Advanced Care Veterinary Services

Advanced Care Veterinary Services Douglas Stramel, DVM, CVPP, CVMA
Expert Veterinary Pain Management
โ€”30+ years of experience
Small Animal & Equine
๐Ÿ“Carrollton, Texas| DFW & North Texas

Advanced Care Veterinary Services a state of the art Pain Management & Rehabilitation Clinic. Acupuncture, Surgery, Pain Management, Rehabilitation.

๐๐ž๐ฐ ๐–๐จ๐ซ๐ฅ๐ ๐’๐œ๐ซ๐ž๐ฐ๐ฐ๐จ๐ซ๐ฆ - ๐–๐ก๐š๐ญ ๐˜๐จ๐ฎ ๐’๐ก๐จ๐ฎ๐ฅ๐ ๐Š๐ง๐จ๐ฐ:Fact: Most maggots feed on dead tissue. New World Screwworm larvae are differ...
06/09/2026

๐๐ž๐ฐ ๐–๐จ๐ซ๐ฅ๐ ๐’๐œ๐ซ๐ž๐ฐ๐ฐ๐จ๐ซ๐ฆ - ๐–๐ก๐š๐ญ ๐˜๐จ๐ฎ ๐’๐ก๐จ๐ฎ๐ฅ๐ ๐Š๐ง๐จ๐ฐ:

Fact: Most maggots feed on dead tissue. New World Screwworm larvae are differentโ€”they feed on healthy, living tissue, causing wounds to rapidly enlarge and worsen.

๐—ช๐—ต๐˜† ๐—ฑ๐—ฎ๐—ป๐—ด๐—ฒ๐—ฟ๐—ผ๐˜‚๐˜€: Rapid tissue destruction, severe pain, secondary bacterial infections, toxemia, and death possible within ~1 week if untreated. Infestations in eyes, ears, or deep tissues can be particularly severe/fatal.

๐—”๐˜€ ๐—ผ๐—ณ ๐—๐˜‚๐—ป๐—ฒ ๐Ÿต, ๐Ÿฎ๐Ÿฌ๐Ÿฎ๐Ÿฒ, ๐—ต๐—ฒ๐—ฟ๐—ฒ'๐˜€ ๐˜๐—ต๐—ฒ ๐˜€๐—ถ๐˜๐˜‚๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ถ๐—ป ๐—ง๐—ฒ๐˜…๐—ฎ๐˜€:

Texas has 4 confirmed New World Screwworm cases in 3 counties:

โ€ข Zavala County โ€“ calf (first U.S. case)
โ€ข La Salle County โ€“ calf
โ€ข Gillespie County โ€“ goat

Additional Texas case confirmed by USDA, bringing the Texas total to four. A previously reported Andrews County case was reclassified as a New Mexico case.

The U.S. total currently stands at 5 confirmed cases:
โ€ข 3 calves
โ€ข 1 goat
โ€ข 1 dog (Lea County, New Mexico)

Texas currently has an established infested zone affecting portions of: La Salle County -Webb County-Uvalde County-Zavala County.

๐—ช๐—ฎ๐—ฟ๐—บ-๐—ฏ๐—น๐—ผ๐—ผ๐—ฑ๐—ฒ๐—ฑ ๐—ฎ๐—ป๐—ถ๐—บ๐—ฎ๐—น๐˜€ ๐—บ๐—ฎ๐˜† ๐—ป๐—ผ๐˜ ๐—น๐—ฒ๐—ฎ๐˜ƒ๐—ฒ ๐˜๐—ต๐—ฒ ๐—ถ๐—ป๐—ณ๐—ฒ๐˜€๐˜๐—ฒ๐—ฑ ๐˜‡๐—ผ๐—ป๐—ฒ ๐˜„๐—ถ๐˜๐—ต๐—ผ๐˜‚๐˜ ๐—ฝ๐—ฟ๐—ถ๐—ผ๐—ฟ ๐—ฎ๐˜‚๐˜๐—ต๐—ผ๐—ฟ๐—ถ๐˜‡๐—ฎ๐˜๐—ถ๐—ผ๐—ป ๐—ณ๐—ฟ๐—ผ๐—บ ๐˜๐—ต๐—ฒ ๐—ง๐—ฒ๐˜…๐—ฎ๐˜€ ๐—”๐—ป๐—ถ๐—บ๐—ฎ๐—น ๐—›๐—ฒ๐—ฎ๐—น๐˜๐—ต ๐—–๐—ผ๐—บ๐—บ๐—ถ๐˜€๐˜€๐—ถ๐—ผ๐—ป (๐—ง๐—”๐—›๐—–).

The restrictions apply to: Horses-Cattle-Sheep-Goats-Dogs
Other warm-blooded animals; Certain animal products, hides, and carcasses from quarantined areas.

๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐˜€๐˜๐—ฎ๐˜๐—ฒ ๐—ฎ๐—ป๐—ฑ ๐—œ๐—ป๐˜๐—ฒ๐—ฟ๐—ป๐—ฎ๐˜๐—ถ๐—ผ๐—ป๐—ฎ๐—น ๐—œ๐—บ๐—ฝ๐—ฎ๐—ฐ๐˜๐˜€
โ€ข All southern U.S. ports of entry are closed to livestock trade.
โ€ข Livestock imports from Mexico remain restricted.
โ€ข Mexico has closed livestock movements across the border.
โ€ข Canada has imposed restrictions on livestockโ€”including horsesโ€”from Texas and on animals that have resided in or transited Texas within the previous 21 days.

๐—–๐—ฎ๐—ป ๐—ถ๐˜ ๐—ถ๐—ป๐—ณ๐—ฒ๐—ฐ๐˜ ๐—ต๐˜‚๐—บ๐—ฎ๐—ป๐˜€? Yes. While uncommon, human cases occur. In 2025, the United States documented its first human case in decades in a traveler returning from Central America. Like animals, the larvae feed on living tissue and often require surgical removal.

Many veterinarians practicing today have never seen a case in person because the parasite was eradicated from the U.S. decades ago.

๐—”๐˜ ๐˜๐—ต๐—ถ๐˜€ ๐˜๐—ถ๐—บ๐—ฒ, ๐—ป๐—ผ ๐—ฐ๐—ฎ๐˜€๐—ฒ๐˜€ ๐—ต๐—ฎ๐˜ƒ๐—ฒ ๐—ฏ๐—ฒ๐—ฒ๐—ป ๐—ฟ๐—ฒ๐—ฝ๐—ผ๐—ฟ๐˜๐—ฒ๐—ฑ ๐—ถ๐—ป ๐—ก๐—ผ๐—ฟ๐˜๐—ต ๐—ง๐—ฒ๐˜…๐—ฎ๐˜€. ๐—”๐˜„๐—ฎ๐—ฟ๐—ฒ๐—ป๐—ฒ๐˜€๐˜€, ๐˜„๐—ผ๐˜‚๐—ป๐—ฑ ๐—บ๐—ฎ๐—ป๐—ฎ๐—ด๐—ฒ๐—บ๐—ฒ๐—ป๐˜, ๐—ฎ๐—ป๐—ฑ ๐—ฝ๐—ฟ๐—ผ๐—บ๐—ฝ๐˜ ๐˜ƒ๐—ฒ๐˜๐—ฒ๐—ฟ๐—ถ๐—ป๐—ฎ๐—ฟ๐˜† ๐—ฎ๐˜๐˜๐—ฒ๐—ป๐˜๐—ถ๐—ผ๐—ป ๐—ฟ๐—ฒ๐—บ๐—ฎ๐—ถ๐—ป ๐—ผ๐˜‚๐—ฟ ๐—ฏ๐—ฒ๐˜€๐˜ ๐˜๐—ผ๐—ผ๐—น๐˜€ ๐—ณ๐—ผ๐—ฟ ๐—ฝ๐—ฟ๐—ผ๐˜๐—ฒ๐—ฐ๐˜๐—ถ๐—ป๐—ด ๐—ต๐—ผ๐—ฟ๐˜€๐—ฒ๐˜€, ๐—น๐—ถ๐˜ƒ๐—ฒ๐˜€๐˜๐—ผ๐—ฐ๐—ธ, ๐—ฝ๐—ฒ๐˜๐˜€, ๐—ฎ๐—ป๐—ฑ ๐—ฝ๐—ฒ๐—ผ๐—ฝ๐—น๐—ฒ.


First year anatomy lab has really changed. However, my lab partner, Dr Gary Stamps  and I were able to find our old area...
05/31/2026

First year anatomy lab has really changed. However, my lab partner, Dr Gary Stamps and I were able to find our old area.

This is where it all started.....39 years ago, first apartment in vet school with my roommate Dr. Donald Schmidt .Gettin...
05/30/2026

This is where it all started.....39 years ago, first apartment in vet school with my roommate Dr. Donald Schmidt .
Getting ready to go meet up with other classmates. Oh the memories!!

Happy Memorial Day๐Ÿ‡บ๐Ÿ‡ธToday we remember and honor those who gave everything for our freedom.Our office is closed today in ...
05/25/2026

Happy Memorial Day๐Ÿ‡บ๐Ÿ‡ธ

Today we remember and honor those who gave everything for our freedom.

Our office is closed today in observance of Memorial Day and will reopen tomorrow for normal business hours.

We hope everyone has a safe day with family, friends, and the pets who make life even better!

I just finished making 51 peanut butter treats.The Haters will say itโ€™s a waste of a doctorโ€™s timeโ€”that this is somethin...
04/30/2026

I just finished making 51 peanut butter treats.

The Haters will say itโ€™s a waste of a doctorโ€™s timeโ€”that this is something an assistant could do. I disagree.

Since May 1, 2022, weโ€™ve served nearly 4,800 treats to our patients, and Iโ€™ve personally made over 70% of them.

When new clients ask how theyโ€™re made, I just smile and say, โ€œTheyโ€™re made with love.โ€

If I didnโ€™t love what I doโ€”and the patients I serveโ€”I wouldnโ€™t take the time to make them myself. Every batch reminds me of the pets Iโ€™ve helped, and Iโ€™m grateful God gave me the skill and wisdom to do this work.

The real question isnโ€™t, โ€œWhy is he wasting his time on this?โ€
Itโ€™s, โ€œHow long will he keep doing it?โ€

God willing, Iโ€™ll make it to 10,000.

04/20/2026

An international wet lab where veterinarians come to teach, learn, and refine advanced pain management techniques.โ€ฆ..

This is a hands-on wet lab where veterinarians from around the world teach and learn joint injections and local/regional blocks.

We use cadaver dogs for this trainingโ€”so veterinarians can practice identifying landmarks and performing techniques under direct instruction.

This is how we improve pain management in real patients.

๐—ก๐—ผ ๐—ฐ๐—ฎ๐˜๐˜€ ๐—ฎ๐—น๐—น๐—ผ๐˜„๐—ฒ๐—ฑ.....Weโ€™re closing early todayโ€”Dr. Stramel is headed to Dallas to speak at the Pain Management Forum 2026...
04/17/2026

๐—ก๐—ผ ๐—ฐ๐—ฎ๐˜๐˜€ ๐—ฎ๐—น๐—น๐—ผ๐˜„๐—ฒ๐—ฑ.....

Weโ€™re closing early todayโ€”Dr. Stramel is headed to Dallas to speak at the Pain Management Forum 2026.

He is speaking on a topic thatโ€™s widely misunderstood in veterinary medicine.

Acetaminophen โ€“ No Cats Allowed: Dispelling the myths on the utilization of acetaminophen for pain relief in both the canine and equine species.

Heโ€™s not just speakingโ€”heโ€™s also responsible for the joint injection wet lab and continues to generously donate his time to advancing veterinary pain management through IVAPM.

Weโ€™ll be back to normal hours Tuesday April 21st.

I was working on a presentation and asked ChatGPT for help making a diagram....ChatGPT said: โ€œSure, I can help with that...
04/13/2026

I was working on a presentation and asked ChatGPT for help making a diagram....

ChatGPT said: โ€œSure, I can help with that veterinary diagram!โ€

We said: โ€œGreat, show us proper NMES electrode placement for the left brachial plexus in a dog.โ€

And ChatGPT delivered this masterpieceโ€ฆ

โ€ขโ€œNUMESโ€ electrodes (new trendy acronym, apparently)
โ€ขTwo blue suitcases strapped to the dog
โ€ขA random red dot labeled โ€œPap 1โ€
โ€ขThe dog looking mildly concerned in the background

Take home message: We still have a long ways to go with AI..... ๐Ÿ˜‚

And you probably shouldn't use it (yet) to diagnose or treat your own dog.

Happy Monday!




Good news for our horse and dog parents looking for joint support!There is solid published research on 4CYTE (powered by...
04/11/2026

Good news for our horse and dog parents looking for joint support!

There is solid published research on 4CYTE (powered by its patented Epiitalisยฎ ingredient).

For dogs with osteoarthritis:

โ€ข A 2020 University of Melbourne pilot study (published in the Australian Veterinary Journal) found 93.5% of dogs showed improved quality of life and 74% had better mobility after 28 days โ€” even many already on other OA treatments. ๏ฟผ

โ€ข A 2021 randomized trial showed 4CYTE was non-inferior to the NSAID carprofen for reducing pain and improving mobility. ๏ฟผ

For horses:

Studies (including work by Dr. Wayne McIlwraith) show it helps reduce inflammation markers, lameness, and even some radiographic signs of joint damage โ€” with improvements sometimes seen in as little as 1โ€“2 weeks.

Itโ€™s one of the better-researched joint supplements out there.

We keep 4CYTE in stock for both horses and dogs โ€” let us know if youโ€™d like to try it.


Address

1609 West Hebron Parkway, Ste 108
Carrollton, TX
75010

Opening Hours

Monday 8am - 5pm
Tuesday 8am - 5pm
Thursday 8am - 5pm
Friday 8am - 5pm

Telephone

(972) 394-6422

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