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Breed-specific wellness care
How to design a program around a patient's risks, history


DVM360 MAGAZINE


Research can pay off


Dr. Nan Boss
Dr. Nan Boss, a well-known veterinary author and owner of Best Friends Veterinary Center in Grafton, Wis., introduced breed-specific wellness care to her clients in 2007. She saw breed-specific wellness as a natural progression in her practice's pet-wellness services, which she tries to update and improve each year. Today, her practice sees many patients that benefit from this new approach.

For example, a client's Boxer recently received an ECG as part of his breed-specific wellness exam. The ECG showed PVCs, an early warning sign for cardiomyopathy. Boss was able to share this information with the clients and recommend ways to monitor and help the pet.

Boss says being able to find problems at an early stage has resulted in some rewarding surprises. Recently a client brought in a Goldie-Poo (Golden Retriever-Poodle mix) for a spay. One of the dog's parents was a miniature Poodle instead of a Standard Poodle, so she wasn't overly big, but the hospital's protocols called for a hip screen along with the surgery. The owners agreed to have it done. The X-rays revealed hip dysplasia in the small dog. Boss was able to start her patient on glucosamine right away, rather than wait until she was older or had developed noticeable symptoms.

The hardest part of introducing breed-specific wellness was finding the time to research it, Boss says. To research breed risks took four or five months. After that, she had to determine the recommendations to offer clients for their pets. Finally, she had to decide on breed-wellness protocols, develop client handouts to support the new program and educate her staff. Talking to clients about it was the easy part, Boss says.

By the time she launched the program, everyone in the practice had become a believer in breed-specific wellness and felt confident talking to clients about it. Boss says she never had to promote the program formally. Her team just made a point of talking to clients about it in the exam room. Her clients instantly "get it" and seem to appreciate the fine-tuned, customized care it affords their pets.

Designer dog food sparks a breed-specific wellness venture


Shannon Pigott, CVPM, AAC
Shannon Pigott, CVPM, AAC, a hospital owner and former AAHA accreditation consultant, first started thinking about breed-specific medicine in 2005, when the dog genome map was completed. She saw how pet food companies jumped on the idea of "designer dog food" for breeds and how quickly the demand for genetic breed testing grew. Pigott felt pet owners were ready to embrace breed-specific wellness plans. In 2009 she asked Boss to serve as a consultant on breed-specific materials for her new venture, Genesis Breed-Specific Health Care. Together, they developed training modules for veterinarians and their staffs and breed-specific client handouts to help veterinarians jump start their own breed-specific wellness programs and harness the opportunity.


Dr. Jeff Bloomberg
Other veterinarians, such as practice owner Dr. Jeff Bloomberg, Schaumburg, Ill., also caught the bug early and have forged ahead. Bloomberg says he incorporated breed-specific wellness into his practice several years ago after hearing Cloud give a talk on the topic at a veterinary meeting.

He first turned to the AKC website to get a list of purebred dogs. He reviewed the information that the AKC had published on 140 dog breeds to learn what they were telling pet owners to look for in the different breeds. Next, he ran an online search and discovered the Cambridge University Inherited Diseases of Dogs database. He said he used the AKC list and the information he identified in the Cambridge database to create handouts on each of the AKC breeds in the list. His plan was to use the materials as discussion aids with purebred dog owners and with owners of mixed-breeds who had genetic testing information about their pets or knew their origins.

When Bloomberg finished his handouts, he bought his first veterinary hospital, about two years ago. He was reluctant to introduce breed-specific wellness care to his new clients until he knew them better. Now that he knows them, he has decided to focus on new puppy owners and explain the benefits of breed-specific wellness care to them as part of his puppy program. He says that new puppy owners are open to new ideas and interested in learning everything they can to ensure the health of their new puppies. Starting with puppies helps set the stage for a lifetime of care and is a manageable way for a practice to introduce the concept of breed-specific wellness to pet owners.

These practitioners are a few of the early pioneers in breed-specific medicine. They were driven by the desire to practice good medicine and offer new services that would both make sense to their clients and be financially viable for their practices. Along the way, they have discovered that breed-specific medicine can meet the market with medical satisfaction and financial success.

Today, purebred dogs are common and genetic testing for mixed-breeds is readily available. Researchers estimate that as many as 40 percent of dogs are affected by genetically predisposed conditions. Technology and new laboratory tests offer practical means of early detection. Breed-specific medicine may be just the new, better and different approach that brings your clients back to the office.

Karyn Gavzer, MBA, CVPM, is a veterinary business consultant and nationally known writer and speaker.She says her job is to help practices "go and grow" with training, marketing and new ideas. She is a Certified Veterinary Practice Manager, an adjunct instructor for AAHA, and a founding member of VetPartners (formerly the Association of Veterinary Practice Management Consultants and Advisors).

For a complete list of articles by Dr. Gavzer, visit http://dvm360.com/gavzer.


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Source: DVM360 MAGAZINE,
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