Amy Alexander, DVM: 11/4/13 -Fields within veterinary medicine, similar to fields in medicine Theriogenology- reproduction Zoo Surgery Sports medicine Radiology Preventative medicine Pathology Opthamalogy Etc… -Zoo Medicine: jack of all trades, master of none- preventative medicine, nutritional diseases, dentistry, foot care, emergency medicine, surgery, palliative care, captive breeding, invertebrates… -Case 1: Ajali- 16 year-old female girl in Colorado: “Learning to Walk with Glue-On Shoes” Accidental breeding- many health issues Both claws on hooves of giraffe should be symmetrical Overgrown hooves and dermatitis After month of training, able to take hoof x-rays o Showed that bones not at same angle and fracture present in hoof o “Moth eaten”- bone infection o Conclusion: pain meds and antibiotics enough Initial management: pain meds, antibiotics, hoof trims, laser therapy New treatment plan: training, consult, logistics, stall preparations o Created a padded stall using mattresses that were filled with sand o Immobilization day- required 5 vets, farriers, EMTS… o Anesthesia: Med, Ket, But: pain medication, relaxation drug o Needed farrier to be able to work on all 4 feet- used brute strength to move all 4 feet o Issue with giraffe anesthesia: neck and back spasms- one person must massage during the entire time o Intubation using a garden hose (stylet) to place endotracheal tube o Feel auricular pulse (ear pulse) o Farrier trims hooves and places cement shoes: goal- lift hooves off ground for 6-8 weeks to decrease pressure and let the feet heel o Also perform, dental floats (grind teeth down) and x-rays Also had large dental cavity (human disease: not usually observed in animals) o Re-position for recovery When giraffes get up, them must rock up and lunge forward Glue-on shoes has been done with other species -Case 2: Chobe, the Sulcatta Tortoise: “Fracture Management” Pounced on by giraffe: fracture just missed spine Shell= bone: living tissue broken Isoflourane- anesthetic gas used to anesthetize 1st step: wound cleaning and stabilization- need to be careful that not placing fluid in lung; placed wires to prevent shells from falling However, wires eventually broke and shells shattered- mended with zip ties, superglue, and baking soda as wound dressing Contaminated wound management: wounds cleaned out daily and used vacuumassisted wound closure- lifts soft tissue to help it flush Had to add an esophagostomy tube (tube to stomach) to try ensure receiving food Elevate fractures using a roll bar After 8 months, scar tissue had formed and covered fractures with closed bone cement; keeper painted cement to make shell match -Field Work in Madagascar Recently worked on lemurs in partnership with St. Louis Zoo Propithecus Diadema- not found in captivity Working in capital of Madagascar, extreme poverty One of the biggest threats of lemurs is deforestation to make room for rice patties Goal- trying to find out overall health of different species of lemurs (Black and White Ruff Lemurs, Indri- biggest lemurs today, Brown Lemurs) Use teolozol used to dart animals- immediate drug, very safe, wears off quickly on own Collecting blood, monitoring genetics, placing collar, collecting feces o Some lemurs released by St. Louis Zoo in this region in 1980s: want to know if they reproduced o Are primates getting parasites from dogs? Use feces to monitor -Veterinary schools Some International schools (accredited) Ross University, St. George’s University: Caribbean St. Mathew’s University: Cayman Islands New vet schools coming: o Arizona- Midwestern University, University of Arizona o Tennessee: Lincoln Memorial University o May be one in Buffalo, NY (pharmaceutical company trying to open) 28 vet schools on continental US -Admissions (according to AVMA) Grades- do not need to be perfect! Prerequisites Majors- major in anything you want; you do not need to be a biology major; study what you want as long as you do the prerequisites Experience- seek them out in whatever part of veterinary medicine you are interested in o Volunteer o Technician o Research Lab Leadership skills Communication skills Letters of Recommendation Standardized Test: GRE Have FUN! If you do not get in: ask admissions committees what your weakness were and why you did not get accept -During veterinary school- how to get into specialty you are interested in: Clubs Specialized coursework Research projects Externships- during 3rd or 4th year: spend a set number of weeks at different institutions o Dr. Alexander went to Australia o Use to work at clinic you want to eventually work at Conferences- never too early to attend (this includes undergraduates) Memberships -After vet school, become a zoo vet by internship: 1 year of intensive medicine and surgery Small or large animal Academic or private institution o Ex: Private- VSS in Manchester Rotate through numerous specialties and long hours of emergency work Find internship using “The Match”: Veterinary Internship and Residency Matching Program o Rank programs in terms of preferences and institutions determine their top preferences of students -Specialty internship (difficult to get a residency right away) Private zoo or aquaria; academia; private practice; 1-2 years Find on Match, AAZV.org, AZA.org -Residency: 3-4 years Private practice Academia Private zoo or aquaria Expected to write 5 publications during residency Take a 2 day test When done, board certified in zoological medicine -Overview: what was presented is a classic approach, remember there are always other ways to get there -Best parts of veterinary medicine: Get to do all parts of medicine Easy to switch track Lots of improvisation- extrapolate from what you know: cat--> lion