Internal Medicine

What Is A Veterinary Internal Medicine Specialist?

A board certified veterinary internal medicine specialist is a licensed veterinarian who has obtained intensive, additional training in understanding how your pet's internal body systems function and in diagnosing and treating the many serious diseases that can affect the health of those systems. An internal medicine specialist has advanced training in the following disciplines:

Endocrinology
Cardiology
Gastroenterology
Hematology (study of the blood)
Immunology
Infectious Diseases
Nephrology/Urology
Neurology
Respiratory Diseases
Oncology

While your general practitioner veterinarian can diagnose and treat many health problems, certain diseases and conditions require the care of a doctor who has had specialized, intensive training in internal medicine in order to provide the very best outcome for your pet.

*Within the discipline of veterinary internal medicine, there are also veterinarians who specialize further in Small Animal Medicine, Cardiology, Neurology, and Oncology.

Why Does My Pet Need A Veterinary Internal Medicine Specialist?

Just as your own primary care physician may feel the need to refer you to the care of a specialist from time to time, your general practitioner veterinarian may feel your pet needs a specialist to help diagnose or treat a particularly complicated medical problem. While your general practitioner veterinarian can handle many aspects of your pet's care, just as in human medicine, there is sometimes a need for the attention of a specialist. You can be assured that a veterinarian who knows when to refer you and your pet for more specialized diagnostic work or treatment is one that is caring and committed to ensuring that your pet receives the highest standard of medical care for his or her problem.

While in some cases, your veterinarian may be able to simply consult with a specialist about your pet's care, in other cases it is necessary to actually refer you and your pet to the specialist for more advanced diagnostics and treatment. Board certified veterinary internists may also have access to specialized diagnostic or treatment tools that a general practitioner veterinarian may not have.

What Health Problems Does A Veterinary Internal Medicine Specialist Treat?

Board certified internal medicine specialists are trained to treat the most serious diseases and health problems that affect pets. They are also especially prepared to care for pets that may be facing multiple health problems. Thanks to better health care, more and more pets are living longer lives. As a result, an increasing number of older pets, just like older people, are coping with multiple disease states that can be very difficult to manage. For example, a cat with diabetes may also be suffering from kidney failure, or a dog in heart failure may also be diagnosed with cancer. Internal medicine specialists are uniquely prepared to oversee the care of these complicated cases. In other situations, a younger animal may develop a problem that used to be considered untreatable but is now manageable and perhaps even curable.

Here are some common diseases that frequently lead general practitioner veterinarians and concerned pet owners to seek the expertise of a specialist:

Cancer
Heart Disease
Gastrointestinal Diseases
Diabetes Mellitus
Immune Related Disorders
Kidney Dysfunction

Why Can't I See an Internal Medicine Specialist All the Time?

In some cases you can. In many practices, the 'general practitioner' veterinarian at a practice is also a boarded internal medicine specialist. General practice veterinarians, however, are also highly educated medical professionals who must meet ongoing continuing education requirements throughout their professional careers in order to maintain their licensure. When a specialist is needed, he or she is only a phone call or a visit away.

Will My Regular Veterinarian Still Be Involved?

In many cases, your regular veterinarian will still supervise your pet's veterinary care, especially if your pet is coping with multiple disease states or conditions. In other cases, your referral doctor will take over the majority of your pet's medical care. It depends on your pet's particular disease and health problem.

Did You Know?

There are approximately 1400 board certified veterinary internal medicine specialists in the United States, and the number is growing.

Frequently Asked Questions

What Do I Bring to my Referral Appointment?

Be sure to bring any relevant medical records or information to your first appointment. Ask your veterinarian for copies of any relevant medical tests, imaging studies, x-rays, or laboratory panels.

Remember, you also can do your part to maximize your pet's recovery by keeping your pet's traveling medical records organized and by strictly adhering to the recommendations of your veterinary team for the scheduling of follow up appointments, etc. At every appointment, be sure to write down any important recommendations, or ask the veterinarian or a staff member to write them down for you.

How is the VCA West Los Angeles Animal Hospital different from other specialty hospitals?

Welcome to VCA West Los Angeles Animal Hospital. If you are new to our hospital, I hope your experience will be as pleasant as possible and we hope that we can live up to your expectations. If you are returning, we are pleased that you have once again chosen our hospital to help meet your pet's health care needs. In order to improve our service, I wanted to take this opportunity to tell you a little about our hospital, how it functions and how we can both work to provide your pet with the best care possible. VCA West Los Angeles Animal Hospital is one of the largest private small animal hospitals in the country. We have referral hospital for veterinarians in Southern California and we are a teaching hospital providing post-graduate education for veterinarians. We have a professional staff of over 25 veterinarians including specialists in such disciplines as internal medicine, surgery, oncology, radiation therapy, dermatology, ophthalmology, radiology, and cardiology. Specialists are available 7-days-a-week on an appointment basis. One advantage of a large hospital like VCA WLA is that all cases receive the benefit of input from a number of veterinarians all of whom lend their special expertise to the problem at hand.

We are open 24-hours-a-day, 7-days-a-week, 365 days of the year to provide comprehensive care. However there are instances when waiting times to see a doctor may be long depending on the time of day and the number of emergencies that are being handled. To avoid unnecessary delays, especially if you don't have a medical emergency, you may wish to call ahead to determine if there is a wait to see a doctor or to schedule an appointment with one of our staff doctors at a time convenient to you.

VCA West Los Angeles Animal Hospital has one of the largest graduate teaching programs in the country through our internship and residency programs. Interns and residents are graduate veterinarians who are seeking to obtain additional supervised training and expertise in a facility such as ours where the caseload and the availability of specialists ensures an excellent teaching environment. Competition for these positions is intense and those selected are amongst the brightest in their class.

Having a sick or injured pet can be very stressful and we will work to help alleviate your concerns while we tend to the needs of your pet. In order to help improve our service, we do wish to remind you of a few items that should help. First, if you need to obtain a prescription refill please let us know 24 hours in advance. All prescription refills must be approved by a doctor. We need this time to obtain approval and have your prescription available. Secondly, when your pet is hospitalized, the attending doctor will be calling to give you an update after 11 a.m. in the morning. Prior to 11 a.m., your doctor will be in rounds where all the hospitalized cases are discussed amongst our medical and surgical staff and unless there is an emergency, your doctor will not be able to take your phone calls until this time. This allows us to obtain a wide range of opinions regarding your pet's condition, and obtain the input from all the specialists on duty that day. We work as a team, which helps in providing more complete medical care. Of course, we do have visiting hours every evening from 7 to 8 p.m. so that you can visit with your pet, talk face to face with the attending doctor, and help in the healing process. Lastly, if your pet is being admitted in the morning for an elective procedure (simple mass excisions, endoscopy, etc.) your pet should be able to go home the same evening between the hours of 7-10:30 p.m. This helps us ensure that your pet has completely recovered from anesthesia and is ready to return home after evening rounds have been completed. It is possible that on rare occasions, elective procedures may be performed later in the day or even postponed until the following day if unforeseen emergencies arise which demand our immediate attention. We will always place the medical needs of a patient above those of a schedule and if we need to unexpectedly change you pet's procedure date or time we will be sure to notify you as soon as we are aware of the situation.

We are primarily concerned about your pet's health and will do our best to provide the best health care possible. This of course involves a fee and at times veterinary bills can seem quite expensive. At first this may be hard to understand but the reality is that veterinary medicine is not all that different from human medicine. Veterinarians spend as much time as physicians in school and veterinarians can provide many if not all of the services that would be available to you or I in a human hospital. Our veterinary facility is also unique in many respects. Our hospital is quite large. We employ over 30 doctors and over 150 technicians, front office and housekeeping staff. VCA WLA also has a large specialty staff and a great deal of sophisticated equipment, which helps us to provide the best care possible. Lastly, we are open 24-hours-a-day, with doctors and technicians always available to see any emergencies as they arise and to monitor those pets that are hospitalized. We will do our best to provide you with written initial estimates and to keep you updated on a daily basis on the status of your account when your pet is hospitalized. It is expected that 100 % of the estimate will be left as a deposit when your pet is admitted (not necessary for routine or elective procedures) and that the balance will be paid in full at the time of discharge. While we do not offer payment plans we can offer you a financing plan through CareCredit. Again our front office staff can help you with these arrangements.

Of course, the buck stops here. If you have any comments/suggestions/complaints or praise, I am always available. I can promise that I will listen to all of your concerns and compliments as we are always looking to improve our service and patient care. Feel free to call (310-473-2951) or fax (310-477-7412) and I will get back to you as soon as possible. You may also e-mail me at David.Bruyette@vcamail.com. I would like to thank you again for selecting VCA West Los Angeles Animal Hospital and I hope that both you and your pet have a pleasant experience.

Sincerely, David Bruyette, DVM
Medical Director
Diplomate, American College of Veterinary Internal Medicine

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