Niagara Veterinary Emergency Clinic

07/31/2024

WHY ARE WAIT TIMES SO LONG? NVEC SERVICE STATUS UPDATE:

There has been a shortage of veterinarians (DVMs) and veterinary technicians (RVTs) across North America since prior to the pandemic, as noted in the “2020 CVMA Workforce Study” completed by the Canadian Veterinary Medical Association. The increase in pet ownership, as well as increase in disposable income for many, during the pandemic increased this gap between the growing demand and the lessening supply. Also, as a result of the added strain during the pandemic, many veterinary professionals left the industry due to burnout from overwork, stress, negative interactions with pet owners, and high debt loads, leaving even less supply to meet the growing demand. [The Canadian Veterinary Medical Association estimates that 30 per cent of Canadian veterinarians and 50 per cent of vet technicians are in the advanced stages of burnout.]

Here in Niagara, NVEC and many other clinics have been attempting to recruit new DVMs and RVTs on a constant basis over the last 7 years, and it has only become more challenging as we compete with the large corporations that are consolidating the industry and with the GTA Region, which is often more attractive to candidates.

In 2019 we had 7 full time DVMs as well as part time help that allowed us to have a second DVM on every day between 12pm and 12am, as well as a second daytime DVM on weekends. Presently, we only have 5 full time DVMs (and we are training a 6th recent graduate). This only allows for one DVM per day shift and night shift. We do have some part time help (some experienced ER locum DVMs and some DVMs from local clinics who can work short shifts), so are sometimes able to have a second DVM on but that help is generally only available during weekdays. Frequently, there is enough demand that we could use a second and third DVM (evenings/weekends/holidays), but there are just not DVMs available to hire. There are only so many patients that one DVM can manage at a time, and when they are in surgery, they cannot deal with any new incoming patients.

We are also short RVTs who are responsible for triaging incoming patients, running diagnostics (blood work, xrays, lab work), providing treatment to patients, assisting in surgeries and patient care. We try to have two RVTs on per DVM but there are times when we may only have one. Again, this limits the amount of patients that our team can manage.

As an ER, our primary concern are the most critical clients whose lives are at risk, and they need to be handled first. These cases can take several hours to stabilize and treat. We also try to prioritize cases where a patient needs to be euthanized, so we are not leaving pets suffering any longer than needed. Most days, you will find 5-10 patients hospitalized in the back (on IV fluids, receiving ongoing treatment). These cases might include: post-surgical patients, cats with urinary blockages, diabetic pets, seizuring pets, pets requiring ongoing fluids and medications, and patients recovering from or awaiting referral treatment for trauma incidents. On weekends/holidays, this number can be even higher. This is a significant workload for our team – particularly if we only have one DVM. This hard reality limits the number of less critical, urgent care cases that we are able to see, and that can be fit into the schedule around providing care for the type of cases noted above. It is frustrating and often heartbreaking for our team to know that they are not able to meet the demand for our service, and that there are pets in need of care we are simply unable to provide in a timely manner. They are working as hard as they can to do as much as they can, so please be kind, patient and understanding if you have to wait for service.

When you call, our receptionist will give you information about our status (ie. number of patients in hospital already, number of patients waiting to be seen, number of DVMs on, whether we are short staffed in other ways) and an estimate of current wait times (particularly if your pet is relatively stable and is an urgent care case, rather than critical). If our team does not feel they can provide the timely, critical care for crisis, life-threatening situations (our DVM is in surgery, or already dealing with one or more critical cases they can’t step away from), then we may provide you with alternative ER referrals so that you can get the care your pet needs immediately as we want to ensure your pet gets the care they need more quickly than we may be able to provide.

Our wait time estimate is based on the best information available at that time, but wait times will fluctuate as new cases come in and current cases are dealt with. A critical, life-threatening case can add hours to your wait time if we only have one DVM. We often see several euthanasia cases daily and each of those may require at least 30 minutes, which can add to wait times for stable patients. A veterinary ER is very much like a human ER – there are no appointments and you will be seen in order of medical priority ONLY. Wait times are very unpredictable and change regularly. We recommend you bring a book, refreshments, or other items to keep you comfortable and occupied while here. We recommend you do not bring extra people with you unless absolutely necessary, as our space is limited. We do provide refreshments, wifi, a charging station and other items to try to make your wait more comfortable. Currently on weekends, stable cases should expect to wait 6 to 12 hours to be seen. Holidays, you can expect an even longer wait time.

04/23/2024

It's time to CELEBRATE!!
Happy Veterinary Receptionists Week to our reception/ACA team and Happy World Veterinary Day to our Veterinarians!! Thanks for everything each one of you does for our clients, patients and team! You are amazing, caring, compassionate individuals and your fellow team members appreciate and thank you!!

04/02/2024

Some great advice! We do expect it may be difficult to get to us so avoiding an emergency is your best plan!!

Without a doubt, we are all anticipating an exciting day on Monday, April 8th with the solar eclipse that will be centered around the Niagara Region. Although we do not know exactly what to expect, we do know that we will likely see a huge increase in foot and vehicle traffic in our little town during this event, so we wanted to share some safety tips for our four-legged family members.
First of all, please remember that we will be closed on the day of the eclipse. We will do our best to monitor our text line remotely. If you have a pet emergency, please call the Niagara Veterinary Emergency Clinic at 905-641-3185.
Since none of us know exactly what to expect, we advise that everyone take extra precautions with their pets. If you are going to watch the eclipse with your friends or family it may be tempting to take your dog along, but this could pose risky, it is best to leave your dog at home in a quiet area. Although animals are not likely to be tempted to stare at the sun and risk retinal damage like we are, the busy streets, loud noises and festival like atmosphere could put your pet at risk for heightened emotional or physical stress. Consider the following:
- For outdoor pets, consider bringing them into a quiet area of your home for the day, make them as comfortable as possible and try to provide some enrichment to distract them from the commotion outside.
- Accompany your dog outside for potty breaks and do not leave them unattended.
Alternatively you could take them out on a leash.
- Resist the urge to let your dog run off leash outside of your property.
- Pets can be spooked unexpectedly and may try to escape the yard so check fences and gates to make sure they are secure before you let your pet out.
- Make sure that pets are wearing identification in case they do wander off.
- Keep your cats indoors if possible, or take outside on a harness to explore if it is quiet out.
Remember overall that we may have a significant increase in traffic on our streets and the highway, so getting your pet somewhere quickly if you do have an emergency may be next to impossible. It is best to error on the side of caution to make sure that everyone has a great day and enjoys this rare and awesome experience!

02/20/2024

It is with profound sadness and deep grief, that our team shares the passing of our beloved clinic cat, Kyan. Kyan was the heart and light of our team and brought so much joy, compassion and comfort to our team and to many, many of our clients. He was fond of sneaking into our Comfort Room to provide extra comfort to pet parents at the passing of their own pets. He was also known for sneaking a paw into patients cages to 'share' dinner and provide some companionship. Sadly, Kyan developed cancer late last year, and while we were in the process of seeking care from the oncology unit at OVC, he deteriorated quickly over the weekend and we knew it was his time. Many of our team members were able to come in on short notice and Kyan was surrounded by so much love as he crossed the Rainbow Bridge. Our largest room was filled and overflowing with people who loved him, and we know he also felt the love and care of the many people who couldn't physically be here with him. Many thanks to Dr. Claire, Kelsey and Gisele who provided his end of life care with such grace and compassion, despite their own grief. Our thoughts are also with Kyan's original family, who we were able to connect with as well. Please feel free to share your stories of Kyan here in the comments, as our team will be so grateful to hear them. Rest in peace sweet boy - you are so missed, but we hope you are on to even greater . 🥰💔🐱🌈

01/09/2024

12/22/2023

Great info!!!

The Holidays are so much fun, but can be a hectic time for the family. Lots of food, decorations, people visiting, and possibly more time for our pets to be home alone while we are out making the rounds. Our pets are family, and we want them to enjoy the Holiday season as much as we do, but there are some things that we need to be aware of this time of year in order to help keep our pets safe during this busy time. The following is certainly not a complete list, if your pet has ingested something and you are concerned (especially if the pet is showing signs of feeling unwell) call the Pet Poison Helpline at 1800-213-6680. They do charge a small fee for their assistance, which includes case follow ups (an is much cheaper than an emergency bill, if that can be avoided!).
• Foods containing grapes, raisins, and currants (such as fruit cakes, breads, and cookies). These can result in kidney failure in dogs. The actual toxic dosage is unknown, and seems to vary greatly from pet to pet.
• Alcohol. Most pet owners know not to give alcoholic drinks to their pets; however, alcohol can be found in other places such as rum soaked cake and in raw bread dough containing yeast. Ingestion of alcohol by your pet can cause signs including ataxia (difficulty walking), disorientation, changes in blood pressure, and abnormal blood sugar levels. In addition to the risks associated with alcohol ingestion, raw dough can expand in your pet’s stomach and can result in bloat, which may be life threatening.
• Chocolate and cocoa contain theobromine, a chemical similar to caffeine. Ingestion in small amounts may cause vomiting and diarrhea, with cardiovascular and neurologic changes possible with large ingestions. The amount of theobromine present in chocolate depends on the type. White chocolate and milk chocolate contain the lowest amounts of theobromine, while unsweetened and baker’s chocolates contain high amounts of theobromine. The specific risk to your pet depends on the amount ingested, type of chocolate and size of your pet. Pancreatitis (inflammation of the pancreas) is a concern even in cases where poisoning is not expected.
• Leftover fatty, meat scraps can produce severe inflammation of the pancreas (pancreatitis) leading to abdominal pain, vomiting and bloody diarrhea.
• Many sugar-free gums, candies, and baked goods contain xylitol, a natural sweetener which is toxic to dogs. Ingestion of xylitol may result in a life-threatening decrease in blood sugar as well as liver failure.
• Ma*****na, specifically the THC chemical, is toxic to pets. Animals that have been exposed to edibles, or even second-hand smoke should be taken to a veterinarian for an examination and/or for supportive care. common signs that owners may notice include inactivity; incoordination; dilated pupils; increased sensitivity to motion, sound, or touch; hypersalivation; and urinary incontinence.
• Batteries in toys, greeting cards, electronic devices, flameless candles, and remote controls can cause serious injury if swallowed. Internal burns can occur in a very short time.
• Water from Christmas tree stands can contain bacteria and chemicals. Swallowing the water can cause stomach upset and diarrhea, even if the ingredients aren't poisonous.
• Many types of tree and home decorations can also pose a risk. Pets can choke on tinsel, ribbons, and Christmas tree needles. The latter can also cause linear foreign bodies if ingested. Toss the tinsel altogether, or place it in a safe area out of the reach of curious pets.
• Poinsettia is not actually a deadly plant, the sap from poinsettia plants can be very irritating. Pets who chew on poinsettia can develop skin rashes and mouth irritation. If they swallow the plant, they could have stomach upset and discomfort.
• Holly leaves are prickly and can cause injury if a pet tries to eat them. Holly berries can be poisonous; they easily dry up and fall onto the floor where pets (and children) can find them.
• Many human medicines are poisonous to pets. For example, small amounts of over-the-counter pain relievers can be fatal to cats and dogs. Even if your own medicines are stored safely, be aware that visitors may have medicines in their purses or suitcases. Provide a place for these things to be stored safely, out of sight and reach of pets (and children).
• Ice melts are commonly used around entryways and sidewalks and the containers that are filled with these products are often left within a pet’s reach. There are numerous formulations available, many of which contain salt (sodium chloride), and small exposures typically lead to stomach upset, and dermal and paw pad irritation. Larger ingestions may quickly cause salt poisoning which can result in a rapid onset of vomiting, excessive thirst and seizures. If your pet has consumed any amount of ice melt, it is important to call for help.
• Salt dough ornaments are a fun way to spend time together and focus on creating joy. As beautiful and memorable as these keepsakes may be, they can also pose a serious threat to the dogs endlessly looking for something to munch. As few as 1-2 ornaments could make your dog very sick. There is enough salt in the ornament that your dog could easily become trembly and stumble from salt poisoning. The baked ornaments can also be very difficult to pass – causing either pain or obstruction. If you do choose to make salt dough ornaments, be sure to keep pets out of the area while the crafts are being made, place the ornaments in a high location so pets can’t get them off of a counter while they are drying and then hang them on a tall, sturdy branch to avoid it from falling off the tree.
• Antifreeze is extremely toxic to animals and can cause fatal kidney failure. Unfortunately, dogs and cats find the liquid quite tasty and will eagerly drink it up when given the chance, and a very small amount can be fatal. Although not isolated to the Holidays, the coming and going of family and friends means different vehicles in the driveway, so check the driveway for puddles and clean up immediately. Signs of antifreeze poisoning depend upon the time after ingestion. In the first hours after ingestion, the pet may be depressed, stagger when moving, and have seizures. They may drink lots of water, urinate large amounts, and vomit. Prompt veterinary care is necessary if antifreeze ingestion is suspected.

12/20/2023

Kyan is gearing up for the busy holiday season and working hard to keep the team's festive spirits up! We wish all our patients, clients, friends and family a safe and happy holiday season!

10/31/2023

Happy Halloween from Kyan, Hannah and Bella!! Wishing everyone a safe and happy Halloween. We are closed until 4pm today and will be open after 4pm. We are still unsure about tomorrow and will provide an update later today. Keep you pets away from the candy and use extra care if they are trick or treating! If they get spooked easily, please keep them contained while trick or treaters come around - reduce the chances of escapes and accidents!

10/30/2023

CLOSURES THIS WEEK (Nov 5-11):

UPDATE 5: (11/06/23 9:00am) We are still dealing with the impact o the covid outbreak and we will be closed overnight tonight (Monday, November 6) beginning at 8pm and reopening at 8am Tuesday morning. Our veterinarian as well as two of our technicians who were scheduled to work tonight are all sick and we don't have enough well staff to replace them. We sincerely apologize for the inconvenience. We will have staff on to answer the phones and direct you to other emergency clinics.

UPDATE 4: (11/01/23 2:00pm) We will be closed overnight on Thursday, November 2 (8pm to 8am Friday morning) because we do not have a veterinarian due to illness. We have had several additional team members become ill in the last few days. Our current coverage when open may be severely limited. Our overnight shift tonight is just one vet, one technician and one receptionist so you may be referred to other ERs if we are unable to see your pet. We sincerely apologize for the inconvenience. It is a very difficult time for the team and we are doing our very best to try to remain open but have very limited resources at the moment.

UPDATE 3: (10/31/23 12:00pm) We will reopen at 4pm today and there are not currently any other unplanned closures expected this week. However, we do have several team members off sick so will be short staffed and therefore may have limited capacity at times throughout the rest of the week. We will update if there are any further unplanned closures that arise. We appreciate everyone's patience, support and understanding.

UPDATE 2: (10/30/23 7:20pm) We expect to be open but with very limited capacity from 8pm to 8am tomorrow. We will be closed Tuesday 8am to 4pm so any patients admitted overnight will need to transfer back to their regular vet clinic by 8am.

UPDATE 1: (10/30/23 1:30pm) Additional staff have tested positive. At present, we plan to open this evening but it is possible that we may not be able to open until later in the evening (possibly midnight). We will update when we know more.

Unfortunately, due to a covid outbreak across many of our team, we will be closed Monday, October 30th 8am-8pm and Tuesday, October 31st 8a-4pm. We expect that it is likely additional cases may further reduce our staffing and we may have more unplanned closures this week. We will update as things progress. We apologize for the inconvenience. Our remaining team will be here to answer phones and direct you elsewhere if you need emergency care.

10/16/2023

HAPPY VETERINARY TECHNICIANS WEEK to our amazing team!! From triage of incoming patients, to diagnostic work in the lab and taking xrays, to working with our vets in surgery and providing ongoing treatments for our patients, to caring for and supporting the pet owners here with our patients, and to taking amazing care of each other and our team! For all you do, we appreciate and celebrate you - this week and always!!
Thanks to: Alex, Brittney, Colleen, Erin, Gisele, Janine, Jennifer, Jessica, Kailey, Katrina A, Katrina B, Katrina M, Kesley, Lauren, Raine, Shannon, Shay, Sydney and Tricia!
Your team is ever grateful for each and every one of you!!

08/22/2023

Happy 😋🐾