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Location - Carnation, WA 98014

VETERINARY CLINICS

Partnering with Dr. Sabey

Establishing a partnership for your orthopedic surgeries is simple. Every hospital is unique in their needs. However, here is a quick summary of how this partnership usually works:

Diagnosis

Once you identify an orthopedic issue requiring surgery, it is best to obtain radiographs right away.

Once you have identified a surgical case and obtained radiographs, the next step is to email me what you have and let me take a look. I’ll look at the x-rays and make sure I’m in agreement that the radiographs support the diagnosis. I also want to be sure we both agree that the animal is a good surgical candidate based on the information we have.

If the patient is scheduled for surgery, I will do my own orthopedic examination during the prep time before surgery. If for some reason the previous diagnosis doesn’t match the orthopedic exam, then we will cancel surgery if needed. This is a pretty rare occurrence.

Scheduling

Once I’ve looked at the radiographs you’ve sent me, I’ll respond with my recommendation and a list of currently available dates for surgery. You set up a surgery date with the pet owner, and then let me know which date was settled on so I can block it in my schedule.

Surgery Day

I will let you know my time of arrival before surgery day. It is best if the patient has an intravenous catheter already placed before arrival, so we can be efficient in our use of time. Having a premedication already on board is also a good idea.

As before mentioned, I will perform an orthopedic exam on each patient before surgery. This allows me to be more sure of the diagnosis before proceeding with surgery.

A typical arrival time for surgery is 8am or 9am. Prep for surgery usually takes about an hour and a half. Actual surgery time is typically between 1-1.5 hours for a TPLO. Surgery is typically completed and cleaned up by noon or 1pm.

I usually only need one technician’s help before, during, and after surgery. This would include surgical prep, surgery set-up, a brief period of scrubbing in, and postop care. The anesthetic protocol you have already established in your hospital is what will be used during surgery.

Communication with Owner

Shortly after surgery, I call the pet owner and give them a thorough run-down of how things went in surgery, prognosis, and expectations. I also give them a thorough debriefing on what is expected of them during the rehabilitation period. This is also a good time for clients to ask their questions and get feedback.

With every surgery, I provide an information packet for owners to read regarding their pet’s surgical procedure. Information here typically includes a description of the surgery, instructions for postop rehabilitation, and specific warnings of things to look out for. In my packet, I provide the client with my number and email address and encourage them to contact me with questions or concerns during the postop period.

Recheck Appointments

Clients are instructed to bring their pet back to your hospital for two recheck appointments postoperatively:

  1. An incision check at 14 days postop. I will have instructed them to keep an E-collar on for two weeks after surgery. This appointment is intended to ascertain whether the incision has properly healed or not. If the incision is healed, the clients are told that they can remove the E-collar. This appointment is typically handled by an experienced technician.
  2. I ask that a second recheck appointment be made at 10 weeks postoperatively. This appointment can be made either with a veterinarian or a technician. The reason for this appointment is to obtain a single lateral view radiograph of the surgery leg. (two views for fracture repairs).

Once you have obtained a 10 week x-ray, please email it to me so I can take a look. Once I’ve seen it, I will call the owner once again and touch base. If there is good evidence of callus formation and the patient is doing well, we will consider it a clinical union and allow the patient to move on to the next phase of rehab. For some surgeries this means resuming normal activity. For other surgeries, such as a TPLO or fracture repair, it means moving on to the next phase of rehabilitation where increase activity is introduced more gradually.

Surgery Fee Schedule

My surgery fees are the same regardless of weight. They are:
  • TPLO……$1,500
  • MPL…….$1,200
  • FHO…….$1,200
  • Fracture repair…$1,500
  • Lateral Suture….$1,200
* This does not include your hospital facility fees.

Payment

It is preferred that clients pay the combined hospital costs and surgery fee directly to the veterinary hospital.

After surgery, I will generate an invoice for my surgery fee. A check from the hospital is the preferred method of payment, although direct deposit is fine too.

Good Relationships

The people I’m working with are as important to me as the work that I’m doing. I have always had good working relationships and friendships with the people I associate with at veterinary hospitals.

Having good communication and a respectful interaction with both veterinarians and technicians is a high priority in my mind. Working together can be a pleasure.
I sincerely hope you will consider partnering with me!

Riverbend Veterinary

Riverbend Veterinary orthopedic surgeries performed in-house at your local veterinary clinic in King County, WA and surrounding areas.

Contact Details

Carnation, WA 98014

(913) 708.3394

info@riverbendveterinary.com