At Home Veterinary

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At Home Veterinary

Preventive Care

Dental Care
It is important to maintain your dog’s dental health. Plaque is an accumulation of bacteria and is a sticky substance that begins to accumulate on the teeth within hours after a meal or even after a professional tooth cleaning. Within a day, plaque combines with minerals that are present in the saliva to become tartar, also known as calculus. A list of dental products and diets that have been accepted by the Veterinary Oral Health Counsel can be found at vohc.org. These accepted products have been shown to decrease the accumulation of plaque and/or tartar by at least 20%.

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Location: One International Place
Neighborhoods: Downtown Boston, Financial District
Other Link: http://pacific-crest.com
Category: Veterinarians

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Phone: (617) 753-9300

Address: 1 International Pl, Boston, MA 02110

Website: http://pacific-crest.com

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At Home Veterinary

Preventive Care

Dental Care
It is important to maintain your dog’s dental health. Plaque is an accumulation of bacteria and is a sticky substance that begins to accumulate on the teeth within hours after a meal or even after a professional tooth cleaning. Within a day, plaque combines with minerals that are present in the saliva to become tartar, also known as calculus. A list of dental products and diets that have been accepted by the Veterinary Oral Health Counsel can be found at vohc.org. These accepted products have been shown to decrease the accumulation of plaque and/or tartar by at least 20%.
Vaccination
We recommend vaccinating your pet against serious but preventable diseases like rabies, distemper, and other diseases. Thanks to effective vaccines and routine vaccination protocols, the incidence of these diseases is low, but when they occur, they can be severe and even fatal.
Veterinary Ophthalmology
Thyrotoxic cardiomyopathy. Hypertension develops due to the increased pumping pressure and elevated heart rate that occurs with thyrotoxic cardiomyopathy. In some cats, blood pressure can become so high that retinal hemorrhage or retinal detachment will occur and result in sudden blindness.
Behavioral Counseling
Active cats will benefit from having outlets for appropriate activities. Provide a variety of toys, including food puzzles, to maintain your cat’s interest (see handout “Cat Behavior and Training – Enrichment for Indoor Cats”). Social enrichment is also important; provide your cat with a predictable daily routine that includes play sessions with you.
Nutritional Counseling
In the dog, the signs of a food allergy are usually itchy skin, paws, or ears or digestive disturbances such as vomiting or diarrhea. Other more subtle changes can also occur, including hyperactivity, weight loss, lack of energy, and even aggression.
Comprehensive Examination
Annual pet exams are vital for ensuring the well-being of your furry companions. These routine check-ups provide an opportunity for veterinarians to assess your pet's overall health, detect any potential issues early on, and tailor preventive care plans to suit their individual needs. Annual exams help keep your pets happy, healthy, and thriving for years to come. Don't wait until problems arise – schedule your pet's annual exam today and give them the gift of optimal health and wellness.

Illness Treatment

Parasites Treatment and Control
This handout gives an overview of some of the internal parasites that can infect your cat. For more detailed information, refer to the separate handouts “Roundworm Infection in Cats”, “Hookworm Infection in Cats”, “Tapeworm Infection in Cats”, and “Heartworm Infection in Cats”.
Behavioral Disorder Treatment
Pain Management
While Dr. Leavey enjoys all aspects of veterinary medicine, she has a special interest in the pain management of geriatric patients. Dr. Leavey joined At Home Veterinary for a more personal and stress-free experience for pets and their families.
Vomiting Treatment
Diarrhea Treatment
Whipworms are small, usually only 1” to 2” (25-50 mm) long. They live in the large intestine where they cause irritation and inflammation. Symptoms of whipworm infection include chronic watery diarrhea, bloody diarrhea, and weight loss.
Skin Condition and Allergy Treatment
A food allergy refers to an adverse reaction caused by the immune system (an allergic reaction) to a specific protein found within food. Although we understand the mechanism by which food allergies occur in cats, it is not known why they occur. It is not yet determined why some cats develop food allergies and others do not.
Upper Respiratory Illness Treatment

Infection Treatment

Leptospirosis Treatment
Even if you have a sociable pet who loves going to the clinic, housecalls offer an added aspect of care. Because the doctor is at home with your pet, he or she can see and understand the environment and will tailor their recommendations to your pet’s specific needs and circumstances. For example, a dog who lives next to a stream or pond needs a leptospirosis vaccination, but a dog in a highrise apartment who never goes near a lake can skip this vaccine. Or the doctor may notice that your older, arthritic dog’s food bowls are on the ground, and it might be easier for her to eat if they were raised up a bit. When our doctors can see and relate to your pet’s experience this way, they can offer medical care that combines both the clinical picture of exams and diagnostic tests with the bigger picture, resulting in the best possible care.
Parvovirus Infection Treatment
Feline Retro Virus Treatment
Bacterial and Viral Infection Treatment
Hookworms are one of the most significant intestinal parasites of dogs. The hookworm is approximately 1/2” to 1″ (1-2 cm) long and attaches to the lining of the small intestines, where it feeds on blood. As a result of this bloodsucking, hookworms can cause severe anemia. The infective larvae enter the host either by mouth or through the skin, particularly the feet. Eczema and secondary bacterial infection can result due to irritation as they burrow through the skin.
Urinary Tract Infection Treatment
Urine testing can help us determine whether there is a urinary tract infection and, if so, what specific antibiotics will best treat the infection. Signs of a urinary tract infection include frequent urination, a cat urinating outside of the litterbox, or a dog having urinary accidents in the house.

Chronic Condition Treatment

Hip Dysplasia Treatment
A. phagocytophilum, often causes lameness, joint pain, fever, lethargy, and anorexia (lack of appetite). Most infected dogs will have symptoms for one to seven days; however, some will have only minor symptoms or none. Less common clinical signs include vomiting, diarrhea, coughing, and labored breathing. Rarely, neurological signs such as seizures have been reported.
Diabetes Treatment
Diabetes mellitus is a disease of the pancreas. This small organ located near the stomach has two different types of cells that have very different functions. One group of cells produces the enzymes necessary for proper digestion. The other group, called beta-cells, produces the hormone insulin, which regulates the level of glucose or sugar in the bloodstream and controls its delivery to the tissues of the body. In simple terms, diabetes mellitus is caused by a deficiency of insulin. The clinical signs seen in diabetes mellitus are related to the elevated concentrations of blood glucose and the inability of the body to use glucose as an energy source.
Thyroid Disease Treatment
Methimazole is used to lower the amount of thyroid hormone in the blood. This medication will not cure hyperthyroidism, but will help control the disease.
Heart Disease Treatment
Diagnosis is based on your pet’s medical history, including any medications, clinical signs, and the results of common blood and urine tests, most notably electrolyte imbalances. The most definitive diagnostic test for Addison’s disease is the ACTH- stimulation test. In this test, cortisol levels are measured before and after injection of a synthetic form of ACTH (see handout “Testing and Monitoring in Addison’s Disease” for more information). Additional tests such as basal cortisol levels, natural plasma ACTH, electrocardiogram (ECG), radiographs (X-rays) or abdominal ultrasound may be performed to rule out another cause for your pet’s clinical signs. In rare instances MRI or CT may be needed to diagnose a pituitary gland problem.
Kidney Disease Treatment
Administering supplemental fluids can benefit dogs with a variety of medical conditions. Most commonly, home fluid therapy is recommended for dogs with kidney disease or chronic kidney disease (also known as chronic renal failure). If your dog is diagnosed with a condition that will benefit from fluid therapy, your veterinarian can teach you to perform this simple procedure. Do not be alarmed – it is normal to feel hesitant or apprehensive about administering any treatment to your pet.
Periodontal Disease Treatment
It is estimated that over 2/3 of dogs over the age of three have periodontal disease, an inflammation or infection of the tissues surrounding the teeth. Periodontal disease starts as gingivitis caused by plaque and often progresses to involve the bony tooth sockets. Left untreated, periodontal disease can lead to painful tooth loss.

Veterinary Surgery
Adrenal tumor. Treatment of an adrenal tumor requires major abdominal surgery. If the surgery is successful (the entire tumor is removed) and the tumor is not malignant, there is a good chance that the dog will regain normal health. If surgery is not an option, some of these patients can be managed with medication, as discussed below.

Laboratory Services
There are blood tests that may indicate whether the dog is allergic to specific foods. These are called serum IgE tests, and your veterinarian will discuss whether they would be of benefit in diagnosing your pet’s condition. There is some evidence suggesting that this blood testing is not as effective as food elimination trials.
X-Ray
Several tests are performed before choosing any form of treatment. These tests are needed to evaluate the overall health of the cat and predict the chances for complications with the chosen treatment protocol. Such tests include blood tests, urinalysis, chest x-rays, ECG, and blood pressure measurement. Cardiac ultrasound or echocardiography may be recommended based on your cat’s condition, especially if there is any concern about cardiomyopathy.
Microchipping
Microchips reunite lost pets with their owners. As veterinarians and pet owners, we recommend microchipping as a safe, permanent, and effective way to identify your pet should he or she ever stray from home.

General Pet Care

Grooming
We provide only limited grooming for our veterinary patients (such as nail trims on dogs and cats we are already seeing for medical needs). For other grooming, we recommend trying a mobile pet groomer who can provide full grooming services.
Senior Pet Care
Unfortunately, the early diagnosis of chronic renal failure is very difficult. Neither clinical signs of renal failure nor rises in BUN and creatinine are evident until significant loss of kidney function has occurred. In earlier stages of disease, there are no clinical signs to indicate that renal function tests, which can pick up early renal damage, are required. Therefore, we recommend that all senior pets have at least a urinalysis performed every six to twelve months to diagnose kidney disease at it earliest detectable stage. A low urine specific gravity or an increase in protein levels in the urine may indicate that the kidneys are not functioning optimally.
House Calls
Dr. Liz Oram was born in Scituate, Massachusetts, and she knew from a young age she wanted to be a veterinarian. She completed her undergraduate work in pre-veterinary medicine at the University of New Hampshire in Durham. She received her Doctorate of Veterinary Medicine from Kansas State University College of Veterinary Medicine in 2000. After graduation, Dr. Oram was accepted into a oneyear internship program at VCA South Shore Animal Hospital in Weymouth, MA. Since completing her internship, Dr. Oram has worked at hospitals in the Metrowest and South Shore areas. Dr. Oram is a member of the American Veterinary Medical Association, the American Animal Hospital Association, and the Massachusetts Veterinary Medical Association. She enjoys that veterinary house calls allow her to spend more time with her patients and their families. In her free time, she enjoys cooking, traveling, and spending time with her husband, two kids, dogs, Maisy and Luke, and cat Alice.

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