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Introducing Joseph Jacovino, DVM, Practice Limited to Radiation Oncology

WE HAVE EXCITING NEWS

 

We have added another member to our team! Joseph Jacovino, DVM, Practice Limited to Radiation Oncology is now available to offer radiation therapy treatments on-site at VRC with our Varian linear accelerator. He will be treating current VRC cases and is accepting new clients.

MORE ABOUT DR. JACOVINO

Joseph Jacovino, DVM, Practice Limited to Radiation Oncology earned his Bachelor of Science degree from the University of Tampa and later his Doctor of Veterinary Medicine degree from Western University of Health and Sciences. He participated in a small animal medicine and surgery internship at Carolina Veterinary Specialists, an internship in radiation oncology at the University of Pennsylvania, and a residency in radiation oncology at The Animal Medical Center.

 

 

On-Site MRI: Available November 2017

On-Site MRI
Available November 2017

High-resolution, fast, and accurate, this state-of-the-art machine will provide patients with the advanced diagnostic imaging they need for higher-quality care.

AFFORDABLE, ADVANCED CARE

A sick pet is stressful enough for clients without considering the cost of quality care. We want to provide patients with the technology they deserve at a price clients can afford. We are proud to offer competitive pricing packages for our MRI imaging services.

SAFER TREATMENT

With state-of-the-art equipment and highly-trained and skilled staff, we take every measure to ensure that patients undergo procedures as safely and efficiently as possible at our hospital. With an on-site MRI, patients can have a scan performed, and when applicable, be transferred seamlessly to either surgery or additional diagnostics without experiencing multiple anesthetic inductions. Despite the safety and overall benefits of anesthetics, complications can arise and with fewer inductions performed on a patient within a short period of time, the risk significantly declines. We also offer MRI scanning on an outpatient basis.

FAST, RELIABLE IMAGING

Our state-of-the-art GE 1.5T Signa 9x MRI provides fantastic image quality with a four channel multi-coil for convenient, time-tested responses as well as many optional coils for specialized applications and a broader diagnostic scope. With a board-certified neurologist on-site, we can scan and review results for a diagnosis in minutes.

NEUROLOGY AT VRC

 


Christine Senneca, DVM, DACVIM (Neurology)
 is the new board-certified neurologist at VRC. In conjunction with the introduction of our MRI machine, she brings significant experience and a variety of new services that will further the scope of care that we can offer to patients.

Her services and areas of expertise include:

  • Surgical removal of brain tumors
  • Seizure disorder management
  • Inflammatory brain diseases
  • Neuromuscular diseases
  • MRI scanning and review
  • Spinal trauma
  • Intervertebral disc disease
  • Lunch & Learns at your hospital
  • And much more

VRC Welcomes a New Neurologist and a New Medical Oncologist

The VRC Team is growing! Dr. Christine Senneca, a board-certified veterinary neurologist and Dr. Colleen Martin, a medical oncologist, have joined our robust staff of veterinarians. Each brings with her experience and skill in her field that will contribute to VRC’s team of highly qualified specialists. VRC is a specialty veterinary healthcare hospital committed to providing the highest quality care to pets in the greater Philadelphia area. Dr. Senneca and Dr. Martin will greatly enhance our team with their extensive service offerings and knowledge as well as enable VRC to provide care for a wider variety of illnesses and injuries.

MORE ABOUT DR. CHRISTINE SENNECA

Christine Senneca, DVM, DACVIM (Neurology) hails from Long Island, New York. After receiving her Doctor of Veterinary Medicine from Ross University School of Veterinary Medicine, she completed her clinical rotations at the University of Florida, and then interned at the VCA Aurora and VCA Berwyn Animal Hospitals close to Chicago. Post-internship, Dr. Senneca spent time practicing emergency medicine before completing a residency at the University of Florida, where she specialized in neurology and neurosurgery. Now a member of the VRC team, Dr. Senneca’s areas of interest include surgical intervention for neurologic disease, nervous system diseases of a non-infectious nature, and seizure management.

MORE ABOUT DR. COLLEEN MARTIN

Colleen Martin, DVM, Practice Limited to Oncology, is originally from Atlanta, GA. With a Bachelor of Science degree in zoology from SUNY Oswego and a Master of Science degree in immunology from the University of Rochester, Dr. Martin decided to work in cancer research for a few years. Afterward, she earned a Doctor of Veterinary Medicine from the University of Prince Edward Island in Canada. Her rotating internship in small animals was completed at the Veterinary Medical Center of Central New York, and she completed a second internship and residency in medical oncology at North Carolina State University. As a part of VRC, Dr. Martin’s areas of interest include the human-animal bond, hematopoietic malignancies, targeted cancer therapies, and comparative oncology.

GET TO KNOW OUR TEAM

VRC is a specialty veterinary healthcare hospital. If you are a referring veterinarian in the greater Philadelphia area or beyond and would like to schedule a Meet & Greet or Lunch & Learn with our new team members, Dr. Senneca and Dr. Martin, or any of our other doctors, please contact Brian Haugen at Brian.Haugen@CompassionFirstPets.com.

Case Study: Approach to Premature Closure of the Distal Radial Physis

Overview

Gayle Jaeger, DVM, MSpVM, DACVS, an orthopedic and soft tissue surgeon at VRC, has been treating a Golden Retriever puppy named Lito after his distal radial physis closed prematurely.  As a result, his right radius was shorter than the adjacent growing ulna with subluxation of the elbow joint. If left untreated, this would progressively create lameness and complete dysfunction of the limb.

History & Diagnostics

Lito initially presented to Dr. Jaeger in early December 2016 at 5.5 months of age, with a progressive three-week history of right front limb lameness unresponsive to rest and anti-inflammatories. Radiographs at that time revealed evidence indicating premature closure of his distal radial physis with secondary elbow subluxation.

Initial Radiographs


Above are lateral radiograph projections of the front limbs. The left is the normal side and the right is the affected side. Notice the open left distal radial physis on the left compared to the closed distal radial physis 
on the right. Also, note the shorter length of the right radius compared to the ulna as well as the resultant radiohumeral (elbow) incongruity.

 

Procedures

Partial Ulnar Ostectomy

A partial ulnar ostectomy was elected in an attempt to curb the secondary effects this incongruity would create on the elbow and carpal joints. By performing this procedure, we realized that over time his right antebrachium and overall limb length would be shorter than his left side. Our first priority was to save his elbow joint from discomfort and irreversible damage as the ulna continued to push up against the humerus.

 

Above are post-operative lateral radiographs of the right antebrachium before and after the partial ulnar ostectomy. There is immediate mild improvement of the step between the height of the radius and ulna simply by releasing tension in the longer ulna. This improved further with weight bearing on the limb.

Second Partial Ulnar Ostectomy

Unfortunately, due to his young age, Lito’s ulna healed prematurely requiring a second partial ulnar ostectomy to remove more of the ulna while he continued to grow.


Note above how the step between the radius and ulna improved with weight bearing, making his elbow more comfortable and preventing deformity.

Once his growth plates started closing and we knew how long his normal leg would be as an adult, we could measure the true length deficit of his right side and start planning to lengthen his limb. The affected right radius was ultimately almost 4 cm shorter in length than the normal left side.


Above depicts the left fully-grown normal limb versus the shorter right limb. Note the persistent changes of his right elbow compared to his left.

Radial Osteotomy & Stryker Triax External Skeletal Fixator Application

We contacted Stryker for assistance in providing a special external skeletal fixator called the Triax.  This device would allow us to slowly lengthen his leg over time. The external connecting bar of the Triax frame has the ability to lengthen bone by turning a distraction bolt; separating two bone segments in small increments. Lito again went into surgery and we repeated the partial ulnar ostectomy, created a radial osteotomy, and applied the external fixator.

 


Post-operative radiographs of the radial osteotomy and application of the Stryker Triax External Skeletal Fixator.

Slowly, we distracted and lengthened the limb by having the owners turn the distraction bolt on the fixator in small increments every day.

Outcome

After a month of distraction, we can see the amount of bone length that was achieved (figure below). There is also a cone of new bone at each end of the osteotomy. When performing these distraction procedures, there is a fine balance in timing. If performed too slowly, the bone may heal before distraction is complete. If performed too quickly there is not enough time to allow the soft tissues (tendons, muscles and ligaments) to stretch with the bone, which may impede full extension of the carpus.  During his distraction, Lito has also been involved in a rigorous formal physical rehabilitation program.


Lateral radiograph after one month of distraction. Note the length of the distraction gap and the new bone forming from each fragment end.

Once Lito’s distraction program was completed and the desired radial length was achieved, the bone was permitted to consolidate. When complete healing occurred, his fixator was removed. He continues physical rehabilitation to improve his joint range of motion, build muscle mass and improve overall limb use.


Above: Lito’s radius has almost completely healed.