Tuesday, August 12, 2014
2014 Pet Hero Award Winner - Dr. David T. Crouch, DVM Outstanding Veterinarian
The Pet Philanthropy Circle’s mission is to save and enhance the quality of animal lives by promoting greater public awareness of their welfare and the causes that protect them. We accomplish this through educational programs, raising funds for qualified animal rescue organizations and the Pet Hero Awards.
Monday, September 9, 2013
Dr. David Crouch attends prestigious orthopaedic surgery conference
Monday, August 22, 2011
Dr. David Crouch attends prestigious orthopaedic surgery conference
Dr. David T. Crouch recently attended the Veterinary Arthrology Advancement Association (VA3) meeting in Naples, FL. The meeting is hosted annually by Arthrex, Inc. This elite group of 45 orthopedic veterinary surgeons from around the world come together to discuss and refine the latest surgical techniques
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More specifically, the course featured advance arthrosopic approaches to many orthopaedic problems affecting small animals. They also discussed and gave examples of new implants and data sharing in order to improve outcomes in veterinary orthopaedics. All who attended had to be at the advance level in arthroscopy.
Continuing education is always important no matter what profession you are in. At Western Carolina Veterinary Surgery, we take this seriously. It is very important to us that we are up-to-date with the latest and greatest breakthroughs. The more we can fine tune our skills, the better service we will be able to provide you and your pet.Tuesday, July 19, 2011
Dr. Crouch pilots sick Boxer dog to safety.
With the help of another pilot, Mr. Bob Hite, Lilly arrived at the Asheville airport on the morning of June 16, 2011. Dr. David Crouch and his son Mark flew Lilly to Burlington, NC. They were greeted by Dorothy Peters and Doug Allison who will be her foster parents.
Dr. Crouch and Western Carolina Veterinary Surgery are proud supporters of Pilot N Paws.
www.pilotsnpaws.org
Wednesday, April 6, 2011
Dr. Crouch Attends Conference In Aspen, Colorado
Sunday, April 3, 2011
Causes and Signs of Osteochondrosis
Causes
The causes of OCD considered to be multifactorial with input from management, genetic and nutritional interactions in young growing dogs.
Incidence and Prevalence
Large and giant-breed dogs are commonly affected. Males are more commonly affected than females.
Signs and Symptoms
Clinical signs often develop when the dog is between 4 and 8 months of age. Dogs usually show a lameness of one forelimb. In many cases, there is a gradual onset of lameness that improves after rest and worsens after exercise.
Risk Factors
Risk factors for OCD include age, gender, breed (genetic), rapid growth, and nutrient excesses, primarily calcium excesses. The hereditary nature is suggested because of high frequency of occurrence within certain breeds of dogs and within certain bloodlines. Males are more commonly affected than females.
When to Seek Veterinary Advice
If your young large breed dog is persistently lame in a forelimb, especially after exercise, you should have a physical exam performed. If the dog is painful on palpation of the shoulder, usually during shoulder extension and flexion, then radiographs of the shoulder should be made to evaluate for OCD.
828.684.0019
- Information provided by American College of Veterinary Surgery.
Saturday, March 26, 2011
Pain Behaviors - What To Look Out For
As time goes by our pets settle into a routine of their own. New and somewhat odd behaviors need to be not only noticed, but for the benefit of your pet, addressed in a timely manner. Some new behaviors are harmless and developed out of preference while others are developed from pain. Take a look below at the examples the American College of Veterinary Surgery gives for possible causes of pain and signals of distress
Causes for pain may be:
- Physical trauma, such as falling down or being hit by something.
- Internal organ problems, such as intestinal upset or kidney blockage.
- Surgical procedures, such as abdominal surgery or bone surgery.
- Brain or spine problems, such as a slipped disc, pinched nerve or headache.
- Degenerative changes, such as arthritis and cartilage damage.
Our reaction to pain is seen as “pain behavior”. A child cries when he breaks his arm. A woman holds her head and squints her eyes when having a migraine headache. A man winces when he stands up on his bad knee. To an observer, these behaviors display pain in action. In the veterinary medical setting, we use these pain behaviors, common to each different species but unique in each different patient, to grade the pain experience.
Many owners are surprised to learn that their pet may be experiencing pain, since some pain behaviors are not seen in people. Common pain behaviors are:
- Crying and/or whining (dogs)
- Growling and/or purring (cats)
- Hiding (cats and dogs)
- Not grooming (cats)
- Squinting (cats)
- Glassy-eyed, vacant look (dogs)
- Hunched up body (cats and dogs)
- Restlessness and changing positions a lot (dogs)
- Not moving from one spot (cats)
- Irritable or aggressive (cats and dogs)
- No appetite (cats and dogs)
- Shaking and trembling (dogs)
- Protecting the hurting body part (cats and dogs)
www.WCVS.org
www.ACVS.org
Saturday, March 5, 2011
Financial Aid
"Due to the current economic crisis and decline in donations, IMOM presently accepts applications for life threatening emergencies only. Life threatening emergencies are defined as follows:
A life threatening emergency exists when it has been confirmed in writing by a veterinarian that your pet will die or have to be humanely euthanized if care is not provided within ten days from the date of diagnosis.
You are understandably under stress and want to get through this process as quickly as possible. Everyone who volunteers for IMOM is well aware of that. We will always do our best to help you help your pet if you qualify. Unfortunately, it's not as easy as simply exchanging a few emails and IMOM sending a check to your veterinarian.
You need to take a deep breath and try to relax as much as you can. Following the steps as we have them outlined is not nearly as daunting as it looks.
There are no shortcuts. As you read through the step-by-step instructions please keep in mind that IMOM is a federally registered charity. We have to justify every penny we spend to the IRS, our donors and grantors. In order to do that we need to have complete files on each and every case.
If you follow our step-by-step instructions, making sure to send the proper documents, our financial aid committee can usually have an answer for you in less than two hours after receiving your application -- sometimes less. However, please keep in mind that sometimes we sleep or take breaks to :)
The bottom line is this -- we've been doing this since 1998 and we know what works. All of our volunteers know exactly what is needed to get your pet the care they need, if you qualify. We are here and ready to do our jobs but we are helpless if you don't do your part.
The reality
As much as IMOM would like to help everyone who comes to us, it is simply not possible. We are working with very limited funds and an overabundance of requests for help.
IMOM presently accepts applications for life threatening emergencies only. Life threatening emergencies are defined below:
- A life threatening emergency exists when it has been confirmed in writing by a veterinarian that your pet will die or have to be humanely euthanized if care is not provided within ten days from the date of diagnosis.
Click on "Financial Aid" then "Step 1" in the menu on the left side of this page to get started.
PS...
If you feel like it's just too much to read and too many documents to provide, you should know that since 1998 IMOM has help more than 1800 pets and paid out more than 1.5 million dollars to veterinarians nation wide. Our system works so that we are able to comply with the IRS and to help you help your pet."
Wednesday, February 23, 2011
Tracheal Collapse
| Tracheal collapse is a chronic, progressive disease of the trachea, or windpipe. The trachea is a flexible tube and, similar to a vacuum cleaner hose, it has small rings of cartilage that help keep the airway open when the dog is breathing, moving, or coughing. The rings of cartilage are C-shaped, with the open part of the C facing upward. Between the two ends of the C is a long band of tissue- the dorsal membrane- that runs the length of the airway. In some dogs, the C-shaped cartilage becomes weak and begins to flatten out. Initially it becomes U shaped but, as the dorsal membrane stretches, the cartilage rings get flatter and flatter until the trachea collapses (Figure 1). The collapse can extend all the way into the bronchi- the tubes that feed air into the lungs, resulting in severe airway compromise in the animal.
Small breed dogs are most commonly affected with the disease, particularly Yorkshire terriers, Pomeranians, poodles, and Chihuahuas. Affected dogs are often middle aged or older, though it can be seen in some young dogs as well. Dogs that are overweight or that live in household with smokers may be more at risk or at least more likely to show clinical signs. Medical management includes weight loss, cough suppressants, antispasmodics or bronchodilators to reduce airway spasms, and sedation to reduce coughing and anxiety. Some dogs may require heavy doses of sedation to break the coughing cycle, since coughing will irritate the airway and lead to more coughing. Additionally dogs should be kept away from smoke and other environmental pollution (coughing may be even stimulated by smoke or other irritants brought in on clothing and hair). Dogs with infections are treated with antibiotics.
Medical management is continued after the surgery, and most dogs are placed on a course of steroids to reduce swelling and irritation from the ring or stent placement. Owners must continue to keep their dogs thin and avoid exposing them to smoke or other airway pollutants. Also, they should use a harness that is specially made to fit low on the chest so that no pressure is put on the neck area when the dog is being walked. In winter months, a humidifier may help relieve irritation from dry, heated air.
This information on Tracheal Collapse and much more can be found on the American College of Veterinary Surgery's website! acvs.org |
Wednesday, February 16, 2011
Patellar luxation
Patellar luxation is one of the most common congenital anomalies in dogs, diagnosed in 7% of puppies. The condition affects primarily small dogs, especially breeds such as Boston terrier, Chihuahua, Pomeranian, miniature poodle and Yorkshire terrier. The incidence in large breed dogs has been on the rise over the past ten years, and breeds such as Chinese shar pei, flat-coated retriever, Akita and Great Pyrenees are now considered predisposed to this disease. Patellar luxation affects both knees in 50% of all cases, resulting in discomfort and loss of function.
Patellar luxation occasionally results from a traumatic injury to the knee, causing sudden non-weight-bearing lameness of the limb. It may also develop subsequent to cranial cruciate deficiency in dogs that will typically have a chronic history of lameness. However, the cause remains unclear in the majority of dogs. Congenital patellar luxation is no longer considered an isolated disease of the knee, but rather a component/consequence of a complex skeletal anomaly affecting the overall alignment of the limb, including:
- Abnormal conformation of the hip joint, such as hip dysplasia
- Malformation of the femur, with angulation and torsion
- Malformation of the tibia
- Deviation of the tibial crest, the bony prominence onto which the patella tendon attaches below the knee
- Tightness/atrophy of the quadriceps muscles, acting as a bowstring
- A patellar ligament that may be too long
Grade I | Knee cap can be manipulated out of its groove, but returns to its normal position spontaneously |
Grade II | Knee cap rides out of its groove occasionally and can be replaced in the groove by manipulation |
Grade III | Knee cap rides out of its groove most of the time but can be replaced in the groove via manipulation |
Grade IV | Knee cap rides out of its groove all the time and cannot be replaced inside the groove |
Thank you American College of Veterinary Surgery for making this information available for all who are interested!
Monday, January 31, 2011
Brachycephalic Syndrome
The American College of Veterinary Surgery has done a fantastic job at describing the Brachycephalic Syndrom. To put it simply, this syndrome deals with short nosed breeds of animals and their difficulty breathing due to the shape of their head, muzzle, and throat.The signs and symptoms listed below is just a clip of ACVS's article.
"Dogs with elongated soft palates generally have a history of noisy breathing, especially upon inspiration (breathing inward). Some dogs will retch or gag, especially while swallowing. Exercise intolerance, cyanosis (blue tongue and gums from lack of oxygen), and occasional collapse are common, especially following over-activity, excitement, or excessive heat or humidity. Many dogs with elongated soft palates prefer to sleep on their backs. This is probably because this position allows the soft palate tissue to fall away from the larynx. The signs associated with stenotic nares and everted laryngeal saccules are similar."

Image on left is a stenotic which is malformed nostrils that are narrow or collapse inward during inhalation, making it difficult for the dog to breathe through its nose. Image on the right is a normal nose.
To see detailed photos and find out more on what happens during the physical exam, the treatment options, and the recovery period, visit their website by clicking here.
http://wcvs.org/
Tuesday, January 25, 2011
Signs, Test, & Treatment Options For Bone Tumors
The four primary bone tumors are osteosarcoma, chondrosarcoma, fibrosarcoma, and hemangiosarcoma. 95% of bone tumors found in pets is osteosarcoma.
Signs & Symptoms
- Lameness and swelling of the affected bone.
- Generalized weakness.
- A swelling or mass is the first sign of a tumor, particularly the skull, jaw, and ribs.
- Respiratory difficulties with rib tumors.

- Physical and orthopedic examination.
- Blood tests (complete blood count and serum biochemistry).
- Radiographs of the affected bone, chest radiographs.
- Computed tomography (CT) scans.
- Bone scan are recommended for dogs with a suspected primary bone tumor.

Treatment Options
- Pain-killing drugs are usually effective initially, although stronger analgesic drugs or drug combinations may be required as the tumor progresses.
- Radiation therapy usually once weekly radiation for 3 to 4 weeks or once monthly.
- Surgery, the affected limb can be amputated if the bone tumor is very painful or fractured.

The vast majority of dogs will adapt very well after limb amputation, even if arthritic in other joints, overweight, or a large dog breed.
The photograph of the dog to the left was taken 6 months after a hind limb amputation for osteosarcoma.
This information was taken from the American College of Veterinary Surgery. More on bone tumors may be found in their article to pet owners by clicking here.
We hope you found this information helpful. If you have any questions, you may reach us at our office by calling 828.684.0019.
Tuesday, January 18, 2011
Hip Dysplasia Signs, Causes, and Treatments
CANINE HIP DYSPLASIA Overview Causes Incidence and Prevalence Signs and Symptoms Risk Factors When to Seek Veterinary Advice Treatment Options In puppies less than 20 weeks of age, juvenile pubic symphysiodesis (JPS), a technique for stopping the growth of the pubis (part of the pelvis) may be performed to alter the growth of the pelvis and increase the degree of coverage of the acetabulum over the femoral head. Most puppies of this age do not show clinical signs of hip dysplasia, so diagnosis depends upon use of a screening technique for documenting hip laxity, such as Penn Hip, to determine which animals may be candidates for the procedure. Although specific criteria for application of JPS have not been developed, puppies under 20 weeks of age that have palpable and radiographic evidence of laxity on a hip distracted view can be considered for the procedure. Immature dogs (less than one year) with loose fitting hips, but no arthritic changes can be treated with a pelvic osteotomy (also sometimes called a triple pelvic osteotomy). This procedure involves cutting the pelvic bone in three places and rotating it to stabilize the hip joint and in many cases slow the progression of osteoarthritis. |
More information and photos on Canine Hip Dysplasia may be found on the ACVS website.
Click here to view the report.
Monday, December 27, 2010
The American College Of Veterinary Surgeons
Founded in 1965, the American College of Veterinary Surgeons is the American Veterinary Medical Association specialty board which sets the standards for advanced professionalism in veterinary surgery.
Following the 2010 certification examination, ACVS includes more than 1,470 Diplomates. Approximately 65 veterinarians earn their Diplomate Credentials every year. More than 60 percent of the ACVS Diplomates operate in private and specialty practices that accept cases on a referral basis from primary care practitioners. The remainder are primarily employed by academic institutions and industry where they teach, conduct research, practice in teaching hospitals, and participate in the development of new products and treatments which improve the quality of veterinary and human health care.
The ACVS defines the standards of surgical excellence for the profession, promotes advancements in veterinary surgery, and provides the latest in surgical educational programs. By fostering the highest standards of excellence in veterinary surgery, the ACVS is helping the veterinary profession achieve its goals of providing outstanding service to the public and care to animals.
Q: What is a Diplomate?A: An ACVS Diplomate in an individual who has been certified as a specialist in veterinary surgery by the American College of Veterinary Surgeons.Q: What does “board certified” mean?
A: A board certified surgeon is an individual who has completed the requirements of the ACVS to become certified as a specialist in veterinary surgery (an ACVS Diplomate).
Q: Do I need a surgeon who is board certified?
A: Advances in animal health care have led to a wider variety of treatment options, including highly specialized surgical procedures. Board certified surgeons spend at least four years after achieving their veterinary medical degree (DVM) focusing strictly on surgery. This concentrated training in surgery allows the ACVS Veterinary Surgeon to keep current with frequent advances in veterinary medicine. Ask your veterinarian if the procedure requires a specialist. General procedures may be less likely to require someone who is board certified.
Please visit http://www.acvs.org/ for more information.
Thursday, December 16, 2010
Ice, Ice, Baby

Winter has set and its time to bunker down and maker good decisions to keep our family and pets safe. Periodically, Western Carolina Veterinary Surgery will be posting facebook updates for cold weather advice.
For starters, I know Paris Hilton probably brought them on the scene and made them more trendy, but coats and booties can help your dog stay warm. In particular, short-haired or elderly dogs benefit from wearing a coat or sweater. We would suggest to look for coats or sweaters with high collars or a turtleneck that covers the dog from the base of the tail on top to the belly underneath.
Friday, December 3, 2010
WCVS On Facebook

Tuesday, November 30, 2010
Newsletter
Does your pet limp or skip? This may be an indication of a significant joint problem. Since many dogs and cats may not cry out in pain, they may be hiding a serious orthopedic condition. A thorough orthopedic exam may be required to diagnose your friend’s condition. Dr. Crouch offers consultation in orthopedic diseases affecting dogs and cats. Our practice is limited to surgery and all cases must be referred from your family veterinarian .
Warmest regards,
Dr. Crouch and the staff at Western Carolina Veterinary Surgery
Monday, November 22, 2010
Pilots N Paws - Another Successful Rescue
Our friends at Pilots and Paws have been keeping busy and blessing many people and animals in the process. Check out their latest story about a lucky German Shepard named Skye.
Skye made it to NJ thanks to everyone who helped us with this sweet girl! She had a restful night—and is eating me out of house and home! What an appetite. Deb and I made it back with about 30 min to spare before that storm with the 70 mph winds hit–yes, the one with the sideways rain. Skye was great in the plane, and in the car (we had to detour for quite a while during the storm b/c of downed trees and flooding—took over an hours and 1/2 to get home—she was patient!!). She is thin—but will put the weight on.
Again, THANK YOU.
Hugs,
Linda
Find more stories at www.pilotsnpaws.org
Tuesday, November 16, 2010
Pet Adoption Made Easy

I wanted to take a moment to highlight a website that connects shelters and breeders to potential pet owners.
If you have every considered adopting a pet, here is your place to look. On their website, you can learn about adoption, search for adoptable pets, find adoption groups, and post a classified ad. They have done an excellent job at streamlining the process for adoption.
Another perk about the site is how easy they have made it for searching for the pet. It seems as tho they have thought of everything!
Take a peek at www.petfinder.com or click on the photo of Dexter, the puppy. He is currently living at Animal Compassion Network waiting on a home.
Monday, November 8, 2010
Triple Pelvic Osteotomy
The object of a TPO is to change the orientation of the shallow hip socket (acetabulum) to allow better coverage of the head of the femur. This increases the depth of the acetabulum causing it to “capture” the head of the femur and not allow it to slip out of the socket. Increasing the stability of the joint helps to minimize the development of degenerative joint disease (arthritis) as the dog gets older.
Indications
Triple Pelvic Osteotomy is a procedure that is generally done on young dogs that are showing pain in the hips, but have not yet developed significant radiographic changes in the joints. Unfortunately, the early changes of hip dysplasia are subtle and some dogs do not show signs indicating that they have the disease until after they have already developed changes in the joint that make performing a TPO inadvisable. For this reason, many veterinarians recommend doing routine palpation and X-ray screening of the hips in all large and giant breed dogs at about 6 months of age.
Any young large or giant breed dog that demonstrates lameness in one or both rear legs, reluctance to run and play, tires easily, shifts the weight to the forelimbs, shows loss of muscle mass in the rear limbs, shows pain when the hips are manipulated, or has a “popping” sensation felt over the hip joints, should be evaluated by your veterinarian.
If caught at the early stages, TPO is a very successful procedure with few complications.
Figure 2. A pelvis from a dog, showing the three areas where the bone must be cut in order to rotate the hip joint (acetabulum)
Figure 3. A special plate is used to hold the rotated acetabular segment in the desired degree of rotation until the ilium has healed back together.
Figure 4. X-rays taken of the pelvis immediately after surgery show the rotation of the acetabulum on each side and the plate and screws holding the acetabulum in the desired degree of rotation.
Figure 5. An X-ray taken of the pelvis at 8 weeks after surgery shows that the ilial osteotomy is now healed.
A special thank you to ACVS for providing this information for dog owners. For more information on potential complications from TPO and aftercare, please refer to their website by clicking here.




