HeartBeatsThe Pulse of the BrightHeart Network

Western Veterinary Cancer Center Opens

This past April, BrightHeart, and Western Veterinary Specialist & Emergency Center opened its multidisciplinary Cancer Center in Calgary. Prominent among the features offered is a new Linear Accelerator with intensity-modulated radiotherapy (IMRT) capability. IMRT allows precise tumour targeting along with more effective sparing of normal tissues. The center is led by Dr. Neal Mauldin, board certified radiation oncologist; Dr. Glenna Mauldin, board certified medical oncologist; and, Dr. Dave Szentimrey, board certified surgeon with advanced training in surgical oncology. The

Center provides comprehensive cancer therapy including surgery, chemotherapy, radiotherapy, and immunotherapy. “I am very proud to have played a part in making the Cancer Center a reality. The chance to provide truly outstanding care - at the forefront of veterinary medical science - is exciting and rewarding for professionals and their patients.” G. Neal Mauldin, DVM Diplomate, American College of Veterinary Internal Medicine - Int. Med. & Oncology Diplomate, American College of Veterinary Radiology - Radiation Oncology “Many patients require multiple therapies including surgery, radiation and chemotherapy to optimize outcome and minimize treatment side effects. A coordinated, multidisciplinary approach is therefore the best way to meet the ideal needs of the patient. At Western Veterinary Cancer Center we strongly believe that our team approach allows us to best serve each animal that we see.” Dave Szentimrey, DVM, MSc Diplomate, American College of Veterinary SurgeonsThe opening was celebrated with an open house attended by prominent members of the veterinary community and the media. For more information contact Dr. Rose Javar at (403) 770-1340 or rjavar@westernvet.ca.

In This Issue:• Western Cancer Center Opens 1• Newest BrightHeart Hospital 1• Integrative Medicine & Rehab 2 • Breakthrough Cancer Medication 4

New Calgary Facility Features LinAcc, IMRT, Immunotherapy and More.

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS

A Publication of BrightHeart Veterinary Centers • Volume 2, Number 1

Summer2009

The BrightHeart MissionBrightheart is the national network of advanced care veterinary facilities that works closely with referring veterinarians to provide the highest standards for pet care, to offer pet owners the most options when facing medical challenges, and to give pets the best chance for longer, healthier lives.

1

™

Continued on page 8 >

Center for Specialized Veterinary Care Becomes the 7th BrightHeart HospitalJuly 17, 2009 - BrightHeart Veterinary Centers today announced that it has acquired The Center for Specialized Veterinary Care (CSVC) in Westbury, NY. CSVC becomes the 7th hospital in the BrightHeart Network. Founded in 2003, CSVC is a 24-hour veterinary emergency, critical care, and referral center with over 80 employees on staff, including 25 DVMs, of whom 8 are board certified. Specialized veterinary services include: Alternative Medicine,

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 2

News, Views and Breakthroughs in the World of BrightHeart Veterinary CentersBrightSp ts

In the midst of what is widely regarded as the era of high technology in medicine, another sort of revolution is taking place. Integrative medicine incorporates western/traditional medicine with alternative therapies such as acupuncture, herbal medicine, nutrition and rehabilitation. This type of approach is useful in any general medicine case, but is especially useful for patients that have been diagnosed, appropriately treated and are still experiencing problems or quality of life issues that western medicine or surgery have not alleviated. Aging animals often develop chronic problems or multiple problems concurrently that may benefit from nutritional or alternative therapies. Individuals with active animals interested in maintaining the health of their pets may be interested in alternative approaches to the traditional treatments such as antibiotics or steroids. Chronic, degenerative problems such as cancer, degenerative myelopathy (DM) and osteoarthritis often respond well to alternative therapies. Alternative treatments may lengthen the lives of the patients and improve their quality of life. The following is a brief description of some of the alternative therapies offered by certified practitioners at BrightHeart, and situations where they may prove useful.Acupuncture - It is a method of stimulating specific points in the body to affect a certain response. There are various forms of acupuncture including dry needling (the most familiar), acupressure, aquapuncture (injecting solutions into a point), electroacupuncture (electrostimulation of a point), and moxibustion (using heat to stimulate a point).Rehabilitation - Known as physical therapy in the human field and includes exercise plans, manual therapies (including massage), diet recommendations, and equipment (such as laser, ultrasound, and electro-stimulation) to enhance healing, reduce scaring, and return the patient to a higher level of function. Treatments offered include:• Water therapy (underwater treadmill) - Increases muscle

strength, improves cardiovascular health; neuromuscular retraining

• Cold laser therapy - Stimulates tissue healing• Ultrasound - Speeds healing, reduces scar tissue formation

The Holistic Wave : How Integrative Medicine & Rehabilitation Offer New Paths to Health & Relief.

Continued on next page >

Advances In Veterinary Oncology: We Can Now Do So Much More

Philip J. Bergman DVM, MS, PhD, DACVIM–OncologyChief Medical Officer BrightHeart Veterinary Centers

When I graduated from veterinary school 19 years ago, the state of veterinary

oncology was one which was just taking off. Surgical oncology techniques were being perfected which allowed larger and larger tumors to be removed with minimal to no cosmetic nor physical defects for our patients. Radiation oncology was further along but newer technologies were coming out which allowed greater precision to target the tumor and spare normal tissues. Medical oncology primarily revolved around the use of chemotherapy with agents that had already been available through human use for many years. Vaccines proven to be efficacious against cancers and various targeted therapies simply didn’t exist.We now jump forward 19 years and thankfully have a very different reality. The triad of surgical, radiation and chemotherapy is still the tenet of cancer therapy, but now

Adrenal tumor treated with Intensity Modulated Radiation Therapy (IMRT). Note that the tumor is contained completely within the 100% isodose line (innermost red), while the right kidney is signifi-cantly spared. The treatment planning computer was instructed to maximize dose to the tumor, while sparing both kidneys and the spinal cord. Using conventional techniques, there would be no way to safely treat this tumor.

Continued on page 4 >

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 3

• Acupuncture - Pain management• Animal chiropractic - Improves range of motion,

decreases muscle spasm• Therapeutic massage - Improves circulation, reduces

muscle spasm and tension• Neuromuscular stimulation - Prevents muscle loss• Thermo- and Cryo- therapies - Relieves pain and

inflammation• Range of Motion therapy - Improves joint mobility• Therapeutic exercise - Strengthens muscles, tendons and

ligaments; neuromuscular feedback• Traditional Chinese Veterinary Herbal Medicine - Pain

control, supports tissue healing

The Eyes Have It: BrightHeart Ophthalmologists Take Part in ACVO National Service Dog Eye Exam Week Event.

Ophthalmologists Cory Mosunic, DVM, DACVO (left), and Nancy Bromberg, DVM, DACVO (right), performing an ophthalmological examination for service animals that visited KBVC and SouthPaws as well as hospitals across the country during the ACVO event.

The BrightHeart Integrative Medicine & Rehabilitation Team:

Leilani Alvarez,DVM, CVAKatonah Bedford

Veronica Devall, DVM, CCRT, CVA, CVSMT WesternVet

Cheryl Adams DVM, CVA, CRT Arboretum View

Theresa SaLee DVM, CVA Arboretum View

Marilyn Khoury, VMD, CVA SouthPaws

Jordan Kocen, DVM, CVA SouthPaws

Carol Wasmucky SouthPaws

Dogs participating in the second annual ACVO/Merial Service Dog Eye Exam Event included active “working dogs” that were certified by a formal training program or organization or currently enrolled in a formal training program. Specific service groups are listed on the website at www.acvoeyeexam.org. Stacee Daniel, executive director of the American College of Veterinary Ophthalmologists (ACVO) says, “If we can assist more dogs, then the dogs can better assist people.”According to Dr. Nancy Bromberg, Board Certified Veterinary Ophthalmologist at SouthPaws “I feel it’s really important for us to give back to the dogs that do so much for us. These dogs make such a difference in people’s lives.”At Katonah Bedford Veterinary Center, in Bedford Hills, NY, Pele, a young Labrador retriever was examined by board certified veterinary ophthalmologist, Dr. Cory Mosunic. “We’re looking for any retinal disease or early cataracts,” says Dr. Mosunic. We’re also looking for things that will limit their vision down the road, whether it’s an ingrown hair or anything that can result in the scratch of the cornea. It’s a complete ocular exam.” Sponsors for the 2009 ACVO/Merial National Service Dog Eye Exam Event included: The American College of Veterinary Ophthalmologists, Merial, Kong Veterinary Products, Optigen and Hills.Plans for next year are already underway and will likely take place again the first week of May 2010.

Learn more, by visiting www.acvoeyexam.org

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 4

From Page 2 - Veterinary Oncology: We Can Now Do So Much More

we have multiple other options in our diagnostic, prognostic and therapeutic toolkits. For example, we now have PCR-based tests for cancer and immunohistochemical-based tests to tell us the prognosis of a specific patient. On the therapy side, we have a great anti-emetic called Cerenia which works through the same mechanism of action as the strongest anti-emetic in people (Emend). Similarly, we have a therapeutic vaccine for dogs with malignant melanoma which is conditionally licensed by the USDA. Earlier this year, we closed the melanoma vaccine efficacy trial and this data rests with the USDA at present to hopefully move that vaccine from conditional to full licensure later this year. Just a few weeks ago, a new targeted therapeutic (a tyrosine kinase inhibitor, or TKI) called Palladia from Pfizer was approved by the FDA for dogs with mast cell tumors. Like the melanoma vaccine on the USDA side, Palladia is the first FDA approved agent for the treatment of cancer in veterinary medicine.

BrightSp tscontinued

The Oncology Departments at AVAH, GLVS, KBVC, SouthPaws and WesternVet are extremely excited to be the first veterinary cancer centers selected to offer Palladia (Toceranib Phosphate), the first FDA approved medication for the treatment of cancer in veterinary medicine, made by Pfizer Animal Health. • Dr. Philip J. Bergman, Chief Medical Officer of BrightHeart,

was a primary site investigator for the Palladia FDA trial alongside KBVC Oncologist Dr. Maria Camps, affording them extensive experience with this new medication. They are 2 of approximately 15 veterinary professionals in the nation with this unique experience.

BrightHeart First to Offer Palladia™ New Cancer Medicine from Pfizer.• Palladia is a targeted therapy similar to a number of

state of the art human anti-cancer drugs.• Palladia is indicated for the treatment of dogs with

recurrent (local or distant) grade II or III Mast Cell Tumor but is likely to be used off-label for a large number of other tumors.

• The Palladia trial (London et al, Clin Cancer Res 2009) found that ~ 60% of dogs with MCT had their tumors either cease to grow, partially respond or completely disappear.

• Palladia is an oral every other day medication available by prescription only.

• Palladia will be provided to KBVC clients for only a small dispensing fee as the drug is being provided to KBVC at no cost from Pfizer Animal Health.

• This no cost for Palladia program from Pfizer is likely to end in Dec ’09 or Jan ’10. Pfizer has not given any guidance on what the ongoing price will eventually become.

More information about Palladia™ is available at www.MyPalladia.com.

What will the next two decades bring us? I think we are on the cusp of more and more diagnostic, prognostic and therapeutic options no differently than the explosion experienced on the human oncology side over the last 10 years. Where does BrightHeart fit into this? I believe BrightHeart can contribute on multiple levels as outlined in the enclosed story through the new comprehensive cancer center in Calgary and by offering our oncology patients the very best cancer care throughout the network. We will also contribute on the research side as we’ll soon be starting a lymphoma vaccine trial for cats which is similar in design to the melanoma vaccine. Let alone 20 years, I think the next 5 years are going to be very exciting ones!

More on the web: BrightHeart & Palladia: http://www.brightheartvet.com/ General Oncology: http://www.animalcancercentre.com/

News, Views and Breakthroughs in the World of BrightHeart Veterinary Centers

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 5

nBoardNew Colleagues & Diplomates

Veronica Devall DVM, CCRT, CVA, CVSMT WesternVetDr. Veronica Devall heads up the new Animal Rehabilitation service (for dogs AND cats). Services are by referral only, and include water therapy (underwater treadmill),

low level therapeutic laser, neuromuscular stimulation, therapeutic ultrasound, therapeutic massage, acupuncture, spinal manipulative therapy (animal chiropractic), thermo- and cryo-therapies and therapeutic exercises. Dr. Devall graduated in 1989 from WCVM and holds a keen interest in canine sports medicine and rehabilitation which began during her years of volunteer work with the Iditarod and Yukon Quest sled dog races.http://www.westernvet.ca/veterinarians_specialists.asp

Debra Henderson BSc, DVM, DACVIM WesternVet We congratulate Dr. Henderson upon achieving board certification in her chosen field of Small Animal Internal Medicine by the ACVIM. Dr. Henderson has worked with

the referring veterinary community in Calgary and the surrounding area for many years. She graduated from Texas A&M University College of Veterinary Medicine in 1980, then practiced in emergency and general practices in Texas and Saskatoon before coming to Calgary in 1982. In 1989 she became part of a large central hospital in Calgary, managing hospitalized and critical cases. This was followed by a residency in Small Animal Internal Medicine at the CARE Center where her research focused on ketoacidosis. http://www.westernvet.ca/veterinarians_specialists.asp

Rose Javar DVM, MBA, General Manager WesternVetDr. Javar has joined WesternVet as General Manager. A native of Hawaii, she graduated from the University of Hawaii in 1995 with her B.S. in animal science. She did her internship

at Cornell University, and was accepted into Colorado State University College of Veterinary Medicine and Biomedical Sciences and attained a doctor of veterinary medicine degree in 1999. She also holds an MBA with a healthcare administration emphasis.

David Edinger DVM, DACVSArboretum View

Dr. Edinger joined Arboretum View in the spring of 2009. He is a 1992 graduate of the University of Minnesota College of Veterinary Medicine. He worked

for three years in a busy practice in the Washington D.C. area. He completed a one-year rotating internship at North Carolina State University and a three-year surgical residency at the University of Wisconsin-Madison School of Veterinary Medicine. Dr. Edinger has special interests in arthroscopic surgery and physical rehabilitation. http://avah.org/doctors.asp

Michael J. Mazzei DVM, DACVIM Arboretum ViewDr. Mazzei has become a diplomate of the American College of veterinary Internal Medicine. He enjoys all aspects of internal medicine, but he is most excited by diseases of the urinary and gastrointestinal

systems. A member of the AVAH staff since 2007, Michael has a strong interest in the human-animal bond and preserving the relationship between a pet and owner. http://avah.org/doctors.asp

John Silbernagel DVM, DACVSArboretum View

Dr. Silbernagel is a 1995 graduate of Iowa State University College of Veterinary Medicine. He practiced in a progressive small animal hospital in Des Moines, Iowa for three

years. He then completed a small animal surgical residency at the University of Illinois. Dr. Silbernagel has a special interest in canine orthopedic surgery with an emphasis on angular growth abnormalities and fracture repair. http://avah.org/doctors.asp

Please extend a warm BrightHeart welcome and hearty congratulations to your colleagues.

Our People Are Our Greatest Strength!

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 6

nTheRecord BrightHeart Professionals represent the network in publications locally, nationally and around the world.

Featured Publication - SouthPaws Newsletter/Summer09

Shoulder LamenessDr. Dan Brehm, DACVS SouthPaws SurgeryShoulder-origin lameness is a diagnostic challenge. Localization of the lameness to the shoulder or the shoulder area during examination is the “easy” part but additional diagnostics, including advanced imaging, may be needed for precise diagnosis. Surgery is the treatment of choice for some shoulder conditions, but many others are best treated with physical therapy. The prognosis depends on the specific condition, but there is a generally good chance of improving comfort and clinical function.Shoulder-origin lameness can be either articular or extra-articular, and developmental or acquired. An articular and developmental disorder is osteochondritis dissecans of the proximal humerus. This condition is commonly seen in large to giant breed, male dogs with signs first seen at 4 to 8 months of age. Most puppies present with a progressive, variable intensity lameness worsened by activity. On examination, affected puppies are notably painful on shoulder extension. Radiographic evaluation (standard lateral view) is often diagnostic, although it is sometimes necessary to rotate the shoulder internally or externally. The treatment of choice is debridement of the articular cartilage lesion with curettage and microfracture of the subchondral bone. This procedure can be performed via an arthrotomy or via arthroscopy. The prognosis is good, with most puppies returning to normal or near normal function in four to eight weeks.Acquired shoulder lameness includes biceps tenosynovitis, injury to the rotator cuff structures (in particular, supraspinatus tendinopathy), and medial shoulder joint instability. These often occur as athletic injuries, either from a single event or, more typically, as a repetitive strain injury. These conditions frequently do not respond to NSAID therapy or rest and are worse with exercise and heavy activity. Supraspinatus tendinopathy occurs due to repetitive contact of the extended forelimb, as might be seen with jumping to the ground or fly ball activities. Most dogs are painful on shoulder flexion and on direct palpation of the tendon and point of insertion on the humerus. In chronic cases, mineralization of the tendon may be seen on radiographs. The preferred treatment is physical therapy, with surgical debridement less ideal since the supraspinatus muscle is an important passive stabilizer of the joint. Biceps tenosynovitis also typically occurs as a repetitive strain injury (in agility

dogs and in at home fence runner dogs), although it may occur secondary to a degenerative process rather than an inflammatory one. Dogs are usually painful on shoulder flexion with concurrent elbow extension and on direct palpation over the tendon. The tendon is often thickened/swollen. Physical therapy is again usually the treatment of choice, with surgery performed less commonly now given the knowledge that the biceps tendon does act as a stabilizer of the shoulder joint. Medial shoulder joint instability is a recently described entity and is associated with injury to the medial joint capsule and medial glenohumeral ligament, typically occurring as a repetitive strain injury and associated with concurrent tendinopathies of the passive stabilizers of the shoulder. Most dogs resent shoulder extension and flexion, but are particularly painful on shoulder abduction. Diagnosis is based largely on measurement of abduction angles in the sedated dog. Treatment options include physical therapy, arthroscopic radiofrequency treatment, and surgical joint stabilization, depending on the degree of instability. The prognosis is generally good in milder cases, although the recovery period can be very long.A final consideration for shoulder lameness is that there are non-orthopedic conditions such as neuropathies, in particular, peripheral nerve sheath tumors, that can closely match the clinical findings of shoulder-origin lameness. The treatment approach and prognosis are very different for these neuropathy patients. More SouthPaws newsletter articles and archived issues: http://southpaws.com/resources/SouthPawsNLSummer09.pdf

(Additional Publications - BrightHeart Doctors in bold.)

Brenn SH, Couto SS, Craft DM, Leung C, Bergman PJ. Evaluation of P-glycoprotein expression in feline lymphoma and correlation with clinical outcome. Vet Comp Oncol. 2008 Sep;6(3):201-11.

London CA, Malpas PB, Wood-Follis SL, Boucher JF, Rusk AW, Rosenberg MP, Henry CJ, Mitchener KL, Klein MK, Hintermeister JG, Bergman PJ, Couto GC, Mauldin GN, Michels GM. Multi-center, placebo-controlled, double-blind, randomized study of oral toceranib phosphate (SU11654), a receptor tyrosine kinase inhibitor, for the treatment of dogs with recurrent (either local or distant) mast cell tumor following surgical excision. Clin Cancer Res. 2009 Jun 1;15(11):3856-65. Epub 2009 May 26.

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 7

Opportunities to share knowledge and grow.Visit www.brightheartvet.com/ContEd.aspx for upcoming event info, or to register online.

February 21-22, 2009 - Host: MidWest Veterinary Conference, Columbus, OH.Oncology Update; 8 hours of CE Lecture – Philip J. Bergman DVM, PhD, DACVIM-Oncology

January 8, 2009 - Host: Red Bank Veterinary Hospital, Red Bank, NJ. DNA Vaccines for the Treatment of Cancer – Philip J. Bergman DVM, PhD, DACVIM-Oncology

Every 4th Thurs, 7:00-8:00 am - Host: Great LakesMorning Rounds with the Specialists – Corporate College East, Room 200, open case discussion

BrightHeart Electronic Journal Club Webinars We will shortly be making powerpoint presentations and documentation for these archived webinars available at brightheartvet.com/webinars.

May 21, 2009 - Host: SouthPawsTopic: Evaluation of lidocaine treatment and risk factors for death associated with gastric dilatation and volvulus in dogs: 112 cases (1997–2005) – Kate Anders, DVM, SouthPaws Surgeon

Apr 16, 2009 - Host: Katonah BedfordTopic: Mastinib is Safe and Effective for the Treatment of Canine Mast Cell Tumors – Virginia Gill, DVM, DACVIM–Oncology

Mar 19, 2009 - Host: Arboretum ViewTopic: Evaluation of twice-daily, low-dose trilostane treatment administered orally in dogs with naturally occurring hyperadrenocorticism – Timothy Ness, DVM, DACVD

Feb 19, 2009 - Host: Great LakesTopic: Association of periodontal disease, oral procedures, and other clinical findings with bacterial endocarditis in dogs– Kirstin Boddy DVM, DACVIM- Cardiology

Jan 15, 2009 - Host: SouthPawsTopic: Trichuris suis Therapy for Active Ulcerative Colitis: A Randomized Controlled Trial – Betsy Dayrell-Hart, DVM, DACVIM-Neurology

Dec 17, 2008 - Host: WesternVetTopic: Results of the Confidential Enquiry into Perioperative Small Animal Fatalities Regarding Risk Factors for Anesthetic-related Death in Dogs – Matt Read, DVM, DACVA

Sunday, May 3, 2009 - Host: Chicagoland Veterinary Dermatology Group The Skin – A Window to the Body (and Mind) Continuing Education Seminar– Timothy A Ness, DVM, DACVD

April 8th, 2009 - Host: Denver Area Veterinary Medical Society, Denver, CO.Oncology Update; 5 Hours of CE Lecture – Philip J. Bergman DVM, PhD, DACVIM-Oncology

March 29, 2009 - Host: SouthPawsTechnicians CE ExtravaganzaOn March 29th, SouthPaws Veterinary Specialists and Emergency Center welcomed nearly 250 veterinary technicians plus a few veterinarians and technician assistants from Virginia, Washington, DC, and Maryland to our 3rd Biennial Technician CE Extravaganza. Speakers included many SouthPaws technicians and doctors. Topics presented were as follows:Spinal Imaging (radiographs, myelography, CT, MR) – Cynthia Sloan, DVM, Diplomate ACVR – Radiology – Robert Toal, DVM, Diplomate ACVR – RadiologyChronic pain management for cancer patients and other creaky old dogs / cats– Sarah Sheafor, DVM, Diplomate ACVIM – Oncology Acute pain management – pre-op, intra-op, post-op – Jeff Norton, DVM, SouthPaws Surgery – Trisha Yarde, DVM, SouthPaws CritiCareParaparesis – differential diagnoses, diagnostics, therapy prognosis– Mike Knoeckel, DVM, Diplomate ACVIM – NeurologyLuncheon Speaker – Advanced Allergy Control, Good Medicine for Long Term Comfort– D.D. Clark, DVM, CCRP, Professional Services Veterinarian, Virginia, Novartis Animal Health US, Inc Parapalegics / Paralyzed patients and Rehabilitation Therapy – Carol Wasmucky Acupuncture for treatment of mobility problems – Marilyn Khoury, VMD, Veterinary Holistic MedicinePlans are already underway for our 5th Technician CE Extravaganza on October 4th 2009.

March 26-27, 2009 - Host: ABVP Invited lectures for AAHA Annual Conference, Phoenix, AZ.Mast Cell Tumors – 1) Diagnosis & Staging, 2) Treatment, 3) Prognostic Factors (1 hour each) – Philip J. Bergman DVM, PhD, DACVIM-Oncology

C ntinuingEd

HeartBeats Summer2009

HIGHEST STANDARDS. EXCEPTIONAL CARE. HEALTHIER PETS. 8

Arboretum View Animal Hospital2551 Warrenville Road, Downers Grove, IL 60515 P: (630) 963-0424 F: (630) 963-0537 www.avah.orgCenter for Specialized Veterinary Care609-5 Cantiague Rock Road, Westbury, NY 11590 P: (516) 420-0000 F: (516) 420-0122 www.vetspecialist.comFarmington Valley Veterinary Emergency Hospital9 Avonwood Road, Avon, CT 06001 P: (860) 674-1886 F: (860) 674-8314 www.farmingtonvet.comGreat Lakes Veterinary Specialists5035 Richmond Road, Cleveland, OH 44146 P: (216) 831-6789 F: (216) 831-4653 www.greatlakesvetspec.comKatonah Bedford Veterinary Center546 N. Bedford Road, Bedford Hills, NY 10507 P: (914) 241-7700 F: (914) 241-7708 www.kbvetcenter.comSouthPaws Veterinary Specialists & Emergency Center8500 Arlington Blvd., Fairfax, VA 22031 P: (703) 752-9100 F: (703) 752-9200 www.southpaws.comWestern Veterinary Specialist & Emergency CenterWestern Veterinary Cancer Center1802 10th Ave. SW, Calgary, Alberta, Canada T3C 0J8 P: (403) 770-1340

or (866) 770-1340F: (403) 770-1344 www.westernvet.ca www.animalcancercentre.ca

BrightHeart Hospitals From Page 1 - Newest Hospital: CSVC

Animal Rehabilitation, Behavior, Cardiology, Dermatology, Emergency and Critical Care, I-131 Radioiodine Therapy, Internal Medicine, Neurology & Neurosurgery, Oncology, Radiology & Imaging and Surgery. Additionally, CSVC has the Compassionate Care Center - The world’s first veterinary care center where owners can stay overnight with their pets during hospitalization.

We welcome our newest hospital and the dedicated staff that will help further advance the BrightHeart mission!

Waiting Room

Linear Accelerator

Prep Room

Compassionate Care Center

Reception Area

Emergency Care Center

Ultrasound

Owner With Pet In CCC