Friends Newsletter Spring 2017

This newsletter has a focus on the Neurology team and the service we offer. Although Neurology is one of the busiest services at Fitzpatrick Referrals, Dr Jeremy Rose joined the team in December 2016 and we can now typically offer routine appointments within a week. It’s amazing that the team has grown fivefold since I started at our world-class facility in 2013. TOTHE SPRING EDITION OF THE FRIENDS NEWSLETTER!

Dr Clare Rusbridge with patient Pappy

We accept both surgical and medical neurological cases. The most common surgery is as expected intervertebral disc disease in small breed dogs but we also have expertise in the unusual and difficult. The rise in popularity of the Pug and French Bulldog has been mirrored unfortunately by a rise in spinal conditions associated with vertebral malformations to which these screw-

The beauty of specialising in veterinary neurology is that one can deal with both surgery and medicine including epilepsy, which is the most common chronic neurological condition in dogs and cats, is our most common medical referral. No-one canunderestimatehowterrifying andupsetting it canbe towitness your beloved pet in the throes of a seizure and at Fitzpatrick Referrals part of our role is

tailed breeds are predisposed. Dr Colin Driver in particular has worked on finding the best surgical solution for these complex problems. Some of these conditions, for example arachnoid diverticulum and caudal facet hypoplasia, are easy to miss particularly with low field MRI and we consider ourselves very fortunate to have a state- of-the-art high field MRI machine and software in addition to a Toshiba 160 slice Aquilion Prime CT scanner. Dr Anna Tauro, who finished her 3 year residency training in January, has been instrumental in developing imaging protocols for these dogs that present with a chronic myelopathy. Dr Jeremy Rose is passionate about surgery, especially implanted spinal procedures and brain surgery.

to support the client through this traumatic experience and the realisation that their animal friend in all likelihood has a lifelong condition that will require long term medication. There are two types of epilepsy referral. The first is with a view to obtaining a diagnosis and, if necessary, initiating treatment. We are proud at Fitzpatrick Referrals to have developed the MRI epilepsy protocol recommended by the International Veterinary Epilepsy Task force. The more common referral however is for the challenging epileptic case that continues to have repeated seizures despite medication. We also welcome referrals for other paroxysmal neurological syndromes, cranial nerve and balance disorders, neuromuscular disease and suspected brain complaints. We are however part of a larger team and what makes Fitzpatrick Referrals really special is our nursing, pharmacy, diagnostic imaging, physiotherapy and hydrotherapy

teams. Our dependence on the radiographer to produce such amazing images is understandable but we also rely heavily on the rehabilitation department to ensure our patients have a speedier and complete recovery with less discomfort. A physiotherapist attends our morning rounds so that we can discuss a patient’s progress in detail and typically clients have

He is also very skilled at electrophysiology, a tool which is used to diagnose neuromuscular disorders. I am fervent about disorders of cerebrospinal fluid especially syringomyelia and neuropathic pain, itch and mutilation syndromes. Dr Ricardo Fernandes is our junior resident and is interested in imaging and management of vertebral malformation especially segmentation problems. Finally, Professor Noel Fitzpatrick has invented and deployed the most advanced spinal fusion and disc replacement implants available in the world today. These are unique to Fitzpatrick Referrals and along with 3D printing of custom implants, set us apart as a global leader in complex spinal surgery.

dischargeandpost-operativeappointmentswiththeirdedicated physiotherapist as well as the neurologist. For us, there is nothing more rewarding than watching the animal that no-one thought would ambulate again walk out that door with their family.

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