TELEMEDICINE ALLOWS OUR SPECIALISTS TO EVALUATE PATIENTS FROM A DISTANCE.
Four Seasons now offers telemedicine and tele-triage appointments with our internal medicine, oncology, surgery and dentistry departments! These remote visits are useful for many circumstances (such as consultations and rechecks), but are not meant to replace physical examinations. For those pets we have not seen at the clinic in the past 12 months, we are unable to diagnose or treat using telemedicine, but we can provide general information. Using the TeleVet app on your smart phone or tablet, you can have a face-to-face conversation with one of our doctors at a scheduled time – all from the comfort of your home!
Four Seasons Veterinary Specialists has a convenient option to bolster collaboration between our specialists and you: teleconsulting! You’ll have access to a Four Seasons’ specialist at a scheduled time for a face-to-face video call using our TeleVet application on your smart phone, or tablet. It’s simple to use and easily fits into your daytime schedule.
Rest assured, this new technology does not replace your option to call any of our doctors at any time to discuss a case or a transfer over the phone. We’re simply expanding our services by offering this revolutionary way of specialty consultation support. Teleconsulting is currently available with internal medicine, oncology, surgery and dentistry. Please contact us at 970-800-1106 to chat about Teleconsulting for your practice. We would love to set up a demonstration for you!
WHAT DO WE MEAN BY TELEMEDICINE?
- Telehealth: encompasses all uses of technology geared to remotely deliver health information, education or care
- Telemedicine: subcategory of Telehealth using a tool (such as an application), to augment the practice of veterinary medicine. Without a VCPR (veterinarian-client-patient-relationship), veterinarians are not able to diagnose or prescribe medication.
- Teleconsulting: a subcategory of telemedicine where general practice veterinarians use telemedicine tools to communicate with a veterinary specialist to gain insights and advice on the care of a patient.
Advantages of Teleconsulting:
- Scheduled time, no waiting on hold
- Consistent communication with the same specialist
- Personalized service
- Gain specialty recommendations on challenging cases, or a second opinion on treatment plans
- Ideal for clients who are reluctant or unable to visit a specialists’ office
- Available from anywhere
- Documented consultation report that can be shared with your client
- Video chat and instant messaging
- Our specialist can review records prior to consultation
- Patient remains with your clinic
- Patient can still be referred to Four Seasons at any time
- Reduce your carbon paw print
Dentistry & Oral Surgery
OUR DENTISTRY AND ORAL SURGERY SERVICE PROVIDES THE HIGHEST QUALITY, STATE-OF-THE-ART CARE FOR YOUR PETS TO HELP THEM LEAD HAPPIER, HEALTHIER LIVES.
Studies show that the vast majority of dogs and cats suffer from dental disease by the age of three. Preventative care like brushing teeth and regular cleanings by a veterinarian can help pets live longer and healthier lives. Dr. Redman has years of experience treating gingivitis, tooth resorption, gingival hyperplasia, enamel hypoplasia, stomatitis, and other dental disease and trauma. Her team of Certifed Veterinary Technicians include Christian, Ana and Meghan. Christian has further credentials as a Veterinary Technician Specialist in dentistry.
Dr. Redman will work closely with your referring veterinarian to provide the best care for your pet’s quality of life. Please ask your veterinarian to provide us with your pet’s medical records and recent blood work. These records may provide vital information in creating the right plan and treatment for you and your pet. Dr. Redman will provide you and your family veterinarian with a written report of their treatment as well as photo documentation and radiographs of your pet’s mouth. To schedule a dental consultation, please call Four Seasons Veterinary Specialists at 970-800-1106. Typically there is no waiting period for appointments. A consultation and procedure can be scheduled for the same day.
There are a variety of common conditions you may observe in your pet that are indications of dental disease:
- bad breath
- difficulty chewing or eating
- broken, loose or missing teeth
- trauma to the head
- red, swollen or bleeding gums
- tartar on teeth
- receded gums
Critical Care, Emergency & Urgent Care
FOUR SEASONS VETERINARY SPECIALISTS OFFERS EMERGENCY, URGENT AND CRITICAL CARE SERVICES 24 HOURS A DAY, 365 DAYS A YEAR BECAUSE PETS DON’T KEEP BUSINESS HOURS.
Our skilled emergency veterinarians are trained to handle all manner of emergencies, and experienced veterinary technicians are an integral part of our team that help ensure your pet receives the highest quality nursing care available. Our hospital offers state-of-the-art equipment to facilitate the best care for your pets. We have a full on-site laboratory, diagnostic imaging (digital radiography, ultrasound and vimago 3-D scanner), additional advanced diagnostics, surgical facilities, blood products, oxygen cages and ICU.
We all know that our pets don’t keep a schedule, so we are here to help at any time of the day or night. Our team will keep our clients — and their family veterinarians, informed of their pet’s progress throughout their hospitalization, and families are welcome to call or visit.
It is vitally important to us that we create a cohesive team with your family veterinarian. As a result, we maintain continual communication with referring veterinarians and keep them informed of any visits, diagnostics and procedures that are performed at Four Seasons Veterinary Specialists. We are available to support and advise referring veterinarians on their emergency cases and it is our mission to provide comprehensive and integrated care for your pets.
No appointment is needed, but we welcome you to call ahead: (970) 800-1106
Some common veterinary emergencies include:
- severe weakness, collapse, or inability to walk
- trouble breathing, excessive panting, pale or bluish gums
- vomiting and other gastrointestinal disturbances, including bloat and abdominal pain
- acute injuries and trauma, such as bites wounds, lacerations, broken bones, hit by car, snake bite, etc.
- seizures, stroke, and other neurological disturbances
- heat exhaustion
- animals who are unable to urinate or defecate
- uncontrolled bleeding
- allergic reactions
- toxin ingestion, including many common items such as xylitol (sweetener), grapes and raisins, chocolate, onions and garlic, certain plants like lilies and poinsettias, rat bait, or prescription medications. IF YOUR PET CONSUMES SOMETHING TOXIC, PLEASE BRING THE PACKAGING OR CONTAINER IN WITH YOU! It can be extremely helpful in diagnosis and treatment. You can reach -the Pet Poison Hotline at: 1-855-764-7661 or visit their website at: Pet Poison Helpine.
- any unusual symptoms that, in your pet, cause you concern
If you are not sure if your pet is experiencing an emergency, please call us at (970) 800-1106 and we will help you determine if your pet should be seen. If you have them available, please bring your pet’s records and current medications with you to the hospital.
Referring veterinarians, please contact us at (970) 800-1106 if you wish to send a patient for overnight care. Please see Overnight Services information and forms.
THE DIAGNOSTIC IMAGING SERVICE AT FOUR SEASONS VETERINARY SPECIALISTS PROVIDES EXPERIENCED, CAREFUL AND COMPLETE DIAGNOSTIC IMAGING STUDIES, PROCEDURES AND INTERPRETATIONS.
RADIOGRAPHY AND ULTRASONOGRAPHY
Our digital imaging services include radiograph and ultrasound capabilities. Radiographs, or x-rays, provide doctors with a two-dimensional view of internal structures of the body (like bones of the skeleton or certain swallowed foreign bodies), while ultrasound is a non-invasive way to take a three-dimensional look at the internal organs to view any abnormalities. Special view radiographs and contrast studies are available at Four Seasons Veterinary Specialists, and we provide abdominal, thoracic, cardiac, joint and other types of ultrasound studies on both an outpatient and in-house basis. During the ultrasound, our radiologists view and measure the liver, kidneys, spleen, bladder and intestines, as well as smaller structures such as the lymph nodes, adrenals and pancreas. Echocardiograms, or ultrasounds of the heart, can also be performed at our hospital by Dr. Jen Lowry to diagnose the degree of heart disease present in an animal.
In addition to viewing internal organs, our doctors can perform ultrasound-guided tissue aspirates and biopsies without surgery. These biopsies can be taken from various areas within the body or from visible masses seen on ultrasound. These samples are then sent to an outside laboratory for analysis to obtain a diagnosis. Limited ultrasound exams (known as FAST scans) are used by our emergency veterinarians to diagnose fluid accumulation and to assist in obtaining fluid and urine samples in pets.
DIAGNOSTIC IMAGING CAPABILITY
- Digital radiography
- Contrast pnuemo-cystogram
- Orthopedic Foundation for Animals (OFA) radiographs/certification
FOR YOUR APPOINTMENT
For your ultrasound appointment, it’s important that your pet have no food for approximately 12 hours before their ultrasound, but do provide your pet access to clean water at all times. If your pet is diabetic or on medication, please contact our office for special instructions for feeding and medication administration. An empty stomach allows us to look at the liver, stomach and pancreas. For bladder issues, a moderately full bladder is necessary. If the bladder is empty, we cannot evaluate it. We recommend allowing your pet to urinate an hour or more prior to the appointment, but not again until after the ultrasound is complete. No special preparation is needed for echocardiograms or pregnancy checks. Pregnancy checks can be performed via ultrasound on dogs at least 21 days post last breeding. Radiograph pregnancy checks can be done on dogs 42 days past the last breeding.
It is rare for a pet to need sedation for an ultrasound or radiographs. Our capable technicians are skilled at handling stressed pets for these procedures.
We encourage our clients to be present for their pet’s ultrasound so we can discuss the case as we scan. We will fax or email the written report of the ultrasound to your family veterinarian, as well as to you, the owner. For added convenience, pets may be dropped off early and/or picked up later if needed for scheduled appointments.
FOUR SEASONS PROVIDES COMPASSIONATE INTERNAL MEDICINE EXPERTISE FOR ALL PATIENTS NEEDING ACUTE OR ONGOING CARE.
Four Seasons is committed to providing the absolute best care for our patients. We feel that the keys to providing the best care include compassion, education and open communication. We strive to help clients understand their pet’s condition so we can enable them to make good decisions on their pet’s quality of life. Our specialists offer hour-long appointments that provide ample time for getting to know their clients, carefully reviewing a complete patient history, and thoroughly examining the patient. Once the history-taking and exam are complete, diagnostic and treatment plans are tailored to the needs of patient and client. Appointments can be made any time by calling (970) 800-1106.
Because of the complexity of some disease processes, internal medicine patients may also be seen by other specialists at Four Seasons for evaluation of multiple issues of concern. For example, one may receive an ultrasound exam by our radiologist or a consultation with our surgeon as part of their diagnostic and treatment plan. With these specialties in-house, these consultations are often done seamlessly during one visit to the hospital. We feel strongly that this approach, utilizing the expertise of our whole team, allows us to provide the best care available to each of our patients.
FOR YOUR APPOINTMENT:
Typically, we recommend you bring your pet fasted to appointments with our internal medicine specialists. Many tests are adversely affected by recent feedings. To ensure the best use of your dollars, our vets recommend pets fast for a minimum of eight hours prior to their appointment, unless otherwise advised. If your pet is diabetic or takes medications with food, please discuss specific feeding and medication instructions with us prior to your appointment.
Our internal medicine specialists find it helpful to have complete medical records on each of their patients. These records are vital to understanding the condition of your pet, so we ask that you provide us with a complete list of all your veterinary providers past and present so we can collect these records prior to your appointment. Our internal medicine team love nothing more than to study records to find the clues that will lead to a diagnosis for your pet!
Overnight Care Service
FOUR SEASONS VETERINARY SPECIALISTS PROVIDES OVERNIGHT CARE, IN CLOSE COOPERATION WITH THE PATIENT’S FAMILY VETERINARIAN.
The Overnight Care fee covers the overnight period from 5 PM to 10 AM and encompasses our ER veterinarian’s physical exam(s) and patient oversight, a hospital cage or run, nursing care and any needed equipment (such as fluid pumps).
Overnight Care patients are released to their owner or to the referring veterinarian at or before 10:00 AM the following morning. There is an additional charge if patients arrive before 5 PM or are picked up after 10 AM. Weekend day care is not considered part of overnight care. There are two levels of overnight care:
Level 1: No IV fluids, CRI or IV injections. An in-place IV catheter is ok. Oral, SQ and IM medications are ok.
Level 2: IV fluids (single line), CRI’s, IV injectables, and urinary catheter care are included. Clinically stable patients only.
★ If any additional procedures, tests, medications or supplies are requested or needed, the referring veterinarian will be contacted. Additional fees are approved by the client and will be in addition to the overnight care fee. Patients who are not stable will be admitted to our hospital under the care of our specialists and emergency veterinarians who may revise the patient’s treatment plan and discharge instructions.
Referring Veterinarian and Client Procedure
- The referring veterinarian faxes to (970) 712- 5595 or emails to [email protected]4seasonsvetspecialists.com the completed Overnight Care Form, pertinent medical records, and lab work to Four Seasons. Hard copy radiographs are sent with the patient.
- The referring veterinarian faxes or emails the completed Treatment Form to be used for overnight care.
- The referring veterinarian is encouraged to call and speak to the Four Seasons doctor on duty about the case they are transferring. If a doctor is not available, they will speak with a technician.
- The client and patient arrive at or after 5 pm with all of the patient’s supplies, medications, radiographs, etc.
- If the patient is expected to be released to their home in the morning, the referring veterinarian’s discharge instructions will have already been explained and provided to the owner. A copy of the discharge instructions is sent to Four Seasons with the patient’s other records.
Four Seasons Overnight Procedure
- At check in, the veterinarian on duty performs a physical exam.
- If the patient’s status worsens or the FSVS doctor determines that the patient isn’t stable, the referring veterinarian and client are contacted to discuss transferring the patient into the Four Seasons hospital’s care and oversight.
- All treatment specified on the Treatment Sheet is completed by Four Seasons staff, keeping to the specified treatment times as practicable. Patients are fed and walked as appropriate.
- All medical notes are faxed/emailed to the referring veterinarian the following morning, before the overnight emergency doctor leaves.
- The patient’s owner is charged for our services at check out.
THE EXPERT SURGERY TEAM AT FOUR SEASONS VETERINARY SPECIALISTS LISTENS TO YOUR CONCERNS AND OFFERS OPTIONS THAT ARE BEST FOR YOUR PET AND YOU.
Whether planned or an emergency, surgical services at Four Seasons are provided by an exceptional team of specialists led by Dr. Tara Britt, an ACVS-certified surgeon who specializes in orthopedic, soft tissue and oncologic surgery. Dr. Jayce Lineberger, also a board certified surgeon, specializes in orthopedic and soft tissue surgery. They are assisted by our surgical technicians Rona, Roxane, Rachel, Sonya and Jocelyn. Our state-of-the-art technology provides our team with the tools they need to provide the highest level of surgical care available today, including less invasive laparoscopy, thoracoscopy and arthroscopy.
The credentials of our surgical team are a cut above the typical veterinary hospital. Dr. Tara Britt and Dr. Jayce Lineberger both completed a three year surgery residency after vet school and passed rigorous exams to become American College of Veterinary Surgeons (ACVS) Diplomates. Above and beyond this certification, Dr. Britt dedicated an additional year of training in surgical oncology at Colorado State University, becoming an ACVS Founding Fellow in Surgical Oncology. Her oncology fellowship provided a multi-disciplinary approach to the prevention, diagnosis, treatment and rehabilitation of cancer patients.
Dr. Lineberger has a wealth of experience: five years of mixed small and large animal general veterinary practice, two years of small animal internships, one year of small animal emergency practice, three years of small animal residency training, and 14 years of small animal surgery. During his residency and continuing afterward, Dr. Lineberger has continued training in areas of orthopedics, minimally invasive surgeries, and interventional radiology-assisted procedures. He is certified as a PennHIP provider.
Drs. Britt and Lineberger diagnose and treat many types of surgical cases including orthopedic, abdominal, oncologic, oral, soft tissue, and thoracic procedures, multi-modal wound management, regenerative therapies, and minimally invasive procedures. Regenerative therapies include stem cell therapy and platelet enhancement therapy for orthopedic injuries. They also provide mobile surgical services to the surrounding area.
Our surgical technicians are Certified Veterinary Technicians. Rona has earned a further Veterinary Technician Specialist credential in anesthesia and analgesia, and Roxane is currently pursuing her certification in rehabilitation. The title “Veterinary Anesthetists” refers to a veterinary technician who has been a certified or licensed technician (CVT or LVT) for at least three years and has then pursued further training in anesthesia. Veterinary anesthetists have a minimum of 4500 hours of anesthesia care, at least 40 hours of continuing education in anesthesia and pain management every five years, have documentation of mastery in advanced anesthesia skills and have then passed rigorous exams. There are only a handful of veterinary technician specialists in anesthesia in Colorado and we are proud to have one of them, Rona, at Four Seasons.
Consultations with clients include a thorough examination, review of patient history and lifestyle, and further diagnostics when necessary. Our treatment plan will take into account the special needs of patient and client. Pain management therapies are prescribed to ensure your pet’s comfort through recovery. Post-operatively, care of our surgical patients is provided by our our team of specialty and emergency veterinarians and technicians, who provide round-the-clock care in our ICU. We will provide detailed discharge instructions specific to your pet that include information about the procedure, medications, diet, activity restrictions, and follow up care. We work with many alternative medicine clinicians in the area who can provide massage, acupuncture, laser, electrical stimulation (E-stim), and underwater treadmill therapies to aid in your pet’s rehabilitation.
Call our office at (970) 800-1106 to schedule a consultation with one of our surgeons to discuss your pet’s needs. Elective surgeries are schedule weekdays, emergency surgery is available 24/7. Services and surgeries available at Four Seasons include, but are not limited to:
- Joint taps/arthrocentesis
- Lameness evaluation
- Medical treatment of osteoarthritis
- Diagnosis of biceps tenosynovitis
- Orthopedic Foundation for Animals (OFA) radiographs/certification
- PennHIP radiographs/certification
MULTI-MODAL WOUND MANAGEMENT
- Adrenal gland removal/ adrenalectomy
- Bladder stone removal/ cystolithotomy
- Bloat surgery/gastric dilation volvulous (GDV)
- Intestinal and gastric foreign body removal
- Gall bladder removal/cholecystectomy
- Intestinal mass removal
- Liver mass removal/liver lobectomy
- Pancreatic mass removal
- Portosystemic shunt ligation
- Splenic (spleen) mass removal/splenectomy
- Stomach mass removal/partial gastrectomy
- Cesarean section
- Blocked tomcat repair/Perineal urethrostomy
- Removal of bladder/Cystectomy (partial)
- Diaphragmatic hernial repair
MINIMALLY INVASIVE SURGICAL PROCEDURES
- Arthroscopy of stifle, elbow, shoulder, torsus
- Fragmented coronoid process (FCP)
- Un-united anconeal process (UAP)
- Laparoscopic surgery
- Liver biopsy
- Intestinal biopsy
- Anal sac mass removal/anal sacculectomy
- Limb amputation (tumor associated)
- Limb-sparing techniques
- Lung mass removal/lung lobectomy
- Lymph node excision
- Tumor biopsy/removal
- Brachycephalic airway syndrome correction
- Elongated soft palate
- Everted saccules
- Stenotic nares
- Cleft palate repair
- Jaw fracture
- Joint fusion/arthrodesis
- Corrective osteotomies for limb deformities
- Stifle stabilization
- Extra-capsular cruciate repair
- Tibial plateau leveling osteotomy (TPLO)
- Fracture repairs
- Bone plating and pinning
- Femoral head and neck ostectomy (FHO)
- Juvenile pubic symphysiodesis
- Double pelvic osteotomy (DPO)
- Patellar luxations
- Traumatic injury
- Limb amputation
SOFT TISSUE PROCEDURES
- Anal sac removal/sacculectomy
- Arytenoid lateralization for laryngeal paralysis
- Total ear canal ablation and bulla osteotomy (TECA)
- Ear polyp removal
- Thyroid gland removal/thyroidectomy
- Parathyroid gland removal/parathyroidectomy
- Lipoma removal
- Diaphragmatic hernia repair
- Lung mass removal/lobectomy
- Pacemaker placement
- Patent ductus arteriosus (PDA) ligation
- Thoracoscopic assisted subphrenic pericardectomy
- Persistent right aortic arch repair and division
- Thoracic duct ligation for chylous effusion
- Bone marrow derived stem cell therapy
- Canine platelet enhancement therapy
A DIAGNOSIS OF CANCER IN A PET IS A VULNERABLE TIME FOR FAMILIES, AND OUR TEAM IS SYMPATHETIC TO THE NEEDS OF PATIENTS AND THEIR PEOPLE.
Is cancer more widespread in animals these days, or are veterinarians becoming more adept at diagnosing it in pets? The answer to both questions is yes. Dogs and cats get similar types of cancer as people, and the treatment they receive is similar as well. However, pets tolerate chemotherapy much better with fewer side effects than humans do.
Dr. Erica Faulhaber, who completed a rigorous, three year medical oncology residency at the world renowned Flint Animal Cancer Center at Colorado State University, and Dr. Tara Britt, who is a Founding Fellow in surgical oncology and also trained at the Flint Animal Cancer Center, together form the nucleus of the oncology team at Four Seasons. Three certified veterinary technicians (CVT) assist them: Jocelyn, Amanda and Annie.
Four Season Veterinary Specialists’ oncological services include consultations, advanced diagnostic imaging, chemotherapy, surgery, immunotherapy, supportive and palliative care. The oncology service is integrated with the other departments in the hospital, where patients benefit from the expertise of the entire team of specialists. As an example, a patient presenting to the hospital through either the emergency or internal medicine departments with vague symptoms of lethargy, loss of appetite, or weight loss, may receive diagnostic tests such as x-rays and ultrasound by a radiologist. Should these tests confirm a diagnosis of cancer, the patient then may have a surgical procedure followed by chemotherapy treatment with the oncology department.
Developing strong relationships with clients is at the heart of Dr. Faulhaber’s and Dr. Britt’s philosophy. Listening to clients and supporting their concerns is paramount to their practice, while making their priority the quality of life for their patients.
Once a cancer diagnosis is made, the doctors at Four Seasons help clients navigate the options available for their pet so they can make informed, critical decisions. Each case requires an individual approach, which may include advanced diagnostic testing, chemotherapy, surgery, or supportive care. Most importantly, Drs. Faulhaber and Britt believe in taking time to explain the diagnosis carefully, answer questions and offer hope. Treatment options, including palliative care or even euthanasia, are a means for owners to make a very loving gesture for their pet. They provide guidance to help clients make the choice that is best for them. Just because some treatment options are available does not mean it is the right decision for their pet and family.
Four Seasons’ service prides itself on providing efficient, high quality, individual-based cancer treatment for our patients, with a focus on patient quality of life. Empathy and compassion are the foundation of our approach toward pets and their people. A vital part of the team includes the patient’s family veterinarian, providing an integrated, comprehensive approach to ensure each pet has the best veterinary medicine has to offer.
Unlike in human medicine, veterinary oncologists do not always look to cure cancer in their patients. Instead they work to provide a good quality of life while keeping symptoms at bay. While few pets are truly cured of cancer, our team strives to provide a good quality of life for patients and hope for clients, buying them more quality time with their pets.
FOUR SEASONS VETERINARY SPECIALISTS PROVIDES COMPREHENSIVE CARDIOLOGY CONSULTATIONS TO ASSESS, DIAGNOSE AND TREAT HEART DISEASE, ARRHYTHMIAS, HEREDITARY AND OTHER HEART CONDITIONS.
Just like humans, cats and dogs can have a variety of problems related to their hearts and lungs that require intervention from a veterinarian cardiologist. Some of the most common cardiovascular ailments diagnosed in pets include:
- Congenital Heart Diseases (patent ductus arteriosus, pulmonary stenosis, subaortic stenosis, ventricular septal defects)
- Degenerative Mitral Valve Disease (leaky heart valve)
- Dilated Cardiomyopathy (dilated heart with decreased function secondary to genetics or diet)
- Hhypertension (high blood pressure in the lungs)
- Heartworm Disease
- HCM (hypertrophic cardiomyopathy)
Heart disease can lead to heart failure so early diagnosis and treatment is essential. If heart failure occurs, it can be treated, often allowing more quality time with your furry family member.
Symptoms of heart problems in dogs and cats:
- Exercise intolerance
- Difficulty breathing, shortness of breath
- Fainting spells
- Elevated heart rate
- Fast breathing while at rest (not to be confused with normal panting)
According to the American Veterinary Medical Association (AVMA), ten percent of dogs and cats have heart disease. Many of these pets do not have any symptoms. If you suspect your pet has a heart problem, and especially if they have any of the symptoms listed above, we recommend you consult with a veterinarian.
Many heart conditions can be diagnosed using an echocardiogram (an ultrasound of the heart), an ECG (electrocardiogram) and chest x-rays. These are minimally invasive diagnostic tools that generally do not require sedation or anesthesia. Four Seasons offers many cutting-edge services for evaluating and treating pets, including:
- 6-12 Lead ECG
- Holter Monitoring
- Digital Imaging
- Doppler Blood Pressure
- Electrical Cardioversion
- Pacemaker Interrogation of previously placed pacemakers
- In House Lab