klingborg

Attorney Patrick Klingborg speaks on Due Diligence in Practice Sales and Purchases

Due Diligence Issues When Buying or Selling
a Veterinary Practice

Many people have heard the term "due diligence" in the context of a business transaction but what, exactly, does it mean? Some treat due diligence like afterthought, but savvy buyers and sellers of veterinary practices leverage the due diligence process to maximize their financial results. In this 90-minute session, our speaker will:

Demystify the due diligence process.
For Sellers,explain what buyers want to see during due diligence.

For Buyers, explain issues with veterinary practices that deserve close inspection.

For all parties, give tips and tricks to make the due diligence process as smooth and efficient as possible. This makes it easier to close a good deal at the best price ... or to avoid a bad deal altogether!

This session is the second part of a three-part series. In 2021, the first installment of the series described the deal terms that are negotiated in legal documents when buying or selling a veterinary practice. In 2022, the second installment of the series will cover the due diligence process as outlined above. In 2023, the third installment of the series will address the overall road map to buying or selling a veterinary practice.

About the Speaker:

Patrick Klingborg, Attorney, San Diego, CA

Patrick Klingborg, Attorney, San Diego, CA

About the Speaker: Mr. Klingborg is an attorney at the Solomon Ward law firm and he represents owners of veterinary practices when selling their practices. His representation includes helping his clients negotiate the amount of the purchase price, the timing of the payment of the purchase price, the post-closing earnout structure, employment agreements between the selling practice owner and the buyer, real estate leases for the practice location and the allocation of risk for liabilities that may arise after the sale of the practice is complete. Patrick has handled the sale of many types of business, in deals ranging anywhere from a few hundred thousand dollars all the way up to a billion-dollar merger for a publicly traded company.

Patrick is an associate attorney at Solomon Ward and he can be reached at pklingborg@swsslaw.com or 619-238-4882.

Wild Dog Safari 2022

Wild Dog Safari 2022 , a conservation safari

2022, November 4 – 14 *6 SPACES AVAILABLE!

Join well known animal behaviour expert Professor Peter Neville and Africa specialist and safari guide Andrew Rae on this veterinary safari in the Living Desert of Namibia.

2 Nights – Namib Desert Lodge

Be awed at the beauty and vastness of the Namibrand. Sip sundowners while watching herds of Oryx come down to drink, the silence broken only by the calls of the barking Gecko .

Wander the ancient dunes of Sossusvlei and the Namib Sand Sea, A UNESCO World Heritage Site.

With a picnic breakfast packed we head north to the UNESCO World Heritage Site of Sossusvlei to ogle at the highest sand dunes on earth. Here we spend the morning exploring Sossusvlei and Deadvlei.

2 Nights – Swakopmund Sands

After breakfast, we take a private flight over the vast Namib dune sea en route to Swakopmund on the Atlantic seaboard.

We arrive in Walvis bay where we will be met with 4×4 vehicles that will drive us between the dunes and the sea to the isolated and exceptionally beautiful Sandwich Harbour where we will have a late lunch.

After the Sandwich Harbour excursion we head north to Swakopmund where we will check into our accommodation, we will go and explore the town of Swakopmund by foot and have dinner at the famous Brauhaus restaurant for German beer tasting and your choice on their delicious menu.

The following morning we will be collected at 8am after breakfast and head out into the Dorob National Park to be introduced to some of the fascinating, hidden life of the Namib Desert. You will be meeting denizens of the desert such as the famous Sidewinder snake, the Palmato Gecko and the large Namaqua Chameleon. We return to Swakopmund for lunch and then the afternoons activities are optional.

Optional; Activities for the afternoon are as follows:

Afternoon of leisure; explore Swakopmund on foot, admire the German architecture and do some gift shopping;
An hours scenic flight over the Dorob National Park;
Sundowners on the beach at Tiger Reef before heading off to dinner.

2 Nights – Mowani Mountain Camp

We spend two nights in this magnificent rock-scape at the award winning Mowani Mountain Camp.

We will spend our days discovering the ancient Bushman engravings at Twyfelfontein and tracking the free roaming desert elephants of the region.

1 Night – Sophienhof (Rare & Endangered Species Trust) 3 Nights at N/a’ankusê including vet work and activities.

Our last four nights are veterinary focused and include hands on work at REST concentrating on endangered species conservation and N/a’ankusê where will assist the on site wildlife vets with carnivore health checks and herbivore work.

Click the link below for more information regarding Registration. This is not a VETS, Inc trip, but VETS has traveled with Rae Safaris, and they do an amazing job!!!

VETS Adventure Series Visits Rwanda

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     In July 2018, twenty Adventurers (veterinarians + family members) visited Rwanda to track and observe the Mountain Gorillas.  The VETS Adventure Travelers flew from across the USA into Kigali- the capital city of Rwanda. From there, we were shuttled (2 1/2 hour drive) by Primate Safaris to the Sabyinyo Silverback Lodge in Volcanoes National Park.

     The Sabyinyo Silverback Lodge is lovely. The rooms were excellent with comfortable beds and nice bathrooms.  Each room had a magnificent view of the Volcanoes National Park. The food was amazing and there were plenty of outstanding African wines to enjoy with dinner.

     The Sabyinyo Staff was friendly and helpful. The parking lot is at the base of the facility and it was a little bit of an uphill walk to the lodge-- at 9,000 feet-- so those of us not acclimated to the high altitude were quickly winded and appreciated that the Staff would carry our bags and backpacks for us!

Here's the view out our window at Sabyinyo

Here's the view out our window at Sabyinyo

There are about 170 gorillas in the park. They are social animals that live in groups generally composed of a dominant male and up to five or more females and their young. Each gorilla group is continually foraging for food.  Their food consists mainly of leaves, buds, tubers and wild celery.

Trackers went out in front of our group to locate the gorillas and our Guides communicated with the Trackers to lead us right to the gorillas. Well, there actually was some hiking through the jungle (~9,000 ft above sea level) before we actually got to see the gorillas!

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Once we arrived at the gorilla group, we were allowed one hour of 'viewing time.'In this video, you can see the gorillas tumbling around like a couple of unruly kittens.

We had the opportunity to "track and trek" a different group of gorillas on the second day.   

Every gorilla family is different, just like every human family.  Our second group of gorillas has a dominant silverback and a subordinate silverback. Here is the subordinate in deep thought . . .

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This young 'blackback' gave us some excitement when he jumped out of the brush and chased another juvenile along our path. We always tried to maintain a 7 meter distance from the gorillas, but they didn't always follow that rule!  After his game of 'tag' with the other gorilla, he decided to sit down along our trail and strike a pose.

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The trek to find the gorillas ranged from about one hour in the jungle up to 3 hours (plus drive time.)  Once we found the gorillas, there is a one hour limit on the visitation.  Though we were sorry to see our hour come to an end, we understood that the gorillas had important things like foraging and playing to do and we bid them 'farewell' with smiles on our faces.

The VETS Adventurers at the conclusion of our second Gorilla Trek!

The VETS Adventurers at the conclusion of our second Gorilla Trek!


For more information about the veterinary-related trips and continuing education that we offer, go to eduvets.com!  

 

Binocular Choices for Safari

by Don Klingborg, DVM

Binoculars can be confusing and I recommend you talk with a knowledgeable person to help select the right one for you.  Bev and I think they’re important on wildlife trips and add to the experience considerably.  Prices range considerably and the many choices available are important to match the equipment with your needs and pocketbook. Early in our travels Bev and I tried sharing a single pair, but found we both missed too much.  Now we have our own and while I use the camera more than the binoculars I still find them useful.

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Binoculars are essentially two telescopes placed side by side. The large lens at the end is the collection objective and focuses the image while collecting the light (larger = better in poor lighting situations).  There is a prism system housed inside the body of the binocular that flips the image so it will be right side up for the viewer.  The third component in the binocular is the eyepiece objective, which actually provides the magnification.

The two types of binoculars on the market use different prism systems.  The right angle Porro system is the one we envision when we think of binoculars and it creates the traditional jog in the binocular body and takes more space.

The Roof prism system requires more complex technology to manufacture, and is smaller allowing it to be housed in a straight tube body so it is more compact and lighter. The major disadvantage of the Porro system is they result in larger and heavier binoculars.  Porro binoculars are said to provide better contrast and are cheaper.

Binoculars are described using two numbers -- the first number represents the amount of magnification (provided by the eyepiece) and most common choices are from 8X to 15X.  Bev and currently have 10X binoculars but she also loved her 8X set (she wore it out) because it was small and light.  I find 10X to be fine, but if you’re avid birders you may want more magnification).

The second number represents the size of the lens at the far end of the binocular, and is the collecting objective that “captures” light – larger is better in low light situations and is also heavier.  Not a problem on safari’s as you’re riding around, but may be a problem if you’re a hiker.

Bev and I currently each have 10 x 32 (Roof) binoculars from different manufacturers and with different prices 

Regardless of the system you purchase be sure they have special coatings on their lenses to minimize glare and halos of light (I’m told BAK-4 glass is the best but you’ll want to dialogue with someone with more knowledge about this).

Other factors that impact the binocular experience (and pricing) include: resolution (sharpness); brightness; contrast; color accuracy; width of field of view; percentage of the image visible if you wear glasses; ergonomics (fit and feel; weight; and smoothness of focus. 

Resolution is extremely important, with more expensive lenses better at being sharp from edge to edge while less expensive lenses are sharp only in the center of the field of view.  Unfortunately, the resolution of our eyes degenerates with time, suggesting the need for more quality binoculars as we age (the good news is we can give the old cheaper ones to our kids guilt free!  Our kids argue that since our eyes are bad it would be a waste for us to use the good binoculars).

Eye relief is an important issue especially for those of us that wear glasses—8 is reported to be better than 10 and 42 better than 32 for people with glasses (but then I successfully use a 10 x 32 with my glasses). 

Do be sure to get binoculars that can be focused smoothly with one finger.

The latest innovation brings image stabilization to binoculars.  Cost and weight go up, eyestrain goes down and images improve.  Many think it’s most important if you’re magnifying at 12 or higher, but some report benefits as low as 8.  They do require batteries, but they still work (just not as well) if the batteries go dead.  You’ll want to read more on the subject if you’re thinking about it.

Summary

 

Binocular Size

            Full Size (Common Specs 8 X 42 & 10 X 50)

For serious wildlife viewing and in boats.  Large & considered too heavy for backpacking)

 

Mid-Size (Common Specs 7 X 35, 10 X 32)

Good all-around choice for wildlife & sports use.  A bit heavy for backpacking, they provide above average light transmission

 

Compact (Common Specs 8 X 25, 10 X 25)

Best for daytime activities, eye fatigue may be a problem with greater prolonged use

 

Magnification

The number reflects the increase in size of the subject.  40 feet away will look like it’s 5 feet away with an 8X, and 4 feet away with a 10X

 

Lens Objective Diameter

The second number used to describe binoculars, this is the diameter in mm of the lens at the front of the binoculars (farthest from your eyes).  The

larger the objective the more light is captured and the brighter is the image, more important at dawn and dusk than midday.

Exit Pupil

This number is an indicator of how bright a subject will appear when viewed in low light situations.  Higher numbers mean brighter subjects.

The number is calculated by dividing your objective (far lens) by the magnification (eyepiece).

A 20 X 32 = 32/10 – 3.2

A 10 X 42 = 42/10 = 4.2 

A 10 X 50 = 50/10 = 5.0

In low light the normal human pupil can dilate up to 7 mm, so if your number is lower than 7 you’re limiting the amount of light available to your eyes.  For night use may select 7 X 35, providing 5.0 exit pupil scores in a lighter and smaller binocular than the 10 X 50 (with a similar exit pupil score.

For those of you wondering, in daylight viewing the human pupil narrow to roughly 2 mm and all binoculars have exit pupil scores larger than 2 mm so no light restriction exists.

Relative Brightness

            Another calculation, this time taking your exit pupil score and squaring it. 

Using the three examples above an exit pupil score of 5 = relative brightness of 25 (5 X 5).  4.2 = 17.6 and 3. 2 = 10.2.  Higher scores are brighter.  Note that manufacturers offer that not all identical scores deliver equal brightness as prism type, lens elements, component quality and optical coatings impact the final experience.

Eye Relief

This is associated with the distance between the eyepiece and your eyes while the whole field of view is visible.  Long eye relief increases comfort by allowing you to hold the binoculars away from your face.  This is most important if you wear glasses.  Those of us wearing glasses should look for eye relief numbers of 11 mm or more.

Field of View

This is the width of the area that you can see at a distance of 1,000 yards from where you’re standing.  Wide fields of view are best as they make it easier to find the critter you want to look at more closely, and to follow animals on the move.  In general, the higher the magnification the less field of view you’ll experience. 

Focus

            Most binoculars offer two ways to focus:

The first is the diopter adjustment on the eyepiece (either left or right) that allows you to compensate for different sight in each eye.  The second is a central turning wheel that alters the vision in both barrels at the same time. 

Type of Prism

This is the element that flips the image so everything you see isn’t upside down.  The Porro vs. Roof systems reflect the two kinds of prisms.

Lens Coatings

When light hits the objective some of the light is reflected away, lowering the amount of light transmission to your eyes and negatively impacting the brightness of the subject.  Added coatings can reduce this reflection and help make the image sharper.

Waterproof/Weather Resistant

Added elements that result in a better seal from water and dust from entering your binocular. It won’t’ make them water proof so dropping them in the river will still be bad, but they do help in rain/moist situations.

Fog Proofing

Moving binoculars from cold to warm conditions, or vice versa, (just like camera lenses), may result in moisture consolidating within or on the outside of the lens.  Some binoculars replace the air in the binocular with inert gas that has no moisture content so there is nothing to condense inside. You’re still responsible for keeping the outside of the lens free from moisture/dust.

 

 

Kaua’i, the garden isle

Kaua’I is the wettest of the Hawaiian Islands and is in the form of circle.   

The Island can be divided into four areas using a clock face and time to define each area. The North shore goes from about eleven to one o’clock and is green, wet and beautiful. It starts around the town of Kilauea and the Kilauea Lighthouse National Wildlife Refuge.  Lots of birds, maybe monk seals and if your timing is right you’ll see some whales.  As you travel counterclockwise from one o’clock towards eleven o’clock on the Island you’ll find: gorgeous farm land and wildlife refuges, many growing taro; the elegant Princeville Resort area; then one or two one-lane bridges as you enter Hanalei bay and the quaint town of Hanalei; then many more one-lane bridges as you head to the end of the road at the “wet cave” and a beach campground.  The road stops at the north end of the Na Pali Coast.

The second area, the East end, goes from about one o’clock to four o’clock and includes the towns of (from North toward South) Moloaa, Kapaa, Wailua and Hanamaulu.  Opaekaa Falls, Wailua Falls and the very beautiful Wailua River are major landmarks in this area.  The East End also hosts many public beaches with lifeguards and lots of surfers.  Old coconut groves make this area unique on the Island, and an older shopping center currently undergoing renewal, called the Coconut Marketplace, sits in the middle of the coconut grove area between Wailua & Kapaa.   

The South End effectively starts at about four o’clock at Lihue, the largest town on the Island and the location of the airport, and ends about eight o’clock around the town of Kekaha.  From Lihue you’ll travel south through the towns of Puhi, Koloa, Poipu, Lawai, Kalaheo, Ele Ele (with Port Allen), Hanapepe and Waimea before reaching Kekaha.  The best snorkeling and sailing on the Island is along this region.  Lihue has a major shopping center with a Macy’s, food stores, as well as other mainland retailers.

As you go south from Lihue to our headquarters hotel you’ll take the turn to the left toward Koloa Town and Poipu soon after going through Puhi.  Follow the signs to Poipu.    In this area you’ll also find Spouting Horn (a blow hole thrusting sea water into the air associated with wave action) along with local craft kiosks and many examples of the animal mascot of the Island, the chicken (with many roosters strutting their stuff).  The National Tropical Botanical Garden is also close to Spouting Horn.   Traveling west from Poipu you’ll find the towns of Kalaheo, Ele Ele with Port Allen (the major sailing and fishing port), Hanapepe, Waimea and the access road to Waimea Canyon State Park (the Grand Canyon of the South Pacific).

The West end goes from about 8 o’clock to 11:30 with road travel only to about nine o’clock (at Polihale State Park and Barking Sands Beach).  The Na Pali coast consumes the space between 9 and 11:30 and can only be seen is from a boat or the air.  Waimea Canyon is inland, is equally spectacular and well worth the drive. 

The world’s wettest spot is in the center of the Island, at Mt. Wai’ale’ale, with over 650 inches of rain per year.

Po’ipu hosts the Grand Hyatt Kaua’i, our headquarters hotel, and is about 30 minutes from Lihue (17 miles, the residents (and we) drive slow in Hawaii). The hotel has a great beach (Shipwreck Beach, is there a better name anywhere?), lovely grounds, adult-only and all age’s pools, a water slide (fun but not insane), a lazy river for floating, and a large salt-water lagoon with sand separated from the ocean for easy water sports.  It offers several restaurants, a great bar, superb views from all the rooms, tennis, golf and a huge spa.  I visited all the room styles offered and they are all spacious, well appointed and provide wonderful views (65% offer ocean views).  All guest rooms have private lanais, are 600 + square feet and have superior bedding.  Dining options in the hotel include the highly rated Tide Pools, Dondero’s Italian and a variety of more casual dinning options.

The Po’ipu area is evolving, with a new small shopping center hosting a variety of shops including about 10 eating establishments.  The older Po’ipu Shopping Village is still there but Roy’s restaurant has moved to the new location under a new name and offers a new menu.  The old Village still has a Starbucks, a Puka Dog and some other more casual restaurants plus a variety of shopping (as of our visit in March).  

At the new location (The Shops at Kukui’ula), just a few minutes by car from the hotel and maybe a mile beyond the older shopping village, you’ll find restaurants including:  Merriman’s Fish House; Tortilla Republic; The 1849 Eating House by Roy’s; Bubba Burgers; Josselin’s Tapas Bar & Grill; Merriman’s Gourmet Pizza and Burgers; Savage Shrimp; The Dolphin Restaurant, Fish Market & Lounge; Tortilla Republic Grill & Margarita Bar; and Lappert’s Ice Cream and Coffee.  There is also a market with farm to table organic foods and many shops and galleries.  This new shopping  area hosts a Farmer’s Market on Wednesdays from 3:30 to 6:00 pm with live music and beer and wine and a local music night Fridays from 6:30 to 8:30 pm.

The Poipu Bay Golf Course is adjacent to the hotel and is one of the best on all the Islands. 

During our site visit in early March we sat on our lanai and watched many humpback whales swim by, blowing frequently, breeching occasionally.  They breed and calve here and spend much of the rest of the year in Alaskan waters.  Depending on when winter hits Alaska we could see them during the meeting.

 

 

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

 

 


 

 


 

 


 

 

Waimea Canyon State Park-- Grand Canyon of the Pacific

     During our "free day" of the conference, we decided to make the drive over to Waimea Canyon. It was a scenic drive on good roads.  As we left the east side of Kauai and drove west toward the park, clouds seemed to loom overhead. We vowed not to be beaten by the weather, even though we had (unwisely) left our jackets back at the hotel.

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     Driving up to the Lookout Point, we could appreciate the altitude (over 3600 feet) and panoramic views.  As the driver, I was thankful when we arrived at the parking lot, so that I could take in all of the scenery.  There were nice restroom facilities there, too.

    The rust colored peaks and valleys look like they were newly formed.  From the high point of the Lookout, we felt like we were at 'bird level' as we watched our feathered friends fly and soar through the valley below.

     We decided to hike further down the road, and were intrigued by some of the native plant life. These small trees (picture below) reminded me of something I'd seen in a Dr. Seuss's book.

    On the way back, we stopped in a small town at the foot of the State Park and found an ice cream place.   It was a great way to spend part of our day off!

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”. 

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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

 

 

 

Ancient Hawaiian rock carvings- the Petroglyphs

The ancient Hawaiians left behind a record of their lives by carving shapes and figures in the ever present lava rock.  These petroglyphs vary from region to region and are considered to be sacred sites by many.

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There are several protected petroglyph fields on the Big Island of Hawaii, and one of the most accessible is directly across from the Marriott Waikoloa hotel & Queen’s Marketplace and adjacent to the Kings Shopping Center.

It’s not a long walk on a (somewhat uneven) pathway that has been created in the rock.  Wear shoes for this short hike and you’ll be a happier person.

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About 1/4 of a mile down the path, you’ll begin to see a few petroglyphs here and there.  Trying to make sense of them can be a topic of endless debate. As the hike continues, you’ll see more and more rock carvings.

Since the Hawaiian language didn’t exist in written form until the 1820s, perhaps these petroglyphs were a record of life’s major events– births, deaths, wars and celebrations?

If you’re staying on the Big Island near Waikoloa, come check out the petroglyphs. You’ll find yourself strolling through Hawaiian history and the entire hike is less than a mile long!

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A Trip to the Stars—At the Mauna Kea Observatory on the Big Island

 by Jon Klingborg, DVM

 It’s a bit of journey to the top of the Mauna Kea volcano, but well worth it. Mauna Kea is the highest point in the Pacific Basin and the perfect place for watching the stars.  At nearly 14,000 feet above sea level, it is above 40% of the Earth’s atmosphere. It's a bit of a trek, but well worth it!

  As you can know, the higher you go, the colder the air gets. By the time we arrived at summit, the temperature had dropped from the tropical 75 degrees at sea level to only a few degrees above zero.  Thank goodness the tour company was prepared and provided well-insulated suits for all of us.  We were quite comfortable while we looked out from on top of the world.

         About two hours into the trip, we stopped for a break and to eat dinner.  I had the barbeque chicken and it was delicious.

         An hour later, we took another break at the Museum & Shop just “down the road” from the observatories. As we continued to gain altitude, it soon became apparent that we were going to be above the clouds.

         Finally, we’d arrived at the summit in time for sunset.  We parked right next to one of the observatories, which was in the process of repositioning a giant telescope, so it grumbled and rumbled as the entire circular building turned.

  Looking out at the view, you can see other observatories perched at the topmost points of the volcano.

          Sunset brought more spectaculars view as blue sky gave way to black.

          Heading back down the volcano, we stopped off at a turn out where our guide set up a telescope. There, we were able to stargaze in a small group.  We were actually able to see the red spot on Jupiter with perfect clarity.  AMAZING!

Another stop at the Museum & Gift Shop, and then it was time to head home. We arrived late that night (10 pm), with a feeling of awe and contentment that cannot be described.

 

Just Horsing Around (on the Big Island)

A whimsical blog by Don Klingborg, DVM (with superb editing by Sophie Klingborg)

Q.  When is a horse not a horse?        Answer: When it’s a fish!.

One of the photos above is of a horse (Genus Equidae) (in this case named “California Chrome”) and the other is a seahorse (Genus Hippocampinae) (in this case I’ve named her “Buttercup” in honor of Dale Evans’ horse- remember Roy Rogers?).

While there is no triple crown for seahorses (nor, sadly, was there for California Chrome), there are more than 30 seahorse species within the genus and they are all threatened due to habitat degradation and consumption to feed an Asian market for “traditional medicines”.

And then there is the Sea Dragon (Genus Phycodurus), a very strange critter indeed. The photo below is a Sea Dragon with no plant material in this picture.

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Seahorses (map on left) have a wide area of habitat,

 

 

 

 

Sea Dragons (map on right) not so much.

 

 

Seahorses are a fish, a carnivore and range from 1.5 to 35 cm “tall” (0.6 to 14 inches). They have a life expectancy of 1-5 years. The males have a brood pouch where the females deposit their eggs and then the male fertilizes them and sustains their “pregnancy”. The photo below is of a male “giving birth”, something our female friends have been waiting for for a very long time.

Poor swimmers, they rely on their tail to “hold on” in rough water. The fin on their back provides the propulsion, the ones on the back of their head steer

They have no teeth and suck their food (plankton and small fish or crustaceans). Their stomach is underdeveloped and they are essentially sustained by their intestinal tract however need to continuously “graze” since they can’t consume a meal, store it in their stomach and digest it later.

The Sea Dragon (a weedy variety below) is also a fish and can range up to 35 cm (~14 in) in the leafy variety, and 46 cm (18 in) in the weedy variety. They are perfectly camouflaged for their habitat in seaweed and kelp forests off southern Australia. They are related to the sea horse, and both are related to pipefish.

 

Their tails are not able to grip like those of the seahorse, so they simply “go with the flow” when the waters get rough.

The males are also responsible for bearing the offspring, and while they lack the pouch found in the seahorse they have a spongy brood patch under their tail where the female deposits their eggs. After four to six weeks of “pregnancy” the offspring are released and “on their own”.

Hopefully your interest is piqued, and a great afternoon awaits you at the Seahorse Hawaiian Foundation. Located just south of the Kailua-Kona airport, this group has been breeding seahorses and other endangered reef species (including Sea Dragons) for many years. As I recall they were once focused on the aquarium trade and have morphed their goals toward conserving genetic diversity, propagating endangered species and repopulating areas that can sustain these fragile creatures.

The tour is educational, fun, and when we did it three years ago we were able to have the sea horse “grab” our finger with their tail and “hang out together ” for a while – very cool. I can’t promise you that but I can promise you an aquarium room with many interesting and colorful species on display, plus a worthwhile educational program.

They won’t put together a tour for us only (we tried, they declined), but they do offer tours daily at noon and 2 pm and we think you’ll find it fun and informative. Their gift shop is cute and our granddaughters sure enjoy the T-shirts purchased there.

Check it out at the Ocean Rider Aqua Farm (www.seahorse.com), 73-4388 Ilikai Place, Kona, Hawaii (just south of the airport, same side of the road. 808-329-6840 for tour times and tickets).

Just 1.2 miles south of the Kona Airport exit, off of OTEC Road (also called Natural Energy Road). The road goes toward the beach, and then makes a 90-degree turn at the beach to the right (north) and you’ll go past the Wawalaloli Beach Park and see the entrance on your left. Go down toward the beachfront and you’ll see the signs on your right.

Enjoy!

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. 

The 2016 Muller - Ihrke Veterinary Dermatology Seminar Schedule

October 29 – November 2, 2016

Ritz-Carlton Hotel, Kapalua, Maui, Hawaii


Saturday, October 29

8:00-8:50       Something New, Something Old:     Pediatric and Geriatric Skin Diseases –  Outerbridge

9:05-9:55       Atopic Dermatitis: Current Concepts and New Treatment Options – Rosenberg

9:55-10:25      Break

10:25-11:15    Folds, Cracks, Creases, Crevasses:Why Not Make Life Easier? Surgical Treatment of Vulvar Folds, Nasal Folds and Corkscrew Tails – Smeak 

11:30-12:20     How I Treat Discoid Lupus Erythematous and Perianal Fistulas – Rosenberg

12:20-12:45      Q & A Discussion


Sunday, October 30

8:00-8:50      Dermatophytes, Demodex and Pyoderma: Oh My! New Diagnostics and Treatments – Cole

9:05-9:55       Topical Therapy for Common Dermatoses: What’s the Rationale, What’s the Evidence? – Outerbridge

9:55-10:25      Break

10:25-11:15     A Practical Approach to the Dreaded Food Trial and New Diet Options for Allergic Dermatitis – Rosenberg

11:30-12:20      Pad Lacerations: Important Principles for Treatment – Smeak

12:20-12:45        Q & A Discussion


Monday, October 31

FREE DAY!  Explore Maui!!


Tuesday, November 1

8:00-8:50   What’s New?  Key Clinical Updates for General Practice from the 8th World Congress of Veterinary Dermatology and Recent Dermatology Publications – Kwochka

9:05-9:55   Tips on Two Common Challenges: Surgical Treatment of Those “Pesky” Interdigital Cysts and Anal Sac Excision the Safe Way – Smeak

9:55-10:25    Break

10:25-11:15  Itchy Cat, Itchy Cat, Itchy Cat: Is it Allergic or Not?  How to Tell the Difference –Rosenberg        

11:30-12:20   Can I Make Sense Out of that Strange Nose?  Yes!  A Practical Approach to Diseases of the Nasal Planum – Outerbridge

12:20-12:45   Q & A Discussion


Wednesday, November 2

 Treatment of Otitis in 2016: An Otitis Short Course

 

8:00-8:50     Otitis: A Step-by-Step Approach for Successful Management – Cole

9:05-9:55     Why, When and How of Ear Cleaning: It’s Really Important! – Cole

9:55-10:25   Break

10:25-11:15  Treatment of Otitis Externa and Media: So Many Options, How do I Choose? – Cole

11:30-12:20   Surgical Decision Making for Chronic Otitis Externa and Media – Smeak

12:20-12:45   Q & A Discussion & Closing Remarks

Top 10 Reasons to Attend THIS CE meeting!

1. You’ve earned it.  You deserve time off to recharge your batteries AND learn new ideas that will benefit your practice!

2.   This meeting is loaded with VALUE. It takes place during the ‘shoulder season,’ which means your CE dollars will go farther than you might expect. Enjoy uncrowded beaches & pools and great rates for rooms with ocean views.

3.  Better Learning, By Design— As part of the program, our Speakers understand that they are to be available as your Consultants for the week.  So bring your tough case questions and talk with them one on one, or learn from the group at each day’s end when we hold a panel discussion. 

4.  It’s on a Hawaiian Island! Beaches, restaurants, art galleries, pools, snorkeling, waterfalls, botanical gardens and so many other adventures.  The dress for the meeting is Hawaii-casual.  Come in shorts and sandals, you’ll be in good company.

5.  You can Learn, Renew and Explore.  With lectures completed before 1 pm, there is ample time for you to relax or explore the island. Our family friendly locations and great excursions provide fun activities for all ages.

6.  All the CE you need in one meeting.  In one week, our seminars will cover the latest in  Dermatology, Endocrinology, Internal Medicine, and Infectious Disease. That’s over 25 CE units of practical information.

7.  Experience First Class CE. Comfortable, open meeting space and roomy seating.  Breakfast is included with the registration fees for all attendees.  Seminars are held in one hotel so you won’t feel like a rat in a maze trying to find the next lecture hall!

8.  Focus on the Practical.  Our speakers present practical information designed for the everyday practitioner.  If you weren’t likely to see a similar case within the previous 30 days, we probably won’t be talking about it.

9.  The Exhibit Hall.  Our schedule gives you plenty of time and one-on-one access to really get your questions answered by the various industry representatives. 

10.  We’ve designed the best CE meeting in the world.  Speakers you can talk to, a comfortable, uncrowded lecture hall, Half-Day Seminars give you time to absorb the morning’s lectures and go have fun in the afternoon, a beautiful tropical location that offers activities for all ages.

Helicoptering over Kauai-- I'd do it again!

I am spectacularly afraid of helicopters. I don't think those machines follow any of the laws of physics and am even worried when they fly over my house. But my spouse asked to go on the helicopter ride, and explained that Kauai was so remote that it was really the only way to see much of the island.  Within minutes of getting airborne, I'd forgotten my fears and enjoyed the scenery.

 

 

Before long, we learned why Kauai often the backdrop for many Hollywood movies.  Here are the twin falls seen at the beginning of the Fantasy Island credits. Later we got a great look at the spectacular waterfall seen in Jurassic Park.

 

 

 

 

 

 

 

 

 

We followed the waterfalls to their source and saw the rivers that snaked their way through deep canyons.

 

 

 

 

 

Soon, our helicopter steered toward the ocean where we saw the breathtaking views of the Na Pali coastline.

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Our helicopter ride over Kauai was an amazing once (or twice?) in a lifetime experience!


Camera Advice When Traveling to Africa for Safari

by Don Klingborg, DVM

If you are bringing many cameras, you may be held at customs due to concerns that you may be selling them.    Do have several copies of a record with the model and serial number of your camera and lenses.  I do not expect one (or two) camera bodies and several lenses per person to raise any concerns.

Digital or film?  This is more an individual preference.  In the past I used film with great results and satisfaction.  I loved the ability to have very high ASA speeds for mornings and dusk, and to “freeze” the critters as they moved.  I’ve now fallen in love with digital photography and no longer use film. The biggest challenges I’ve found with digital are (1) being sure you’re shooting with sufficient speed to freeze movement and (2) overcoming the delay inherent in many (older or less expensive) digital cameras from the time you push the button to when exposure actually happens.  The perfect photo can be missed due to this delay.  I’ve learned to compensate by shooting multiple exposures (and reviewing them in the evenings discarding those that “missed”) and by replacing older camera’s with newer and better equipment with faster components.  This is more of a problem in Africa than on the Galapagos Islands as animals run from you in Africa, and simply don’t notice your presence on the Islands (no fear of humans for most, but the crabs will avoid you).  My photos are better in the Galapagos because I get the front end of the critters, in Africa more of the rear end as they’re running away.

I bring additional image storage devices because I shoot at higher megapixels and need space.  Remember to bring extra batteries for the trip (which are hard to come by and may be expensive).  I don’t erase photos from memory when I upload to the computer so I have two files should one have a problem. I’ve successfully charged cameras overnight and most cameras can use either 110 V or 220 V.  You’ll need the right adaptors for the country being visited.   Be prepared the number of outlets may be limited – I have a small three plug travel strip that allows me to charge the camera and Bev to curl her hair – a very wise investment.

Do “shoot” carefully—film is expensive to buy and limited in their ASA selections.  Be aware that the airport security screening X-ray equipment is not as regulated in South America or Africa as it is in the US and I’ve heard reports of priceless negatives being ruined by X-ray.  I had no problems using an inexpensive lead-lined film bag for my regular film, and made sure I had it in my carry-on and not packed with the luggage being checked.  I prefer to carry my memory storage devices in carry-on—and if in checked luggage I spread them between Bev’s and mine should one be ‘lost’.

Lenses do most of the work in good photography.  Recall that the better digital cameras use the same lenses used with film cameras, but the digital sensor that captures the image in many (not all) digital cameras increase the magnification by about 1.6X that found with film.  These means a 300 mm lens is more like a 480mm lens.  I’ve recently switched back to a full frame sensor camera from my less than full frame camera and expect I’ll shoot either panorama (down around 16 mm), most often with a 70-300mm lens, and if birding with a 100-400mm lens. With image stabilization even at 300 mm you usually don’t need a tripod. I’ll likely be the one spending all his time changing lenses and not getting any pictures.

Veterinary Dermatology @ Your Fingertips!!

VETS Dermatology is pleased to announce a new iPad/iPhone application designed for Veterinarians, Veterinary Staff and Pet Owners.

"Common Conditions in Veterinary Dermatology" contains over 100 images of 30+ skin conditions seen in dogs and cats.

This app contains great photos of the most common skin problems seen in dogs and cats.  The topics covered include:

Now you have the ability to show a pet owner video of a Demodex or Scabies mite without leaving the exam room!

Check out the video demo of the app at the VETS Dermatology Demo movie (< 4 minutes!)

and it's FREE at the App Store-- just search for "veterinary dermatology"