December 11, 2011 College of Pharmacy University of Utah To whom it may concern: For several years I have been working toward a career in pharmacy. Becoming a Pharmacist has been a long time dream of mine. Attending the University Of Utah College of Pharmacy would ensure the best education and training to become a quality Pharmacist. Disclosed is a technical document I have put together involving veterinary medicine and my current resume. While I am currently applying my education in pharmacy medicine, I have several years of knowledge and experience involving veterinary medicine that I feel would be beneficial in the pharmacy community. Each document has been created for a different audience including clients and veterinary staff. This challenged my writing ability to create documents for everyone in the veterinary community. 1 Table of contents Enucleation Procedure.................................................3 Intended for veterinary clients who would like to better understand the process of an Enucleation. The Abaxis Vetscan V2 Machine.......................................4 This is a technical description regarding the Abaxis machine for veterinary clinics who are interested in purchasing this product Case Study................................................................6 A case study intended for veterinary magazines regarding an animal diagnosed with PHPTH. Resume...................................................................7 2 Enucleation Procedure An Enucleation surgery can sound frightening and you may have some concerns for your pet. This document will help answer any questions you might have while explaining the process of the procedure. This will be a helpful tool to help ensure your comfort with the decision of an Enucleation. Your pet has been diagnosed with a condition called Intraocular Glaucoma (IOA). IOA is a painful condition in which fluid retains within the globe of the eye. This will enlarge the eye and cause the retina to tear creating blindness. The best course of treatment for IOA is a procedure called Enucleation. An Enucleation is the process of removing the globe of the eye and the nicitating membrane (third eyelid). This procedure is extremely effective (IAO in a dog) and your pet will gain immediate post operative relief. Treatment is simple.Your pet will have approximately ten sutures along the skin of the eyelids. Because your pet will scratch at the area, he/she will need to wear an Elizabethan Collar for fourteen days. This is the amount of time the sutures will be in. The veterinarian will send home two types of medications: An antibiotic to prevent any infection, and a pain medication to create optimal comfort for your pet. Each medication will last 7-14 days. Once the fourteen day healing process has completed, you will bring your pet into the clinic to have the sutures removed. Because the glaucoma causes blindness, your pet has likely adapted to sight in only one eye. Animals do very well with vision from one eye. The immediate relief of pain they will experience postoperatively will allow your pet to behave like their spunky self again. 3 The Abaxis Vetscan V2 Machine The Abaxis Vetscan V2 machine is a crucial tool in understanding the patients health during routine and critical procedures in veterinary medicine. The Abaxis Vetscan V2 machine is a diagnostic tool used to evaluate the electrolyte values, organ functions, and blood gas levels. This is a simple, quick tool to ensure the optimal understanding for veterinarians and their clients. This paper will describe the functions of this tool and the benefits of utilizing it in a clinic setting. Once blood from the patient has been collected and spun down in a serum separator tube, the Abaxis Vetscan V2 unit can be used. A rotor with a specific function is chosen and the serum of the patient is placed in the rotor. This is a very delicate process; however the manufacture has created an easy procedure to ensure the rotors are used properly and are simple to follow. There is a pre-measured pipet that has the exact measurement to collect the correct amount of serum for the rotor. There are arrows on the rotor to indicate that there is enough serum in the disc to perform a proper test. When this is accomplished, the technician will place the rotor within a cartridge of the machine, like placing a CD in a disc player. The cartridge will close and start running the test. To keep each test separated from one another, the Abaxis Vetscan V2 has a touch screen to type in the patient's account number, date of birth, and most important, species. This is crucial information to keep with the test in order to support clear patient diagnostics and guarantee no confusion will occur if multiple tests are running at the same time. In 15 short minutes, the test is completed and we have several clues to what is going on with a sick patient, or the security to sedate a patient with the knowledge of their organ function. Lastly, a receipt is printed at the top of the Abaxis Vetscan V2 machine with several answers. The standard test is a chemistry profile which will indicate the functions of internal organs, electrolytes, blood glucose, and sodium levels. The receipt indicates the level the patient is in a number scale with a asterisk to indicate whether the patients level is high or low. Next to the patient's number is a range of normal levels to show the veterinarian what to look for. This is a very simple, compact test to read and transfer into the patients record In conclusion, the Abaxis Vetscan V2 is a great diagnostic tool for any veterinary practice to own. The easy step by step process creates a less stressful task for the technician and allows little room for error. The clients are pleased to find such important information about their pet in a timely matter as well. The Abaxis Vetscan V2 has created a bridge for veterinarians and their clients that was never able to be accomplished before. 4 Product Available Prices Vetscan V2 unit Prices may vary, contact your representative Canine Health Profile including Heartworm $526.80 Per 12 rotor pack Comprehensive Diagnostic Profile $299.40 Per 12 rotor pack Prep Profile II $227.40 Per 12 rotor pack Critical Care Plus $191.40 Per 12 rotor pack T4/Cholesterol $203.40 Per 12 rotor Pack Mammalian Liver Profile $190.00 Per 12 rotor pack Equine Profile Plus $263.40 Per 12 rotor pack Large Animal $287.40 Per 12 rotor pack Avian Reptile Profile Plus $191.40 Per 12 rotor pack 5 Case Study Koda, a 6 year old neutered male Siberian husky presented for examination for weakness in the hind end and history of high calcium. Physical exam revealed diminished muscle mass in the hind end with resistance to hip extension. The remaining exam demonstrated no other abnormalities. Radiographs of the hips and of the spine demonstrated moderate osteoarthritis in the lumbo-sacral region. blood work (CBC, Chemistry, Thyroid) indicated elevated calcium 12.5 mg/dl (8.2-12.4), ALP 811 (10-150), Cholesterol 390 mg/dl (112-328). Ultrasound was performed. Two small stones were documented in the bladder measuring 2 to 2.5 mm and a distinct nodule on the caudal pole of the right thyroid gland in area of the parathyroid gland. Parathyroid hormone test was performed indicating an elevation of ionized calcium in the presence of a normal Parathyroid Hormone confirming diagnosis of Hyperparathyroidism. The tumor was removed surgically and submitted for biopsy. A post-op blood panel was done indicating a normal calcium level. Discussion Hyperparathyroidism is the excessive secretion of the parathyroid hormone (PTH) by abnormal functioning parathyroid cells. This disease is rare but can be diagnosed in older dogs; it is much less common in cats. Keeshond breeds are predisposed. Common physical findings include Polyuria/Polydypsia and urinary incontinence with hypercaliuria. Uroliths, muscle weakness or atrophy are other abnormalities. All signs are subtle or nonspecific. Hypercalcemia is the hallmark feature. Changes in the plasma albumin can change the total serum calcium meaning ionized calcium levels can still remain normal. Hypophosphatemia is consistent with PHPTH. Ultrasonography confirms PHPTH visually indicating that an abnormal parathyroid gland is larger than 45 mm in diameter. Sensitive equipment and an experienced ultrasonographer are necessary. Surgical excision of the parathyroid tumor will reduce the calcium levels to normal within seven days. If the serum calcium levels are less than 14mg/dl, post surgical hypocalcemia can occur. Surgeons can make the decision to remove the thyroid-parathyroid gland, but it is not necessary. 6 Laura-Jean Johnson 3948 View Pointe Dr. Park City Utah dreamtacoma@yahoo.com (801)380-4538 Education Background Major: Exercise Physiology, anticipated graduation 2014 GPA: 3.8 Associates of Applied Science for Veterinary Technology, Utah Career College, January 2007 National Certificate of Veterinary Technology, January 2007 Working Experience Veterinary Technician/Employee Trainer April 2009-Present Silver Creek Animal Clinic, Park City, Utah Train new employee's Phlebotomy/ Place Catheters Educate clients Reception work Administer medication Assist with surgery Book appointments Perform dental cleanings Home Veterinary Care July 2009-Present Individual Practice, Park City, Utah Care for pets overnight Assist clients with at home therapy for their pets Emergency Veterinary Technician July 2006-April 2009 Cottonwood Animal Hospital, Salt Lake City, Utah Prepare patients for surgery Council clients on patient care after emergency care was needed Assist the doctor with trauma patients Train new technicians Monitor all in house patients Administer medications to in/out patients Volunteer Work Southwest Rehabilitation Center July 2011-Present Shadow Pharmacists during patient rounds for post operative patients, learn about several different medications used in a clinic setting Women Against Cancer December 2011-Present Assist with weekend retreats, help raise money for retreats Certifications Emergency First Aid 7 CPR 8