One of five in the Nation and one of thirty-five in the World

The whole is greater than the sum of its parts” author unknown

Thursday, July 30, 2020

The Placebo


       A drug used in the 18th, 19th and early 20th Centuries by both the Medical and Veterinary Medical Professions
                                      The Placebo

It’s not exactly the placebo effect, but as in Voltaire’s summary:

“The art of medicine consists of amusing the patient while nature does the healing.” 

     No offense or diminishing our healing efforts and procedures, but it really is nature that does the healing in both our professions.
    This drug in tablet form, was used in human medicine and later by the veterinarian in treating dogs in the early 20th Century.  As small animal practice, as we know it today didn’t develop till the
early 1900s.

                                     
   
                                 Norwich Pharmagal Company

          The Norwich Pharmaceutical Company was established in Norwich, New York, in 1887.  In 1893, Norwich introduced Unguentine to the medical profession as the first antiseptic surgical dressing.  The company’s mixture called Cholera Infantum, later renamed Pepto-Bismol, appeared for the first time in 1901.  Its principal use was for infants with severe diarrhea.  In 1907, Acetylsalicylic acid (aspirin) tablets were added  to the company’s product line.

            It is a forgotten drug?  Not necessary:

    There is an international Society for Interdisciplinary Placebo Studies (SIPS) which meets regularly.  The last conference was in Leiden, Netherlands July 7-9, 2019.  There have been other meetings on placebo effect dating back to 2007 and earlier. 
    Title of one was: Biomedical, Clinical and Philosophical Aspects of the Placebo, held in Switzerland   

     Just click on this Placebo conference:



Then, the New York Times Magazine - November 2, 2018 issue, had featured the following article:


  What if the Placebo Effect Isn’t a Trick?

New research is zeroing in on a 
                             biochemical basis for the placebo effect — possibly openingPandora’s box for Western medicine.





Friday, July 17, 2020

A Trivia Question



                             A Trivia Question

   What does E. Carl Kiekhaefer, founder of Mercury Marine, the most recognized          name in the marine industry in the world and a large animal veterinarian, have in common?
                                                                     

                               Hardware Disease in Cattle!

    In 1920, Carl thought his mechanical ability with magnetic equipment would guarantee  his future.  During the Great Depression he started building magnetic clutches and brakes.  He believed that manufacturing magnetic separators was a successful way to develop a profitable business.  While magnetic separators preform many tasks, one of the most popular uses was plucking out bolts, nails, pieces of bailing wire and other debris from animal feed.  Cattle frequently died from ingesting these items.  These pieces of metal can cause granary  explosions caused by stray medal giving off a spark in the fine-dust atmosphere. 
   Living in Cedarburg, WI, Carl was looking for a plant to build his business.  The Cedarburg Manufacturing Company was up for sale, which had an inventory of 500 single-cylinder outboard engines built for Montgomery Ward.  The company had given up producing their failing outboard boat engines.                                                                                                                                                                                                                                                      
A product of Mercury Marine today:


The rest is history.


                       What is Hardware Disease?



     This diagram shows the four stomachs of the cow.

As the cow “scoops” up her feed, swallows and later chews it’s “cud.”  If foreign items, such as nails or broken pieces of barbwire are in this feed, it is taken into the first stomach, the reticulum.  Some of these pieces of metal can pierce the lining of the reticulum, causing pain.  The cow stops eating.
                                                                                                                                                                                                                                                                                                                                                     


                                   Modern cattle metal detector      

                 The veterinarian’s examination includes the use of a metal detector.

                                                                                      


          
         
      Shown here are samples of nails, staples and pieces of metal that have been found 
in a cow’s stomach.                                                                                         

                                                     Rumen magnet
     Treatment for this condition will include giving a rumen magnet into the reticulum.

                                                                                        

Frick speculum

    With the use of an aluminum Frick speculum, sliding the magnet through goes easily over the cow’s tongue and into the first stomach.  This rumen magnet stays inside the cow for the rest of the cow’s life.    


                                                                        
  Early versions of the Veterinary Metal Detectors were made in Germany.  Pictured here is one of those early models.      

                                      





                                                        Photo courtesy: David Schmitt, DVM



                                                       Photo courtesy: David Schmitt, DVM

           

Wednesday, July 15, 2020

Interesting Historical Facts



                 Interesting Historical Facts About                                             Some of the WVMA Past-presidents

There was only one WVMA Past-president that served two consecutive terms in office:

Dr.  J.B. Wilson, Sr. of St. Croix Falls was WVMA President in 1942 and in 1943

There were three father/son WVMA Past-presidents:

Dr. L.J. Hart, Sr. of Chippewa Falls – WVMA President 1919
Dr. L.G. Hart, Jr. of Chippewa Falls – WVMA President 1935

Dr. J.E. McDermid of Ladysmith - WVMA President 1937
Dr. Arlye M. McDemid (OSU ‘46 ) of Middleton -  WVMA President 1954

Dr. Ronaldean  Pawlisch (MIN ’54) of Brodhead - WVMA President 1970
Dr. Ray Pawlisch (MSU ’82) of Brodhead - WVMA President 2008





Monday, July 13, 2020

Dr. John Been of Prairie du Sac – 2016



Dr. John Been of Prairie du Sac – WVMA President 2016

  







John Been, DVM


Photo:  Courtesy of Dr. John Been




Personal Information
      My family and I reside in the country outside of Prairie du Sac, Wisconsin. My wife of 38 years, Ranjana, is a medical technologist at UW Hospital and Clinic and we have three grown sons, Mark, Clint, and Travis who have all gone on to careers in medicine as a physician, dentist, and optometrist. I attended the University of Wisconsin School of Veterinary Medicine and graduated in 1988 with my DVM degree. I practiced as a food animal veterinarian, dairy predominant, at the River Valley Veterinary Clinic in Plain, Wis. for 24 years. Currently, I am doing relief large animal service for area veterinary medical clinics. We are active members of our local Methodist Church and my hobbies include woodworking, outdoor sports, gardening, cooking, wine making and gospel singing.

Involvement in the WVMA
      As immediate past president, I am currently serving the WVMA on the executive committee and chair the personnel committee. I also am the ex-officio member of the Food Armor® Committee. Besides the previous two years as president and president-elect, I served as the district 6 executive board representative for 5 ½ years from 2007 until 2012. I was the interim Treasurer of the WVMA after the untimely passing of Dr. Tom Howard in 2015. I also have served on the Budget and Auditing, Public Health and Food Safety, Member and Membership Services, Grievance, and Academic Admissions Committees. I have been a continuous member of the WVMA for 28 years and serve on the Board of Visitors for the UW School of Veterinary Medicine. I really treasure my service to the WVMA. Being involved has given me a unique and broad understanding about the value and importance of organized veterinary medicine to its membership. I very much value the relationships with colleagues that have formed through my involvement.

Involvement on the Executive Board
      I have served for 5 ½ years on the executive board from 2007 to 2012 as the representative from district 6. I was elected vice chair of the executive board in my last year. I also served as ex-officio member of the Grievance committee and the Budget and Auditing committee during my executive board years. During those years, I worked with Drs. Tom Gilligan, Ray Pawlisch, Steve Erickson, Phil Johnson, and Doug Kratt during their presidencies. Additionally, I stepped in as the interim WVMA Treasurer in 2015 after the death of Dr Tom Howard.

Annual Meeting/Convention
       The WVMA convention and annual meeting this year was held on October 14th and was once again at the Alliance Energy Center in Madison. The professional education committee scheduled another outstanding set of presenters with valuable practical CE available for our membership. The WVTA (Technicians) and WVPMA (Practice Managers) also held their annual conventions at the venue as well. 
      Our exhibit hall was in full swing with our vendors on hand with reception events taking place on Thursday and Friday nights. Mr. Scott Zimmer was our Saturday keynote speaker and presented a message on generational communications.
     Our annual business meeting took place on Friday afternoon. We were proud to honor six members with 50 year awards this year. They were Drs. Thomas Beckett, John Fritsche, Marvin Rohm, Lawrence Sirinek, Larry Smith, and Robert Swingen. Other awards included: Gold sponsor – DeWitt, Ross, & Stevens s.c., Meritorious Service – Dr. Jim Ziegler, Friend of Veterinary Medicine – UW School of Veterinary Medicine, Presidential – Dr. David Jeans, and Veterinarian of the Year – Dr. Sheila McGuirk. One change to the by-laws was voted on and passed by the attending membership. Life Member status is now attained by a member who has reached the age of 70 years (it was 65) and having been an active member of the WVMA for at least 35 continuous years (was 30). 
     A summation of the year's highlights, WVMA and WVMF financial reports, and 2015 minutes were presented and approved. Dr. Robert Leder was elected by unanimous consent as our new president-elect. The presidency was transferred to Dr. Scott Spaulding prior to adjourning.

Challenges/difficulties faced throughout Presidency
     The WVMA worked closely with our legal/legislative lobbyist team to influence positive outcomes regarding the complete move of the Veterinary Examining Board (VEB) from DSPS to DATCP, retaining the Wisconsin Veterinary Diagnostic Lab within the UW system, and keeping tenure as the standard for the clinical teaching staff at the VMTH. All these items were in jeopardy with budget cuts at the state legislature level in the current biennial budget.

Pursuant to the goals of this the second year of our current five-year strategic plan, the executive board has move forward with several new initiatives. These would include:

- The formation of the Wisconsin Veterinary Medical Foundation (WVMF) which will represent the philanthropic arm of our organization. We are in the process of populating the board of directors for the foundation which will direct its action.

- Separating the Food Armor® HACCP program from the WVMA into the Food Armor® Foundation, a 501(c)(3) charitable foundation. Food Armor® has drawn nationwide interest and will function as a stand-alone program with its own board of directors lending great advantage for its sustainability and outreach. Dr. Katie Mrdutt is currently managing the program as a full-time employee of the WVMA.

- Establishing the Business Management Task Force to address issues that pertain to the business side of private practice. In March 2017, this group scheduled a practice profitability conference in Madison to address finance and economic strategies for our membership.

- We also have initiated the OSHA Task Force which will create awareness of potential hazards to increase safety in the veterinary workplace. The WVMA is in the process of forming a formal alliance with OSHA (the first VMA in the nation to do this) to educate our membership on safety concerns and on compliance.

- Online CE is now available on the WVMA website to members.

- The WVMA continues to maintain close ties with the UW School of Veterinary Medicine through our sponsorship of the Blue Coat Ceremony, Vets to Vet School luncheons, clinic tours, and sending students to Washington D. C. for the AVMA Fly-In experience.

- We also once again sponsored a young veterinarian to the emerging leader opportunity at the AVMA winter convention in Chicago. Dr. Scott Earnest was this year's emerging leader attendee.

- Our leadership team also attended both AVMA conventions (Chicago and San Antonio, as well as the Heartland Conference in Kansas City

Final Thoughts 
    I have thoroughly enjoyed my experience as President of the WVMA. It was such an honor to have been chosen to serve and lead in the 101st year of this professional organization. I especially have enjoyed being able to network with so many dedicated and capable professionals in and around veterinary medicine. The WVMA gives such value to our membership in its constant attention to current topical professional and legislative issues as they arise. I am so proud of the leadership that our VMA has taken on nationally and I witnessed first-hand how well respected we are among our peers at national meetings. Our WVMA staff is lean and efficient. I extend my appreciation to our entire staff team that helped to make my term as WVMA President proceed smoothly and effectively. That team included:

Kim Brown Pokorny - Executive Director
Torrie Kennedy - Office Manager
Bailey Quam - Communications and Project Specialist
Jeremy Panizza - Development and Marketing Manager
Dr. Katie Mrdutt - Food Armor Outreach Specialist
Heather Klinkhammer - Advertising Assistant

      I learned a great deal about the "larger picture" of our profession as compared to the perspective from routine private practice life. I truly appreciate the collaboration among peers that comes together to advance the goals of the WVMA – the most unique and effective voice for veterinary medicine in Wisconsin. I am humbled to have continued the great work of those who have served before me and I wish the best of all things to those who follow as the WVMA continues on into its next century of service to the profession. As I said in all of my monthly newsletter messages: Isn't is great being a Veterinarian?.........Yes, it is!





Dr. Jane Clark of Waunakee - 2015



Dr. Jane Clark of Waunakee -  WVMA President 2015

   















Photo:  Courtesy of Dr. Jane Clark



Personal Information 

I graduated from UW-Madison in May 1980 BS Animal Science and from Iowa State University College of Veterinary Medicine in May 1984. My employment history is as follows:

• Madison Emergency Clinic for Animals 1984-85
• Madison Equine Clinic 1985-1992
• Middleton Veterinary Clinic 1992 - 2000
• MATC in Veterinary Technician AAS Degree Program Aug 2000 - Aug 2015. Retired from MATC.
• Currently employed FT at Epic Corp, Verona, WI

I married Trace Soper Jan 2, 1982 and together we have two sons Sam Soper, married to Elizabeth Pelton, and Jacob Soper.

Involvement in the WVMA 
• Animal Welfare Committee: Drafted WVMA position on declawing, ear cropping and tail docking of cats/dogs
• OSHA committee (current): Develop and proof topics to be printed in WVMA newsletter to inform members of various OSHA related workplace hazards.
• Nomination Committee (current) - Nominate future WVMA Leaders

Involvement on the Executive Board 
• District 5 Representative for two years (Oct 2011 - Oct 2013)
• President Elect October 2013-October 2014
• President October 2014-October 2015
• Past President October 2015 - October 2016
• Executive Committee - Performance evaluation of Executive Director and recommendations to board        of salary & benefits.
• Presented to freshman class of University of Wisconsin School of Veterinary Medicine students to recruit for WVMA membership. I also spoke to students at the WVMA sponsored Vets to Vet School luncheon on utilization of CVTs.
• Formation of new committees more in line with the 5-year current strategic plan
Continued work implementing the 5-year strategic plan
  Helped create benchmarks for the 5-year strategic plan along with Kim Brown Pokorny and President, Dr. Chris Booth
• Approved hiring of Dr. Katie Mrdutt, first part-time and then full-time to assist with Food Armor® program.
• Creation of Wisconsin Veterinary Medical Foundation
• New membership categories
• Updating of WVMA bylaws with new committee information and membership categories
• Creation of separate Food Armor® Foundation with oversite by the WVMA Executive Board

Annual Meeting/Convention 
The year-long celebration of 100 years of WVMA was the highlight of my presidency! As president, I helped host the Vets and Vino Gala celebrating 100 years of the WVMA! A great celebration at the Wisconsin Institute for Discovery with a dinner, presentation and gambling casino practice night. I won a prize!

My President's Award went to Jordan Lamb, our legislative lawyer who won many battles for the WVMA but the best was moving the veterinary board to DATCP for better oversight of the practice of veterinary medicine and investigating allegations of practicing veterinary medicine without a license.

Challenges/difficulties faced throughout Presidency
There were too many committees without a definite purpose, or an outdated purpose, which were draining WVMA staff resources. Committee structure was realigned according to needs of the strategic plan and the current WVMA organization.

Unlicensed practice by non-veterinarians was a continuing problem not being addressed by DSPS. Our legal staff lobbied hard to get the veterinary board moved to DATCP, where better oversight is expected.

Final Thoughts 
I really appreciated that the board was not a "yes" board, approving any and all initiatives brought up to it. All decisions were carefully vetted, considered and discussed prior to approval (or disapproval). This really made our organization stronger and I was honored to be a part of it. Our WVMA staff is also top notch and work very hard to serve WVMA members every day.