The 34th Muller - Ihrke Veterinary Dermatology Seminar & The 19th Veterinary M-E-D Seminar--- Official Program--- October 26 - November 3, 2018


This year's Seminars include:

 A Short Course on 'Allergic Dermatitis in 2018'

Saturday, October 27

7:45-7:55         Welcome, Introductions – Kwochka 

7:55-8:45         Common Pitfalls in Veterinary Dermatology: How can we avoid them? – Torres 

8:45-9:00         Exhibit Hall – Refreshment – Email – Phone Break

9:00-9:50     Clinical Approach to Canine Alopecia – Bonenberger

9:50-10:20       Exhibit Hall – Refreshment – Email – Phone Break

10:20-11:10     The Great Impostor: Cutaneous Adverse Drug Reactions – Werner

11:10-11:25     Exhibit Hall – Refreshment – Email – Phone Break

11:25-12:15     A Practical Guide to Topical Therapy in Veterinary Dermatology – Logas

12:15-12:30     Industry Forum:  Mini-presentations by our Industry Partners – Klingborg

12:30-1:00       A Directed Panel Discussion on Diagnostic Testing in Dermatology, Canine Alopecia, Cutaneous Adverse Drug Reactions and Topical Therapy – All Speakers

Sunday, October 28

7:55-8:45         What’s New?  Key Clinical Updates for General Practice from the North American Veterinary Dermatology Forum and Recent Dermatology Publications – Kwochka

8:45-9:00         Exhibit Hall – Refreshment – Email – Phone Break

9:00-9:50         Challenging Eyelid Diseases: Dermatology or Ophthalmology? – Werner

9:50-10:20       Exhibit Hall – Refreshment – Email – Phone Break

10:20-11:10     Strategies to Treat Canine Superficial Pyoderma: Am I doing this right? – Torres

11:10-11:25     Exhibit Hall – Refreshment – Email – Phone Break

11:25-11:50     How I Diagnose and Treat Cats with Facial Ulcers – Bonenberger

11:50-12:15     How I Treat Viral Papillomatosis – Bonenberger

12:15-12:30     Industry Forum:  Mini-presentations by our Industry Partners – Klingborg

12:30-1:00       A Directed Panel Discussion on Eyelid Dermatoses, Canine Superficial Pyoderma and Feline Facial Ulceration – All Speakers

Monday, October 29-- Free Day

Golf Tournament

Optional Excursions

Explore the Island on Your Own

Tuesday, October 30

7:55-8:45         Cutaneous Draining Tracts: Confusing, Frustrating and Common – Bonenberger

8:45-9:00         Exhibit Hall – Refreshment – Email – Phone Break

9:00-9:50         Pemphigus foliaceus: The Most Common Autoimmune Challenge in General Practice – Werner 

9:50-10:20       Exhibit Hall – Refreshment – Email – Phone Break

10:20-11:10     Clinical Approach to the Pruritic and Overgrooming Cat – Bonenberger     

11:10-11:25     Exhibit Hall – Refreshment – Email – Phone Break

11:25-12:15    Malassezia Dermatitis: How to Diagnose and Treat this Common Skin Disorder – Torres

12:15-12:30     Industry Forum:  Mini-presentations by our Industry Partners – Klingborg

12:30-1:00       A Directed Panel Discussion on Cutaneous Draining Tracts, Autoimmune Skin Disease and Malassezia Dermatitis – All Speakers

Wednesday, October 31-- A Short Course on Canine Allergic Dermatitis--- 

This Short Course is open to DERM and M-E-D Attendees

7:50-7:55         Welcome, Introductions – Kwochka

7:55-8:45         A Practical Approach to Diagnosing the Pruritic Dog – Torres

8:45-9:00         Exhibit Hall – Refreshment – Email – Phone Break

9:00-9:50         New Concepts in the Pathogenesis and Management of Canine Atopic Dermatitis: Part 1 – Logas

9:50-10:20       Exhibit Hall – Refreshment – Email – Phone Break

10:20-11:10     New Concepts in the Pathogenesis and Management of Canine Atopic Dermatitis: Part 2 – Logas

11:10-11:25     Exhibit Hall – Refreshment – Email – Phone Break

11:25-11:50     What do we really know about Allergen Specific Immunotherapy? – Logas 

11:50-12:15     Cutaneous Adverse Food Reactions: Which diets and why? – Torres

12:15-12:30     Industry Forum:  Mini-presentations by our Industry Partners – Klingborg

12:30-1:00       A Directed Panel Discussion on Canine Atopic Dermatitis and Cutaneous Adverse Food Reactions – All Speakers

2:30 - 4:30       Optional Business Program

5:30 - 7:30       The Aloha Gala Reception and Halloween Costume Contest

Thursday, November 1, 2018-- 

7:55-8:00         Welcome, Introductions – J Klingborg

8:00-8:50         The Diagnosis, Consequences & Management of Chronic Cough–   Lee-Fowler

8:50-9:00        Refreshment – Email – Phone Break

9:00-9:50         Managing the Proteinuric Patient – Foster

9:50-10:10      Refreshment – Email – Phone Break

10:10-11:00     Treating Challenging Urinary Tract Infections – Foster

11:00-11:10     Refreshment – Email – Phone Break

11:10-12:00     Current Understanding of Feline Asthma – Lee-Fowler

12:00-12:30     Day 2, MED Speakers -- Questions and Discussion – All Speakers

Friday, November 2, 2018--  

8:00-8:50         Hypertension: perks and pitfalls of measurement and management-- Foster

8:50-9:00          Refreshment – Email – Phone Break

9:00-9:50         Antimicrobial decisions for respiratory patients with case examples– Lee-Fowler

9:50-10:10       Refreshment – Email – Phone Break

10:10-11:00    Management of Brachycephalic airway disease (and associated diseases) – Lee-Fowler

11:00-11:10     Refreshment – Email – Phone Break

11:10-12:00     Practical treatment of urinary incontinence- medications through intervention

12:00-12:30     Day 3, MED Speakers -- Questions and Discussion – All Speakers

The 2018 Seminars







Kauai ATV Waterfall Tour

A guided tour taking about four hours and covering 23 miles of back roads and trails through tunnels, forests and farm/range lands.  Includes visits to a waterfall along with beautiful landscapes where parts of Hollywood productions including Jurassic Park, Pirates of the Caribbean, Seven Days and Seven Nights, among others, were filmed.


Wear a swimsuit and water-friendly shoes/sandals, and bring a towel.  They’ll provide a freshly laundered shirt and riding shorts to absorb most of the dust and some of the mud.  You’ll also receive a helmet, goggles and a great bandana that can serve as a mask over your nose and mouth.  They have dressing rooms, toilets and lockers at the starting (and finishing) point.


Depending on weather you may experience splashing water, mud, dust, debris and other fun stuff.  I experienced a “mini” exposure while doing a site visit recently and made it through unscathed wearing one of their shirts over my clothes and camera.  If I were on the full trip I expect I would have come away considerably more dirty.


I don’t recommend taking expensive cameras on this trip – very bumpy and potentially very dusty, wet or muddy.  Their motto is “Do Something Dirty” and they mean it (in the nicest way).  Plenty of pretty things to photograph, but phone photo should meet your needs.


A deli lunch with a local snack and beverage will be provided and you’ll get some history, geography, geology and Hollywood information from the guides while on your journey.  You’ll have time to frolic in a freshwater mountain pool at the base of Mount Kahili before returning to the starting point at the old sugar mill.


They provide a variety of ATV’s.  The Mud Bunny is a single passenger vehicle (the driver) for those going solo.  The Mud Bug is for a driver and passenger, and the Ohana Bug is for a driver and 3 passengers.  There are two types of Mud Bugs available, the fancy and colorful model imported from China, and the plain utility models that are imported from Israel. 


My experience was in the Israeli model and it was a blast.  Noisy and a bit dusty, it handled the dirt roads and trails beautifully and was surprisingly comfortable.  Be forewarned, however, this in not recommended for people with bad backs or those concerned about keeping clean and tidy.  Should you be pregnant I strongly suggest a different excursion.



Transfers from and return to the hotel are included, and only about 10 minutes away so your time is spent playing rather than driving to and from the location.


Do Something Dirty!


Don Klingborg, DVM









Grand Hyatt Anara Spa -- VETS Attendees get a discount!

The Anara Spa is located adjacent to the fitness center, and offers all the amenities in its 45,000 sq. ft. 

 The fitness center is spacious with lots of equipment scattered among a few connected rooms.  Flat screen TV’s, the latest in cardio and strength-training equipment and available to hotel guests 24 hours a day.  They offer treadmills, cross trainers, upright and recumbent bikes, free weights, strength machines, stability balls, stretching mats, resistance tubing, jump ropes and weighted bars. 


In the spa ancient healing traditions combine with island botanical essences to inspire lokahi—balance and harmony of body and spirit.  Massages, body treatments and facials are offered in elegantly appointed treatment rooms, each opening onto its own tropical garden.  Unwind in the dry sauna, steam showers, or relaxation room.  Swim in the lap pool, or soothe those gnarly muscles in the Jacuzzi.  Water, tea, fruit and nuts are freely available.  You may also order a light lunch from a menu.

 Following your treatment, shower in the secluded outdoor lava showers then enjoy a full compliment of toiletries, including sunscreen, body lotion, and deodorant.  There are blow driers and hairbrushes (each one sealed in plastic) as well as styling gel.  With any purchase of a spa treatment, you have full use of the spa for that day.

 I had a 50 minute massage followed by a 50 minute facial.  The masseuse and the esthetician were both very professional and experienced.  They graciously personalized their treatments to address my requests and the result was one contented wet noodle.

 Bev Klingborg

Koloa Zip Line

“Holy Zip!!”

This is a great course for both the novice and the experienced “zipper”. 


The equipment is excellent, the guides are well trained and they provide a very useful “ground school” at the starting point.  I appreciated the attention to safety, the excellent launching and landing platforms and the unique options to match your experience with your preferences.

The “Flyin’ Kaua’iian” harness allows you to be hands and feet free, comfortably suspended and “Flyin” like Superman.   Another option is the “Aerobatics” harness that allows you to “Fly” upside down, backwards, spinning, in a spread eagle and starfish, and maybe in some other positions?  “Tandem” allows you to “Fly” with your kids (7 years and older) which is a great way to introduce them (or have them introduce you) to zipping.  Some of these options require a $20 upgrade fee and you can decide at the ground school.

Novices will want to ask for the rigging with the handlebar pulleys, allowing them more control as they fly between platforms.

Offering fantastic views, the course includes eight lines and takes about 3.5 hours to complete.  It runs through Hawaiian forests and hillsides with lovely views of the ocean, forest, rivers, mountains and the largest fresh water reservoir on the Island.  It includes three of the longest lines on Kauai with “the whopper” being Waita – ½ mile in length. 

A snack including a tasty tidbit from Anahola Granola, plus juice and water.  Only 12 at a time to minimize waiting and maximize “Flyin’”.

Minimum age for kids is 7 years, and those from 7 to 17 must be accompanied by a parent/guardian.  Weight limit is 270 lbs. max for solo zippers, 280 lb. combined weight for tandems.   You will have a couple of walks up the hill, each about 400 feet in length, and one is at a 45 degree angle, so low to moderate physical strength is required.  Those of you with heart conditions, bone/joint injuries or a bad back should seek out a different excursion.  Similarly, those of you who are pregnant are not allowed to participate. 

A shirt with sleeves is recommended (no tank tops).  Knee length or longer pants, bring a jacket just in case and sturdy CLOSED TOE shoes are required.  Sneakers and boots are great.  Sandals and Crocks or other slip-ons are not allowed.   You can bring a small backpack for personal items.  One bottle of water is supplied.  You’ll have great still and video photo opportunities, but be sure the camera is secured to your body as they are very difficult to find if they fall.

It’s only 10 minutes from the hotel and transfers are provide from the hotel and the return.

Whether you’re a novice or expert, I think this course has something for you to really enjoy.

Be your own version of a “Flyin’ Kaua’iian”!

Don Klingborg, DVM




An Abbreviated History of Australia

(Shamelessly plagiarized from a number of sources by Don Klingborg)


     The continent went “walkabout” 65 million years ago, separating from the supercontinent Gondwanaland and slowly migrating into the Pacific and Indian oceans.  While the highest point on the continent is just over 7,000 ft. (Mount Kosciuszko), Australia is the flattest of all continents having been worn down by rain over millions of years.  It is one of the world’s most stable landmasses in regard to seismic activity, and is considered “a finished product” by geologists.

     The first Australians are thought to have arrived between 50,000 and 120,000 years ago.  This was during the ice age and the frozen ice sheets in the Northern Hemisphere consumed so much water that the world’s sea levels were 400 feet lower than they are currently, making it possible to walk across many areas that are under water today (e.g., you could walk between the Australian mainland and Tasmania and New Guinea, and only a short boat ride to some of the Islands in Indonesia).

     Two types of people were early immigrants to Australia:  a heavy framed group referred to as “Robust” people (who didn’t survive to modern times) and a slender race named “Gracile”.  Today’s Aborigines are descendants of the gracile people. 

     About 8,000 years ago the earth began to warm and sea levels began to rise, isolating Australia.  Little happened to change the landscape during the earliest visits from European explorers predominantly in the 16th century, including the Dutch, French, Portuguese, Spanish, and the English.   They found a continent with many strange animals and plants along with a widely dispersed population of Aborigines.  The distribution of water created huge desert areas and resulted in the continent being largely unpeopled.  With the exception of the fertile area along the eastern coast and a small green area in the southwestern corner, the continent is arid with inhospitable scrub and outright desert. 

     Eighteen year’s after Captain James Cook “discovered” Australia in 1770 the English sent eleven ships carrying 778 convicts (men, women and children as young as nine) to Cook’s landing spot, Botany Bay (about 20 km from Sydney) to create a colony.  These ships are called the “First Fleet” and are considered as their equivalent of our “Mayflower”.  The first recorded words spoken by the Aborigines and directed to these “invaders” were “Warra Warra”, meaning, “Go away”.   They didn’t.

     The 1788 shipment of convicts from England to Australia was in part as a consequence of the successful American Revolution, thereby eliminating the ability for England to continue to ship her convicts to Georgia, Virginia and the Carolinas (which was a common practice).  A backlog of prisoners in English jails resulted, growing at a rate of about 1,000 per year.  At the same time French ambitions in the Pacific spurred the English to secure a position in the region and they adopted a policy of exporting their backlog of prisoners “down under”. 

      When Cook landed in Botany Bay in 1770 it was the rainy season, however when the First Fleet arrived in 1778 it was the dry season and the fresh water and green grasses Cook described were nowhere to be found. The fleet sailed about 19 km north and discovered a great harbor with fresh water and settled there, naming it after Lord Sydney, and the colonization era began. 

     The first years were very difficult and the success of the colony was in jeopardy until 1791 when a second fleet arrived with supplies and more convict labor.  Most of the convicts were petty criminals charged with minor offenses such as stealing food for their kids.  Some were political prisoners, and about half of all those transported had received a seven-year sentence and could return to England at the end of their term if they could pay their way. Those with skills or wealth might be freed early and were able to establish small businesses around Sydney.  The distance and cost of securing passage back to England meant most who were transported to Australia were there for life.  With the exception of South Australia all other Australian territories were founded with convict labor.  Transportation of convicts to Australia ended in 1868 at which time about 160,000 people had been exiled there from England.

      Captain William Bligh, of “Mutiny on the Bounty” fame, became the second governor of the colony in the early 1800’s but was unable to break the power of the “Rum Corps”, a gang of ex-army individuals from the first voyage who controlled all aspects of the colony and used rum as their currency. I think most of us will be surprised to learn that Captain Bligh suffered a second mutiny as governor and lost power to the “Rum Corps” who remained in power until a third governor arrived.  The “third time was a charm” as Mr. Lachlan Macquarie from Scotland was successful in wrestling power from the Rum Corps, organizing and stabilizing the colony and eventually was pivotal in Australia officially being so named. 

      Australia has one large and navigable river, the Murray-Darling that flows for over 1,500 miles from the Victorian mountains west and south to the cost of South Australia.  This river irrigates the majority of the prime farmland.  Many of the ranches today, especially those outside of Victoria or South Australia, encompass hundreds of thousands of acres.  There is abundant water that can be harvested with wells, but most of the land requires about 50 acres to produce enough feed to sustain one cow for one year.  With as many as 160 million sheep in the country a ranch needs to be pretty darn big to feed all those mouths.

      Gold rushes in the 1850’s attracted tens of thousands of miners and are thought by some to be the major force that made Australia into a prosperous colony.  Additional strikes followed in Western Australia and Queensland, attracting about 90K prospectors per year.  Today Australia produces more than 200 tons of gold per year.   Much of this production comes from huge open-pit mines in Western Australia, northern Queensland and the Northern Territory.

      Other minerals found in Australia include silver, lead, zinc, copper, uranium, opals (85% of the world’s known supply), diamonds (>1/3 of the world’s supply), coal and petroleum.

      Australia grew as independent territories reflected in the map below.  They apparently didn’t agree on much (for example every railroad had a unique gauge and it was not possible to take one train across territorial borders). In 1901 the politicians came together and formed a commonwealth.  As part of that agreement the new capital could not be in any existing territory so some land was given by New South Wales to create an independent area (the Australian Capital Territory (Canberra)(sounds like what we did in Washington DC)).

      Following World War II Australia set on a policy of inviting immigrants under the banner of “populate or perish”.  The population grew rapidly with immigrants from all over the world throughout the 1950’s and 1960’s. 

      In 1788 when the First Fleet landed it is estimated there were about 300,000 Aborigines on the continent.  These people were scattered among over 400 tribes all with distinct languages and customs.  The history of Australia and their aborigines in many ways paralleled our history with America’s native populations.  

     In the 1960’s Australia experienced civil disobedience associated with Aborigine rights.  In 1967 Aborigines received full citizenship and voting rights.  Subsequently, two major court decisions provided the Aborigines with legal title to their lands (in 1992) and with title allowing for mining and pastoral leases while still retaining ownership (in 1996).  While land issues remain politically contentious and continue to play out in Australian society, the Aborigine population has made inroads to more equitable treatment.

     Aborigines today continue to suffer from three times the rate of infant mortality compared to the rest of the population, have a life expectancy that’s more than 15 years less than average, and suffer higher rates of alcoholism, tuberculosis, heart disease, diabetes, and hepatitis.

     On the animal scene about 17 species of kangaroos have gone extinct since the Frist Fleet’s arrival, but there are more kangaroos today than 200 years ago (now about 50 million, approximately three times the number of humans).  There are 150 marsupial species and more than 750 species of birds.

     Merino sheep were imported in 1795 and currently there are an estimated 120 to 160 million sheep in Australia.  Merino provides the fine wool (very thin) that makes up the best in clothing.  Today Australia produces about 70% of the world’s supply of premium wool.

     If you’ve never sheared a sheep you’re really missing something quite special.  Everyone should do it, but only once, as it’s backbreaking and exhausting work.  Big Jackie Howe holds the world record for hand shearing, having done 321 sheep in the standard shearer’s workday of 7 hours and 40 minutes with a hand shear in 1892.  His record stood until 1950 however the new record was accomplished with mechanical shears rather than hand shears.  The record with electric shears is 805 sheep in a day set by Alan MacDonald in 1990.  We had sheep when the kids were growing up and I regularly sheared them, and then sutured them up as I was not a gifted shearer (but pretty darn good at suturing).

     There are a number of experiences with people importing animals to the continent that have had major impacts.  In 1859 Thomas Austin was missing his foxhunts and brought in a couple of dozen rabbits as an alternative sporting animal.  Six years later they were shooting about 20,000 a year and still losing ground to the rapidly growing population.  By 1930 it was estimated there were 1 billion rabbits there and in 1950 they imported and released a myxomatosis virus that killed most but not all of the rabbits.  By 1990 the population was back up to 350 million and in 1996 they imported another virus, this time a calicivirus that killed about 98% of the population.  That surviving two percent is growing the population again.

     Foxes, trout, the cane toad, domestic cats and domestic dogs (the dingo is native), pigs, horses, sheep, donkeys and camels have all been imported and there are problems with each of these species impacting native species. 

     You’ll find a vibrant and varied restaurant scene.  Their immigration policies resulted in more than 160 different nationalities represented by significant numbers of people.  While Sydney and Cairns are known for their seafood, you’ll find Asian, Indian, Italian, Greek and Lebanese eateries abundantly available.

     You may even want to try a traditional staple, the Aussie BBQ, consisting of burned lamb chops and sausages with potato salad.  Goes great with a Foster’s lager.

     You’ll find Australia to be filled with wonderful and happy people, amazing scenery and quite a mixture of animals.