Internal medicine

Internal medicine

Internal

Through the use of cutting edge techniques and specialist knowledge, the medicine service strives to achieve the best possible outcome for each patient referred to us.  The workup and treatment of every case is under the direction of a specialist in internal medicine.

The state of the art equipment and techniques utilised by this service includes (but is not limited to):

  • Digital radiography and doppler ultrasonography
  • Advanced imaging (CT, MRI, videofluoroscopy)
  • Radioiodine therapy for feline hyperthyroidism
  • Tracheal stenting for canine tracheal collapse

Radio-iodine unit

Radio-iodine treatment is generally the best treatment for feline hyperthyroidism. University of Glasgow was first in the UK to offer this treatment and are one of the most active units. We have a very low complication rate (less than 5%) and a high success rate (95% on first injection, 100% if a second injection is needed). Radioiodine is suitable for most hyperthyroid cats but not all. Cats with other serious diseases and that cannot be isolated for 2 to 3 weeks represent poor case selections. We are able to treat 2 cats a week. We offer a one stop shop service (cats come to us and get the injections in one visit, rather than having to come back weeks later for the injection).

An initial consultation will explain treatment options to owners. A blood sample will be taken to check thyroid and kidney status. The dose of I-131 is calculated using the thyroxine results and can then be given after 2 or 3 days acclimatisation and observation, providing the cat has not received any carbimazole (Vidalta) or methimazole (Felimazole or Thyronorm) for at least 2 weeks. The cat will be isolated for 2 to 3 weeks after the injection during which time only minimal handling (cleaning and feeding) will be allowed.

After 21 14 days the cat is discharged from the hospital. A blood sample is taken for thyroid and kidney measurements. A letter will be sent to your practice at this stage confirming the success of treatment.

The total cost of this treatment is less than 2 years of anti-thyroid drugs and monitoring.

Average survival is 4 years post injection (compared to an average of 2 years with anti-thyroid drugs)

Requirements for referral
Referral letter from a veterinary surgeon detailing history and clinical signs. A thyroid and renal profile is strongly advised  before referral.

Staff

Veterinary surgeons - please contact us for non-urgent queries via Internal Medicine email