Alliance Veterinary Specialty Services

10/30/2026

Love this so much 🩷🦖🩷

09/21/2026

Over the past several months, whenever I post DAVE, he gets some of the most questions, comments, and love… so I think it’s officially time for him to have a more permanent spot on my page. 🩷

🐾🩷Meet Dave🩷🐾

Dave has been living at Summit Animal Hospital in Winterset, IA since he was dropped off there as a kitten 11 years ago with nerve damage to his left front leg. He ultimately had to have his toes amputated and an arthrodesis, but none of that has stopped this guy from THRIVING with his little peg leg. 🥹

Dave has always been one of my favorite clinic kitties. He immediately responds when I say, “Hi, Dave!” and then proceeds to purr as loudly as humanly possible. 😂

But when Summit opened their new hospital this year, **Creeper Dave was born.** 👀

The first time I set up my ultrasound machine on the treatment table, I looked over and saw… Dave. Just… creepin’ 😂

Of course, I said hello and gave him some love. And apparently, that was the beginning of something special, because ever since then, Dave has perfected the art of giving me the creeper look every single time I arrive at his clinic.

And what I learned more recently? This is a behavior he apparently saves just for me.🥹🩷

🩷MELT. MY. HEART. 🩷

So, I will obviously continue documenting Creeper Dave every time I’m at Summit. And now I need your help…

👇 **Drop your best caption for Creeper Dave in the comments or send it to me in a message.** I’ll be using your captions for future Creeper Dave appearances. 😂

🩷Consider this your official invitation to join the **Creeper Dave Fan Club.** 🩷

09/19/2026

On Wednesday Mr. Deuce headed to the OR. Even though it didn’t end the way we had hoped, everyone did everything they could for him and I couldn’t be more grateful for the chance to be a part of his care team 🩷

09/16/2026

I’ve loved every opportunity to help at the zoo over the years…Deuce is definitely my favorite 🩷🦁🩷

09/09/2026

No surprise that my sweet Callie killed it for her preventative ultrasound today! She is officially having her second TPLO knee surgery tomorrow 🥺, so pre anesthetic blood work and abdominal ultrasound were what the doctor ordered! Lucky for her, I was very bored during her ultrasound and she gets to keep her spleen…for now 😆🩷

09/01/2026

IMPORTANT CASE ALERT!!
This is a case I just helped with TWO weeks ago, and it shows two very important points:
FIRST - Fungal disease is alive and well in IOWA - for this case specifically, Knoxville, IA!
SECOND - I'm not ALWAYS doctor death, and sometimes we find treatable disease!!!

Scroll through the images for more info about this case. Here are the cliff notes:

The CUTEST 3-year-old spayed female Pomski, weighing 13.1 lbs (5.9 kgs) had a history of chronic bloody mixed bowel diarrhea and weight loss over the last 3 months. She initially responded well to a bland diet and Pro Pectalin. But the clinical signs returned and additional symptomatic/empirical therapies did not significantly help.
All of the non-invasive testing showed relatively non-specific changes, so ultrasound was recommended.

Ultrasound showed very significant findings, including thickening of the colon and ileum with diffuse loss of layering, concerning for an emerging mass at the ileum. In addition, there are multiple enlarged colonic and mesenteric lymph nodes.

When it comes to the intestinal tract, the finding of loss of normal layering is highly concerning for infiltrative neoplasia. So in this case, the loss of layering in both the colonic and ileal walls along with diffusely enlarged abdominal lymph nodes was highly concerning for cancer with metastatic spread to the lymph nodes.

BUT ultrasound along cannot definitively determine benign versus malignant disease, and sweet Nami is only 3 years old!!! So, when considering benign potentials, fungal infiltration was one of the only differentials that seemed to make sense and thank goodness her owners agreed to testing which confirm HISTOPLASMOSIS!!

Miss Nami still has a looong way to go with likely a year or more of antifungal medications and rechecks with the possibility for relapse, but woohoo for NOT CANCER!!💗

07/06/2026

I have this conversation at least weekly...as much as I love performing ultrasound guided fine needle aspirates of really anything...when it comes to the spleen, we can probably skip it and just take the spleen out!!...some call me the spleen evictor 😅😂🩷

Cytology and histopathology show only poor to fair agreement in dogs with splenic masses or nodules. Cytology is more reliable when it diagnoses cancer than when it calls a mass benign.

Learn more: jav.ma/cytohisto

07/01/2026

2007 Punky helping me study in vet school vs. Punky today helping me run my business 😻🩷

06/08/2026

It’s always a good day with my “preventative crew”…especially when everyone has “boring” ultrasounds AND I got to meet sweet Bishop…I’m sure I won’t be able to pick him up 6 months from now 😂🩷😍