The Pulse Of Veterinary Medicine

Vet-To-Vet Conversation With IDEXX

Graham Bilbrough

Graham Bilbrough

After graduating from the University of Cambridge, Dr. Bilbrough spent a year in mixed practice in Oxfordshire, England, before returning to Cambridge to become the British Small Animal Veterinary Association (BSAVA) Petsavers resident in anesthesia and critical patient care. Later he became the senior anesthetist at the Queen’s Veterinary School Hospital, responsible for the clinical anesthesia service and intensive care unit. Dr. Bilbrough joined IDEXX UK in October 2006, and after working for IDEXX across Europe, he moved to the Westbrook, Maine, headquarters, where he is a medical affairs manager.

Preventive care screening tests: why now?

Preventive care has always been important to veterinary professionals, but lab work has not been a regular part of the preventive care toolkit. 

Fructosamine is an average diabetes test. Here’s why that’s a good thing.

Fructosamine testing looks beyond the hour-to-hour and day-to-day blood glucose fluctuations, to provide the patient's average glucose over the previous 2–3 weeks. Fructosamine testing is integral to a thorough assessment of glycemic control. The bottom line: fructosamine is big picture, whereas blood glucose curves (BGCs) are hour-to-hour, and both are important.

New research shows in-house total T4 test as accurate as reference laboratory testing

Given that thyroid disease is common, especially in older pets, and the clinical signs sometimes subtle, it’s typically recommended to include total T4 (TT4) in chemistry profiles for all cats greater than seven years of age and for dogs with any hint of hypothyroidism. Furthermore, patients receiving therapy for thyroid disease require frequent monitoring of TT4. No matter how you look at it, TT4 is a frequently run, essential test.