Meet a Member: Ben Okimoto, DVM

Dr. Ben Okimoto served as the Honolulu Zoo Veterinarian for over 30 years. He graduated from Kansas State College of Veterinary Medicine in 1980. As well as caring for the health of the Zoo’s animals and promoting the Zoo’s mission of educating and inspiring Hawaii’s keiki, he mentored many young aspiring veterinarians along the way. With his permission, we have reprinted his memoir of his time at the Honolulu Zoo, originally published for Honolulu Zoo Society members.

March 24, 1988: My “Start Date” at the Honolulu Zoo 30 years and 3 months ago resulted from my selection as Zoo Veterinarian by Jerry Marr (Zoo Director), Walter Ozawa (Parks Department Director) and Dr. Allen Miyahara (UH Veterinarian). At that time I had no idea it would last for 3 decades.

I remind the zoo keepers that I have worked here longer than many of them have been alive. I am so grateful to all who have worked at the zoo for all their support for all these years. And I mean all the zoo staff, from the vet staff, the animal staff, commissary staff, grounds and maintenance staff, administrative staff, the Honolulu Zoological Society, Service Systems staff, the Front Office/ticket booth staff, and even the Security staff. They have all assisted and supported me in caring for the zoo animals, and I especially appreciate their support for those times when my efforts were insufficient or inadequate.

I was hired as an entry level Zoo Veterinarian to work under the guidance of Dr. Patrick Leadbeater. The City brought in Dr. Amy Shima from the San Diego Zoo for a couple of weeks to train me and to assess our zoo hospital. The City then sent me on an orientation/training trip for two and a half months to mainland zoos. I spent most of my time at the St. Louis Zoo and the Brookfield Zoo in Chicago, but I was also able to visit the zoos in Cincinnati, Lincoln Park in Chicago, Milwaukee, Indianapolis, and the International Crane Trust. Later I spent a couple of weeks with Dr. Shima at the San Diego Zoo. All this exposure was very opportune training for me as I assumed the lead role of Honolulu Zoo Veterinarian in 1989.

Our zoo vet hospital at that time was a quaint small house on zoo grounds that I believe Paul Breese said was built in 1953. At one time that eventual zoo hospital was the home for the zoo curator and later zoo veterinarian. That veterinarian was Dr. Calvin Lum. Many years ago one of Dr. Lum’s son, Jory, was hired as a zoo keeper. Jory visited the clinic and pointed out to me that the surgery room used to be his bedroom. The other identical house built on zoo grounds originally was the home for the Zoo Director. When the curator’s home was converted to the hospital, the director’s home was converted to become the zoo keeper meeting and locker/shower facility. It is currently being used by the staff of Service Systems.

We were very lucky that in 2004 the City and the Zoo Society, along with individual benefactors (Mark Bogart) were able to fund the construction of a new zoo hospital. I based the floor plan on the design of the Miami Metro Zoo’s hospital, and the whole project including the buildings and equipment cost around $4 million. We moved into the new hospital in late 2005.

Since that time we have cared for many of the zoo animals in the new hospital. We have even assisted outside agencies in caring for non-zoo animals: Hawaiian bats, Hawaiian Monk Seals, Yellow Belly Sea Snakes, Brush Tailed Rock Wallabies, and several others.

There have been other non-zoo animals that we did not care for but had to interact with, most notably “Tyke” the elephant. There was also the live Cobra found at the airport, the live Cougar that was confiscated from a home in Hawaii Kai, and the live Fishing Bat found at the wharf, among others.

Thirty years is a long time to care for an animal. Inevitably and sadly it means that you will outlive many of the animals that you care for. This is felt most strongly by the primary zoo keepers who provide daily care for the years that they work at the zoo. But medical care providers can also develop associations, relationships, and even bond with individual zoo animals.

I would like to tell you about some of the zoo animals that I will never forget.

The reptile keepers will have to forgive me for saying that it can be difficult to “bond” with a reptile. But some reptiles have such a strong presence that they had an aura about them. “Goliath” our male alligator was such an animal. He didn’t move much and he often just lay on the grass or floated in the pond. But as you approached him, all he had to do was open his eyes and look at you and you immediately became aware that he wasn’t a floating log, he was a living dinosaur.

Some birds can live for a long time. “Abby” our Abyssinian Ground Hornbill is in his forties. I think “Abby” is intelligent enough to recognize individual people. He will frequently come up to the exhibit fence when people are nearby, but he seems to actually interact with you the more often and the longer you “know” him. Recently he was brought up to the hospital when he was soaked and very disheveled. He was stressed and not very responsive, but after a while he reacted to me when I called him over to stand in front of a heat lamp.

Many years ago we had a female Crested Celebes Macaque named “Gabby”. She was very responsive and friendly, often turning her back up to the fence to have her back scratched. Every year I had to dart her to sedate her for her annual examination. This would stress her in the beginning of the procedure but she would eventually just place her hind end up against the fence, like saying “go ahead, get it over with already”. All the primates recognize me as the person who darts them, but “Gabby” was different. She was the only primate in my 30 years here who would forgive me. Always within a couple of days of darting she would be friendly to me again and would present her back for scratching.

“Pandji” was the greatest tiger I have known. He was our male Sumatran tiger who had a medical condition with his esophagus. One of my veterinary technicians at that time actually helped to hand raise him when he was a cub at the Henry Doorly Zoo in Omaha. His benign disposition was a great help to us when we were treating him here because at one time he was unconscious for over two days. One of my colleagues, the late Dr. Phil Kau, inserted a jugular catheter into his neck vein and we had him on an IV drip continually, until he woke up. We had to quickly remove the catheter and exit his sleeping quarters. Although he was aware of our presence inside his sleeping quarters, “Pandji” made no aggressive moves towards us. Later it became evident that he had developed a severe problem with his esophagus. Dr. Kau and I diagnosed it as a stricture in his esophagus, deep in his chest, at about the level of his heart. There was nothing else that we could do for him. Another colleague, Dr. Jim Scoggin, referred a human Gastroenterologist, Dr. Bill Hartman to assist us. Dr. Hartman brought down all his own equipment, all his staff, and they treated him surgically, as best they could with human equipment. “Pandji” did okay for about a month, and then he got sick again. Dr. Hartman came down and worked on him again, and again, and again, for several months. As he modified his procedure (there were very few references in the literature to treat this condition) “Pandji” lasted longer before he needed treatment again. Eventually Dr. Hartman’s treatment lasted a year and we would only need to call him in whenever we did “Pandji’s” annual exam. Dr. Hartman saved “Pandji’s” life when veterinarians could do no more for him. Throughout this time of multiple immobilizations “Pandji” was compliant, cooperative, and dignified.

“Apollo” was the greatest lion I have known. Where “Pandji” was compliant and quiet, “Apollo” could be feisty, angry, and very dangerous. “Apollo” was the only animal in my 30 years that I was afraid of. There were several other animals who were also dangerous and worthy of great respect, but unlike other animals, “Apollo” was not dangerous because he was afraid or anxious or stressed. He was dangerous because he meant to be. When he needed to be darted for sedation he was not afraid. He wouldn’t try to run away, no, he would charge me. He would jump up on the fence, roar loudly and bite the chain link, crimping the links with his canine teeth like the fence was made out of plastic. When a full grown male lion does that 2 feet away from your face and you are standing there alone, besides putting your faith in the almighty you put your faith in the chain link fence. As “Apollo” got older and slowly came down with big cat old age problems like cataracts and kidney problems, his attitude, persona, and reaction times slowly changed. He became like a feisty old man in a nursing home, diminished from his youth, but still having regal character inside him.

“Kruger” was the greatest rhino I have known. He was also the biggest rhino I have known, albeit that was because he was overweight. But as huge as he was, and with his massive horn, he was still quiet and gentle. As he got older, we determined that he was having kidney problems. We could not reverse his kidney problems and we were limited as to what we could do to treat him. One of the medications we gave him was supplemental IV fluids. We did not have a containment chute big enough to restrain him. But “Kruger” was so calm and gentle that he would allow me to stick large needles into his ear veins to give the IV fluids. And so without any physical restraint he would line up next to a fence, let me insert the needles, and just stand there for the fluids to flow in, so long as someone kept feeding him apples and produce. We did this multiple times. One time we had at least two IV lines flowing and he stood there for a couple of hours to allow several liters of fluid to go in, all the while happily munching away on apples. “Kruger” also liked to get scratched, he had a soft spot at the base of his neck.

“Kihei Iki” and “Kihei Ha ehu ehu” were two of the most unique animals I have ever cared for. They were two Hawaiian Hoary Bats that we were able to keep alive for 3 and 5 years respectively. As federally listed endangered species, no one can keep Hawaiian bats. But if they are found injured and deemed non-releasable then they were turned over to us for care. I have developed a tremendous interest and respect for all bats, but especially for our Hawaiian Hoary Bat (‘Ope’ape’a). At a bat conservation field workshop in Arizona they cautioned us to always handle hoary bats with leather gloves because they will bite hard. But I have found that Hawaiian Hoary bats are much more gentle and calm. They quickly acclimated to captivity and I could daily feed them mealworms with my bare hands. They also liked to be stroked on top of their heads and would doze off after eating. I was pleased to give testimony in support of Senator Sam Slom’s bill to name the ‘Ope’ape’a as the Official State Land Mammal for Hawaii.

As much as these animals have meant to me, and as much as I have come to respect the people that work here, there was something more that kept me working here. That was my belief in the zoo itself. Soon after I started working here I pondered why the zoo continued to exist, what was its justification. I concluded that its purpose was for conservation education for the children of Hawaii. That was the justification, and because of that the zoo existed, and because of that it justified keeping these exotic animals in captivity, and because of that it justified me being here to take care of them.

Meet Your Board: Eric Ako, Executive Vice President

Dr. Eric Ako has served as the HVMA Executive Vice President since 1987. Over the past 30 years, Eric has grown the HVMA annual conference into a wonderful resource attracting well-known speakers and attendees from all over the world. In serving Hawaii’s local VMA chapter, he has advocated for legislation benefiting and strengthening the veterinary profession and our ability to care for Hawaii’s animals and protect human health.

Eric Ako also opened The Pet Doctor veterinary clinic in Kahala in 1987, where he has treated companion animals with a special interest in avian medicine. Seeing the needs of the smaller outer islands, he extended his veterinary services to Lanai, and offers regular veterinary care including spay/neuter surgeries to Lanai residents several times a month. He also serves as the veterinarian for the Lanai Cat Sanctuary.

ALERT: Police Impersonator Scams

Please note there have been multiple reports of a scammer calling local vets’ offices and cell phones impersonating the police. They have used the name of Captain David Chang.

The Honolulu Police Department recommends that if a veterinarian receives a phone call from a police officer to be wary and ask for their badge number and office phone number. Do not give out any personal information. Then call HPD (or your local county police department) and verify that information before returning the phone call to their office. If you suspect an impersonator, call 911 and file a police report.

Letters to the Editor July 2018

The views and comments expressed in Letters to the Editor are those of the writer and not necessarily those of HVMA or its Board. We publish Letters to the Editor in an effort to increase communication and encourage discourse within the HVMA, and not to provide medical advice or promote any particular therapy. Please send your letters to newsletter@hawaiivetmed.org.
—-
Ihor Basko, DVM, CVA
President, Veterinary Botanical Medical Association

I am always looking for “greens” that have medicinal value to use in cat and dog recipes. Here is one new discovery for me:

A client mentioned her cat was eating this plant: Abelmoschus manihot, an Edible Hibiscus. So I checked it out. The plant comes from Southeast Asia and India and grows here like a weed. It is considered “hurricane survival food” for both the flowers (especially) and the leaves.

I have been studying some of the tropical plants here in Hawaii that are not indigenous and wondering why they are here. Someone brought them for a reason.

This plant contains quercetin and high antioxidant levels. Cats love it. It has been used to improve insulin sensitivity (anti-diabetic) and supports the kidneys and liver. I also use quercetin to treat allergies and suppress the histamine release from Mast Cells.

From the study in research gate (see link below):
– Quercetin is a potent bioflavonoid commonly found in vegetables and fruit. It is a main component of the total flavone glycosides of Flos Abelmoschus manihot, which is a common plant grown in eastern China and south-east Asia [3].
– Moreover, quercetin is a potent antioxidant that directly scavenges free radicals, inhibits xanthine oxidase and lipid peroxidation, and alters antioxidant defense pathways both in vivo and in vitro [4, 5].
– Quercetin is an efficient antioxidant that has been implicated as in inhibitor of oxidative damage in renal tubular cells and renal tissues [6].
– Hyperoside is a major pharmacologically active constituent of the flavonoid glycosides found in natural plants, and recently has attracted increasing attention due to its diverse antioxidant, anti-inflammatory, diuretic, anti-hyperglycemic, hypo-uricemic, hepatoprotective, and anti-fungal properties.

https://www.researchgate.net/publication/264430991_Prophylactic_effects_of_quercetin_and_hyperoside_in_a_calcium_oxalate_stone_forming_rat_model

https://www.sciencedirect.com/science/article/pii/S0378874113000974

Click to access Chronic-Kidney-Disease-and-Flos-Abelmoschus-Manihot.pdf

https://www.ajkd.org/article/S0272-6386(14)00525-3/pdf

http://tropicalplantsociety.org/Article_5_2_2013h.html

RVT in Hawaii FAQs

WHAT DOES THIS LAW DO?
This is a title protection law only. Meaning that, as of July 1, 2018, only people who have registered with the state of Hawaii can use the title veterinary technician, vet tech, CVT, LVT, or RVT.

This includes on name tags, websites, business cards, etc. All staff members can perform the same tasks, but in order to use the title “veterinary technician”, he or she must be an RVT in the state of Hawaii.
Visit https://hvta.org/rvt-in-hi-faq/ for more details.

I AM A VETERINARIAN. WHAT DOES THIS LAW MEAN FOR ME?
For eligible employees to grandfather in, you’ll check off skills and hours on the Hawaii Experience Verification form and have it notarized. Eligible employees will need 5 years practical experience in Hawaii to sit for the Vet Tech National Exam.

Your employees can still do all the skills and tasks that they’ve been performing, but until they register in Hawaii, they cannot use the title “vet tech” or “veterinary technician”.

WANT TO HELP YOUR STAFF BECOME RVTs?
Awesome! The VTNE is a challenging exam, and you can help prepare them. Quiz them, ask them to do drug & fluid calculations, include them in your complicated cases, help pay their fees, and encourage them to attend HVTA’s study sessions.
Visit https://hvta.org/study-sessions-vtne-prep/ for more info.

THREE PATHS TO RVT
1. If already credentialed in another state: transfer VTNE scores, send license verification to DCCA.
2. If graduate of an AVMA accredited vet tech program: pass the VTNE with HI as your state.
3. Alternate Path (aka “grandfathering”): available now through July 2021 for on-the-job-trained technicians with 5+ years of experience in Hawaii, need notarized form from veterinarian, pass the VTNE with HI as your state.

For more information, see the Department of Commerce and Consumer Affairs (DCCA) Vet Tech page.

Sam Geiling, RVT
President, HVTA
Windward Community College
Kaneohe, HI

Meet Your Board: Aleisha Swartz, President-Elect

Dr. Aleisha Swartz graduated Summa Cum Laude from the University of Georgia College of Veterinary Medicine in 2002. After beginning her career in small animal private practice, Aleisha transitioned to shelter medicine in 2010 and since that time has worked with a variety of shelters, rescues, and spay-neuter programs.

Aleisha currently serves as the Outreach Veterinarian with the Shelter Medicine Program at the University of Wisconsin-Madison School of Veterinary Medicine to work with shelters across the country to increase their lifesaving capacity by supporting implementation of best practices, managing outbreaks of infectious disease, and maintaining an online resource library for shelter professionals and the public. She seeks to improve the level of care for animals in shelters and those living in the community.

Despite working for UW, Aleisha is still very happy to call Hawaii home! She enjoys working from home when not traveling and continues to pursue opportunities to make contributions locally on Oahu. Aleisha has volunteered on the board of the HVMA since 2013, serving as an Oahu delegate and Vice President in an effort to give back to the local veterinary community. As the incoming HVMA president, she hopes to find ways to add more value to membership and increase member engagement.

Legislative Update July 2018

SB 2461

July 18, 2018
Enacted into law without Governor’s signature

This new law:

1.     Creates the offense of misrepresenting a service animal if a person knowingly misrepresents as a service animal any animal that does not meet the requirements of a service animal;

2.     Specifies that this offense is a misdemeanor punishable by no more than 6 months in jail and a fine of no less than $250 but no more than $2,000 for the second offense and each offense thereafter;

3.     Changes the term service dog to service animal; and

4.     Amends the definition of a service animal to conform with the Americans with Disabilities Act of 1990.

HB 2081

July 18, 2018
Signed into law

This new law:

 1.     Appropriates funds to the Department of Land and Natural Resources in order to provide assistance and additional funding to the National Wildlife Research Center of the U.S. Department of Agriculture; and

2.     Specifies that this appropriation allows the Department of Agriculture to conduct pilot field studies to evaluate control tools and develop a management plan for reducing the rose-ringed parakeet population on Kauai.

AVMA Update July 2018

Aloha and Greetings from Denver Colorado, the location for the 2018 AVMA House of Delegates Summer Session (July 12-13) and AVMA Convention (July 13-17).

The House of Delegates (HOD) is the principal body within the Association
responsible for establishing policy and providing direction for matters relating to veterinary medicine. The House of Delegates consist of one (1) Delegate and one (1) Alternate Delegate appointed by veterinary organizations as stated in the HOD By-Laws.

For the past 27 years, Cordell Chang has been the Hawaii Veterinary Medical
Association member to the House of Delegates. This year, 2018, Cordell will
retire as a Delegate. To honor him for his years of service, the AVMA chose him to give the Invocation to this years HOD meeting. Due to family
responsibilities, he was not able to attend. It was my honor to read his Invocation to the Delegates. Cordell has been a shining light and a personal mentor for me, and like so many of the members have commented, “We will truly miss Cordell!”

This year’s agenda included the following topics (and their action items):

Dog Devocalization
– A proposal to express more forceful opposition to debarking was turned down and was then voted to refer the proposal back to the AVMA Board of Directors for reconsideration. The Association’s current policy states that debarking should be used only as an alternative to euthanasia, after efforts to change a dog’s behavior have failed.

Breeding Guidelines – The AVMA House Of Delegates voted for the AVMA to collaborate with others, such as American Kennel Club and Cat Fanciers, on breeding practices and guidelines to minimize inherited disorders in dogs and cats.

Foot and Mouth Disease – Support of a vaccination policy and recommendations on laboratory testing, preparedness activities and messaging. Action: Approval by House of Delegates.

License Portability – What is the need and what are the possible avenues for veterinarians to move across jurisdictions for temporary relief and disaster response? Recommendation from HOD: No action at this time.

Student Debt – Think outside the box. What hasn’t been tried?
Recommendations from HOD:
– Board of Directors investigate methods to make available financial advisor(s) to help veterinary applicants, students, and recent graduates manage the cost of education.
– AVMA investigate and promote strategies for private practitioners to assist students and recent graduates in managing the cost of their education. dents that is financially sustainable for the AVMA.
– AVMA investigate the development of a low interest loan program for veterinary students that is financially sustainable for the AVMA
– AVMA develop a toolbox of advocacy strategies to assist state VMAs to promote increased funding for higher education and loan repayment programs.

Globalization – What role should the AVMA play internationally?
The AVMA staff will create a communication plan for educating AVMA members about its current international activities, develop tools to assess member interest in personal involvement in international initiatives and global volunteer opportunities, and explore international AVMA membership category models.

If anyone would like to discuss more of the above topics or HOD, please feel free to contact me through the HVMA website.

After two days of House of Delegate responsibilities it was now time to learn
(many hours of CE available), socialize (attend a Colorado Rockies Baseball
game), network (Alumni receptions), and be empowered through the words of Keynote speaker Shiza Shaid and participate in community service – Street Dog Clinic (caring for the dogs/cats belonging to the homeless). It was great to see many Hawaii Colleagues participate in this year’s conference entitled “Elevate Your Passion”.

I invite you to the 2019 AVMA Conference in Washington D.C. August 2-9!

Aloha!
Leianne K. Lee Loy, DVM
Hawaii Alternate Delegate for AVMA

Message from the President Vol 3, 2018

Aloha HVMA Members!

We are excited to announce registration is open for our 65th Annual HVMA Conference, which will be held from November 8-11, 2018 at the Hilton Waikiki Beach Hotel. This year we are offering RACE-approved CE (up to 30 credits for vets and 16 credits for vet techs) and bringing in world-renowned speakers covering a variety of topics including Fear Free experts Marty Becker and Gary Landsberg, emergency medicine specialist Tim Hackett, exotics specialist Joerg Mayer, and disaster medicine expert Debra Zoran.

Our wet lab offerings include four different orthopedic labs by Brian Beale and Don Hulse, advanced dental extraction labs by Kevin Stepaniuk, and a cat behavior lab by Karen Sueda. Please see our complete conference schedule at: https://hawaiivetmed.org/2018conference/schedule/.

During our conference we will hold our annual HVMA business meeting on Saturday November 10 at 12:15pm. You do not need to be a conference attendee to come to the business meeting. During the meeting, we will be voting on the 2018-2020 officer positions as well as a few proposed bylaw changes. If you are interested in putting your name on the ballot, please email us.

Also on Saturday November 10 from 6-8pm we will be hosting our annual social cocktail party and sharing some Hawaiian paniolo culture with our Japanese and international guests. Tickets to this event are $60 or complimentary with conference registration.

Register online for early bird pricing by September 15th. Remember to log in to your HVMA online account to register at the reduced member rates. If you have forgotten to renew your membership for 2018, it’s not too late!

Thank you to those who generously volunteered their time and energy toward making the 2018 Pet Expo another success. We are always looking for volunteers for the conference and other HVMA activities. Please send your ideas, feedback, and questions to contact@hawaiivetmed.org.

Aloha,
Jill Yoshicedo, DVM
President, Hawaii Veterinary Medical Association

AVMF Extends Disaster Relief to Hawaii Veterinarians

AVMF Disaster Relief and Reimbursement Grants

 The American Veterinary Medical Foundation (AVMF) provides two grant programs to help veterinarians and the animals they care for during times of disaster. Grants are available to support victims of hurricanes, floods, tornadoes, earthquakes, volcanoes, wildfires or oil spills.

 Disaster Reimbursement Grants for Veterinary Medical Care

Purpose: The AVMF disaster reimbursement grants are for the purpose of ensuring the emergency veterinary medical care of animal victims of disaster.

 Awards: Up to $5,000 may be issued per grantee for out-of-pocket expenses incurred by veterinarians providing emergency veterinary medical care to animal victims of disasters.  AVMF reimburses for the actual cost of medical supplies purchased directly from a vendor. Modest boarding costs may also be covered. 

Disaster Relief Grant for Veterinarians

Purpose: The AVMF disaster relief grants are for the purpose of assisting veterinarians who have experienced an emergency need for basic necessities due to a disaster. The grants would cover items such as clothing, temporary housing, transportation and meals that were needed immediately following a disaster.

 Awards: Up to $2,000 may be issued per grantee for out-of-pocket expenses incurred immediately following a disaster. AVMF reimburses for the actual cost of items purchased directly from a vendor. Modest housing costs may be covered for emergency temporary shelter.

 Application Procedure

The applications are posted on the AVMF website. Applicants should follow the online directions for submitting the application and the expense chart. Limited funds are currently available and approved on a first come, first served basis.

Deadline:  Applications must be received no later than 120 days following the disaster.

 More Information: Please contact Cheri Kowal, Senior Manager, Programs and Operations, 847-285-6691 or CKowal@AVMA.org