EMERGENCY CARE Cokato, MN • (320) 286-5102
Waverly, MN • (763) 658-2106

Our Services

Wellness Services
Comprehensive Physical Examinations - A thorough physical exam is crucial part of keeping your pet healthy, by allowing for early detection of disease and prompt treatment. Our veterinarians and technicians are trained to look for subtle changes that can be clues to the presence of an underlying disease. We feel that routine physical exams are so important that every pet receives a complimentary one at their annual appointment prior to the administration of any vaccines.
Individualized Vaccination Protocols - Routine vaccinations are an important part of maintaining a healthy pet. Vaccines are a safe and effective way of preventing many diseases that can be life threatening or fatal. In order to provide the most comprehensive protection to each pet we tailor the vaccination plan to best fit each pet's unique lifestyle.
Nutritional Assessment - Providing your pet with proper nutrition is one of the most important parts of keeping your pet healthy. Proper nutrition is vital to helping a pet maintain a healthy weight. Our veterinarians and staff are happy to help you choose the proper food for your pet as well as determine an adequate daily food dose to ensure your pet maintains a healthy weight. If your pet has spent a little too much time at the food bowl we are also happy to help formulate a plan for healthy weight loss.
Geriatric Screening & Support - All pets have different needs as they age depending on their species, breed, and lifestyle. The average dog is considered to be geriatric between 7 and 9 years of age and the average cat around 10 years of age. Once a pet is in their geriatric years medical issues and chronic diseases become much more common. Annual physical exams, blood tests, urine screens, and radiographs (x-rays) can help detect problems such as diabetes, hyperthyroidism, chronic kidney disease, and osteoarthritis. Early detection and treatment of these diseases will help ensure your pet maintains the best possible quality of life in their golden years.
Preventative Parasite Screening - Annual fecal exams are the best way to detect if your pet has contracted an intestinal parasite. Early detection of an infection allows for prompt treatment which will decrease environmental contamination (which can lead to recurrent infection with the same parasite) and helps protect other pets and people in the house from the possibility of contracting the same infection. Clinical signs of an intestinal parasite infection include vomiting, diarrhea, and weight loss. Pets typically do not exhibit these clinical signs until the infection has become severe. It is much better and easier to screen your pet for an intestinal parasite than it is to wait until your pet is showing clinical signs of a severe infection.
Ear Cleaning - Ear infections are common among pets and if left untreated can become a major problem. The best way to prevent ear infections is to keep your pet's ears clean and to thoroughly dry the ears with cotton balls after your pet gets a bath or has been swimming. Our technicians are ear cleaning experts and are always willing to give your pet a thorough ear cleaning or teach you how to properly clean your pet's ears at home.
Microchip Implantation - Microchipping your pet links your name, address, phone numbers, your pet's name and other vital information in AKC Reunite’s database with your pet's microchip ID number. Microchips are about the size of a grain of rice and are encoded with a unique ID number. No two microchips will have the same ID number. They are placed between your pet’s shoulder blades under the skin with a veterinarian’s supervision. Implantation is quick, easy and virtually painless and can be performed during a routine clinic visit. To clarify, a microchip is not a GPS tracking device. It can only be activated for a few seconds at a time by a handheld scanner that is passed over the area where the chip was implanted on the pet. Veterinary clinics, humane societies and many pet shelters have these scanners and use them to help identify lost pets. Pre-registered AKC Reunite microchips are available upon request.
Nail Trimming - Frequent nail trimming is an important part of routine pet grooming. When your pet’s nails become too long they can break or crack. Nails that are damaged can cause significant pain and sometimes result in a severe infection. Long nails can also cause an irregular gait which can lead to musculoskeletal damage. We use specifically designed nail trimmers for cats and dogs of different sizes to safely trim away the excess nail bed, while providing a safe and calm environment.
Anal Sac Expression - The anal sacs are two small pouches located on either side of the anus at approximately the four o’clock and eight o’clock positions. The walls of the sac are lined with a large number of glands that produce a foul smelling fluid. The fluid is stored within the anal sacs, which release their contents to the outside through a small duct or canal that opens just inside the anus. If you notice your pet is scooting, rubbing, or licking their rear end, they likely need their anal sacs expressed. If left untreated the anal sacs can become inflamed, impacted, and infected. Anal sac infections can cause permanent damage to the glands and the surrounding tissue, which can lead to subsequent episodes of impaction and infection. If your pet is exhibiting any of the aforementioned behaviors then they should be seen by a veterinarian to have their anal sacs manually emptied. In order to empty the anal sacs, the sac is gently expressed by grasping it between the thumb and forefinger and applying steady gentle pressure, thereby expressing the contents of the gland.
OFA (Orthopedic Foundation for Animals) Evaluations - Evaluations by OFA are performed in order to screen for heritable conditions prior to breeding. Testing for orthopedic and genetic diseases prior to breeding an animal helps to promote the health and welfare of companion animals by promoting responsible breeding. This helps to encourage and establish control programs to lower the incidence of orthopedic and genetic diseases. Pets do not need to be purebred or registered in order to perform OFA evaluations.
Health Certificates (domestic/international) - When traveling across state or international borders, a health certificate is required. In order to obtain a certificate your pet must be examined, up to date on vaccinations, and found to be free of disease. Health certificates can only be issued by a licensed veterinarian.


Diagnostic Services
Complete Blood Count - This test assesses the number and appearance of red blood cells, white blood cells, and platelets in the blood. Red blood cells transport oxygen in the blood, most white blood cells help fight infection, and platelets are important for proper blood clotting. A CBC is a useful test to help aid in the diagnosis of many different types of diseases.
Comprehensive Chemistry Profile - This is a test that is used to determine a pet's general health status by evaluating the body's electrolyte balance, blood sugar, cholesterol, blood proteins, and/or the status of several major body organs such as liver and kidneys.
Basic Chemistry Profile (Pre-Anesthetic Screening) - This test is an abbreviated version of the full chemistry profile with an emphasis on those values that best assess for abnormalities related to the liver or the kidneys. The test also provides blood sugar and blood protein levels. The basic chemistry profile is most commonly used as a pre-anesthetic screening in a healthy pet that will be undergoing an elective procedure such as a spay, neuter, or dental cleaning.
Urinalysis - This urine test helps detect abnormal kidney function, metabolic disease, urinary tract infections, and crystals in the urine. Abnormal kidney function can be assessed by determining the kidneys ability to concentrate urine (urine specific gravity or USG), different types of metabolic diseases can cause abnormal waste products to be present in the urine, and bladder infections are diagnosed by the presence of bacteria in the urine.
Thyroid Profile - This test is used for routine screening of hypothyroidism in dogs, hyperthyroidism in cats, monitoring patients on thyroid hormone replacements, and patients being treated for hyperthyroid disease.
Urine Specific Gravity - This test evaluates the kidneys ability to adequately concentrate urine. Lack of ability to concentrate urine properly by the kidneys is many times an indicator of a serious underlying medical condition.
Fine Needle Aspiration & Cytology - This procedure involves inserting a small needle into an abscess, lymph node, or tumor to collect a small amount of tissue. This tissue is then spread onto a slide, stained, and examined under a microscope for any evidence of infectious agents (bacteria, fungus etc.), abnormal cells, or cancerous cells.
Biopsy & Histopathology - A biopsy is a more comprehensive procedure than a fine needle aspiration (removal of a cellular sample) that involves removing either all or part of an affected area of tissue. The larger sample size allows for a more thorough analysis of the tissue and thereby a clearer picture of the disease process present in the affected tissue. It is most frequently used to determine whether a tumor is malignant or benign and to determine if the tumor has been completely excised (cut out). Biopsies are also performed for diagnosis of common disease processes such as infections.
Urine Culture & Sensitivity - This test is used to determine if bacteria are present in the urine, what type of bacteria are present, and which antibiotics the bacteria present are susceptible to. The results of this test will definitively determine whether or not a pet has a urinary tract infection.
Fecal Screen - Routine annual fecal exams are recommended to determine if your pet has intestinal parasites (roundworms, hookworms, tapeworms, etc.) Many intestinal parasites are zoonotic, meaning the disease can be spread from animals to people or, a disease that normally exists in animals but can infect humans.
Heartworm, Lyme, Erhlichia, & Anaplasma Test (4DX Test) - This is an enzyme immunoassay test used to screen for heartworm disease and tick borne diseases such as Lyme disease, Anaplasmosis and Ehrlichiosis. The tick borne diseases can cause joint pain, abnormal bleeding, neurologic damage, and kidney failure. Heartworm disease can lead to lung and heart disease. This test is performed in-clinic and the results are available within minutes.
Leptospirosis Serum Test - This test uses a diagnostic technique known as serology to test blood for the presence of this infectious organism. Leptospirosis is a worldwide zoonotic (can be spread from animals to humans) disease of domestic animals and wildlife. It is caused by a spirochete bacteria.
Radiology (X-ray) - Radiographs or x-rays as they are commonly referred to are an important diagnostic tool in diagnosing everything from broken bones to foreign bodies (items a pet has eaten).


Internal Medicine Services
Acute & Chronic Disease Management (e.g., diabetes, thyroid disease, kidney disease, etc) - Timely and comprehensive disease diagnosis and management are an important part of providing our clients and their pets with the best possible care. In order to accomplish this goal we utilize both are in-house and reference laboratory diagnostic services to ensure a thorough diagnostic assessment has been performed. In the event that a patient requires advanced diagnostic testing (such as abdominal ultrasound or an MRI) or extensive medical management by an internal medicine specialist, we work closely with a number of specialty referral hospitals that are well-equipped to handle these cases.


Surgical Services
General Surgery (laceration repair, mass removal, etc.) - We offer a wide variety of general surgical services that are tailored to each patients specific needs when surgical intervention is deemed necessary. Common surgical procedures performed include laceration repair and tumor removal. These procedures require knowledge of a broad spectrum of diseases and wounds that necessitate surgical treatment.
Ovariohysterectomy (Spay) - This is a surgical procedure that involves the removal of a female cat or dog’s ovaries and uterus (reproductive organs). Ovariohysterectomies are similarly performed in both dogs and cats and involve making an incision into the patient's abdomen, locating the reproductive organs, ligating (tying off) the associated arteries and veins, and removing the reproductive organs from the abdomen. Spays are commonly performed and are generally considered as routine by both clients and veterinarians, however, it needs to be remembered that a spay is still a major abdominal surgery that has the potential for serious complications. A spay is typically performed around six months of age to help prevent reproduction, reproductive behavior, pyometra (life-threatening uterine infection) and dramatically reduces the risk of mammary (breast) cancer.

Canine Spay FAQ
Feline Spay FAQ
Castration (Neuter) - This is a surgical procedure that removes a cat's or dog's testicles. The procedure is slightly different depending on whether it is being performed on a cat or a dog. A cat neuter is performed by making an incision on the scrotum and removing the testicles directly from the scrotum, while a dog neuter is performed by removing the testicles through an incision that is made just in front of the scrotum. Aside from the goal of eliminating the ability of a cat or dog to reproduce, male pets are also castrated to reduce or eliminate many undesirable male behaviors such as urine marking, mounting, aggression, and roaming.

Canine Neuter FAQ
Feline Neuter FAQ
Onychectomy (Declawing) - Declawing is a surgical procedure that involves the removal of the distal phalanges (the bones at the tips of the digits that are attached to the claws) and the associated claws of all digits on front paws or both the front and rear paws in felines. It is an elective procedure and is most commonly performed to prevent the cats from scratching at furniture, carpet, etc. In cases where cats live with individuals that have bleeding issues or are immunocompromised declawing is strongly recommended. The decision to declaw or not to declaw is hotly debated and owners should give serious consideration to other types of behavior management prior to deciding to have the procedure performed.

Declawing and Its Alternatives
Declawing
Declawing Your Cat: Should You or Shouldn't You?
Dewclaw Removal & Tail Docking - The removal of dewclaws and tail docking are both elective surgical procedures and are typically performed within the first 1-3 days after birth, without the aid of general anesthesia. In older dogs general anesthesia is required to perform both dewclaw removal and tail docking. Dewclaw removal is the removal of the first digits found on the inner sides of the front legs and/or back legs. Dewclaws are most commonly removed on hunting breeds to prevent injury to the digit while the dog is in the field. Tail docking is the removal of part of the tail and is usually done to comply with breed standards or in working dogs to protect their tails from injury.
Aural (Ear) Hematoma Repair - An ear hematoma is a pool of blood that collects within the earflap due to a ruptured blood vessel between the skin and cartilage in a cat or dog's earflap. Ear hematomas are most often caused by overly aggressive ear scratching or head shaking due to an ear infection. Ear hematomas are very painful and without proper management can leave the animal with a severely disfigured ear and the potential for future problems, e.g. ear infections. The most common surgical repair involves making an incision on the inside of the earflap to drain the blood and then placing multiple sutures through the earflap to allow the two sides of the earflap to heal back together. The sutures are then removed from the ear in 10-14 days.

Aural Hematoma
Entropion Correction - Entropion is a condition where an animal's eyelids are rolled inward thereby allowing the eyelashes or hair around the eyes to rub on the surface of the eye. Entropion is a painful condition that can lead to permanent damage to the outer surface of the eye and subsequent vision loss. Surgical correction of the problem involves removing a narrow strip of skin just beneath the eye to roll the eyelid outward and back into its normal position.

Entropion
Surgical Biopsy - A surgical biopsy involves the surgical removal of a tissue from the body so that it can be examined microscopically to determine if a disease is present. The most common reason for a biopsy is to diagnose whether a tumor is benign or malignant. Biopsies are also useful to diagnose specific bacterial, viral, or fungal diseases.
Caesarean Section (C-section) - C-section is the surgical removal of a fetus or fetuses from the uterus. A C-section is most commonly performed when a pet is having a difficult time giving birth. The pet is placed under general anesthesia and an incision is made into the abdomen to gain access to the uterus. Once the uterus has been exposed an incision is either made into one or both of the uterine horns to provide access to the fetuses. All fetuses are then removed along with the placentas. The fetuses are stimulated immediately after being removed and the nose and mouth are cleared of any fetal membranes to help them breath. Lastly, the uterine incision(s) will be closed followed by closure of the abdominal incision.

C-section
Abdominal Exploratory - An abdominal exploratory surgery is both a diagnostic and therapeutic procedure that involves opening the abdomen and visually examining all of the organs within it. This also allows doctors the opportunity to take biopsies, search for foreign bodies and examine the entire abdominal cavity for abnormalities.The goal of the procedure is to both obtain a diagnosis and to intervene surgically to correct the problem when possible.

Abdominal Exploratory Surgery
Gastrotomy - A gastrotomy is a surgical procedure were an incision is made into the stomach. Gastrotomies are most commonly performed during an abdominal exploratory surgery to either remove a foreign body from the stomach or to obtain a biopsy of the stomach wall.

Gastrointestinal Foreign Bodies
Enterotomy - An enterotomy is a surgical procedure where an incision is made into the intestine. Enterotomies are most commonly performed during an abdominal exploratory surgery to either remove an intestinal foreign body or to obtain an intestinal biopsy.

Gastrointestinal Foreign Bodies
Cystotomy - A cystotomy is a surgical procedure in which an incision is made into the bladder. Cystotomies can be done for many reasons, the most common being to facilitate removal of bladder stones. Some other possible reasons for performing a cystotomy include helping to diagnose bladder tumors and ruptured bladders.

Urinary Stones


Advanced Orthopedic and Soft Tissue Surgery
Minnesota Mobile Veterinary Surgery - The Associated Veterinary Clinic is pleased to offer our clients and their pets advanced surgical care at both our Cokato and Waverly clinics through partnership with Minnesota Mobile Veterinary Surgery.
Gastropexy - Gastropexy is typically a prophylactic surgical procedure that is performed most commonly in deep chested canines (Great Dane, St. Bernard, Mastiff, Poodle, German Shepherd, etc.) to prevent the occurrence of a severely life threatening condition known as gastric dilatation volvulus (GDV). GDV involves severe bloating of the stomach coupled with the stomach rotating/twisting on itself, which cuts off its blood supply and prevents the bloat from resolving. A gastropexy surgically fastens the stomach to the inside of the abdomen in its normal anatomical position, thereby preventing it from rotating or twisting should the dog ever experience an episode of bloat.

Gastric Dilatation - Volvulus
Bloat - The Mother of All Emergencies
Anal Sacculectomy (Anal Gland Removal) - An anal sacculectomy is the surgical removal of the paired glands that are located on either side of the anus. This surgical procedure is performed on animals with chronic anal sac impactions, infections, recurrent abscesses or tumors associated with the anal sac. In order to remove the anal sacs small incisions are made on either side of the anus and the anal sacs are removed with careful attention to minimizing trauma to the surrounding tissue.

Anal Gland Conditions
Extracapsular Repair (ACL repair) - An extracapsular repair is a type of surgical procedure used to stabilize a torn cranial cruciate ligament (a.k.a. a torn ACL). Extracapsular repair involves placing a strong, non-absorbable suture (fishing line type material) around the knee joint. The suture is anchored around a small bone on the back of the knee and then through a small hole made on the front of the tibia (the larger of two bones in the lower leg). Once the suture is placed it is tightened and it then serves to perform the same function as the cranial cruciate ligament.

Cranial Cruciate Ligament Disease
Tibial Plateau Leveling Osteotomy (TPLO) & Tibial Tuberosity Advancement (TTA) - (ACL Repair) - A Tibial Plateau Leveling Osteotomy (TPLO) and Tibial Tuberosity Advancement (TTA) are two similar but distinctly different orthopedic surgical procedures that are used to stabilize the stifle joint (knee joint) after rupture of the cranial cruciate ligament (in humans this ligament is referred to as the anterior cruciate ligament or ACL). The interesting thing about both of these procedures is that neither of them actually repairs the ruptured ligament, instead they change the biomechanical forces acting on the stifle joint so that the cruciate ligament is no longer needed. Both of these procedures involve making osteotomies (cuts in the bone) in the tibia (the larger of the two bones in the lower leg) and using bone plates and screws to stabilize the repair while it heals. However, the specific way in which each procedure accomplishes the stabilization is uniquely different (see the article below entitled Cranial Cruciate Ligament Disease for a detailed explanation of each repair). The decision whether to have a TPLO or a TTA performed is one that largely depends on the opinion and proficiency of the surgeon with each procedure, as both have been shown to be highly effective and have similar advantages and disadvantages.

Ruptured Anterior (Cranial) Cruciate Ligament
Cranial Cruciate Ligament Disease
Tibial Tuberosity Transposition (TTT) - This surgical procedure is most commonly performed in small and toy breed dogs to correct a luxating patella (dislocated kneecap), but dogs of any size, age, breed or gender can be affected by patellar luxation. Surgical correction of patellar luxation is advisable in young animals (as patellar luxation can lead to skeletal deformity) and symptomatic animals (animals that are limping due to chronic pain). The surgery involves cutting the bony attachment point of the patellar ligament (connective tissue that connects to the kneecap) off of the tibia (large bone in the lower leg) and reattaching it at a new location on the tibia to prevent the patella from luxating in the future. This procedure is usually performed in conjunction with a few other surgical procedures (trochlear groove deepening, medial restraint release, and imbrication) to help ensure stabilization (preventing future dislocation) of the patella, however, the relocation of the attachment point of the patellar ligament on the tibia is often the most critical part of surgical correction.

Patellar Luxations
Medial Luxating Patella


Dental Services
Oral Examination - If your pet has bad breath, bleeding gums, nasal discharge, or a swollen area near its muzzle an oral examination is recommended to identify dental disease, an abscessed tooth/teeth, or an oral tumor. A thorough oral examination prior to performing a professional periodontal cleaning provides an opportunity to identify obvious dental issues, discuss treatment options, and provide a comprehensive estimate of anticipated cost.
Professional Periodontal Cleaning - Periodontal disease (inflammation of the gum tissue) is the most common medical condition affecting dogs and cats. If left untreated periodontal disease will steadily progress and many times culminates in tooth loss. Poor oral health/periodontal disease can be a source of chronic pain and in some patients may lead to internal organ damage. The best way improve your pet's oral health and decrease the progression of periodontal disease is to regularly brush your pet's teeth and schedule routine professional periodontal cleanings. A professional periodontal cleaning consists of anesthetizing the pet, performing a thorough extraoral (outside of the mouth/around the face) and intraoral (inside the mouth) exam, charting the teeth (making note of any abnormalities), scaling the teeth (removing the tartar on the teeth), and polishing the teeth.
Oral Surgery - Oral surgery is necessary for extracting diseased/damaged teeth, repairing oral wounds, or for excising (removing) oral tumors. All oral surgery in pets requires general anesthesia and prior to performing any type of invasive oral surgery a nerve block (local anesthesia of the nerve to affected area) will be placed to help manage both intraoperative and postoperative pain.


Euthanasia Services
Humane Euthanasia - The decision to put your pet to sleep is likely one of the toughest decisions that you will ever have to make as a pet owner. Our doctors and technicians fully understand the sadness and uncertainty that accompanies this decision because we are not just veterinary health care professionals, but pet owners too. Our commitment to you as an owner is that we will carry out this procedure with utmost compassion, dignity, and respect.

The euthanasia process involves the administration of two different medications. The first is a sedative that will help your pet to relax. The sedative does not take affect immediately, giving you time to say goodbye to your pet. Once your pet is fully relaxed a second medication is administered that helps your pet pass away painlessly.
General Cremation - General cremation or mass cremation is a cremation style where your pet will be cremated with other pets. This type of cremation is done in a respectful and considerate manner. Ashes are not returned to you following the cremation process.
Individual Cremation - Individual cremation is a service we offer that allows for your pets ashes to be returned to you following the cremation process. If you choose individual cremation your pet will remain at the clinic following euthanasia and the ashes will be hand delivered with a certificate of cremation back to our clinic within the next 3-5 business days. You will be notified via telephone as soon as the ashes are returned to the clinic. If you would like your pets ashes to be returned in a customized urn or with an individualized pet memorial we have a large catalog selection you can choose from.


Pharmacy Services
On-Site Pharmacy - We have a well-stocked pharmacy at each of our clinic locations which makes it both quick and convenient to fill your pet's prescriptions.


Retail Services
Pet Products - We regularly stock a variety of essential pet products such as Kong's, Thundershirts, and Gentle Leaders.

AKC Reunite Pet Microchips