How a Nutritional Approach Can Change Your Veterinary Practice Sue Howell, DVM
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Sue Howell, DVM Veterinary Technical Support In February 2013, Standard Process Inc. welcomed Sue Howell, DVM, as a member of the company s veterinary technical support team. Dr. Howell has 17 years of practice experience in small animal veterinary medicine. As a part of the veterinary technical support team, she educates veterinary students and health care professionals on the benefits of whole food nutrition and about the research and development behind Standard Process Veterinary Formulas. Dr. Howell earned a bachelor s degree in fine arts from Pacific Lutheran University in Tacoma, Wash., in 1988. She graduated in 1997 with her doctorate in veterinary medicine from Washington State University in Pullman, Wash. Dr. Howell is a member of the Wisconsin Veterinary Medical Association and the American Veterinary Medical Association and is also pursuing certification in the TCVM practice of food therapy.
Veterinary Challenges Personal profiles High achiever/perfectionist/introvert Typically subject to higher rates of compassion fatigue/burnout Higher risk for depression, substance abuse, suicide
Veterinary Challenges Professional stressors Oversupply vs. underdemand High debt-to-income ratio
Veterinary Challenges Clients Cost conscious Seeking alternatives Prevention gap
Fresh Perspective Because optimal nutrition is vital to overall health and longevity, it is necessary to include a nutritional assessment and provide nutrition recommendations at each visit. Datz 2013
A Nutritional Approach Can Change Your Patients
Diagnosed Health Challenges 1) Rethink the exam. Start and end with nutrition. Think upstream. Resist compartmentalization.
Diagnosed Health Challenges 2) Formulate the plan. Integrate supplements into your therapeutic protocol. Demonstrate conviction in your plan. Treat the symptoms, and support the systems.
Complete the Puzzle These statements have not been evaluated by the Food and Drug Administration. These products are not intended to diagnose, treat, cure, or prevent any disease.
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Subclinical Presentations Consider partial nutrient deficiencies. Patients with symptoms and normal test results Cases that aren t reading the book Emerging syndromes
The Nutritional Protocol 1) Start simply. Diet Supplements made with whole food and other ingredients: Provide additional nutritional support and source of nutrients Contains ingredients with a range of nutrients
The Nutritional Protocol 2) Follow up. Recheck monthly. Taper supplements when condition warrants.
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Preventative Care I believe that the doctor of the future will be a teacher as well as a physician. His real job will be to teach people how to be healthy. Doctors will be even busier than they are now because it is a lot harder to keep people well than it is to just get them over a sickness. D.C. Jarvis, MD, 1957
Veterinarian s Oath Being admitted to the profession of veterinary medicine, I solemnly swear to use my scientific knowledge and skills for the benefit of society through the protection of animal health and welfare, the prevention and relief of animal suffering, the conservation of animal resources, the promotion of public health, and the advancement of medical knowledge. The Veterinarian s Oath, revised 2010
Wellness 1) Evaluate quality of life (QOL). Engage the owner. Build trust. Show empathy
Wellness 2) Discuss nutrition s role in QOL. Provide education on the benefits of whole food ingredients in supplemental nutrition.
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A Nutritional Approach Can Change Your Clinic
Start a Movement Leader Movement First Follower Second Follower Sivers 2010
A Nutritional Approach Can Change You
Professionally Set your clinic apart. Increase compliance. Add to revenue. Foster community. Celebrate success.
Personally See challenges as positives. A tendency to over-analyze is helpful with complex cases. Reading, researching, learning solo activities are also good for patient care. Rather listen than talk? This helps when it comes to connecting with clients and taking an accurate history. Empathy and introversion often go together, which is helpful for our profession. (Barforoush 2013) Feel validated. Define yourself as a doctor and a healer.
Veterinary Technical Support 888-982-8130 vethelp@standardprocess.com
Bibliography Allison J. Shepard, Laura Pikel. Employment, starting salaries, and educational indebtedness of year-2013 graduates of US veterinary medical colleges. JAVMA Volume 243, Number 7, 2013: 983. Barforoush, Ashley. 3 things every introvert should know in veterinary practice. August 16, 2013. http://veterinarybusiness.dvm360.com/vetec/veterinary+business/3-things-every-introvert-should-know-inveterinary/articlestandard/article/detail/819720. Craig Datz DVM, DABVP, DACVN, Allison Wara DVM. New Knowledge in Nutrition: Updates from AAVN/ACVIM 2013. Veterinary Information Network. September 15, 2013. http://www.vin.com/members/cms/document/default.aspx?id=5952307&pid=7774&catid=&said= DJ Bartram, DS Baldwin. Veterinary surgeons and suicide: a structured review of possible influences on increased risk. Veterinary Record 166(13), 2010: 388-397. Dobbs, Katherine. Compassion Fatigue and Burnout. 2010. http://www.katherinedobbs.com/compassion-fatigue-andburnout. IDEXX Laboratories. Top 10 Reasons for Vet Visits. IDEXX Laboratories. 2013. http://www.idexx.com//view/xhtml/en_us/smallanimal/education/reference-library/diagnosticedge/archives/articles/top-visit-reasons-201304.jsf?ssotoken=0 (accessed 2013). Jarvis, Dr. D.C. Folk Medicine: A Vermont Doctor s Guide to Good Health. New York/Chicago/San Francisco: Holt, Rinehart and Winston, 1958. Justine A. Lee DVM, DACVECC, DABT. The Impaired Veterinarian: Recognizing Depression and Possible Suicide. March/April 2013. http://www.veterinaryteambrief.com/article/impaired-veterinarian-recognizing-depressionpossible-suicide.
Bibliography KE Saker, BJ Stevens, L Bullen. Selected interventions improve nutrition recommendations on patient discharges. 13th Annual AAVN Nutrition and Research Symposium. North Carolina State College of Veterinary Medicine, Raleigh, NC, 2013. Nathaniel Spofford, Sandra L. Lefervre, Sandra McCune, Lee Niel. Should the veterinary profession invest in developing methods to assess quality of life in healthy dogs and cats? JAVMA Volume 243, Number7, 2013: 952-955. Nolen, R. Scott. Veterinarian's oath revised to emphasize animal welfare commitment. January 1, 2011. https://www.avma.org/news/javmanews/pages/x110101a.aspx. Purina Research Report.1999: 1-6. Scheindegger, Julie. Too much supply or too little demand. DVM 360 Volume 44, Number 10, 2013. Segal, David. High debt and falling demand trap new vets. The New York Times, February 23, 2013. Sivers, Derek. How to start a movement. 2010. http://www.ted.com/talks/derek_sivers_how_to_start_a_movement.html). Thomas, Jan. AAHA What is Compassion Fatigue. 2012. http://student.aahanet.org/eweb/dynamicpage.aspx?site=student&webcode=whatiscompfatigue. Tremayne, Jessica. Substance Abuse: A Culture of Denial. n.d. http://www.veterinarypracticenews.com/vet-coverstories/substance-abuse-a-culture-of-denial.aspx. UK Suicide Study Prompts Calls to Act. May 2010. http://www.veterinarypracticenews.com/vet-cover-stories/uksuicide-study-prompts-calls-to-act.aspx.