We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...

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We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
GROWING TOGETHER
                                We’ve adapted and learned so much.
                                       Now we take this knowledge
                                                  forward with us.

VOLUME XIX · NUMBER 4 · W I N T E R 2020
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
When treating
four-legged patients,
                                                                                                                                                                                          TABLE OF CONTENTS
make each                                                                                                                                                                                 05   MOVING FORWARD TOGETHER
                                                                                                                                                                                                                                           21
                                                                                                                                                                                                                                                TOP 5 RECOMMENDATIONS TO KEEP
                                                                                                                                                                                                                                                EVERYONE SAFE WHEN ALLOWING

moment                                                                                                                                          2020 BOARD OF DIRECTORS                                    By John Tramontana, MS, CAE
                                                                                                                                                                                                                                                CLIENTS BACK IN THE OFFICE

matter.
                                                                                                                                                Dr. Melissa Owings, President                                                                                             By Samuel Florio

_
                                                                                                                                               Dr. Christian Ast, President-Elect
                                                                                                                                             Dr. Erin Howard, First Vice President
                                                                                                                                          Dr. Larry Letsche, Second Vice President
                                                                                                                                        Dr. Michael Thome, Immediate Past President
                                                                                                                                                                                          07   2020 AS A VETERINARIAN IN
                                                                                                                                                                                               MICHIGAN
                                                                                                                                                                                                                By Melissa Owings, DVM
                                                                                                                                             Dr. Stephen Steep, AVMA Delegate
                                                                                                                                           Dr. Jill Lynn, AVMA Alternate Delegate                                                               IF 2021 BECOMES A YEAR OF
PNC can help.                                                                                                                              DIRECTORS REPRESENTING DISTRICTS
                                                                                                                                             Dr. Megan McQuade,(1) Southern               09
                                                                                                                                                                                               MICHIGAN ADMINISTRATIVE
                                                                                                                                                                                               RULES UPDATES – WHAT’S AHEAD
                                                                                                                                                                                               FOR 2021
                                                                                                                                                                                                                                           22   TRAVEL, WILL YOUR CLIENTS (AND
                                                                                                                                                                                                                                                THEIR PETS) BE READY?

                                                                                                                                   Dr. Kristin Knirk, (2 & 3) Michiana & Southwestern                                                                 By Nora Wineland, DVM, MS, DACVPM

                                                                                                                                                 Dr. Erin Whalin, (4) Jackson                       By Nancy Frank, DVM, MPH, DACVPM

                                                                                                                                Dr. Chelsea Render, (5 & 9) Washtenaw & Livingston

                                                                                                                                                                                          10   FACING THE PANDEMIC FROM THE
                                                                                                                                         Dr. Tim Duncan, (6 & 8) Wayne & Oakland
                                                                                                                                               Dr. Julie Sherman, (7) Macomb
                                                                                                                                                                                               STUDENTS’ PERSPECTIVE
                                                                                                                                            Dr. Dana Tatman-Lilly, (10) Mid-State
                                                                                                                                           Dr. Susan Schoen Farmer, (11) Western                                         By Kara Henrys         LEGISLATIVE UPDATE:
                                                                                                                                        Dr. Joseph Kline, (12 & 13) Saginaw & Thumb
                                                                                                                                              Dr. Anne Shuff, (14) Northeastern
                                                                                                                                               Dr. Kenny Rogers, (15) Northern
                                                                                                                                                                                                                                           24   2020 ELECTION RESULTS & FUTURE
                                                                                                                                                                                                                                                LEGISLATIVE INITIATIVES
                                                                                                                                                                                                                                                                       By Matt Breslin, J.D.
                                                                                                                                        DIRECTORS REPRESENTING ASSOCIATIONS
                                                                                                                                            Dr. Jeff Bunn, MI Equine Practitioners
                                                                                                                                    Dr. Lucy Henney, Southeastern Michigan VMA            13   MEMBER SPOTLIGHT:
                                                                                                                                                                                               JEAN HUDSON, DVM

                                                                                                                                T:10”
                                                                                                                                                                                                                       By Samuel Florio
                                                                                                                                                    AT LARGE DIRECTORS
                                                                                                                                                                                                                                                TAKING STOCK:

                                                                                                                                                                                                                                           25
                                                                                                                                               Dr. Henry Reinart, Food Animal
                                                                                                                                              Dr. Srinand Sreevatsan, MSU CVM
                                                                                                                                         Dr. Claire Hankenson, Lab Animal Medicine        15   LISTEN. TEACH. SHARE.
                                                                                                                                                                                               HOW WILL YOU MOVE FORWARD?
                                                                                                                                                                                                                   By Julie Cappel, DVM
                                                                                                                                                                                                                                                WHAT COVID EXPOSED AND THE
                                                                                                                                                                                                                                                LESSONS LEARNED FROM IT
                                                                                                                                                                                                                                                          By Jodi Schafer, SPHR, SHRM-SCP

                                                                                                                                                                                                                                           Taking Stock:
                                                                                                                                   The Michigan Veterinarian is published quarterly in
                                                                                                                                           March, June, September, and December.

                                                                                                                                        Deadlines are the first of the preceding month.

                                                                                                                                        Michigan Veterinary Medical Association
                                                                                                                                                2144 Commons Parkway,
                                                                                                                                                                                          16   MANDATORY CE
                                                                                                                                                                                               WHAT YOU SHOULD KNOW FOR 2021
                                                                                                                                                                                                    By Nancy Frank, DVM, MPH, DACVPM
                                                                                                                                                                                                                                           27
                                                                                                                                                                                                                                                AVMA UPDATE:
                                                                                                                                                                                                                                                VOLUNTEERING WITH AVMA TO
                                                                                                                                                                                                                                                MAKE A DIFFERENCE
                                                                                                                                                Okemos, MI 48864-3986
                                                                                                                                                                                                                                                    By Jill Lynn, DVM & Stephen Steep, DVM
We’re making business banking easier.                                                                                                     p. (517) 347-4710 f. (517) 347-4666

                                                                                                                                                                                                                                                              UPDATE
                                                                                                                                        mvma@michvma.org | www.michvma.org
At PNC, our team of dedicated Healthcare Business Bankers understands your business challenges and the important role
that cash flow plays in your success. That’s why we offer a range of solutions to help optimize management of your practice’s
revenue cycle and payables, so your business can run with less complexity and payments can be received promptly.

Visit pnc.com/hcprofessionals or call 877-566-1355 to learn more.
                                                                                                                                         The Michigan Veterinary Medical Association
                                                                                                                                    represents the veterinary profession in Michigan,
                                                                                                                                                                                          18   10 TIPS TO GET THE MOST FROM
                                                                                                                                                                                               EVERY LABORATORY SUBMISSION
                                                                                                                                                                                                          By Dr. James Averill, DVM, PhD   28   NEW CLASSIFIEDS &
                                                                                                                                                                                                                                                RELIEF VETS
                                                                                                                                         advances the knowledge and standards of its

                                                                                                                                                                                                                                           34
                                                                                                                                    membership, and promotes the science, practice,
                                                                                                                                    and value of veterinary medicine for the benefit of                                                         COMMITTEES, MEETINGS
                                                                                                                                                  animal and human health.                                                                      & EVENTS

©2020 The PNC Financial Services Group, Inc. All rights reserved. PNC Bank, National Association. Member FDIC                               MVMA | THE MICHIGAN VETERINARIAN                                                                                        WINTER 2020          03
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
At MedVet Commerce,
               Collaborative,Comprehensive Care
     Now Includes Cardiology, Internal Medicine, and Surgery!
                                                                                                                CEO MESSAGE
                                                                                                                Moving Forward Together
                                                                       MedVet Commerce                                                                                                                      By John Tramontana, MS, CAE

                                                                       Specialty Services                       We’re tired. We’re cranky. We’re overwhelmed. We’re over       Great Lakes Veterinary Conference in June, for a new and
                                                                     24/7 Emergency Medicine                    it. We have all felt these emotions at some point during       interactive event that’s being planned at the Grand Hotel
                                                                                                                this pandemic, but our resolve continues to help us over-      on Mackinac Island in fall, and for the Michigan Veteri-
                                                                            Cardiology
                                                                                                                come those obstacles and so many others. We’ve all had         nary Conference next December.
                                                                         Internal Medicine                      to be resilient this year. Whether it’s challenges at work,
                                                                             Neurology                          at home, trying to help our kids through virtual school, or    These are just a few of the events we have planned in ad-
                                                                           Rehabilitation                       doing everything possible to protect those we care about       dition to numerous other initiatives. We’ll explore new
         Marco Cervi      Alyssa Pinkos   Jennifer Clooten                                                      who may be more vulnerable to this virus, it seems as if       membership models so you can find a plan that works
       DVM, DACVS-SA      DVM, DACVIM       DVM, DVSc,                        Surgery
                                                                                                                there has been something lurking around just about every       best for you. We’ll strive to be a more diverse, equitable
                           (Cardiology)   DACVIM (SAIM)                                                         corner.                                                        and inclusive organization to ensure no one is left behind.
                                                                                                                                                                               We’ll offer more continuing education opportunities both
     MedVet Commerce                                                                                            But in the midst of this holiday season, there is reason for   online and in person. These initiatives will help us to
     1120 Welch Rd.                                                                                             hope. Hope that the end is near. Hope that we will once        expand our value proposition to meet and exceed your
     Commerce, MI 48390
     248.960.7200                                                                                               again gather in person to learn and grow together. Hope        needs. Our job is to serve you, and to help promote and
                                                                                                                that the burden so many of you have endured in 2020 will       protect your profession. We will become a more mem-
     medvet.com                                                                                                 soon be lifted.                                                ber-centric organization in 2021.

                                                                                                                I’m most looking forward to coming out of this together,       As we prepare to turn the page on 2020, I wanted to per-
                                                                                                                stronger than we were before. Looking back before this         sonally thank you. Thank you for supporting MVMA.
                                                                                                                pandemic, I took many simple things for granted—seeing         Thank you for being there for your clients, patients, stu-
                                                                                                                and working with my staff every day and interacting with       dents, employers, employees and others. We are very
                                                    Making life better for veterinary practices
                                                                                                                veterinarians from across the state, to name a few. I’m a      grateful for all you have done and continue to do. All of
                                                              and teams since 1997
                                                                                                                social person by nature and working with people energiz-       us at MVMA wish you a safe and happy holiday season. I
                                                                                                                es me. I have missed that. It doesn’t translate very well to   look forward to seeing you all in the new year as we move
                                                                                                                Zoom, or Teams or GoToMeeting.                                 forward together.

                                                                                                                I don’t think I’ve ever been more ready to end a year and
                                                                                                                turn the calendar to a new chapter. The year 2021 is near-
                                                                                                                ly here and exciting things are happening at MVMA and
                                                                                                                in veterinary medicine. As we prepare to move forward
                                                                                                                together, we bring a new appreciation to our work and to
                                                                                                                each other. I am hopeful we will be able to gather for the
                                                        Whether you’re looking to find a new
                                                        job opportunity or sell your practice...

                                                        choose the company that encourages
                                                  you to stay true to your patients, community, team,
                                                                                                                              John Tramontana, MS, CAE, is MVMA’s CEO
                                                                      and yourself.
                                                                                                                              and can be reached at 517.347.4710
                                                        acq@vetcor.com / www.vetcor.com                                       or tramontana@michvma.org.

                                                                       Connect

04   WINTER 2020                                                         MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                         WINTER 2020   05
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
Locally Owned locally operated                                                                                                       PRESIDENT'S LETTER
      Oakland Veterinary Referral Services (OVRS) is one of the most comprehensive
      veterinary specialty facilities in the country. Our Veterinary Specialists are
                                                                                                                                            2020 as a Veterinarian in Michigan                                                                                              By Melissa Owings, DVM
      board-certified in their area of expertise, and they are supported by a highly
                                                                                                                                         From my perspective, personally and professionally, this has been a year of major decision fatigue. As a practice owner, the volume of infor-
      trained staff of licensed veterinary technicians.
                                                                                                                                         mation that needs to be processed regarding the pandemic in addition to managing all the facets of practice ownership is overwhelming. The
      Our expert professionals, state-of-the-art technology and wide range of                                                            stress and the rigors of maintaining social distancing, monitoring staff exposure and quarantines, seeing increased numbers of emergency
      treatment options all contribute to excellent veterinary care. We are proud                                                        medical and surgical cases, performing curbside visits, implementing telemedicine, and most importantly, assessing staff morale and promot-

      to have earned the confidence, trust and respect of thousands of local                                                             ing overall wellbeing has been beyond challenging. However, we are fortunate to say that the vast majority of clients have been supportive

      veterinarians and pet owners alike by offering exceptional care and                                                                and understanding regarding our new protocols. Below are fellow veterinarians who cared to share their experiences with you as well.

       outstanding services in a nurturing environment.                                                                                  Matthew W. Beal, DVM DACVECC | Michigan State University College of Veterinary Medicine
                                                                                                                                         “As I reflect back on the COVID-19 pandemic and it’s (ongoing) impact on veterinary medicine, I’m most proud of the rapid adaptation to operations
                                                                                                                                         that we were able to achieve among the teams at the MSU VMC with a special (biased) appreciation for my team in the ECCM Service that maintained

                                                                                Providing Specialty Care for    30     Years
                                                                                                                                         operations throughout. I’m proud of the proactive preventative measures that the University, College and VMC rapidly implemented to mitigate the risk
                                                                                                                                         of transmission within the VMC and especially the acceptance and adoption of these policies by our entire VMC community. I’m looking forward to that
                                                                                                                                         rapidly brightening light at the end of the tunnel that will allow us to return to a greater sense of normalcy and face to face contact with clients. I hope that
                                                                                                                                         the world uses this tragic experience to respond even more efficiently and effectively to the next global threat that we may face.”

                                            1400 South Telegraph Road | Bloomfield Hills, MI 48302                                       Lori Penman, DVM | Boehringer Ingelheim Animal Health
                            Ph: (866) 334-6877 Fax: (248) 334-3693 E-mail: info@ovrs.com www.ovrs.com                                    “I’ve been fortunate to have been spared personal tragedy, so my overall reaction to the pandemic has been one of shock and disappointment – mostly at
                                                                                                                                         how easy it turned out to be to politicize a medical issue and, in turn, contribute to such divisiveness in our country. I would have hoped for the opposite.
                                                                                                                                         Professionally, however, it’s encouraged me to embrace technology in a much broader scope, not only for working, but also to maintain communications
                                                                                                                                         and interactions with clients and colleagues, friends and family. In fact, I’ve seen this as another example of the incredible adaptability of veterinarians in
                                                                                                                                         general, as so many adopted online/technology-driven methods to serve patients and communicate effectively with clients and ease the burden on staff and
     When Selling or Buying                                                                                                              practices in the process. Veterinarians are amazingly resilient!”
     a Veterinary Practice
                                                                                                                                         Charles E. DeCamp, DVM, MS, DACVS | Animal Surgical Center of Michigan
     Call on the…                                                                                                                        “Everything is different, everything is the same. I go to work with an uncomfortable N-95 squashed to my face for 10-11 hours straight. My nose hurts. Peo-
                                                                                                                                         ple are at a distance, no touching, I may never shake a hand again. Worried co-workers and family, I am home again, waiting for the latest COVID hospital
                                                                                                                                         incursion to pass so I can go back to work. Although I have not seen a client in months, I still talk on the phone. My phone is now everything. Sometimes I
                                                                                                                                         FaceTime with them, that is new. Most are routine, but I still look for that moment of empathy, or special concern for someone with real need for their animal
                                                                                                                                         friend. I still know that I can be there for them at that moment and that I am good at it."

          Kurt Liljeberg, DVM                                                                                                            An expanded version with additional comments and quotes is now available online at www.michvma.org/PLWinter2020.
          Licensed Real Estate Broker
          Experienced Practice Broker                                                                                                    This year has had its challenges, but it also         As your outgoing MVMA President, it
                                                                                                                                         has presented opportunities for growth                has been an honor serving you during this
        Appraisals
                                                                                                                                         that will positively affect our future. I wish        challenging year. The support you have
        Practice Sales
                                                                                                                                         to acknowledge our MVMA DEI (Diversi-                 shown to one another and efforts by the
        Associate Buy-In/Out
                                                                                                                                         ty, Equality, and Inclusivity) Committee              MVMA staff to keep you informed has
        Corporate Buy-Out
                                                                                                                                         and Dr. Debbye Turner Bell and Dr. Jeanne             been truly inspiring. Your resilience and
               Office:    800-380-6872                                                                                                   Porter King for their timely and important            ingenuity have allowed you to emerge
               Fax:       866-813-3639                                                                                                   work. As we come to the inevitable end of             even stronger than yesterday. And from
               Email:     kurt@tpsgsales.com
               Web:       www.TotalPracticeSolutionsGroup.com                                                                            COVID-19 and reintegrate back to “nor-                the bottom of my heart, I thank you for
                                                                                                                                         mal” life, a new chapter begins. In this              your dedication, hard work, compassion,
             ~ Easy Transitions for Mutual Profit ~                                                                                      chapter, the MVMA looks to understand                 and strategic implementation of safety                          Dr. Melissa Owings
                                                                                                                                         barriers and build lasting bridges.                   measures. I wish you the very best and               Melissa Owings, DVM, is the MVMA’s 2020 President,
                                                                                                                                                                                               look forward to serving you in 2021.                 and can be reached at kibbypark@live.com or 517.347.4710.

06    WINTER 2020                                                                                     MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                                                 WINTER 2020        07
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
�rac�ce Owners�i�...
                                                                                                        Be able to financially provide for your family
                                                                                                        Have the ability to control your schedule
                                                                                                        Finances flowing to pay off student debt more quickly
                                                                                                        Control of your medicine & how your prac�ce is operated
                                                                                                        �n�imite� in�ome �oten��� �ers�s � �imite� s���r�
                                                                                                                                                                                                                                              PEOPLE, PETS AND PRACTICE:
                                                                                                        Create and live the lifestyle you desire                                                                                            YOUR VETERINARY QUESTIONS ANSWERED

                                                                                                              David McCormick, MS, CVA • Richard Goebel, DVM, AIBA                           The Michigan Department of Licensing and Regulatory Affairs (LARA) has been updating rules. Euthanasia at animal shelters, veterinary prac-
                                            �rac�ce Owners�i� isn’t for everyone,                         888.746.3717 • Greatlakes@simmonsinc.com• www.simmonsinc.com                       tice, and controlled substances are topics of three of the rule sets currently in the update process. These are worth paying attention to since
                                            but if it is for YOU…                                                                                                                            they may impact your veterinary activities.

     �or future owners� �ere are a few of our �is�ngs in t�e �reat �akes Region…           IN: I����N���� � ���� ������������ ��� ������� ��������� ������ ��������� ���
                                                                                               �������� �� ������ �� � ���� ��������� ������ �������� ���� �� ���� ����������
                                                                                                                                                                                             Michigan Administrative Rules Updates – What’s Ahead for 2021                                        By Nancy Frank, DVM, MPH, DACVPM
      MI: N������� � N�� �� ��� ����� ���������� ���� ����������� 2�� ������� �����
                                                                                               ��� ���� ��������� (IN�1�)
          ������ ��������� ���� ��������� B��� �������� ��� �� ��� ��� ���� (�I21�)                                                                                                          The Michigan Department of Licensing             of the process should you want to observe        tion rules and the current law now so you
                                                                                           IN: ������� C������ � �������� ��� ���� ������ ��� ������� ����� ����� ������
      MI: ����� ���� ‐ C�������� ������ �������� ������� �� �������� ������� 1 ����
                                                                                               ��������� ������������� ���� ������� �������� ��� � ����� ������ ���� (IN82�)                 and Regulatory Affairs (LARA) is having          it. The Boards’ Rules Working Group              know what is ahead in 2021. This rule set
          �������� ���� �������� ���� ����� ������ ��������� ����� ��������� (�I208)
                                                                                           IN: I�������� � ����� �� ��������� �������� �� �� ���������� �������������� ����
      MI: ����� ���� � ���� �� �������� ����� ����� �������� �� ������� ��� ������
                                                                                               �������� ��������� B��� �������� ��� ���� ������ ��� ���� (IN808)                             Boards of licensed occupations review            meetings are open to the public even             is being updated to reflect changes that
          �������� ���������� ����� ������� ����� �������� �� ����� (�I�25)
      MI: C������ � ������������ �������� ����� ������ �������� ���� �������� ���� 1��
                                                                                           IN� N������� � ������� �������� ������������� N��� �������� ������� ����                          and update their respective rules. This          though this may not be required by the           were made in the Michigan Public Health
                                                                                               �������� ��� ���� �������� ���� ���� �� ����� �������� ��� �� ��� �����
          B��� ��� �������� ��� ���� ������ ��� ��� ����� (�I222)
                                                                                               (IN805)                                                                                       includes three rule sets that directly im-       Open Meetings Act. With Zoom meetings            Code, 333.7333, in 2018 regarding training
      OH: N�������� � ���� ����� ������ �������� ���� ���� �������� ���� ��������
          ��� ��������� ������ ������������ ���� ���� �������� �������� � ��� ����
                                                                                                                �o �e�rn more �bo�t �n� o� these ownershi� o��ort�ni�es�                     pact veterinarians. The rules are Board          now, you can tune in and listen to discus-       and use of additional tranquilizers at shel-
                                                                                                                  �o� ��n �om��ete the �onfi�en���it� ��reement on the
          ������ �� ��� ���� (�H�05)                                                                                               Simmons website:                                          of Pharmacy – Animal Euthanasia and              sions as rule updates are crafted. You may       ters registered with Michigan Department
      OH: N�������� � ���� �������� ���� 2��00 ������ ��������� ����� ��� ������ �������                                         www.simmonsinc.com
          ����� �� ����� �� ������� �������� ��� ���� ������ ��� ���� (�H210)                                                                                                                Sedation Rules; Veterinary Medicine –            also be subscribed to email updates and          of Agriculture and Rural Development.
                                                                                               �on�t see �o�r ��t�re �r����e� �o� ��n ��so re�ister �or the �immons �rac�ce �atc�—when we
                                                                                                              h��e � new �is�n�� � no��e is sent to the �r����e ��t�h �ist first.             General Rules; and Board of Pharmacy –           be notified of activity on rules by going to     Specifically, training standards were en-
                                                                                                                                                                                             Controlled Substances Rules. The Animal          https://public.govdelivery.com/accounts/         hanced, the person in charge of the animal
                                                                                                                                                                                             Euthanasia and Sedation Rules and the            MILARA/subscriber/new.                           shelter will have to receive training, and
                                                                                                                                                                                             Veterinary Medicine General Rules are                                                             the definition of “animal tranquilizer”
                                                                                                                                                                                             well along in the process. The Controlled        MVMA monitors the rule making process            was expanded to include not only a com-
                                                                                                                                                                                             Substances Rules are earlier in the process.     with the help of our lobbyist, Matt Breslin.     mercially prepared solution of xylazine
                                                                                                                                                                                             As a profession, we need to pay attention        There is a public hearing before any rule        hydrochloride, but also a commercially
                                                                                                     > Payroll                                                                               to all three rule sets.                          is finalized and MVMA does not hesitate          prepared solution of ketamine, or a com-
                                                                                                     > QuickBooks Support                                                                                                                     to comment if needed. As of Dec. 1, there        mercially prepared compound containing
                                                                                                                                                                                             An administrative rule, according to             is a public hearing scheduled on Dec. 18         tiletamine and zolazepam. The new train-
                                                                                                  > Tax Planning
                                                                                                                                                                                             LARA, “is an agency's written regulation,        for comment on proposed changes to Vet-          ing standard for all permittees kicks in on
                                                                                                  > Bookkeeping                                                                              statement, standard, policy, ruling, or in-      erinary Medicine – General Rules. You            Jan. 1, 2022, so 2021 will be a training year
                                                                                                     > Bank Reconciliations                                                                  struction that has the effect of law. A state    can check for updates at Rules Currently         for many. Be sure to read the law along
                                                                                                                                                                                             agency writes rules under authority of           Pending in the Rulemaking Process. As            with the proposed rules since the rules ex-
                                                                                                     > Acquisitions
                                                                                                                                                                                             state statute, the Michigan Administrative       of Dec. 1, general information is available      pand on part of the law but not all the law.
                                                                                                                                                                                             Procedures Act, the Michigan Constitu-           for Board of Pharmacy – Animal Eutha-
                                                                                                   Schultz & Associates, PLC                                                                 tion, and applicable federal law.” Rules         nasia and Sedation Rules and Veterinary          Stay tuned for more as the progress on
                                                                                                   Certified Public Accountants                                                              are generally intended to better define          Medicine – General Rules. Updates to the         rules updates continues.
                                                                                                                                                                                             and add more detail to what is already in        Board of Pharmacy Controlled Substances
                                                                                                    Personalized Bookkeeping and Tax Services                                                a law. The rules making process is rather        Rules are still under discussion and not far
                                                                                                    Schultz has been providing bookkeeping,                                                  complex and it usually takes a substan-          enough along in the process to have infor-       Nancy Frank, DVM, MPH, DACVPM, is
                                                                                                    payroll and tax services for 25+ years.                                                  tial amount of time to get through all the       mation posted.                                   MVMA’s Staff Veterinarian, and can be reached
                                                                                                    From bank reconciliations to payroll,                                                    required steps. To learn more about the                                                           at frank@michvma.org or 517.347.4710.
                                                                                                    we help to organize the numbers to
                                                                                                                                                                                             process, please visit www.michvma.org/           While MVMA will provide a review once
                                                                                                    provide accurate monthly profit and
                                                                                                                                                                                             LARAAdminRules. What is nice right               the rules are finalized, if you interact with    Dr. Nancy Frank is a current member of the Board
                                                                                                    loss statements.
                                                                                                                                                                                             now, under Governor Whitmer’s Execu-             an animal shelter, you may want to review        of Veterinary Medicine. Her viewpoints do not
                                                                                                   WWW.SCHULTZ-CPA.COM | P. 734-354-2380 EXT 104 | JSCHULTZ@SCHULTZ-CPA.COM                  tive Directive 2019-11, is the transparency      the proposed animal euthanasia and seda-         necessarily represent the viewpoints of the Board.

                                                                                                                                                                                                        An extended version and sources used in this article can be found at www.michvma.org/PeoplePetsandPractice.

08   WINTER 2020                                                                                                                         MVMA | THE MICHIGAN VETERINARIAN                   MVMA | THE MICHIGAN VETERINARIAN                                                                                                     WINTER 2020        09
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
BAYLA BESSEMER, CLASS OF 2023
                                                                                                                                          There have been both a lot of wins and losses throughout COVID. It goes without saying that the outbreak
                                                                                                                                          changed what the Spring and Fall semesters looked like (and possibly the upcoming spring). The first few weeks
                                                                                                                                          were the hardest because there was a huge learning curve for 'the new normal.' Everything I enjoyed shut down

                   FACING THE                                                                                                             one by one: the college, the gym, my yoga studio, and my favorite restaurants. Being 1000 miles from home did not
                                                                                                                                          make things any easier. Watching my family deal with COVID and the hurricane season from the sidelines made

                   PANDEMIC
                                                                                                                                          me feel like a bad daughter. Additionally, there are many milestones that I am going to miss in veterinary school,
                                                                                                                                          and that alone is a difficult reality without all of the other traumas that come with the uncertainty of the time.

                   FROM THE STUDENTS’                                                                                                     That being said, as I have learned how to navigate all of the craziness, I am reminded that I have a whole career
                                                                                                                                          ahead of me where I will get plenty more chances to be hands-on.

                   PERSPECTIVE                                                                                                            I have grown in many ways over the past eight months that I would not have without COVID. In undergrad, I was
                                                                                                                                          30 minutes away from my family and barely ever spoke to them. Now at 15 hours away, I call every week, even if
                                                 By Kara Henrys
                                                                                                                                          I have nothing to talk about. I have also discovered a lot about how I learn - turns out, I am NOT a good auditory
                   This pandemic has been a part of our lives                                                                             learner. After discovering this, I changed the way I study, and my grades have stayed high despite being the most
                   for almost a year now, and it has changed                                                                              academically rigorous vet school year. I have learned how to stay motivated and appreciative of every moment.
                   not just the way you practice medicine, but                                                                            Even if it looks different, I am still in veterinary school.
                   also how your future colleagues are pre-
                   paring to enter practice. When fall started,                                                                           Most of all, I have gotten to see how amazing the field I am in really is. The MSU faculty have been amazingly
                   national attention turned to the education                                                                             accommodating, despite also having to deal with the changes COVID brought to their lives. The veterinary com-
                   system and the start of classes at college                                                                             munity worked really hard to give us opportunities, which I really appreciate. Although there have been fewer
                   campuses across the country. Restrictions                                                                              hands-on opportunities, I have been given access to tons of new resources and a cool project.
                   still in effect, coursework remained online,
                   and much-anticipated orientation and net-                                                                              I don't know what the next few months bring, but I am ready to face it head-on and learn to adapt. I genuinely feel
                   working events were canceled or hosted                                                                                 like, if anything, I will be a better doctor for it!
                   virtually. Students found themselves in
                   the unique position of not just managing                                                                               LEONNE CHUNG, CLASS OF 2024
                   challenging academics presented in an en-                                                                              Moving across country from California to attend veterinary school at Michigan State in the midst of a pandemic
                   tirely new format, but also doing so with-                                                                             was honestly not an easy task. I was looking forward to meeting my classmates, developing life-long relationships
                   out their typical community and support                                                                                with other people who shared the same passion, and finally getting the hands-on education I have always dreamed
                                systems in place.                                                                                         about. However, this was soon cut short because within two weeks into the semester, it was announced the year
                                                                                                                                          one and two classes would be switched to being completely online.
                   Recently Governor Whitmer’s chief med-
                   ical executive, Dr. Joneigh Khaldun, said                                                                              It has been difficult learning the musculoskeletal system and nervous system through a screen. Between Zoom labs
                   Michigan is at its worst point since the start                                                                         and lectures all day, most of my time consist of trying to find creative ways to learn and study the information
                   of the pandemic. The weather is turning                                                                                such as using Colorado State University’s Virtual Anatomy Program.
                   colder, and veterinarians are once again
                   faced with learning how to best serve their                                                                            Although there are times where I get overwhelmed and feel that this is not the vet school experience I was looking
                   clients through innovation. We wanted to                                                                               for, I have been able to form a meaningful relationship with fellow classmates. Together we have found unique
                   check in with the students at the MSU Col-                                                                             ways to bond and study.
                   lege of Veterinary Medicine to see how the
                   pandemic has affected them, and how they                                                                               I look forward to when we return to a new “normal” and I can finally get the veterinary school experience I have
                     feel about the future of the profession.                                                                             always dreamed of. Until then, I will continue enjoying the beautiful fall colors Michigan has to offer.

                                                                                                                                          MOVING FORWARD
                                                                                                                                          Veterinary school is an environment where socialization is not just encouraged but expected, and ev-
                                                                                                                                          eryone we spoke to seems to miss this part the most. Connecting through Zoom is sometimes just not
                                                                                                                                          enough, especially when you’re homesick. Bayla and Leonne are both looking forward to the spring
                                                                                                                                          when the anticipated vaccine brings hope of the return to at least some form of “normality.”

                                                                                                                                  Kara Henrys is MVMA’s Director of Member Services, and can be reached at henrys@michvma.org or 517.347.4710.

10   WINTER 2020                                                    MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                                        WINTER 2020      11
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
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                                                                                                                                                Dr. Jean Hudson’s interest in veterinary       “I chose to serve because I know that the        her case, her family, husband, friends, and
                                                                                                                                                medicine started in her elementary school      decisions we make as a board will help           co-workers, for whom she is very thankful.
                                                                                                                                                years, but it was at Michigan State Uni-       advance veterinary medicine and make             “With kids being out of school this year
                                                                                                                                                versity (MSU) where a staff member and         a positive impact on the lives of those in       and being working parents, my husband,
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                                                                                                                                                Those interactions led her to apply for a      son. “As the Foundation Chair, we have           lars of support to ensure I kept my balance
                                                                                                                                                veterinary assistant position at MSU’s Vet-    many wonderful grant opportunities, but          and sanity. For that and everything else
                                                                                                                                                erinary Medical Center in the Small Ani-       one program I hope more veterinarians            they do, I can’t thank them enough.”
                                                 You care for your patients, we care for your technology.                                       mal Critical Department. There she would       participate in this year, is the Companion
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                                                                                                                                                nician who would welcome Dr. Hudson on         are eligible to receive up to $500 per client    quiet time, try disconnecting as much pos-
                                                                                                                                                to the team. As a result, Dr. Hudson would     and a total of up to $500 per clinic/hospital,   sible, finding healthy hobbies and activi-
                                                                                                                                                find her calling, falling in love with both    per year.”                                       ties that bring you satisfaction.
                                                                                                                                                the animal and people aspect of veterinary
                                                                                                                                                medicine. And two years later, Dr. Hudson      In addition to work and community service        “I started experimenting several years
                                                                           According to LARA & MVMA,
                                                                                                                                                would be accepted to MSU’s College of          activities, Dr. Hudson is a devoted wife,        ago with jewelry making because I want-
                                                                           compounded drugs for in office use and                               Veterinary Medicine (CVM). Fast forward        mother of two small children, and a small        ed to make my staff something special for
                                                                           administration must come from a 503B                                 to present day and Dr. Hudson is now an        business owner. This has been a tumultu-         Christmas,” said Dr. Hudson. “I came to
                                                                           Facility. Epicur is licensed in MI!                                  associate veterinarian at Laingsburg Ani-      ous year for veterinary professionals. So,       find out it was a very therapeutic activity
                                                                                                                                                mal Hospital. Also, she volunteers on two      Dr. Hudson was asked if she could share          for me, and since that time, I’ve honed my
                                                                                                                                                boards, the Michigan Animal Health Foun-       any advice on managing stress, work-life         skills and now make personalized stetho-
                                                                                                                                                dation (MAHF) and the Michigan Board of        balance, and well-being.                         scope ID tags and other jewelry pieces for
                                                                                                                                                Veterinary Medicine (MBVM).                                                                     my online Etsy store.”
                                                                                                                                                                                               “I learned early on that you can’t pour
                                                                                                                                                “I’m so appreciative of those at MSU who       from an empty cup,” she said. “Between           As this year comes to an end, Dr. Hudson

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                                                                                                                                                                                                                                                          can be reached at (517) 651-9777.

12   WINTER 2020                                                                                            MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                               WINTER 2020     13
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
Listen. Teach. Share.
                                                                                                                                                 HOW WILL YOU MOVE FORWARD?
                                                                                                                                                                                                                                           By Julie Cappel, DVM
                                                                               NOVI OFFICE
                                                                               (Monday - Friday)
                                                                                                               We are veterinarians. We talk, we touch, we serve, and we care. 2020 what have you done to us? When this year began, we were excited
                                                                               24360 Novi Road, Suite A
                                                                               Novi, MI 48375                  about a shiny new decade filled with possibility. How did we end up here?
                                                                               248.946.4322
                                                                                                               Practice and life have changed so radically this year that 2021 cannot get here soon enough. As the months of COVID-19 drag on into our
                                                                               ROCHESTER OFFICE                new year, we must attempt to make the best of this unusual situation and vow to learn something positive from it. Learn to communicate
                                                                               (Monday, Tuesday & Thursday)    better, care for our patients better, and protect ourselves in order to continue to thrive in this amazing profession that we all chose to love.
                   Willam A. Brown            Joanne L. DeSana                 265 E. 2nd Street
                   DVM, DACVIM (Cardiology)   DVM, DACVIM (Cardiology)
                                                                               Rochester, MI 48307
                                                                               248.402.4322

                   VETERINARY CARDIOLOGY                                                                       A r e t h e r e l e s s o n s t h at w e c a n c a r r y i n t o 2 0 2 1 ?
                                                                               ANN ARBOR OFFICE

                   CONSULTANTS
                                                                               (Wednesday)
                                                                                                                                            Listen more carefully. Whether you are doing telephone communication with curbside service, telemedicine
                                                                               2150 W. Liberty
                                                                               Ann Arbor, MI 48103                                          appointments, or you have returned to having clients in the exam room, you must practice active listening.
                                                                                                                                            Because we are wearing masks and speaking over the phone, we miss much of the non-verbal communication
                   Committed to healing hearts and improving lives...          248.946.4322
                                                                                                                                            that we previously depended on from clients. Pay attention to the words, but also the tone and cadence of the
                                                                                                                                            conversation. Much can be gleaned from listening carefully and then reflecting with questions to clarify. I find
                                                                                                                                            it helpful to repeat things back to clients in my own words to ensure that we have mutual understanding. If
                                                                 vetcardiologyconsultants.com                                               you are impatient like me it may seem like wasted time, but if you miss something communicated, you will
                                                                                                                                            lose more time in the subsequent conversations that will become necessary to clear up the misunderstanding.

                                                                                                                                            Teach your brain not to judge. It is so easy when clients are not in the room with us to judge their behavior
                                                                                                                                            and decision making. Remember that each individual has their own stressors and motivations. Their primi-
                                                                                                                                            tive brain is responding to world events and they sometimes feel out of control. It will not serve your mental
                                                                                                                                            health to try to control others’ thinking or behavior. Remember that adult humans get to do whatever they
                                                                                                                                            want to do. You can only control you. Judgment will not change a situation, so you might as well let it go
                                                                                                                                            to protect your mental health. If you refrain from judgement you will be more open to understanding your
                                                                                                                                            clients wants and needs. Less judgment allows for more empathy.

                                                                                                                                            Share empathy more freely. Most people that are faced with difficult decisions or situations just want to feel
                                                                                                                                            loved. Covid-19 is a uniquely difficult situation. Clients want things to go back to normal, but nothing about
                                                                                                                                            this is normal. If you open yourself up to caring for the humans, they will allow you to better care for their
                                                                                                                                            pets. Empathy feels like it takes big emotional energy to convey, but caring for others does not mean that you
                                                                                                                                            cannot also care for yourself. You can share empathy for a client’s situation without fixing anything for them.
                                                                                                                                            Saying something like, “I understand that this is difficult, and I feel for you. I am here to help you make your
                                                                                                                                            decision.” This statement allows you to express understanding without changing your recommendations or
                                                                                                                                            hospital rules. If you practice self-care first your capacity for empathy will grow.

                                                                                                                When the world gets difficult, we need to remember that we are
                                                                                                                                                                                             "The past is a place of reference, not a place of
                                                                                                                all working towards the same goals. Increased prosperity, im-
                                                                                                                proved health, and happiness for our team, clients, pets, and our-             residence; the past is a place of learning,
                                                                                                                                                                                                        not a place of living.”
                                                                                                                selves. Vow to enter 2021 with an open mind and an open heart
                                                                                                                and remember that people that own pets and work in this profes-
                                                                                                                sion are unique beautiful individuals. We’ve got this!                                               - Roy T. Bennett

                                                                                                                Julie Cappel, DVM, is the director of Warren Woods Veterinary Hospital and a certified life coach. Dr. Cappel can be reached at jacappeldvm@gmail.
                                                                                                                    com or 586.751.3350. Also, join Dr. Cappel weekly on her podcast,"The Veterinary Life Coach Podcast", available on iTunes and Spotify.

14   WINTER 2020                                                            MVMA | THE MICHIGAN VETERINARIAN   MVMA | THE MICHIGAN VETERINARIAN                                                                                                    WINTER 2020       15
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
MANDATORY CE
                                                                                                                                                                         UNDERSTAND THE REQUIREMENTS
                                                                                                                                                                         The details for mandatory CE for veterinarians are in the LARA Veterinary Medicine Rules. The details for the opioid
                                                                                                                                                                         training are in the Board of Pharmacy Controlled Substances Rules. You can find the rules by going to www.michvma.
                                                                                                                                                                         org/LARAAdminRules. Rules for mandatory CE for veterinary technicians can also be found here. Veterinary technician

     WHAT YOU SHOULD KNOW FOR 2021                                                                                                                                       CE requirements are similar to veterinarian CE requirements though fewer CE hours are required for veterinary techni-
                                                                                                                                                                         cians.

                                                                                                                                                                         Basically, 45 hours of CE are required for veterinarians every three years. Thirty hours must be scientific in nature, one
                                                                                                     By Nancy Frank, DVM, MPH, DACVPM
                                                                                                                                                                         hour must relate to medical records, and one hour must relate to state veterinary law and/or federal or state controlled
                                                                                                                                                                         substance laws. At least 10 hours must be completed live and in-person. LARA has indicated, in a Nov. 16 Clarification
     We now have a full year of experience with mandatory continuing education for license renewal for both veterinarians and veterinary                                 Document1, that during the pandemic emergency, if CE is earned through technology solutions that allow for synchro-
     technicians. About one-third of licensed veterinarians were directly impacted in 2020 and the second group of veterinarians will start                              nously/real-time exchange or interaction with the program instructor and delivery of course materials such as a live webi-
     their cycle in 2021. The most frequently asked questions coming to the MVMA office in recent weeks relate to mandatory CE. Right be-                                nar or virtual session that allows for real-time interaction it will count towards “live” and “in-person”. Up to 15 CE hours
     hind that are questions about required training for renewal of Michigan controlled substance licenses. Here is a summary of what you                                can be earned for activities such as presenting, publishing, and teaching. You cannot earn credit for a session or activity
     need to know for 2021.                                                                                                                                              that is identical or substantially identical to something you already earned credit for at any other time in the three-year
                                                                                                                                                                         renewal period. If you are taking a CE class or performing an activity, and want to count it for CE credit, be sure it is spon-
                                                                CHECK THE DATE YOUR LICENSE(S) EXPIRE.                                                                   sored by an approved organization, association, or institution. All these details are in rules on the site mentioned above.
                                                                If your veterinarian license and controlled substance license expire on Dec.
                                                                31, 2020, the year 2021 will be your first year for taking and tracking man-                             The LARA Michigan Board of Pharmacy required opioids and controlled substance awareness training is a one-time
                                                                datory CE. You need to complete CE and opioid training by the time you                                   training. It takes about three hours to cover all the required material so be ready for a longer session. You may take the
                                                                renew your license(s) three years later. If your veterinarian license, along                             training in different segments at different times. If you do this, though, be sure to have good documentation about topics
                                                                with your Michigan controlled substance license expires on Dec. 31, 2021,                                covered at each session.
                                                                you need to have taken the LARA Michigan Board of Pharmacy required
                                                                opioids and controlled substance awareness training when you renew your                                  DOCUMENT AND TRACK YOUR CE
                                                                controlled substance license (along with your veterinarian license) on Dec.                              Be sure you get documentation of your CE from the sponsoring organization and be sure you keep it in a safe place. If you
                                                                31, 2021. Take CE in 2021 but it will not count for what will be needed the                              are selected for an audit when you renew your license(s), you will need to submit proof of your CE.
                                                                next time you renew your license. If your veterinarian license expires on
                                                                Dec. 31, 2022, the year 2021 will be your second year for taking and track-
                                                                                                                                                                                                                                                For updates on MVMA sponsored CE and Frequently
                                                                ing mandatory CE. Also, you need to have completed the LARA Michigan
                                                                                                                                                                                                                                                Asked Questions about CE, visit the MVMA website.
                                                                Board of Pharmacy required opioids and controlled substance awareness
                                                                       training when you renew your controlled substance license (along
                                                                                   with your veterinarian license) on Dec. 31, 2022.

                                                                                        For those of you whose veterinarian license does
                                                                                        not expire exactly on Dec. 31, count back three
                                                                                        years from your expiration date in 2023 or later
                                                                                        and that will be when you can start tracking class-
                                                                                      es and activities for mandatory CE. The required CE
                                                                                                                                                            MVMA Mandatory CE Poster Guide
                                                                                     must be taken within three years of when you ap-
                                                                                                                                                         Available for download at michvma.org/mandatory-ce
                                                                                     ply for your veterinarian license renewal starting on
                                                                                      Dec. 31, 2022, and for every renewal after that. The
                                                                                      LARA Michigan Board of Pharmacy required opi-
                                                                                       oids and controlled substance awareness training
                                                                                        is a one-time training. Everyone renewing a con-
                                                                                         trolled substance license on or after Dec. 31, 2021,
                                                                                         must have completed the training.

                                                                                       1
                                                                                        https://www.michigan.gov/documents/lara/Clarification_for_               Nancy Frank, DVM, MPH, DACVPM, is MVMA’s Staff Veterinarian, and can be reached at frank@michvma.org or 517.347.4710.
                                                                                       Licensees_708003_7.pdf                                                 Dr. Nancy Frank is a current member of the Board of Veterinary Medicine. Her viewpoints do not necessarily represent the viewpoints of the Board.

16     WINTER 2020                                                                                           MVMA | THE MICHIGAN VETERINARIAN        MVMA | THE MICHIGAN VETERINARIAN                                                                                                            WINTER 2020      17
We've adapted and learned so much. Now we take this knowledge forward with us - VOLUME XIX - Michigan Veterinary Medical ...
4. AVOID PAPERWORK PROBLEMS
                                                                                                                                                                  We get it. Paperwork and filling out forms are probably not your favorite things to do. And the clinic is busy and every minute
                                                                                                                                                                  counts. But incomplete and incorrect submission forms can slow down or hold up testing and we know you and your client

              10 TIPS TO GET THE MOST FROM                                                                                                                        are waiting for those results. Before forms get packaged with the samples, please take another look to make sure no important
                                                                                                                                                                  details are left out. Common mistakes include no (or ambiguous) test requested on submission form, no form included with the
                                                                                                                                                                  submission, demographics not fully filled out (e.g. draw dates and times, patient age, breed, etc.). Did you know that you can

              EVERY LABORATORY SUBMISSION                                                                                                                         request submittal forms pre-printed with your account information free of charge? It’s a small thing, but it can save some time.

                                                                                                    By Dr. James Averill, DVM, PhD                                3. SHIP SAMPLES USING THE RIGHT PACKAGING AND BEST DELIVERY METHOD
                                                                                                                                                                  Improper packaging or shipping can jeopardize submission quality. Tissue samples sometimes arrive severely autolyzed be-
               Starting a new year, many of us want to put our best foot forward and leave the mistakes of the past behind us.                                    cause the icepack in the box is insufficient (or there isn’t an icepack at all!) and/or the samples are shipped in a non-insulated
               We resolve to be better, do things better. While 2020 has been a trying year in so many respects, we have found                                    package. Any samples that are sent with an icepack should be sent overnight. Don’t forget to look at the shipping requirements
               ways to keep doing our work. In the spirit of helping you to make improvements in your veterinary practice in the                                  for the test requested in the online test catalog. Does it need to be frozen prior to shipping? Does it need an icepack and an in-
               new year, the Michigan State University Veterinary Diagnostic Laboratory would like to share our top 10 tips for                                   sulated box? Does it need to get to the lab within a certain amount of time after being collected? If you have trouble finding the
               making every sample submission count.                                                                                                              information on the website, you can always call us, and we are happy to help. Also check the MSU VDL website for important
                                                                                                                                                                  alerts about shipping delays or service interruptions and for information about shipping solutions to make sending samples as
                                                                                                                                                                  economical and easy as possible. Clients can call the Laboratory at 517.353.1683 to order mailers or overnight delivery labels.
               10. SATURDAY DELIVERY IS NOT INCLUDED IN STANDARD OVERNIGHT POSTAGE
               Please note that Saturday delivery is NOT included in standard overnight postage. Packages shipped overnight
                                                                                                                                                                  2. CHOOSE THE RIGHT SAMPLE CONTAINERS
               on Friday will not be delivered to the Lab until the following Monday. Special “Saturday Delivery” postage is
                                                                                                                                                                  Did you know that gloves and whirlpack bags aren’t an appropriate leakproof container for feces? Using the right container for
               required. Call the Laboratory to order a Saturday label if needed.
                                                                                                                                                                  the sample means that samples don’t leak out into the box where they can contaminate other samples, submittal forms, or even
                                                                                                                                                                  worse contaminate the outside of the package. There may also be specific container requirements for the samples you plan to
               9. HAVE A QUESTION, CALL THE LABORATORY
                                                                                                                                                                  send. For example, ear notches for bovine viral diarrhea virus testing must be submitted individually. And samples for culture
               The MSU VDL is just a phone call away at 517.353.1683. Also feel free to check out our website (animalhealth.msu.
                                                                                                                                                                  need to be transported in a way to keep the potential pathogens viable. Those samples need to stay moist—do not submit tubes
               edu). Our test catalog allows you to review detailed test information, including sample type and volume, turn-
                                                                                                                                                                  containing just dry swabs or small tissue punches for culture. Use a bacterial transport swab containing amies media or a sterile
               around time, collection protocol, and other details. Simply click on the test to obtain this additional information.
                                                                                                                                                                  tube containing 500ml of sterile saline (NOT formalin).

               8. DON’T LOSE THE BIOPSY SAMPLE IN A SEA OF FORMALIN
                                                                                                                                                                  1. MORE INFORMATION, PLEASE!
               If you are sending very small samples like GI biopsies, submitting those in tissue cassettes is very helpful. Tiny
                                                                                                                                                                  One part of the submission form is so important that it deserves its own tip—HISTORY. More information about the patient
               samples can get “lost” in the jar. Looking for tissue cassettes? Let us know.
                                                                                                                                                                  gives diagnosticians a clearer clinical picture. This can help us provide a more accurate diagnostic interpretation of results.
                                                                                                                                                                  Complete sample information and history (e.g. recent/current medications, treatments, vaccines, sample site) are important
               7. CLEARLY LABEL ALL SAMPLES
                                                                                                                                                                  for all submissions but are especially important when written interpretations accompany the results (biopsies, cytologies, and
               The Laboratory sometimes receives samples that include multiple tissues in different containers, and nothing is la-
                                                                                                                                                                  endocrinology testing for example) to maximize the diagnostic interpretation. Let us know what you are looking for. We will
               beled. It’s important to clearly label each container with patient identification and specimen type so that each spec-
                                                                                                                                                                  often call if the history/description doesn’t seem to match the tests requested.
               imen is processed appropriately. Labeling is also important if there are many different animals in one submission!
                                                                                                                                                     THE BOTTOM LINE
               6. COLLECT THE CORRECT SAMPLE TYPE & AMOUNT                                                                                           The MSU VDL is here to make your work easier, not
               The MSU VDL sometimes receives the wrong specimen(s) for the test(s) requested. Don’t forget to spin down                             more complicated! Search the website (animalhealth.
               blood samples and separate the serum or plasma prior to shipping samples for endocrine testing. And did you                           msu.edu) and/or test catalog for the information
               know that royal blue top tubes are required for trace nutrient testing? Submission of the wrong type of specimen                      you’re looking for but if you’re ever unsure about
               or an insufficient amount often makes it impossible for the Laboratory to provide the requested testing and assure                    what to submit, how to submit it, what to ask for,
               accurate, timely results. When in doubt, check the test catalog or call the Laboratory. We hate asking clients to                     or how much it’s going to cost so you can bill your
               recollect!                                                                                                                            clients correctly, please call us at 517.353.1683.

               5. ENSURE OPTIMUM SAMPLE QUALITY                                                                                                        Get information on shipping solutions and how
               Sample quality matters. Poor quality samples may impact the Laboratory’s ability to perform the requested testing                1      to package samples for delivery to the Laboratory.
               and/or may affect test results. The MSU VDL sometimes receives hemolyzed serum or plasma samples due to
                                                                                                                                                       Visit the test catalog to access important infor-
               improper handling. Avoid hemolysis by centrifuging and separating serum or plasma prior to shipping, and don’t
                                                                                                                                                2      mation such as sample type, amount, collection,
               forget to store samples appropriately. Again, please call the Laboratory or refer to the test catalog for information
                                                                                                                                                       protocol, shipping information, and other details                                             2
               about collecting and handling samples.
                                                                                                                                                       to ensure that the correct sample is collected and
                                                                                                                                                       shipped appropriately.

                                                                                                                                                           Dr. James Averill, DVM, PhD, is MSU VDL’s Interim Director, and can be reached at averillj@msu.edu or calling 517.353.1683.

18   WINTER 2020                                                                                             MVMA | THE MICHIGAN VETERINARIAN       MVMA | THE MICHIGAN VETERINARIAN                                                                                              WINTER 2020     19
RADIOLOGY IMAGING SOLUTIONS, INC                                                                                                             TO P 5 R E C O M M E N D AT I O N S
                                                                                                                                                  TO KEEP EVERYONE SAFE WHEN ALLOWING CLIENTS BACK IN THE OFFICE
            How much added revenue are you missing out on                                                                                                                                                    By Samuel Florio

                       by NOT having X-Ray?                                                                                                  As the winter months approach Michigan, the safety guidelines pro-
                                                                                                                                             vided by the Michigan Department of Health and Human Services
                                                                                                                                                                                                                       The current COVID-19 related requirements for gatherings, face
                                                                                                                                                                                                                       coverings, health management, and business operations are in the
                                                                                                                                             (MDHHS) and Michigan Occupational Safety and Health Admin-                MDHHS Order of Nov. 18, 2020 and the MIOSHA Emergency Rules

                                           20-30 per                                                    $1,000 - $2,000                      istration (MIOSHA) should be fully reviewed and implemented to
                                                                                                                                             ensure a safe and healthy holiday season for your patients, clients,
                                                                                                                                                                                                                       of Oct. 14, 2020. The MDHHS Order applies especially to gatherings,
                                                                                                                                                                                                                       face coverings, and health management related to gatherings. The

                                                                                                 =
                                                                                                           revenue
                1-2                         month                               $50                         missed
                                                                                                                                             and staff. With the winter weather making curbside service poten-
                                                                                                                                             tially less appealing, consider what needs to be done at your practice
                                                                                                                                                                                                                       MIOSHA Emergency Rules are workplace safety rules and are pre-
                                                                                                                                                                                                                       scriptive for employers. The rules apply to all employers covered by

               X-rays                                                                                        per

                                                                X
                                                                                                                                             based on the guidelines provided to safely allow clients back in your     MIOSHA. These rules are extensive, but generally similar to various
                                                                                per                         month                            clinic or hospital when are ready.                                        Michigan Executive Orders that were previously in place.

              per day                                                          exam                                           Ask us         HERE ARE HIGHLIGHTS AND THE TOP 5 RECOMMENDATIONS TO KEEP EVERYONE SAFE WHEN
                                                                                                                            about our
                                                                                                                                             ALLOWING CLIENTS BACK IN YOUR VETERINARY CLINIC OR VETERINARY HOSPITAL.
                                                                                                                             Trade-in
                           www.radiologyimagingsolutions.com                                                                Trade-up                                                          Support and Focus on staff health. The last thing you want is an outbreak of COVID-19 in
                                                                                                                            program!                                                          or related to your clinic. Owners and employees should be clear about procedures for daily
                                                                                                                                                                SUPPORT AND
                                                                                                                                                                 FOCUS ON                     screening, reporting illness and exposures, wearing a face covering, and maintaining six feet
                   Your Partner in Imaging Since 1987 • Call 1 (800) 747-1777 for details • We are DR!                                                          STAFF HEALTH                  of separation. Everyone should know what to do in the event of exposure or illness. Every-
                          Email: sales@radiologyimagingsolutions.com • Mention Code 0143                                                                                                      one should practice good biosecurity and support others in doing the same.

                                                                                                                                                              WAITING ROOM                    Do not allow anyone in your waiting room until you are set up and have staff trained to meet
                                                                                                                                                    X         AND CURBSIDE                    all the requirements including screening, distancing, and face coverings. Continuing options
                                                                                                                                                                 SERVICE                      for curbside service and waiting in cars is recommended.

                                                                                                                                                                                              Promote and enforce requirements for face coverings – staff, clients, visitors, sales reps, con-

                                                                                                                                                               PROMOTE AND
                                                                                                                                                                                              tractors, and others. With few exceptions, the MDHHS Order requires businesses to man-
                                                                                                                                                               ENFORCE FACE                   date face coverings for all individuals (including employees). Both the MDHHS Order and
                                                                                                                                                                COVERINGS                     the MIOSHA rules require face coverings when employees are in the same space such as an
                                                                                                                                                                                              in-person meeting, conference room or hallway, even with six feet separation.

                                                                                                                                                                                              Have an updated preparedness and response plan and someone monitoring compliance.

                               MVC DATE CHANGE
                                                                                                                                                              PREPAREDNESS                    Posting signs, setting up screening for clients, preparing your waiting room, plus everything
                                                                                                                                                              AND RESPONSE
                                                                                                                                                                  PLAN                        already needed for staff, is a substantial amount of work. This is all required by MIOSHA.
                                                                                                                                                                                              MIOSHA also requires someone to monitor performance and compliance with the plan.

                                                                                                                                                                                              Check your local health department website for more information. Your local health depart-
                                                                                                                                                                                              ment is key in taking reports of suspect and confirmed COVID-19 cases. They also follow up
                                                                                                                                                               LOCAL HEALTH                   on cases and determine return to work parameters. Your local health department may have
                                                                                                                                                                DEPARTMENT
                                                                                                                                                                                              additional requirements besides the MDHHS Order and the MIOSHA Emergency Rules.
                                                                                                                                                                RESOURCES
                                                                                                                                                                                              Some health departments, such as Kent County, have additional support programs and ed-
             In an effort to keep our attendees, speakers and sponsors safe, MVMA and MSU CVM have made the decision to
                                                                                                                                                                                              ucational materials.
             postpone MVC 2021, originally scheduled for late January, to Dec. 2-5, 2021. Please save these dates on your calendar.
                                                                                                                                                For more information and resources on ways to keep your practice safe, please visit the MVMA at www.michvma.org/Coronavirus.
                                                                                                                                                   Samuel Florio is MVMA’s Director of Communications and Digital Strategy and can be reached at florio@michvma.org or 517.347.4710.

20   WINTER 2020                                                                                          MVMA | THE MICHIGAN VETERINARIAN     MVMA | THE MICHIGAN VETERINARIAN                                                                                                WINTER 2020       21
An animal’s eventual destination will             tion, testing, and more. If a CVI is inaccu-       In order to better support clients and avoid
                                                                                                                             determine whether a CVI is processed              rate, incomplete, or otherwise improperly          unnecessary complications, be sure that
                                                                                                                             through the United States Department of           filled out, a letter of education is sent to the   a CVI is legible, properly addressed (the
                                                                                                                             Agriculture (USDA) or the Michigan De-            issuing veterinarian, which provides guid-         home address of an animal should not
                                                                                                                             partment of Agriculture and Rural Devel-          ance on how to more effectively complete a         be a PO Box), complete, and submitted
                       IF 2021 BECOMES                                                                                       opment (MDARD). All international ani-            health certificate in the future.                  on time—the certificate should be sent to
                                                                                                                             mal movements are handled by the USDA.                                                               MDARD within seven days from the date
                       A YEAR OF TRAVEL,
                                                                                                                             More    information    about   international      However, if a CVI is in need of consider-          it was issued.
                       WILL YOUR CLIENTS                                                                                     CVIs can be found on the USDA’s web-              able improvements (such as the inclusion
                                                                                                                             site   (https://www.aphis.usda.gov/aphis/         of an animal’s official identification or a        Also, each state has its own set of require-
                       (AND THEIR PETS)                                                                                      pet-travel) or by calling 517.337.4700.           more complete disease testing/vaccina-             ments. For instance, states can vary on
                                                                                                                                                                               tion history), a number of actions could           whether a prior entry form is needed, if a
                       BE READY?                                                                                             In contrast, interstate CVIs are assessed         occur such as quarantining the animal at           certain diagnostic test is required, or if they
                                                                                                                             by MDARD’s Animal Industry Division.              its destination or sending the animal back         will accept the APHIS 7001 form. There-
                                                                                                                             These CVIs are individually reviewed to           to its origin location. Also, the USDA may         fore, it is vital to contact the destination
                                                                              By Nora Wineland, DVM, MS, DACVPM
                                                                                                                             ensure each animal moving into or out of          investigate to determine if the issuing vet-       state for their requirements before issuing
                                                                                                                             the state is meeting federal and state reg-       erinarian has violated his/her accreditation       a CVI.
                   After spending the better part of 2020 indoors, travel agencies and booking platforms are predicting      ulations for proper identification, vaccina-      agreement.
                   that 2021 will be “a year of travel” as hopeful vacationers schedule make-up trips and new excur-
                   sions. When more people travel, it is likely that more pets will be traveling with them, leading to an
                                                                                                                                    AN INTERSTATE CVI CAN BE SUBMITTED TO MDARD IN VARIOUS WAYS:
                   increased demand for Certificates of Veterinary Inspection (CVIs).
                                                                                                                                     MAIL: PO Box 30017, Lansing, MI 48909 | EMAIL: CVI@Michigan.gov | FAX: 517-241-1560
                   Whether an animal is traveling by air, ground, or other form of transportation, they should always
                   have a CVI when they cross international boundaries or state lines. This documentation is essential to    When submitting, please avoid duplication by choosing just one method of submission. For example, if a CVI is submitted through email,
                   ensure that animals are meeting important health requirements and to help with disease traceability.      there is no need to mail in an additional copy.
                   While many believe that owners are fully responsible for guaranteeing that their animal is set for
                   travel, that burden should not fall solely on their shoulders. An accredited veterinarian must serve as   Electronic options are also available for interstate CVIs. These services offer electronic creation, submission, and management of these
                   both a guide and a resource for clients as they navigate the process of obtaining a CVI.                  documents, making them easier to process. If there are questions related to electronic CVIs or the import/export of animals, please contact
                                                                                                                             Animal Import/Export Coordinator Colleen Phillipich, LVT, at PhillipichC@Michigan.gov or 517.284.5674.
                   Preventative care and wellness visits are a great time to educate clients on the importance of CVIs
                   and to establish that animals are healthy prior to travel or movement. Working with clients early can     While vacationing in 2021 will certainly look different, the goal of traveling safely and confidently with pets remains the same. In addition
                   improve/raise awareness of the necessity of CVIs and their requirements, which can lead to better         to the guidance provided on the back of the CVI form itself, MDARD has created a tip sheet and other resources, which can be found at
                   planning, increased compliance, and less stress on veterinarians themselves.                              www.michigan.gov/dvmresources, to help ensure these certificates are successfully completed.

                   Also, in these educational conversations, it is important to ask clients how they intend to travel,
                   because airlines can have additional requirements. For example, some airlines might not transport
                   brachycephalic pets, and others might not accept digital signatures on
                   electronic certificates. Asking this key question will help ensure clients
                   are fully prepared to begin their trip.

                                                                                                                                Nora Wineland, DVM, MS, DACVPM is the State Veterinarian and the Michigan Department of Agriculture and Rural Development’s Animal
                                                                                                                                Industry Division Director and can be reached at WinelandN@Michigan.gov or 517.284.5689.

22   WINTER 2020                                                                       MVMA | THE MICHIGAN VETERINARIAN       MVMA | THE MICHIGAN VETERINARIAN                                                                                                   WINTER 2020        23
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