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Peripatetic ultrasound and medicine services for veterinary practices in Hertfordshire and Buckinghamshire - helping vets to help the pets.

07/12/2024

Just back from Florence and the amazing Sonopath Summit. I'm looking forward to the next one already!

30/10/2024

It is only a couple of weeks until the London Vet Show. I will be a speaker this year for the first time but I am also looking forward to some catch-ups and networking. I would love to meet up and chat with you!

I am looking for connections in:
- post-graduate teaching and CPD delivery
- ultrasound machine, hiring, ultrasound phantoms and simulators
- setting up online courses and social media management
- mental health challenges in the profession especially around burnout

I can help with:
- teaching ultrasound (abdominal and echocardiology, companion animal) and empowering vets in practice to use this valuable diagnostic tool to get the best from it
- challenging the way we think about issues in the vet profession
- writing well research non-clinical articles on issues in the vet profession
- mentoring and coaching in ultrasound, medicine and cardiology
- entrepreneurship
- EBVM

Please contact me if you'd like to chat at LVS or at any other time. I will be speaking on Thursday 14th November at 15:55 in the BVA Career Development theatre on 'Taking Positives From Redundancy'.

19/10/2024

The end of a busy week with lots of interesting abdominal scans. Can you tell what I am scanning here?

Some weeks I do mainly heart scans, but this weeks was mainly abdominal scans including some interesting and unique cases. Highlights:

🆘️ An emergency scan on an acutely ill dog suspected of foreign body ingestion and gastrointestinal obstruction. The scanned ruled out gastrointestinal obstruction and so escalating medical treatment was recommended.

🐈 A cat with chronic diarrhoea in which I diagnosed short-colon syndrome. Luckily a paper was published earlier this year which described the diagnostic imaging findings in a case series, very useful for a rare condition.

🐈‍⬛ Two cats with bicavitary effusions, one predominantly pleural fluid, the other ascites. Ultrasound used to rule out heart failure or pericardial effusion, find abnormalities in the abdomen and ultrasound-guided biopsies taken to hopefully give a diagnosis.

🐩 A tiny young dog with vague behavioural and urinary signs. Ultrasound showed tiny bilateral adrenal glands and used to rule out hydrocephalus by scanning the brain through the open fontennelle (the video in this post).

🐕 A dog that has been jaundiced for two weeks with raised cholestatic and hepatocellular enzymes. Ultrasound showed evidence of peritonitis, a very happy gallbladder and pancreatic changes. Immediate referral instigated.

So lots of interesting cases where ultrasound has been vital in reaching a diagnosis. What interesting ultrasound cases have you seen this wee?

17/09/2024

VetArtis has new wheels! I call her 'many shades of grey'!

16/09/2024

Do you want to be ultrasound empowered and are you ready to start your ultrasound journey? Or perhaps you have been using ultrasound for a time but feel a lack of confidence and recognise it’s time to consolidate your skills.

This 2-day engaging and comprehensive attendance course on small animal abdominal ultrasound is designed to cover the theory and practical aspects which will get you going and moving on your ultrasound journey. This highly practical course will go beyond theory or online courses, allowing building of practical skills and participation in discussions around use of ultrasound.

- 2-day small animal abdominal ultrasound course for beginners and improvers.
- 17th and 18th October, 9:30-5:30 each day, arrival from 9:00am
Location – The Home Office, Tring, Hertfordshire
- Small group (maximum 6 people).
- Theory and lots of practical scanning time including games and fun. Lots of probe time with live dogs, use of phantoms and other learning aids.
- Delicious lunch from local restaurants and refreshments through the day included.
- Included is one Veterinary Ultrasound Pocket Guide Abdominal edition, plastic card version, per delegate.
- Price only £1000+VAT
- Bring a dog suitable for scanning and receive a £100 discount on the course.

If you are interested, then please contact me by emailing me at [email protected] or call/message on 07421320662 and I can answer any questions you may have about the course. Places on the course are strictly limited and on a first come, first served basis. See more information on my website at https://www.vetartis.co.uk/abdominal-ultrasound-course.../

I will be holding more ultrasound courses next year, covering abdominal ultrasound beginners/intermediate and advanced abdominal scanning, heart scanning beginners & intermediate, POCUS for vets and nurse, and an Escape to Scotland. If you are interested, please contact me and I can put you on my contact list for when these courses are organised.

23/07/2024

Can dogs and cats hear your ultrasound machine?

Ultrasonic just means that the sound's frequency is above that of normal sounds that humans can hear.
Since dogs have quite sensitive hearing, they can hear different frequencies of ultrasonic sounds.
Ultrasonic sounds can come from a variety of devices and many of those items can be household objects.
Many animals are able to hear ultrasonic frequencies, and that includes dogs. Dogs are able to hear sounds as high as 50,000 Hz, but it is more likely they can hear sounds up to 65,000 Hz. If we compare this to humans, humans can only hear frequencies up to 20,000 Hz.

Dogs have evolved to hear in those ranges, and some of their prey (rodents) make noises in that frequency range. So it is not necessarily true that they find ultrasonic frequencies painful or distressing.

Ultrasound frequencies in diagnostic radiology range from 2 MHz to approximately 15 MHz. This is way above what dogs or cats can hear, so although they can hear ultrasonic sound, they can’t hear frequencies anywhere near ultrasound machine beam. The ultrasound machine may make electrical whines or keyboard clicks that they can hear, but this is the same for any machine including this laptop I am writing this on!

So you don’t need to worry, your dog cannot hear the ultrasound examination.

Photo by Jamie Street on Unsplash

24/02/2024

I love finding new ways to explain things when I teach. Why? All the ultrasound courses I have ever done were all taught in the same way and that way just did not work for my understanding. Who else did not fully understand? I suspect a lot of the attendees.

When learning how to ultrasound, whether abdomen or hearts, the 3D anatomy is vital to understand. And not just the 3D anatomy of tge organ you are scanning but also the relationship of that organ inside the body AND the relationship with the ultrasound probe and the 2D slice it is creating.

So I commissioned this 3D printed heart. I have also invested in an amazing piece of new technology which I think will revolutionise this area of teaching in veterinary ultrasounography. More of this in a future so for now reveal in the beauty that is the heart...

31/01/2024

Sorry for the radio silence! I've been busy preparing CPD presentations on abdominal ultrasonography.

I've been on many ultrasound courses over the years and have found they are all taught in a similar way. A way that didn't help me understand why I was seeing things in reverse, why somethings were hard to see and why it didn't always make sense. So when I teach I want those learning to learn differently, to find the way that works for them not the prescribed way.

The teacher is the greatest learner, as I've discovered.

25/01/2024

As it is Burns' night, I have published a short communication 'Update on the ultrasonographical appearance of Dux Magnus Gentis Venteris Saginati, colloquially known as ‘haggis’.'

This short communication is a brief look at previous research into the ultrasonographical appearance of Dux Magnus Gentis Venteris Saginati, colloquially known as ‘haggis’, with a study using updated techniques and equipment to scan these elusive beasties. Ultrasonography of haggii is still as limited as the description in the original paper, over 20 years ago. However, this new study did manage to achieve a greater depth of pe*******on and is the first to describe the internal, shallow structure of the haggis, with comparison between three subspecies.

You can find this short communication published on my website https://www.vetartis.co.uk/newsletters/

21/12/2023

Seasons greetings to all the wonderful vets, nurses and practices I've worked with over the past year.

I will be taking a short break over Christmas and New Year to spend some time with my family. This means I won't be available for visits from the 23rd December until the 1st January, inclusive. I will answer emails and WhatsApp messages during this time and can arrange visits from the 2nd January. I will be keeping the 2nd January for any urgent scans that you may need scanned and routine scans will be booked from the 3rd.

All the best for 2024.

Sarah
(And Queen Bee, my rescue spaniel)

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HP236HN

Website

https://www.vetartis.co.uk/

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The end of a busy week with lots of interesting abdominal scans. Can you tell what I am scanning here? Some weeks I do mainly heart scans, but this weeks was mainly abdominal scans including some interesting and unique cases. Highlights: 🆘️ An emergency scan on an acutely ill dog suspected of foreign body ingestion and gastrointestinal obstruction. The scanned ruled out gastrointestinal obstruction and so escalating medical treatment was recommended. 🐈 A cat with chronic diarrhoea in which I diagnosed short-colon syndrome. Luckily a paper was published earlier this year which described the diagnostic imaging findings in a case series, very useful for a rare condition. 🐈‍⬛ Two cats with bicavitary effusions, one predominantly pleural fluid, the other ascites. Ultrasound used to rule out heart failure or pericardial effusion, find abnormalities in the abdomen and ultrasound-guided biopsies taken to hopefully give a diagnosis. 🐩 A tiny young dog with vague behavioural and urinary signs. Ultrasound showed tiny bilateral adrenal glands and used to rule out hydrocephalus by scanning the brain through the open fontennelle (the video in this post). 🐕 A dog that has been jaundiced for two weeks with raised cholestatic and hepatocellular enzymes. Ultrasound showed evidence of peritonitis, a very happy gallbladder and pancreatic changes. Immediate referral instigated. So lots of interesting cases where ultrasound has been vital in reaching a diagnosis. What interesting ultrasound cases have you seen this wee? #veterinaryultrasound #ultrasound #ultrasoundmagic #ultrasounddarkarts #vetartisuk #VeterinaryCPD

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