwick, RI

Jennifer Hyman, VMD, MA, DACVOEye Care for AnimalsAnnapolis, MD

Reuben Merideth, DVM, DACVOEye Care for AnimalsTucson, AZ

Anne Weigt, DVM, MS, DACVOEye Care for AnimalsAnnapolis, MD

Orthopedics**Laura D’Amico, DVM, MS, DACVSMiami Veterinary SpecialistsMiami, FL

*David Dycus, DVM, MS, DACVS, CCRPVeterinary Orthopedic and Sports Medicine

GroupAnnapolis Junction, MD

Pain ManagementStephanie Kube, DVM, DACVIM, CVPP,

CVPMVeterinary Neurology and Pain

Management Center of New EnglandWalpole, MA

ParasitologyEmilio DeBess, DVM, MPVMOregon Health AuthorityPortland, OR

Practice Management Brian Conrad, CVPMMeadow Hills Veterinary CenterKennewick, WA

Karen Felsted, CPA, MS, DVM, CVPMPantheraT Veterinary Management

ConsultingDallas, TX

Eric GarciaSimply Done Tech SolutionsLutz, FL

Sheila Grosdidier, BS, RVTVeterinary Management ConsultantsEvergreen, CO

Practice Management (cont’d)Bash Halow, LVT, CVPMHalow Tassava ConsultingNew York, NY

Laurie Hess, DVM, DABVPVeterinary Center for Birds and ExoticsBedford Hills, NY

Shawn McVey, MA, MSWMcVey Management SolutionsAustin, TX

Mark Opperman, CVPMVeterinary Management ConsultantsEvergreen, CO

Meghan Leigh PiersonGreenville, SC

Kimberly Pope-Robinson, DVM, CCFP1 Life Connected ConsultingSan Clemente, CA

Andrew Roark, DVM, MSCleveland Park Animal HospitalGreenville, SC

Denise Tumblin, CPAWutchiett Tumblin and AssociatesColumbus, OH

Ernie Ward, DVME3 Management LLCOcean Isle Beach, NC

Sarah Wooten, DVMSheep Draw Veterinary Hospital Greeley, CO

Public Health and General Practice*Jenifer Chatfield, DVM, DACZM4J Conservation CenterDade City, FL

Jason Stull, VMD, MPVM, PhD, DACVPMThe Ohio State UniversityColumbus, OH

Suzanne Tomasi, DVM, MPH, DACVPMThe Ohio State UniversityColumbus, OH

Shelter MedicinePhilip Bushby, DVM, MS, DACVSMississippi State UniversityMississippi State, MS

Soft Tissue Surgery*Sara Colopy, DVM, PhD, DACVSUniversity of WisconsinMadison, WI

Matthew Keats, DVM, DACVSChesapeake Veterinary Surgical SpecialistsAnnapolis, MD

*Jennifer Wardlaw, DVM, MS, DACVSGateway Veterinary SurgerySt. Louis, MO

Technician ProgramKristen Cooley, BA, CVT, VTS

(Anesthesia)University of WisconsinMadison, WI

Candice Hoerner, CVT, VTS (Dentistry)Big Sky Veterinary Dentistry EducationColumbia Falls, MT

Tasha McNerney, BS, CVT, CVPPVeterinary Anesthesia NerdsGlenside, PA

Oriana Scislowicz, BS, LVTCVCA – Cardiac Care for PetsRichmond, VA

Kenichiro Yagi, BS, RVT, VTS (ECC, SAIM)

Adobe Animal HospitalLos Altos, CA

ToxicologyTim Evans, DVM, PhD, DACT, DABVTUniversity of Missouri Veterinary Health

CenterColumbia, MO

UrologyLeigh Perry, VMD, DACVIMBluePearl Veterinary PartnersVirginia Beach, VA

USDA/NVAPCassidy Rist, DVM, MPHUSDA-APHIS Veterinary ServicesRichmond, VA

E. Scott Weber III, VMD, MSc, DACVPM, CertAqVet

USDA-APHIS Veterinary ServicesRichmond, VA

Veterinary Hospice and Palliative Care*Dani McVety, DVMLap of LoveLutz, FL

Veterinary LeadershipKaren Bradley, DVMOnion River Animal HospitalMiddlesex, VT

Sarah Wooten, DVMSheep Draw Veterinary HospitalGreeley, CO

65

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UBM Americas, Veterinary

800.255.6864, ext. 6 TheCVC.com [email protected]

©2016 UBM. All rights reserved.

xxi

®RECOMBITEK is a registered trademark of Merial. ©2016 Merial, Inc., Duluth, GA. All rights reserved. REC16LYMECONFAD (03/16). VaccinateYourPet.net

Help protect your canine patients against:Lyme disease by vaccinating with RECOMBITEK® Lyme

Prey.

Protection:

Predator.

The home ofVeterinary Orthopaedics www.orthomedusa.com

Orthomed North America Inc 1179 18th Place, Vero Beach, FL 32960 Tel: +1 772-562-6044 Fax: +1 772-562-6046 Email: [email protected]

MMP & OrthoFoam™An evolution of the TTA technique

Sound evidence supporting the MMP procedure

Researched and manufactured in partnership with theNational Research Council of Canada

Shorter surgery and

pore structure

Sho

characteristics encourages early and sustained bone ingrowth

“The Modified Maquet Procedure (MMP) in dogs: technical development and initial clinical experience”- Publication: JAAHA (2015) in Press

“The Modified Maquet Procedure (MMP) to treat lameness due to cranial cruciate ligament failure in 131 dogs.”- Data presented at VOS, Crested Butte, (2012)

“Is the 90 degrees PTA a valid endpoint for TTA surgery?”- Ness (2015) VOS Conference, Sun Valley, Idaho.

- Won best Podium Presentation

“Three-dimensional growth of differentiating MC3T3-E1 pre-osteoblasts on porous titanium scaffolds”- Publication: Biomaterials, (2009)

“Effect of Oxygen Content on the Static and Cyclic Deformation of Titanium Foams”- Publication: Materials in Medicine (2009)

“Direct Visualization and Quantification of Bone Growth Into Porous Titanium Implants using Microtomography”- Publication: Journals of Material Science (2011)

xxiii

What I really like about Abaxis is that they’re a step above in Quality, and the customer service is extraordinary.” Dr. Alex CasuccioScottsdale Animal Healthcare | Scottsdale, AZ.Abaxis customer

To watch Dr. Casuccio’s story, visit vet.abaxis.com/beinspired

#beinspired

“

It’s not just better diagnostics, it’s a Better way.

800.822.2947 vet.abaxis.com/beinspired [email protected]

GLOBAL DIAGNOSTICS

Abaxis and VetScan are registered trademarks of Abaxis, Inc. © Abaxis 2016. Learn more about all of our products and services at www.abaxis.com

#beinspired

xxivList current at time of printing.

Thank You to our 2016 CVC Virginia Beach Sponsors

The CVC Group recognizes the generous support of these companies for their sponsorship of activities,events, and programming at CVC Virginia Beach.

Distinguished Sponsors

Elite Sponsors

Supporting Sponsors

Participating Sponsors

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