Care of an Esophagostomy (E) Feeding Tube

Temperature of formula: Always feed the formula through the E-tube at room temperature, or slightly warmer, to avoid vomiting. Prior to feeding, draw up the required volume of formula into the syringe(s), and let it stand for a while at room temperature, or in warm water. Do not microwave. Test the temperature by placing a drop of the warmed feeding …

Making History in Alaska and the Veterinary World

In just 3 years, Tier 1 VMC surpassed multiple industry benchmarks by recruiting 11 Doctors of Veterinary Medicine (DVMs) and over 60 Technicians to join them, all IN THE ARCTIC regions of Alaska. But how?

german shepherd puppy wearing goggles

The Danger of a Break Up …And Skipping the Parvovirus Vaccine

Break up isn’t the only thing brewing this time of year; it’s parvo season. The weather is warming up, the snow is FINALLY melting, and people and pets are itching to get out of the house. Of course, we worry about ice breaking here in Alaska, but cold water and strong currents aren’t the only things hiding under the ice …

woman waiting with cat in vet lobby

What to Expect in the Emergency Room at Tier 1 VMC

Not all animal hospitals handle their emergency services the same way, but this is how we function at Tier 1. On any given day at Tier 1, there are between 1 and 6 doctors seeing patients. This number includes specialists, primary care, and emergency care providers. This staffing structure is unique to Tier 1, as we strive to provide comprehensive …

dr. paige wallace doing a recheck on a dog

Checking Off the Recheck: When & Why Rechecks are Important

One of the most common messages I find on my board is that an owner wants a refill of a medication. Slightly less frequently, it’ll have written underneath that the owner does not want to come in for a recheck.”Why do I need a recheck? Why can’t they just send me more medications? It’s just the same old thing flaring …

dog being vaccinated

Straight to the Core: Recommended Vaccines for Dogs

Lately, so much of our news stream and media focus on vaccinations and boosters — how many and how often. So I might as well use this opportunity for a plug on the canine core vaccinations. Many people are actually unsure what vaccines their dogs, especially puppies, need and how often. Rabies and DAPP are recommended for all dogs, and …

pet food with CBD tincture

CBD for Pets: A Budding Medication

We use a wide variety of medications in veterinary medicine. Many of them overlap with human medicine but are prescribed at different dosages and for different conditions. In the last few years, CBD has made its way into veterinary medicine. While it has its uses, it’s a bit like grain-free diets: overused and potentially dangerous. To be safe for use …

dog sick with thc toxicity

High, How Are You? THC Toxicity in Pets

Marijuana, THC, pot, grass, 420…by any other name, it is no friend of pets. Dogs don’t dab, cats don’t chill, and no hot-boxing allowed. Veterinarians and our staff don’t care what your personal choices are; marijuana is legal in many states now, and we don’t judge (much) if your pet swiped some and is showing signs of THC toxicity. Knowing …

dobermans with cropped and uncropped ears

Bringing Up Two Points

Ear cropping is an elective surgery currently implemented in approximately 20 dog breeds, including Dobermans, Great Danes, Boxers, Schnauzers, and many others. This procedure involves the surgical removal of most or all of the flappy portion of the ear. The surgery may be followed by taping to train the ear cartilage into the desired position. Historically, the surgery was implemented …

helping your pet age well

Going for the Golden Years: Helping Your Pet Age Well

Pets, just like the rest of us, inevitably age. As much as we would like to, even vets can’t fight the aging process. However, we can share a few tips to help you add quantity and — more importantly — quality to your pet’s golden years. Quality nutrition, exercise, maintaining a healthy weight, and regular checkups with your vet are …