Veterinary Oncology Service - UoL Small Animal Teaching Hospital

Veterinary Oncology Service - UoL Small Animal Teaching Hospital The University of Liverpool Veterinary Oncology Service is one of the biggest in the country, with our senior specialised clinicians at the helm.

Oncology patients often require a multidisciplinary approach, and the team works closely with colleagues in other clinical services. Our group can also boast the collaboration of a highly qualified diagnostic pathology service providing first and second opinions on diagnostic oncology. The breadth of expertise in the campus means that all assessments and treatments can usually be carried out in-ho

use. Patients coming to oncology for the first time are usually seen as day patients, unless they need to be hospitalised for diagnostic tests.

05/04/2024

Please join us in congratulating our 3 former residents, Danielle Gibson, Malgorzata Ossowska and David Brewer who have become European Veterinary Specialists in Oncology!

This ends an extensive 3 year training program which culminated with a complex certifying exam.

We are so proud and happy for you all! Congratulations! 🥳

We can’t leave out James Barton, who many of our clients will know. James has become a European Veterinary Specialist in Internal Medicine 🥳 Congratulations James!

02/04/2024

Congratulations to our residents Jose Alvarez Picornell and Nina Vigevani for passing their General -CA examination this week! We are very proud of you.

Our residents, who wish to become European Veterinary Specialists in Oncology need to take this part of the examination during their 3 yea training program, which will end with a complex certifying exam. The general examination is intended to assure that specialists have the required level of knowledge in general internal medicine.

We always encourage our patient’s owners to share their experience of treating their loved ones for cancer. We recently ...
08/08/2023

We always encourage our patient’s owners to share their experience of treating their loved ones for cancer. We recently treated Sunny for mast cell tumour and he was the sweetest, most gentle boy. Below, Sunny’s owner shares what it was like going through treatment with him. Thank you for sharing! 🐾💜

Sunny is a 10 Yr old black labrador. He was diagnosed in Feb with High grade mast cell cancer. This devastated us as we had lost our 2 other labradors last year within 7 months of each other. Sunny is not the easiest dog as he has been very reactive since suffering temporary paralysis from a spinal injury several years ago. This meant we were somewhat anxious about how he would deal with repeated visits to Liverpool SATH.
Our fears were quickly allayed by the staff at SATH who, each and every one of them, treated Sunny with care, love and respect. By the 3rd visit, he couldn't wait to arrive and spend the day being the centre of attention. The staff treated him so perfectly that they were rewarded by Sunny showing them his real personality, the most affectionate, loving, naughty, hilarious little dog ever.
The 8 chemo sessions were not a problem at all for Sunny. He showed barely any ill effects. His revision surgery was extremely radical and he did develop an infection. In true pet style it was the middle of the night when he became unwell. I phoned SATH, unsure if I would get a reply but a lovely chap answered and within minutes I was called back by the duty vet who then stayed on the phone with us for most of the night, offering support and reassurance until I could take him to our vet in the morning.
In essence, I cannot speak highly enough of every member of the amazing team at Liverpool SATH. they genuinely care deeply about the animals they care for. Thank you all. Sunny is currently cancer free, we know from the nature of mast cell cancer that it will return at some point, but for now he is loving life and cheekier than ever.
Sunny's Mum, Vicky Southern

Beautiful Sam completed his Vinblastine chemotherapy for mast cell tumour last week! Here he is looking very pleased wit...
08/08/2023

Beautiful Sam completed his Vinblastine chemotherapy for mast cell tumour last week! Here he is looking very pleased with himself 🐕‍🦺🐾 Confratulations Sam we look forward to seeing you for your next check up!

01/08/2023

Congratulations to our Oncology Veterinary Nurse Paula Wynne who has recently qualified as a Veterinary Technician Specialist in Internal Medicine - Oncology. Paula becomes one of only four Veterinary Nurses to hold this qualification in the UK.

To gain the qualification, which is overseen and regulated by the Academy of Internal Medicine for Veterinary Technicians Paula had to pass a rigorous application process and exam to demonstrate her specialist knowledge in veterinary oncology.

Congratulations Paula!

This week we are celebrating Alfie who has completed both a radiotherapy and chemotherapy treatment protocol! 🎉. Alfie w...
31/07/2023

This week we are celebrating Alfie who has completed both a radiotherapy and chemotherapy treatment protocol! 🎉.

Alfie was diagnosed with Lymphoma of his nasopharynx in 2022.

He completed 12 treatments of radiotherapy over 4 weeks to directly target the tumour within the nasopharynx.

He then went on to complete a 25 week course of chemotherapy to treat systemic disease.

He has been an absolute ⭐️ for his treatment!

Happy Friday!🎉This week we celebrate beautiful Penny who completed her chemotherapy protocol for treatment of a mast cel...
16/06/2023

Happy Friday!🎉

This week we celebrate beautiful Penny who completed her chemotherapy protocol for treatment of a mast cell tumour to her left axilla which had spread to her axillary lymph node.

Penny had previously undergone surgery to remove the affected lymph node and mast cell tumour.

Chemotherapy treatment was required to treat any microscopic cancer which may be remaining in the body.

Congratulations Penny! 💜🐾

27/05/2023

10 More Reasons Why Veterinary Nurses Are Awesome!

1) They always have a pen

The mystery of where all the pens go in a veterinary practice is one which will never be solved, but there are two certainties;

A vet will never have one. A vet nurse always will.

It can be challenging to persuade them to give it up but if they want your signature on that form, they are going to have to!

The sad fact is though, many will watch you scribble and then demand its return. Very unreasonable.

2) They are expert benders of the truth

Look, vets do love their clients really but sometimes we just aren’t quite up for speaking to you right this moment.

It may be that we haven’t looked at your results yet, we are in the middle of lunch or that, for the occasional special individual, we have to prepare ourselves thoroughly, do some breathing exercises and clear a solid half an hour in our diaries before we pick up the phone.

Nurses learn quickly to be absolutely convincing when they say ‘Gosh, I’m sorry Mrs Smyth, they are just in theatre at the moment, can I get them to call you back’?.

And quite frankly, it is one of the biggest reasons why we love them so much.

3) They never let go

Our nurses are expert animal handlers, that goes without saying, and while many of our patients are lovely and compliant, some are more challenging.

We all strive to practice fear-free handling but sometimes, all that stands between the veterinary surgeon and serious (human) blood shed is the veterinary nurse.

Many of us owe our scar-free appearances to our bottle-green braves!

4) They are better than the computers

This is mainly because you can’t input into the computer, ‘That client with the hairdo and two cats, you know, the one whose husband always forgets to pick up the meds’.

Ask a nurse however, and they will have the answer before you have even finished talking.

5) They are teachers

A huge amount of veterinary nurse training and assessment is done on the job and the ones who do that teaching, are the nurses themselves.

I can’t believe there are many other careers where so much peer-to-peer support and knowledge is given so freely and so expertly.

6) They are animal advocates

There are few people as fiercely passionate about animals than a veterinary nurse. They don’t do this job for the money, they do it for the love of the animals.

When a vet nurse gives you advice about your pets, you had better listen!

7) They are gold-standard multi-taskers

If you see an RVN doing something, you can be sure they are also working on approximately five other things at the same time AND they won’t forget any of them AND they are probably also remembering to remind the vets to do their stuff as well!

8 ) They are diversifiers

You don’t just find Veterinary Nurses in clinics.

They are also in universities and colleges, training up the next generation. They are in industry as technical advisors, product reps and team leaders. They specialise as behaviourists, physiotherapists and even district nurses.

Some move out of the veterinary world completely and they are a great loss.

If you aren’t in the profession and you have an RVN apply for a job, employ them. You won’t regret it.

9) They are ambitious

Gaining the Veterinary Nurse qualification is hard! It is at least two years of serious study combined with working in practice as well.

But they don’t stop there. The majority of nurses I know strive to continue their education and never stop adding strings to their bows.

10) They just are, OK?

Veterinary Nurses are some of the best people I know; kind, caring, knowledgeable, supportive, and intelligent.

They are also fierce, uncompromising, strong and passionate.

I am extremely fortunate to be able to call them my colleagues and my friends.

You can read the first post in this series ‘10 Reasons Why Veterinary Nurses Are Awesome’ here ; https://m.facebook.com/story.php?story_fbid=798461691645125&id=100044439036180

18/05/2023

Veterinary Cardiology Service - UoL Small Animal Teaching Hospital
Our cardiology service has a page! Be sure to give them a follow 🐾❤️‍🩹

Today we wanted to share a very special patient called Simba, you can read his story below as told by his loving owner. ...
28/04/2023

Today we wanted to share a very special patient called Simba, you can read his story below as told by his loving owner. We are so pleased that Simba is still doing well following his treatment. 💜🐾

Simba was diagnosed with an abdominal mass in February 2022 and was referred to SATH by our local practice.

On clinical examination, Simba was taken in for immediate surgery to remove the mass. Simba came through the surgery well under the wonderful work of Heather and her team. Upon investigation the mass was perforated, thus resulting in Simba needing further treatment for intestinal lymphoma.

Simba received chemotherapy for 9 months under the fantastic care and attention of Malgorzata (Simba's best friend) 😊, Heather, Isabel, Kirsty and all the other members of the oncology team. During this time he became a little celebrity during his visits.

A year on from surgery and chemotherapy treatment, I'm delighted to tell you that Simba remains in clinical remission and is doing really well. In our eyes he's a little superstar for what he's been through over the past year.

I'd like to finish by thanking all the oncology team at SATH for all the care and attention and everything the have done to save Simba's life. They are all true heroes to my wife, myself and Simba and are a testament to their profession.

Today we would like to celebrate Leon! Leon has recently completed his 25-week chemotherapy protocol for lymphoma. Here ...
12/04/2023

Today we would like to celebrate Leon! Leon has recently completed his 25-week chemotherapy protocol for lymphoma. Here are some photos of him living his best life to brighten your day! 🐾🐾💜

31/03/2023
We hope you have enjoyed reading about canine lymphoma. To finish off and to brighten your day here are a few of our pat...
30/03/2023

We hope you have enjoyed reading about canine lymphoma. To finish off and to brighten your day here are a few of our patients currently being treated for lymphoma. As you can see from the pictures they all enjoy a happy and full life! We think they are all amazing! 🐾🐾💜

How is canine lymphoma treated? 🟪 Steroid treatment (Prednisolone):💊 Steroid treatment by itself increases average survi...
29/03/2023

How is canine lymphoma treated?

🟪 Steroid treatment (Prednisolone):

💊 Steroid treatment by itself increases average survival times to 1-3 months but does not work in all cases.

💊 Steroid treatment will also make subsequent treatment with chemotherapy less successful strengthening cancer cells in resisting to chemotherapy.



🟪 Conventional Chemotherapy:

💉💊 Conventional chemotherapy uses medications which stop or hinder cancer cells in the process of growth and division.

💉💊 The aim of chemotherapy is to induce remission not to cure the lymphoma, therefore doses used are much lower and better tolerated when compared to human treatment.


💉💊 Chemotherapy treatment of canine lymphoma usually involves treatment with a “multidrug protocol” using several different drugs at consistent intervals of the protocol.


💉💊 Chemotherapy at the Veterinary Oncology Service involves a CEOP protocol. This involves the patient having chemotherapy treatments weekly for nine weeks (with a one-week break), then fortnightly up until 6 months (25 weeks in total).


🛑 At 6 months, if the patient is in remission, chemotherapy will stop.


💉💊 Chemotherapy can be restarted when the lymphoma comes back (relapses).


💉💊 Response to treatment can vary depending on the patient and type of lymphoma. All patients are monitored carefully and treatment protocols are adjusted to suit the individual.

What is lymphoma staging? 🟪 Staging is the term used to describe the tests performed to assess how far the cancer has sp...
27/03/2023

What is lymphoma staging?

🟪 Staging is the term used to describe the tests performed to assess how far the cancer has spread throughout the body.

💉🩸Blood and urine tests are usually performed to assess the patient’s general health status.

🩻 X-rays are performed to check for any enlargement of lymph nodes in the chest cavity.

🟪 Ultrasound of the abdomen allows for assessment of the abdominal organs and lymph nodes.

🟪 Sometimes it is preferable to perform a computed tomography scan in place of X-rays and Ultrasound.

🟪 Bone marrow biopsy can be carried out to confirm if the bone marrow is affected by the lymphoma.

🔬Other tests such as immunocytochemistry, immunohistochemistry, flow cytometry or PARR may be performed to provide more specific information on the cell type involved.

🟪 Staging test results help the oncologist decide which treatment might work best and help better predict the behaviour of the lymphoma.

🟪 Without treatment, survival times for dogs with lymphoma are variable depending on the tumour type and extent of the disease, but for the most common type of lymphoma the average is 4-6 weeks.

How do we diagnose canine lymphoma?🟪 Fine needle aspirate (FNA) biopsy is a minor procedure used to collect cells from t...
21/03/2023

How do we diagnose canine lymphoma?

🟪 Fine needle aspirate (FNA) biopsy is a minor procedure used to collect cells from the lymph node.

🟪 Most patients tolerate this procedure and it is performed with the patient awake.

🟪The collected cells are placed on a microscope slide 🔬and special stains are applied. The pathologist will identify the cells and determine if they are malignant.

🟪Sometimes it is preferable to surgically remove the whole lymph node and have it assessed by the pathologist. This requires a short general anaesthetic.

🟪Allowing the pathologist to assess the whole lymph node gives extra information about the lymphoma. This can help clarify the type of lymphoma, which can help the oncologist provide further information about prognosis and treatment options.

What is canine lymphoma? 🟪 Canine lymphoma is a cancer of lymphocytes🟪 Lymphocytes are white blood cells and are involve...
20/03/2023

What is canine lymphoma?

🟪 Canine lymphoma is a cancer of lymphocytes

🟪 Lymphocytes are white blood cells and are involved in the immune system, protecting the body from infection and disease.

🟪 Lymphocytes travel around the body within the lymphatic system therefore lymphoma is a systemic disease.

🟪 Canine lymphoma can affect many organs in the body such as lymph nodes, the liver, the spleen and the bone marrow.

🟪 Canine lymphoma is unlikely to be cured but treatment can make the patient feel well again for a period and enjoy good quality of life.

🟪 Treatment aims to achieve “remission”, meaning the lymphoma cannot be detected in the body using available means.

Welcome to the Oncology Focus series. Over the next few weeks we will be sharing information on the common veterinary ca...
20/03/2023

Welcome to the Oncology Focus series.

Over the next few weeks we will be sharing information on the common veterinary cancers and how we diagnose and treat them.

This week we will focus on Canine Lymphoma.

Be sure to comment below if there is a cancer you would like to know more about and we will try to feature it in the future.

05/06/2022

I actually really love a 'Designer Dog' and can totally see their appeal. They are cute, lively and fun! (If a little underestimated, as you are about to see)

Over the pandemic we saw a huge boom in their popularity but this hasn't necessarily been a good thing.

A study from the The Royal Veterinary College (RVC) has shown that many people chose them because they believed them to be more hypoallergenic, generally healthy, easy to train and good with children.

But there is no such things as a 'hypoallergenic dog' and although they can be very sweet, they also tend to lean towards a more anxious and hyper character in my experience. Trainable for sure but not an 'easy option'!

More concerning though is the fact that prospective designer dog owners tended to prioritise the convenience of purchasing their new dog over making sure they had found a reputable and responsible breeder.

They were less likely to visit the pup in person or see it with the litter or mother before they bought it and generally found them via online selling sites rather than personal recommendation.

They were also less likely to ask for proof of health testing but this could reflect the fact that for cross-breeds, there often aren't any easily defined tests (although ideally both parents should be checked for conditions common to their pedigree).

If people who want these dogs aren't fussy, it only encourages poor breeding practices because the puppy farmers know they will be easily able to sell them, and often for thousands of pounds. And thus more dogs will suffer.

It is absolutely vital that when you decide you would like a puppy in your life, you take the time to properly research the breed (designer or not!) to ensure they will fit you and your family but, more importantly in my opinion, make the effort find and get to know a responsible breeder.

If a puppy can fall out of the internet and into your lap, you DO NOT want it! Only farmers and importers have pups available at such short notice and we know these dogs have a much higher risk of both mental and physical health problems.

Please don't put yourself through the heartache and danger of that, no matter how cute the puppy, it is not worth it!

Read the full study here; https://cgejournal.biomedcentral.com/articles/10.1186/s40575-022-00120-x

Our Sunday just got a little brighter! We have just received this lovely message from Lynxelot’s owner.“Dear Oncology. T...
08/05/2022

Our Sunday just got a little brighter! We have just received this lovely message from Lynxelot’s owner.

“Dear Oncology. Today I would like to share with you a special day. Many many thanks for the on going care & treatment you have given to Lynxelot Raindancer. Today he celebrates his 16th Birthday. X”

Lynxelot is under our care for oral squamous cell carcinoma and comes to see us regularly. Just look how happy and content this beautiful boy looks celebrating.

Happy birthday Lynxelot!

An exciting opportunity for a RVN to join the Veterinary Oncology Service team!
04/05/2022

An exciting opportunity for a RVN to join the Veterinary Oncology Service team!

When owners are referred to our University hospital, they are asked to sign consent forms prior to start diagnostic proc...
04/04/2022

When owners are referred to our University hospital, they are asked to sign consent forms prior to start diagnostic procedures and medical treatments. Why is that?

Consent forms are documents that contain important information about routine procedures or treatments, including some possible risks and benefits. Moreover, owners’ consent needs to be obtained prior to retrospectively evaluate any clinical data for the purpose of clinical research. More detailed consent forms are also provided if we believe that a pet may be a candidate for a clinical trial or a prospective research study.

Why is research important?

Providing state of the art clinical services is our goal and commitment, however, research activity is a great part of our daily activity here at the University of Liverpool. Studies are conducted to expand our knowledge of diseases and their treatments, and to bridge the gap between fundamental research and clinical practice. Clinical research tests whether a certain treatments is still effective or how we can make it better, but also open the doors to new treatment strategies, to advancing prevention and cures. Revaluation of pet’s data and enrolment in clinical trials are essential to progress and help future patients and to build a brighter future. We can provide better clinical services if we conduct research projects!

Retrospective studies look at records of dogs and cats which have been seen previously. They are conducted to provide information on diseases we commonly see in our hospital, and to compare different diagnostic tests and treatment strategies. Retrospective studies may also conducted in partnership with other institutions around the world. We use retrospective studies both for clinical audits and to generate external research publications. Doing a clinical audit is a way to find out if healthcare is being provided in line with standards and let us know if we are doing well, and where there could be improvements. External research publications are done so we can share our experience and results with the scientific community, helping future patients and other veterinarians.

Prospective studies are set up to evaluate a new test, treatment or to answer clinical question that cannot be reliably answered by retrospective studies. In these cases, owners will be asked in advance whether they wish to be involved, and give informed consent if they want to be involved. Owners will have time to read the information sheets and familiarise with the purpose of the study, and the practicalities involved.

Are we allowed to use any pet for the purpose of research?

Absolutely not! Studies can only be conducted if we obtain authorisation from the owners. Concerning retrospective studies, we will only enrol those pets where owners allowed the use of clinical information, or left over biological material, for research purposes. Concerning prospective studies, owner will have to sign a specific consent and can ‘opt out’ of at any point that they wish, if they change their minds.

Who is overseeing a study?

Studies need to be approved by an ethic research committee prior to start collecting any data, and we are very serious about that! The ethic committee is a body responsible for ensuring that research is carried out in an ethical manner in accordance with national and international laws. Every study has a primary investigator, or multiple investigators that are responsible for the study, and that make sure everything is done correctly.

Are sensible data at risk?

All the information is anonymised so it cannot be traced back to an individual person or pet, so there is no way for you and your pet to be identified.

Congratulations to Prince who this week completed his 25-week LEOP chemotherapy protocol for treatment of his large-cell...
07/01/2022

Congratulations to Prince who this week completed his 25-week LEOP chemotherapy protocol for treatment of his large-cell, B-cell , stage 5 lymphoma.

The LEOP protocol uses a combination of the drugs, lomustine, epirubicin, vincristine and prednisolone given at various intervals over a 25 week period. Prince will continue to visit the oncology service for monthly check-ups to monitor his condition.

Prince was a lovely patient to treat and always came into the chemotherapy suite looking for his chicken treats!

https://www.candis.co.uk/all-Extra-Features/behind-the-scenes-super-vets/An old article pre-covid 19, but a chance to re...
31/07/2021

https://www.candis.co.uk/all-Extra-Features/behind-the-scenes-super-vets/
An old article pre-covid 19, but a chance to read a little about both SATH and PLEH and the day to day activities of some of our staff 🐾

Behind the scenes – Super vets There’s nothing we wouldn’t do for our pets and when they’re poorly we want them to have the very best care possible. But who trains the fantastic vets, surgeons and nurses we rely on? … Read more…

23/06/2021

This week Sybil and Wilson returned to see us for a remission check up.

Remission is a period where a cancer becomes undetectable on clinical examination or testing. For several veterinary cancers, treatment is unlikely to achieve a cure, but aims to achieve as long a period of remission as possible, allowing the patient to enjoy life as usual without treatment or with maintenance treatment that have low or no impact on quality of life.

Remission check-ups and re-staging appointments are a very important part of patient treatment, early detection of relapse of cancer allows treatment to recommence as soon as is needed. Patients will have their remission check-ups tailored to the type of cancer they have and the likelihood of relapse.

We loved seeing both Sybil and Wilson again and are pleased to say both were still in remission from their cancer and are back to enjoying life with their families!

As promised we are delighted to welcome the newest member of our team, Rhiannon Thomas; Veterinary Nurse in Radiotherapy...
16/06/2021

As promised we are delighted to welcome the newest member of our team, Rhiannon Thomas; Veterinary Nurse in Radiotherapy.

Rhiannon joins us from a multidisciplinary centre in Wiltshire where she spent 9months as a nurse intern, learning the ropes of referral nursing across all disciplines. Prior to that Rhiannon spent a couple of years in primary practice obtaining her diploma and RCVS nurse registration, having relocated from Australia to pursue a career in veterinary nursing.

Rhiannon’s interest in oncology began whilst assisting with diagnosis, staging and chemotherapy, but it really developed when her own dog presented with an atypical osteosarcoma. Having experienced the process of cancer care as both nurse and owner Rhiannon is passionate about patient management from a holistic perspective and enjoys relationships with clients based on continuity of care, something that the radiotherapy department works hard to deliver seeing many of our patients multiple times a week.

We hope you have enjoyed reading about our wonderful nurses here at SATH. Although Vet Nurse Awareness Month is now over...
01/06/2021

We hope you have enjoyed reading about our wonderful nurses here at SATH.

Although Vet Nurse Awareness Month is now over, we couldn’t finish without introducing our oncology nurses.

Paula Wynne; Medical Oncology Nurse

Paula joined the oncology team in 2013, having recently obtained her diploma in advanced veterinary nursing, Paula is currently studying towards the veterinary technician specialty in oncology.
Paula’s role involves her managing the chemotherapy ward, student and post graduate teaching (ECVIM-CA residents), she is responsible for management and safe handling of chemotherapeutics across the hospital and actively participates in clinical research. She is particularly interested in the oncology patient experience and works hard to give the chemotherapy patients a positive experience at the hospital.

Rhiannon Thomas; Radiotherapy Oncology Nurse.

This week we welcome our new radiotherapy nurse Rhiannon to the team, we look forward to sharing her role once she has had a chance to settle in!

The oncology nursing team is also supported by Kassy Jones and Jo Jones who work with oncology during the busy chemotherapy clinics and provide holiday cover throughout the year.

Jo who was previously a full time oncology nurse at SATH still works within the veterinary oncology field and brings many years of experience to the role.

Kassy, previously a surgical nurse at SATH has recently undertaken a rotating nursing role which has brought her to oncology along with many of the different services at SATH thus allowing her to bring a variety of experience to oncology.
🐾💜

If an oncology patient has a tumour that needs removing they will usually be looked after by our soft tissue nurse Lucy....
31/05/2021

If an oncology patient has a tumour that needs removing they will usually be looked after by our soft tissue nurse Lucy.

Lucy’s day starts with morning rounds where she discusses the care plans for in-patients, she will then check on all her patients to make sure their care for the day has been updated with the patient care nursing team.

Once her current patients are taken care of she will contact owners and arrange discharge appointments for any patients going home, and assist with admission of new patients coming to the hospital for their surgery.

Throughout the day her additional duties will involve making sure patients arrive for theatre on time and returning patients to wards once they have sufficiently recovered from their surgery. She will sometimes sedate patients for diagnostic imaging.

Lucy also plans the soft tissue department’s diary, arranging appointments, theatre and imaging times and administrates the departments laboratory reports, making sure all results are available to the clinicians for reporting to owners.

As with all our nurses, Lucy is involved with teaching undergraduate veterinary students and will be guiding them through procedures such as blood sampling, intravenous catheter placement, wound management and post operative care. 💜🐾

Address

Small Animal Teaching Hospital/Department Of Small Animal Clinical Science, Institute Of Infection, Veterinary And Ecological Science , Chester High Road
Neston
CH647TE

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