The most effective approach is for our pain specialist to conduct a thorough hands-on evaluation of the patient, while also engaging in an in-depth conversation with the owner to get a comprehensive history, goals and limitations. We ask about the pet’s daily activities, attitude, the extent of exercise and play, diet, and medications, including supplements. Many times there are assistive measures or household modifications that should be implemented. We encourage the primary care veterinarians to perform blood work and other routine follow-up so that we may take a team approach to manage the “whole” patient.
An initial consult will allow for six months of follow- up, where we check in regularly on progress and make any necessary adjustments. This is generally managed over the phone or by email with either you or the client. Please note: All diagnosis and prescribing must be done either by the referring veterinarian or by appointment with Dr. Karas. Therefore, pet owners must either make an appointment at the PCRS or seek consultation through their primary care veterinarian.
Dr. Karas sees chronic pain outpatients on Fridays at Foster Hospital for Small Animals, and also at Tufts Veterinary Emergency Treatment & Specialties on Thursday afternoons. Patients with severe pain may require immediate admission to Foster Hospital for Small Animals through the Emergency Service.
The option of email and telephone consultation services for veterinarians is also available when travel to our clinic is not feasible. If you have a patient under your care who requires, or is expected to require additional help with acute pain, you may call to see whether one of our anesthesiologists is available to advise you
To access the most state-of-the-art and integrative approaches to pain management, you can make a referral by contacting PCRS liaison, Kelly Reed, at 508-839-5395 or 800-736-8387.