IndyVet Emergency & Specialty Hospital

Internal Medicine


All IndyVet specialists have received four or more years of post-doctorate training prior to board certification. This training and experience allows our specialists to manage and treat a wide variety of complex diseases and conditions in collaboration with general practitioner colleagues across the state of Indiana. This collaborative approach to case management allows us to provide the most versatile care available.

The establishment of IndyVet Internal Medicine as a separate clinical department occurred in 2011 in order to deliver better and more efficient care to patients. The goal of internal medicine at IndyVet is to provide compassionate and comprehensive care to our patients, their families, and to referring veterinarians. Each doctor in the internal medicine department has worked in the general practice sector and understands the supportive and collegial relationship desired by practitioners. Our objective is to retain patients only as long as required to identify and resolve the initial crisis, and to then work in conjunction with, or through the referring veterinarian on follow up care.

Some of the Internal Medicine Procedures
Commonly Performed at IndyVet.

Diagnostics
  • Computed Tomography
  • Endoscopy
  • Ultrasound
  • Continuous Glucose Monitoring
  • MRI
Oncology
  • Chemotherapy
Therapeutics for
  • GI & Hepatic Diseases
  • Cardio-Pulmonary Diseases
  • Neurology
  • Kidney & Urinary Tract Diseases
  • Endocrine Diseases
  • Immune Mediated Diseases

What We Do

Diagnostics
Computed Tomography
IndyVet was the first veterinary hospital to offer in-house Computed Axial Tomography (CAT Scans) in the greater Indianapolis Area. Our 24-hour access to high quality transverse imaging allows us to early diagnose and treat complex problems associated with the brain, spinal cord, spine, abdominal, thoracic, and pelvic cavities. We recently upgraded to an 8 slice per rotation scanner that generates extremely fast image acquisition and reconstructions allowing us to perform high speed studies requiring only sedation rather than anesthesia.

Endoscopy
We house the latest technology in both rigid and flexible video-endoscopy. This, combined with the expertise and training of our specialists, make endoscopic diagnosis and treatments commonplace in our practice. Rhinoscopy, upper GI endoscopy, colonoscopy, cystoscopy, otoscopy, and arthroscopy are some of the routine diagnostic procedures performed. We also perform minimally invasive thoroscopic and laparoscopic examinations for thoracic and abdominal biopsies and medical procedures.

Ultrasound
Ultrasonographic diagnoses are done daily. Our skilled specialists rely on this technology for imaging of the abdomen, pelvic cavity, and thoracic cavity.

Many ultrasound guided biopsies and aspirates are performed in our hospital to provide tissue or cytology diagnoses in a minimally invasive way and can often be done on an out-patient basis.

Echocardiograms, utilizing color flow doppler are routinely carried out to evaluate the function and anatomy of the heart.

Continuous Glucose Monitoring (CGM)
Continuous Glucose Monitoring (CGM) is a (non-surgical) implantable subcutaneous probe that allows your patient to go home while tissue glucoses are collected over the next 2-3 days. Two to four blood glucoses are monitored at home for calibration with the tissue glucoses and will provide 288 readings per day of the curve. The data is stored on the chip and downloaded afterwards at our clinic where glucoses are charted every 5 minutes. The curves allow you to pick up intermittent Somogyi phenomena, inappropriate administration techniques or problems during overnight hours. They also allow us to take into consideration normal activity at home without the stress of spending the day in the clinic. Clients return the pet on day 3 to have the chip removed (no additional charge for removal) and the data is then collected and analyzed.

CGM can also be used in hospital for new DKA’s to avoid over or under dosing insulin in critical patients. In hydrated patients, it can reduce the number of sticks and may remove the need for jugular catheters for sampling in some patients. This monitoring is becoming standard of care for human diabetics and will now make managing veterinary diabetic patients easier as well.

The internal medicine service provides a wide variety of diagnostic and medical procedures including:
Diagnostics
  • Cerebral spinal fluid (CSF) tap and analysis
  • Joint tap and analysis
  • Ultrasound guided aspirates and biopsies
  • Bone marrow analysis including core biopsies and aspirates
  • Continuous Glucose Monitoring (CGM)
Nutrition
  • IV nutrition (TPN or PPN)
  • Stomach feeding tubes (endoscopically placed)
  • Esophageal feeding tubes
Imaging
  • Digital radiographs
  • Ultrasound
  • Echocardiogram
  • CT/MRI
Endoscopy
  • Laparoscopy
  • Rhinoscopy
  • Bronchoscopy
  • Cystoscopy
  • Upper GI endoscopy (Gastroduodenoscopy)
  • Lower GI endoscopy (Colonoscopy)
  • Thoracoscopy

Therapeutics
Internal Medicine
Our internists, Dr. Tracey Gillespie & Dr. Julie Trzil, lead the internal medicine services team and strive to provide compassionate, state of the art care of critical patients. They diagnose, manage, and treat a wide range of endocrine, metabolic, cardiac, renal, neurologic, hepatobiliary, autoimmune and GI diseases. Their extensive experience in abdominal, thoracic, and cardiac ultrasonography allows them to provide comprehensive patient care and diagnosis. Our internists along with a dedicated and specialized nursing staff provide around the clock care for the sickest patients in our hospital.

Oncology
The internal medicine service also provides diagnosis and treatment for patients with all types of cancer. They provide chemotherapy and immunotherapy for a large number of patients every week. They also facilitate radiation treatment for patients when indicated. Our oncology and surgery services work closely to provide diagnosis through surgical biopsies, or surgical palliative debulking of tumors prior to definitive chemotherapy. The surgery department works hand in hand with oncology to achieve the best outcome. The goal of the oncology service is to create the best quality of life possible for each patient.

What To Expect

The IndyVet internal medicine team is commited to providing the most innovative and compassionate care for your pet in partnership with your family veterinarian. Many pets can be managed on an outpatient basis while others may need to spend one or two days in the hospital undergoing a comprehensive evaluation and treatment.

At your initial visit, an Indyvet internal medicine doctor will examine your pet, review their medical history, and will talk with you about your pet's condition to recommend any diagnostic tests, or to suggest an appropriate course of medical therapy.

Afternoon and evening visiting hours assures hospitalized patients and their families the opportunity to spend quality time together.

The following guidelines will hasten the diagnosis and treatment of incoming patients:

  1. Unless otherwise directed, please do not feed your pet after midnight the night before your appointment.

  2. Ask your family veterinarian to fax or provide you with prior lab work and reports related to your pet's problem or illness.

Internal Medicine Staff

Tracey Gillespie, DVM, DACVIM-SAIM
Julie Trzil, DVM, MS, DACVIM-SAIM
Molly Bellinger, RVT
Erin Hunt, RVT
Shauna Kitchen, CVT, CVPM



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