Page 3 - Clinical Connections - Autumn 2024

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Page 3 - Clinical Connections - Autumn 2024
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LETTER FROM THE EDITOR

                 Collaboration Amid Complexity                               Charlie’s recovery, as was collaboration with his
                    elcome to the autumn edition                             local veterinary practice. He was in hospital here
                    of  Clinical Connections. Since                          for almost a fortnight and after discharge the
            W our last edition, the RVC has                                  team at Oaks Veterinary Centre in Birmingham
            welcomed a host of eager new students                            managed his leg wound for months.
            to both our Hertfordshire and London                              On page five we have a very moving article
            campuses.  The new students  joined  the                         about  Aria, a  patient seen by our Veterinary
            RVC at a special time, not least by being the                    Oncology Service.  The article written as a
            first new cohorts to venture into substantially                  collaboration between RVC clinicians and Aria’s
            transformed campuses, but also because                           owner – himself a vet. It is an important reminder
            they come into the veterinary world at a                         not only of the world-class clinical treatment and
            fascinating time.                                                innovative care our teams carry out but also of
              So many of the great things in life happen                     the important impact this has on our patients’
            through a collaborative approach, bringing together different skills,   carers. I would strongly urge you to read the article by Vivek Basu
            knowledge and perspectives. Nowhere is this more evident than   (Aria’s owner) and oncologists Andy Yale and Sandra Guillén, as
            working at the RVC, where our clinical teams work alongside,   a brief summary cannot do it justice.
            and with, our researchers, educationalists and support teams to   If you saw our spring issue of Clinical Connections you might
            ensure the students get the best possible experiential learning.   recall our centre page article about the Blood Donor Programme’s
              Within the clinical arena, delivering the best possible care for   20th anniversary and timeline of its progress. In this issue we are
            our patients and clients is also facilitated by bringing together   delighted to report on a new, purpose-built facility for the Blood
            expertise  and  knowledge  across  disciplines,  and  of  course   Donor Programme and share the case of Nyla, who was treated
            between  general  practice  and  referral  teams.  We’re  excited   for  immune-mediated  thrombocytopenia.  This  was  another
            to have an increased focus on our general practices with the   transdisciplinary and collaborative case – with the collaboration
            appointment of a new Director of General Practice.   extending to the canine donors who helped Nyla survive.
              Before I mention the articles in this issue, which give a small   Joanna Hedley’s exotics article on page eight is valuable
            taste  of  the  enthusiasm  across  our  teams,  I’d  like  to  briefly   reading to any vet as it deals with gut stasis in rabbits, which is
            mention London Vet Show, which the RVC has been involved in   a common reason for rabbit admissions in first opinion practices
            since it started. If you are attending, please visit us on stand G55.   and the RVC Exotics Referral Service alike. Joanna discusses
              With the theme of this edition being collaboration, our front page   diagnostic approaches and treatment, along with the important
            article typifies this. An alpaca was treated in our Equine Referral   issue of appendicitis as a differential.
            Hospital with the surgery being planned and performed by both   Following on from Joanna’s article, Dylan Yaffy, on page nine,
            David Bolt, Senior Lecturer in Equine Surgery, and Richard   shares  insights  from  the  growing  field  of  pathology  in  exotic
            Meeson,  who  heads  our  Small  Animal  Orthopaedic  Service.   animals and wildlife. The range of species Dylan mentions, from
            Colleagues from our Diagnostic Imaging and Anaesthesia and   rainbow trout to a hognose snake, capybara and Madagascar
            Analgesia services were also involved in providing the best   hissing cockroach, in itself tells a story of incredible progress in
            multidisciplinary care for this unusual patient.    the veterinary world since the days when the RVC was centred
              The transdisciplinary approach that helped the two-year-old   around a horse infirmary.
            alpaca, Dexter, also helps so many of our patients – and offers   Andy Fiske-Jackson’s article on page ten illustrates how far
            our students such an incredible learning experience.   equine practice has come since those early days. In his article,
              The  RVC  has  long  been  at  the  forefront  of  progressing   Andy discusses a range of treatment modalities for sarcoids,
            insight into and  treatment  of  cutaneous  and renal  glomerular   tailored  to  the  specific  needs  of  individual  patients.  We  are
            vasculopathy.  The article on page four, by Nadine Jones and   fortunate to be able to invest in the technology required to offer
            Tom Greensmith, is concerned with Charlie, a four-year-old   innovative treatments including electrochemotherapy, tumour
            retired racing greyhound. Charlie had severe generalised   specific electroporation and thermofield treatment.
            peripheral oedema and his skin was erythematous on his entire
            ventrum. An ulcerative skin lesion was present on his dorsal right
            antebrachium.                                       Amanda Boag, Vice Principal (Clinical Services)
              Plasma exchange and good wound management were key to



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