At Your Service: Internal Medicine/Diabetes Care

Foster Hospitals team of internal medicine specialists treats medical issues affecting major body systems, from endocrine, kidney, urinary, gastrointestinal, liver, pancreas, and respiratory system as well as infectious diseases. Although many of our internal medicine specialists have developed sub-specialties each is equipped to diagnose and manage a wide variety of complex medical issues, interpret laboratory and imaging tests and perform advanced diagnostic procedures.

Meet our internal medicine veterinary specialists:

Lilian Cornejo, DVM, DACVIM
Clinical Interest: Gastroenterology

Mary Labato, DVM, DACVIM
Clinical Interest: Renal and Urinary Tract

Orla Mahony, MVB, DACVIM, DECVIM
Clinical Interest: Endocrine

Linda Ross, DVM, MS, DACVIM
Clinical Interest: Renal and Urinary Tract

Mike Stone, DVM, DACVIM
Clinical Interest: Infectious Diseases

Cyndie Webster, DVM, DACVIM
Clinical Interest: Gastroenterology and Hepatology (Liver)

Virginia Rentko, VMD, DACVIM
Clinical Interest: Hematology

Some of the special procedures that can be performed include, but are not limited to:

  • dialysis for acute kidney injury
  • laser lithotripsy for bladder and urethral stones
  • laser therapy for transitional cell carcinoma of the bladder
  • coil placement for liver shunts
  • endoscopy, rhinoscopy and cystoscopy
  • dietary consultation and obesity management
  • bronchoscopy and pulmonary function testing
  • interventional procedures such as stent placement for collapsing trachea, ureteral stones, urethral obstruction
  • consults on hepatic histopathology with our pathologists
  • evaluation of blood coagulation with thromboelastography to aid in predicting bleeding and clotting risk
  • Interstitial glucose monitoring

Spotlight on Orla Mahoney: MVB, DACVIM

Experience, clinical expertise and compassion treating hormone-related and endocrine conditions are just some of what Orla Mahony, MVB, DACVIM, DECVIM, brings to her patients and owners each and every day. “Given my specialty interest, I see and treat a number of diseases that affect the hormonal systems of dogs and cats, including diabetes melllitus, thyroid diseases, Cushing’s disease, adrenal tumors, and Addison’s disease. Dr. Mahony continues, “Our 24-hour critical care and emergency staff will stabilize the case, but I will often get involved after the pet’s been stabilized for ongoing, regulation and monitoring,” referring to Fido, the ketoacidotic dog.

In some circumstances, you may be familiar with the expertise of one of the Foster Hospital internists and make a special request that your client see this doctor. When a pet is referred for an urgent appointment, however, it may not always be possible to honor that request. Dr. Mahony explains, “Even though I may not see a ketoacidotic diabetic pet initially, I am almost always available for an onsite consultation with one of our internal medicine specialists. The access to the combined brain power of many specialists is one of the incredible benefits of sending your patients to Foster Hospital.

Teamwork Integral to Care Approach

Foster Hospital for Small Animals offers access to state of the art diagnostic and therapeutic technologies that enable us to diagnose and treat many advanced diseases and uncommon problems. Our internists will get a detailed history, take note of the current clinical signs, review all the testing and medical notes from the referring veterinarian, order additional testing and special procedures, and then put it all together to paint a complete picture of the pet’s condition. An appropriate clinical plan will then be developed in conjunction with the referring veterinarian, if relevant. One area in which we take great pride is with the interactions between the internists and radiologists and pathologists. Our board certified radiologists have years of imaging experience, and can instantaneously interpret findings along with the internists, which offers a team approach of care.. Also, being able to sit down with our pathologists and look at cytology and histopathology slides speeds up the diagnostic process and gets the animals the treatment they need.

Supporting our team of internists are trained technicians, interns, residents, students and an expert team of other veterinary specialists within a state-of-the-art facility. The size and breadth of our clinical faculty allows a unique opportunity for consultation with other clinical services, such as radiology, pathology, surgery, dermatology, ophthalmology, and cardiology, providing your client and its owner with an extensive resource of specialists all under one roof.

Combine our staff’s love for animals with the more than the century of experience our internal medicine specialists bring to your pet, plus the cooperation with our broad array of specialists, and we are able to offer the most comprehensive and most compassionate care available to the patients that you entrust in our care.

For more information or to arrange for a referral you may contact our Clinical Liaisons at 508-887-4988.

At Your Service: Onoclogy

Oncology Service
Providing Families More Quality Time with their Companion Pets

Who We Are
The Harrington Oncology Program at the Tufts Foster Hospital for Small Animals at Cummings School of Veterinary Medicine provides state-of-the-art diagnostic, medical, radiation therapy and surgical techniques. Led by board-certified specialists in medical and radiation oncology, it is supported by a team of residents, dedicated technicians and staff.

Foster Hospital believes in a team approach to care and our oncologists work closely with a highly skilled surgery service with expertise in surgical oncology, as well as with the pathology, diagnostic imaging, interventional radiology and pain management services. Our collaboration allows us to offer treatment options that are customized based on the tumor type, the spread of the cancer, and the overall health of the pet. This could involve a single treatment modality or a combination of different therapies. In some cases, in accordance with the client’s wishes, a more conservative strategy may focus on palliative care. Through all of this we provide you and your client with detail on the type of cancer, treatment options, and expected outcomes, keeping quality of life as a top priority. The oncology service takes pride in ensuring that all of the client’s questions are answered and that the veterinarians, technicians and pet owners work as a team.

As an academic veterinary medical center, we are training the veterinarians of the future, and are also actively engaged in research into the causes, biology and treatment of cancer. As a member of the National Cancer Institute’s Comparative Oncology Trials Consortium, and through independent studies and collaboration with other veterinary and biomedical institutions, the oncology service is able to offer investigational therapies, in addition to conventional treatment. In addition, we participate in the Tufts Human Animal Cancer Collaborative with the Medical School at Tufts University, where treating cancer in companion animals helps inform how we treat humans.

Technology and Services Available
The Harrington Oncology Program is recognized nationally in the field, boasting some of the most advanced technology available in veterinary medical establishments. With medical staff and technicians well-versed and experienced in chemotherapy administration, radiation therapy and anesthesia, specific features of our service include:

  • Intravenous, intralesional an intracavitary chemotherapy administration, including long continuous-rate infusions
  • Melanoma vaccine administration
  • Siemens Primus linear accelerator with 6MV photon and 6-21 MeV electron capabilities and a 56-leaf collimator that allows for intensity modulated radiation therapy
  • Three-dimensional computerized radiation therapy planning
  • Strontium plesiotherapy
  • Various biospy techniques, including manual incision, punch, needle-core biopsies as well as image-guided (ultrasound or computed tomography) and open surgical procedures
  • Interventional radiologic procedures, such as chemoembolization and intra-arterial chemotherapy administration
  • Access to investigational clinical protocols

Referring a Patient
The Harrington Oncology Program typically sees new patients who have a confirmed cancer diagnosis. This often allows us to provide clients with a full array of staging and treatment options during the initial visit. We understand, however, that circumstances arise in which an oncology consult is valuable before a diagnosis is made. You should feel free to call us about these cases to facilitate a referral. We welcome the opportunity to even provide you with a telephone consult (free of charge) regarding general information on cancer management or to discuss a possible referral.

In situations when pet owners are uncertain whether they wish to pursue treatment for their pets with a cancer diagnosis, we encourage referrals to address their questions regarding anticipated course of the disease, treatment options and palliative care. You may contact Kelly Reed, our clinical liaison, at 508-887-4682, and she will facilitate all care for pets you refer.

Meet the Team

Radiation Oncology Faculty

Michele Keyerleber, DVM, DACVR, a board-certified veterinary radiation oncologist and faculty member, is a 2008 graduate of Cornell University’s College of Veterinary Medicine. She later completed a small animal internship at The Ohio State University, before returning to Cornell for a residency in radiation oncology. Dr. Keyerleber joined the faculty of Cummings School of Veterinary Medicine at Tufts University in 2011. Her research interests include radiation therapy planning for neoplasia in dogs and cats, brain tumors, and palliative radiation therapy. Dr. Keyerleber also has a strong interest in pain and side effect management for radiation therapy patients.

Elizabeth McNiel, DVM, PhD, DACVIM, DACVR is board-certified in radiation and medical oncology. She is a 1992 graduate of Texas A&M University and completed a small animal rotating internship at Angell Memorial Animal Hospital in Boston. Dr. McNiel completed a medical oncology residency program followed by a combined radiation oncology residency and PhD program at Colorado State University. Prior to coming to Cummings School of Veterinary Medicine at Tufts University in 2012, she served on the faculty of the University of Minnesota and Michigan State University. An active researcher, Dr. McNiel studies the molecular biology of canine and feline tumors in her laboratory at the Molecular Oncology Research Institute at the Tufts Medical Center. Her goal is to translate basic discoveries in the laboratory into clinical advances for animals through clinical trials.

Medical Oncology Faculty

Lisa Barber, DVM, DACVIM, is a 1992 graduate of Ohio State University. She completed a small animal internship and residency in veterinary oncology at the University of Pennsylvania School of Veterinary Medicine where she subsequently served as a staff oncologist prior to joining the faculty at Cummings School of Veterinary Medicine at Tufts University. She specializes in treating dogs and cats with a variety of cancers, and consults on large animals as well as exotic animals. Her research interests include epidemiologic studies to identify risk factors for various cancers as well as investigation of novel treatments for cancer.

Kristine Burgess, DVM, DACVIM, is a board-certified veterinary oncologist at the Tufts Foster Hospital for Small Animals at Cummings School of Veterinary Medicine. After receiving her undergraduate degree from UMass, and completing a masters degree from work at Dana-Farber Cancer Institute, Kristine went on to earn her DVM from the Cummings School in 1997. She subsequently completed her residency training at the University of Wisconsin. She collaborates with several other institutions to run clinical trials for new and advanced cancer treatments for dogs and cats, which may lead to better treatment options for both pets and humans.

Oncology Residents

Kelly Kezer, DVM, a first-year medical oncology resident, received her veterinary degree from Massey University in New Zealand. After graduation, she completed a small animal rotating internship at BluePearl Veterinary Partners in Tampa, Florida, a high-volume practice, where she solidified her interest in oncology. Dr. Kezer enjoys all aspects of veterinary oncology, but has particular interest in novel therapies and international veterinary medicine.

Felicia Lew, DVM, a second-year medical oncology resident, is originally from Seattle, Washington. A 2012 graduate of Washington State University College of Veterinary Medicine, she completed a small animal rotating internship at a private specialty hospital in San Diego, California. Dr. Lew has an interest in basic science research, specifically in cancer biology and carcinogenesis.

Bobbi McQuown, DVM, a third year oncology resident, is originally from the Midwest. Prior to veterinary school, she spent 5 years in the Army as a communications officer. In 2011, she graduated from the North Carolina State University College of Veterinary Medicine, subsequently completing a small animal rotating internship at VCA VREC/Shoreline in Connecticut. Her ongoing research includes assessment of palliative radiation therapy and anal sac tumors, IGF-1 levels in dogs with lymphoma, and the use of Palladia in dogs with heart base tumors.

Oncology Technicians
Amy Bengtson
Tiffany DeNitti
Jenn Ford
Pam Shaw

Clinical Trials Coordinator
Diane Welsh

Oncology Liaison
Kelly Reed

At Your Service: Animal Behavior Clinic

The Animal Behavior Clinic at Cummings School of Veterinary Medicine at Tufts University provides comprehensive services aimed to help pet owners address many common animal behavior problems, including:

  • aggression directed at people or other animals, inside or outside of the home;
  • anxiety, including specific fears and phobias (e.g., separation anxiety and thunderstorm phobia);
  • compulsive disorders, such as tail chasing, shadow chasing, flank sucking, acral lick dermatitis, psychogenic alopecia, and wool sucking;
  • species-typical behaviors, such as urine spraying; and
  • nuisance behaviors such as excessive barking, digging, and nipping

Founded in 1986 by internationally renowned animal behaviorist, Dr. Nicholas Dodman, the Animal Behavior Clinic was one of the first of its kind in the country.

Providing Access to Specialized Animal Behaviorists

The clinic is home to individuals who are board-certified by the American College of Veterinary Behaviorists, as well as licensed veterinarians who are either involved in or have completed their residency training. As the only veterinary teaching hospital in New England, you will appreciate knowing that our animal behaviorists have access to a wide range of veterinary specialists, who may be consulted if a medical issue is found to be a factor related to an animal’s behavior.

Meet our Team

Nicholas Dodman, BVMS, MRCVS, is a Diplomate of the American College of Veterinary Behaviorists, and Professor, Section Head and Program Director of the Animal Behavior Department of Clinical Sciences at Cummings School of Veterinary Medicine at Tufts University. Dr. Dodman is internationally recognized as one of the world’s most noted and celebrated veterinary behaviorists. Shortly after joining the Tufts faculty in 1981, Dr. Dodman developed a strong interest in behavioral pharmacology and the field of animal behavior, and in 1986 founded the Animal Behavior Clinic. The list of accomplishments that define Dr. Dodman is extensive and reflects his wealth of experience and prestige in the field of animal behavior. He has authored four acclaimed bestselling books: The Dog Who Loved Too Much (Bantam Books, 1995), The Cat Who Cried for Help (Bantam Books, 1997), Dogs Behaving Badly (Bantam Books, 1999) and, the latest, If Only They Could Speak (W.W. Norton & Co., 2002). Additionally, he appears regularly on radio and major television programming, is a Pet Expert for Time, Inc. and also writes a monthly “Expert Advice” column for LIFE magazine.

Stephanie Borns-Weil, DVM, earned her doctorate in veterinary medicine at  Cummings School of Veterinary Medicine at Tufts University in 2007. Prior to joining the Behavior Service as a resident, Dr. Borns-Weil was in general practice on the North Shore. As a general practitioner, she focused on educating owners about animal behavior and making the visits stress free for the pets. In 2010, she opened a behavior house call practice that served the Boston area. Dr. Borns-Weil has had a lifelong interest in the human-animal bond as well as animal behavior. She holds a Masters Degree from Harvard Divinity School, which has helped her to develop the tools to communicate effectively with pet owners. Dr. Borns-Weil is deeply committed to working closely with clients to solve their pets’ behavioral problems and support their important relationship with their pets.

Ronni Tinker, animal behavior clinic’s office manager, is responsible for the business operations of the Animal Behavior Clinic. Ronni is well known with existing clients for her friendly and compassionate personality when booking clients for in-house appointments or VetFax consultations. She is the “go to” person for all the information and materials you will need to set up a behavior consultation for your pet. As a veterinary teaching institution, we are committed to training the veterinarians and animal care specialists of the future. These students rotate through our clinical services and are integral to the entire veterinary team.

Services We Offer

There are two different ways a pet can come to receive care from our animal behaviorist team. Some pet owners may self-refer or you as a primary care veterinarian may recommend our services.

  1. Veterinary Behavior Consultations
    A pet owner will participate in a ninety-minute consultation with either Dr. Nicholas Dodman or Dr. Stephanie Borns-Weil at which time he/she will receive a diagnosis, behavioral explanation, prognosis, and treatment plan for the pet’s behavior problem. The program includes a six-month follow-up period during which our Animal Behavior team will help the owner implement the treatment suggestions.
  2. VETFAX
    You may refer one of your pet clients for an animal behavior consultation, which will involve a veterinarian–to–veterinarian consultation. You will work with your client owner to provide a written account of the behavior problem and mail or fax this report to Tufts Behavior Clinic. Dr. Dodman and his assistant will make a three- to six-page consultation response to the you within one week.

In both cases, an extensive questionnaire is required regarding the pet’s behavior, health and lifestyle. We will then provide a full explanation for the behavior, develop a behavioral management and treatment program, and work closely with you/your client, providing ongoing support via telephone and e-mail communication to address questions that may arise as the recommended behavior modification are implemented.

Treatment typically involves a combination of behavior modification for pets and management changes for owners. In some case, drug therapy is required to resolve the problem.

Established behaviors take time to change with a minimum course of behavioral treatment to be about eight weeks. Pharmacological intervention takes longer, and typically requires a 6-12 month course of treatment.

Scheduling a Consult

We recognize that animal behavior problems play a significant role in the breakdown of the human/animal bond in families that own pets. At the Animal Behavior Clinic, we are dedicated to providing the most compassionate experience for pets and their loved ones. If you would like to arrange for a VetFax consult, you may contact Ronni Tinker at 508-887-4640.

At Your Service: Ophthalmology

The Ophthalmology Service at the Foster Hospital for Small Animals is home to two faculty board-certified ophthalmologists, two ophthalmology residents, an ophthalmology technician and a primary liaison, all dedicated to providing medical and surgical management related to injuries and diseases of the eye. We recognize that, in most cases, as a primary care veterinarian you can identify and treat most routine eye problems. In some cases, however, you may want to seek the advice of a specialist. We view our relationship with referring veterinarians as a partnership and welcome referrals for patients who clearly need the care provided by an ophthalmic specialist, as well as those for whom you may just be looking for advice or a second opinion. Through our evaluation process, we will maintain an open line of communication with you and, if appropriate, the pet owner, whereby we provide clear and complete explanations of the diagnostic testing results, treatment options and the cost so that you and your client can make the most informed decisions.

The Foster Hospital for Small Animals Opthalmology Service offers among the most advanced and comprehensive diagnostic and treatment practices in New England for small and large animals. The majority of our cases are canines and felines, and we also treat horses and exotics. We provide both scheduled and emergency services for animals with vision or eye problems. From routine eye exams to specialized surgery, including laceration repair to corneal grafting to cataract removal, we provide a full range of diagnostic and surgical services. Our ophthalmology team works closely with its peers in anesthesia, pain management and other specialty areas, providing a full continuum of coordinated care for your client.

Specialized Services

All patients will receive a complete examination of their eyes and in many cases patients will require specialized diagnostic testing procedures. Our ophthalmology clinic is fully equipped with the most advanced diagnostic equipment, including:

  • Low and high resolution ultrasonography
  • Magnetic resonance imaging (MRI)
  • Electroretinography (ERG)
  • Computed tomography (CT)
  • Slit lamp biomicroscopy
  • Gonioscopy
  • Ophthalmoscopy (direct and indirect)

Tufts is also proud to provide access to advanced diagnostic technologies that are not readily available in this region. These include:

  • Optical coherence temography (OCT), which is helpful in diagnosing corneal and retinal problems
  • Fluorescein angiography, which provides insight into the circulatory system of the eye through the use of a camera, allowing early detection of changes to the blood ocular barrier

As New England’s only veterinary school, we also have clinical research studies under way that offer your clients access to innovative treatments not available elsewhere.

Surgical Procedures

Tufts Ophthalmology Service offers a wide variety of surgical procedures, including but not limited to:

  • Numerous eyelid procedures, including laceration repair, correction of entropion/ectropion, eyelid mass removal
  • Replacement of prolapsed glands and scrolled cartilage involving the third eyelid
  • Conjunctival grafts
  • Corneal transplants and corneal laceration repair
  • Cryotherapy for removal of distichia
  • Cataract removal surgery – phacoemulsification
  • Diode laser therapy, allowing non-invasive treatment of cysts and/or intraocular masses
  • Glaucoma management
  • Cyclosporine implants for the control of equine recurrent uveitis

Referring to Tufts

Upon referral, our clinical liaison team will facilitate care, schedule appointments and serve as the contact point between Tufts clinical specialty departments, referring veterinarians and pet owners. Their commitment to keeping the lines of communication open ensure that you receive the highest standard of care for your patients. If you are in need of emergency services, the Ophthalmology Service is available 24 hours a day, 7 days a week. To make a referral, you may contact the Ophthalmology Liaison at 508-887-4696 between 8:00 a.m. and 5:45 p.m. After regular business hours, you may call emergency services at 508-887-4623.

For large animals, please contact the Tufts Hospital for Large Animals at 508-839-7926 for care during any time of day.

Ophthalmology Team

Christopher Pirie, DVM, DACVO, a board-certified veterinary ophthalmologist and faculty member, is a graduate of the Ontario Veterinary College, University of Guelph, where he pursued a veterinary degree. He later pursued an ocular pathology fellowship at the Comparative Ocular Pathology Laboratory, University of Wisconsin. Dr. Pirie joined the faculty and ophthalmology staff following completion of his residency in ophthalmology at Tufts in 2009. His research interests include clinical optics and diagnostic imaging. He is focused on the development of more cost effective ophthalmic imaging devices, with the ultimate goal of increasing availability, improving upon early detection and treatment of a variety of ophthalmic conditions.

Stefano Pizzirani, DVM, PhD, DECVS, DACVO, a 2004 board-certified ophthalmologist and Tufts faculty member, is a 1979 graduate of Pisa University (Italy) and a 1999 PhD graduate from Messina University (Italy). Dr. Pizzirani spent 22 years in a specialty practice in his hometown of Florence before relocating to the United States and serving as clinical assistant professor at North Carolina State University. In 2004 he joined the Cummings School of Veterinary Medicine at Tufts University as assistant professor. Dr. Pizzirani is also a board-certified, inactive-member of the European College of Veterinary Surgeons. His fields of interest include intra- and extra-ocular surgery and the pathophysiology of canine glaucoma.

Kara Gornik, DVM, a third year ophthalmology resident, is a 2010 graduate of the University of Georgia College of Veterinary Medicine. She completed her internship at Michigan State University. Following her rotating internship, Dr. Gornik spent a year pursuing research in vision and genetics at Michigan State University before starting her ophthalmology residency at Tufts in 2012.

Alex LoPinto, DVM, a first-year ophthalmology resident, is originally from New York, graduating from New York University in 2009 with a degree in Biology. He subsequently received his veterinary degree from Cornell University in 2013, where he performed a research project on methicillin resistant staphylococcal infections of the canine cornea. After graduation, he completed a small animal rotating medicine and surgery internship at Red Bank Veterinary Hospital in Tinton Falls, New Jersey. Dr. LoPinto enjoys all aspects of veterinary ophthalmology, but is particularly interested in corneal diseases, cataracts, and intra-ocular surgery.

Tracy Elmes-Young, a veterinary technician specialist, is a 1987 graduate of Mt Ida College and an integral member of the Small Animal Internal Medicine team. She came to Tufts in 1986 and worked for the department of small animal medicine as a technician and senior technician until 2011 when she joined the Ophthalmology department. She is a charter member of the Academy of Veterinary Internal Medicine and is currently the credentialing committee co-chairperson.