Central Toronto Veterinary Referral Clinic
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![Dr. Andrew Chong headshot Dr. Andrew Chong headshot](https://images.ctfassets.net/rt5zmd3ipxai/FVrjLrh3wEOVIgbQ4xeRT/dc9283c3e30d92516eac2f863edf322d/60-40_Template.jpg?fit=fill&fm=webp&h=257&w=337&q=72,%20https://images.ctfassets.net/rt5zmd3ipxai/FVrjLrh3wEOVIgbQ4xeRT/dc9283c3e30d92516eac2f863edf322d/60-40_Template.jpg?fit=fill&fm=webp&h=514&w=674&q=72)
Pimobendan Use in Acquired Heart Disease of Dogs and Cats
Cardiology Update
Pimobendan is one of the most prescribed cardiac medications for canine and feline patients. It is a calcium-sensitizing agent and phosphodiesterase 3 inhibitor, resulting in improved contractility (inotropy), vasodilation, as well as greater heart muscle relaxation (lusitropy).
![Older dog sitting in grass Older dog sitting in grass](https://images.ctfassets.net/rt5zmd3ipxai/2rY9KKgzNprdbZ7bISSJE4/c3becc586fda7daa9899d20a3a2f216c/AdobeStock_277070136.jpeg?fit=fill&fm=webp&h=257&w=337&q=72,%20https://images.ctfassets.net/rt5zmd3ipxai/2rY9KKgzNprdbZ7bISSJE4/c3becc586fda7daa9899d20a3a2f216c/AdobeStock_277070136.jpeg?fit=fill&fm=webp&h=514&w=674&q=72)
Canine Hypothyroidism: Screening Tests and Diagnosis
Internal Medicine Update
Canine hypothyroidism is a common disease and easy to treat, yet the diagnosis can be confusing, often difficult and definitely frustrating for both the veterinarian and client. But it doesn’t have to be!
![Woman with a face mask on walking her dog Woman with a face mask on walking her dog](https://images.ctfassets.net/rt5zmd3ipxai/vjgw2NYaX5Nruik7lWO5Z/be53bbf5a4ab18538b4d63ad4d1d0bf9/NVA-Custom-60-40-CITY.png?fit=fill&fm=webp&h=257&w=337&q=72,%20https://images.ctfassets.net/rt5zmd3ipxai/vjgw2NYaX5Nruik7lWO5Z/be53bbf5a4ab18538b4d63ad4d1d0bf9/NVA-Custom-60-40-CITY.png?fit=fill&fm=webp&h=514&w=674&q=72)
Laser Lithotripsy in Dogs: Minimally Invasive Therapy for Canine Urinary Stones
Internal Medicine Update
Did you know that not all urinary bladder stones have to be surgically removed?