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Pet-Specific Care for the Veterinary Team Pet-Specific Care for the Veterinary Team Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS Global Consultant, Author, and Lecturer Editor-in-Chief, Pet-Specific Care This edition first published 2021 © 2021 John Wiley & Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions. The right of Lowell Ackerman to be identified as the author of this editorial materail has been asserted in accordance with law. Registered Office John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA Editorial Office 111 River Street, Hoboken, NJ 07030, USA For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com. Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats. Limit of Liability/Disclaimer of Warranty The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. Library of Congress Cataloging-in-Publication Data Names: Ackerman, Lowell J., editor. Title: Pet-specific care for the veterinary team / [edited by] Lowell Ackerman. Description: Hoboken, NJ : John Wiley & Sons, Inc., [2021] Identifiers: LCCN 2020023653 (print) | LCCN 2020023654 (ebook) | ISBN 9781119540663 (cloth) | ISBN 9781119540694 (adobe pdf) | ISBN 9781119540700 (epub) Subjects: MESH: Animal Diseases–prevention & control | Animal Diseases–therapy | Pets | Precision Medicine–veterinary | Risk Assessment–methods Classification: LCC SF745 (print) | LCC SF745 (ebook) | NLM SF 745 | DDC 636.089/6–dc23 LC record available at https://lccn.loc.gov/2020023653 LC ebook record available at https://lccn.loc.gov/2020023654 Cover Design: Wiley Cover Images: © VGstockstudio / Shutterstock, © Monty Rakusen / Getty Images, © michaeljung / Shutterstock Set in 9.5/12.5pt STIXTwoText by SPi Global, Pondicherry, India 10 9 8 7 6 5 4 3 2 1 On a personal note, I’d like to dedicate this book to my incredible family – to my wonderful wife, Susan, and to my phenomenal children – Nadia, Rebecca, and David. On a professional note, I’d like to dedicate this edition to my colleagues who participated in this book – to the authors who gave generously of their time and talents to help produce this incredible resource for the veterinary healthcare team. Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS vii Contents Contributors xix Preface xxiii Editor-in-Chief xxv Section 1 Overview 1 1.1 O verview of Pet-Specific Care 3 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­1.2­ Providing­a Lifetime­of Care­ 9 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 1.3 Personalized Care Plans 15 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­1.4­ Opportunities­for Pet-Specific­Care­ 23 Nan Boss, DVM 1.5 Feline-Friendly Care 27 Jane Brunt, DVM ­1.6­ Adapting­to a New­Normal­ 31 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS Section 2 Concepts­and Prospects­ 37 2.1­ Evidence-Based­Veterinary­Medicine­and Personal­Bias­ 39 Brennen McKenzie, MA, MSc, VMD 2.2­ ­The­Role­of Incremental­Care­ 43 David Haworth, DVM, PhD 2.3­ ­Prevalence­and Incidence­ 47 Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon) viii Contents 2.4­ ­Checklists­in Veterinary­Practice­ 51 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 2.5 Virtual Care (Telehealth) 59 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 2.6 Generational Considerations 65 Kurt A. Oster, MS, SPHR, SHRM-SCP 2.7­ ­Risk­Assessment­ 69 Nan Boss, DVM 2.8­ ­Risk­Management­ 75 Tara Harmon, APR 2.9­ ­Anticipated­Costs­of Pet­Care­ 79 Sarah Rumple 2.10­ ­Affordability­of Veterinary­Services­ 83 Patricia Khuly, VMD, MBA 2.11­ ­Discounting­in Veterinary­Practice­ 87 Mark J. McGaunn, CPA/PFS, CFP® 2.12­ ­Blockchain­in Veterinary­Medicine­ 91 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 2.13­ ­Placebo­and Nocebo­ 95 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 2.14­ ­Benefits­of­the­Human–Animal­Bond­ 99 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 2.15­ ­Promoting­the­Human–Animal­Bond­ 103 Sarah Rumple 2.16­ ­Pain­and Pain­Management­ 107 Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP 2.17­ ­Emergency­Preparedness­ 113 Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice) 2.18 Population Control 117 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 2.19 One Health 121 Donna L. Harris, DVM, MBA, MS(Strategic Foresight) 2.20 Cancer Precision Medicine 125 Anna Katogiritis, BSc, DVM and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon) Contents ix Section 3 Hereditary Considerations 129 3.1 G enetic Basics 131 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.2­ ­Modes­of Inheritance­ 137 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­3.3­ The­Genetics­of Disease­ 141 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.4­ ­Predicting­and Eliminating­Disease­Traits­ 147 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.5­ ­Conformation­Extremes­and the Veterinary­Team­ 153 Emma Goodman Milne, BVSc, MRCVS 3.6 G enetic Testing 157 Jerold S. Bell, DVM 3.7­ ­Genetic­Health­Registries­and Research­Organizations­ 163 Anita M. Oberbauer, PhD 3.8 G enetic Counseling 169 Jerold S. Bell, DVM 3.9­ ­Purebreds,­Mixed-Breeds,­and Hybrids­ 175 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.10­ ­Advising­Clients­on Selecting­an Appropriate­Pet­ 179 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.11­ Integrating­Genotypic­and Phenotypic­Testing­ 183 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.12 O rthopedic Screening 189 Jason C. Nicholas, BVETMED (Hons) 3.13 Breed Predisposition 193 Nan Boss, DVM ­3.14­ Breed-Specific­Variants­in Laboratory­Testing­ 199 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 3.15 Breed-Related Anesthetic Considerations 203 Tamara Grubb, DVM, PhD, DACVAA 3.16 Breed-Related Drug Sensitivities 209 Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP x Contents ­3.17­ Breed-Related­Nutritional­Issues­ 213 Kara M. Burns, MS, MEd, LVT, VTS (Nutrition) 3.18 Breed-Related Eye Conditions 217 D. J. Haeussler, Jr., BS, MS, DVM, DACVO 3.19 Mixed-Breed Considerations 223 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS Section 4 Nonhereditary­Considerations­ 227 4.1­ ­Canine­and Feline­Life­Stages­ 229 Sarah Rumple 4.2 G ender-Related Considerations 237 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 4.3­ ­Prevention­and Control­of Infectious­Diseases­ 241 Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM) 4.4­ ­Preventing­Infectious­Diseases­in the Small­Animal­Veterinary­Hospital­ 247 Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM) 4.5­ ­Prevention­and Control­of Parasites­ 253 I. Craig Prior, BVSc, CVJ 4.6­ ­Role­of the Microbiome­ 259 Natalie Stilwell, DVM, MS, PhD 4.7­ ­Embracing­Early­Detection­ 263 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 4.8­ ­Pet-Specific­Relevance­of Reference­Intervals­ 267 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 4.9 P eriodontal Disease 271 Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM 4.10­ ­Environmental­Considerations­ 277 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 4.11­ ­Environmental­Enrichment­ 283 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 4.12­ ­Homeowner­Insurance­Considerations­ 287 Tara Harmon, APR Section 5 Client Service Considerations 291 5.1­ ­Pet-Specific­Customer­Service­ 293 Nan Boss, DVM Contents xi ­5.2­ Meeting­Client­Needs­ 299 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.3­ What­Clients­Expect­from the Veterinary­Team­ 303 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.4­ The­Changing­Nature­of Pet­Owners­ 307 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.5­ Meeting­the Needs­of Pet­Parents­ 311 Amanda L. Donnelly, DVM, MBA 5.6 Adoption Source Options 315 Sarah Rumple 5.7 Preadoption Counseling 319 Kara M. Burns, MS, MEd, LVT, VTS (Nutrition) ­5.8­ The­Biology­of Marketing­ 323 Robert Sanchez ­5.9­ Dealing­with Breeders­ 327 Maria Inês Ferreira, DVM, MTB 5.10 Discussing Pet-Specific Care 331 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.11­ Discussing­Finances­for Pet-Specific­Care­ 337 Brandon Hess, CVPM, CCFP 5.12 Discussing Anesthetic Risk 341 Tamara Grubb, DVM, PhD, DACVAA 5.13­ ­Improving­Client­Engagement­Through­Technology­ 347 Caitlin DeWilde, BS, DVM 5.14 Client Education Materials 353 Peter Alberti, BSBA 5.15­ ­Client­Appointment­Scheduling­ 357 Kurt A. Oster, MS, SPHR, SHRM-SCP ­5.16­ Maintaining­Client­Contact­Between­Appointments­ 361 Robert Sanchez ­5.17­ Ensuring­and Measuring­Client­Satisfaction­ 365 Caitlin DeWilde, BS, DVM 5.18­ ­Lifetime­Support – Pet­Trusts­and Wills­ 371 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS xii Contents Section 6 Pet-Specific Considerations 375 6.1­ ­Normal­Development­Stages­of Dogs­and Cats­ 377 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.2­ ­How­Animals­Learn­ 383 Alicea Howell, LVT, VTS (Behavior), KPA, CTP 6.3­ ­Managing­Life­Changes­with Pets­ 387 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.4­ ­Creating­a Pet-Specific­User’s­Manual­ 391 Peter Weinstein, DVM, MBA 6.5 O pportunities and Challenges of Providing Services for­Low-Income­Clients­ 399 David Haworth, DVM, PhD 6.6 F ear Free® Concepts 403 Marty Becker, DVM 6.7 Cooperative Care 409 Alicea Howell, LVT, VTS (Behavior), KPA, CTP ­6.8­ Managing­Routine­Procedures­to Minimize­Problems­ 413 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.9­ ­Preventing­Behavior­Problems­ 417 Kymberley C. McLeod, DVM 6.10­ ­Behavior­Problems – Advice­ 421 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.11­ ­Treating­Animals­with Behavior­Problems­ 425 Kymberley C. McLeod, DVM 6.12­ ­New­Puppy/Kitten­Considerations­ 429 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 6.13 D elivering Feline-Friendly Care 433 Kim Kendall, BVSc, MANZCVS (Cat Medicine and Animal Behaviour) 6.14­ ­Pain­Prevention,­Management,­and Conditioning­ 439 Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP 6.15­ ­Approaching­Obesity­on a Pet-Specific­Basis­ 445 Ernie Ward, DVM, CVFT (Certified Veterinary Food Therapist) 6.16­ ­Assessing­Blood­Pressure­as an Early­Indicator­of Disease­ 455 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 6.17 Senior Care 459 Heidi B. Lobprise, DVM, DAVDC

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Pet-Specific Care for the Veterinary Team Pet-Specific Care for the Veterinary Team Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS Global Consultant, Author, and Lecturer Editor-in-Chief, Pet-Specific Care This edition first published 2021 © 2021 John Wiley & Sons, Inc. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by law. Advice on how to obtain permission to reuse material from this title is available at http://www.wiley.com/go/permissions. The right of Lowell Ackerman to be identified as the author of this editorial materail has been asserted in accordance with law. Registered Office John Wiley & Sons, Inc., 111 River Street, Hoboken, NJ 07030, USA Editorial Office 111 River Street, Hoboken, NJ 07030, USA For details of our global editorial offices, customer services, and more information about Wiley products visit us at www.wiley.com. Wiley also publishes its books in a variety of electronic formats and by print-on-demand. Some content that appears in standard print versions of this book may not be available in other formats. Limit of Liability/Disclaimer of Warranty The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting scientific method, diagnosis, or treatment by physicians for any particular patient. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. While the publisher and authors have used their best efforts in preparing this work, they make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of merchantability or fitness for a particular purpose. No warranty may be created or extended by sales representatives, written sales materials or promotional statements for this work. The fact that an organization, website, or product is referred to in this work as a citation and/or potential source of further information does not mean that the publisher and authors endorse the information or services the organization, website, or product may provide or recommendations it may make. This work is sold with the understanding that the publisher is not engaged in rendering professional services. The advice and strategies contained herein may not be suitable for your situation. You should consult with a specialist where appropriate. Further, readers should be aware that websites listed in this work may have changed or disappeared between when this work was written and when it is read. Neither the publisher nor authors shall be liable for any loss of profit or any other commercial damages, including but not limited to special, incidental, consequential, or other damages. Library of Congress Cataloging-in-Publication Data Names: Ackerman, Lowell J., editor. Title: Pet-specific care for the veterinary team / [edited by] Lowell Ackerman. Description: Hoboken, NJ : John Wiley & Sons, Inc., [2021] Identifiers: LCCN 2020023653 (print) | LCCN 2020023654 (ebook) | ISBN 9781119540663 (cloth) | ISBN 9781119540694 (adobe pdf) | ISBN 9781119540700 (epub) Subjects: MESH: Animal Diseases–prevention & control | Animal Diseases–therapy | Pets | Precision Medicine–veterinary | Risk Assessment–methods Classification: LCC SF745 (print) | LCC SF745 (ebook) | NLM SF 745 | DDC 636.089/6–dc23 LC record available at https://lccn.loc.gov/2020023653 LC ebook record available at https://lccn.loc.gov/2020023654 Cover Design: Wiley Cover Images: © VGstockstudio / Shutterstock, © Monty Rakusen / Getty Images, © michaeljung / Shutterstock Set in 9.5/12.5pt STIXTwoText by SPi Global, Pondicherry, India 10 9 8 7 6 5 4 3 2 1 On a personal note, I’d like to dedicate this book to my incredible family – to my wonderful wife, Susan, and to my phenomenal children – Nadia, Rebecca, and David. On a professional note, I’d like to dedicate this edition to my colleagues who participated in this book – to the authors who gave generously of their time and talents to help produce this incredible resource for the veterinary healthcare team. Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS vii Contents Contributors xix Preface xxiii Editor-in-Chief xxv Section 1 Overview 1 1.1 O verview of Pet-Specific Care 3 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­1.2­ Providing­a Lifetime­of Care­ 9 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 1.3 Personalized Care Plans 15 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­1.4­ Opportunities­for Pet-Specific­Care­ 23 Nan Boss, DVM 1.5 Feline-Friendly Care 27 Jane Brunt, DVM ­1.6­ Adapting­to a New­Normal­ 31 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS Section 2 Concepts­and Prospects­ 37 2.1­ Evidence-Based­Veterinary­Medicine­and Personal­Bias­ 39 Brennen McKenzie, MA, MSc, VMD 2.2­ ­The­Role­of Incremental­Care­ 43 David Haworth, DVM, PhD 2.3­ ­Prevalence­and Incidence­ 47 Samuel Stewart, DVM, DACVECC and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon) viii Contents 2.4­ ­Checklists­in Veterinary­Practice­ 51 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 2.5 Virtual Care (Telehealth) 59 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 2.6 Generational Considerations 65 Kurt A. Oster, MS, SPHR, SHRM-SCP 2.7­ ­Risk­Assessment­ 69 Nan Boss, DVM 2.8­ ­Risk­Management­ 75 Tara Harmon, APR 2.9­ ­Anticipated­Costs­of Pet­Care­ 79 Sarah Rumple 2.10­ ­Affordability­of Veterinary­Services­ 83 Patricia Khuly, VMD, MBA 2.11­ ­Discounting­in Veterinary­Practice­ 87 Mark J. McGaunn, CPA/PFS, CFP® 2.12­ ­Blockchain­in Veterinary­Medicine­ 91 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 2.13­ ­Placebo­and Nocebo­ 95 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 2.14­ ­Benefits­of­the­Human–Animal­Bond­ 99 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 2.15­ ­Promoting­the­Human–Animal­Bond­ 103 Sarah Rumple 2.16­ ­Pain­and Pain­Management­ 107 Mark E. Epstein, DVM, DABVP (Canine/Feline), CVPP 2.17­ ­Emergency­Preparedness­ 113 Lori Massin Teller, DVM, BS (Vet Sci), DABVP (Canine/Feline Practice) 2.18 Population Control 117 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 2.19 One Health 121 Donna L. Harris, DVM, MBA, MS(Strategic Foresight) 2.20 Cancer Precision Medicine 125 Anna Katogiritis, BSc, DVM and Chand Khanna, DVM, PhD, DACVIM (Onc), DACVP (Hon) Contents ix Section 3 Hereditary Considerations 129 3.1 G enetic Basics 131 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.2­ ­Modes­of Inheritance­ 137 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­3.3­ The­Genetics­of Disease­ 141 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.4­ ­Predicting­and Eliminating­Disease­Traits­ 147 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.5­ ­Conformation­Extremes­and the Veterinary­Team­ 153 Emma Goodman Milne, BVSc, MRCVS 3.6 G enetic Testing 157 Jerold S. Bell, DVM 3.7­ ­Genetic­Health­Registries­and Research­Organizations­ 163 Anita M. Oberbauer, PhD 3.8 G enetic Counseling 169 Jerold S. Bell, DVM 3.9­ ­Purebreds,­Mixed-Breeds,­and Hybrids­ 175 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.10­ ­Advising­Clients­on Selecting­an Appropriate­Pet­ 179 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.11­ Integrating­Genotypic­and Phenotypic­Testing­ 183 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 3.12 O rthopedic Screening 189 Jason C. Nicholas, BVETMED (Hons) 3.13 Breed Predisposition 193 Nan Boss, DVM ­3.14­ Breed-Specific­Variants­in Laboratory­Testing­ 199 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 3.15 Breed-Related Anesthetic Considerations 203 Tamara Grubb, DVM, PhD, DACVAA 3.16 Breed-Related Drug Sensitivities 209 Patricia Dowling, DVM, MSc, DACVIM (LAIM), DACVCP x Contents ­3.17­ Breed-Related­Nutritional­Issues­ 213 Kara M. Burns, MS, MEd, LVT, VTS (Nutrition) 3.18 Breed-Related Eye Conditions 217 D. J. Haeussler, Jr., BS, MS, DVM, DACVO 3.19 Mixed-Breed Considerations 223 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS Section 4 Nonhereditary­Considerations­ 227 4.1­ ­Canine­and Feline­Life­Stages­ 229 Sarah Rumple 4.2 G ender-Related Considerations 237 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 4.3­ ­Prevention­and Control­of Infectious­Diseases­ 241 Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM) 4.4­ ­Preventing­Infectious­Diseases­in the Small­Animal­Veterinary­Hospital­ 247 Krystle L. Reagan, DVM, PhD, DACVIM (SAIM) and Jane Sykes, BVSc, PhD, DACVIM (SAIM) 4.5­ ­Prevention­and Control­of Parasites­ 253 I. Craig Prior, BVSc, CVJ 4.6­ ­Role­of the Microbiome­ 259 Natalie Stilwell, DVM, MS, PhD 4.7­ ­Embracing­Early­Detection­ 263 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS 4.8­ ­Pet-Specific­Relevance­of Reference­Intervals­ 267 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 4.9 P eriodontal Disease 271 Heidi B. Lobprise, DVM, DAVDC and Jessica Johnson, DVM 4.10­ ­Environmental­Considerations­ 277 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 4.11­ ­Environmental­Enrichment­ 283 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 4.12­ ­Homeowner­Insurance­Considerations­ 287 Tara Harmon, APR Section 5 Client Service Considerations 291 5.1­ ­Pet-Specific­Customer­Service­ 293 Nan Boss, DVM Contents xi ­5.2­ Meeting­Client­Needs­ 299 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.3­ What­Clients­Expect­from the Veterinary­Team­ 303 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.4­ The­Changing­Nature­of Pet­Owners­ 307 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.5­ Meeting­the Needs­of Pet­Parents­ 311 Amanda L. Donnelly, DVM, MBA 5.6 Adoption Source Options 315 Sarah Rumple 5.7 Preadoption Counseling 319 Kara M. Burns, MS, MEd, LVT, VTS (Nutrition) ­5.8­ The­Biology­of Marketing­ 323 Robert Sanchez ­5.9­ Dealing­with Breeders­ 327 Maria Inês Ferreira, DVM, MTB 5.10 Discussing Pet-Specific Care 331 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS ­5.11­ Discussing­Finances­for Pet-Specific­Care­ 337 Brandon Hess, CVPM, CCFP 5.12 Discussing Anesthetic Risk 341 Tamara Grubb, DVM, PhD, DACVAA 5.13­ ­Improving­Client­Engagement­Through­Technology­ 347 Caitlin DeWilde, BS, DVM 5.14 Client Education Materials 353 Peter Alberti, BSBA 5.15­ ­Client­Appointment­Scheduling­ 357 Kurt A. Oster, MS, SPHR, SHRM-SCP ­5.16­ Maintaining­Client­Contact­Between­Appointments­ 361 Robert Sanchez ­5.17­ Ensuring­and Measuring­Client­Satisfaction­ 365 Caitlin DeWilde, BS, DVM 5.18­ ­Lifetime­Support – Pet­Trusts­and Wills­ 371 Lowell Ackerman, DVM, DACVD, MBA, MPA, CVA, MRCVS xii Contents Section 6 Pet-Specific Considerations 375 6.1­ ­Normal­Development­Stages­of Dogs­and Cats­ 377 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.2­ ­How­Animals­Learn­ 383 Alicea Howell, LVT, VTS (Behavior), KPA, CTP 6.3­ ­Managing­Life­Changes­with Pets­ 387 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.4­ ­Creating­a Pet-Specific­User’s­Manual­ 391 Peter Weinstein, DVM, MBA 6.5 O pportunities and Challenges of Providing Services for­Low-Income­Clients­ 399 David Haworth, DVM, PhD 6.6 F ear Free® Concepts 403 Marty Becker, DVM 6.7 Cooperative Care 409 Alicea Howell, LVT, VTS (Behavior), KPA, CTP ­6.8­ Managing­Routine­Procedures­to Minimize­Problems­ 413 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.9­ ­Preventing­Behavior­Problems­ 417 Kymberley C. McLeod, DVM 6.10­ ­Behavior­Problems – Advice­ 421 Jacqui Ley, BVSc (Hons), PhD, DECAWBM, FANZCVS (Veterinary Behaviour) 6.11­ ­Treating­Animals­with Behavior­Problems­ 425 Kymberley C. McLeod, DVM 6.12­ ­New­Puppy/Kitten­Considerations­ 429 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 6.13 D elivering Feline-Friendly Care 433 Kim Kendall, BVSc, MANZCVS (Cat Medicine and Animal Behaviour) 6.14­ ­Pain­Prevention,­Management,­and Conditioning­ 439 Robin Downing, DVM, MS, DAAPM, DACVSMR, CVPP, CCRP 6.15­ ­Approaching­Obesity­on a Pet-Specific­Basis­ 445 Ernie Ward, DVM, CVFT (Certified Veterinary Food Therapist) 6.16­ ­Assessing­Blood­Pressure­as an Early­Indicator­of Disease­ 455 Ryane E. Englar, DVM, DABVP (Canine and Feline Practice) 6.17 Senior Care 459 Heidi B. Lobprise, DVM, DAVDC

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