Cannabis Info from AVMA

AVMA submitted comments to the FDA regarding critical veterinary issues related to cannabis products, and the importance of addressing them. The AVMA submitted the comments following a public hearing held by the agency in late spring to gather stakeholder input while considering regulatory frameworks for hemp derivatives—including CBD—used for therapeutic purposes and as food additives.

“Veterinarians have a strong interest in, and enthusiastically support, exploring the therapeutic potential of cannabis-derived and cannabis-related products,” according to the AVMA comments. “But we want to be sure we can have continued confidence in the efficacy, quality, and safety of products used to treat our patients.”

The AVMA’s concerns stem largely from the widespread marketing of cannabis-derived products, including hemp products, with health claims that haven’t received the required FDA evaluation and approval. “The FDA should establish a clear and efficient process for approval of cannabis-derived and -related therapeutic products, and then conduct consistent enforcement against manufacturers and distributors who are noncompliant,” the AVMA said in their comments. Read full AVMA article here.

In addition to advocating for practitioners, the AVMA provides several resources regarding cannabis:

AVMA Report Summer 2019

Aloha HVMA Colleagues and Happy Summer!

We are preparing for the American Veterinary Medical Association (AVMA) Summer Session for the House of Delegates which will begin prior to the AVMA Convention – “A Monumental Experience.”

Here are the highlights for our session beginning on Thursday August 1, 2019 in Washington DC:

2019 D.C. Hill Visits: Because we are in DC, we are planning on visiting our legislators to discuss the issues that are important to the AVMA and the veterinary profession. With over 200 individual meetings, this will be the largest veterinary event on Capitol Hill ever conducted by the AVMA!

We are scheduled to meet with Hawaii’s Members of Congress or their staff – Senators Mazie Hirono and Brian Schatz; Representatives Ed Case and Tulsi Gabbard. We will be focusing on three issues for the visits: Veterinary Medicine Loan Repayment Enhancement Act (VMLRPEA); Fairness to Pet Owners Act (FTPOA) and Association Health Plans Act (AHP).

Resolutions to be discussed and voted by the House of Delegates:
a) Model Veterinary Practice Act: The AVMA adopt the revised policy Model Veterinary Practice Act
b) Revised Policy on Judicious Therapeutic Use of Antimicrobials
c) Revised joint AABP-AVMA Policy on Judicious Therapeutic Use of Antimicrobials in Cattle
d) Sexual Harassment Awareness
e) Revised Policy on Pet Heath Insurance
f) Revised Policy on Veterinary Dentistry

Proposed Bylaws Amendment:
a) Council on Research – Responsibility
b) Board of Directors – Qualifications
c) Board of Directors – Composition

AVMA Elections:
There are multiple positions that will be voted on by the House of Delegates:
a) President-Elect
b) House Advisory Committee
c) 6 Council Positions

Congratulations to Carolyn Naun who will be a speaker at this year’s AVMA Convention!

If you need to contact us with comments about the topics we mentioned, here is our email: AVMA_Delegate_HI@avma.org

Aloha!
Leianne K. Lee Loy
Hawaii Delegate

Carolyn Naun
Hawaii Alternate Delegate

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

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.

Conference Registration Open

Registration is open for our 66th Annual HVMA Conference, which will be held from November 7-10, 2019 at the Hilton Waikiki Beach Hotel. We are again offering over 80 hours of RACE-approved CE (up to 27 credits for vets and 16 credits for vet techs) and bringing in world-renowned speakers covering a variety of topics including cardiology, oncology, sports medicine, equine medicine, soft tissue surgery, infectious disease, exotics, essential oils, wellness, the opioid crisis, and emergency & critical care.

Our wet lab offerings include orthopedic labs by Brian Beale and Don Hulse, a small diameter endoscopy lab by Carrie Palm and Sean Hulsebosch, dental radiograph positioning and interpretation labs by Kevin Stepaniuk, and a laser lab by Yukiko Kuwahara.

During the conference, we will hold our annual HVMA Hui on Saturday November 9 at 12:00pm during lunch. You do not need to be a conference attendee to come to the meeting. During the meeting, we will provide an update on what the HVMA has been doing this past year as well as overview any important legislative and island news. If you are interested in sharing anything during this time, please email us.

Also on Saturday November 9 from 6-8pm we will be hosting our annual social cocktail party. Tickets to this event are $60 or complimentary with full 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 2019, it’s not too late! We hope you and your staff can join us!

Meet Your Board – Jenee Odani, Secretary

Dr. Jenee Odani (kneeling). Also pictured: Blaine Ishizu and Dr. Kim Kozuma (HDOA)

Dr. Jenee Odani graduated from the University of California at Davis School of Veterinary Medicine in 1999. She can’t believe that she’s already 20 years out of school since she vividly remembers her first day of orientation in Surge IV! She completed a diagnostic pathology residency at the California Animal Health and Food Safety Laboratory System and is a board-certified veterinary anatomic pathologist. She grew up on Maui and graduated from H.P. Baldwin High School where she was the captain of the debate team, then attended UH Mānoa for two years before graduating with a B.A. in Zoology from the University of Washington.

She has had a lifelong love of cats, starting with a silver-tipped Persian named Lady Ming of Tara to her newest, Joey, a bottle-raised buff bicolor with a bobbed tail. She was also obsessed at various times of her life with horses, snails, and ants. She has served as the UH Mānoa Extension Veterinarian since 2016 and currently has projects with shrimp disease diagnostics, small ruminant infectious diseases including parasites, bovine
semen certification, food animal continuing education, and poultry diseases. Prior to joining the UH Mānoa Cooperative Extension Services, she was with the Hawaii Department of Agriculture’s Veterinary Laboratory.

Her professional interests include infectious diseases, especially foreign animal and zoonotic diseases, fish/shrimp diseases, diagnostic methods, and quality management systems. She was the previous Chair of the Hawaii Veterinary Licensing Board and is currently the advisor for the UH Mānoa Pre-Veterinary Club where she mentors bright, eager, pre-veterinary students.

She lives in Pearl City with her husband (Norman) and son (Nicholas) and is active with the Shotokan Karate International Federation-Hawaii (has the rank of Shodan) and Boy Scout Troop 147. Please contact her if you are interested in learning how to make Kadomatsu this December!

Message from the President Apr 2019

Aloha HVMA members,

The 30th annual Pet Expo is coming up on May 11 and 12, 2019 at the Neil S. Blaisdell Center Exhibition Hall. This year’s theme is More than a Pet, More than a Friend … Family. Thank you to everyone who has already signed up to assist with this large event. Volunteers are needed to put on this HVMA sponsored event; please click here to sign up for a shift.

The conference committee is hard at work planning this year’s annual conference on November 7-10, 2019. We have a great lineup of speakers on topics you requested, including dentistry, cardiology, internal medicine, soft tissue surgery, canine rehabilitation and more. Registration will open in July so keep an eye out for early registration. If you would like to assist with conference planning we would love your help! Please email contact@hawaiivetmed.org to find out how to assist.

Did you know that the HVMA supports students in the veterinary field through scholarships? HVMA funds scholarships for pre-vet students at the University of Hawaii, veterinary students at Colorado State University and Washington State University, and veterinary technician students at Windward Community College.

Thank you for renewing your membership which helps us continue our efforts such as Pet Expo, the annual conference, and more.

On behalf of your board,

Aleisha Swartz, DVM

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.



Meet Your Board – Joe Herzog

Joe Herzog, DVM with Potiki

The three main academic routes at Stanford University send a student to law, business or medical school. While at Stanford as an undergraduate, Joe Herzog was on the path to medical school. An epiphany crossed that path and convinced him to be a doctor of many species rather than one.

Veterinary school at the University of Wisconsin–Madison introduced Joe to the animals of America’s Dairyland. Not wanting to spend a lifetime in rubber boots, eating cheese curds, Joe became a small animal emergency vet. As an ER vet, he was willing to see any animal that could be brought into the emergency clinic, including exotics.

A desire to see “all creatures, great and small” led Joe to a part-time gig at the Santa Barbara Zoo and then the San Francisco Zoo. It was there that his patients really qualified as exotic. His largest patient was an African elephant that weighed approximately 3000 kg. His smallest was a 5g Jackson’s chameleon.

An odd, memorable case from Joe’s internship involved a female mixed-breed dog that had been hit by a car. She came in with inspiratory dyspnea and no breath sounds in the caudal thorax. Dogs like that often have a pneumothorax, which requires expedient thoracocentesis. The chest tap easily yielded 12 mL of watery tan fluid. There were a few different things he expected from a chest tap; tan watery fluid was not one of them. Quickly to radiology to reveal: pregnancy and diaphragmatic hernia!

Joe moved to Oahu in 2007, when spouse Brenda Machosky became a Professor of English at UH-West Oahu. He no longer stays up all night to take ER cases. But, to spice-up the routine cases of skin, ears, ears and skin, Joe teaches an online Medical Terminology course at Windward Community College. He taught Pharmacology and Large Animal Clinical Procedures in the Vet. Tech. Training Program for several years prior.

As a cancer patient himself for the past 5 years, Joe has special regard for his cancer patients and their owners. He has surgically removed cancerous growths from some of our affected Green Sea Turtles. He monitors the healthy young sea turtles at the Mauna Lani Hotel and prepares them for their annual release every 4th of July, which is Turtle Independence Day.

Music and biking provide a welcome distraction from the work world. Joe sings with the Windward Choral Society. He also sang in the chorus for the Hawaii Opera Theatre production of Romeo and Juliet last year. He bikes 100 miles on a Sunday in late September with the Honolulu Century Ride. Now working part-time at Surf Paws Animal Hospital in Hawaii Kai, he relishes the opportunities to treat multiple species, and still avoids cheese curds.

Joe Herzog, DVM

A Message from Jed Rogers

Past HVMA President Jed Rogers shares a memoir of his time with HVMA and what he’s been up to since then.

Greetings fellow HVMA members,

I enjoy keeping in touch with HVMA through newsletters, emails, and trips to Hawaii. In a recent email exchange with Jill, she asked me to share some of what I’ve been up to since I moved back to the mainland.

After six great years in Hawaii and a lot of memorable experiences with family, friends, and colleagues at VCA Kaneohe Animal Hospital and beyond, I had the opportunity to move to Denver, a city I had visited before but didn’t know very well. The opportunity was a veterinary technology company, and although the ideas and technology were solid, we were a little too far ahead of the industry’s comfort zone. From there, I went back to VCA for four years to help guide a recently purchased hospital. Once I had that practice stabilized and growing, I decided it was time to forge out on my own. So I opened Firehouse Animal Hospital in central Denver in 2004. We grew quickly, so my business partner and I raised money from a private equity firm and bought 7 other hospitals, merging 2 of the smaller ones into two of the bigger ones. We built 4 facilities in 6 years, and all of the hospitals were doing well, but when the financial crisis hit in 2008, our financial partners wanted out. So in 2010, we sold the practice group to VCA.

For the next year and a half, I focused on doing consulting for two shelters: Denver Dumb Friends League, and Hawaiian Humane Society, which enabled me to come back to Hawaii frequently.

In late 2011, I started another group of Firehouse practices in the Austin, TX area, with a veterinarian partner, John Faught. After the Denver experience, I had decided to not take private investments anymore, and not to acquire hospitals, but to start them from scratch instead. That means slower growth but a lot more independence for us as business owners and as practitioners.

While we were getting the first Firehouse hospital open in Austin, I was approached about taking a position at ASPCA in New York City overseeing all of the organization’s veterinary operations. In late 2012 I accepted that position. So from the end of 2012 to the end of 2016, I traveled back and forth between Denver and NYC to oversee a group of 400 employees (including 100 veterinarians) in four groups: Animal Hospital, Spay/Neuter Operations, Poison Control Center, and Humane Alliance (spay / neuter training). As the only veterinary representative in the senior leadership of the organization, it was a truly unique experience.

By the end of 2016, Firehouse needed me full time again, so I returned and have been focused on that ever since. We are now up to 5 hospitals, with a 6th in development and hopefully a few more on the way. Our goal is to create an independent group of hospitals that benefits from some economies of scale but is able to focus on patient care and client experience delivered the way we like. My business partner and I used to say that there were 100 little things that make Firehouse what it is, and he had the great idea to actually write them down here: https://firehouse.vet/100-little-things/

Along the way, I have had personal ups and downs too. In 2013, I lost my wife Maia to breast cancer. She was diagnosed in 2002 and went through an 11-year journey. My kids (born in Hawaii) are my joy. My daughter Caitlin graduates from Colby College this year, and my son Eddy is a sophomore at the University of Denver. I recently married a college friend, Susanna Nemes, and we are now a blended family with 4 kids (all in college) and 6 cats.

I cherished my time in Hawaii. You all know just how unique it is. Where else could a haole learn to make a mean spam musubi? I’ve had the opportunity to travel around the country and the world, and there’s no place better! Hope to see all of you again sometime soon.

Jed Rogers, DVM