Veterinary Specialist Care
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Keith Kremer DVM DACVIM
Internal medicine expertise for pets                                                   
Partnering with you, the primary care veterinarian, to enhance patient care in your hospital
Ultrasound plays a vital role in the diagnosis and treatment of many patients with
complex or serious health issues, and patients are often referred to an internal medicine
specialist for their expertise in performing the procedure.  Having worked in strictly referral practice for the past two decades in a variety of capacities, I have recognized that many patients can benefit from sonography and specialist evaluation performed on a mobile basis, making specialty care more accessible to clients, while improving the care provided in the primary care veterinarian's office.  ​Not only does this keep the family vet more fully involved in the care of his or her patients, it helps broaden services provided by the clinic in an uncertain economy.  The service also enhances the veterinarian-client bond, as well as fostering a collaborative working relationship between the referring vet and the specialist

Mobile appointments include a comprehensive consultation of the patient, including review and interpretation of previous diagnostics, as well the ultrasound itself being performed by a board-certified specialist with over 20 years of experience in sonography.  Following the ultrasound, findings will be discussed in person with you as the primary care doctor, and recommendations made for continued care of the patient, all of which will also be printed in a written report during the visit.  Ultrasound images will also be generated for the patient's medical record.  Please note this is a consultation service for veterinarians, and that all client communication is handled through the referring veterinarian's practice.
To schedule a mobile case
  • Available M, W, F
  • Complete a referral form and fax to 757-605-1612.  You may download a form here.
  • Please note that the vet office must schedule the mobile case, not the client.
  • Have the owner drop off the pet (fasted) at your clinic on the morning of the ultrasound
  • We will call your office the afternoon before the visit to confirm an approximate time of arrival (note this could change during the day and we will do our best to keep you updated of any changes)
  • Obtain client consent for:
  • Sedation
  • Clipping fur
  • Possible fine needle aspiration
  • One or two assistants will be needed to help with restraint of the patient during the ultrasound - the scan usually takes 10 - 20 minutes.  Any sedation will need to be provided through your office.
  • A quiet, dark room with a suitable table will be needed (exam rooms and surgery suites often work well). 
Common indications for mobile sonography
  • ​Cushing's disease
  • Hepatopathies
  • Lower urinary problems
  • Recurrent UTI's
  • ​Abdominal masses
  • Effusions
  • Staging of neoplasia
  • ​Suspected pancreatitis
  • Suspected GI obstruction
  • Fevers of unknown origin
  • Renal disease of unknown cause
​DOB ~2006.  Excellent condition, used very little, no problems.  Oxygen sensor replaced in 2014 and has not been used since then!
Overall size 46 3/4" W x 68 1/2" T x 27 1/2" D.  
Top oxygen cage measures 29 3/4" T x 21 1/2" W x 26" D.
Bottom cage has removable divider and measures 45" W x 30" T x 26" D.
Excellent condition
3 - 24 x 24 x 29
2 - 30 x 30 x 29
2 - 33T x 36W x 29D
1 - 30T x 24W x 29D
EKG - NIHON KODEN MODEL ECG-9130K
INCL 8 PACKS OF EKG PAPER
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CART - STAINLESS STEEL 23 X 35 X 35
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EQUIPMENT FOR SALE
MAYO STAND
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HEMATA-STAT II CENTRIFUGE
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SURGICAL TABLE    
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GAS STERILIZER ANPROLENE AN74i
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FLOOR SCALE - REGAL 300
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DISPOMED ANESTHESIA MACHINE.  NO VAPORIZER OR SODA CANISTER.
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​DISPOMED ANESTHESIA MACHINE
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ISOFLURANE VAPORIZERS
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DOUBLE FLUID PUMP
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FLUID PUMP
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XRAY GOWN, THYROID SHIELD, SAND BAGS, GLOVES, GOWN/GLOVE HOLDER
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FLUID PUMP CAGE STAND
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​EXAM TABLE
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EXAM TABLE
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XRAY VIEW BOX - DOUBLE
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XRAY VIEW BOX - SINGLE
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STAT SPIN CENTRIFUGE
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CENTRIFUGE
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MICROSCOPE
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NINE CHAIRS
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BABY SCALE
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ENDOSCOPY TOWER
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BEDSTAND - VERY HANDY ROLLING STAND!
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