Meet a Member – Jennifer Ruby

Jennifer Ruby, DVM, DACVR

Dr. Jennifer Ruby is from the Hudson Valley, NY and pursued her veterinary education at Cornell University. She completed a rotating internship in medicine and surgery at Red Bank Veterinary Hospital in Red Bank, NJ, followed by a second internship in diagnostic imaging at the Veterinary Imaging Center of San Diego. In 2016, Dr. Ruby went on to complete a three year residency in diagnostic imaging at the University of Georgia, where she developed a strong interest in abdominal ultrasonography and neuroimaging in companion animals, and advanced imaging in exotic pets. One project that Dr. Ruby enjoyed completing during her residency was a study evaluating the brain of koi fish using magnetic resonance imaging. She became board certified in Diagnostic Imaging in September 2019 and joined Oahu Veterinary Radiology.

Dr. Ruby is excited to provide high quality diagnostic imaging services to the islands. She looks forward to reading CT and MRI cases, as well as providing radiograph interpretation and mobile ultrasound services to the local community. In her spare time, Dr. Ruby enjoys developing her burgeoning fruit garden, baking, hiking, scuba diving and traveling, as well as spending time with her two cats, Fergie and Muffin.

Letter from the President – Aug 2019

Aleisha Swartz, DVM

Dear Colleagues,

Registration is now open for our 66th Annual Conference, which will be held November 7-10, 2019 at the Hilton Waikiki Beach Hotel. We are again offering RACE-approved CE with a great speaker and subject lineup including, dentistry, infectious disease, internal medicine, soft tissue surgery and more. We will also be offering a daylong equine track on Friday Nov 8th for the large animal practitioners. Register early and save.

The annual meeting for HVMA members will be Saturday, November 9 and all members are welcome and encouraged to join us even if you cannot attend the entire meeting. And this year’s cocktail hour and social on Saturday evening will be another great time for all, don’t miss it.

Another thing the HVMA board has been involved with is updating our agreement with Hi-EMA to provide support to those in need in the event of a natural disaster or other emergency. Did you know we participate at the state level as advisors on animal-related emergency sheltering? If you are interested in being involved with disaster assistance and planning, please fill out a quick survey or email us. Even if you are not able to volunteer, prepare yourself, your family and practice in case of a natural disaster. The AVMA has a disaster resource page with many great resources https://www.avma.org/KB/Resources/Reference/disaster/Pages/disaster-aid-veterinarians.aspx.

Finally, be sure to visit our classifieds if you are looking to advertise your services as a relief veterinarian or are in need of a veterinarian or other staff member. This is a fantastic resource available for members!

Aloha,

Aleisha Swartz, DVM
President, Hawaii Veterinary Medical Association

HHS Spay/Neuter Clinic Tour

Take a tour of the Hawaiian Humane Society’s Community Spay/Neuter Center, which offers low-fee, high-quality, high-volume sterilizations for pet animals on Oahu.  Meet Dr. Kasey Carter,  Hawaiian Humane’s head veterinarian and learn about the services offered and the ins-and-outs of being part of a unique community program.

The tour will be on Thursday, August 29, 2019 and is open to vets and all clinic staff. Meet in the Community Spay/Neuter Center (front building off Wai’alae Ave; additional parking available in back).

Check-in and Q&A at 6:15pm. Tour from 6:30-8:00pm. Pupus & drinks (beer, wine, and non-alcoholic) provided. RSVP by August 23 to honoluluvetsociety@gmail.com.

Rat Lungworm Disease Workshop

The University of Hawai`i at Hilo invites the public to the 6th International Scientific Workshop on Angiostrongylus cantonensis and Angiostrongyliasis (rat lungworm disease), held January 5-8, 2020, at the Hilo Hawaiian Hotel. Dr. Richard Malik (PhD, DVM) of the University of Sydney’s Centre for Veterinary Education will be leading discussion sessions for veterinarians on detection, treatment, and prevention of rat lungworm disease in domestic animals, wildlife, and livestock. There is no fee, but all attendees must register by September 1st at https://hilo.hawaii.edu/conferences/rat-lung-worm-2020/. Case study presentations are also welcome; abstracts due September 1st. For additional information, contact rlwlab@hawaii.edu.

Hawaii Pet Expo 2019

In celebration of both National Pet Week and Be Kind to Animals Week during May 5-11, 2019, the Hawaii Veterinary Medical Association proudly presents Hawaii Pet Expo 2019, to be held on Saturday and Sunday, May 11 & 12 from 10 am to 4 pm at the Neal Blaisdell Center.

Hawaii Pet Expo encourages responsible pet ownership and strengthening the unique bond between people and their pets through educational displays, live animal demonstrations, and the latest in pet products and services.

This year’s theme is “More than a Pet, More than a Friend … Family.” As always, pets are welcome. Dogs must be leashed and pets must be in good health and under their owner’s control at all times.

This event is free to the public, but donations of nonperishable food items will be accepted at the door to benefit the Hawaii Foodbank. Parking at the Neal Blaisdell Center is $6.

We are still looking for volunteers! All veterinary staff and family members are welcome to join in the fun. Sign up here.

Meet a Member – Nicole Roybal

Nicole Roybal, DVM, DACVO, is a 2007 graduate of Colorado State University and completed a rotating internship and residency at Veterinary Specialty Hospital of San Diego where she remained for 5 years as staff ophthalmologist before deciding it was time to return home to Hawaii. She grew up in Kaneohe, attended Kamehameha Schools and is honored and excited to join the local veterinary community.

She recently opened Pacific Animal Eye Care with her husband Jason Roybal. As a brand-new, family-owned and operated ophthalmology specialty practice located in Kaneohe, they are dedicated to providing excellent service as well as high-quality medicine. They offer advanced diagnostic modalities such as slit lamp biomicroscopy, indirect ophthalmoscopy, gonioscopy, rebound tonometry, ocular ultrasound exams, and electroretinography. Surgical services include phacoemulsification for cataracts, cryosurgery for abnormal cilia and neoplastic lesions, as well as a full array of microsurgical instrumentation for eyelid, corneal and intraocular procedures.

She welcomes consultations at info@pacificanimaleyecare.com or (808)445-6778. For more info, please see www.pacificanimaleyecare.com.



Pesticides Rules Change

§4-66-54 of the Hawaii Administrative Rules is being updated by the Hawaii Department of Agriculture Pesticides branch to mandate that “every retailer that sells or distributes pesticide products to the public shall prominently post within ten feet of any pesticide product display or sales area, a warning sign that includes:

  1. Information regarding the proper handling, storage, and disposal of all pesticides sold;
  2. Emergency telephone numbers to call in case of poisoning from the pesticides; and
  3. A statement that use of any pesticide product in a manner inconsistent with its label is prohibited by law.

The warning sign shall be no less than seventeen inches by twenty two inches and contain lettering of sufficient size, no less than sixteen point bold type, which will enable the sign to be read from a distance of six feet under all lighting conditions normally encountered during business hours.”

The rules have not yet been signed as law by the governor but are expected to be signed some time in the May-June timeframe. These rules will affect
retailers that sell pesticides in any form (flea collars, topical medicine, etc.).

Sample signage wording below:

  1. For the proper handling, storage, and disposal of a pesticide product as required by Federal and State law, please refer to its label.
  2. In case of pesticide poisoning, please call the National Poison Control Center at 1-800-222-1222.
  3. It is a violation of Federal and State law to use any pesticide product in a manner inconsistent with its label.

[Pesticide product signage as required by Hawaii Administrative Rules(HAR) 4-66-54(d).]

For more information, please see the Department of Agriculture website.

Honolulu Street Dog Coalition

The Street Dog Coalition is a Colorado-based nonprofit founded by veterinarian Jon Geller whose mission is to provide free veterinary care and related services to pets of people affected by homelessness. Dr. Geller began providing care through street clinics in Ft. Collins in 2015 and has since expanded to mentor and provide supplies to licensed, volunteer veterinarians willing to lead clinics in their communities. The Street Dog Coalition partnered with the AVMA in July for a clinic at the Denver convention in July, read more about it here.

The Honolulu Street Dog Coalition clinics are led by Aleisha Swartz, DVM, and have started providing veterinary care such as vaccinations, parasite control and treatment of minor medical concerns at the new Punawai Rest Stop in Iwilei. The facility was built by the City and County of Honolulu and is a pet-friendly hygiene center where people can do laundry, take showers, receive mail and access social services.

The number of pets belonging to people affected by homelessness is unknown but is estimated to be approximately 10%. For the first time the 2019 Hawaii Homeless Point in Time Count survey asked people if they had pets; this information should be available in the spring.

If you are interested in more information on how to support this effort, volunteering at the Honolulu Clinics, or starting a clinic on a neighbor island, contact Aleisha at honolulu@thestreetdogcoalition.org. Support staff are welcome to volunteer. For more information about The Street Dog Coalition visit their website.

Rat Lungworm Disease in Hawaii

In November and December 2018, two young dogs in the Honolulu area were diagnosed with Rat Lungworm Disease, caused by Angiostrongylus cantonensis. Both puppies presented with spinal hyperesthesia, hindlimb weakness, and proprioceptive ataxia. One dog had peripheral eosinophilia; all other hematology and serum biochemistry tests were unremarkable. Plain radiographs and computed tomography scans (with/without) contrast were performed but did not reveal a cause for the neurologic signs. Cerebrospinal fluid analysis in both patients revealed eosinophilic pleocytosis and real-time PCR testing for Angiostrongylus cantonensis on CSF was positive in both dogs, confirming a diagnosis of neural angiostrongylisias; PCR testing for other canine neural pathogens was negative.

Both dogs responded rapidly to treatment with corticosteroids and recovered clinically within 2 weeks. Neither dog was observed ingesting a snail or slug, but both dogs had environmental access to them. Dr. Richard Malik (University of Sydney) spoke on this topic in May 2018 and recommends treating with corticosteroids (up to 6 weeks), +/- anthelmintics (if early infection when the larvae are still small and not yet in the CNS), and pain medication or other symptomatic care as needed. He also recommends antibiotics to address the issue of translocated bacteria carried by migrating larvae.

If you have any suspected cases or have questions regarding diagnosing, treating, or preventing rat lungworm infection in dogs or other animals, please call Dr. Jenee Odani (Extension Veterinarian) at 808-956-3847 or email jsodani@hawaii.edu. She is especially interested in conducting post mortem testing on suspected cases.

Submitted by:
Jenee S. Odani, DVM, DACVP
Associate Specialist: Veterinary Extension
Pre-Veterinary Medicine Program Advisor
College of Tropical Agriculture and Human Resources/HNFAS
University of Hawaii