Veterinary medicine is becoming more specialized with every decade. In human medicine, a physician is required to know only
one species, one body system or one surgical condition. In veterinary medicine, we are required to cover many body systems
and conditions in our patients—which may include a variety of species.
The mixed-animal practitioner is required to know an overwhelming breadth and depth of information. Even veterinarians at
a general practice limited to small animals must have a solid knowledge base in the areas of preventive medicine, internal
medicine, dermatology, dentistry, nutrition, behavior, trauma and more.
Because it's impossible for veterinarians to be experts in all things, most tend to pick a few strengths to focus on and market
themselves to target these niches. But clients may demand services that many general practices don't perform due to a lack
of equipment or training or comfort with the potential complications of a given procedure. For example, a general practitioner
might not feel comfortable dealing with a Labrador retriever with a cranial cruciate ligament tear that requires a tibial
plateau leveling osteotomy, a beagle with bilateral perineal hernias or a cocker spaniel in need of a total ear canal ablation.
What are the options?
When faced with these types of challenging cases, discussions ensue with clients to educate them and weigh the possibilities
for their pet's treatment. The option of introducing a board-certified surgical specialist for these advanced procedures is
weighed. But pet owners may have busy work schedules or other circumstances that preclude them from driving to a board-certified
surgical specialist. When a client needs a specialized surgical procedure for his or her pet, but is unwilling or unable to
travel to a referral institution, what can be offered?
Depending upon one's location, it may no longer be necessary to decline treatment or call in a veterinarian with credentials
that cannot be confirmed are "specialized." Now one can offer top-level care in the comfort and convenience of a general practice
with a traveling, board-certified specialist.
With this option, the hospital remains involved in every aspect of the patient's care—from laboratory work and anesthesia
to postoperative care and recheck exams. The pet owner is able to leave his or her four-legged friend in the hands of its
long-standing care advocate. This team approach is a winning recipe for the patient's low-stress experience, the owner's familiarity
with how the practice works and the hospital's continued management of the case.
Meet the specialists
Nelson Priddy II, DVM, DACVS
Priddy is based in Anchorage, Alaska, where he spends most of his time serving the small animal practices in that region.
Alaska is a large state and some of the larger communities, such as Juneau and Ketchikan, are not on the road system. Other
locations, such as Fairbanks and the Kenai Peninsula, are many hours away by car but only a short time by air. As such, he
flies commercially to those locations.
Dr. Nelson Priddy is a frequent flyer to clinics in Alaska to perform specialized procedures. (PHOTOS COURTESY OF DR. JENNIFER
Priddy supplies all of the surgical instrumentation, implants, gowns and drapes and generally brings his own technician to
assist. The host hospital provides the facility, anesthesia, hospitalization, radiology and dispensable medications. This
has proven to be a wonderful service for those pets that cannot be shipped to a referral center or for those pet owners who
are unable or unwilling to travel.
Joe Bojrab, DVM, DACVS
Bojrab has had a mobile surgery practice in Las Vegas for the past 27 years. He was a professor and head of small animal surgery
at the University of Missouri College of Veterinary Medicine for 14 years and an editor of nine textbooks on small animal
Dr. Joe Bojrab prepares to perform a total ear canal ablation for chronic otitis in a dog.
He travels with all of his equipment. For the practitioner, it's like having a board-certified surgeon on his or her staff.
He can be there in minutes and talk to the client or help with a surgery in progress. He can also give host veterinarians
continuing education hours for the time they assist him.
Chris Hill, VMD, DACVS-SA
Hill completed veterinary school and his residency training at the University of Pennsylvania School of Veterinary Medicine.
Since 2001, Hill has run a concierge surgical practice based in Charleston, S.C., and is also a research fellow in the orthopedics
department of the Medical University of South Carolina.
Dr. Chris Hill performs a cranial cruciate ligament repair in a dog.
He enjoys all aspects of orthopedic and soft tissue surgery and is always willing to help veterinarians become more comfortable
with various procedures or learn new ones.