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html virginiaveterinarycenters.com collected 2026-10-04 08:00:23 UTC 1,238,085 bytes, 1,159 lines download raw bytes

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40@media (min-width:64em){:root{--g-spacing-block-section:var(--g-spacing-12);}}/*!sc*/
41@media (min-width:64em){:root{--g-font-size-100:0.625rem;--g-font-size-200:0.8125rem;--g-font-size-300:1rem;--g-font-size-400:1.125rem;--g-font-size-500:1.25rem;--g-font-size-600:1.375rem;--g-font-size-700:1.5rem;--g-font-size-800:1.75rem;--g-font-size-900:2.25rem;--g-font-size-1000:3.375rem;--g-line-height-100:1.2;--g-line-height-200:1.23077;--g-line-height-300:1.25;--g-line-height-400:1.33333;--g-line-height-500:1.4;--g-line-height-600:1.45454;--g-line-height-700:1.5;--g-line-height-800:1.42857;--g-line-height-900:1.33333;--g-line-height-1000:1.18519;}}/*!sc*/
42@media (min-width:37.5em){:root{--l-grid-template-cols:8;--l-column-gap:24px;--l-padding-inline:32px;}}/*!sc*/
43@media (min-width:48em){:root{--l-container-width:704px;}}/*!sc*/
44@media (min-width:64em){:root{--l-container-width:964px;--l-grid-template-cols:12;--l-column-gap:20px;--l-padding-inline:24px;}}/*!sc*/
45@media (min-width:80em){:root{--l-container-width:1060px;}}/*!sc*/
46@media (min-width:91.625em){:root{--l-container-width:1108px;}}/*!sc*/
47@media (min-width:100em){:root{--l-container-width:1252px;}}/*!sc*/
48html{font-family:var(--sc-font-family-p,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-p,15px);line-height:var(--sc-line-height-p,28px);-webkit-letter-spacing:var(--sc-letter-spacing-p,normal);-moz-letter-spacing:var(--sc-letter-spacing-p,normal);-ms-letter-spacing:var(--sc-letter-spacing-p,normal);letter-spacing:var(--sc-letter-spacing-p,normal);}/*!sc*/
49.generic-modal{background-color:var(--sc-gallery--modal-bg-color,#2B2B2B);width:280px;margin-top:30px;}/*!sc*/
50.generic-modal .cardNumbers{color:var(--sc-gallery--modal-heading-color,#FFFFFF);}/*!sc*/
51.generic-modal .slick-prev,.generic-modal .slick-next{-webkit-transform:translate(0,-75%);-ms-transform:translate(0,-75%);transform:translate(0,-75%);}/*!sc*/
52@media (min-width:1024px){.generic-modal .slick-prev,.generic-modal .slick-next{-webkit-transform:translate(0,-82%);-ms-transform:translate(0,-82%);transform:translate(0,-82%);}}/*!sc*/
53@media (min-width:768px){.generic-modal{width:540px;}}/*!sc*/
54@media (min-width:1024px){.generic-modal{width:964px;}}/*!sc*/
55@media (min-width:1366px){.generic-modal{width:1070px;}}/*!sc*/
56.modal-deactivate{position:absolute;padding:0;width:36px;height:36px;opacity:1;background-color:transparent;border:transparent;z-index:100;right:8px;outline:revert;}/*!sc*/
57@media (min-width:1024px){.modal-deactivate{margin-top:24px;margin-right:10px;}}/*!sc*/
58.modal-deactivate:hover{opacity:1;cursor:pointer;}/*!sc*/
59.modal-deactivate:before,.modal-deactivate:after{position:absolute;left:16px;content:' ';height:16px;width:2px;background-color:var(--sc-gallery--modal-close-icon-color,#FFFFFF);}/*!sc*/
60.modal-deactivate:before{-webkit-transform:rotate(45deg);-ms-transform:rotate(45deg);transform:rotate(45deg);}/*!sc*/
61.modal-deactivate:after{-webkit-transform:rotate(-45deg);-ms-transform:rotate(-45deg);transform:rotate(-45deg);}/*!sc*/
62.wrapper{box-sizing:border-box;font-feature-settings:'kern','clig','calt';font-variant-ligatures:no-common-ligatures;margin:0 auto;width:100%;max-width:var(--l-boundary-width);}/*!sc*/
63@media (min-width:1366px){.wrapper{box-sizing:border-box;}}/*!sc*/
64.container{margin:0 auto;width:100%;}/*!sc*/
65@media (min-width:1024px){.container{max-width:964px;}}/*!sc*/
66@media (min-width:1366px){.container{max-width:1070px;}}/*!sc*/
67@media (min-width:1600px){.container{max-width:1253px;}}/*!sc*/
68.arrow:after{content:' →';position:relative;}/*!sc*/
69@media (min-width:1024px){.mobile-only{display:none;}}/*!sc*/
70ul li,ol li{margin-bottom:8px;}/*!sc*/
71ul ul{list-style-type:circle;}/*!sc*/
72ul ul ul{list-style-type:square;}/*!sc*/
73ol ol{list-style-type:upper-latin;}/*!sc*/
74ol ol ol{list-style-type:lower-roman;}/*!sc*/
75p:empty{display:none;}/*!sc*/
76.rich-text-container{background-color:var(--sc-rich-text--bg-color,var(--sc-rich-text--color-anchor,#484141));padding:30px 20px;}/*!sc*/
77@media (min-width:768px){.rich-text-container{padding:30px 114px;}}/*!sc*/
78@media (min-width:1024px){.rich-text-container{padding:80px 0;}}/*!sc*/
79a{line-height:var(--sc-line-height-default,18px);-webkit-letter-spacing:var(--sc-letter-spacing-default,normal);-moz-letter-spacing:var(--sc-letter-spacing-default,normal);-ms-letter-spacing:var(--sc-letter-spacing-default,normal);letter-spacing:var(--sc-letter-spacing-default,normal);text-align:left;color:var(--sc-rich-text--color-anchor,#484141);cursor:pointer;-webkit-text-decoration:none;text-decoration:none;display:inline-block;}/*!sc*/
80h2 a,h3 a{line-height:inherit;-webkit-letter-spacing:inherit;-moz-letter-spacing:inherit;-ms-letter-spacing:inherit;letter-spacing:inherit;}/*!sc*/
81:where( main,.nva-emergency-banner,.nva-banner,.nva-footer,.nva-footer-old,.nva-header__contact,.nva-header__utils,.nva-global-header-old .nav-contacts,.nva-global-header-old .nav-utility ) a:not(.sg-btn-cpnt,.fakeAnchor),button.nva-footer__utils-item,.nva-service-blade .fakeAnchor,.nva-footer-old__utility-links-list-item-anchor,.nva-footer-old__mini-footer-utility-links-list-item-anchor,.nva-global-header-old .burger-close :is( .splitCtas,.nonSplit ) .sg-btn-cpnt,.nva-global-header-old .burger-close :is( .splitCtas,.nonSplit ) .sg-btn-cpnt,.nva-global-header-old .burger-open :is( .map,.call ) .sg-btn-cpnt{-webkit-text-decoration-line:underline;text-decoration-line:underline;-webkit-text-decoration-style:dotted;text-decoration-style:dotted;-webkit-text-decoration-thickness:1px;text-decoration-thickness:1px;}/*!sc*/
82:where( main,.nva-emergency-banner,.nva-banner,.nva-footer,.nva-footer-old,.nva-header__contact,.nva-header__utils,.nva-global-header-old .nav-contacts,.nva-global-header-old .nav-utility ) a:not(.sg-btn-cpnt,.fakeAnchor):hover,button.nva-footer__utils-item:hover,.nva-service-blade .fakeAnchor:hover,.nva-footer-old__utility-links-list-item-anchor:hover,.nva-footer-old__mini-footer-utility-links-list-item-anchor:hover,.nva-global-header-old .burger-close :is( .splitCtas,.nonSplit ) .sg-btn-cpnt:hover,.nva-global-header-old .burger-close :is( .splitCtas,.nonSplit ) .sg-btn-cpnt:hover,.nva-global-header-old .burger-open :is( .map,.call ) .sg-btn-cpnt:hover{-webkit-text-decoration-style:solid;text-decoration-style:solid;}/*!sc*/
83.padding-top-override-small{padding-top:25px !important;}/*!sc*/
84@media (min-width:1024px){.padding-top-override-small{padding-top:50px !important;}}/*!sc*/
85.padding-top-override-medium{padding-top:40px !important;}/*!sc*/
86@media (min-width:1024px){.padding-top-override-medium{padding-top:80px !important;}}/*!sc*/
87.padding-top-override-large{padding-top:60px !important;}/*!sc*/
88@media (min-width:1024px){.padding-top-override-large{padding-top:110px !important;}}/*!sc*/
89.padding-top-override-none{padding-top:0 !important;}/*!sc*/
90.padding-bottom-override-small{padding-bottom:25px !important;}/*!sc*/
91@media (min-width:1024px){.padding-bottom-override-small{padding-bottom:50px !important;}}/*!sc*/
92.padding-bottom-override-medium{padding-bottom:40px !important;}/*!sc*/
93@media (min-width:1024px){.padding-bottom-override-medium{padding-bottom:80px !important;}}/*!sc*/
94.padding-bottom-override-large{padding-bottom:60px !important;}/*!sc*/
95@media (min-width:1024px){.padding-bottom-override-large{padding-bottom:110px !important;}}/*!sc*/
96.padding-bottom-override-none{padding-bottom:0 !important;}/*!sc*/
97hr{height:1px;}/*!sc*/
98.grecaptcha-badge{visibility:hidden;}/*!sc*/
99.gtm-noscript-hide{display:none;}/*!sc*/
100.withAnimation{opacity:0.6;-webkit-transform:translateY(4rem) scale(0.9);-ms-transform:translateY(4rem) scale(0.9);transform:translateY(4rem) scale(0.9);}/*!sc*/
101.withAnimation.popUpAnimation{-webkit-animation:izIiNn 0.6s cubic-bezier(0,0.9,0.3,1.2) forwards;animation:izIiNn 0.6s cubic-bezier(0,0.9,0.3,1.2) forwards;}/*!sc*/
102.image-container img{position:static !important;}/*!sc*/
103#televet-widget-iframe{z-index:9000 !important;}/*!sc*/
104#vetstoria-fw-btn-container{z-index:9200 !important;}/*!sc*/
105#ae_launcher{z-index:9100 !important;}/*!sc*/
106#truste-consent-track{z-index:99999999999 !important;}/*!sc*/
107@media (max-width:63.99875em){:has(.nva-header-wrapper .has-sticky-cta) :is(.wg-default,.wg-default .country-selector,#televet-widget-iframe){bottom:calc(calc( var(--l-padding-block) * 2) + 3
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108.l-grid{display:grid;grid-template-rows:auto;grid-template-columns:repeat(var(--l-grid-template-cols),minmax(0,1fr));-webkit-column-gap:var(--l-column-gap);column-gap:var(--l-column-gap);row-gap:var(--l-row-gap);padding-block:var(--l-padding-block);padding-inline:var(--l-padding-inline);margin:0 auto;max-width:var(--l-container-width);width:100%;}/*!sc*/
109.l-col-1{grid-column:var(--l-col-1,auto/span 1);}/*!sc*/
110.l-col-2{grid-column:var(--l-col-2,auto/span 2);}/*!sc*/
111.l-col-3{grid-column:var(--l-col-3,auto/span 3);}/*!sc*/
112.l-col-4{grid-column:var(--l-col-4,auto/span 4);}/*!sc*/
113.l-col-5{grid-column:var(--l-col-5,auto/span 5);}/*!sc*/
114.l-col-6{grid-column:var(--l-col-6,auto/span 6);}/*!sc*/
115.l-col-7{grid-column:var(--l-col-7,auto/span 7);}/*!sc*/
116.l-col-8{grid-column:var(--l-col-8,auto/span 8);}/*!sc*/
117.l-col-9{grid-column:var(--l-col-9,auto/span 9);}/*!sc*/
118.l-col-10{grid-column:var(--l-col-10,auto/span 10);}/*!sc*/
119.l-col-11{grid-column:var(--l-col-11,auto/span 11);}/*!sc*/
120.l-col-12{grid-column:var(--l-col-12,auto/span 12);}/*!sc*/
121.l-col-full{grid-column:var(--l-col-full,1/-1);}/*!sc*/
122.l-start-1{grid-column-start:var(--l-start-1,1);}/*!sc*/
123.l-start-2{grid-column-start:var(--l-start-2,2);}/*!sc*/
124.l-start-3{grid-column-start:var(--l-start-3,3);}/*!sc*/
125.l-start-4{grid-column-start:var(--l-start-4,4);}/*!sc*/
126.l-start-5{grid-column-start:var(--l-start-5,5);}/*!sc*/
127.l-start-6{grid-column-start:var(--l-start-6,6);}/*!sc*/
128.l-start-7{grid-column-start:var(--l-start-7,7);}/*!sc*/
129.l-start-8{grid-column-start:var(--l-start-8,8);}/*!sc*/
130.l-start-9{grid-column-start:var(--l-start-9,9);}/*!sc*/
131.l-start-10{grid-column-start:var(--l-start-10,10);}/*!sc*/
132.l-start-11{grid-column-start:var(--l-start-11,11);}/*!sc*/
133@media (min-width:37.5em){.sm\:l-col-1{grid-column:var(--l-col-1,auto/span 1);}.sm\:l-col-2{grid-column:var(--l-col-2,auto/span 2);}.sm\:l-col-3{grid-column:var(--l-col-3,auto/span 3);}
133.sm\:l-col-4{grid-column:var(--l-col-4,auto/span 4);}.sm\:l-col-5{grid-column:var(--l-col-5,auto/span 5);}.sm\:l-col-6{grid-column:var(--l-col-6,auto/span 6);}.sm\:l-col-7{grid-column:var(--l-col-7,auto/span 7);}.sm\:l-col-8{grid-column:var(--l-col-8,auto/span 8);}.sm\:l-col-9{grid-column:var(--l-col-9,auto/span 9);}.sm\:l-col-10{grid-column:var(--l-col-10,auto/span 10);}.sm\:l-col-11{grid-column:var(--l-col-11,auto/span 11);}.sm\:l-col-12{grid-column:var(--l-col-12,auto/span 12);}}/*!sc*/
134@media (min-width:48em){.md\:l-col-1{grid-column:var(--l-col-1,auto/span 1);}.md\:l-col-2{grid-column:var(--l-col-2,auto/span 2);}.md\:l-col-3{grid-column:var(--l-col-3,auto/span 3);}.md\:l-col-4{grid-column:var(--l-col-4,auto/span 4);}.md\:l-col-5{grid-column:var(--l-col-5,auto/span 5);}.md\:l-col-6{grid-column:var(--l-col-6,auto/span 6);}.md\:l-col-7{grid-column:var(--l-col-7,auto/span 7);}.md\:l-col-8{grid-column:var(--l-col-8,auto/span 8);}.md\:l-col-9{grid-column:var(--l-col-9,auto/span 9);}.md\:l-col-10{grid-column:var(--l-col-10,auto/span 10);}.md\:l-col-11{grid-column:var(--l-col-11,auto/span 11);}.md\:l-col-12{grid-column:var(--l-col-12,auto/span 12);}}/*!sc*/
135@media (min-width:64em){.lg\:l-col-1{grid-column:var(--l-col-1,auto/span 1);}.lg\:l-col-2{grid-column:var(--l-col-2,auto/span 2);}.lg\:l-col-3{grid-column:var(--l-col-3,auto/span 3);}.lg\:l-col-4{grid-column:var(--l-col-4,auto/span 4);}.lg\:l-col-5{grid-column:var(--l-col-5,auto/span 5);}.lg\:l-col-6{grid-column:var(--l-col-6,auto/span 6);}.lg\:l-col-7{grid-column:var(--l-col-7,auto/span 7);}.lg\:l-col-8{grid-column:var(--l-col-8,auto/span 8);}.lg\:l-col-9{grid-column:var(--l-col-9,auto/span 9);}.lg\:l-col-10{grid-column:var(--l-col-10,auto/span 10);}.lg\:l-col-11{grid-column:var(--l-col-11,auto/span 11);}.lg\:l-col-12{grid-column:var(--l-col-12,auto/span 12);}}/*!sc*/
136:has(.nva-header-wrapper.is-sticky-desktop) [id]{--l-scroll-margin-top:var(--g-spacing-3);-webkit-scroll-margin-top:var(--l-scroll-margin-top);-moz-scroll-margin-top:var(--l-scroll-margin-top);-ms-scroll-margin-top:var(--l-scroll-margin-top);scroll-margin-top:var(--l-scroll-margin-top);}/*!sc*/
137:has(.nva-header-wrapper.is-sticky) [id]{--l-scroll-margin-top:98px;}/*!sc*/
138:has(.nva-header-wrapper.is-sticky .nva-emergency-banner) [id]{--l-scroll-margin-top:calc(98px + 78px);}/*!sc*/
139@media (min-width:64em){:has(.nva-header-wrapper.is-sticky-desktop) [id]{--l-scroll-margin-top:155px;}:has(.nva-header-wrapper.is-sticky-desktop .nva-emergency-banner) [id]{--l-scroll-margin-top:calc(155px + 78px);}}/*!sc*/
140#privacy-request-form{-webkit-scroll-margin-top:var(--l-scroll-margin-top,155px);-moz-scroll-margin-top:var(--l-scroll-margin-top,155px);-ms-scroll-margin-top:var(--l-scroll-margin-top,155px);scroll-margin-top:var(--l-scroll-margin-top,155px);}/*!sc*/
141@media (max-width:63.99875em){:has(.has-sticky-cta) #ae_launcher.ae-cta-position-preset-left-lower{bottom:14px;left:14px;}:has(.has-sticky-cta .nva-list-item) #ae_launcher.ae-cta-position-preset-left-lower{bottom:8px;left:14px;}}/*!sc*/
142data-styled.g1[id="sc-global-hOsWjY1"]{content:"sc-global-hOsWjY1,"}/*!sc*/
143h1{color:var(--sc-font-color-h1,#423F40);font-family:var(--sc-font-family-h1,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h1,36px);font-weight:var(--sc-font-weight-h1,normal);line-height:var(--sc-line-height-h1,40px);-webkit-letter-spacing:var(--sc-letter-spacing-h1,normal);-moz-letter-spacing:var(--sc-letter-spacing-h1,normal);-ms-letter-spacing:var(--sc-letter-spacing-h1,normal);letter-spacing:var(--sc-letter-spacing-h1,normal);}/*!sc*/
144h2{color:var(--sc-font-color-h2,#2B2B2B);font-family:var(--sc-font-family-h2,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h2,30px);line-height:var(--sc-line-height-h2,36px);-webkit-letter-spacing:var(--sc-letter-spacing-h2,normal);-moz-letter-spacing:var(--sc-letter-spacing-h2,normal);-ms-letter-spacing:var(--sc-letter-spacing-h2,normal);letter-spacing:var(--sc-letter-spacing-h2,normal);font-weight:var(--sc-font-weight-h2,normal);}/*!sc*/
145h3{color:var(--sc-font-color-h3,#2B2B2B);font-family:var(--sc-font-family-h3,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h3,24px);line-height:var(--sc-line-height-h3,31px);-webkit-letter-spacing:var(--sc-letter-spacing-h3,normal);-moz-letter-spacing:var(--sc-letter-spacing-h3,normal);-ms-letter-spacing:var(--sc-letter-spacing-h3,normal);letter-spacing:var(--sc-letter-spacing-h3,normal);font-weight:var(--sc-font-weight-h3,normal);}/*!sc*/
146h4{color:var(--sc-font-color-h4,#2B2B2B);font-family:var(--sc-font-family-h4,MontserratMedium,"Montserrat Medium Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h4,16px);font-weight:var(--sc-font-weight-h4,normal);line-height:var(--sc-line-height-h4,28px);-webkit-letter-spacing:var(--sc-letter-spacing-h4,normal);-moz-letter-spacing:var(--sc-letter-spacing-h4,normal);-ms-letter-spacing:var(--sc-letter-spacing-h4,normal);letter-spacing:var(--sc-letter-spacing-h4,normal);}/*!sc*/
147h5{color:var(--sc-font-color-h5,#2B2B2B);font-family:var(--sc-font-family-h5,MontserratMedium,"Montserrat Medium Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h5,12px);font-weight:var(--sc-font-weight-h5,normal);line-height:var(--sc-line-height-h5,20px);-webkit-letter-spacing:var(--sc-letter-spacing-h5,normal);-moz-letter-spacing:var(--sc-letter-spacing-h5,normal);-ms-letter-spacing:var(--sc-letter-spacing-h5,normal);letter-spacing:var(--sc-letter-spacing-h5,normal);}/*!sc*/
148p{color:var(--sc-font-color-p,#2B2B2B);font-weight:var(--sc-font-weight-p,normal);font-family:var(--sc-font-family-p,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-p,15px);line-height:var(--sc-line-height-p,28px);-webkit-letter-spacing:var(--sc-letter-spacing-p,normal);-moz-letter-spacing:var(--sc-letter-spacing-p,normal);-ms-letter-spacing:var(--sc-letter-spacing-p,normal);letter-spacing:var(--sc-letter-spacing-p,normal);}/*!sc*/
149.heading_one{color:var(--sc-font-color-h1,#423F40);font-family:var(--sc-font-family-h1,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h1,36px);font-weight:var(--sc-font-weight-h1,normal);line-height:var(--sc-line-height-h1,40px);-webkit-letter-spacing:var(--sc-letter-spacing-h1,normal);-moz-letter-spacing:var(--sc-letter-spacing-h1,normal);-ms-letter-spacing:var(--sc-letter-spacing-h1,normal);letter-spacing:var(--sc-letter-spacing-h1,normal);}/*!sc*/
150.heading_two{color:var(--sc-font-color-h2,#2B2B2B);font-family:var(--sc-font-family-h2,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h2,30px);line-height:var(--sc-line-height-h2,36px);-webkit-letter-spacing:var(--sc-letter-spacing-h2,normal);-moz-letter-spacing:var(--sc-letter-spacing-h2,normal);-ms-letter-spacing:var(--sc-letter-spacing-h2,normal);letter-spacing:var(--sc-letter-spacing-h2,normal);font-weight:var(--sc-font-weight-h2,normal);}/*!sc*/
151.heading_three{color:var(--sc-font-color-h3,#2B2B2B);font-family:var(--sc-font-family-h3,MontserratRegular,"Montserrat Regular Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h3,24px);line-height:var(--sc-line-height-h3,31px);-webkit-letter-spacing:var(--sc-letter-spacing-h3,normal);-moz-letter-spacing:var(--sc-letter-spacing-h3,normal);-ms-letter-spacing:var(--sc-letter-spacing-h3,normal);letter-spacing:var(--sc-letter-spacing-h3,normal);font-weight:var(--sc-font-weight-h3,normal);}/*!sc*/
152.heading_four,.heading_four > p{color:var(--sc-font-color-h4,#2B2B2B);font-family:var(--sc-font-family-h4,MontserratMedium,"Montserrat Medium Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h4,16px);font-weight:var(--sc-font-weight-h4,normal);line-height:var(--sc-line-height-h4,28px);-webkit-letter-spacing:var(--sc-letter-spacing-h4,normal);-moz-letter-spacing:var(--sc-letter-spacing-h4,normal);-ms-letter-spacing:var(--sc-letter-spacing-h4,normal);letter-spacing:var(--sc-letter-spacing-h4,normal);}/*!sc*/
153.heading_five{color:var(--sc-font-color-h5,#2B2B2B);font-family:var(--sc-font-family-h5,MontserratMedium,"Montserrat Medium Fallback",Arial,sans-serif);font-size:var(--sc-font-size-h5,12px);font-weight:var(--sc-font-weight-h5,normal);line-height:var(--sc-line-height-h5,20px);-webkit-letter-spacing:var(--sc-letter-spacing-h5,normal);-moz-letter-spacing:var(--sc-letter-spacing-h5,normal);-ms-letter-spacing:var(--sc-letter-spacing-h5,normal);letter-spacing:var(--sc-letter-spacing-h5,normal);}/*!sc*/
154.base-color{color:var(--sc-font-color-h5-base,#484141);}/*!sc*/
155@media (min-width:1024px){p{font-size:var(--sc-font-size-p_desktop,17px);line-height:var(--sc-line-height-p_desktop,32px);-webkit-letter-spacing:var(--sc-letter-spacing-p_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-p_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-p_desktop,normal);letter-spacing:var(--sc-letter-spacing-p_desktop,normal);}
155h1{font-size:var(--sc-font-size-h1_desktop,50px);line-height:var(--sc-line-height-h1_desktop,60px);-webkit-letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);}h2{font-size:var(--sc-font-size-h2_desktop,48px);line-height:var(--sc-line-height-h2_desktop,76px);-webkit-letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);}h3{font-size:var(--sc-font-size-h3_desktop,32px);line-height:var(--sc-line-height-h3_desktop,38px);-webkit-letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);}h4{font-size:var(--sc-font-size-h4_desktop,18px);line-height:var(--sc-line-height-h4_desktop,22px);-webkit-letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);}h5{font-size:var(--sc-font-size-h5_desktop,13px);line-height:var(--sc-line-height-h5_desktop,21px);-webkit-letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);}.heading_one{font-size:var(--sc-font-size-h1_desktop,50px);
155line-height:var(--sc-line-height-h1_desktop,60px);-webkit-letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);letter-spacing:var(--sc-letter-spacing-h1_desktop,normal);}.heading_two{font-size:var(--sc-font-size-h2_desktop,48px);line-height:var(--sc-line-height-h2_desktop,76px);-webkit-letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);letter-spacing:var(--sc-letter-spacing-h2_desktop,normal);}.heading_three{font-size:var(--sc-font-size-h3_desktop,32px);line-height:var(--sc-line-height-h3_desktop,38px);-webkit-letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);letter-spacing:var(--sc-letter-spacing-h3_desktop,normal);}.heading_four,.heading_four > p{font-size:var(--sc-font-size-h4_desktop,18px);line-height:var(--sc-line-height-h4_desktop,22px);-webkit-letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);letter-spacing:var(--sc-letter-spacing-h4_desktop,normal);}.heading_five{font-size:var(--sc-font-size-h5_desktop,13px);line-height:var(--sc-line-height-h5_desktop,21px);-webkit-letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);-moz-letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);-ms-letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);letter-spacing:var(--sc-letter-spacing-h5_desktop,normal);}}/*!sc*/
156data-styled.g2[id="sc-global-jHkISz1"]{content:"sc-global-jHkISz1,"}/*!sc*/
157.u-h1{font-family:var(--g-font-family-h1);font-size:var(--g-font-size-h1);line-height:var(--g-line-height-h1);font-weight:var(--g-font-weight-h1);-webkit-letter-spacing:var(--g-letter-spacing-h1);-moz-letter-spacing:var(--g-letter-spacing-h1);-ms-letter-spacing:var(--g-letter-spacing-h1);letter-spacing:var(--g-letter-spacing-h1);}/*!sc*/
158.u-h2{font-family:var(--g-font-family-h2);font-size:var(--g-font-size-h2);line-height:var(--g-line-height-h2);font-weight:var(--g-font-weight-h2);-webkit-letter-spacing:var(--g-letter-spacing-h2);-moz-letter-spacing:var(--g-letter-spacing-h2);-ms-letter-spacing:var(--g-letter-spacing-h2);letter-spacing:var(--g-letter-spacing-h2);}/*!sc*/
159.u-h3{font-family:var(--g-font-family-h3);font-size:var(--g-font-size-h3);line-height:var(--g-line-height-h3);font-weight:var(--g-font-weight-h3);-webkit-letter-spacing:var(--g-letter-spacing-h3);-moz-letter-spacing:var(--g-letter-spacing-h3);-ms-letter-spacing:var(--g-letter-spacing-h3);letter-spacing:var(--g-letter-spacing-h3);}/*!sc*/
160.u-h4{font-family:var(--g-font-family-h4);font-size:var(--g-font-size-h4);line-height:var(--g-line-height-h4);font-weight:var(--g-font-weight-h4);-webkit-letter-spacing:var(--g-letter-spacing-h4);-moz-letter-spacing:var(--g-letter-spacing-h4);-ms-letter-spacing:var(--g-letter-spacing-h4);letter-spacing:var(--g-letter-spacing-h4);}/*!sc*/
161.u-h5{font-family:var(--g-font-family-h5);font-size:var(--g-font-size-h5);line-height:var(--g-line-height-h5);font-weight:var(--g-font-weight-h5);-webkit-letter-spacing:var(--g-letter-spacing-h5);
161-moz-letter-spacing:var(--g-letter-spacing-h5);-ms-letter-spacing:var(--g-letter-spacing-h5);letter-spacing:var(--g-letter-spacing-h5);}/*!sc*/
162.u-h6{font-family:var(--g-font-family-h6);font-size:var(--g-font-size-h6);line-height:var(--g-line-height-h6);font-weight:var(--g-font-weight-h6);-webkit-letter-spacing:var(--g-letter-spacing-h6);-moz-letter-spacing:var(--g-letter-spacing-h6);-ms-letter-spacing:var(--g-letter-spacing-h6);letter-spacing:var(--g-letter-spacing-h6);}/*!sc*/
163.u-subtitle1{font-family:var(--g-font-family-subtitle1);font-size:var(--g-font-size-subtitle1);line-height:var(--g-line-height-subtitle1);font-weight:var(--g-font-weight-subtitle1);-webkit-letter-spacing:var(--g-letter-spacing-subtitle1);-moz-letter-spacing:var(--g-letter-spacing-subtitle1);-ms-letter-spacing:var(--g-letter-spacing-subtitle1);letter-spacing:var(--g-letter-spacing-subtitle1);}/*!sc*/
164.u-subtitle2{font-family:var(--g-font-family-subtitle2);font-size:var(--g-font-size-subtitle2);line-height:var(--g-line-height-subtitle2);font-weight:var(--g-font-weight-subtitle2);-webkit-letter-spacing:var(--g-letter-spacing-subtitle2);-moz-letter-spacing:var(--g-letter-spacing-subtitle2);-ms-letter-spacing:var(--g-letter-spacing-subtitle2);letter-spacing:var(--g-letter-spacing-subtitle2);}/*!sc*/
165.u-body1{font-family:var(--g-font-family-body1);font-size:var(--g-font-size-body1);line-height:var(--g-line-height-body1);font-weight:var(--g-font-weight-body1);-webkit-letter-spacing:var(--g-letter-spacing-body1);-moz-letter-spacing:var(--g-letter-spacing-body1);-ms-letter-spacing:var(--g-letter-spacing-body1);letter-spacing:var(--g-letter-spacing-body1);}/*!sc*/
166.u-body2{font-family:var(--g-font-family-body2);font-size:var(--g-font-size-body2);line-height:var(--g-line-height-body2);font-weight:var(--g-font-weight-body2);-webkit-letter-spacing:var(--g-letter-spacing-body2);-moz-letter-spacing:var(--g-letter-spacing-body2);-ms-letter-spacing:var(--g-letter-spacing-body2);letter-spacing:var(--g-letter-spacing-body2);}/*!sc*/
167.u-button{font-family:var(--g-font-family-button);font-size:var(--g-font-size-button);line-height:var(--g-line-height-button);font-weight:var(--g-font-weight-button);-webkit-letter-spacing:var(--g-letter-spacing-button);-moz-letter-spacing:var(--g-letter-spacing-button);-ms-letter-spacing:var(--g-letter-spacing-button);letter-spacing:var(--g-letter-spacing-button);}/*!sc*/
168.u-caption{font-family:var(--g-font-family-caption);font-size:var(--g-font-size-caption);line-height:var(--g-line-height-caption);font-weight:var(--g-font-weight-caption);-webkit-letter-spacing:var(--g-letter-spacing-caption);-moz-letter-spacing:var(--g-letter-spacing-caption);-ms-letter-spacing:var(--g-letter-spacing-caption);letter-spacing:var(--g-letter-spacing-caption);}/*!sc*/
169.u-overline{font-family:var(--g-font-family-overline);font-size:var(--g-font-size-overline);line-height:var(--g-line-height-overline);font-weight:var(--g-font-weight-overline);-webkit-letter-spacing:var(--g-letter-spacing-overline);-moz-letter-spacing:var(--g-letter-spacing-overline);-ms-letter-spacing:var(--g-letter-spacing-overline);letter-spacing:var(--g-letter-spacing-overline);text-transform:uppercase;}/*!sc*/
170.u-line-through{-webkit-text-decoration-line:line-through;text-decoration-line:line-through;}/*!sc*/
171.u-m-0{margin:var(--g-spacing-0);}/*!sc*/
172.u-mt-0{margin-top:var(--g-spacing-0);}/*!sc*/
173.u-mb-2{margin-bottom:var(--g-spacing-2);}/*!sc*/
174.u-mb-3{margin-bottom:var(--g-spacing-3);}/*!sc*/
175.u-mb-4{margin-bottom:var(--g-spacing-4);}/*!sc*/
176.u-mb-8{margin-bottom:var(--g-spacing-8);}/*!sc*/
177.u-mb-9{margin-bottom:var(--g-spacing-8);}/*!sc*/
178@media (max-width:37.49875em){.max-sm\:u-mb-3{margin-bottom:var(--g-spacing-3);}}/*!sc*/
179@media (max-width:47.99875em){.max-md\:u-mb-3{margin-bottom:var(--g-spacing-3);}}/*!sc*/
180@media (max-width:63.99875em){.max-lg\:u-none{display:none;}}/*!sc*/
181@media (min-width:64em){.lg\:u-none{display:none;}}/*!sc*/
182.u-block{display:block !important;}/*!sc*/
183.u-flex{display:-webkit-box;display:-webkit-flex;display:-ms-flexbox;display:flex;}/*!sc*/
184.u-items-center{-webkit-align-items:center;-webkit-box-align:center;-ms-flex-align:center;align-items:center;}/*!sc*/
185.u-gap-4{gap:var(--g-spacing-4);}/*!sc*/
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1157sRGB&#x27;%3E%3CfeGaussianBlur stdDeviation=&#x27;20&#x27;/%3E%3C/filter%3E%3Cimage filter=&#x27;url(%23b)&#x27; x=&#x27;0&#x27; y=&#x27;0&#x27; height=&#x27;100%25&#x27; width=&#x27;100%25&#x27; href=&#x27;data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAA8AAAAFCAMAAACtk0YeAAAA4VBMVEWup6Kwq6e9ubTGwrzOyL6xraZpeYt9h5OlpaXq4dX57+D37N7w5Nfn3NDj2cyRbVWOblmSc12VdV2cgmuUiH10fIeRjZOPio2TkIy0qp28saS/saXFtafLvayKXUWFXEmBZliFYk15XUt2YVJ9d29pY1pdVk9vZVqDcGCLeWqSfW6SfGyYhnaXdl2VeWKMdmOPd2CHc16Fc16Jfm9fVUlOQjVpWkh2ZFB4alyPgXWViH+Pg3uomYiejnqPe2ePemazqJepoZNyZ1pVS0RSSURTTUhaVVJqZGFuZmRxaGZ1bWkIkDdxAAAAEklEQVQI12NkYEQF/KhcFhL5ABZRAJHxTDiKAAAAAElFTkSuQmCC&#x27;/%3E%3C/svg%3E&quot;)"/></picture></div></div></div><div class="nva-media-text-carousel__card-text-wrapper card-text"><section class="sc-10n47b9-0 eTPLSh nva-image-overlay sc-10n47b9-1 kVuFxQ nva-media-text-carousel__card-text-container nva-media-text-carousel__card-text-container--dark card-text-container dark"><div class="nva-text-card sc-5mwt0n-0 gxjbeb nva-media-text-carousel__item-text-card variation-a textleft"><h1 class="sc-1lhs05s-0 eSDLys nva-text-card__header card-header nva-heading" data-contentful-field-id="headline" data-contentful-entry-id="7uNgV38a58rftAY4uocx7W"><span>Get In Touch</span></h1><h3 class="sc-1lhs05s-0 eSDLys nva-text-card__sub-heading-text card-subHeading nva-heading" data-contentful-field-id="subHeadline" data-contentful-entry-id="7uNgV38a58rftAY4uocx7W"><span>With extensive hours and three locations, we&#39;ll be here when you and your pet need us.</span></h3><p class="nva-para  undefined sc-ovnq1p-0 dwHaQt nva-text-card__cta para-cta-wrapper"><a title="Contact Us" role="link" href="/locations#contact-us" class="nva-anchor nva-anchor--hero-button sg-btn-cpnt hero-button nva-anchor--button sc-1ux5mjm-1 cnvAfG" target="_self" data-entry-id="6mCPf3vsYzulXQoCQRJv5p" tabindex="0" data-analytics-type="cta-hero" data-analytics-value="Get In Touch" data-analytics-variation="Variation-A">Contact Us</a></p></div></section></div></div></div></div></div></div></div></div></section></div><section class="sc-1ypjqlm-0 bIKgHl nva-header-multi-location"><section class="sc-1jrftqu-0 euLfdp nva-multi-location-grid"><div style="text-align:center" class="nva-multi-location-grid__header col-md-10 col-md-offset-1 container multi-location-header"><h2 class="sc-1lhs05s-0 eSDLys nva-multi-location-grid__heading nva-heading" id="our-locations">Our Locations</h2></div><div class="nva-multi-location-grid__list multi-location-grid"></div></section></section><section id="contact-us" class="sc-15orjhq-0 coqsGA sc-15orjhq-1 cLnoHc nva-promo-banner" data-entry-id="4Zg6p8ZaZw4hAYjda9Ju6o"><section class="sc-h1x7ke-0 dKDeuP nva-image-text-card  sc-h1x7ke-1 iOJusq nva-promo-banner__image-text-card promo-banner"><h2 class="sc-1lhs05s-0 eSDLys nva-image-text-card__heading undefined  nva-heading" data-contentful-field-id="headline" data-contentful-entry-id="4Zg6p8ZaZw4hAYjda9Ju6o">Contact Us</h2><div class="nva-rich-text sc-wturor-0 gNWsGk nva-image-text-card__rich-text container" data-contentful-field-id="textBlock" data-contentful-entry-id="4Zg6p8ZaZw4hAYjda9Ju6o"><p>This form is not to be used for emergency situations as you may not receive immediate responses. If you need to reach us urgently, please call us directly:</p><p><b>Fredericksburg</b> <a href="tel: (540) 372-3470">(540) 372-3470</a> | <b>Midlothian</b> <a href="tel: (804) 744-9800">(804) 744-9800</a> | <b>Short Pump </b><a href="tel: (804) 353-9000">(804) 353-9000</a> </p></div></section></section><div class="nva-mailchimp sc-1nfqlpl-0 fuoSfC"></div><section class="sc-1ypjqlm-0 bIKgHl nva-header-multi-location"></section></main><footer class="sc-1tmcds5-0 deSpGl nva-global-footer-old organism globalFooter"><section class="sc-1nhohxj-0 gsITqu nva-footer-old--multi-location footer molecule nva-footer-old--multi-location-footer multi-location-footer"><section class="sc-2gqs29-0 EYedn nva-footer-old__multi-location-grid"><div class="multi-location-grid"></div></section><div class="nva-footer-old__multi-location-line-separator line-separator col-xs-12"></div><div class="nva-footer-old__primary-links row around-md middle-md primaryLinks"><div 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1158inary Anesthesia and Analgesia. She obtained her veterinary degree from Virginia-Maryland College of Veterinary Medicine in 2019. She then completed a small animal rotating internship at Louisiana State University followed by an anesthesia residency at the University of Tennessee working with both large and small animals. 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Subject to the foregoing, you must not:","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Establish a link from any website that is not owned by you.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Cause the Website or portions of it to be displayed on, or appear to be displayed by, any other site, for example, framing, deep linking, or in-line linking.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Link to any part of the Website other than the homepage.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Otherwise take any action with respect to the materials on this Website that is inconsistent with any other provision of these Terms of Use.","marks":[],"data":{}}]}]}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"The website from which you are linking, or on which you make certain content accessible, must comply in all respects with the Content Standards set out in these Terms of Use.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"You agree to cooperate with us in causing any unauthorized framing or linking immediately to stop. We reserve the right to withdraw linking permission without notice.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"We may disable all or any social media features and any links at any time without notice in our discretion.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Links from the Website","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"If the Website contains links to other sites and resources provided by third parties, these links are provided for your convenience only. This includes links contained in advertisements, including banner advertisements and sponsored links. We have no control over the contents of those sites or resources, and accept no responsibility for them or for any loss or damage that may arise from your use of them. If you decide to access any of the third-party websites linked to this Website, you do so entirely at your own risk and subject to the terms and conditions of use for such websites.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Geographic Restrictions","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"We provide this Website for use only by persons located in the United States. We make no claims that the Website or any of its content is accessible or appropriate outside of the United States. Access to the Website may not be legal by certain persons or in certain countries. If you access the Website from outside the United States, you do so on your own initiative and are responsible for compliance with local laws.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"SMS Terms and Conditions","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"By signing up to receive text messages from us, you expressly consent to receiving marketing text messages from us and others texting on the Company’s behalf at the telephone number(s) that you provide, even if your mobile number is registered on any state or federal Do Not Call list. You also accept and agree to be bound by these SMS Terms and Conditions, our Privacy Notice, and any other applicable terms and agreements related to your use of our Services. 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We may use this information in accordance with our Privacy Notice to contact you and to provide the services you request from us.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Message Frequency","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"The number of Text Messages that you receive may vary depending on the frequency of the messages sent by the program.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Cost","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Message and data rates may apply to each Text Message you receive from or on behalf of the Company, as well as each responsive text message you send, as provided in your mobile telephone service rate plan, in addition to any applicable roaming charges. 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No further messages will be sent to your mobile device, unless initiated by you.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Your Mobile Telephone Number","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"You represent that you are the account holder for the mobile telephone number(s) that you provide. If you change or deactivate the phone number you provided, you have an affirmative obligation to update your account information and the phone number(s) attached to your account to prevent us from inadvertently communicating with anyone who acquires any phone number(s) previously attributed to you, and any new phone number(s) you attach to your account may receive our standard marketing Text Messages unless you unsubscribe.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Message Delivery And Limitation Of Liability","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Depending on your mobile carrier, it may not be possible to transmit the Text Message to you successfully; nor is content available on all carriers. TO THE EXTENT PERMITTED BY APPLICABLE LAW, YOU AGREE THAT WE WILL NOT BE LIABLE FOR FAILED, DELAYED, OR MISDIRECTED DELIVERY OF ANY TEXT MESSAGES OR OTHER INFORMATION SENT THROUGH THE SERVICE, ANY ERRORS IN SUCH INFORMATION, AND/OR ANY ACTION YOU MAY OR MAY NOT TAKE IN RELIANCE ON THE INFORMATION OR SERVICE.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Changes To SMS Service And These Terms And Conditions","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"We may change any short code or telephone number we use to send Text Messages at any time and will notify you of these changes. 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NEITHER THE COMPANY NOR ANY PERSON ASSOCIATED WITH THE COMPANY MAKES ANY WARRANTY OR REPRESENTATION WITH RESPECT TO THE COMPLETENESS, SECURITY, RELIABILITY, QUALITY, ACCURACY, OR AVAILABILITY OF THE WEBSITE. WITHOUT LIMITING THE FOREGOING, NEITHER THE COMPANY NOR ANYONE ASSOCIATED WITH THE COMPANY REPRESENTS OR WARRANTS THAT THE WEBSITE, ITS CONTENT, OR ANY SERVICES OR ITEMS OBTAINED THROUGH THE WEBSITE WILL BE ACCURATE, RELIABLE, ERROR-FREE, OR UNINTERRUPTED, THAT DEFECTS WILL BE CORRECTED, THAT OUR SITE OR THE SERVER THAT MAKES IT AVAILABLE ARE FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS, OR THAT THE WEBSITE OR ANY SERVICES OR ITEMS OBTAINED THROUGH THE WEBSITE WILL OTHERWISE MEET YOUR NEEDS OR EXPECTATIONS. TO THE FULLEST EXTENT PROVIDED BY LAW, THE COMPANY HEREBY DISCLAIMS ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, STATUTORY, OR OTHERWISE, INCLUDING BUT NOT LIMITED TO ANY WARRANTIES OF MERCHANTABILITY, NON-INFRINGEMENT, AN
1158D FITNESS FOR PARTICULAR PURPOSE. THE FOREGOING DOES NOT AFFECT ANY WARRANTIES THAT CANNOT BE EXCLUDED OR LIMITED UNDER APPLICABLE LAW.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Limitation on Liability","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"TO THE FULLEST EXTENT PROVIDED BY LAW, IN NO EVENT WILL THE COMPANY, ITS AFFILIATES, OR THEIR LICENSORS, SERVICE PROVIDERS, EMPLOYEES, AGENTS, OFFICERS, OR DIRECTORS BE LIABLE FOR DAMAGES OF ANY KIND, UNDER ANY LEGAL THEORY, ARISING OUT OF OR IN CONNECTION WITH YOUR USE, OR INABILITY TO USE, THE WEBSITE, ANY WEBSITES LINKED TO IT, ANY CONTENT ON THE WEBSITE OR SUCH OTHER WEBSITES, INCLUDING ANY DIRECT, INDIRECT, SPECIAL, INCIDENTAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES, INCLUDING BUT NOT LIMITED TO, PERSONAL INJURY, PAIN AND SUFFERING, EMOTIONAL DISTRESS, LOSS OF REVENUE, LOSS OF PROFITS, LOSS OF BUSINESS OR ANTICIPATED SAVINGS, LOSS OF USE, LOSS OF GOODWILL, LOSS OF DATA, AND WHETHER CAUSED BY TORT (INCLUDING NEGLIGENCE), BREACH OF CONTRACT, OR OTHERWISE, EVEN IF FORESEEABLE. THE FOREGOING DOES NOT AFFECT ANY LIABILITY THAT CANNOT BE EXCLUDED OR LIMITED UNDER APPLICABLE LAW.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Indemnification","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"You agree to defend, indemnify, and hold harmless the Company, its affiliates, licensors, and service providers, and its and their respective officers, directors, employees, contractors, agents, licensors, suppliers, successors, and assigns from and against any claims, liabilities, damages, judgments, awards, losses, costs, expenses, or fees (including reasonable attorneys’ fees) arising out of or relating to your violation of these Terms of Use or your use of the Website, including, but not limited to, your User Contributions, any use of the Website’s content, services, and products other than as expressly authorized in these Terms of Use or your use of any information obtained from the Website.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Governing Law and Jurisdiction","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"All matters relating to the Website and these Terms of Use and any dispute or claim arising therefrom or related thereto (in each case, including non-contractual disputes or claims), shall be governed by and construed in accordance with the internal laws of the State of Delaware without giving effect to any choice or conflict of law provision or rule (whether of the State of Delaware or any other jurisdiction).","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Arbitration","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"At Company’s sole discretion, it may require You to submit any disputes arising from the use of these Terms of Use or the Website, including disputes arising from or concerning their interpretation, violation, invalidity, non-performance, or termination, to final and binding arbitration under the Rules of Arbitration of the American Arbitration Association applying Delaware law.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Limitation on Time to File Claims","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"ANY CAUSE OF ACTION OR CLAIM YOU MAY HAVE ARISING OUT OF OR RELATING TO THESE TERMS OF USE OR THE WEBSITE MUST BE COMMENCED WITHIN ONE (1) YEAR AFTER THE CAUSE OF ACTION ACCRUES, OTHERWISE, SUCH CAUSE OF ACTION OR CLAIM IS PERMANENTLY BARRED.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Waiver and Severability","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{}
1158,"content":[{"nodeType":"text","value":"No waiver by the Company of any term or condition set out in these Terms of Use shall be deemed a further or continuing waiver of such term or condition or a waiver of any other term or condition, and any failure of the Company to assert a right or provision under these Terms of Use shall not constitute a waiver of such right or provision. If any provision of these Terms of Use is held by a court or other tribunal of competent jurisdiction to be invalid, illegal, or unenforceable for any reason, such provision shall be eliminated or limited to the minimum extent such that the remaining provisions of the Terms of Use will continue in full force and effect.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Entire Agreement","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"The Terms of Use and our Privacy Policy constitute the sole and entire agreement between you and Company regarding the Website and supersede all prior and contemporaneous understandings, agreements, representations, and warranties, both written and oral, regarding the Website.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Your Comments and Concerns","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"All other feedback, comments, requests for technical support, and other communications relating to the Website should be directed to the email address provided on the first page this webpage.","marks":[],"data":{}}]}]},"links":{"__typename":"RichTextBlobBodyLinks","entries":{"__typename":"RichTextBlobBodyEntries","inline":[],"block":[]},"assets":{"__typename":"RichTextBlobBodyAssets","block":[]}}}}]}},{"__typename":"TemplateDynamicLayoutPage","sys":{"__typename":"Sys","id":"44VUwNvPXvqTGR2x4cGMbd"},"url":"/privacy-policy","removeFooter":null,"removeHeader":null,"pageType":"Other","titleTag":"Privacy Policy","metaDescription":"Privacy Policy","ogimage":null,"doNotCrawl":null,"overrideContactInformation":null,"birdeyeBusinessId":null,"itemsCollection":{"__typename":"TemplateDynamicLayoutPageItemsCollection","items":[{"__typename":"RichTextBlob","sys":{"__typename":"Sys","id":"1mrbOimHiqxhqR62J96FQ3"},"name":"RICH TEXT BLOB - Privacy Policy USA","topPadding":"Default","bottomPadding":"Default","categoryTitle":null,"anchorLink":null,"body":{"__typename":"RichTextBlobBody","json":{"nodeType":"document","data":{},"content":[{"nodeType":"heading-2","data":{},"content":[{"nodeType":"text","value":"Privacy Statement USA","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Last Updated: August 2026","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Overview","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"National Veterinary Associates (“NVA”) respects your privacy and is committed to protecting your personal information. This Privacy Statement provides you with information about how we collect, use, and share personal information at NVA through our websites, products, mobile applications, or other sites that display this Privacy Statement (the “Sites”). This Privacy Statement also applies to data gathered from you in person and at any of our pet resorts, veterinary hospitals, or clinics (also, the “Sites”) and when you apply for a job at NVA.","marks":[],"data":{}}]}]},"links":{"__typename":"RichTextBlobBodyLinks","entries":{"__typename":"RichTextBlobBodyEntries","inline":[],"block":[]},"assets":{"__typename":"RichTextBlobBodyAssets","block":[]}}}},{"__typename":"AccordionBlade","sys":{"__typename":"Sys","id":"4g19eWljOfnSfyylpD35pc"},"name":"ACCORDION BLADE - Privacy Policy USA","fontColor":"Dark","sectionHeadline":null,"description":null,"cta":null,"anchorLink":null,"accordionType":"Regular","overrideBackground":{"__typename":"OverrideBackgroun
1158d","backgroundId":"No Theme - White #ffffff","colorBackground":"#ffffff","colorVariable":null,"imageBackground":null,"imageBackgroundEntry":null},"accordionContentCollection":{"__typename":"AccordionBladeAccordionContentCollection","items":[{"__typename":"Accordion","sys":{"__typename":"Sys","id":"6ShnPjMavD8BPM43sDQ1mL"},"header":"Contact NVA","body":{"__typename":"AccordionBody","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To ask questions or comment about this privacy statement or our privacy practices or to exercise any of your privacy rights:","marks":[],"data":{}},{"nodeType":"text","value":" ","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"email us: ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"mailto:[email protected]"},"content":[{"nodeType":"text","value":"[email protected]","marks":[],"data":{}}]},{"nodeType":"text","value":"","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Or mail us: NVA, Attention: Privacy, 1 Baxter Way, Ste. 200, Westlake Village, CA 91362","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Or call us: ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"tel:8339733877"},"content":[{"nodeType":"text","value":"833-973-3877","marks":[],"data":{}}]},{"nodeType":"text","value":"","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Or complete the ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"#privacy-request-form"},"content":[{"nodeType":"text","value":"webform available here","marks":[],"data":{}}]},{"nodeType":"text","value":"","marks":[],"data":{}}]}]}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[],"data":{}}]}]}},"multiLocationContainer":null},{"__typename":"Accordion","sys":{"__typename":"Sys","id":"3WJX1PLOavODGSIc9rCHIl"},"header":"Information We Collect \u0026 How We Use It","body":{"__typename":"AccordionBody","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Personal information is information about You or a combination of information about You that could directly or indirectly be used to identify you. This includes identifiers like a name, ID number, location data, or factors about physical, genetic, economic, cultural, or social identity. Below is a description of the types of personal information that our Sites collect and process, why we collect and process it, and whether or not we “sell” or “share” personal information. The term “sell” means to exchange personal information for monetary or non-monetary value. Further, we “share” information as that term is generally defined to refer to targeted advertising.","marks":[],"data":{}}]},{"nodeType":"heading-2","data":{},"content":[{"nodeType":"text","value":"Category of Personal Information: Identifiers","marks":[],"data":{}}]},{"nodeType":"blockquote","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[],"data":{}}]}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Examples: ","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Your full name","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Email, phone number, and postal addresses","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Internet Protocol address","marks":[],"data":{}}]}]}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Purposes","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To provide products and services you request.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"For registrations, contests and promotions.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To communicate with you, to respond to your questions or comments or to provide you with updates and news. ","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To provide personalized content, information, and to send you brochures, coupons, samples, offers and other information on our services.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To deliver relevant advertising and marketing.","marks":[],"data":{}}]}]}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Sold, Shared, or Disclosed \u0026 For What Purpose","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"We may sell and share identifiers with third-parties like advertising networks, data analytics providers, operating systems and platforms, and social networks to promote our services and products.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"We may exchange names and addresses with other companies who may contact you to provide offers.","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Notwithstanding the foregoing, we will not share your opt-in to an SMS campaign with any third party for purposes unrelated to providing you with the services of that campaign. 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1158,{"__typename":"Accordion","sys":{"__typename":"Sys","id":"4HmIPTI2AwBj7Rzw1sWJMH"},"header":"Appeal","body":{"__typename":"AccordionBody","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"You may have the right to appeal a denial of your data privacy request. To exercise your appeal right","nodeType":"text"},{"data":{},"marks":[],"value":", ","nodeType":"text"},{"data":{"uri":"#privacy-request-form"},"content":[{"data":{},"marks":[],"value":"please contact us","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":".","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"multiLocationContainer":null},{"__typename":"Accordion","sys":{"__typename":"Sys","id":"7zLyQx5yVyUD7OOI7VvdTp"},"header":"Cookies","body":{"__typename":"AccordionBody","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"We use a tool called “Google Analytics” to collect information about use of this site. Google Analytics collects information such as how often you visit this site, what pages you visit, and what other sites you used prior to coming to this site. We use the information we get from Google Analytics to improve this site. We also use additional functionality from Google Analytics, including Google Signals Data Collection, Granular Location \u0026 Device Data Collection, and Advanced Settings to help us deliver personalized content and offers to you. Google’s ability to use and share information collected by Google Analytics about your visits to this site is restricted by the","marks":[],"data":{}},{"nodeType":"text","value":" ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://marketingplatform.google.com/about/analytics/terms/us/"},"content":[{"nodeType":"text","value":"Google Analytics Terms of Use","marks":[],"data":{}}]},{"nodeType":"text","value":"  and the ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://policies.google.com/privacy"},"content":[{"nodeType":"text","value":"Google Privacy Policy","marks":[],"data":{}}]},{"nodeType":"text","value":". ","marks":[],"data":{}},{"nodeType":"text","value":"You can prevent Google Analytics from recognizing you on return visits to this site by disabling cookies on your browser, but if you do, you may not be able to take advantage of all of this site’s features.","marks":[],"data":{}}]}]}},"multiLocationContainer":null},{"__typename":"Accordion","sys":{"__typename":"Sys","id":"5m02wJQlDq2BUYgUeq2MTG"},"header":"Personal Information Data Retention Period","body":{"__typename":"AccordionBody","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"We keep your personal information for different lengths of time depending on the type of information and the business and legal requirements. For example, if you are a customer, we keep information that personally identifies you as long as you are receiving our services. If you no longer receive services, we still may need that information for business and legal requirements, such as to comply with your state’s record retention regulations, protect against fraud, or respond to legal requests. Other information is deleted automatically after a set period of time, often set by law, unless we are legally required to hold it longer, such as for pending litigation. We destroy, de-identify, or anonymize the information when it is no longer needed in identifiable form.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"multiLocationContainer":null},{"__typename":"Accordion","sys":{"__typename":"Sys","id":"792YK1biyxtgn1OBtFSFyT"},"header":"Notice to EU Residents","body":{"__typename":"AccordionBody","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"This Site and our services are targeted for users in the United States and Canada. Any information you enter on this Site may be transferred outside of the European Union to the United States. By using this Site or the services, you consent to the transfer of all such information to the United States and to the processing of that information by us on servers located in the United States.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"multiLocationContainer":null}
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Dr. Fuchs and our specialty team are fully equipped with state-of-the-art technology and the latest treatment options to provide exceptional care for your pet’s vision and eye health.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"From routine eye exams to advanced surgical procedures, we partner closely with your primary care veterinarian to ensure your pet receives seamless, comprehensive care.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Ophthalmology Services We Offer","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Virginia Veterinary Centers – Short Pump provides a full spectrum of veterinary eye care services, including:","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Phacoemulsification (cataract surgery)","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Glaucoma surgery and management","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Complete blepharoplasty (eyelid surgery)","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Keratoplastics (corneal surgery)","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Slit lamp biomicroscopy","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Laser and cryo surgery","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"C.A.E.R. examinations (Canine Animal Eye Registry)","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Comprehensive eye exams and diagnostics","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"...and much more","marks":[],"data":{}}]}]}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Whether your pet is showing signs of eye discomfort, redness, cloudiness, squinting, or vision changes, our team is here to help.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Now Offering Discounted Ophthalmology Services Beginning February 1st","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To better support pets and their families, Virginia Veterinary Centers – Short Pump is lowering prices on all ophthalmic procedures starting February 1. This initiative is designed to remove financial barriers and ensure that more pets in the Richmond community can receive timely, advanced eye care when they need it most.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"If your pet has been diagnosed with an eye condition—or if you’ve been delaying specialty care due to cost—now is an i
1158deal time to schedule an appointment.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Why Choose a Board-Certified Veterinary Ophthalmologist?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Board-certified veterinary ophthalmologists undergo extensive training beyond veterinary school, including a specialized internship and residency, followed by a rigorous examination from the American College of Veterinary Ophthalmologists (ACVO). Earning the title DACVO reflects the highest level of expertise in veterinary eye care.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Dr. Allison Fuchs works collaboratively with referring veterinarians and pet owners to create individualized treatment plans focused on preserving vision, relieving pain, and improving your pet’s quality of life.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"A Collaborative, Team-Based Approach to Care ","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Your pet’s ophthalmic care at VVC Short Pump is supported by a full team of specialists, including:","marks":[],"data":{}}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Emergency \u0026 Critical Care","marks":[{"type":"bold"}],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://www.virginiaveterinarycenters.com/services/internal-medicine"},"content":[{"nodeType":"text","value":"Internal Medicine","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://www.virginiaveterinarycenters.com/services/oncology"},"content":[{"nodeType":"text","value":"Oncology","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://www.virginiaveterinarycenters.com/services/surgery"},"content":[{"nodeType":"text","value":"Surgery","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://www.virginiaveterinarycenters.com/services#short-pump"},"content":[{"nodeType":"text","value":"...and more!","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"text","value":"","marks":[],"data":{}}]}]}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"This collaborative model ensures your pet receives comprehensive, coordinated care from diagnosis through recovery – all at one location.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Serving Pets Across the Greater Richmond Area","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Located in Short Pump, Virginia, Virginia Veterinary Centers – Short Pump is proud to serve pets and families throughout the greater Richmond region and surrounding communities. As a 24/7 emergency and ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"https://www.virginiaveterinarycenters.com/services#short-pump"},"content":[{"nodeType":"text","value":"specialty","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"text","value":" hospital, we’re here when your pet needs advanced care—day or night. ","marks":[],"data":{}},{"nodeType":"text","value":"Schedule Your Pet’s Eye Exam Today","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"If your pet is experiencing eye issues or has been diagnosed with an eye condition, don’t wait. Take advantage of our discounted ophthalmology services beginning February 1 and give your pet the gift of clearer vision and greater comfort. Give us a call and our team will be happy to schedule your appointment and answer any questions you may have: ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"tel:(804)%20353-9000"},"content":[{"nodeType":"text","value":"(804) 353-9000","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"text","value":"","marks":[{"type":"bold"}],"data":{}}]}]},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}}
1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"5ml99n9kSAkqqUUJ6EffCs"},"name":"IMAGE CONTAINER - NVA - MASTER - BLOG - SERVICES - CLINIC - OPHTHALMOLOGY - Close Up of Veterinarian Examining a Dog's Eyes","title":null,"altText":"Close Up of Veterinarian Examining a Dog's Eyes","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - NVA - MASTER - BLOG - SERVICES - CLINIC - OPHTHALMOLOGY - Close Up of Veterinarian Examining a Dog's Eyes","url":"https://images.ctfassets.net/rt5zmd3ipxai/2mgG4C6sMbAWFitJc1hox4/1859e56309f95baba5cd9a82a7c3b252/opth-blog.jpg","size":516839,"width":1260,"height":680,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Summer Safety Series with Virginia Veterinary Centers (VVC) Midlothian: Keeping Our Furry Friends Safe!","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - Summer Safety","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"May 21, 2025","marks":[{"type":"bold"}],"data":{}}]}]}},"blogCategory":{"__typename":"BlogCategory","categoryName":"Pet Safety"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"As the sun beams down and summer adventures beckon, it's vital to ensure our pets remain safe and healthy throughout this exciting season. From beach trips to backyard barbecues, there are endless opportunities for fun. However, as pet owners, it’s our responsibility to safeguard our beloved furry companions during these joyful outings! In this Summer Safety Series, we’ll explore essential tips to help protect our pets and ensure they thrive in the sun-soaked days ahead.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"1. Heat Stroke Awareness: Keeping Cool is a Must!","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Did you know that the American Veterinary Medical Association (AVMA) estimates thousands of pets suffer from heat-related illnesses each year, with many unfortunately not surviving? ","nodeType":"text"},{"data":{"uri":"https://www.virginiaveterinarycenters.com/blog/the-dangers-of-heat-stroke-for-pets"},"content":[{"data":{},"marks":[],"value":"Heat stroke","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" can occur quickly in high temperatures, even if pets are outside for just a brief period. Brachycephalic breeds, such as English Bulldogs, are particularly vulnerable because they struggle to cool down effectively. The symptoms of heat stroke—including excessive panting, drooling, lethargy, and confusion—can escalate rapidly.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Effects of Heat Stroke","nodeType":"text"},{"data":{},"marks":[],"value":": When a pet suffers from heat stroke, their body temperature can rise to critical levels, leading to cellular damage and organ failure. Treatment must be prompt; if left untreated, heat stroke can lead to severe neurological effects, shock, or even death.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Prevention Tips:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Hydration","nodeType":"text"},{"data":{},"marks":[],"value":": Always provide fresh water for your pets and monitor their intake.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Shade","nodeType":"text"},{"data":{},"marks":[],"value":": Ensure they have access to shady areas to escape the sun’s harsh rays.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Cool Down","nodeType":"text"},{"data":{},"marks":[],"value":": Set up a kiddie pool or a shallow water source for them to submerge themselves on hot days. But remember, if you suspect heat stroke, get them to a cooler environment immediately and avoid cold water immersion, which can escalate their condition.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Emergency Contact","nodeType":"text"},{"data":{}
1158,"marks":[],"value":": If you notice symptoms of heat stroke, contact us immediately at 804-744-9800.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Temperature ranges for safely walking dogs outdoors:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"60°-64°F: Safe for all dogs","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"65°-69°F: Safe for small \u0026 medium dogs, potentially moderate risk for some large breeds","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"70°-75°F: Unlikely risk for small \u0026 medium dogs, moderate risk for large breeds or at-risk dogs","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"76°-80°F: Potentially unsafe heat for all dogs, moderate to high risk for larger dogs","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"81°-85°F: Dangerous heat for all dogs - use extreme caution or avoid walking outside","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"86°-100°F: Too hot to walk your dog","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"Asphalt, concrete and sand on a sunny day can sometimes be 40°-60° hotter than the air temperature. Hot pavement can damage your pup’s paws in as little as 60 seconds! Puppies are especially vulnerable to hot surfaces since their paws haven’t developed calluses yet. To check if the pavement is too hot, place your hand (or bare foot) on a sunny part of the pavement. If you can’t comfortably keep your hand there for 10 seconds, the pavement is too hot for your dog’s paws, which can burn and blister. Contact with hot pavement also raises your dog’s body temperature, which can lead to heat exhaustion or heat stroke.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"2. Water Safety: Dive In with Caution!","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"From beach trips to lake days and home pool parties, swimming is a classic summer pastime. However, always keep your pet's safety in mind—after all, not all animals are natural swimmers!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Why Saltwater is Toxic:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"When pets consume saltwater, it leads to a condition known as hypernatremia, where there is an abnormal increase of sodium in the blood. The high salt concentration can cause severe dehydration, vomiting, diarrhea, and neurological issues. Continued exposure to saltwater without fresh water can be life-threatening, so always encourage your pets to hydrate properly.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Safety First:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Supervision","nodeType":"text"},{"data":{},"marks":[],"value":": Always watch your pets closely when they are near water.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Hydration","nodeType":"text"},{"data":{},"marks":[],"value":": Bring fresh water along to keep your pet hydrated.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Life Jackets","nodeType":"text"},{"data":{},"marks":[],"value":": Invest in a doggy life jacket for those pets who may need a little extra help in the water.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Watch for Distress","nodeType":"text"},{"data":{},"marks":[],"value":": Keep an eye out for signs of distress, such as excessive panting or difficulty swimming. If your pet swallows 
1158saltwater, it can lead to dehydration and digestive distress, so be proactive. If any concerning symptoms arise, don’t hesitate to call us at 804-744-9800!","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"3. Travel Safety Tips: Adventure Awaits!","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"At ","nodeType":"text"},{"data":{"uri":"https://www.virginiaveterinarycenters.com/locations/midlothian"},"content":[{"data":{},"marks":[],"value":"VVC Midlothian","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":", we believe that no summer is complete without a road trip. If you plan to bring your furry friends along for the journey, preparation is key! Some pets can experience motion sickness, which may put a damper on your travel plans. Consulting your veterinarian before you hit the road is wise to ensure everyone enjoys the adventure.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Risks of Improper Restraint:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Neglecting to secure your pet in a vehicle can lead to serious injuries. In the event of sudden stops or accidents, unrestrained pets can be thrown around the car, leading to trauma, fractures, and even death.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Safe Travel Tips:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Secure Space","nodeType":"text"},{"data":{},"marks":[],"value":": Use a crate or a pet seatbelt to keep your pet safe and secure during travel.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Never Leave Unattended","nodeType":"text"},{"data":{},"marks":[],"value":": Avoid leaving your pet in a parked car, even for a few minutes; temperatures can spike dangerously fast!","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Frequent Breaks","nodeType":"text"},{"data":{},"marks":[],"value":": Plan your route to include regular stops for bathroom breaks and hydration.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"Remember, the journey can be just as enjoyable as the destination, especially with your furry companion by your side!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"4. Fireworks and Noise Anxiety: Preparing for Loud Celebrations!","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Summer celebrations are around the corner, especially with the Fourth of July approaching. Fireworks can evoke joy in humans but can be a source of stress for our pets. Many animals experience anxiety and fear during these loud celebrations, often leading to a frantic flight response.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Dangers of Running Away:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Pets spooked by fireworks may bolt in an attempt to escape the noise, leading to tragic outcomes such as getting lost or being hit by cars. The chaos can not only endanger their lives but also result in injuries and trauma.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Preparation is Key:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Safe Space","nodeType":"text"},{"data":{},"marks":[],"value":": Create a comforting environment indoors where your pet can retreat with their favorite toys to feel secure.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Consult a Vet","nodeType":"text"},{"data":{},"marks":[],"value":": If your pet struggles with anxiety, discuss calming medication options like trazodone with your veterinarian beforehand.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Stay Close","nodeType":"text"},{"data":{},"marks":[],"value":": Being nearby can help provide reassurance during the scary noises of fireworks.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"Let’s ensure our furry friends enjoy the holidays as much as we do by taking these precautions!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{}
1158,"marks":[],"value":"5. Barbecue Safety: Grill with Care!","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Summer wouldn’t be complete without delicious barbecues with family and friends, but it’s crucial to be mindful of what our pets consume during these gatherings, as some foods can pose serious health risks.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"The Dangers of Pancreatitis:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Rich, fatty foods, especially pork, can cause pancreatitis in dogs. This inflammatory condition can lead to severe abdominal pain, vomiting, diarrhea, and, in critical cases, it can be life-threatening. Animals suffering from pancreatitis often require extensive veterinary care and hospitalization.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Obstruction Risks from Corn Cobs:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Corn on the cob is a common barbecue treat, but it can pose significant risks for pets. If a dog ingests a corn cob, it can lead to intestinal obstructions. The shape of the corn cob makes it difficult for dogs to digest, and it can get stuck in the intestines, potentially leading to life-threatening perforations in the bowel that may require urgent surgical intervention.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Food Safety Tips:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Avoid Harmful Foods","nodeType":"text"},{"data":{},"marks":[],"value":": Make sure to keep the \"dangerous\" foods away from your pets, including onions, grapes, and chocolate.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Safe Treats","nodeType":"text"},{"data":{},"marks":[],"value":": Instead, offer pets small amounts of safe treats like bland turkey dogs or watermelon, keeping moderation in mind to avoid any digestive upsets.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"6. 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While it offers abundant outdoor fun, it’s crucial to recognize and prepare for the various dangers our furry friends may face. From heat stroke and water safety to travel tips, noise anxiety, barbecue precautions, and snake bite awareness—being informed is the first step toward keeping our pets safe. If you believe your pet may be having an emergency this summer, our ","nodeType":"text"},{"data":{"uri":"https://www.virginiaveterinarycenters.com/services/emergency"},"content":[{"data":{},"marks":[],"value":"emergency services","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" \u0026 ","nodeType":"text"},{"data":{"uri":"https://www.virginiaveterinarycenters.com/services/urgent-care"},"content":[{"data":{},"marks":[],"value":"urgent care","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" services are available to help. 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1158],"value":"Short Pump","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[{"type":"bold"}],"value":" ","nodeType":"text"},{"data":{"uri":"tel:(804)%20353-9000"},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"(804) 353-9000","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Let’s relish these beautiful summer months while providing the best care possible for our four-legged family members. 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Here’s to a safe, sunny, and enjoyable summer filled with unforgettable adventures and happy moments with our pets!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Don’t forget to share your summer experiences and any insights you’ve gained along the way with us on our ","nodeType":"text"},{"data":{"uri":"https://www.facebook.com/virginiaveterinarycenters"},"content":[{"data":{},"marks":[],"value":"Facebook","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" and ","nodeType":"text"},{"data":{"uri":"https://www.instagram.com/virginiaveterinarycenters/"},"content":[{"data":{},"marks":[],"value":"Instagram","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":"! Together, we can ensure that our pets remain safe and healthy all summer long!","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"6l4bVOODf1ecXzfcSrAmAY"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - Summer Safety Blog","title":null,"altText":"Summer Safety Blog Image","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - Summer Safety Blog","url":"https://images.ctfassets.net/rt5zmd3ipxai/2UQ9r4FDV5OmjXyJS4vzoe/a744db3a097999ff87b20350fdf7a732/Virginia_Veterinary_Centers_300840__300841__300842_-_Summer_Safety_Blog__1_.png","size":346873,"width":1260,"height":680,"contentType":"image/png"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"What Dog Owners Should Know About TPLO Surgery","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - What Dog Owners Should Know About TPLO Surgery","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"March 2025","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":" Surgery"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Ethos Veterinary Health: Virginia Veterinary Centers Fredericksburg","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Tibial Plateau Leveling Osteotomy","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"March 2025","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"______________________________________________________________________________","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"What Dog Owners Should Know About TPLO Surgery","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Cranial cruciate ligament (CCL) injuries are among the most common orthopedic conditions in dogs. In many cases, a tibial plateau leveling osteotomy (TPLO) is the best option for a full recovery. If your dog has a CCL injury, you may be wondering what a TPLO procedure involves and how long it will take your dog to recover. Our experienced team of orthopedic surgeons has performed many TPLO surgeries, and wants to help you understand what to expect if your dog has a ruptured CCL.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"What is cranial cruciate ligament disease in dogs?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"A dog’s CCL is comparable to a human’s anterior cruciate ligament (ACL). This ligament is responsible for stabilizing the knee. CCL rupture can result from activity-related trauma, but is most commonly caused by progressive degeneration of the ligament. Large breed dogs, such as Labrador retrievers, rottweilers, and boxers, are at higher risk for CCL disease. Dogs who are overweight are also more susceptible.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Signs of CCL injury include limping on one or both hind legs, swelling around the knee joint, decreased muscle mass over the affected limb, and difficulty standing up, jumping on or off surfaces, and navigating stairs. Left untreated, a CCL injury can lead to significant arthritis in the joint, resulting in pain and decreased mobility.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"Does my dog need surgery for cranial cruciate ligament disease?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"For most dogs, surgery is the best option to provide a return to full function and reduce arthritis development. Typically, the dog’s prognosis is best when surgery is performed as soon as possible after CCL injury.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"What is TPLO for dogs?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"TPLO is considered the most reliable technique for treating CCL disease in dogs. The procedure has a high success rate and allows for a faster recovery and return to normal activity. TPLO changes the knee’s biomechanics, eliminating the need for the damaged CCL. Instead of repairing or replacing the ligament, the procedure reshapes the tibia (i.e., shin bone) to create a more stable joint. TPLO involves:","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Cutting the top of the tibia and rotating it to a new angle that prevents the femur from sliding forward","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Securing the newly positioned bone in place with a metal plate and screws","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Over several weeks, the bone heals in the new position, stabilizing the knee and restoring normal function.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"What should I expect on the day my dog has TPLO surgery?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"The idea of your dog undergoing surgery can be concerning, but knowing what to expect can help ease your anxiety and ensure a smooth process for you and your dog. TPLO surgery involves:","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Presurgical testing","marks":[{"type":"bold"}],"data":{}},{"nodeType":"text","value":" — Our team will perform pre-surgical diagnostics, which may include blood w
1158ork, X-rays, and urinalysis.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Pre-surgical fasting","marks":[{"type":"bold"}],"data":{}},{"nodeType":"text","value":" — Your dog will be fasted the night before their surgery to help prevent anesthetic complications. ","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Continuous anesthetic monitoring","marks":[{"type":"bold"}],"data":{}},{"nodeType":"text","value":" — A team member will monitor your dog from the time they are anesthetized until they are fully awake.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Post-surgical hospitalization","marks":[{"type":"bold"}],"data":{}},{"nodeType":"text","value":" — Most dogs stay at the hospital overnight after TPLO surgery.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Discharge ","marks":[{"type":"bold"}],"data":{}},{"nodeType":"text","value":"— Our veterinary team will provide detailed discharge instructions explaining your dog’s medications, activity restrictions, wound care, and rehabilitation plan.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Aftercare","marks":[{"type":"bold"}],"data":{}},{"nodeType":"text","value":" — Your dog may need to wear an Elizabethan collar (E-collar) to prevent them from licking or chewing at the incision site.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"What will recovery from a TPLO involve for my dog?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Successful recovery from TPLO surgery requires proper aftercare. Your dog will need to be strictly confined after surgery and can gradually return to normal activity over several months. Here’s what to expect:","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Although about half of dogs can walk on the injured leg 24 hours after surgery, activity should still be strictly limited during this time.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Most dogs start to bear moderate to full weight two weeks after surgery. ","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Ten weeks after surgery, most dogs no longer have a noticeable limp.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Most dogs can walk and play normally after four months, with only the most strenuous activities (e.g., high-impact running, jumping) still restricted.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"By six months, most dogs can resume full physical activity.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"To ensure a successful recovery, give your dog any medications that are prescribed to control pain and inflammation. Our team may also recommend post-operative physical rehabilitation, such as therapeutic exercises, hydrotherapy, or laser therapy.","marks":[],"data":{}}]},{"nodeType":"heading-3","data":{},"content":[{"nodeType":"text","value":"What are possible complications of TPLO surgery?","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Complications after TPLO surgery are uncommon, but no surgery is risk-free. Potential problems include infection, inflammation of the tendon between the kneecap and the tibia, bone fracture, and tearing of the meniscus. The best way to reduce the likelihood of complications is to follow all post-surgical directions provided by the veterinary team. Your dog will need several rechecks, including X-rays, in the weeks and months following their surgery to ensure the area is healing well.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"If your dog has a CCL injury, our Virginia Veterinary Centers Fredericksburg team is here to help. ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/locations#contact-us"},"content":[{"nodeType":"text","value":"Contact us","marks":[{"type":"bold"},{"type":"underline"}],"data":{}}]},{"nodeType":"text","value":" to schedule a consultation and learn more about how we can work together to determine the best treatment course for your dog.","marks":[],"data":{}}]}]},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}}
1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"49vukEMBLCBQ6yINVDLqAc"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - What Dog Owners Should Know About TPLO Surgery (Surgery)","title":null,"altText":"2 Vets performing surgical operation","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - What Dog Owners Should Know About TPLO Surgery (Surgery)","url":"https://images.ctfassets.net/rt5zmd3ipxai/3JX5KHujrCyiwCGSlnEz0b/89715dff1aac10df3d9eb36b8ed61cb8/surgeryvvc.jpg","size":200877,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Trucker’s Critical Care Success Story: Car Accident Recovery","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - TRUCKERS CRITICAL CARE SUCCESS","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"March 8, 2023","marks":[{"type":"bold"}],"data":{}}]}]}},"blogCategory":{"__typename":"BlogCategory","categoryName":"Emergency \u0026 Critical Care"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Trucker’s Critical Care Success Story: Car Accident Recovery","no
1158deType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"No one wants to see a pet struggling. But if it happens, our highly trained and experienced criticalists at Virginia Veterinary Centers Fredericksburg are here for you. Our team provides the very best care for patients with life-threatening conditions, working hard for the best possible results. Just ask Trucker.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Emergency Presentation","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Trucker is a 5 year old shepherd mix who presented to VVC Fredericksburg in January 2024 after being hit by a car. On presentation, he was unable to walk, was hypotensive (low blood pressure), and had decreased responsiveness to stimulation. These signs are concerning for possible head trauma/traumatic brain injury and a possible spinal injury. He was breathing heavily, had epistaxis (nose bleed), and some minor wounds on his front legs. Dr. Parsley and our ER department started him on IV fluids, gave an IV high salt solution to help with suspected brain swelling, pain medications, antibiotics, and oxygen supplementation while he awaited additional diagnostics that night to see the extent of his trauma.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"X-rays showed:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"A severe ","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"tension pneumothorax","nodeType":"text"},{"data":{},"marks":[],"value":" (free air within the chest outside of the lungs which prevents the lungs from expanding fully)","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Suspected ","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"ruptured bullae","nodeType":"text"},{"data":{},"marks":[],"value":" (tearing/rupture of the lung tissue)","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Pulmonary contusions","nodeType":"text"},{"data":{},"marks":[],"value":" (bruises of the lungs). ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"A large amount of free air was removed from the right side of his chest using a needle in a procedure called ","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"thoracocentesis","nodeType":"text"},{"data":{},"marks":[],"value":". He was breathing more comfortably after that but because of the contusions, he was still provided with oxygen supplementation. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Some cases of pulmonary contusions are unfortunately very severe and some of these patients do not survive, even with advanced therapies such as mechanical ventilation. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"In many cases of pneumothorax and bullae, surgery is required to remove the affected lung lobes to stop the leaking of air. Thankfully, Trucker’s lungs were eventually able to heal on their own and surgery was avoided. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"X-rays also showed fluid build-up in his abdomen and retroperitoneum (space behind the main abdominal cavity which contains the kidneys). This fluid was never a large enough volume to sample but was suspected to be blood caused by either damage to the liver/spleen or tearing of small blood vessels. In Trucker’s case, his urinary bladder appeared intact but sometimes rupture of this organ occurs after trauma and can cause free fluid in the abdomen as well. Luckily, most of the time, traumatic bleeds (i.e. a bleed in the abdomen caused by a high impact trauma) do not need surgery. Usually, we place a special bandage, called a mermaid wrap, to help increase pressure in the abdomen and slow down or stop bleeding. However, because of Trucker’s pulmonary issues, this was more likely to cause increased discomfort and trouble breathing so it was not placed. Medications, such as aminocaproic acid, tranexamic acid, and yunnan baiyao can help strengthen blood clot formation to stop bleeding as well. Sometimes these patients require blood/plasma transfusions to help stabilize the blood clots and replace lost blood. Luckily, Trucker did not need these. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{}
1158,"marks":[],"value":"Additionally, x-rays showed a suspected fracture to his left scapula (shoulder blade) and fracture to his left zygomatic arch (cheek bone) which usually does not require surgery. There was concern for possible traumatic intervertebral disc disease in his neck. However, x-rays are not the best tool to diagnose this and clinically he was able to get up and walk once his blood pressure improved and the air was removed from his chest.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Critical Care Consult","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"The next morning he was transferred to Dr. Donahue and the critical care service. Additional air had slowly built back up in his chest and thoracocentesis was repeated. Because of the large volume, the decision was made to place a temporary chest tube in the right side of his chest. This is a stationary tube which stays in the chest cavity and allows veterinary staff to more quickly and easily access the air (or fluid in some cases) when needed. The tube usually stays in place until the patient is discharged. It can sometimes require additional pain control since the tube goes through the muscle and tissue between the ribs but often animals are unbothered by it. Some animals need chest tubes on both sides and some animals have to have a vacuum system set up to continually remove air/fluid because it builds up so quickly. Luckily, Trucker did well with just one chest tube which was evacuated intermittently. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Hospitalized Support","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Trucker’s mentation/attitude and ability to walk improved by the next day. There was still a small amount of free fluid in his abdomen but this completely resolved by the 3rd day he was in the hospital. He was eventually able to be weaned off of oxygen supplementation and had very little air build-up in his chest. His bloodwork initially showed a low red blood cell count (because of the suspected bleed into his abdomen) but this number never became low enough to need a transfusion and slowly improved with time. Bloodwork also showed a high ALT which is traditionally considered a liver enzyme however can also increase with muscle trauma/damage. This value improved with time but can take 10+ days to resolve depending on the cause.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Trucker did develop a cardiac arrhythmia called AIVR (","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"accelerated idioventricular rhythm) ","nodeType":"text"},{"data":{},"marks":[],"value":"which progressed to v-tach (","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"ventricular tachycardia","nodeType":"text"},{"data":{},"marks":[],"value":"). This is common in patients about 12-24 hours after a trauma, a period of very low blood pressure, or significant blood loss. This most likely happens due to a process called ischemia-reperfusion injury. When your tissues/cells do not receive the blood flow and oxygen they require (in Trucker’s case because of likely blood loss into his abdomen), the cells start to die. This affects cells everywhere, including the cells and tissues of the heart muscle. Once blood pressure and oxygen are restored to these cells via better circulation, bi-products from the dead cells get carried through the bloodstream and can affect the heart muscle leading to arrhythmias. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Ventricular tachycardia","nodeType":"text"},{"data":{},"marks":[],"value":" occurs when the wrong part of the heart generates a heartbeat (the ventricle instead of the atrium) which generates multiple or continuous VPCs ","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"(ventricular premature contractions","nodeType":"text"},{"data":{},"marks":[],"value":") on an ECG. If the heart rate is high (tachycardia), this can cause blood flow interruptions and sudden death.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"AIVR (","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"accelerated idioventricular rhythm","nodeType":"text"},{"data":{},"marks":[],"value":") is when the heart is beating abnormally and generates intermittent or short runs of VPCs but the rate is not dangerously high. In trauma cases, this can sometimes be a pre-cursor to ventricular tachycardia or may resolve without further incident. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"He was started on IV lidocaine for his arrythmias and eventually was able to be weaned off of this medication. 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1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"1PbJqHlzBapwMlHFKFIlgk"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - CPR: CERTIFIED PET RESCUE","title":null,"altText":"Three staff members performing CPR on a fake animal","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - CPR: CERTIFIED PET RESCUE","url":"https://images.ctfassets.net/rt5zmd3ipxai/786lz0d29hDXAZFXFL9692/22aec33058eb05efa91e9bab7c632392/Blog_-_CPR.jpg","size":206018,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Jolie's New View: Cryotherapy \u0026 Eyelid Mass Removal","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - JOLIE’S NEW VIEW: CRYOTHERAPY \u0026 EYELID MASS REMOVAL","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"April 20, 2023","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"Ophthalmology"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"PATIENT SUCCESS STORY: JOLIE","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"BACKGROUND","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Let us introduce you to our furry friend Jolie. 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1158deType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"OPHTHALMOLOGY AT MIDLOTHIAN","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"The ","nodeType":"text"},{"data":{"uri":"/services/ophthalmology"},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Ophthalmology","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" service at VVC Midlothian is led by our board-certified Ophthalmologist, ","nodeType":"text"},{"data":{"uri":"/staff/allison-fuchs"},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Dr. Allison Fuchs.","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" The team is proud to offer this less invasive cryotherapy option for many patients. If you have noted an eyelid growth in your pet or have been referred for evaluation of an eyelid growth, please contact us to set up a consultation ","nodeType":"text"},{"data":{"uri":"tel:(804) 744-9800"},"content":[{"data":{},"marks":[],"value":"(804) 744-9800","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":". Our ophthalmology team will discuss the recommendations after a thorough exam and help you make the best decision for your pet.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"1nfB6G1I3naZE53Y40XNCa"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - Jolie","title":null,"altText":"Jolie receiving care on her eye from two staff members","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - Jolie","url":"https://images.ctfassets.net/rt5zmd3ipxai/6sIa0gN2hAwmvlygRMnjRW/61d3429b512feded5ecfe3cf4b878028/Blog_-_Jolie.jpg","size":216231,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Using Endoscopy To Address Foreign Bodies In Pets","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - USING ENDOSCOPY TO ADDRESS FOREIGN BODIES IN PETS","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"March 6, 2023","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"Emergency \u0026 Critical Care"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"PATIENT SUCCESS STORY: ETHEL","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"blockquote"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"BACKGROUND","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Ethel is a 12-year-old Scottish terrier, who came to Virginia Veterinary Centers (VVC) Fredericksburg location for vomiting and shortness of breath. Ethel was seen by our Emergency department and transferred to the Critical Care department for an endoscopy.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Upon completing an in-house chest ","nodeType":"text"},{"data":{"uri":"/service/diagnostic-imaging"},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"x-ray","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":", our team discovered that Ethel had a foreign object lodged in her esophagus. Ethel’s owner suspected that the object c
1158ould be a “yak cheese” dog chew. Yak cheese is a tasty, protein-filled chew for dogs. However, just like all bones and chews, yak cheese can become dangerous if a large piece is swallowed. Even with constant supervision, accidents can happen. We always encourage pet owners to follow best practices when giving their pets treats and recommend they seek immediate veterinary attention if an accident does occur.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"WHAT IS ENDOSCOPY?","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"There are a few methods for removing foreign objects that have been swallowed by pets. 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The size of the cheese was too big to budge with the scope alone and orogastric tubing (plastic hollow tubing that goes from the mouth down into the stomach via the esophagus) kept deflecting under the cheese instead of pushing it down the esophagus.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Our next attempt involved passing a sterile device (normally used for urinary catheterization) down the esophagus. The device has an inflatable balloon at the end of it. Using X-rays, we were able to wiggle it past the cheese, inflate the balloon, and then slowly retract the catheter in the hope that the balloon would catch on the cheese and help pull it out. Despite successfully passing it past the cheese every time, the balloon was just too soft to move the very lodged cheese.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Safe to say, we were all very frustrated and worried for Ethel that endoscopy was not going to be a successful option. After evaluating why previous attempts failed and discussing our resources, we formulated a new plan. The scope lets us see the cheese but wasn’t sturdy enough to push it. The orogastric tube was strong enough but we couldn’t see what we were doing in real time. So, why not combine them? We were able to pass the orogastric tube until it reached the cheese, then passed the scope through the tube so we could not only flush saline through the tube to help with lubrication but also use the camera to keep the tube from just slipping underneath the cheese. 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1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"7DCDqhXHpvuW2i4QCWBlir"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - VVC SUPPORTS LOCAL SHELTER PETS THIS HOLIDAY SEASON","title":null,"altText":"Handmade ornaments with photos of pets on them","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - VVC SUPPORTS LOCAL SHELTER PETS THIS HOLIDAY SEASON","url":"https://images.ctfassets.net/rt5zmd3ipxai/3JsfpDjyticVrlDzsAmrO3/b81bf9352f85973aed4fb2c8be2d0f5d/Blog_-Holiday.jpg","size":206425,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"What To Expect When Your Pet Has Cataract Surgery","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - WHAT TO EXPECT WHEN YOUR PET HAS CATARACT SURGERY","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"November 17, 2022","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":" Surgery"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Cataracts are a common cause of vision impairment in dogs, and less commonly a cause of vision impairment in cats. You may be familiar with cataracts and cataract surgery for yourself or a family member. Cataract surgery in veterinary medicine has made many advances and is one of the most rewarding procedures we can perform with success rates in dogs reported from 85-95% in an uncomplicated case. In our patients, surgery has some similarities and some big differences to expect compared to surgery in people. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Continue reading to learn more about the ","nodeType":"text"},{"data":{"uri":"/services/ophthalmology"},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Ophthalmology","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[{"type":"bold"}],"value":" department at Virginia Veterinary Centers, and how our board-certified veterinary ophthalmologist can address your pet’s cataracts. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"WHAT ARE CATARACTS AND WHEN SHOULD YOU CONSIDER SURGERY FOR YOUR PET?","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"A cataract is an opacity in the lens inside of the eye and can range from very small (incipient) to complete and blinding. At this time, there is no medical therapy that can reverse the changes to the lens once they have occurred. Cataracts in dogs are most commonly due to inherited reasons, followed by cataracts secondary to diabetes mellitus. Cats generally get cataracts secondary to chronic intraocular inflammation, though they can also have inherited cataracts. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"The goal of surgery is to take a pet that is significantly visually impaired and restore vision, so we generally recommend surgery when cataracts have started to affect visual function. While cataract surgery is elective in veterinary patients, if left untreated, cataracts can cause secondary inflammation inside the eye that can sometimes lead to painful changes. Even if surgery is not an option, there are medications that can help control inflammation and prevent these complications, so an evaluation with a board-certified ophthalmologist may still be recommended.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"WHAT TO EXPECT AT YOUR FIRST OPHTHALMOLOGY APPOINTMENT FOR YOUR PET","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"During your pet’s first visit to the ","nodeType":"text"},{"data":{"uri":"/services/ophthalmology"},"content":[{"data":{},"marks":[],"value":"Ophthalmology","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" department, we will perform a complete ophthalmic examination including: ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Testing tear production","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{}
1158,"marks":[],"value":"Checking for corneal ulcers","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Measuring intraocular pressure","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"We evaluate your pet’s overall ocular health and the progression of the cataract to help determine candidacy for surgery. It is also important to evaluate the health of the retina (the “film in the camera”), which we often cannot see through the cataract. This requires advanced diagnostics, including an electroretinogram to make sure the retina responds normally to light, and an ocular ultrasound to make sure the structure of the back of the eye is normal. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"We will often start topical medications at your first appointment to prepare for surgery. We also discuss the process of surgery, success rates, and possible complications as they may apply to your pet. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"OUR OPHTHALMOLOGY TEAM PARTNERS WITH YOUR PRIMARY CARE VETERINARIAN","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Your primary care veterinarian is vital to your pet’s whole-body health and is a partner in their care. Because your pet has to undergo general anesthesia for cataract surgery, we recommend general bloodwork and urinalysis to help determine if there are any systemic concerns prior to surgery and anesthesia. These tests may be performed with your primary care veterinarian. Your veterinarian is also crucial in helping manage any other systemic concerns that could impact the outcome of surgery, such as diabetes mellitus, dental disease, skin infections, heart disease, etc. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"WHAT HAPPENS DURING YOUR PET’S CATARACT SURGERY?","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"On the morning of your pet’s cataract surgery, your pet will need to be dropped off early to receive preoperative eye drops and for our team to make other preparations for their procedure. Your pet will be placed under general anesthesia for cataract surgery. We typically recommend doing surgery on both eyes, as long as both eyes are good candidates. In human cataract surgery, oftentimes surgery will be handled one eye at a time.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"During cataract surgery, a very small incision is made in the cornea, then a circular hole is carefully torn in the lens capsule. The lens is broken up and removed with ultrasound energy (phacoemulsification) and an intraocular lens is placed in the lens capsule to focus light on the retina. Sometimes an artificial lens cannot be placed, resulting in far-sightedness in that eye. At the conclusion of surgery, the corneal incision is closed with very small sutures. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Most pets can return home in the evening the same day their cataract surgery takes place. They often benefit from relaxing at home to recover in their normal environment. If this is the case, the patient will return the following day for their first postoperative recheck. Fortunately, uncomplicated cataract surgeries are not painful procedures – most pets seem to experience only mild light sensitivity. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"SHOULD I BE CONCERNED ABOUT MY PET’S CATARACT SURGERY?","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Complications are possible with any procedure, and cataract surgery is no exception. The complication rate ranges from 5-15% and some patients may be at higher risk depending on the cause of their cataract, breed, age, and other factors. Some possible complications include:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Corneal Ulceration","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" – A break in the corneal surface layer; some ulcers are superficial and minor, and generally, heal easily with treatment. If left untreated, corneal ulcers may become infected and more serious.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Incision Breakdown","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" – Sometimes a suture needs to be replaced in the days after surgery, especially if a pet is able to reach the delicate sutures at the incision site.\n","no
1158deType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Hyphema","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" – Hyphema is intraocular bleeding that may lead to secondary complications, this can often be controlled with medications and it is important to rule out underlying causes like high blood pressure.\n","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Intraocular Inflammation and Infection","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" – Every cataract patient has some inflammation after surgery which is generally managed with medications. However, some patients rarely develop severe or persistent inflammation which can be serious.\n","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Blindness","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" – Serious postoperative complications such as retinal detachment, glaucoma, severe infection or inflammation, or other causes can lead to permanent blindness in spite of surgery. While this is rare, it is important to know that surgery doesn’t guarantee vision long-term in all cases, even in humans!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"POST-OPERATIVE CARE YOU CAN EXPECT AFTER YOUR PET’S CATARACT SURGERY","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"The success rate of uncomplicated cataract surgery in dogs is approximately 85-95% with today’s advanced techniques. ","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"A large part of the success of surgery depends on post-operative medical care at home.","nodeType":"text"},{"data":{},"marks":[],"value":" Your pet will be sent home wearing a hard plastic e-collar, which is imperative for at least the first 3-4 weeks to protect the delicate incisions. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Topical drops are administered several times a day for the first few weeks and can generally be tapered down to minimal medication long-term. Oral medications are also given for the first few weeks. In most cases, we recommend re-check examinations with our ophthalmologist the day after surgery, then at one week, three weeks, and six to eight weeks, four months, eight months, and then yearly after surgery. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Vision is improved within the first day after surgery and continues to improve over the course of the first week. We monitor closely for any complications and recommend prompt follow-up if there are any concerns or changes to your pet’s eyes after surgery, as many complications can be corrected if addressed appropriately.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"},{"data":{"uri":"/staff/allison-fuchs"},"content":[{"data":{},"marks":[],"value":"Dr. Allison Fuchs","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" and the ","nodeType":"text"},{"data":{"uri":"/services/ophthalmology"},"content":[{"data":{},"marks":[],"value":"Ophthalmology","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" department at Virginia Veterinary Centers is equipped with the skills, training, and advanced equipment to address your pet’s ophthalmic conditions. ","nodeType":"text"},{"data":{},"marks":[{"type":"bold"}],"value":"If you have concerns about the development of cataracts in your pet, or if you have been referred for evaluation of cataracts, please contact us to set up a consultation and get your pet seeing clearly again!","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}}
1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"6zJvvGkcOmGGHf87f6XxHK"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - WHAT TO EXPECT WHEN YOUR PET HAS CATARACT SURGERY","title":null,"altText":"Doctor examining a dog's eye","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - WHAT TO EXPECT WHEN YOUR PET HAS CATARACT SURGERY","url":"https://images.ctfassets.net/rt5zmd3ipxai/773PRZGZSyhmyKjlkbIgiF/2d5eca3d605d9c87c7899f6b5f8632ee/Blog_-_Cataract.jpg","size":202953,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Bella's Critical Care Success Story: Mass Removal Recovery","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - BELLA’S CRITICAL CARE SUCCESS STORY: MASS REMOVAL RECOVERY","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"January 20, 2022","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"Emergency \u0026 Critical Care"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Meet Bella!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Bella, a 6-year-old Golden Retriever, presented for a surgery consultation after her owners found a mass under her neck. A CT scan revealed that the mass was attached to her larynx, the structure at the opening of the trachea or airway. The mass was likely an abnormally located thyroid cancer. Surgical removal of the mass was uneventful and she was set up for recovery. Unfortunately, shortly after removing the endotracheal tube or “breathing tube” used to deliver oxygen and gas anesthetics during surgery, she had trouble breathing and had to be re-anesthetized and re-intubated.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"During re-intubation, it was noted that she had a large amount of thick mucus in her throat and her airway was very swollen preventing her from being able to move air in and out of her lungs. Surgery on any part of the body leads to some swelling and inflammation. When it happens in your neck and around your airway, it can be very dangerous. Any surgery around the neck and airway carries a risk of swelling and therefore a risk of difficulty breathing. The risk is much more common in bulldogs and other brachycephalic breeds (short-muzzled dogs with flattened faces) but has the potential to happen with airway surgery in any breed of dog or cat.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Bella was transferred to Dr. Donahue and the Critical Care Service for continued management of her symptoms. The goal now was to give her time to allow for the airway swelling to resolve, however, we did not know how long that would take. The options discussed with her family were either to keep her intubated – which requires keeping her either heavily sedated or anesthetizing her with the mechanical ventilator – or placing a temporary tracheostomy tube so that she could breathe bypassing the swelling in her upper airway and waking her up. Her family elected to give her some time just intubated to see if we could get the swelling down without another surgery on her neck.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Bella was very difficult to keep sedated. This was potentially due to the undocumented overactivity of her thyroid gland and her low body fat percentage. Many drugs used for sedation and anesthesia have a shorter duration of action in patients with a lower fat mass. She also, according to her family, is quite a stubborn girl so they weren’t surprised to hear that she was fighting our sedatives the whole time. An airway exam after about 15 hours showed persistent airway swelling so extubation was not attempted that day.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Patients who are intubated for prolonged periods are at risk for secondary issues such as pneumonia, ranulas (a fluid collection, or cyst), and limb swelling. Unfortunately, Bella developed all of these problems. She was started on antibiotics for pneumonia and luckily recovered from it fairly quickly. A ranula is a cyst-like collection of saliva under the tongue and commonly occurs in patients with increased pressure in the neck or trauma to the salivary glands in the area. Luckily, these usually go away on their own with relief of the pressure, but they did contribute to the difficulty in asse
1158ssing the swelling in Bella’s airway, Her airway assessments had to be completed with a lot of lights, tongue depressors, and hands to help pull swollen tissue out of the way.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"After another 24 hours, our Critical Care team attempted to extubate her, this time with the help of a nasotracheal tube. A nasotracheal tube is inserted into the nose and goes down into the trachea, bypassing the larynx/upper airway, to provide oxygen more closely to the lungs. While this helps to deliver oxygen into the lungs, it doesn’t help you breathe carbon dioxide out of the lungs, and Bella soon went back into distress as she tried to breathe out of what was still a too-swollen airway.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Bella was re-sedated and intubated for another 24 hours. In the meantime, our Critical Care team attempted to feed her through a nasogastric tube (a tube that goes from the nose down into the stomach) which was placed the first night due to a large amount of air in her stomach. However, because of all the medications she was on to keep her sedated, she’d developed ileus, which caused large amounts of fluid and food to build up in her stomach instead of moving into her small intestine as it should.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Ileus is a slow or absent movement of the stomach and intestines causing ingested food and water to just sit in one place. It can be broken down into 2 major categories: functional and mechanical. Mechanical ileus is from a physical obstruction like a foreign body or a mass. Functional ileus is from the muscles and nerves of the intestines just not being able to do their job correctly and is commonly from anesthetic and sedative drugs, as was in Bella’s case. She was started on several medications to help correct this, but really what she needed was to be able to wake up and come off the heavy sedatives.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"The next day, Bella still had some swelling but it was improved. We extubated her, kept the nasotracheal tube in place, and slowly woke her up. She would have some periods where she’d get a little anxious and start breathing harder which would cause some respiratory distress but with the help of a mild sedative, she would calm down and breathe easier.\nAfter keeping her very relaxed and starting physical rehabilitation, she slowly was able to get up and move around without going into respiratory distress. She was sent home to continue care with her family. Bella has since fully recovered and is now seeing Dr. Jankowski at our Richmond hospital for chemotherapy treatment.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"In medicine, sometimes things do not go as planned, and the unexpected happens. The staff at Virginia Veterinary Centers in Fredericksburg were able to think quickly and get Bella through this crisis so that she could recover from surgery and continue her fight against cancer.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"1y9ARY4q1ptyEqpUnoQta5"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - Bella","title":null,"altText":"Bella the Golden Retriever with shaved spots on her legs","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - Bella","url":"https://images.ctfassets.net/rt5zmd3ipxai/5gXB8T8yJvECNQY8IHC5qw/95e856fd72114deee20d365ca3ef373e/Blog_-_Critical_Care.png","size":837470,"width":1255,"height":685,"contentType":"image/png"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Veterinary Diagnostics - Helping Your Pet Communicate","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - VETERINARY DIAGNOSTICS—HELPING YOUR PET COMMUNICATE","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"December 16, 2021","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"General"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"When your pet has a medical problem, they cannot say where they hurt. Our ","nodeType":"text"},{"data":{"uri":"/staff"},"content":[{"data":{}
1158,"marks":[],"value":"veterinary professionals","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" at Virginia Veterinary Centers rely on diagnostics to ensure that your pet receives the care they deserve. Our ","nodeType":"text"},{"data":{"uri":"/services/diagnostic-imaging"},"content":[{"data":{},"marks":[],"value":"diagnostic imaging department","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" offers a range of imaging modalities that allow us to examine your pet’s internal structures in a non-invasive way.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"What Digital X-rays Tell Us About Your Pet","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"X-rays (i.e., radiographs) are usually the first imaging studies we employ to diagnose your pet’s medical issues. X-rays generate an image when radiation is passed through a particular body part. With digital radiography, the image is captured on a digital recording device and almost immediately displayed on a computer screen. Dense tissue, such as bone, does not allow much radiation passage, resulting in an image that appears white. Less dense structures, such as air-filled lungs, allow most of the radiation to pass through, so this area appears black in the image. Your pet will need to remain still during this procedure and may require sedation. Situations in which X-rays help us diagnose your pet’s problem include:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Bony Abnormalities ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Bones are easily evaluated on X-rays, and conditions such as fractured bones, dislocated joints, arthritis, and bone deterioration can be appreciated.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Dental Disease ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Tooth roots and associated bony structures can be evaluated for periodontal disease.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Organ Abnormalities ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— The size and shape of your pet’s organs can be evaluated using X-rays.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Foreign Objects ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— If you suspect that your pet has swallowed a foreign object, an X-ray can usually determine where the object is located in your pet’s gastrointestinal tract before they are taken to ","nodeType":"text"},{"data":{"uri":"/services/surgery"},"content":[{"data":{},"marks":[],"value":"surgery","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":". X-rays may not show items made of string, fabric, or plastic, however, other imaging modalities may be required.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Tumors ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Some internal ","nodeType":"text"},{"data":{"uri":"/services/oncology"},"content":[{"data":{},"marks":[],"value":"tumors","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" can be found on X-ray.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Bladder Stones ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Crystallization inside your pet’s bladder can be seen on X-ray.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Pregnancy ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— If your pet is pregnant, the individual skeletons of the developing fetuses can be observed on X-ray.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"What an Ultrasound Tells Us About Your Pet","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"An ultrasound uses a harmless, high-frequency sound beam to image an area, and is usually used as a complement to X-rays. Typically, minimal restraint or sedation is required to perform this diagnostic procedure. Ultrasounds are used to evaluate your pet for a variety of issues, including:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Heart Conditions ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— An ultrasound to evaluate your pet’s heart is called an echocardiogram and can help determine how your pet’s heart is functioning. If they have a murmur, the echocardiogram can visualize what structures are causing the problem.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Foreign Objects ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— If your pet has ingested a foreign body that cannot be observed on X-ray, an ultrasound may show the object.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Organ Evaluation ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Your pet’s ","nodeType":"text"},{"data":{"uri":"/services/internal-medicine"},"content":[{"data":{},"marks":[],"value":"organs","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" can be better evaluated on ultrasound. If something appears suspicious on an X-ray, an ultrasound reveals a more detailed look at the organ in question.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Soft Tissue Injuries ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Ultrasound can be used to assess ligament and tendon injuries.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Eyes ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Eye structures can be evaluated using ultrasound, especially if a condition, such as cataracts, prevents visualization through the lens.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Pregnancy ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Fetal viability can be assessed using ultrasound.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Biopsy Collection ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Ultrasound can be used to guide biopsy collection, to ensure pinpoint accuracy.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Emergency Situations ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— An ultrasound can gather valuable information quickly during an ","nodeType":"text"},{"data":{"uri":"/services/emergency"},"content":[{"data":{},"marks":[],"value":"emergency","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" situation and can help diagnose conditions such as internal hemorrhage, allowing for prompt treatment.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Endocrine Disease ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— The thyroid and parathyroid glands can be evaluated using ultrasound to help diagnose conditions such as ","nodeType":"text"},{"data":{"uri":"/services/radioactive-iodine-therapy"},"content":[{"data":{},"marks":[],"value":"hyperthyroidism","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" or hypothyroidism.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Some specialized ultrasounds, including echocardiograms, and eye and ligament evaluations, may require referral to a specialist.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"What a Computed Tomography Tells Us About Your Pet","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Computed tomography (CT) uses a narrow beam of X-ray radiation aimed at a pet and quickly rotated around their body, producing signals that generate cross-sectional images that contain much more detail than digital X-ray. CT is invaluable for evaluating lesions foun
1158d during a clinical exam or with preliminary imaging methods. Your pet will need to be anesthetized for this procedure, to ensure the images are clear. Situations in which CT will be employed to diagnose your pet include:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Pre-surgical Planning ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— If your pet has a tumor that needs surgical removal, a CT scan helps determine the surgical approach by revealing the tumor’s precise location and relationship to neighboring structures. This knowledge will also minimize surgery time.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Check for Metastasis","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — CT scans can be used to assess organs, such as the lungs, for the spread (i.e., metastasis) of malignant tumors.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Assess Trauma Patients ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— In severe trauma cases, such as your pet being hit by a car, CT scans can quickly assess any internal damage.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Orthopedic Abnormalities ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— CT scans can provide a detailed view of bones and joints, and offer a clearer image of the problem.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Cranial Abnormalities ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— CT scan is far superior to X-rays for imaging intricate head anatomy. Studies include:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Brain ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— CT scans are used to evaluate the brain for tumors, internal bleeding, trauma, infections, and fluid accumulation.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Nasal Cavity and Paranasal Sinuses ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Abnormalities, such as tumors, inside these structures can be better assessed using CT scans because the cross-sectional view prevents superimposed structures from confusing the image.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Dental Exam ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Tooth roots can be evaluated using a CT scan if your pet is affected by ","nodeType":"text"},{"data":{"uri":"/services/dentistry-and-oral-surgery"},"content":[{"data":{},"marks":[],"value":"periodontal disease","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":".","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Ears ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Structures inside the ear can be easily visualized with CT scans, but not X-rays or ultrasound.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Diagnostic imaging helps us to determine what is wrong with your pet when they cannot speak for themselves. If your family veterinarian believes your pet requires imaging to help diagnose a medical issue, do not hesitate to ","nodeType":"text"},{"data":{"uri":"/contact-us"},"content":[{"data":{},"marks":[],"value":"contact ","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":"our team at VVC.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}}
1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"7nRcilgg0kAG9FHgLJEvPB"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - VETERINARY DIAGNOSTICS—HELPING YOUR PET COMMUNICATE","title":null,"altText":"Two staff members looking at imaging and one staff member holding a brown Dachshund dog","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - VETERINARY DIAGNOSTICS—HELPING YOUR PET COMMUNICATE","url":"https://images.ctfassets.net/rt5zmd3ipxai/4Ze10DIejNLZD4Cq6Oj9tX/0374b59015f6d582be71ee175aee69d3/Blog_-_Communicate.jpg","size":201334,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"What To Expect After A Limb Amputation","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - WHAT TO EXPECT AFTER A LIMB AMPUTATION","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"June 3, 2021","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":" Surgery"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Limb amputation is often the best way to relieve a pet’s suffering if a bone cannot be repaired, or tissue damage is too extensive to heal, and is commonly performed in pets with bone cancer, a badly broken bone, or severe limb trauma. Although pets typically do remarkably well after this procedure, owners are often devastated to learn their beloved pets will live the rest of their life on three legs. Navigating the days and weeks after your pet’s limb amputation will be critical to learning your pet’s—and your—new normal. Here is what you can expect after your pet’s limb amputation procedure.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"PAIN CONTROL FOR YOUR PET","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Limb amputation can be a significantly painful procedure, but we will preemptively address your pet’s pain to prevent her discomfort and will continue to provide post-operative pain control. Our goal is to prevent your pet from becoming painful by using a combination of techniques and medications. Your pet’s amputation will be performed under general anesthesia and will include pain control that will extend into her recovery period. We typically use multimodal pain control for amputation surgery that may include:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"blockquote"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Pre-operative analgesic administration","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Pre-operative anti-inflammatory administration ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Transdermal analgesic patch that provides pain control for several days","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Intra- and post-operative constant rate infusion (CRI) of pain medication","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Post-operative injectable and oral pain medications ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"Pain control will be continued during your pet’s postoperative hospital
1158ization, and potentially when she returns home. Your veterinarian will speak with you during your pet’s discharge about medications you should administer to continue to keep your pet comfortable at home.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"INCISIONAL CARE FOR YOUR PET","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Your pet will have skin sutures that will require monitoring until they are removed approximately 10 days after her surgery. She likely will come home wearing an e-collar, which must stay on at all times, to prevent her from chewing out her incision sutures, or licking the incision and causing a skin infection. You will need to check your pet’s incision daily for abnormal swelling, bleeding, redness, or draining signs. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"ACTIVITY RESTRICTIONS AFTER YOUR PET’S AMPUTATION SURGERY","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Although our goal is for your pet to learn to walk on three legs, she will need to rest immediately after her surgery, while she is gaining strength and coordination with her new weight distribution, and then must not be allowed to move around freely for the first several days, while she is learning how to walk on three legs. Encourage her to rest in a safe location away from stairs and slippery floors, and use a sling to take her outdoors for potty breaks every few hours. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"We encourage a gradual return to normal activity over several weeks to allow your pet to gain coordination and confidence on three legs. Carefully follow your veterinarian’s instructions regarding activity restrictions, to allow for proper healing, and to avoid a fall-related injury.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"POSSIBLE COMPLICATIONS AFTER AMPUTATION SURGERY","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Most patients recover without significant complications; however, minor complications may occur, including:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"blockquote"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Bruising","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Minor bruising around the incision site is common after any surgery and should resolve after several days.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Seroma formation","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — Fluid may accumulate under your pet’s skin near the bottom of her remaining stump. As long as swelling is not excessive, this is a minor complication, and the fluid should slowly resorb over one to two weeks. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Infection","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — Skin infection is not common unless your dog licks the incision or it becomes contaminated from her environment. Ensure your pet wears her e-collar at all times, and keep her in a clean area with clean, dry bedding. If you notice infection signs, such as redness, swelling, warmth, or pus, ","nodeType":"text"},{"data":{"uri":"/contact-us"},"content":[{"data":{},"marks":[],"value":"contact us","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" immediately. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Neuroma formation","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Occasionally, nerves that were cut during surgery form small lumps that can be painful. Although this complication is rare, treatment options are available.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Phantom pain","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — Many owners of pets who need limb amputation are concerned about their pet suffering from phantom pain (i.e., pain from a body part that has been removed), but such pain is uncommon in pets and is not a typical limb-amputation complication. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Your veterinarian may prescribe physical rehabilitation during your pet’s recovery, which may include laser treatments, muscular stimulation, and therapeutic exercises that can help minimize complications, and help your pet get back on her feet more quickly.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"HELPING YOUR PET LEARN TO WALK ON THREE LEGS","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Amputation will change your pet’s weight distribution and center of gravity, so she will require your help for her first several days at home. You can use a sling to help supp
1158ort her weight for bathroom trips outside and short walks around your house. Place the sling under your pet’s chest after a front-leg amputation, or under her belly after her rear leg is amputated, to help her walk, and learn how to redistribute her weight to avoid falling. Once your pet seems more steady, you can loosen your support of the sling, and allow her to bear most of her weight, with the sling in place to catch her if she falls. As your pet gains more confidence, you can phase out sling use entirely. Pets with rear-leg amputations tend to adapt more quickly than those with front-leg amputations, but owners are frequently surprised at how quickly pets learn to walk on three legs. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"WEIGHT CONTROL FOR YOUR THREE-LEGGED PET","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Since your pet is now bearing all her weight on only three legs, keeping her at a healthy weight is vital, to prevent arthritis as much as possible. For long-term success, maintain a healthy lifestyle to keep her in good physical condition and prevent obesity, which will place more weight on her remaining joints, and make degenerative joint disease more likely. Arthritis prevention is critical to her quality of life since she will not be able to shift her weight to compensate for painful joints.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"If your family veterinarian has recommended limb amputation, or you have been referred to VVC for your pet’s amputation surgery, ","nodeType":"text"},{"data":{"uri":"/contact-us"},"content":[{"data":{},"marks":[],"value":"contact us","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" to discuss making your pet’s experience as stress- and pain-free as possible. ","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"2cYz7Qzq3rCnp5l2JWpn9V"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - WHAT TO EXPECT AFTER A LIMB AMPUTATION","title":null,"altText":"White dog playing outdoors with a limb amputation","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - WHAT TO EXPECT AFTER A LIMB AMPUTATION","url":"https://images.ctfassets.net/rt5zmd3ipxai/5GRwINx3CFosniL7NTae5a/68994fc1ab0237829c29099ac3decd4f/Blog_-_Amputation.jpg","size":207632,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Radioactive Iodine (I-131) Treatment For Feline Hyperthyroidism","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - RADIOACTIVE IODINE (I-131) TREATMENT FOR FELINE HYPERTHYROIDISM","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"June 1, 2021","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"General"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Hyperthyroidism is a common feline medical condition, affecting approximately 10% of cats 9 years of age or older. Several feline hyperthyroidism treatments are available, however, only ","nodeType":"text"},{"data":{"uri":"https://flvrc.com/services/radiocat/"},"content":[{"data":{},"marks":[],"value":"I-131 therapy","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" offers a lifetime cure with few side effects. Virginia Veterinary Centers are fortunate to have on staff ","nodeType":"text"},{"data":{"uri":"/staff/morgan-brown"},"content":[{"data":{},"marks":[],"value":"Dr. Morgan Brown","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":", one of our highly trained veterinarians who has a special interest in this invaluable treatment. If your family veterinarian has diagnosed hyperthyroidism in your cat, I-131 may be the answer to your concerns about surgery or a lifetime of daily medication. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"WHAT IS HYPERTHYROIDISM IN CATS?","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Your cat’s thyroid gland, which is located in the neck, produces thyroid hormones that regulate many of the body’s metabolic activities. Hyperthyroidism develops when the thyroid gland produces excess thyroid hormones, which increases metabolism and has far-reaching effects on many body functions. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"WHAT ARE HYPERTHYROIDISM SIGNS IN CATS?","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"Increased metabolism overstimulates your cat’s various organs, and causes a variety of signs, including:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"blockquote"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Weight loss","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Appetite changes","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"},{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"Activity changes (e.g., hyperactivity or letharg
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1158dioactive-Iodine-Therapy-I-131-at-VVC.pdf"},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"I-131 treatment","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — I-131 is administered as a single injection that is absorbed by the thyroid gland and destroys excess thyroid tissue. I-131 offers a life-long cure for hyperthyroidism, without the need for anesthesia, surgery, or daily medication. Cats typically have normal thyroid hormone levels one to two weeks after treatment. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Anti-thyroid medication therapy","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — Medication that decreases thyroid hormone production can be prescribed for your cat; however, medication is typically administered twice daily for the rest of your cat’s life, which poses many challenges, is often stressful for cats and owners, and can weaken the pet-owner bond. Medication is fairly inexpensive and often seems a more economical option to pet owners, but the cumulative expense of life-long medication, along with frequent veterinary visits and blood tests to monitor thyroid hormone levels, adds up to a significant cost over a pet’s lifetime.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Thyroidectomy","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — Surgery to remove the thyroid gland offers a lifelong cure but requires anesthesia, which can be risky if your cat has heart disease, high blood pressure, kidney impairment, or other problems secondary to hyperthyroidism. A common thyroid surgery complication is accidental damage to the tiny parathyroid glands that help regulate body calcium levels. Since I-131 treatment is non-invasive, does not require anesthesia, and does not affect the parathyroid glands, surgery is rarely performed.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Iodine-restricted diet","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — Limiting dietary iodine may help regulate thyroid hormone production, as iodine is a key component of the hormones. This treatment method may not be as effective as other options but can be useful for cats who have medical conditions that make other treatment methods impossible. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"HOW DO I KNOW IF I-131 IS THE BEST TREATMENT OPTION FOR MY CAT’S HYPERTHYROIDISM?","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"After a hyperthyroidism diagnosis by your family veterinarian, ","nodeType":"text"},{"data":{"uri":"/contact-us"},"content":[{"data":{},"marks":[],"value":"schedule an appointment","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" at our Richmond location to see if your cat is a candidate for I-131 treatment. I-131 treatment is ideal for cats who are medically stable, with no clinically significant cardiopulmonary, gastrointestinal, kidney, liver, endocrine, or neurologic disease. Since treatment does not require anesthesia or surgery and is non-invasive, most cats with hyperthyroidism are good candidates. If your cat is not a candidate for I-131, we will discuss other treatment options, and possible stabilization, to prepare for future I-131 treatment.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"WHAT CAN I EXPECT WHEN MY CAT HAS I-131 TREATMENT AT VVC?","nodeType":"text"}],"nodeType":"heading-2"},{"data":{},"content":[{"data":{},"marks":[],"value":"If your cat is scheduled for I-131 treatment with ","nodeType":"text"},{"data":{"uri":"/staff/morgan-brown"},"content":[{"data":{},"marks":[],"value":"Dr. Brown","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":", you will be given specific instructions prior to admission. Some things to keep in mind include:","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Medication administration","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— Your cat must stop taking thyroid medication, and possibly other medications, at least seven days prior to I-131 administration. Let us know about all your cat’s medications, so we can inform you if they should be stopped.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}
1158],"value":"Hospitalization period","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":"— I-131 therapy involves the use of radioactive iodine, which is unsafe for human exposure at high doses. After treatment, your cat will be hospitalized in our nuclear medicine ward for approximately three to five days, to prevent human exposure. According to federal radiation safety guidelines, you cannot visit your cat during this time, or remove them from our hospital early. ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"Homecare precautions","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"list-item"}],"nodeType":"unordered-list"},{"data":{},"content":[{"data":{},"marks":[],"value":" — After release from the hospital, your cat will emit low radiation levels for up to 12 weeks, so you will be instructed to minimize human exposure by limiting your cat’s interactions with people and other pets, properly disposing of waste, and avoiding contact with contaminated objects.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"If your cat has been diagnosed with hyperthyroidism, ","nodeType":"text"},{"data":{"uri":"/contact-us"},"content":[{"data":{},"marks":[],"value":"contact us","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":" to find out if I-131 can offer them a lifelong cure.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"1UbWUVVnx4ie47e9b1iKsx"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - RADIOACTIVE IODINE (I-131) TREATMENT FOR FELINE HYPERTHYROIDISM","title":null,"altText":"Man touching noses with a cat","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - RADIOACTIVE IODINE (I-131) TREATMENT FOR FELINE HYPERTHYROIDISM","url":"https://images.ctfassets.net/rt5zmd3ipxai/3jNEc7zmWD85u1o0DZNPB1/60fea6e1cf93ea1d8f96a0289a0e5d3c/Blog_-_Radioactice.jpg","size":208451,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Patient Success Story: Chip","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - PATIENT SUCCESS STORY: CHIP","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"May 10, 2021","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"General"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"At Virginia Veterinary Centers, we offer compassionate care at each of our three locations, no matter what challenges your pet is facing. In some cases, a patient’s condition may require the attention of multiple disciplines of medicine. Fortunately, at VVC our board-certified specialists, emergency doctors, and a team of support staff can collaborate on cases to ensure that our patients receive the best care available. We recently saw a perfect example of comprehensive care and team collaboration at our Fredericksburg hospital. Continue reading to learn more about the story of Chip, a 13-year-old Pug who visited our hospital recently.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"EMERGENCY PRESENTATION","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Chip, also known affectionately to his friends as “Chippy”, is one tough cookie. He has previously survived the surgical removal of two cancers, melanoma in his mouth and the removal of one of his adrenal glands. He currently still sees Dr. Jankowski and Dr. Dong at our Richmond hospital to manage these conditions long-term. Chip, unfortunately, became sick recently and presented to Virginia Veterinary Centers in Fredericksburg for sudden vomiting and not eating. On presentation, Chip was essentially comatose. His blood pressure and blood sugar were incredibly low so Dr. Parsley and the overnight ER staff quickly started aggressive resuscitation. In addition to IV fluids and sugar supplementation, Chip also required a medication called norepinephrine to control his blood pressure. Norepinephrine is a neurotransmitter that is naturally made in the body and is part of your “fight or flight” response to stress. It is used to increase your heart rate and adjust the diameter of your blood vessels to increase your blood pressure. If you required supplemented norepinephrine, you are indeed very sick!","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"INTERNAL MEDICINE CONSULT","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"By the next morning, Chip’s blood sugar and blood pressure were stabilized however he was still in a coma. For further management and support, he was transferred to Dr. Donahue in the Critical Care department. An abdominal ultrasound by our board-certified Internal Medicine specialist, Dr. Austin,  showed a gallbladder mucocele. The gallbladder is a balloon-looking organ that sits tu
1158cked away in your liver and collects bile from the liver. This bile helps to digest fats as it empties into the small intestine. A mucocele occurs when the gallbladder becomes distended with mucous and obstructs the outflow tract. If not addressed quickly, this can lead to rupturing of the gallbladder, a result that can often cause quick decline and be fatal.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"SURGERY","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Chip’s family said he’s been through so much but was still a very happy and active dog who had so much more life in him. Despite an unfortunately poor prognosis, his family elected to give him every chance they could and sent him into surgery. Our board-certified surgeon, Dr. Au, removed his gallbladder and biopsied his liver. During surgery, Chip required both a continuation of his norepinephrine and a plasma transfusion. Plasma is the part of your blood that contains proteins and a plasma transfusion is plasma that has been donated from another dog. In Chip’s case, he required the plasma transfusion due to concerns with not being able to make blood clots appropriately as well as an additional way to manage his blood pressure. Dr. Donahue and our anesthesia technicians carefully monitored Chip’s vitals during surgery and he survived anesthesia.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" Right after surgery, we found that Chip’s cortisol levels were very low. This is likely due to him previously having an adrenalectomy (adrenal gland removal), leaving him with only one adrenal gland. Adrenal glands are small, triangle-shaped glands that sit above the kidneys. They are called “adrenal glands” because one of their functions is to release adrenaline, a.k.a. epinephrine. Adrenal glands also release a hormone called cortisol. If your cortisol levels are low you are not able to respond to stress very well. Oftentimes, we see low cortisol levels in dogs who have a disease called ","nodeType":"text"},{"data":{},"marks":[{"type":"italic"}],"value":"Addison’s Disease","nodeType":"text"},{"data":{},"marks":[],"value":", which is a life-long (but treatable!) disease. Sometimes, in very sick patients like Chip, they develop a transient disease called ","nodeType":"text"},{"data":{},"marks":[{"type":"italic"}],"value":"Relative Adrenal Insufficiency","nodeType":"text"},{"data":{},"marks":[],"value":" (RAI) or ","nodeType":"text"},{"data":{},"marks":[{"type":"italic"}],"value":"Critical Illness Related Corticosteroid Insufficiency","nodeType":"text"},{"data":{},"marks":[],"value":" (CIRCI). Fortunately, the treatment can be fairly simple…steroids! Chip was started on injectable steroids and his norepinephrine and sugar supplementation were then able to be decreased and subsequently discontinued.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"POST-OP SUPPORT","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"After surgery, Chip was unfortunately still in a comatose state. In discussing with his family that his numbers are improving, we had to address the hard truth that Chip might not ever wake up. His condition could be due to brain damage sustained from how low his blood sugar and blood pressure were initially. Since Chip was otherwise improving, his care was continued in the hopes that he just needed more time. Chip was getting IV fluids, antibiotics, heparin to prevent unwanted blood clots to his brain/lungs/limbs, food through a feeding tube, and a urinary catheter to keep him clean. Additionally, with the help of Sam Blake, our Certified Canine Rehabilitation Practitioner (CCRP) from our Physical Rehabilitation department, Chip was being treated to keep his limbs and joints healthy and prevent pressure sores while he was immobile.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" ","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"RECOVERY","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Quite suddenly, Chip woke up! While he was still unable to get up and move around on his own and had pretty bad tremors, he was awake and hungry! (","nodeType":"text"},{"data":{},"marks":[{"type":"italic"}],"value":"When discussing his feeding tube placement, Chip’s family actually stated that “If Chip is awake, he’ll be hungry”)","nodeType":"text"},{"data":{},"marks":[],"value":". We continued rehabilitation with him to encourage muscle strength and coordination. Chip continued to eat and take his medications and his blood values improved significantly. He proved his family correct that he still had a lot of life left in him. Then, during one overnight shift, he got up on his own and walked out of his cage to explore the ICU. He was still weak and had tremors, but this was a shocking change and had the overnight staff floored.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":" Chip was discharged a few days later with continued rehabilitation instructions for his family at home. He has been following up with his long-term team in Richmond and is doing great! His family reports that you wouldn’t even know he was ever sick. Sometimes it takes a village, or in this case, an entire hospital to treat our patients. The staff at Virginia Veterinary Centers in Fredericksburg were happy to have been able to provide this care to Chip and his family.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"","nodeType":"text"},{"data":{"uri":"https://virginiaveterinarycenters.com/wp-content/uploads/2021/05/VVC-SUCCESS-STORIES-Chip.mp4"},"content":[{"data":{},"marks":[],"value":"Click to view our video that highlights some of Chip’s progress towards recovery at VVC. ","nodeType":"text"}],"nodeType":"hyperlink"},{"data":{},"marks":[],"value":"","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}}
1158,"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"6cOuYcB1G7oCxY37ZLKL8p"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - PATIENT SUCCESS STORY: CHIP","title":null,"altText":"An elderly tan and black dog named Chip","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - PATIENT SUCCESS STORY: CHIP","url":"https://images.ctfassets.net/rt5zmd3ipxai/4dh06DhOqGAeEGZ9Ls5A1x/9ab5ef3f4c78a4b078f95ce1788eb3bd/Blog_-_chip.jpg","size":209705,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"Addressing Brachycephalic Obstructive Airway Syndrome \u0026 Related Symptoms","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - ADDRESSING BRACHYCEPHALIC OBSTRUCTIVE AIRWAY SYNDROME \u0026 RELATED SYMPTOMS","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"March 1, 2021","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"General"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[],"value":"BACKGROUND INFO","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone is an English Bulldog puppy who came from a breeder out of state. He arrived in VA and he was very sick with bilateral otitis (infections in both ears) and pneumonia. Capone was treated for seven weeks with antibiotics.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone then began vomiting frequently. His owners initially thought the vomiting was related to his medications. When the vomiting continued, Capone’s family brought him to a primary veterinarian for a second opinion. His vomiting would frequently be accompanied by syncopal episodes. Syncopal episodes (fainting or passing out) are typically triggered by a sudden, temporary drop in blood flow to the brain, which leads to a loss of consciousness and muscle control.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"SURGERY – ADDRESSING BRACHYCEPHALIC OBSTRUCTIVE AIRWAY SYNDROME (BOAS)","no
1158deType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone was diagnosed with Brachycephalic Obstructive Airway Syndrome (BOAS) – a pathological condition affecting short-nosed dogs and cats which can lead to severe respiratory distress. Some mild symptoms of BOAS may include noisy breathing (which can intensify with exercise), snorting, and snoring. More severe symptoms include distress due to difficulty breathing, tiring easily with exercise, and fainting. Some dogs may experience gastrointestinal (GI) symptoms and could experience retching, vomiting, or inappetence (lack of appetite).","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Brachycephalic Obstructive Airway Syndrome is caused by certain primary abnormalities that may cause an increase in negative pressure within the upper airways – without treatment, this pressure can eventually lead to secondary abnormalities.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"To address his BOAS diagnosis, Capone was referred to VVC for surgery. Capone had surgery to address the abnormalities attributing to BOAS: nares (nostrils) resection, stapedectomy (soft palate resection), and resection of everted laryngeal saccules. He also underwent a gastrostomy for the removal of a gastric foreign body causing outflow obstruction from the stomach, a unilateral cryptorchid (a testicle that is in the abdomen) neuter, and repair of an umbilical hernia.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Since his surgeries, Capone has experienced no further breathing or coughing issues.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"INTERNAL MEDICINE CONSULTATION: ADDRESSING GI-ISSUES","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"After his surgeries, Capone had occasional vomiting until one day in early June when he vomited five times and collapsed after vomiting the final time. Capone has a history of GI issues, so his owners have tried changing up his diet per recommendations from their primary veterinarian. As a growing puppy, he was typically always hungry but since surgery, he had hardly had any interest in drinking water. Capone was fed seven times a day to reduce the volume of food he was getting during each meal to decrease the frequency of vomiting. His owners increased the quantity of food he was getting with each meal, but he subsequently vomited five times as a result and continued to show little interest in water. To help understand and manage his symptoms, Capone’s family expressed interest in an internal medicine consultation.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone presented to VVC Fredericksburg’s Internal Medicine service for his chronic vomiting/regurgitation. He had a consultation and exam with our board-certified internal medicine specialist, Dr. Emily Austin. Initially, Capone was regurgitating with occasional vomiting. Note: Vomiting is an active process with retching and ejection of contents of the stomach and upper intestine; regurgitation is a passive process with no warning and is often the ejection of contents of the esophagus.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"If Capone were to eat too much, too quickly, he would regurgitate immediately. After surgery, he had been primarily vomiting bile or foam, very rarely food, and he appeared to do better if he was fed small, frequent meals. Previously his last nighttime meal was at 6 PM, then his owners added a 9 PM meal, and finally an additional 1 AM meal. This feeding schedule helped decrease the frequency of vomiting and regurgitation, however, he continued to vomit and regurgitate.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"When Capone was fed three normal meals, he would regurgitate large amounts of food. There were some improvements after Capone was prescribed omeprazole. Omeprazole is a medicine that veterinarians can prescribe to treat stomach and intestinal ulcers in dogs, as well as acid reflux. However, there was no improvement with anti-nausea medication (Cerenia) in the past.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone also experienced several syncopal episodes (fainting/passing out) when he vomited or regurgitated. His owners figured out the puppy food he was eating seemed to be contributing to his vomiting. Capone was not given extra treats out of caution, and everything in his life was carefully regimented and scheduled.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"At the time of his initial presentation to VVC’s Internal Medicine service, Capone was vomiting or regurgitating every 4-6 days. Capone’s family brought him to VVC’s Emergency service because he vomited five times (much more often than usual), then had a syncopal episode.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"From the time he arrived in VA to meet his family, Capone has never been a “normal” puppy. His activity level is normal, and he has a voracious appetite. His diet consisted of chicken and mashed potatoes. He was fed seven meals per day, each meal contains 100 calories, and Capone’s last meal of the day is at 1 AM.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"On initial presentation to our Internal Medicine service, Capone had a thin body condition but otherwise seemed to be an energetic dog. His baseline bloodwork, ultrasound, thoracic/abdominal radiographs, and ACTH stimulation test (a test to look for insufficient steroid hormone) did not provide an answer. C
1158apone’s GI panel showed low vitamin B12. Upper GI endoscopy was discussed at that time, however, Capone’s family wanted to try medical therapy.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"TREATMENT PLAN","nodeType":"text"}],"nodeType":"heading-3"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone was treated medically with ondansetron, pantoprazole, erythromycin, and metoclopramide. He also started vitamin B12 injections and was changed to Royal Canin Gastrointestinal Puppy food. Over time, Capone improved clinically and started gaining weight. His medications were slowly removed one at a time, his feedings were decreased, and the volume of food per feeding was increased.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Our ultimate goal for Capone was to improve his health and his quality of life. In tandem, we hoped to improve his family’s experiences, as they were waking up in the middle of the night for frequent, small feedings and they lived in fear of his syncopal episodes and Capone’s condition worsening.","nodeType":"text"}],"nodeType":"paragraph"},{"data":{},"content":[{"data":{},"marks":[],"value":"Capone has not had further vomiting episodes (other than a piece of a toy – not uncommon for a young, curious puppy). His initial weight when he presented to our Internal Medicine service was 26.8 pounds. His current weight at his last re-check earlier this month was 42 pounds. Capone appears to be a healthy young dog at this time, and his family is thrilled with his response to therapy.","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"6rDH5G69J8ymL7HkEeMAcI"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - ADDRESSING BRACHYCEPHALIC OBSTRUCTIVE AIRWAY SYNDROME \u0026 RELATED SYMPTOMS","title":null,"altText":"A white and brown Bulldog sitting in a grassy area","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - ADDRESSING BRACHYCEPHALIC OBSTRUCTIVE AIRWAY SYNDROME \u0026 RELATED SYMPTOMS","url":"https://images.ctfassets.net/rt5zmd3ipxai/3KjKubqD9GnZp8cNiQk4fm/397e1506bf294b12903a8481988002db/Blog_-_Brachycephalic.jpg","size":203773,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null},{"__typename":"Blog","featured":false,"title":"The Dangers Of Heat Stroke For Pets","name":"BLOG ARTICLE - Virginia Veterinary Centers 300840; 300841; 300842 - THE DANGERS OF HEAT STROKE FOR PETS","blogAuthor":null,"blogDate":null,"url":null,"blogShortDescription":{"__typename":"BlogBlogShortDescription","json":{"data":{},"content":[{"data":{},"content":[{"data":{},"marks":[{"type":"bold"}],"value":"August 13, 2020","nodeType":"text"}],"nodeType":"paragraph"}],"nodeType":"document"}},"blogCategory":{"__typename":"BlogCategory","categoryName":"General"},"relatedBlogs":null,"blogContent":{"__typename":"BlogBlogContent","json":{"nodeType":"document","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"The dog days of summer are upon us, and even a short time outside in these high temperatures can turn into a life-threatening emergency for your pets. Heat stroke is a serious condition that can lead to organ failure, seizures, bleeding disorders, and death – and it can happen extremely fast. Continue reading to learn about the dangers of heat stroke for pets.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"CASE OVERVIEW","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Groot, a 3-year-old American Staffordshire Terrier, was treated for severe heat stroke after the air conditioning in his home was accidentally turned off. When his owners found him, they did the right thing by cooling him off with room-temperature water and bringing him straight to our 24/7 ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/services/emergency"},"content":[{"nodeType":"text","value":"emergency service","marks":[],"data":{}}]},{"nodeType":"text","value":" in Richmond. Although his body temperature had normalized by arrival, Groot was showing signs of heat stroke injury. Signs of heat stroke may include abnormal behavior, high heart rate, low blood pressure, rapid breathing, difficulty walking, lack of coordination, bruising on the belly, bleeding from the gums, or bloody diarrhea.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Shortly after he was brought to the hospital, Groot started having seizures and displaying other signs of brain injury including temporary blindness. His bloodwork showed prolonged blood clotting times, low platelet 
1158cell numbers, and damage to his kidneys – all common complications of heat stroke. Groot was hospitalized at ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/contact-us"},"content":[{"nodeType":"text","value":"VVC Richmond","marks":[],"data":{}}]},{"nodeType":"text","value":" for three days under the care of our ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/services/critical-care"},"content":[{"nodeType":"text","value":"Critical Care","marks":[],"data":{}}]},{"nodeType":"text","value":" Specialist, ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/staff/heather-honious"},"content":[{"nodeType":"text","value":"Dr. Honious","marks":[],"data":{}}]},{"nodeType":"text","value":".","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Groot and Critical Care Specialist, ","marks":[{"type":"italic"}],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/staff/heather-honious"},"content":[{"nodeType":"text","value":"Dr. Heather Honious","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"text","value":".","marks":[{"type":"italic"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"While hospitalized, Groot developed signs of a blood clotting disorder known as disseminated intravascular coagulopathy (DIC). DIC is a condition in which small blood clots develop in the bloodstream, blocking small blood vessels. This increased clotting depletes platelets and clotting factors that are needed to control bleeding and can often cause excessive bleeding. Groot also developed acute kidney failure. Both serious conditions have a guarded prognosis. To help try to save his life, Groot was given two blood plasma transfusions as well as IV fluids, antibiotics, and anti-seizure medications.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Our Critical Care team carefully monitored of his blood pressure, blood clotting times, and organ function. Luckily, Groot responded to his treatment – he regained his vision and his kidneys began to start functioning normally again. He was sent home with his loving family and is expected to make a full recovery.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"WHAT IS HEAT STROKE?","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Heat stroke – or severe hyperthermia – is defined as a rise in body temperature above 104.9° F and is a life-threatening emergency. Heat stroke can occur quickly when animals are exposed to areas with high heat and humidity or limited ventilation, such as cars, dog houses, or patios. Temperatures in a car even with the windows cracked can exceed 120° F in a matter of minutes when the outside temperature is as low as 75° F, and death can occur within an hour.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Certain dog breeds, particularly flat-faced breeds like pugs or bully breeds, double-coated dogs, or dogs with pre-existing conditions like advanced age, obesity, or respiratory disease, are particularly susceptible to heat stroke injury. Because dogs and cats cannot sweat, they rely on the evaporation of moisture during panting as their primary method of cooling. When it is hot and humid, that evaporation happens at a much lower rate and it is very difficult for dogs and cats to cool down.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Once the body temperature is elevated, the body attempts a last-ditch effort to cool itself. Blood vessels in the skin and the extremities become dilated to try to maximize heat loss through the skin. The heart works harder to try to maintain blood pressure but eventually is unable to keep up. Blood pressure drops and less blood is delivered to vital organs like the heart, kidneys, intestines, and liver, leading to multiple organ failures over time. Essential proteins are damaged by heat, which creates a chain reaction of tissue damage and inflammation. Blood vessels become leaky and prone to clotting disorders. Massive bleeding can occur when the blood clotting system becomes disrupted. Once multiple organs are showing signs of damage, the prognosis for survival becomes grave.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Treatment is made up of two parts: cooling down the pet and treating the complications like bleeding and organ failure. If you suspect your pet may be overheated, or if they are exhibiting any of the signs of heat stroke, we recommend taking immediate action.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"WHAT ARE THE SIGNS OF HEAT STROKE?","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Some of the most common signs of heat stroke are:","marks":[],"data":{}}]},{"nodeType":"blockquote","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"","marks":[],"data":{}}]}]},{"nodeType":"unordered-list","data":{},"content":[{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Excessive panting and/or drooling","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{}
1158,"content":[{"nodeType":"text","value":"Physical exhaustion or unwillingness/unable to move","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Lack of coordination","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Elevated body temperature","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Vomiting or diarrhea","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Seizures","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Bright red, purple, or gray/blue gums","marks":[],"data":{}}]}]},{"nodeType":"list-item","data":{},"content":[{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Dizziness","marks":[],"data":{}}]}]}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"WHAT TO DO IF YOU NOTICE SIGNS OF HEAT STROKE","marks":[{"type":"bold"}],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"It is important to immediately remove your pet from the hot/warm/humid area. Take efforts to cool your pet down with cool (not cold!) water and ensure that they have access to air conditioning, fans, and ample airflow. Once your pet’s temperature drops to 103° F, immediately cease cooling efforts and reach out to your veterinarian so that your pet can receive medical attention as soon as possible. Once at the hospital, your veterinarian will perform diagnostics including blood work to determine the extent of the damage and recommend hospitalization for IV fluids and monitoring. Heat stroke is a serious and sometimes fatal condition, but with rapid recognition and prompt intensive treatment, we can provide your pet with the best chance of a full recovery.","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"If you believe your pet may be overheated or suffering from a heat-related injury, please our ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"/services/emergency"},"content":[{"nodeType":"text","value":"emergency services","marks":[],"data":{}}]},{"nodeType":"text","value":" are available to help. Contact us right away:","marks":[],"data":{}}]},{"nodeType":"paragraph","data":{},"content":[{"nodeType":"text","value":"Fredericksburg ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"tel:(540) 372-3470"},"content":[{"nodeType":"text","value":"(540) 372-3470","marks":[],"data":{}}]},{"nodeType":"text","value":"\nMidlothian ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"tel:(804) 744-9800"},"content":[{"nodeType":"text","value":"(804) 744-9800","marks":[],"data":{}}]},{"nodeType":"text","value":"\nRichmond ","marks":[],"data":{}},{"nodeType":"hyperlink","data":{"uri":"tel:(804) 353-9000"},"content":[{"nodeType":"text","value":"(804) 353-9000","marks":[],"data":{}}]},{"nodeType":"text","value":"","marks":[],"data":{}}]}]},"links":{"__typename":"BlogBlogContentLinks","entries":{"__typename":"BlogBlogContentEntries","inline":[],"block":[]},"assets":{"__typename":"BlogBlogContentAssets","block":[]}}},"blogImage":{"__typename":"Image","sys":{"__typename":"Sys","id":"GPoklAFdoj8uHTMYohRHg"},"name":"IMAGE CONTAINER - Virginia Veterinary Centers 300840; 300841; 300842 - THE DANGERS OF HEAT STROKE FOR PETS","title":null,"altText":"Yellow dog in a field drinking water from a bottle","imageCaption":null,"attribution":null,"image":{"__typename":"Asset","title":"IMAGE - Virginia Veterinary Centers 300840; 300841; 300842 - THE DANGERS OF HEAT STROKE FOR PETS","url":"https://images.ctfassets.net/rt5zmd3ipxai/3FFIj0zBBbx2FSH4Adfedk/8df3c90fd9e7115c20467c224ac46ec2/Blog_-_Heat_Stroke.jpg","size":205102,"width":1255,"height":685,"contentType":"image/jpeg"},"mobileImage":null},"webpageBlog":null,"shareLinks":null}]}}]}},{"__typename":"TemplateDynamicLayoutPage","sys":{"__typename":"Sys","i
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1158ort for your pet."},{"question":"What nearby places can I visit around Virginia Veterinary Centers - Fredericksburg?","answer":"Nearby attractions include Central Park Funland for family fun, Barnes \u0026 Noble bookstore and coffee shop, and Quaker Steak \u0026 Lube restaurant for dining."},{"question":"How can the nearby Central Park Funland enhance my visit?","answer":"You can enjoy a family outing or go-kart racing at Central Park Funland before or after your visit to the veterinary center, making it a convenient spot for entertainment."},{"question":"What retail shopping options are near Virginia Veterinary Centers - Fredericksburg?","answer":"Nearby retail stores include Old Navy Central Park, Target Store Fredericksburg, and buybuy BABY for clothing and baby gear shopping needs."},{"question":"Does Virginia Veterinary Centers - Fredericksburg have an online presence where I can learn more?","answer":"Yes, you can visit their website at https://www.virginiaveterinarycenters.com/locations/fredericksburg and follow their Facebook page at https://www.facebook.com/VVCFredericksburg/ for updates and information."}],"googleCid":"16288881185026146133","googleMyBusinessLabels":["Fredericksburg"],"googlePlaceId":"ChIJ2WCQDsvBtokRVf8GtiK7DeI","locationComUrl":"https://location.com/categories/pets/us/va/fredericksburg/virginia-veterinary-centers-fredericksburg-2862501992","savedFilters":["248681","278492","3191","4650"],"additionalHoursText":"Please call ahead at (540) 372-3470!","address":{"line1":"1301 Central Park Blvd","city":"Fredericksburg","region":"VA","postalCode":"22401","countryCode":"US"},"addressHidden":false,"description":"Virginia Veterinary Centers - Fredericksburg is an emergency and specialty animal hospital in Fredericksburg and the surrounding area, providing comprehensive veterinary care for dogs and cats. 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