For the love of Fido: veterinarians using state-of-the-art techniques to treat household pets.Dr. Rodney D. Ayl spends about an hour on initial consultations with cancer patients and their loved ones loved ones npl → seres mpl queridos loved ones npl → proches mpl et amis chers loved ones love npl . He discusses treatment options, costs and sometimes even euthanasia euthanasia (y 'thənā`zhə), either painlessly putting to death or failing to prevent death from natural causes in cases of terminal illness or irreversible coma. , not a topic that comes up in most cancer cases. But then
again, Ayl's patients are dogs and cats.
Ayl, who believes he's the only veterinary oncologist providing radiation treatments in L.A., is one of 11 specialists who practice at Glendale-based Animal Specialty Group Inc. He and his colleagues - surgeons, neurologists This is a list of the most important neurologists, with their dates of birth and death and nationality.
Practices such as 3-year-old Animal Specialty Group have grown from makeshift operations working out of emergency clinics a few days a week to full-fledged hospitals with a staff of specialists who tackle everything from heart disease to hip replacements. "People who own animals have been exposed to the fact that there are a lot of technological innovations available," said Dr. Gail Golab, assistant director of education and research at the American Veterinary Medical Association American Veterinary Medical Association a nonprofit, professional organization of veterinarians in the USA, whose stated objective is to advance the science and art of veterinary medicine, including its relationship to public health and agriculture. . "They're interested in getting the same quality of care for their animals as they would for themselves." But however deserving, Fido and Fluffy fluff·y adj. fluff·i·er, fluff·i·est 1. a. Of, relating to, or resembling fluff. b. Covered with fluff. 2. Light and airy; soft: fluffy curls; a fluffy soufflé. are not humans, a central fact that colors how specialists like Ayl deliver medicine anti how they shape their businesses with respect to staffing, services and fees. While the cost of many procedures are often comparable to running a human hospital, veterinary specialists find they have to shave prices to a level the market can bear. "Our profit margin is much lower than a general practice," said Kirk L. Wendelburg, a veterinary surgeon and founder of Animal Specialty Group. "When you're giving a vaccine that costs $1 and you charge $20, it's a pretty good margin. When you're putting in a hip, and it costs $1,000, you can't mark it up, because it goes out of the reach of some people. We use the exact same chemotherapy that's used in people, and some of these things "These Things" is an EP by She Wants Revenge, released in 2005 by Perfect Kiss, a subsidiary of Geffen Records. Music Video The music video stars Shirley Manson, lead singer of the band Garbage. Track Listing 1. "These Things [Radio Edit]" - 3:17 2. cost well over $1,000, and we can't mark it up very much. So the profit margin is not very good." Still, revenue at the Animal Specialty Group grew to $2.6 million in 1998, up from $1.7 million in 1997. And Ayl says his practice has grown considerably. Last year he performed about 1,000 radiation treatments, as many as he performed in the first three years of his oncology practice combined. But the costs connected to the procedures can be prohibitive for many clients. If an animal's tumor tumor: see neoplasm. is localized, a full course of palliative palliative /pal·li·a·tive/ (pal´e-a?tiv) affording relief; also, a drug that so acts. pal·li·a·tive adj. Relieving or soothing the symptoms of a disease or disorder without effecting a cure. radiation - treatment geared to eliminating pain - can run under $1,000. But animals with other cancers may require 12-16 radiation treatments at a cost of $250 to $300 per treatment. And chemotherapy can range from $150 to $1,000 per treatment, which may need to be repeated periodically over the course of several years. Specialists are keenly aware that their most important job is often to help a client through a difficult decision-making process that can include a consultation with a psychologist and may ultimately lead to a decision to euthanize euthanize see euthanatize. the pet. "Once you have the diagnosis of cancer, it's probably a chronic, incurable incurable /in·cur·a·ble/ (in-kur´ah-b'l) 1. not susceptible of being cured. 2. a person with a disease which cannot be cured. in·cur·a·ble adj. disease," Ayl said. "There is no right or wrong answer." Ask most of these specialists and they'll tell you a personal story about the dog or cat that influenced them to endure as much as four years of training over and above what's required of veterinarians in general practice. But once in practice, the demanding reality can overcome those good intentions. With only about 5 percent of animal patients carrying health insurance, the market for these high-cost procedures is limited. "In this practice, our biggest problem is remembering that it is a source of income," said Alexander Werner, a veterinary dermatologist der·ma·tol·o·gist n. A physician who specializes in the diagnosis and treatment of skin disorders. Dermatologist A physician that specializes in diagnosing and treating disorders of the skin. who treats such problems as infections, chronic allergies and auto-immune diseases from his practice. Valley Veterinary Specialty Services in Studio City. "One of our biggest problems is not charging sufficiently or discounting the service. It tends to be that we get into the emotions of it as well (as the business of delivering care.)." Werner said he has been able to negotiate lower prices for some equipment because suppliers, aware of the constraints of a veterinary practice, sometimes offer discounts. One particular type of laser was discounted because it doesn't include an attachment for treating wrinkles wrinkles See bells and whistles. , standard in human hospital models. "Sharpei owners usually don't want to remove their dog's wrinkles," Werner joked. But such options are not available in other specialties. Unable to afford the multimillion-dollar cost of state-of-the-art radiation equipment, most veterinary oncologists don't even offer such therapy. And radiation centers for humans, fearful that their two-legged clients will object to sharing the facility with animals, won't lease space to veterinary oncologists. After four years spent searching for a San Fernando Valley San Fernando Valley Valley, southern California, U.S. Northwest of central Los Angeles, the valley is bounded by the San Gabriel, Santa Susana, and Santa Monica mountains and the Simi Hills. facility willing to lease to him, Ayl has just reached a deal to share a human facility in Sherman Oaks. Until now, he and his patients have had to go to Long Beach for treatment, a logistical nightmare that required patients and clients to gather on scheduled days and travel to the facility together, waiting while all the treatments were performed. Unlike human cancer treatments, radiation and chemotherapy are delivered to pets in smaller doses, geared less to curing the animal or increasing longevity than to eliminating pain and prolonging a good quality of life for as long as possible. As a result, side effects Side effects Effects of a proposed project on other parts of the firm. are minimal. "It's important to not let the treatment be worse than the disease," Ayl said. "The aim is to do as much as we can to the cancer without affecting the pet." |
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