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VVS

VVS

Virtual Veterinary Specialists

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BRINGING THE VETERINARY SPECIALIST
DIRECTLY TO YOUR PRACTICE

BOOK NOW

Anaesthesia – Diagnostic Imaging – Cardiology – Internal Medicine – Feline Medicine – Neurology – Dermatology – Dentistry – Oncology – Ophthalmology – Exotics


VVS is your multi-disciplinary Virtual Referral Service


The VVS digital platform makes it possible to have real-time live interactions with Veterinary Specialists, enabling you to access specialist knowledge and advice for your patients wherever and whenever you need it.

Convenient for your clients. Less stressful for your patients, as they remain in the familiar surroundings of your clinic.

WATCH OUR VIDEOS



Working with you to improve your patient outcomes


Improve your knowledge and skills through working up your own cases under the real-time live guidance of our Specialists. From interactive case discussions to real-time live consultations and guided case work-ups.

SERVICES

VVS Mission Statement

Our goal is to support veterinary colleagues to achieve clinical excellence, by bringing world-class,
multidisciplinary specialists into first opinion practices by using and developing ground breaking technology.

We focus on optimal animal welfare, upskilling and empowering veterinary professionals
with a clear aim of encouraging their growth as businesses and individuals.

Practice Excellence

VVS – What We Do


What Vets Say About VVS

The VVS service was introduced to our practice about a year ago as a cardiology
second opinion service but quickly expanded to other disciplines.

For me and all the vets in the practice, this was the very first contact to the much-talked-about telemedicine.

We were pleasantly surprised to find that VVS provided all the necessary kit to start the service
immediately and the support to use the tools has been extremely good from start.

The veterinary specialists are extremely helpful and patient to explain clearly the different
conditions and they always take extra time to improve my knowledge and, in case of the cardiology
service, my ultrasound scanning skills.

Communication is definitely one of the strongest points. The VVS specialists help us achieve a
diagnosis quicker, formulate a treatment plan and pass the information on to the clients in a clear way.

The real benefit for me is being able to follow up a case that otherwise would have been referred
elsewhere with little chance for me to learn the diagnostic process or the treatment; doing so I
can also improve my practical skills under the guidance of a specialist.

Dr. Luca Gaffuri
MRCVS

I highly recommend the Virtual Veterinary Specialists service. My patients, my clients and my team have benefited enormously. My patients and clients have received a specialist opinion, without needing to leave the practice and in a cost-effective manner. As a feline veterinary surgeon, this has been fantastic, as so many cats go without the help they need because owners do not want to travel them. As a veterinary surgeon, it has allowed me to develop my technical skills in ultrasound under the guidance of an understanding and helpful Specialist and given me tailored CPD. As an employer, it has given my team the help and motivation to work up their cases fully with resultant job satisfaction. As a business owner, it has helped keep the financial benefits of case work up within my business. I look forward to utilising the full range of services as they become available. I believe Virtual Veterinary Specialists is the future of veterinary medicine and will play a key role in retaining great vets in general practice in years to come.

Dr. Ellie Marriott BVSc MANZCVS MRCVS
Advanced Practitioner in Small Animal Medicine - Feline

The service you provide is excellent and I think well worth the cost to the client.

Dr. Carli Bentley
BVSc GPCert(SAM) MRCVS

The VVS platform has dramatically improved my work up of cardiac cases. I started as a novice in echocardiography. Nuala is a superb teacher and guides you through the echo process with patience and clarity. It’s ideal for patients who would otherwise have to travel to benefit from the expertise of a cardiology specialist. Nuala is very easy to work with and my own knowledge has increased way beyond what I could have gleaned from a referral report. Both my understanding of cardiology and my practical skills in performing the echo have improved through the ongoing discussion during the work ups. This really is an invaluable tool – I can’t recommend it enough!

Dr. Kat Hull
BVetMed MRCVS

Having the VVS service has been invaluable for us as a busy 24-hour hospital. We have been able to keep complex cases inhouse as well as progress as individuals with the more routine cases. I had zero experience of cardiac ultrasonography before having the VVS service and it has given me confidence that I can get a diagnosis! CPD just for working up a case is such a bonus. The patience shown when you first start is amazing and the teaching throughout top-notch! Our clients think it is a very forward-thinking service and love that we can get specialist input (both for initial diagnosis and follow up) but they can continue being cared for by the vets they know and trust.

Dr. Kelly Burrow
BVetMed PGCertSAS MRCVS

VVS has been such a great addition to our practice both for staff and owners. The service has given us the ability and confidence to pursue the diagnosis of conditions in-house, meaning that we as vets have a greater interest in the case, the owner and pet stay in a familiar environment and the practice financially benefits.

I quickly realised this was going to be a win, win, win situation when we trialed the service. There was no pressure but great support and endless patience from the team at VVS.

My staff have really benefited from being able to use this service too – their skill set has grown without feeling like they are stepping into uncharted territory. Whether it is advice on Oncology, live ultrasound guidance or Internal Medicine case reviews, the VVS Consultants have been there with up to date information, years of experience and moral support.

I can’t speak highly enough of all the VVS team.

Dr. Johanna Headley
BVetMed MRCVS

Having worked with VVS for 2 ½ years now, I could not be more impressed with the service, high-level medical expertise and equipment used. For a first opinion vet with an interest in cardiology, the opportunity to be able to offer specialist-level cardiology workups in-house has been invaluable. The service provides great value for money for the client, as well as the convenience of being able to have their much-loved pets assessed by a specialist without the stress or difficulty of distant referral.

Dr. Oliver Duprey
BVetMed BCs CertAVP MRCVS

Thanks again for all your help, I now have a bonded client for life but more importantly this dog is now free of pain.

Dr Anna Minoli
MRCVS

Using Virtual Veterinary Specialists has been easy, convenient and extremely beneficial.

Our clinic has been using the VVS phone call and written report service for approximately 10 months now and all our vets are thrilled with the service.

In contrast to calling a referral centre, we get a detailed written summary which incorporates case images, lab results and full clinical history. During phone consultations we don’t have to frantically take notes when discussing the case but can relax and engage in the conversation and listen to the playback later. Even better, this counts towards our CPD!

We have been able to share phone call recordings with each other to help with case sharing and our own learning. Whenever we need help we get a quick response and phone consultations are arranged at times which are convenient for us. When we have needed follow up on a case we have been able to speak to the same specialist for continuity.

Everyone we have had contact with at VVS has been considerate and supportive and they have helped us to make decisions about complex cases within the limitations of our clinic, giving us more confidence in our treatment plans.

We are a young progressive team who are eager to learn and we can’t wait to incorporate the live guided work ups into our practice. We thoroughly recommend the Virtual Veterinary Specialists service”.

Town and Country Vets Team, Aberdeen

What Vets Think Of Our Service

Satisfaction Levels
97%

Very Satisfied

Sound Quality
91%

Excellent / Very Good Quality

Video / Image Quality
97%

Very High / High Quality

Patient Care Improvement
90%

A Great Deal

Register for Free to Start Using the VVS Services Today!

GET IN TOUCH

Recent Articles

Heart Murmurs in Puppies and Kittens

Feline Hypertension

Labrador With Abdominal Distension

Heart Murmurs in Small Breed Dogs

Benefits To You

Here are a few of the many ways that VVS can benefit you, your practice and your patients.

THE VET

Specialist guidance empowers you to do more for your patients.

THE OWNER

Increased convenience in a familiar setting.

THE PET

Faster diagnosis under one roof.

THE SPECIALIST

Giving more pets access to specialist care.


Features

FEATURE 1
INCREASED SPECIALIST ACCESS


Integrate specialists seamlessly into your practice.

FEATURE 2
GROUNDBREAKING TECH


User-friendly patented technology allows the specialist to see what you see and hear what you hear.

FEATURE 3
WRITTEN REPORTS


All services are followed up with a written report.

FEATURE 1
LEARNING OPPORTUNITIES


Personalised continuous professional development with certification on your own cases.

FEATURE 2
TIME EFFICIENT


For the patient, client, vet and specialist.

FEATURE 3
EASY TO ACCESS


Service can be accessed from desktop, laptop, tablet and your mobile.


Our Services

VVS offers a number of ways to access specialist support for your cases effortlessly.
From advice calls to live, guided real-time case investigations.

60 MINS | 30 MINS | 15 MINS

Specialist Real-Time Investigation

  • Retain case investigations in-house
  • Work-up your case with live specialist guidance using VVS Platform
  • Specialists can see what you see and hear what you hear.
  • Reach a diagnosis and discuss treatment plan, together.

1 REPORT

Specialist Online Report

  • Upload or email history and relevant test results
  • Receive full written specialist report for your case
  • Discipline-based

15 MINS

Specialist Advice Call

  • Talk to a specialist in the discipline you need, guaranteed
  • Helps you improve your case management
  • Specialist Advice Call can be attached as a file to your patient record
Raw diets & vegan foods- the solution to everything or a worrying trend? 

Watch back our latest webinar with VVS Internal Medicine specialist Professor Rob Foale

Follow the link in our bio. 

A balanced, thought-provoking presentation, we really recommend watching!

www.vvs.vet

#vetcpd #veterinarycpd #vetwebinar #veterinarywebinar #virtualreferral #virtualvet #virtualspecialist #veterinarymedicine #vetmed #vetmedstudent #rvn #veterinaryspecialist
Free Raw Feeding Webinar Tonight! 

Do your clients have questions about raw feeding? 🥩 

Are there proven clinical benefits? 🤷‍♀️ 

In our latest upcoming webinar Professor Rob Foale, RCVS and European Specialist in Small Animal Internal Medicine discusses the current evidence on the topic of 'Raw Feeding'. 

This topical and informative session will not be one to miss!
⏰ Time: 7.30pm
📅  When: Weds 27th September
📍  Where: Online (Zoom)

Register for this free webinar through the link in our bio. 

We look forward to seeing you there!

www.vvs.vet

#rawfeeding #rawfeedingwebinar #veterinarycpd #veterinarywebinar #vetcpd #felinemedicine #felinemed #smallanimalmedicine #smallanimalmed #virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #cpd #freecpd #vetmed #vvs #vetwebinar
Have you seen our NEW cardiology owner information leaflets?

View, and download from our website here: www.vvs.vet/vvs-owner-information-leaflets/ 

www.vvs.vet

#vvs #cardiology #veterinarycardiology #vetcpd #veterinary #vetmed #veterinarymedicine #virtualvet #cardiologyspecialist #virtualspecialist #veterinaryspecialist #vetcardio #vetresources #veterinarycpd #rvn #vetstudent #vetstudentresource
🍗 Are we starving our patients for too long before anaesthesia? 🍖 

How do you talk to your clients about pre-anaesthetic starvation in your patients? 

 “Don’t give him any breakfast” 🥐 

 “Starve from 10pm the night before” 🕙 

 “Don’t give her anything to eat after midnight” 🌃 

This often leads to very prolonged starvation times, especially if owners give the animal their evening meal at the usual time and then nothing but water afterwards. For a patient fed their supper at 6pm, that has an anaesthetic at 11am the next morning, they have been starved for 17 hours! 

The consensus is that the likelihood of regurgitation is greater with starvation times of 12-18 hours, than it is with shorter starvation times of 2-4 hours. In people, it was found extending the duration of preoperative fasting was associated with increased gastric acidity and an increased occurrence of reflux. 

Current American Animal Hospital Association guidelines are for a fasting period of just 4-6 hours in healthy adult patients with no water withhold. Animals less than 2kg in weight or less than 8weeks of age should be fasted for 1-2 hours only. The only patients that should have a more prolonged starvation are those at risk of regurgitation e.g. those with delayed gastric emptying. 

The way we communicate with our owners should also change; try talking about a “give a final small meal” time rather than a “starve from” time. 

Get in touch to book a virtual appointment with Dr Nicki Grint, our European RCVS recognised specialist in veterinary anaesthesia, to revise your anaesthesia protocols. 

buff.ly/3vnmgYP 

#anaesthesia #anaesthesiaspecialist #veterinary #virtualveterinaryspecialists #VVS #virtualvet #virtualspecialist #veterinaryspecialist #virtualreferral
Do your clients have questions about raw feeding? 🥩 

Are there proven clinical benefits? 🤷‍♀️ 

Are you familiar with the research surrounding raw feeding? 🎓 

In our latest upcoming webinar Professor Rob Foale, RCVS and European Specialist in Small Animal Internal Medicine discusses the current evidence on the topic of 'Raw Feeding'. 

This topical and informative session will not be one to miss!

⏰ Time: 7.30pm
📅  When: Weds 27th September
📍  Where: Online (Zoom)

Register for this free webinar through the link in our bio. 

We look forward to seeing you there!

www.vvs.vet

#rawfeeding #rawfeedingwebinar #veterinarycpd #veterinarywebinar #vetcpd #felinemedicine #felinemed #smallanimalmedicine #smallanimalmed #virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #cpd #freecpd #vetmed #vvs #vetwebinar
STOP PRESS 🎉 We have an exciting new VVS service available! 

You can now book ad hoc 1-hour internal medicine mentorship sessions. Feel like you could brush up on your anaemia knowledge? Seen some tricky diabetic cases and want to pick a specialist’s brain? Seeing more imported dogs and want to discuss plans for these? Our medics will be happy to help. 

Our 1-hour Internal Medicine Mentorship sessions include:

✅One-hour private mentorship meeting with your chosen VVS medic to develop and progress your individual goals. You set the agenda for your 1-2-1 sessions, so you can tailor your own learning and development.
✅Tailored follow-up reading and study points to further develop your chosen subject.
✅One hour CPD certificate per session.

You can find out more on our website, follow the link in our bio! 

Want to get a session booked in? You can book these through our bio too. 😊

#smallanimalmedicine #smallanimalmed #smallanimalvet #internalmedicine #internalmedicinespecialist #virtualvet #virtualspecialist #vvs #vetcpd #veterinarycpd #veterinarymentorship #veterinarysupport #clinicalcpd #clinicalmentorship #veterinary #vetmed #veterinarymedicine #virtualreferral #veterinaryreferral
Catch up on our recent feline medicine webinar with Dr Sarah Spencer through the link in our bio.

Titled "She's just not right": Approach to the vaguely unwell, inappetent and lethargic cat'. Dr Sarah Sarah covers her thoughts on how to approach feline cases with non-specific presenting signs. 

Our next free webinar is Wednesday 27th September at 7.30pm with Professor Rob Foale.  Rob will be discussing the current evidence around Raw Feeding.

Do you have clients with lots of questions about Raw Food? If so this might be the perfect opportunity to familiarise yourself with the evidence and latest studies. 

Register through the link in our bio, we look forward to seeing you then!

www.vvs.vet

#felinemedicine #smallanimalmedicine #smallanimalmed #felinemed #catvet #vetcpd #veterinarycpd #veterinaryvoices #virtualvet #virtualreferral #vsgd #vvs #internalmedicine #smallanimalvet #rvn #rvnnews #veterinaryspecialist #virtualspecialist #veterinaryreferral.
Where are you tomorrow at 12pm? ⏲️ 

Would you like to attend some feline medicine CPD with VVS internal medicine specialist Dr Sarah Spencer? 💻 

If so register through the link in our bio. 

Can't make it? Don't worry! We will be sharing a recording for you to catch up on the event afterwards. 😸 

www.vvs.vet

#veterinarycpd #veterinarywebinar #vetcpd #felinemedicine #felinemed #smallanimalmedicine #smallanimalmed #virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #cpd #freecpd #vetmed #vvs #vetwebinar
Would you love to be able to deliver specialist care within your veterinary practice?

Now you can! With a 97% satisfaction rate, we’re empowering vets across the UK to diagnose and manage complex cases in their own clinic. 

Stay involved in the whole patient care cycle and improve patients outcomes, too! The VVS digital platform makes it possible to have live-guided support from Veterinary Specialists across multiple veterinary disciplines, enabling you to access specialist knowledge and advice for your patients whenever you need it. 

Here’s what our vets say about working with us:
“I'm not sure what we would have done without you guys helping us with our cardiology cases and I really appreciate your kindness and understanding always. Scanning with VVS is definitely my favourite part of my job!” -  Dr Georgina Catlow, MRCVS

"Being able to offer my clients high value, referral-level scans with myself in house has been invaluable.” - Dr Kirsty Stratfull MRCVS

Are you interested in learning more? 

Contact us today and one of the team will contact you for a friendly chat and to share how it works. Find the link in our bio. 

#virtualvet #virtualreferral #virtualspecialist #veterinaryreferral #veterinaryspecialist #vetmed #veterinarymedicine #smallanimalvet 

 www.vvs.vet
In the search for some great veterinary CPD?

Catch up on all of our brilliant webinars for free on our website or through our YouTube page including:

*'Basic Echocardiography' Part 1 and Part 2 with Dr Brigite Pedro
* ‘How to Manage Complicated Clinical Endocrine Conundrums’ with Professor Rob Foale
* 'Cancer Conversations- Breaking the News' with Dr Clare Knottenbelt 
* 'Management of Atopy in Dogs' with Dr Rosario Cerundolo 

buff.ly/45OdcNR 

Find our Youtube Channel through the link in our bio. 

#vetcpd #veterinarywebinars #veterinarycpd #freecpd #rvncpd #nursecpd #smallanimalmedicine #smallanimalcardiology #smallanimaloncology #veterinarydermatology #vetlearning #vetsupport #veterinarymedicine #vetmed #virtualvet #virtualreferral
⭐ Free Feline Medicine Webinar ⭐ 

Join Dr Sarah Spencer, RCVS and European Specialist in Small Animal Internal Medicine in her upcoming lunchtime webinar.

When:  14th September 2023 📅 
Time:  12pm 🕛 
Where:  Zoom 💻 

Titled "She's just not right": Approach to the vaguely unwell, inappetent and lethargic cat'. Sarah will cover her thoughts on how to approach feline cases with non-specific presenting signs. 

Register for this free webinar through the link in our bio. 

Everyone who attends on the day will be sent a CPD certificate. 

For those who can't attend on the 14th, a recording will be shared after the event. 

buff.ly/3A1sLos

#webinar #vetwebinar #veterinarywebinar #vetcpd #freevetcpd #cpdevent #lunchandlearn #veterinarycpd #rvncpd #virtualvet #virtualreferral #vetlearning #smallanimalmedicine #felinemedicine #felinemedicinecpd #virtualspecialist #veterinaryspecialist #vvs
Approach every internal medicine case with confidence! 

With our advice call service, our specialists are on hand to help you work up challenging cases, reach a diagnosis and establish treatment plans – every day of the working week. 
Whether for chronic cases or critical care, we’ll help you deliver world-class care for your patients from the comfort of your own practice. 

Here’s what our vets say about using our Internal Medicine Service:

“VVS has been considerate and supportive and they have helped us to make decisions about complex cases within the limitations of our clinic, giving us more confidence in our treatment plans.”

“So nice to have specialist advice without feeling like a burden and where the client doesn't need to go all the way to a referral centre.”

“It is like having a specialist in house!”

“How quick they are to respond to any question big or small.”.

“You get answers almost straight away from a board-certified specialist.”

“When we have needed follow up on a case we have been able to speak to the same specialist for continuity.”

What’s more, is that you don’t need to be signed up to a VVS account or have a VVS workstation to access our specialists.

Are you interested in learning more? 

Contact us today to refer a case for immediate specialist support

www.vvs.vet/refer-a-case/ 

#internalmedicine #smallanimalmedicine #virtualvet #virtualreferral #virtualsupport #vvs #smallanimalmed #vetcpd #rvn
🐶 Heart murmurs in puppies and kittens 🐈 

A heart murmur is always concerning for an owner, particularly if this is detected in a new puppy or kitten. 

It is important to know how to manage these situations in the best way. 

Read our latest blog post by Dr Brigite Pedro for her guidance. Find the link in our bio. 

#veterinarycardiology #vetblog #veterinaryblog #vetcpd #virtualvet #virtualreferral #veterinaryspecialist #virtualspecialist #vetcardio #veterinarycardiologist #puppymurmur #kittenmurmur #vetsupport #newblog #vvs #smallanimalvet #felinemedicine #rvn
⭐ Free Feline Medicine Webinar ⭐ 

Join Dr Sarah Spencer, RCVS and European Specialist in Small Animal Internal Medicine in her upcoming lunchtime webinar.

When:  14th September 2023 📅 
Time:  12pm 🕛 
Where:  Zoom 💻 

Titled "She's just not right": Approach to the vaguely unwell, inappetent and lethargic cat'. Sarah will cover her thoughts on how to approach feline cases with non-specific presenting signs. 

Register for this free webinar through the link in our bio. 

Everyone who attends on the day will be sent a CPD certificate. 

For those who can't attend on the 14th, a recording will be shared after the event. 

www.vvs.vet

#webinar #vetwebinar #veterinarywebinar #vetcpd #freevetcpd #cpdevent #lunchandlearn #veterinarycpd #rvncpd #virtualvet #virtualreferral #vetlearning #smallanimalmedicine #felinemedicine #felinemedicinecpd #virtualspecialist #veterinaryspecialist #vvs
We have an out of hours Cardiology service available 10:30am-4pm today. 

VVS specialists will also remain available across multiple disciplines for emergency case support.

Call  0207 043 2283 to get in touch or complete our form www.vvs.vet/refer-a-case/ 

#bankholidaysupport #bankholidaycover #cardiologysupport #vvs #augustbankholiday
Wishing all our friends and colleagues a lovely August Bank Holiday weekend.

www.vvs.vet

#virtualvet #veterinarycardiology #vetmed #smallanimalmedicine #smallanimal #virtualreferral #virtualspecialist #vetcpd #veterinary #vetcardio
Q.1: What cell types are A, B & C? 

  A: A platelet, B: A spherocyte, C: A normal erythrocyte

Q.2 : What is the significance of seeing a large number of the cell type circled with the B on a blood smear? 

a. No significance, this is a normal finding
b. It is suggestive of a blood loss anaemia
c. It is suggestive of a bone marrow pathology
d. It is suggestive of a haemolytic anaemia
e. It is suggestive of a neoplastic cause for the anaemia

Answer: D

Spherocytes form when the normally bi-concave disc shape of the erythrocyte membrane is disrupted as a result of partial immune-mediated damage to the red cell, thereby altering the shape of the red cell to become spherical as opposed to the bi-concave disc shape they usually are. 

Spherocytes are therefore usually smaller than normal red cells and they lose the central pallor that red cells usually have as a result of them being thinner in the middle.  The presence of spherocytes therefore is highly suggestive of a haemolytic anaemia that is being caused by an immune-mediated process (as opposed to a non-immune-mediated haemolytic anaemia such as osmotic fragility syndrome) as probably up to 90% of dogs with IMHA will have a spherocytosis. 

a) is not correct as this number of spherocytes on a blood smear is clearly not normal (but see below).
b) is not correct because spherocytes do not generally form in blood loss anaemias.
c) is not correct as although a bone marrow pathology could be triggering an immune-mediated haemolytic anaemia, this finding is not highly suggestive of this.
Likewise, e) is not correct because although a neoplastic pathology could be triggering an immune-mediated haemolytic anaemia, this finding is not highly suggestive of this.

One thing however it is important to note is that a small number of spherocytes are often visible at, or near, the feathered edge of blood smears in many normal dogs & these should not be over-interpreted, so this finding should be verified by inspection of red blood cell morphology in the monolayer and deeper areas of the smear.

For internal med case advice www.vvs.vet and or email info@vvs.vet for more info. 

#virtualvet
To investigate anaemia in a patient further you decide to perform a blood smear examination, which looks like the image. 

Q.1: What cell types are A, B and C? 

Q.2 : What is the significance of seeing a large number of the cell type circled with the B on a blood smear? 

a.	No significance, this is a normal finding
b.	It is suggestive of a blood loss anaemia
c.	It is suggestive of a bone marrow pathology
d.	It is suggestive of a haemolytic anaemia
e.	It is suggestive of a neoplastic cause for the anaemia

Keep an eye on our page over the coming days for the answer!

For internal medicine case advice through supportive and convenient advice calls with our brilliant specialist team visit www.vvs.vet and 'Refer a Case' or email info@vvs.vet for more information. 

#virtualvet #virtualspecialist #smallanimalmedicine #smallanimalvet #internalmedicine #felinemedicine #smallanimalspecialist #veterinaryspecialist #veterinaryreferral #referral #virtualreferral #vvs #smallanimalmed
What disciplines can you support me with? 🤔 

Did you know can support you with your clinical cases in 11 specialist veterinary disciplines?

• Cardiology ❤️ 
• Anaesthesia 💉 
• Internal Medicine 📋 
• Feline Medicine 🐱
• Oncology 💊 
• Diagnostic Imaging 💻 
• Neurology 🧠 
• Dermatology 🐩 
• Ophthalmology 👁️ 
• Exotics 🦎 
• Dentistry 🦷 

Would you like multi-disciplinary support for your clinical case with our friendly, experienced specialists? 

Email the VVS team on info@vvs.vet to arrange this or complete our referral form on our website. 

Get in touch through the link in our bio. 

#virtualvet #virtualreferral #virtualspecialist #vvs #veterinaryspecialist #veterinarysupport #veterinarycare #vetcpd #veterinarycpd #clinicalsupport
🐶 Heart murmurs in puppies and kittens 🐈 

A heart murmur is always concerning for an owner, particularly if this is detected in a new puppy or kitten. 

It is important to know how to manage these situations in the best way. 

Read our latest blog post by Dr Brigite Pedro for her guidance. 

Find the link in our bio. 

#veterinarycardiology #vetblog #veterinaryblog #vetcpd #virtualvet #virtualreferral #veterinaryspecialist #virtualspecialist #vetcardio #veterinarycardiologist #puppymurmur #kittenmurmur #vetsupport #newblog #vvs #smallanimalvet #felinemedicine #rvn
The VVS Team (plus Arthur and Elsie) really enjoyed meeting for a 'non-virtual' get together last week. 

As a virtual company it is a great opportunity to discuss our new ideas and projects, and also have a good laugh together as a team. 

We can't wait to share all of our new projects with you.

www.vvs.vet

#virtualvet #vvsteam #vvs #virtualreferral #virtualspecialist #veterinaryreferral #telemedicine #vetmed #veterinarymedicine #smallanimalvet #rvn #specialist #veterinaryspecialist #virtualspecialist
Did you see our clinical conundrum from earlier in the week..?

Which of the following have been found to be prognostic indicators in canine chronic enteropathy and/or protein losing enteropathy?

a.	Disease clinical activity score 
b.	Increased blood urea concentration
c.	Hypocobalaminaemia
d.	Increased cPLI

Answer – all of the above!

Several different clinical activity scores exist for canine chronic enteropathies, including the Canine Chronic Enteropathy activity index (CCECAI) (Allenspach et al. 2007) and the canine IBD activity index (CIBDAI) (Jergens et al. 2003, Gianella et al. 2017). Higher scores using both systems have been associated with poorer outcomes. 

Increased blood urea concentration has been associated with increased risk of death (Nakashima et al. 2015, Kathrani et al. 2019). Hypocobalaminaemia (<200 ng/L) at diagnosis may predict refractoriness to treatment (Alenspach et al. 2007), and finally, elevated canine PLI was associated with a worse outcome in dogs with inflammatory bowel disease (Kathrani et al. 2009). 

Cases with one or more negative prognostic indicators may benefit from more rapid and proactive management and therapies. 

Interestingly, studies have failed to consistently show that histological score severity in inflammatory bowel disease is associated with outcome. However among dogs with PLE, those with a histopathological diagnosis of lymphoma were found to have shorter survival times than those with inflammatory disease or lymphangiectasia (Nakashima et al., 2015). 

For internal medicine case advice through supportive and convenient advice calls with our brilliant specialist team visit www.vvs.vet and 'Refer a Case' or email info@vvs.vet for more information. 

#virtualvet #virtualspecialist #smallanimalmedicine #smallanimalvet #internalmedicine #felinemedicine #smallanimalspecialist #veterinaryspecialist #veterinaryreferral #referral #virtualreferral #vvs #smallanimalmed
🤔 Clinical Conundrum 🤔 

Which of the following have been found to be prognostic indicators in canine chronic enteropathy and/or protein losing enteropathy?

a.	Disease clinical activity score 
b.	Increased blood urea concentration
c.	Hypocobalaminaemia
d.	Increased cPLI

Come back on Friday when we will share the answers to this clinical conundrum...

For internal medicine case advice through supportive and convenient advice calls with our brilliant specialist team visit www.vvs.vet and 'Refer a Case' or email info@vvs.vet for more information. 

#virtualvet #virtualspecialist #smallanimalmedicine #smallanimalvet #internalmedicine #felinemedicine #smallanimalspecialist #veterinaryspecialist #veterinaryreferral #referral #virtualreferral #vvs #smallanimalmed
Tomorrow is International Cat Day 🐱 How will you be celebrating with your feline friends? We would love to see so please do tag us in your posts, it would make our day!

Our team of wonderful specialists at VVS are on hand to help with any complicated feline cases you may have. You can refer a case to VVS via our website here: https://buff.ly/3ziXb3Y or email the team at info@vvs.vet 💙

Dr Sarah Spencer, European & RCVS Specialist in Small Animal Internal Medicine, is currently studying for a PhD with a focus on feline medicine. Sarah has availability on Thursday mornings for any tricky feline medicine cases you would like to discuss.
How do you approach weight loss and hypertension in senior cats?

Read our recent case study from VVS internal medicine specialist Dr Sarah Spencer for her approach. Link in Bio. 

Feline medicine cases can be challenging to manage in house, especially when they don’t present as you would expect from the text book!

If you would like to discuss a clinical case with Dr Sarah Spencer or any of the VVS Internal Medicine team get in touch by through the refer a case link in our bio or email the VVS team at info@vvs.vet. 

www.vvs.vet/refer-a-case/ 

#virtualvet #virtualreferral #virtualspecialist #felinemedicine #felinemedicinespecialist #smallanimalmedicine #smallanimalmedicinespecialist #vvs #vetmed #veterinarymedicine #vetcpd
⭐ Client Testimonial ⭐ 

Looking for help with your cardiology cases? This testimonial might resonate with you.

For more information visit www.vvs.vet.

To speak to the VVS team email info@vvs.vet

#virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #vetcardio #veterinarycardio #veterinarycardiology #vvs #testimonial #vetsupport #vetcpd #veterinarycpd
Would you love to be able to deliver specialist care within your veterinary practice?

Now you can! The VVS digital platform makes it possible to have live-guided consultations with our Veterinary Specialists in real-time, enabling you to better diagnose and support your patients in-practice. 

Our specialists cover all the key disciplines:
Anaesthesia 💉 
Diagnostic Imaging 🩻 
Cardiology 🩺 
Internal Medicine 🌡️ 
Feline Medicine 🐈 
Neurology 🧠 
Dermatology 🦟 
Dentistry 🦷 
Oncology 💊 
Ophthalmology 👁️ 
Exotics 🐍 

With a 97% satisfaction rate, we’re empowering vets across the UK to offer more to their patients. Collaborate with specialists on complex cases, whilst earning CPD and reducing patient’s need to travel!

www.vvs.vet

#virtualvet #vvs #virtualreferral #veterinaryspecialist #virtualspecialist #veterinaryreferral #virtualreferral #vetmed #veterinarymedicine #vetcpd #veterinarycpd #veterinarycollaboration #veterinarycare #smallanimalvet #rvn #veterinarynursing
Clinical Conundrum Answer....

Did you see our clinical conundrum on Wednesday? Find out the answer to the case question below.

The presence of reticulocytes indicates that there is a primarily regenerative process. However, a microcytic anaemia would usually be most consistent with a chronic, non-regenerative anaemia, especially an iron-deficient anaemia.

A predominantly regenerative anaemia with a hypochromic/microcytic component is most likely to indicate a regenerative anaemia with developing iron deficiency. This would be most likely to be consistent with chronic haemorrhage as the underlying pathology, not haemolysis. Thrombocytosis is also often seen in GI haemorrhage.

No spherocytes are seen, so IMHA is unlikely, but performing a saline auto-agglintation test would be quick, simple and worthwhile to add evidence to rule out IMHA.

Therefore in this case the answer was D) Regenerative anaemia, suspected haemorrhage.

To organise an advice call to discuss your cases with the VVS internal medicine team get in touch through our website www.vvs.vet or email info@vvs.vet.

 #clinicalconundrum #intmed #smallanimalmedicine #smallanimalmed #smallanimal #smallanimalvet #veterinary #veterinarymedicine #internalmedicine #haematology #vetcpd #veterinarycpd #virtualvet #vvs #virtualspecialist #smallanimalspecialist
✏️ Clinical Conundrum ✏️ 

An 8-year-old cocker spaniel presented with lethargy and reduced exercise tolerance, he had pale mucous membranes on clinical examination. 

How would you describe the anaemia noted on his haematology, and what’s the most likely cause?

A.	Regenerative anaemia, suspected IMHA
B.	Non-regenerative anaemia, suspected intramedually disease 
C.	Non-regenerative anaemia, suspected drugs or toxins
D.	Regenerative anaemia, suspected haemorrhage 

We will share the answer later this week, keep an eye out! 👀 

www.vvs.vet

#clinicalconundrum #vetcpd #veterinarycpd #testyourvetknowledge #testyourknowledge #virtualvet #virtualreferral #smallanimalmed #smallanimalmedicine #veterinary #veterinaryinternalmedicine #vvs #virtualreferral
Happy Monday! 🌞 

We want to hear all about your success stories. What case are you especially proud of? Is there a patient which has stolen your heart? Is there one case which without fail reminds you why you work in clinical practice? 🗣️ 

As a starter for 10 here is one of ours... 🛎️ 

A gorgeous 3yo MN Golden retriever who presented to the referring veterinary practice with sudden onset generalised limb weakness which progressed to regurgitation inability to weight bear. The practice reached out to us and with the support of VVS Neurologist Dr Simona Radaelli, the patient was diagnosed with Myasthenia Gravis. 🚑 

Through incredible care and dedication by the referring practice with the support of Simona this lovely patient was nursed back to health. He walked out of the practice with a waggy tail nearly 12 days after being admitted. 🫶 

Comment below, we can't wait to hear your stories! 💚 

www.vvs.vet

#veterinarysuccess #veterinarysuccessstories #likeandshare #vvs #vvsvet #vetcpd #veterinary #virtualvet #virtualreferral #virtualspecialist #veterinaryreferral #veterinaryspecialist #vetsupport #internalmedicine #smallanimalmed #smallanimalmedicine
Do you offer senior feline health consults in your practice? 

VVS Internal Medicine Specialist Dr Sarah Spencer brings you an interesting and though-provoking case study. 

Read all about Mimi, a DSH who first presented to Sarah at her routine senior health consultation in our latest case blog. 

Find the link in our bio. 

Feline medicine cases can be challenging to manage in house, especially when they don’t present as you would expect from the text book!

If you would like to discuss a clinical case with Dr Sarah Spencer or any of the VVS Internal Medicine team get in touch by clicking the link below or email the VVS team at info@vvs.vet. 

www.vvs.vet 

#virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #smallanimalmedicine #smallanimalvet #felinemedicine #vetmed #veterinarymedicine #vetcpd #vetblog #veterinarycpd #vvs #veterinaryreferral
Welcome to the team! 👋 

We are so pleased to welcome Steph Jones to the VVS referral coordination team.

Steph qualified as a registered Veterinary Nurse in 2014, initially working in a busy 24-hour first opinion practice before moving to a small animal referral hospital as a multi-disciplinary nurse. 🏥 

Steph is passionate about delivering the highest patient standards and developing and improving clinical standards in practice. She has also previously lived and worked in Cyprus, where she had the opportunity to be involved in setting up a brand new veterinary clinic and pass on her knowledge and experience to the team.

If you would like to work with VVS on your clinical cases get in touch via our website www.vvs.vet or email us at info@vvs.vet. 📱 

#rvn #vvsteam #smallanimalmedicine #diagnosticimaging #smallanimalmed #smallanimalvet #veterinaryspecialist #vetmed #veterinarymedicine #virtualvet #virtualspecialist #specialistsupport #vetcpd #vvs #virtualreferral
⭐ Approach every internal medicine case with confidence! ⭐ 

The VVS specialist internal medicine team are on hand to assist you with cases of weight loss, GI disease, endocrine disease, pyrexia, immune mediated disease, urine disease, anorexia and so much more! 🤒 

By working with our team of experienced internal medicine specialists you can deliver world-class care to your patients from the comfort of your own practice. 🌎 

Our internal medicine specialists will help you to work up these challenging cases, reach a diagnosis and establish a treatment plan. 🍃 

They are available for ongoing advice in chronic cases and can support you to manage hospitalised patients with critical care and nursing recommendations. 💉 

To work with the VVS internal medicine team on your clinical case, get in touch through our website www.vvs.vet/refer-a-case/ or email the VVS team at info@vvs.vet to arrange  this. 📆 

#virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #vvs #vetmed #veterinarymedicine #smallanimalmedicine #smallanimalvet #veterinarysupport #veterinarycare #vetcpd #veterinarycpd #virtualreferral #veterinaryreferral 

www.vvs.vet
Do you offer senior health consultations in your practice? 

VVS Internal Medicine Specialist Dr Sarah Spencer brings you an interesting and though-provoking case study. 

Read all about Mimi, who first presented to Sarah at her routine senior health consultation in our new blog post. 

Find the link in our bio. 

Feline medicine cases can be challenging to manage in house, especially when they don’t present as you would expect from the text book!

If you would like to discuss a clinical case with Dr Sarah Spencer or any of the VVS Internal Medicine team get in touch via our website or email the VVS team at info@vvs.vet. 

www.vvs.vet 

#virtualvet #virtualreferral #virtualspecialist #veterinaryspecialist #smallanimalmedicine #smallanimalvet #felinemedicine #vetmed #veterinarymedicine #vetcpd #vetblog #veterinarycpd #vvs #veterinaryreferral
Welcome to the team!

We are so pleased to welcome Dr Yilin Tan to the VVS diagnostic imaging specialist team.

Following some time in a busy referral hospital in Singapore and general practice in the UK, Yilin undertook a rotating internship in a private specialist hospital before an imaging internship at the University of Liverpool.

She completed her ECVDI residency at Edinburgh and is a Diplomate of the European College of Diagnostic Imaging. She recently obtained an MSc for her postgraduate studies undertaken in conjunction with her residency. She is passionate about teaching and is working towards further Higher Education Academy qualifications.
 
If you would like to work with Yilin on your diagnostic imaging cases get in touch via our website www.vvs.vet or email us at info@vvs.vet.

#smallanimalmedicine #diagnosticimaging #veterinarydiagnosticimaging #smallanimalmed #smallanimalvet #diagnosticimagingspecialist #veterinaryspecialist #vetmed #veterinarymedicine #virtualvet #virtualspecialist #specialistsupport #vetcpd #vvs #virtualreferral #ecvdi
Would you love to be able to deliver specialist care within your veterinary practice?

Now you can! With a 97% satisfaction rate, we’re empowering vets across the UK to diagnose and manage complex cases in their own clinic. 

Stay involved in the whole patient care cycle and improve patients outcomes, too! The VVS digital platform makes it possible to have live-guided support from Veterinary Specialists across multiple veterinary disciplines, enabling you to access specialist knowledge and advice for your patients whenever you need it. 

Here’s what our vets say about working with us:

“I'm not sure what we would have done without you guys helping us with our cardiology cases and I really appreciate your kindness and understanding always. Scanning with VVS is definitely my favourite part of my job!” -  Dr Georgina Catlow, MRCVS

"Being able to offer my clients high value, referral-level scans with myself in house has been invaluable.” - Dr Kirsty Stratfull MRCVS

Are you interested in learning more? 

Contact us today and one of the team will contact you for a friendly chat and to share how it works: https://www.vvs.vet/contact-virtual-veterinary-specialists/ 

#virtualvet #virtualreferral #virtualspecialist #veterinaryreferral #veterinaryspecialist #vetmed #veterinarymedicine #smallanimalvet
Welcome to the team!

We are so pleased to welcome Dr Jessica Adamany to the VVS internal medicine specialist team.

After relocating to the UK from the USA, Jessica undertook a residency in Internal Medicine and became a European diplomate in internal medicine in 2017. As well as offering her internal medicine expertise to your VVS cases, Jessica works at a large referral centre as a senior medicine clinician, co-director of the rotating internship program, and resident supervisor.
 
Jessica enjoys numerous aspects of internal medicine, particularly gastroenterology and haematology.  She is passionate about teaching and creating an atmosphere that promotes positive mental health. 

If you would like to work with Jessica on your clinical cases get in touch via our website buff.ly/3A1sLos or email us at info@vvs.vet.

#smallanimalmedicine #internalmedicine #smallanimalmed #smallanimalvet #internalmedicinespecialist #veterinaryspecialist #vetmed #veterinarymedicine #virtualvet #virtualspecialist #specialistsupport #vetcpd #vvs #virtualreferral
According to a study in 2015 by Niessen et.al. what is the overall prevalence  of acromegaly in diabetic cats? 

  A) 24.8%
 B) 8.4%
 C) 82.8% 
  D) 12.7%

Answer.....

Acromegaly used to be thought as an unusual condition in cats but it is now known to cause diabetes mellitus and be much more common than we first thought.

The 2015 study by Niessen et.al showed a 24.8% (answer: A) prevalence of acromegaly in diabetic cats. This study also demonstrated that the majority of acromegalic cats do not exhibit the classic signs of acromegaly such as enlargement of extremities (broad facial features and club paws etc) and organomegaly. Only 24% of the attending clinicians suspected that any of the positive cats had acromegaly. 

To screen for acromegaly in newly diagnosed diabetic cats, measure serum IGF-1. 

To find out more about feline diabetes, acromegaly and other endocrine conditions catch up the webinar by Professor Rob Foale 'As if hormones weren’t challenging enough already; How to manage complicated clinical endocrine conundrums'. During the webinar he shares his top tips on how to approach your next complicated or challenging endocrine patient. 

Find the link in our bio. 

Reference: 'Studying Cat (Felis catus) Diabetes: Beware of the Acromegalic Imposter', Niessen et.al 2015

www.vvs.vet

#veterinarywebinar #vetmed #smallanimalmedicine #smallanimalvet #smallanimalcpd #vetcpd #veterinarycpd #veterinaryendocrinology #virtualvet #virtualreferral #veterinaryspecialist #virtualspecialist
We are always on the look out for dynamic and forward-thinking UK-based individuals to join our growing team.

If you have both clinical and commercial veterinary experience and you are interested in helping to develop the future of virtual veterinary specialist care submit your CV to info@vvs.vet.

www.vvs.vet

#virtualvet #vetjobs #veterinaryrecruitment #virtualspecialist #vetmed #veterinarymedicine #smallanimalvet #veterinary #veterinarymedicine #veterinaryreferral #virtualreferral #veterinarynursing
Welcome to the team!

We are so pleased to welcome Dr Sarah Spencer to the VVS internal medicine specialist team.

Sarah became an internal medicine ECVIM diplomate in 2018 and worked at the Queen Mother Hospital at the Royal Veterinary College where she supervised interns, residents and participated in some undergraduate teaching.

Sarah is currently doing a PhD at the RVC, investigating the role of aldosterone in feline chronic kidney disease. 

Sarah enjoys teaching and has recently been a tutor for the University of Sydney’s Feline Medicine Distant Education course. Her particular interests are feline medicine and haematology. 

If you would like to work with Sarah on your clinical cases get in touch via our website www.vvs.vet or email us at info@vvs.vet.

#smallanimalmedicine #internalmedicine #smallanimalmed #smallanimalvet #internalmedicinespecialist #veterinaryspecialist #vetmed #veterinarymedicine #virtualvet #virtualspecialist #specialistsupport #vetcpd #vvs #virtualreferral

Get In Touch

If you would like any further information about VVS or are interested in signing up for our service, get in touch today by calling, emailing or filling in the contact form. VVS offers flexible solutions that can be designed around your practice’s needs and preferences. Please contact us to discuss pricing options and how to get started. We look forward to working with you.

Phone : 0207 043 2283

Email : [email protected]

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