Clients will love your cutting-edge technology, and you won't have to worry about losing the hospital's mobile phone in someone's pocket or desk.

VINx can help streamline your practice management, enhance your patient care, and strengthen your client relationships. These tools are FREE with your VIN membership.

COMMUNICATE. CONNECT. SUCCEED. (800) 454-0576 vinxsupport@vin.com

The live three-part "How To Use VIN" course is in session on the first three Wednesday nights of each month. The next series begins on Wednesday, October 1 at 9:30 p.m. ET. Drop ins welcome!

Email HowTo@VIN.com for more information about this free, three-session course.

Welcome to VIN!

VIN Mentor: Visual Procedures Manual
Mentor offers narrated videos and pictures of complete medical procedures with step-by-step instructions, accompanying materials lists, and enough information to help you perform the procedures with success.

The manual is currently divided into three sections (with more to come!):

• Internal Medicine
• Emergency Medicine
• Nutrition
• Dermatology

You can also print a PDF and take it with you as you perform each procedure.

To suggest a procedure or contribute your own videos, please email Tony@vin.com.

More Funny Things Clients Have Said To Us
I was reviewing dosing with a client, and said to give 50cc a day (sq fluids).
"Is that a 10 hour day, 12 hours day or 24 hour day?"
Pause, stare.
"Let's go with the standard 24 hour day on this one"

NEWS THAT'S FIT TO CLICK, reported for YOU...

• Controlled-drugs disposal options expanded
  Public | VIN | Discussion
• Government review of veterinary accreditation nears
  Public | VIN | Discussion
• What to do when veterinary patient’s owner needs care
  Public | VIN | Discussion

The VIN News Service (VNS) is here to give you a voice and to report news that is important to you. Have an idea for a story? Have a story that needs covering? Email News@vin.com.

The VIN News Service articles (without access to the community discussions) are available to the general public. Share news.vin.com with nonVINners.

Follow VNS on Twitter! Send a Twitter request to receive VNS Tweets.

New and Revised Articles to Share With Your Clients!

Veterinary Partner

• Pilling Dogs and Cats

Texas Farm Radio

• Endocrine Disorders (revised)

VetzInsight

• Poisons in your Purse

Occlusal Issues
(Free full-text available)
The wild phenotype of domestic dogs and cats has interdigitating cheek teeth that create a pinking shears effect, a mandibular canine tooth that interdigitates with the maxillary third incisor and canine tooth, and mandibular incisors that rest on the cingulae of the maxillary incisors. This model of occlusion has been naturally selected as the most efficient and durable for grabbing, holding, tearing, and masticating a predator’s diet.

Breed differences in insulin sensitivity and insulinemic responses to oral glucose in horses and ponies of moderate body condition score
The peak insulin concentration was higher in ponies (94.1 ± 29.1 µIU/mL) and Andalusians (85.3 ± 18.6) than in Standardbreds (21.2 ± 3.5). The insulin area under the curve was also higher in ponies (13.5 ± 3.6 IU·min·L(-1)) and Andalusians (15.0 ± 2.7) than in Standardbreds (3.1 ± 0.6).

Cervical spinal intradural arachnoid cysts in related, young pugs
Pedigree analysis suggested a genetic predisposition for spinal arachnoid cysts in this family of pugs. Generalised proprioceptive deficits more pronounced in the thoracic limbs suggesting a focal cervical spinal cord lesion, with concomitant skin abrasions on the dorsal aspect of the thoracic limbs in a young pug, should alert veterinarians to the possibility of cervical spinal arachnoid cysts.

Is It Legal To Dispense Medications To A Vacationer Who Is Not My Client, But Has A Prescription From His Veterinarian?
Some states allow veterinary clinics to act as a pharmacy and fill prescriptions from other vets. Others don't. Call your state VMA or Board and ask.

Should Mobile Euthanasia Services Notify General Practice Veterinarians When One Of Its Patients Is Euthanized?
I always ask if the owners would like me to notify their regular vet. I get about 1/3 of folks that would like me to, about 1/3 that say they don't have a regular vet, and about 1/3 that say they want to notify the vet themselves.

Board Complaint Filed Over Financially-Limited Care Of Blocked Cat: Standards Of Care And Prognosis For Dealing With Feline Urethral Obstructions
If the owner can't do the "best" plan, but has funds for a less than optimal plan, I will do a modified plan and document the owner's refusal/inability to do the best plan even though I have told them ad nauseam why they should do it the right way.

Treating Immune-Mediated Thrombocytopenia In A Dog That Relapsed During The Prednisone Taper
With Azathioprine, the neutropenia is the first sign that the dog is heading toward pancytopenia. That can be irreversible if the Azathioprine isn't stopped in time, so this is one of the few drugs where *any* neutropenia means stop it immediately and don't use the drug again.

Use the links below or click the Rounds button in the main navigation bar to join these discussions.

How to Use VIN, Part 1
Wednesday, October 1 - 9:30 p.m. ET
Join the VIN Representative Committee to learn how to get more out of your VIN experience.
Email HowTo@VIN.com for more information about this free, three-session course.

VIN Journal Club
Thursday, October 2 - 1 p.m. ET
Join Yaiza Forcada, DVM, RCVS, DECVIM-CA, to discuss a feline medicine paper.
Forcada Y, Holder A, Church DB, Catchpole B. A polymorphism in the melanocortin 4 receptor gene (MC4R:c.92C>T) is associated with diabetes mellitus in overweight domestic shorthaired cats.
J Vet Intern Med. 2014 Mar-Apr;28(2):458-64.
All VIN members are welcome to attend this monthly series.
Instructions for obtaining FULL TEXT versions of these articles can be found on the VIN Journal Club page.
*This session may feature audio. Take the readiness test before attending.

Need help remembering when Rounds sessions are happening? Check out the list of ways to be reminded about VIN Rounds sessions.

Full Rounds Schedule and Countdown Clock

Want to See What You've Been Missing?
(@ = VINcast available; R = Replay available)

Download VINCasts (@)
Download VINCasts with your mobile device
Browse Rounds Transcripts

Rounds are also searchable! In Search 3, use the filters on the left of your search results page.

Positive Letters From Veterinarians To Their Favorite Clients
Dear Client,

Thank you for taking the news of your old man beagle's prostate cancer in a such a dignified manner. When the time came to put him down you let him go with peace. I deal with death just fine usually - but the sight of a hardened war veteran shedding silent tears wrecked me. Thanks for letting us shed a few tears with you without us all embarrassing one another.

And then you stopped and listened in at the front desk to a young man with his new puppy. He will be a good owner I think, even if he didn't have the money for flea preventative at this appointment. You watched him quietly, then tossed some cash on the counter. Didn't say a word to him, just nodded and strolled out all casual and steady as a rock.

You sir, are a class act. And that memory is one of the many reasons I love my job.

Book Review of the Week
Companion Animals in Society
Catch up on previous Book Reviews!

What's your Diagnosis?
Ophthalmology Fun 175 - opened 9/1
Zoonotic Case 160 - opened 9/15
Pathology Brain-Teaser 132 - opened 9/19
Archives of the Challenging and Fun Cases

Website of the Week
Job Accommodation Network

VIN Community Quick Poll (see the VIN Front Page to participate)
Do you obtain owner approval prior to performing jugular venipuncture for collection of blood from any patient?

New Medical FAQ
Acral Lick Dermatitis (Lick Granuloma) Primer

Upcoming Conferences
Looking to attend or contribute a paper to a veterinary conference? Check out the On the Road with VIN folder or the Press Releases folder to see what conferences are coming up and to visit their websites! Links to information about upcoming conferences include: WWVC, VCS, ACVC, ACVS, AAZV, ACVR, and ABVP.

NOW OPEN FOR ENROLLMENT!
Visit the CE Main Page and check out the Course Catalog to see what other courses are starting soon.

Veterinary Anesthesia Review
November 4 - December 12, 2014

This review course explores the concepts of safe anesthesia delivery to canine and feline patients with a focus on adverse events in the peri-operative period.

Common Orthopedic and Sports Medicine Injuries
January 6 - March 27, 2015

This course will go through diagnosis, treatment, and prognosis of common musculoskeletal injuries seen in canine (some feline cases will be presented but the focus is on dogs) patients. The focus of this course is practically relevant information that is applicable to everyday practice.

Visit the CE Participant Resource Center to learn the basics of online CE, how to find your course area, CE participation requirements, and much more!

For more information on CE opportunities for veterinary technicians, receptionists, or practice managers, visit the VSPN Course Catalog. Follow VIN CE and VSPN on Twitter! Click the "Send request" button to prompt the (VIN / VSPN) crews to accept you as a follower.