01225 832521 firstname.lastname@example.org
We offer a second opinion referral service for internal medicine cases. Internal medicine is a wide ranging discipline which often involves investigating many of the body's systems. We see a very diverse range of conditions from endocrine problems such as diabetes mellitus, liver disease and haematological cases to gastrointestinal disorders like inflammatory bowel disease. We have a wide range of diagnostics available to thoroughly investigate these cases including magnetic resonance imaging (MRI), video endoscopy and Doppler colour flow ultrasonography. These will complement modalities such as X-ray and blood testing which are commonly available in most veterinary practices today.
Soft tissue surgery is surgery not involving the bones, and includes such areas as ENT, urinary tract, thoracic and gastro-intestinal surgery. Although soft tissue surgery cases are often dealt with routine in general practice, some cases require more expertise and experience to perform safely and effectively. These include procedures to treat urinary incontinence (eg colposuspension), diagnosis and closure of abnormal liver vessels (portosystemic shunts), removal of tumours that have recurred or are in difficult areas to operate in, intra-thoracic and cardiac surgery. We are fortunate to have internationally recognised soft tissue surgeons Alasdair Hotston Moore and Jon Shippam. Both perform many procedures under key hole surgery to reduce the discomfort of surgical procedures, and Alasdair was recently introduced at the international endoscopy meeting where he was lecturing as "one of the leading lights of veterinary laparoscopy."
Surgery of the limbs and spine is orthopaedic surgery. We offer a range of techniques including internal and external fixation of fractures, surgical treatment of cruciate injury and lameness investigations.
Many new treatments have become available in the UK to treat cancerous conditions and where we find this underlying cause we can advise you on the best treatment options that are available. These commonly include surgery, chemotherapy and radiotherapy. You can employ any or a combination of these treatments depending on the type of tumour found, extent of spread at diagnosis as well as the potential side effects of the treatment and other complicating factors such as co-existing conditions. We can offer some of these treatments in house and regularly see animals back on a 'day case' basis for chemotherapy.
We are happy to see ophthalmology cases that have been referred from other veterinary surgeons. We commonly see a wide variety of cases ranging from corneal disease and glaucoma to ocular disease that is secondary to systemic problems such as hypertension. MRI is of great utility in the diagnosis of orbital disease, showing a high degree of sensitivity for detection of changes. Although MRI does not give a definitive diagnosis of tissue type or pathological process, much can be inferred from the extent of the disease process, and by comparing T1W, T2W and gadolinium-enhanced scans. MRI is also the treatment of choice for the diagnosis of blindness of intracranial origin, eg chiasmal or retrochiasmal, or for neoplasia of the orbit with suspected intracranial extension.
If we can't find a diagnosis or treat a case in house we have an extensive network of colleagues who specialise in different areas to us who can help.
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Tel: 01225 832521
Rosemary Lodge Veterinary Hospital,
Wellsway, Bath, BA2 5RL
© 2013 Bath Vet Referrals
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We have installed a Siemens Emotion 16 slice CT scanner at Rosemary Lodge. This is an exciting addition to our range of diagnostic equipment and we are already seeing many benefits to our patients for its use.
We offer CT scans as either part of a referral investigation, which is often the most useful approach, or they can be performed as an outpatient procedure. In the latter case, the animal will be admitted by one of our nurses and the CT performed during the day. We will either provide you with a disc of images or can arrange an external specialist opinion on the scan. For outpatient scans, we need you to indicate which areas are to be scanned, whether you wish us to arrange a specilaist opinion on the images and an indication of the clinical questions to be answered.
Outpatient scans do not include consultations or advice from our own clinicans, although if it becomes apparent that other tests would be useful, we will contact you to discuss this. We have set a range of prices for CT scanning that are very competitive (all include sedation or GA, the technique to be at our discretion, but GA offers distinct advantages in most animals).
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Magnetic resonance imaging (MRI) is an advanced imaging modality which does not use ionising radiation and produces detailed soft tissue images. The other main advanced imaging modality available to veterinary patients is computed tomography (CT). This utilises x-rays and computer technology to form an image. CT images are useful for assessing bony changes, and for imaging of the thorax. CT scans are also generally cheaper than MRI scans. However, MRI is thought to be safer than CT since it does not use ionising radiation. Compared to CT, MRI also has advantages of the ability to image in any plane, better spatial resolution, better tissue contrast and increased sensitivity to disease processes which alter the water content of tissue. Essentially, MRI is looking at the density of hydrogen ions or protons within the body. These ions are most common in water, so MRI is sensitive at picking up changes in the water content of tissues, as may be seen with inflammation or neoplasia.
MRI is now the gold standard imaging modality for a number of disease conditions, both in human and veterinary medicine. It can also be complementary to other imaging modalities such as computed tomography (CT), ultrasonography and radiography.
The major application of MRI in veterinary medicine is in the field of neurology. This is because of the ability of MRI to “see through” bone, and image the soft tissue within. Conventional radiography and ultrasonography are both extremely limited in visualising the central nervous system, and MRI and to some extent CT are the imaging modalities of choice for this area. However, neurology is not the only field to benefit from MRI technology. Ophthalmologists find it important, for example to assess the retrobulbar space. Delineation of soft tissue masses elsewhere in the body can be important for oncologic surgical planning, and there are a number of internal medicine and orthopaedic uses.
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Neurology involves the diseases of the nervous system, such as spinal disease and epilepsy. Our medical and surgical teams see a wide range of neurological cases and have a large amount of experience in this field. Jon Shippam is experienced at spinal surgery, and Alex Gough has a post graduate certificate in neuroimaging. We are lucky to be the only private practice in the south west that has permanent MRI and CT facilities on site, which are vital in the investigation of many neurological diseases.
Cardiology is the field of heart disease. Alex Gough passed his RCVS Certificate in Veterinary Cardiology in 2005 and has been seeing referrals in cardiology since then. With his qualifications in medicine and neurology as well, he is interested in seeing dogs with intermittent abnormal events, which are sometimes cardiac related, sometimes due to seizures or cramping disorders, or sometimes medical problems. Rosemary Lodge has ultrasound facilities with Spectral and Colour flow Doppler, ECGs and Holter (ambulatory) ECG equipment.