Winter 2018

Continuing Education, Winter 2018, Anesthesiology

Dangers of Hypothermia: Avoiding the Cold

Brenda K. Feller CVT, RVT, VTS (Anesthesia and Analgesia)

Brenda graduated from Michigan State University, one of the first veterinary technician programs in the United States. She has worked in private practice, a university anesthesia department, and specialty practices during her career. She is not only a board member at large of the Academy of Veterinary Technicians in Anesthesia and Analgesia, but also a member of the academy’s examination, preapplication, and conference committees. She is married to Doug, a retired veterinarian, with three grown children and a growing number of grandchildren! Doug and Brenda share their house with a rescue Westie mix.

Brenda is a frequent speaker at major conferences and teaches online anesthesia classes. In her spare time, she likes to rollerblade and read nonfiction.

Hypothermia is a common yet preventable side effect of anesthesia and surgery. Here is our guide to preventing and detecting hypothermia; and how to treat it should it occur.

Max at NAVC Conference
Winter 2018,

Get Ready, Here It Comes!

Lynne Johnson-Harris LVT, RVT | Editor in Chief

Ms. Johnson-Harris has been involved with the NAVC as a speaker and moderator since 1990. She was the first veterinary technician to serve as an elected Board member of the NAVC serving the Board from 2003 to 2015. Ms Johnson-Harris was also the first veterinary technician to serve as the President of the NAVC (2013-2014). Along with being the Editor in Chief of Today’s Veterinary Nurse journal, Ms. Johnson-Harris is the NAVC Specialty Programs manager and works as the practice manager working along side her husband, Dr. Jerry Harris at Hinckley Animal Hospital.

A letter from the editor, Lynne Johnson-Harris

Winter 2018, Personal/Professional Development

Building Resiliency Through Our Story

Julie Squires CCFS | Rekindle, LLC

Julie is a compassion fatigue specialist who brings a unique perspective and approach to support the sustained energy and passion of animal workers. Her company, Rekindle LLC, offers on-site compassion fatigue training to veterinary hospitals, animal shelters, lab animal research facilities, and other animal organizations.

Julie has 25 years of experience within the veterinary field and with leading organizations. She has developed and executed training, workshops, and 1:1 coaching for major companies in the animal health industry. She obtained her certification as a compassion fatigue specialist through the Traumatology Institute. Julie’s clients also gain from her experience as a certified life coach and corporate wellness specialist.

According to the American Psychological Association, resilience is “the process of adapting well in the face of adversity, trauma, tragedy, threats, or significant sources of stress.” Essentially, it means “bouncing back” from difficult experiences.

Winter 2018, Preventive Medicine

Focus on Overweight and Obesity in Dogs

Kirk J. Breuninger VMD, MPH

Kirk J. Breuninger, VMD, MPH, is a member of the Banfield Applied Research and Knowledge (BARK) team, where he performs and disseminates research that contributes to advancing medical quality, patient safety, and medical decision making. He received his veterinary degree from University of Pennsylvania and his Master of Public Health degree from Temple University. He is an inaugural member of the AVMA Early Career Development Committee, was awarded the 2009 George B. Wolff Legislative Leadership Award, and was recognized as the 2015 Pennsylvania Veterinarian of the Year by the Pennsylvania Veterinary Medical Association.

A look at dog obesity and overweight prevalence from Banfield Pet Hospital’s 2017 State of Pet Health Report.

Winter 2018, Preventive Medicine

Tackling Pet Obesity: It’s Not Easy, But It’s the Best Work!

Esther Klok Dierenkliniek Winsum | The Netherlands

Esther Klok has 24 years of experience as a veterinary technician. She works in a mixed practice that handles both small animals and horses. Most of the time she can be found working in the back, but she also enjoys the front desk and has convinced her boss she really needs to be there one day a week. She has also just started her own company, Improve on the Move. She loves giving lectures, teaching, organizing conventions, and writing and providing photos for magazines. And, because she obviously needs to do something with any leftover time, Esther and her boyfriend travel throughout Europe to compete for the Dutch team in single horse carriage driving.

When I started my career as a veterinary technician, I had my hands full of “normal” work. I gave advice about food and prevention methods at the front desk. I made X-rays at the request of the veterinarian and used the microscope in the lab. My job included keeping animals alive that were under anesthesia …

Animal abuse
Winter 2018, Ethics/Welfare

Animal Cruelty: Your Role in Identifying Abuse

Lisa M. Smith LVT, VTS (ECC) | Veterinary Specialty Center of Delaware

Lisa has over 20 years of experience in the field of Veterinary Medicine. She studied Animal Science at the University of Delaware, and became an LVT in 2008. She obtained her Veterinary Technician Specialist Certification in Emergency and Critical Care in 2014, and graduated with a Master’s of Science degree in Veterinary Forensic Sciences from the University of Florida in 2016. Lisa manages more than 60 technicians in a specialty and emergency hospital in Delaware, also working on the floor in the Emergency Service and ICU. She also provides CE lectures to local technicians on various topics, including RECOVER based CPR training. Lisa also serves on the Board of the Delaware Veterinary Medical Association as the technician representative. Author portrait courtesy of Marlene Waeltz Photographie.

Animal cruelty carries legal consequences that veterinary professionals need to understand in identifying abuse. Learn how to document and report cruelty.

Winter 2018,

A Word From the National Association of Veterinary Technicians in America

Heather Prendergast RVT, CVPM

Heather has spent over 25 years in small animal practice, teaches veterinary technology and assistance programs, and is the author of Front Office Management for the Veterinary Team. She lectures on topics ranging from grief management for health care professionals to nutrition, inventory, communications, and veterinary team management. She has also written several articles and participated in published roundtable discussions on these topics.

Currently, Heather provides consulting services for veterinary hospitals and is an instructor for Patterson Veterinary University and VetMedTeam. She serves on several advisory committees and is the Program Chair of the Technician Program at the North American Veterinary Conference. Heather was named the 2014 Veterinary Technician of the Year and Continuing Educator of the Year for 2016 at the Western Veterinary Conference.

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

Ken has spent nearly 20 years in practice. He obtained his VTS certification in emergency and critical care, as well as small animal internal medicine, and earned his master’s degree in Veterinary Science. He served as ICU Manager and Blood Bank Manager at Adobe Animal Hospital until 2018, and is now Program Director for the RECOVER CPR Initiative and simulation lab manager of the Park Veterinary Innovation Laboratory at Cornell University. He co-chairs the Veterinary Nurse Initiative and serves as a board member of the Veterinary Emergency and Critical Care Society, the Academy of Veterinary Emergency and Critical Care Technicians, and the Veterinary Innovation Council.

Within our own profession lies confusion about the scope of duties of a CVT, RVT, LVT or LVMT. The names themselves cause confusion, but more importantly, state practice acts compound that confusion—if veterinary technicians are even mentioned. Credentialed Veterinary Technicians/Nurses play a vital role in patient care on a daily basis. While many VTs feel …

Winter 2018, Gastroenterology , Nutrition

The Gastrointestinal Microbiota: An Introduction

Ann Wortinger BIS, LVT, VTS (ECC, SAIM, Nutrition)

Ann is a 1983 graduate of Michigan State University and got her specialty certification in Emergency/ Critical Care in 2000, in Small Animal Internal Medicine in 2008 and in Nutrition in 2013. In 2017 she attained her Fear Free Level on certification, and has since moved into level 2.

She has worked in general, emergency, specialty practice, education and management. Ann is active in her state, national and specialty organizations, and served on the organizing committees for Internal Medicine and Nutrition. She has mentored over 20 fellow VTSs and has worked on a variety of committees and positions. She is currently an instructor and Academic Advisor for Ashworth College’s Veterinary Technology Program, as well as an active speaker and writer.

Ann has over 50 published articles in various professional magazines as well as book chapters and a book, Nutrition and Disease Management for Veterinary Technicians and Nurses in its second edition in 2016 coauthored with Kara Burns. Ann received the 2009 Service Award for her state association (MAVT), the 2010 Achievement Award for the Academy of Internal Medicine for Veterinary Technicians (AIMVT), and in 2012 received the Jack L. Mara Memorial Lecture Award presented at NAVC.

Her fur/feather/fin family consists of 4 cats, 2 domestic geese, 14 chickens and a pond full of goldfish.

This article examines the important role microbiota plays in the development, immune regulation, and maintenance of an animal’s GI health.

Winter 2018, Toxicology

Winter Holiday Toxins for Pets

Carrie Lohmeyer-Mauzy CVT, BS, ASPCA Animal Poison Control Center, Urbana, Illinois

Carrie has been working as a certified veterinary technician at the ASPCA Animal Poison Control Center (APCC) since 2007. She obtained her associate’s degree in veterinary technology from Parkland College in 2003 and her bachelor’s degree in natural resources and environmental science from the University of Illinois in 2006. She worked for 2.5 years at a small animal clinic while in college and has assisted with several research projects in fish and wildlife ecology.

During her 10 years at the APCC, Carrie has gained a wealth of knowledge in the field of toxicology. She has been published in several peer-reviewed journals and is currently studying to become a board-certified toxicologist.

The winter holiday season holds an abundance of dangers for domestic pets that could result in toxicosis. This article focuses on decontamination and treatment for exposures to chocolate, grapes and raisins, and homemade playdough in dogs, as well as plants that can be toxic to both dogs and cats.

Winter 2018, Radiology/Imaging

Take a Bite Out of Dental Radiology: Positioning for Picture-Perfect Views

Liane Shaw BS, RVT | Purdue University Veterinary Teaching Hospital | Lafayette, Indiana

Liane K. Shaw, BS, RVT, is the diagnostic imaging instructional technologist at Purdue University. She earned an associate’s degree and bachelor’s degree in applied science at the Veterinary Technology Program at Purdue University. She then worked at a private practice for 7 years and was a supervisor for the clinic before coming back to Purdue University to pursue her love for teaching. In 2011 she received an award for teaching excellence from Purdue University and Elanco Animal Health. She has spoken at conferences about dental radiography and digital radiography. In 2017 she coauthored 2 articles on radiology positioning published in Today’s Veterinary Technician.

Cynthia Voglewede BS, RVT, AVTCP-Canine/Feline | Purdue University Veterinary Teaching Hospital | Lafayette, Indiana

Cynthia Voglewede, BS, RVT, AVTCP-Canine/Feline, has taught at the Purdue University Veterinary Teaching Hospital since 1996. She earned her bachelor of science degree in biology education from Ball State University and later graduated from the Purdue University Veterinary Technology program. She was a founding member and treasurer for the Academy of Veterinary Technicians in Clinical Practice, which was approved in 2010. She received the Outstanding Staff Award in June 2015.

This article will help veterinary team members refresh themselves about common dental radiography procedures. Topics covered include safety, equipment, views, and positioning.

Winter 2018, Infectious Disease

Discospondylitis in Dogs and Cats: Signalment, Diagnosis, and Treatment

Heather Anderson RVT, VTS (Neurology) | The Ohio State University Veterinary Medical Center | Columbus, Ohio

Heather Anderson works at The Ohio State University Veterinary Medical Center as a neurology/neurosurgery technician. She graduated with an associate’s degree in Veterinary Technology from Stautzenberger College in Ohio in 2003 and became a credentialed Veterinary Technician Specialist in 2016. She is a member of the Academy of Internal Medicine Veterinary Technicians and the National Association of Veterinary Technicians in America and enjoys teaching neurology to her 4th-year veterinary students.

Veterinary technicians play a key role in the diagnosis, treatment, and management of discospondylitis in dogs and cats.

Winter 2018, Equine Medicine

Equine Pythiosis: An Overview

Sharon Klingler RVT, VTS (Anesthesia and Analgesia, EVN) | Premier Equine Veterinary Services | Whitesboro, Texas

Sharon Klingler RVT, VTS (Anesthesia, EVN) has been a veterinary technician for almost 40 years. She worked in private practice for almost 20 years where she worked in both an emergency and a general practice as the office manager, the anesthesia technician, and emergency technician. In 1997, Sharon joined the anesthesia department at the University of Georgia Veterinary Teaching Hospital to pursue a career as an anesthesia technician specialist. She is a credentialed member of the Academy of Veterinary Technicians in Anesthesia and Analgesia. and the Academy of Equine Nursing Technicians. At Georgia she was the emergency on-call anesthesia technician. Sharon joined the staff of Premier Equine Veterinary Services with Dr. William Rhoads in 2006. She currently provides anesthesia to Dr. Rhoads’ surgical patients as well as serving as the office manager. She also assists Dr. Wendy Rhoads at All About Pets Animal Hospital.

Over the years, Sharon has been involved with the American Association of Equine Veterinary Technicians and was a member of the organizing committee for the Equine Veterinary Nursing Academy and is now a charter member and Past President of the Academy. She is often asked to speak to technicians at both local and national conferences.

Sharon resides in Whitesboro, Texas, with her daughter Megan and grandson Bradley. Sharon enjoys horseback riding, gardening, watching Bradley play sports, and taking care of her menagerie of animals.

Pythiosis is a noncontagious disease caused by Pythiosis insidiosum, a fungus-like, protozoan organism. Until recently, it was considered to be a threat only to horses living in tropical or subtropical environments; however, it has been seen in many other areas of the United States, such as Illinois, New York, and even Wisconsin.1 Although dogs, cats, …

Winter 2018, Dermatology

Otitis Externa: Inflammation of the Ear Canal

Sandra Grable AAS, CVT | University of Illinois College of Veterinary Medicine

Sandra Grable, AAS, CVT, graduated from Parkland College’s veterinary technology program in Champaign, Illinois, in 1999 and began work at the University of Illinois Diagnostic Laboratory. In 2001, she became the technician for the dermatology and otology clinic. She has an interest in mycology and enjoys reading skin cytology slides and assisting her doctors with dermatologic procedures, especially video otoscopy. She has chaired roundtable discussions, given several lectures, written for online publications, and wrote a book chapter on dermatophytes. She is a charter member of the Academy of Dermatology Veterinary Technicians, which was officially recognized by the National Association of Veterinary Technicians in America in 2015.

Otitis externa is a common condition that is frequently seen in specialty dermatology clinics and small animal general practices.1,2 It is defined as inflammation of the ear canal with or without involvement of the pinna.1–3 Otitis is often considered a final diagnosis, but it is merely a clinical sign. The many factors that can contribute …

Winter 2018, Urology & Renal Medicine

Peritoneal Dialysis Following Urethral Obstruction and Acute Kidney Injury

Courtney Waxman BAS, CVT, RVT, VTS (ECC)

Courtney has worked in emergency and specialty veterinary practice for almost 15 years. Her areas of special interest include CPR, mechanical ventilation, one-on-one case management, critical care nursing, critical thinking, and technician/nurse training. She currently works as an instructor for Purdue University’s Veterinary Nursing Distance Learning Program and in the veterinary teaching hospital’s intensive care unit. She lectures nationally and internationally on topics relating to emergency and critical care and has been published in several veterinary technician/nursing journals. In 2019, Courtney was awarded New Educator of the Year by the Association of Veterinary Technician Educators.

What began as a routine condition and progressed to a dedicated, one-on-one nursing case, the case report outlines the importance of a thorough workup in managing a patient’s whole disease process and demonstrates the many aspects of renal care, management, and complications. Protection Status