Veterinary Medicine

Misty Eyes Animal Center's administration building in front and to the right and its Kitty City cat shelter to the rear and left.

Celebrating Misty Eyes Animal Center’s Kitty City

Community Service, Pet Adoption, Veterinary Medicine / Dr. Brady

Exterior, Misty Eyes Animal Center's Kitty City shelter for cats — *Exterior, Misty Eyes Animal Center’s recently-completed Kitty City shelter for cats*

This year, in observance of Shelter Appreciation Week, we celebrate the upcoming opening of Misty Eyes Animal Center’s brand new cat shelter—Kitty City—and Brownsburg Animal Clinic’s longstanding relationship with Misty Eyes in their work as a rescue organization.

Misty Eyes was founded in October 2011 by Cherie Fox and Renee Harlor as a not-for-profit, all-volunteer, foster-based animal rescue operation. At the time, Cherie Fox was a client of Brownsburg Animal Clinic.

As the new rescue organization took shape, clinic owner Timea Brady, DVM, and one of her associates then, Matt Cantrell, DVM, took special interest in the new “rescue mission” their client was creating.

“Dr. Brady was my personal pets’ veterinarian well before I founded Misty Eyes,” Fox recalled. “I already just loved and respected Dr. Brady and her staff.

“We started Misty Eyes out pretty slow as we needed to build our foster base and raise the funds to actually take care of the animals that would come to us. However we did pick up much quicker than even I anticipated after Dr. Cantrell joined our Board of Directors and helped facilitate our relations with the county-run animal shelter.”

Previously, the Hendricks County Animal Shelter had not allowed rescue organizations to come in and pull animals from the shelter to place in foster care and offer for adoption through rescue channels.

“After Dr. Cantrell helped us gain access—once we were in at the shelter—things really started moving,” said Fox. “And the support from the community was huge.”

From the outset, Dr. Brady offered Misty Eyes the clinic’s veterinary services for the dogs and cats in foster care at discounted rates—a community service Brownsburg Animal Clinic continues to this day. The clinic has also sponsored booths at Misty Eyes fund-raising events.

These days, Misty Eyes has about 200 animals in its network of approved foster homes requiring about 5% of the clinic’s services.

“Sometimes it can be a challenge balancing the needs of our Misty Eyes patients with those of our pet-owning clients,” said Dr. Brady. “We usually see them as drop-offs to fit in between scheduled appointments or work up over lunch. Most of the Misty Eyes medical cases are pretty complex, and it can make for long, tiring days trying to figure them out.

“A lot of the cases they bring to us are senior pets that maybe haven’t had the best care during their lifetimes,” Dr. Brady continued. “It’s rewarding to be able to help them overcome their issues, like skin problems and dental diseases, and work with Misty Eyes to give them a second lease on life in new forever homes.”

Dr. Brady recalled treating a rescued dog from Misty Eyes whose owner deliberately tied her to his bumper and dragged her down the road. “She had terrible road rash, but her fosters were great. We did tons of bandage changes and warm water therapy and she did overcome her injuries. Despite the obvious trauma, she never stopped trusting us and was such a gentle soul.

“Another especially memorable patient came to us as a skin-and-bones case with parasites and some fractured vertebrae in his back. With some pain meds, deworming and good care, he was adopted and became a happy, normal dog.

“It’s so rewarding to play a role in rescuing these animals.”

“Dr. Brady and her staff have been a part of the Misty Eyes journey from the very beginning,” said Fox. “Without her, we would not have been capable of saving as many lives as we have saved.

“The veterinarians and staff who work for her have all joined the efforts to go above and beyond for the animals that have come to us with medical needs. They don’t hesitate to take on some of our most challenging medical cases.

“Some have even taken our special needs pets into their own homes to monitor and care for them until their conditions stabilized. That level of support has allowed us to double our efforts to take in homeless pets with severe medical needs.”

To show their appreciation for Brownsburg Animal Clinic’s continuing support, Misty Eyes recognizes the clinic as a sponsor of all signature special events. Most recently, they dedicated a suite in their newly-constructed cat shelter to Brownsburg Animal Clinic.

The Challenges of Shelter Medicine

Veterinarians in private practice have always served homeless animals in shelters and foster care. It is only within the past decade that shelter medicine has been formally recognized within veterinary medicine as a defined area of specialized teaching, research and practice.

In 2014, the American Veterinary Medical Association formally recognized shelter medicine as a veterinary specialty, acknowledging that veterinarians who work with or for shelters need special knowledge and skills to care for sheltered pets.

“We don’t consider ourselves shelter medicine specialists,” said Dr. Brady, “but in working with Misty Eyes over the years, we’ve broadened our knowledge of general medicine and surgery to include herd health,” said Dr. Brady. “That means an even greater emphasis on areas like epidemiology, preventive medicine and infectious disease control.”

Among the challenges veterinarians face in caring for patients from shelters and rescue organizations, sheltered and rescued animals often have no available medical records or known health histories.

They may have been neglected or abused, and because of their exposure to many other animals—especially in closed, communal settings—may be at much higher risk for infectious diseases than family pets.

Many sheltered and rescued animals have been abandoned or surrendered for adoption because of behavior problems, so veterinarians working with shelters and rescue organizations are called on to offer extra expertise in behavior modification aimed at resolving issues and helping make the animals more likely to succeed in adoptive homes.

Although not as much of a factor among fostered animals, animals living in shelters may also present behavioral issues stemming from the stresses that come with confinement and living with large groups of animals.

‘Client Communications Can Be A Bit Tricky’

In caring for family pets, the Brownsburg Animal Clinic team communicates directly with owners who are the decision-makers in determining the patient’s course of treatment.

With fostered patients from Misty Eyes, the team interacts with with about 70 active foster caregivers who are living with the animals in their homes and bringing them in for treatment as well as designated contacts at Misty Eyes who choose treatment options and authorize payment for veterinary care.

“Communications about rescued animals can be a bit tricky compared with communications with individual pet owner-clients,” said Dr. Brady. “In terms of client communication, we’re called on to do double duty—counseling with the foster caregiver who brings in the patient and who will carry out any home care and also with the Misty Eyes staff who are the decision-makers.

“We rely a lot on our techs to help the fosters understand what’s going on, explain how to care for the animal once they get back home, and answer any medical questions they may have. Meanwhile, our doctors usually email our primary Misty Eyes contact—a longtime volunteer and board VP, Jennifer McCarty—to report on exam and test results and discuss our diagnoses and recommended treatment options.

“We always call Jennifer and get her authorization ahead of time if we believe a relatively expensive test is called for, but we know we can go ahead with routine lab work without needing to clear it first.

“We are fortunate that as a no-kill rescue, Misty Eyes allows us to do testing and treatment other rescues and shelters might not have the funds for. We do try to keep their bottom line in mind, but honestly, we do the same for all our patients.”

Based on her emailed and telephone interactions with clinic veterinarians and technicians and the agreed-upon treatment, McCarty contacts the patients’ foster caregivers to go over findings and next steps.

“If there’s any further questioning or disagreement with the decisions that have been made—and that happens occasionally with some fosters—we depend on Jennifer to resolve those,” Dr. Brady said.

“Ultimately, Misty Eyes owns the animals and is footing the bills, so unless the fosters want to contribute to the medical fund to cover additional services they feel are necessary, they usually end up deferring to Misty Eyes’ judgment and trusting the process that has saved so many animals over so many years.”

How Kitty City Will Impact Veterinary Care

As Kitty City becomes home to as many as 50 cats and kittens at a time, Dr. Brady anticipates a few differences between caring for the sheltered pets and the fostered ones from Misty Eyes.

“We expect working with our fostered patients to go on as usual, but in some ways our patients from Kitty City will be easier to keep track of, with all the caregiving and communication about them coming directly from the Misty Eyes staff.

Interior, Misty Eyes Animal Center's Kitty City shelter for cats — *Interior, Kitty City shelter for cats*

“We will also undoubtedly see greater consistency of care for our Kitty City patients than with patients living in foster homes. While they’re all dedicated, committed animal lovers who’ve gone through a stringent application and training process, some foster caregivers know more about animals and their medical care and are able to communicate with us better than others. Their home environments may vary considerably, too, in terms of exposure to communicable diseases—things like kennel cough, ringworm, intestinal parasites and fleas. In some situations, we may see the fostered animals and the caregiver’s personal pets infecting each other.

“In addition to being very thoughtfully designed to provide as home-like an atmosphere as possible, Kitty City will be a much more consistently controlled environment.”

‘Love, Dedication and Care’

During 2023, Misty Eyes took in 737 homeless animals. With room to accommodate 50 cats in its “stress-free luxury suites,” Kitty City will enable Misty Eyes to save more than 400 cats each year.

In the next building phases on its 3.2-acre property in Avon, Misty Eyes plans to construct Canine Country to shelter dogs, followed by an education and training center and a garden area with walking paths.

“Misty Eyes would not be as big and strong as we are today without the support of Brownsburg Animal Clinic,” said Fox. “The love, dedication and care our pets have received at Brownsburg Animal Clinic have not only given so many pets a second chance at a wonderful life but have put we humans who have to deal with the worst cases of neglect or abuse of these poor animals at ease, knowing they are being treated and cared for by the best team.

“I really can’t sing their praises enough.”

To Find Out More

Visit the Misty Eyes Animal Center website and Facebook page.

See also our post, “Fosters provide the love. Misty Eyes provides the rest.” for much more information about Misty Eyes Animal Center operations and volunteer opportunities.

Celebrating Misty Eyes Animal Center’s Kitty City Read More »

Technician handling test samples with gloved hands

Celebrating National Veterinary Technician Week

General Interest, Veterinary Medicine / Dr. Brady

We invite all our clients to join the Brownsburg Animal Clinic team in celebrating National Veterinary Technician Week October 13 through 19, 2024.

In close collaboration with our veterinarians, veterinary assistants, client/patient service representatives, clinic assistants and office management staff, our registered veterinary technicians (RVTs) play a vital role in the day-to-day operations of the clinic, caring for our patients and helping keep our clients well-informed about their pets.

What Registered Veterinary Technicians Do

Our RVTs’ daily to-do lists most often include—

Taking the pet’s medical history and understanding current health concerns
Giving medicine and vaccines as prescribed by our veterinarians
Teaching clients to give medicine and provide home care for their pets
Taking x-rays
Assisting in surgeries and dental procedures
Collecting samples and performing lab tests
Cleaning and bandaging wounds
Removing stitches
Maintaining patients’ medical records

Our RVTs’ Qualifications

To be qualified as an RVT in Indiana, our team members have successfully—

Completed an American Veterinary Medical Association-accredited two- or four-year program leading to an associate’s or a bachelor’s degree in veterinary technology,
Earned certification from the Indiana Professional Licensing Agency, and
Taken and passed the Veterinary Technician National Exam (VTNE) and a written jurisprudence examination.

The computer-based VTNE presents 150 multiple-choice exam questions plus 20 more questions being tested for future exams. There’s a three-hour time limit on completing the exam.

The questions focus on nine areas:

Anesthesia
Emergency Medicine/Critical Care
Pharmacy and Pharmacology
Pain Management/Analgesia
Dentistry
Laboratory Procedures
Diagnostic Imaging
Animal Care and Nursing
Surgical Nursing

In Indiana, only those who have met these requirements may use the title “registered veterinary technician” or the abbreviation “RVT.”

Once they’ve earned their license, our RVTs must keep current by completing 16 hours of continuing education every two years.

In Appreciation

We appreciate the commitment and dedication shown by our RVTs and thank them for their service to our patients and clients. We are pleased to recognize and honor their contributions to veterinary medicine during this special week.

We encourage you to express your appreciation for our RVTs on our Facebook page or your next visit to the clinic.

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Is ‘Gold Standard’ Care Always the Best Option?

Pet Care Costs, Veterinary Medicine / Dr. Brady

It Depends.

Every day, in exam room conversations with clients, our veterinarians describe what we consider to be the “gold standard” of care as it relates to the patient’s situation.

To us, gold standard care represents the most advanced care our profession currently has to offer. It’s a standard constantly evolving in our medical journals and the continuing education seminars we attend to keep up with the latest, greatest advancements in veterinary medicine.

We accept gold standard diagnostic and treatment protocols as objectively ideal. When a client chooses gold standard care for one of our patients, our work on the leading edge of medical practice tends to be especially satisfying.

Does that mean gold standard care is always the best option for all clients and patients?

Actually, it depends.

The Original Gold Standard

Originally, “the gold standard” referred to a monetary system linking the value of a country’s currency directly to gold. The gold standard is no longer used by any government, but the notion of a gold standard as an ideal lives on in many settings where there are options to be considered and choices to be made.

As veterinarians, we are medically and ethically obligated to offer gold standard care as something of an ultimate option to all our clients—often as the first option we present.

We would be remiss in our duties if we didn’t.

There are times when the client stops us right there, hearing only “gold standard” and insisting they want nothing but the best available exams, tests, procedures and treatments for their pet.

More often, after defining the gold standard, we talk about other diagnostic and treatment options as well, aiming to help our clients sort through sometimes difficult choices and ultimately discern the wisest, most loving way forward for themselves and their pets.

We understand for any given client and patient, the best choice may or may not be our profession’s currently agreed-upon gold standard.

Quality of Care Considerations

Calling any one diagnostic and treatment plan “the gold standard” seems to imply that other approaches are somehow substandard.

That is not necessarily the case. For many clients, for many reasons, gold standard care is simply not an option, or not the best option.

At Brownsburg Animal Clinic, in addition to the gold standard, we offer multiple levels of care to make our services accessible to as many of our clients and patients as possible.

As long as the alternative diagnostic and treatment approaches are evidence-based good medicine and we agree our services will benefit the client and patient, we want to offer them.

Cost Considerations

We know “gold standard” sounds expensive. Often it is.

Advancements in veterinary medicine over the past decade or two have made previously unimaginable diagnostic and treatment options available now.

These advancements have come at a price. Leading edge medicine often requires substantial investments in research and development and in technologically advanced new equipment. The very latest tests, drugs and procedures are almost always more costly than more traditional approaches.

We understand for most of our clients, cost is an important consideration in choosing the most appropriate care option. We are happy to explore lower-cost alternatives to gold standard care. Just speak up and let us know your concerns.

Your Pet’s Temperament and Quality of Life

Some pets love trips to the vet. They tolerate all sorts of processes and procedures well, apparently taking surgeries, therapies and even prolonged hospitalizations in stride.

For others, the stresses of testing and treatment can be traumatizing.

If your pet is the anxious, fearful type, the best care option for you may well be the least disruptive and invasive one.

For any pet, the discomfort that comes with some forms of treatment, such as surgery, radiation and chemotherapy, must be weighed against quality of life.

Regardless of cost or a possible increase in your pet’s length of life, you may decide you simply don’t want to put your pet through a full treatment protocol, opting instead for plenty of treats and palliative care.

Your Capacity to Provide Home Care

Veterinary care often requires at least some degree of cooperation with the pet owner in the form of supportive home care. But depending on your family and work responsibilities and any physical limitations you may have, care options requiring extensive home care may not be a viable choice for you and your pet.

If you don’t have the time or the ability to administer medicines and participate in rehabilitation, you may opt for a care plan that fits best with your capacity to provide home care.

Your Pet’s Age and General Health

We can never be certain as to how well a particular pet will respond to a given course of treatment. We do know in general, the pets we expect to experience the best long-term outcomes tend to be younger and, apart from the condition being treated, in better overall health.

In choosing a care option, your pet’s age, normal life expectancy and general health are all factors to consider. For a pet already nearing the end of its natural life, the more complex and radical approaches—promising as they may be—are probably not the most appropriate for your pet, who if given the choice, would likely prefer to live out the rest of his or her life in comfort and peace.

The Choice Is Yours

At Brownsburg Animal Clinic, we see every case—every pet, every owner and every situation—as one-of-a-kind. Just because the most advanced, cutting-edge diagnostic or treatment option is available doesn’t mean it’s the right option for you and your pet.

In our exam rooms, you can count on our veterinarians to present you with a range of available care options, of which our profession’s current agreed-upon gold standard is only one. Once we’ve presented the possibilities, it’s up to you to decide the best choice for you and your pet—our patient.

We encourage you to ask questions and let us know your concerns—financial, physical, emotional and otherwise—so that together, we can come up with a workable, guilt-free plan that best suits you and your pet.

Whatever care option you choose, we consider it our moral and ethical duty to respect your decision and practice the best possible medicine we can to improve your pet’s comfort and quality of life for the rest of its life with the resources at our disposal.

Is ‘Gold Standard’ Care Always the Best Option? Read More »

Calling Dr. Google

General Interest, Veterinary Medicine / Dr. Brady

Within the medical community, doctors and staff sometimes refer disparagingly to “Dr. Google” and the clients who search the Internet for medical information.

67% of pet owners bring Internet research on their phone or web page print-outs.

At Brownsburg Animal Clinic, we choose a more enlightened view of our Internet-based colleague. We appreciate it when our clients take the initiative and try to learn more about their pets’ health so they can ask better questions and make better-informed decisions.

To get the greatest benefit out of online resources as a complement to the medical advice you receive from our veterinarians and staff, we suggest you stick to mainstream veterinary medical sites. In our experience, sites maintained by professional societies and colleges of veterinary medicine offer more reliable information than sites maintained by individual veterinarians.

Here, in no particular order, are some of our favorite online sources:

The American Heartworm Society’s web site has a pet owner resources section that is ideal for learning the basics about heartworm disease and its treatment and prevention.

The Companion Animal Parasite Council (CAPC) maintains an informative web site with guidelines for controlling internal and external parasites that threaten the health of pets and people. There are sections for dog owners and cat owners and one containing articles of interest to families. Clickable maps show the prevalence of various kinds of parasites in the United States. Click on Indiana and see a county-by-county breakdown. The Resources tab reveals a list of brochures and articles.

VeterinaryPartner.com has a wealth of reliable veterinary medical information for pet owners. While the site design is busy and dated, the search function makes it easy to find articles about specific topics.

The Cornell Feline Health Center web site, published by the Cornell University College of Veterinary Medicine, focuses on all major aspects of caring for cats.

Cornell’s Canine Health Center web site offers similar resources to help care for dogs.

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Emergency and Specialty Referrals

Cats, Dogs, Veterinary Medicine / Dr. Brady

Have you ever brought your pet here or to some other general veterinary practice and been referred to a specialist or advised to head over to the local emergency clinic?

There was a time, 30 or 40 years ago, when small animal general practitioners did, or at least tried to do, everything. We still do a lot. Most of us do some dentistry and many are comfortable and capable handling some orthopedic procedures.

But with the recent advances in veterinary medicine, specialization has flourished. The American Veterinary Medical Association currently recognizes 22 veterinary specialty organizations. These range from veterinary dermatology to surgery to ophthalmology to dentistry to critical care.

If you bring your pet in, and one of our doctors refers you to a specialist, or an emergency clinic or a 24-hour veterinary care facility, chances are it’s because we believe your pet would benefit from specialized and/or round-the-clock care.

So, you ask, what do we “regular vets” learn in vet school then?

We learn a little bit of everything! In many areas of veterinary medicine, we actually learn a lot, and we keep on learning through continuing education. Our veterinarians are all very knowledgeable and comfortable diagnosing and treating many common ailments. But from time to time, we recommend a specialist as the best person to diagnose and treat rare, complicated, chronic or severe cases.

For example, if your pet has been hit by a car and has multiple fractures, like most regular clinics, we do not have bone plating materials that may be indicated for the types of injury your pet has. So we send you to an orthopedist who has what’s needed to care for your pet.

Or if your pet has severe allergies, and we’ve tried dozens of diets and medications, and your pet is still itchy, we may send you to a dermatologist for allergy testing.

If you come in at 5:45 p.m. and the clinic closes at 6:00, and your pet has been vomiting non-stop for 24 hours, we may send you to an ER as they offer 24-hour care plus a critical care specialist who can take the time and apply the specialized expertise to be sure your pet has the best possible chance of recovery.

So if you come to the clinic and one of our doctors recommends a specialist or sends you to the ER, rest assured it is because in our best judgment, we believe your pet will experience the best outcomes being cared for by someone with more experience and more sophisticated, specialized equipment for diagnosing and treating the particular illness or condition. And that means your pet has the best chances of healing in the shortest amount of time.

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IVMA Response to Indy Star Series

Veterinary Medicine / Dr. Brady

The Indy Star’s “Pets at Risk” series raised a number of important issues that affect all our clients in their relationships with their pets. At the same time, the articles also suggest that some veterinarians are unduly influenced by our desires for financial gain at the expense of our patients’ health and our clients’ wellbeing.

I encourage you to read the response of the Indiana Veterinary Medical Association to the series.

If you have questions or concerns about the articles, or any aspect of your pet’s health and our recommended treatment and preventive measures, please talk to me or one of the other doctors at the clinic.

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