The initial consultation will often last for ninety minutes:

It will usually involve an in-depth discussion of your concerns and wishes.
favicon A review of your pet’s full medical history, and importantly, questions regarding the response to previous treatments.
favicon  Your pet will then undergo a full clinical examination, then a thorough dermatological assessment.
favicon I will usually take some samples (coat brushings, hair plucks, tape strippings, skin scrapings etc.). I will examine them, whenever possible  in your presence, often using a microscope. You will usually be able to watch the microscopic investigation live via a digital link.
favicon  In some instances, intradermal (skin) allergy testing will be recommended for suspected allergic animals.
favicon  Blood samples may also be taken for further analysis at external laboratories.
favicon  I will then discuss the list of possible conditions, offer various options regarding further investigations and proposed treatments.
favicon  I will give out annotated advice sheets detailing further treatment plans.
favicon  Then I will discuss the case with the referring veterinary surgeon, as well as providing a full summary for them usually within twenty-four hours.

After the initial consultation:

favicon I provide ongoing support to your primary Veterinary surgeon and yourself through email and verbal contact often for months or years.

favicon  I will also arrange repeat consultations and re-examinations whenever necessary.

Unfortunately it is impossible to cure some skin diseases especially some allergies. I will be able to help formulate treatment regimens and adjust then over time to ensure your pet experiences to best possible quality of life. New treatments become available every year around the world and I will adjust the management of each case, when necessary, to incorporate these new ideas.

It is very important that you, the owner, accompany your pet to the consultation.

If your pet has had medical insurance from before the onset of the current condition, then please contact your insurance company. It is important that you know of any possible policy exclusions, or limitations on duration of cover, before booking the appointment.

Please note payment will always be required at the time of consultation