Creative Corner

Submitted by Jacalyn Adams, University of Florida

"Plant Drawing"

Photography

Submitted by Olivia Obringer, Michigan State University

"A Forgotten Creature"

Op-Ed: Nail Trims

Submitted by Shannon Rudin, University of Minnesota

We've all been there. You get a dog with jet black nails, it won't hold still, your next appointment is waiting, and you accidently cut the quick of the dog's nail. The bleeding starts, you feel a punch of guilt, and you quickly lather the nail bed with Kwik-Stop to prevent more bleeding. By doing so, a fearful association with touching feet, visiting the veterinarian and pain has been formed. I'm not here to say that people are intentionally hurting animals or make anyone feel shame for previously nicking one too many nails. I'm saying that we need to make a change moving forward. For our sake, for our patient's sake, and for our client's sake. I think that some people feel the need to get nails as short as possible in order to make the nail trim worth the client's money and allow them to hold off longer from coming in for another appointment. I think that some people are trained to cut them swiftly and have the Kwik-Stop on hand knowing you'll probably knick a few but that it's no big deal. The problem is that this is a big deal. Puppies and kittens aren't born afraid of their nails being trimmed. The fear is built from years of painful memories associated with nail trimmers and a lack of positive associations with their feet being touched. The fear is what leads to clients complaining that they can't even touch their pet's feet. The fear is what leads to stress and physical harm of veterinary staff when attempting to fulfill a client's request. The fear is what leads to overall friendly dogs that need a muzzle and restraint to get a nail trim completed. I know that the nail trimming process may never be perfect. Owners may goof up at home and unintentionally create a fear-based relationship with nail trimming. Groomers may be involved in a dog or cat's life and they too, are humans that make human-like errors and may clip a nail or two too short. Anyone trimming an animal's nails is subject to making a mistake and I know that human error is inevitable. I do have a problem with not at least attempting to change the process. The veterinary profession is moving toward fear-free spaces for all patients and cautious nail trimming is intimately intertwined with this movement. I propose that we emphasize making the nail trimming process a smoother event for everyone involved. It's better to trim the nails to a medium length in a trauma-free process than to try to send home a nail free, yellow-toed, panicked patient. Save yourself and your team the burden of working with aggressive and non-compliant patients by starting the slow, gentle approach early on in their lives. Work with owners to find an appropriate plan for adult patients with pre-established nail related stress, anxiety, or aggression. Nail trimming isn't going anywhere, but like every other process or procedure in our career field, it should continuously evolve to more appropriately serve it's purpose.

Caption Contest

Submitted by Laurel Dhority, Louisiana State University

"Me going to the chiropractor after Year 2 of vet school"

Student Experiences: AVCO 2022

Submitted by Marissa Matthews, Ross University

My name is Marissa Matthews and I’m a clinical year veterinary student about to graduate with the Pink Semester Class of 2023. Veterinary ophthalmology has been an interest on mine since before starting at Ross University School of Veterinary Medicine (RUSVM). I had been eyeing the annual American College of Veterinary Ophthalmologists (ACVO) Conference each year, hoping the dates would fall during a semester break. Unfortunately, this was not the case, but I knew clinical year would be an opportune time to attend the conference in person. With the help of SAVMA’s Professional Development Funds (PDF), I was able to travel to Palm Springs, CA and attend my first ACVO conference.

The General Session included three days of in-depth lectures, research presentations, and networking opportunities. Many of these topics were a little over my head, such as vitreoretinal surgery and endolaser treatment; however, other topics were immensely helpful, like managing feline herpesvirus. Overall, this was a very informative experience, and it allowed me to reconnect with ophthalmologists I’d met over the years. Though the highlight for me was on the last day of the conference.

The General Practitioners’ Practical Ophthalmology Course was an all-day lecture series geared toward primary veterinary care providers. This was the perfect way to end the conference, as it contained valuable diagnostic and therapeutic advice about common ocular conditions. I think any veterinary student would benefit from this course, which can be taken separately from the General Session. While I can’t delve into every lecture, the presentation I would like to highlight contains information that I believe would benefit the RUSVM student body the most.

Dr. Lucien Vallone’s “Smartphone Ophthalmology” presentation demonstrates how to make ophthalmology more accessible by obtaining high quality photos with minimal equipment. These photos can be used to identify small lesions, document response to therapy, and discuss referral options. The techniques described were for non-magnified imaging, magnified imaging, direct fundoscopy, and indirect fundoscopy.

Non-magnified imaging uses a smartphone camera with room lights on, which is ideal for head photos, eyelids, or for demonstrating asymmetry with two views: a front and dorsal (top down) view. When obtained prior to application of proparacaine, the photos can be evaluated for blepharospasm (squinting) and help differentiate between buphthalmos (enlarged eye) and exophthalmos (pushed forward eye of normal size).

Magnified imaging utilizes a $15 EasyMacro lens over a smartphone. The “recipe” is phone + EasyMacro lens + white tape filter over LED flash + room lights off + video mode with continuous flash + anchored hand-phone-patient position. The video can be used to obtain as many screenshots as necessary to document all pathologies, then crop the final images, and the large video file can be deleted. Common mistakes for this method are leaving the room lights on or having the EasyMacro band overlap the flash on the phone. It is important to note that the EasyMacro band is a typical rubber band that can dry out, so it should be kept in its clear plastic pouch when not in use.

Direct fundoscopy utilizes the same “recipe” as above, just without the macro lens. Limitations of this technique are that any lens opacity will impede viewing the fundus, peripheral lesions are difficult to visualize due to the narrow field of view, and shadowing occurs when there is a large distance between the LED flash and camera lens. Indirect fundoscopy overcomes all those limitations by using the direct fundoscopy “recipe” with a condensing lens (20D to 40D). Volk has a Single-Use 20D lens that can be bought in bulk, $170 for a box of 10. I would like to disclose that neither myself nor the presenter have a financial incentive in promoting either of the above-mentioned products.

I’m grateful for the opportunity to attend the ACVO conference and subsequently share some of the knowledge I was imparted with. I would encourage anyone to attend the General Practitioners Course, especially those looking for an ophthalmology refresher. I would also recommend that students utilize programs like SAVMA PDF, to attend an event or conference in their field of interest.