NEWSLETTER No 46 February 2000

Archives

THIS MONTH

o What you think about the new price list
o New Price List Addendum
o CLIN PATH CLUB - Summary of January meeting
o NWL to the rescue
o Balantidium coli
o Cytology CPD
o Tail End – Zookeepers vaccinated

What YOU Think About the Price List
When we sent out the new price lists a questionnaire was included. We asked you to comment on what you liked most and least about the new Price List. Here is an analysis of the replies we have received so far:-.
What do you like most about the new price list?

  • Clear index - 51%
  • Layout - 15%
  • VAT inc. prices - 7%
  • Graphics - 7%
  • Ease of use - 6%
You told us these were areas you would like to see improved or added. You obviously approve of these changes.
What did you like least about the price list? 
You said:-
  • No dislikes - 30%
  • Small print size - 15%
  • Increased prices - 3%
  • Other comments - 5%
Print size is a concern. We do have to cram quite a lot of information into a limited space. The typeface used in the price list was selected for its readability at small font sizes. It was originally designed for use in telephone directories. There comes a time when you have to put vanity to one side and take a trip to the opticians. Seriously if you do have a problem with readability we would be delighted to provide you with a typescript version of the price list in a larger font size. Please contact Joanne in Client Services if that would be of help.

Sorry about the price increases, like yourselves, we don’t increase prices unless we feel there is no option. In mitigation we also decrease prices whenever we can and there are quite a number of reductions in the price list.

The other comments included: too much info, bit cramped; heavier paper; no date on front; no test turnaround times; and no hanger.

We do probably try to cram in too much info. We are working on that problem for the next issue.
Weight of paper; we chose a good quality heavy paper. Any heavier and there are production problems with folding etc. If your price list gets a bit battered you can always have another one, you only have to ask.
We dropped the date on the front because we have been running the price list on for more than one year. The effective date is shown on the Information page.

Test turnaround times have not been included due to the pressure on space. However it is something we shall look at for future issues. Test turnaround times are available from Client Services and a leaflet is in preparation. See the offer above for a typescript version.

The price list used to have a hanger. Unfortunately it was dropped on cost grounds. However we do have some stick-on hangers, you are welcome to one of those.

Best comment: “If it were a car it would be a Mercedes”.
I would have preferred it to be Jaguar but thank you any way. 
Thank you to everybody who took the time to answer the questions and return them. Your feedback is very important to us. We do act on your comments and suggestions, good or bad. This is reflected in the answers to the first question.

There is still time to return your questionnaire and enter the draw for a £25 book voucher. 
Additional copies of the price list are available on request.

Price List - Addendum
No matter how thoroughly you proof read, errors still seem to creep through, but fortunately not too many on this occasion. Please note the following corrections:-

Incorrect price
Section 23
FFE Full Faeces Examination - £26.00
FFE+ Full Faeces Examination Plus - £65.00
Section 25
FPVA Feline Parvo Virus antibody - £10.50
Incorrect sample
Section 8
FHM Feline Hyperthyroid Monitor - Samples should include an EDTA
Section 12
Do not use Gel tubes for collecting serum for any therapeutic substance. Separate serum before despatch or use a plain tube.
Section 20
CYTU a special urine fixative is now available
Test time correction
Section 25
ASPE Aspergillus antibody – Time on test now 10 days.
Index correction
MIC Microscopic examination, Code should be MICR
CLIN PATH CLUB
Summary of meeting held on 13th January 
We were pleased to welcome 20 veterinary surgeons to our meeting on 13th January. 
Interpreting Anaemias
The meeting opened with an illustrated presentation from Jane Miller and Alan Bullock on the use of lab test results to interpret anaemias.
Case Book
Chris Gray of the Moy Farm Veterinary Centre described a rare case of erythro-leukaemia in a 4 yr old Black Labrador. The dog had been presented with sudden onset of vomiting and was pale and depressed. A Standard Profile with Haemogram revealed a moderate anaemia with binucleated normoblasts and some large blast cells and a mature neutrophilia. Biochemistry showed  increased Urea (26.5 mmol/l), Creatinine (425 ?mol/l) and Phosphorus (2.8 mmol/l). Myeloproliferative disease was diagnosed on the presence of bi-nucleated normoblasts a feature which is due to asynchrony of cytoplasmic and nuclear maturation. A blood sample 1 day later showed a deterioration. As the prognosis was grave the owners asked for euthanasia whilst the dog was still relatively well. The diagnosis was confirmed by post mortem and histopathology. The presentation was illustrated with transparencies showing the haematological and histological changes courtesy of Jane Miller.
Martin Jones a large animal practitioner from the Dimples Lane practice in Garstang presented a case of Leptospirosis in a dairy herd. Martin discussed the difficulties of diagnosis and control. He outlined the problems with current testing methods and welcomed the availability of a new PCR test from NWL for the detection of the causative organism. He also mentioned that farmers were reluctant to face up to the zoonosis implications of Leptospirosis and could be slow in investigating potential outbreaks. He felt that the ability to confirm infection quickly with the PCR test might help to educate them. Liz Ormerod from Fleetwood expressed concern at the risk that Leptospirosis presented to other members of the family, particularly when raw milk was consumed. She suggested that making the farmers wives aware of the risk through local community organisations might be one way of tackling the problem. 
From the Floor
The open discussion session raised a number of interesting topics. Alex Briault from Longridge asked if anyone had an interest in ecotoxicology issues and their effect on disease in the animal population, Alex was particularly interested in the effects of hormone like residues in water. The high incidence of hyperthyroidism in cats was mentioned as a possible consequence. Andrew Mitchell who hails from New Zealand and Scott Martin from Australia, both with the Milne and Shine practice in Poulton, expressed concerns at the high incidence of neoplasia that they had noted in the UK compared with back home, particularly in the Fylde. This raised a question about the availability of epidemiological data for diseases in animals in the UK. David Wadsworth remarked on the work of the RSPB and other such organisations in the collection of data relating to mortality in sea birds and mammals. No one was aware of a national database relating to companion animals. Alistair Parker mentioned that this subject had been raised at the previous meeting. David said he would contact the BSAVA and see if they were aware of any information sources.

David has since forwarded an e-mail from Jeff Little indicating that BSAVA is looking into the subject of epidemiology. The current situation is that three top epidemiologists have devised a questionnaire for a pilot study involving a few practices. This is currently being beta tested before the full survey takes place during this year. The membership will be kept informed of the study's progress both through BSAVA News and the web site. The initial survey will be a pen & paper exercise rather than an electronic one.
Colin Helme from Layton expressed concern about endemic Campylobacter in a local pet shop and the zoonosis implications. Liz Ormerod expressed concern that it was fashionable for dog breeders and trainers to recommend that dog owners feed their animals on raw meat. She felt this presented a major zoonosis risk. It was suggested that Dr Steve Gee the Communicable Diseases Consultant for the Fylde area should be contacted. We hope to have Dr Gee as a speaker.
Next Meeting 9th March – There will be an illustrated talk on Feather Problems in Birds and a practical demonstration of how to handle parrots.
For further information phone 01253 899215

NWL to the Rescue
Call-out on monkey business
Staff at Blackpool zoo called in the help of the local hospital when Lowland Gorilla Jitu stopped eating, developed a severe dysentery and collapsed but they were baffled. Jitu deteriorated rapidly, failing to respond to any treatment.
Zoo Vet Mike Fielding called upon the assistance of the experts at North Western Laboratories. They quickly identified the cause of the problem, a protozoan parasite, Balantidium coli.
Appropriate treatment soon had Jitu on the road to recovery together with partner Lomie who had also started to show symptoms of the potentially fatal infection.
Extract from Blackpool Evening Gazette 26.1.00

Balantidium coli

Balantidium coli is a cilliated protozoa. It is known to occur in man, lower primates and pigs. The organism is considered to be non-pathogenic in pigs. In man and lower primates the infection may range from asymptomatic through diarrhoea to severe dysentery.

Ballantidium coli
The parasite penetrates the mucosa of the intestine causing submucosal destruction leading to severe haemorrhagic colitis and ulceration.
Diagnosis is based on the detection by microscopy of the trophozoites or cysts in the faeces.
Treatments include: Tetracycline, Iodoquinol and Metronidazole. 

Continuing Professional Development
In association with “Improve CPD Ltd” Jane Miller will be presenting 3 one day Cytology courses. The courses are aimed at anyone with an interest in cytology and will cover basic interpretation, needle aspirates, plural and peritoneal fluids.
Dates:-
10th May – Oxford
14th June – Leeds
30th June - Exeter
Details of venues, times etc will be available at the end of March. If you would like further information please register you interest and this will be despatched as soon as it is available.

Tail End
Keepers given flu jabs to protect apes 
ZOO keepers are being vaccinated against flu - to stop them infecting the apes. 
Bosses at Twycross Zoo in Leicestershire are so anxious that their primates do not fall ill that they have asked every keeper in regular contact with the apes to have the flu jab. 
Great apes, especially chimps, are susceptible to picking up colds and flu from humans.
The precaution comes after 2 chimps nearly lost their lives last winter because of flu.
Source: Express Newspapers, 2000 ©

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