Archive for April, 2015


  • Bubba Grunt
  • Mimi
  • Hel
  • Lucas
  • Grimm
  • Panzer
  • Lady
  • Niblet
  • Athena
  • Aria
  • Ronin
  • Klein
  • Jerry Lee
  • Midnight
  • Reesie
  • Kitty
  • Abel


  • Apollo


Jen photos 316


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Dr. Miele will be on break from
Wednesday, May 6th through Saturday, May 9th.

The clinic will be closed during those dates, so please ensure you have
enough of your pet’s medications and prescription diets on hand.

Food orders must be placed by May 1st and picked up by May 5th.

Medication refill orders must be placed by May 1st
and picked up by May 5th.
Medications requested after May 1st may not be available
after the cut-off date, due to our vendor ordering and delivery restrictions.

Dr. Miele will return for regular office hours on Monday, May 11th.

Sicily 2 045

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Even cats that stay indoors their entire lives are at risk for parasitic infections. Why?

Because mosquitos, which transmit heartworm disease, often sneak into our homes.

Because fleas, which transmit tapeworms, often reside in our homes.

Because flies, which transmit roundworms, often buzz around inside our homes.

And if your cat is anything like mine, it loves to chase, catch, and eat bugs!

These are just some of the reasons your cat’s feces should be checked one to two times a year for parasites.

It’s also why we recommend Revolution for indoor cats. Revolution protects your cat against fleas, heartworms, roundworms, and ear mites.

Click on the graphic below to learn more about cats and parasites — then talk to us about protecting your indoor cat from heartworms, tapeworms, and roundworms.

Click to enlarge.

Click to enlarge.

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Baseball, beer and Beagles on tap
at Harbor Park on Sunday, April 26th.
Seating is limited, so reserve your tickets today!
Call 757-622-2222 for information.


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Have you ever price-shopped veterinary services and had to go through a gamut of questions before getting an answer? If you’ve been frustrated by this, it may help to know there’s a reason veterinary clinics (like ours) ask so many questions of callers.

I’ll walk through a typical type of call and explain each question.

A person calls and asks how much an exam will be for their pet. This is a fairly common question, but the question itself does not provide me with any information, so I’ll ask:

1. May I have your first or last name?
WHY: It’s always nice to know who’s calling, isn’t it? Plus, since I keep notes on all phone calls received, I can later identify each person to whom I’ve spoken. When a person asks for quotes or estimates, I always give the current information. But what if the fees have changed by the time of their appointment? Comprehensive notes allow me to verify what the client was quoted, so that we can charge the correct fees.

2. Have we seen your pet before?
WHY: If we have an active record on the patient, I can refer to it, make notes on it, and know the patient’s history, as well as verify vaccination due dates.

3. Are you calling about a cat or a dog?
WHY: Cats and dogs may receive different services. To give the most accurate information, I’ll need to know which species we’re discussing. And sometimes people surprise me — I’ve been asked about pigs, ferrets, birds, snakes, chinchillas, guinea pigs, lizards, and prairie dogs. So I can never safely assume that the pet in question is a dog or cat!

4. What breed is your pet?
WHY: If we’re discussing a dog, there is naturally a difference in the cost of such things as heartworm preventative between a Chihuahua and a Rottweiler. Plus, knowing the breed helps me picture your pet in my mind while we’re discussing it.

[Medical definitions: Learn these terms
doctors use for patients’ medical problems.]

5. How old is your pet?
WHY: Pets require different types of care at each life stage. We don’t treat a 16-year-old cat the same as a 6-week-old kitten, so this information helps me prepare my answers.

6. Does your pet have a regular veterinarian in this area?
WHY: The answer to this question can tell us that a pet has not had recent veterinary care; that an owner has just moved to the area and is unfamiliar with local pet health issues; or that a caller is seeking a second opinion on their pet’s health issue.

7. Is your pet coming in for vaccinations or does it have a health issue that needs to be addressed?
WHY: This is the heart of the matter, and it may come earlier in the phone call, especially if we have a record on the pet (in which case I already know the species, breed, age, and veterinarian.) A quote for a wellness exam is going to be different than a quote for ear and skin problems, vomiting and diarrhea problems, an airline health certificate, or something serious that may require referral for hospitalization.

The bottom line is, not all exams or office calls are equal, which is why I try to gather as much information as possible. It is important to note that there is no set fee for treating skin conditions, ear problems, sickness, parasite infestation, lameness, etc. Each pet’s situation is unique, and depends heavily on species, breed, age, weight, severity of signs, underlying cause of the problem, and more.

Dr. Miele does not practice “one size fits all” veterinary care. He recognizes that each pet and each pet owner’s situation must be taken into account, rather than forcing everyone into a similar category.

We hope you’ll appreciate our personalized approach to pet care — and that you’ll understand “Why so many questions”!

Lg Caduceus

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New poster 2

If you’ve lived in Hampton Roads for very long, you know that mosquitoes are here to stay.  Unfortunately, these pests can carry deadly heartworm disease, which affects dogs and cats.

As the name suggests, heartworms live in the heart, but they can also migrate to the lungs and brain.  While a dog can carry a burden of numerous heartworms before dying, a cat can have a deadly reaction to the presence of a single worm. 

And treatment for heartworm disease is not as short and sweet as it is for intestinal worms.  Ongoing treatment for heartworm disease can last up to 6 months, requires total cage rest for the entire treatment period, and – perhaps scariest of all – involves the use of an arsenic-based drug.  If your pet’s doctor has been harping on the issue of heartworm prevention, now you know why.

The Heartworm Life Cycle

  1. A mosquito bites a heartworm-infected dog and ingests tiny heartworm larvae along with the animal’s blood.  (Wolves, foxes, and coyotes can also carry the disease.)
  2. Inside the mosquito, these larvae develop into their infective stage.
  3. When the same mosquito bites another dog (or a cat), the larvae infect the healthy animal.
  4. Without a monthly dose of preventative, the larvae continue to develop inside the dog or cat, eventually reaching the heart and lungs.

Information for this article was borrowed from the Merial publication “Protector,” Summer 2010 issue.

This article originally appeared on April 4, 2011.

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  • Rusty
  • Miss Kitty Wells
  • Toby
  • Duchess
  • Coco Chanel
  • Montana
  • Little Boy
  • Bella
  • Ivey
  • Jack
  • Frozen


  • Smoke
  • Simba
  • Noah
  • Sabrina





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