March 19, 2016
The following is borrowed from Cote's Clinical Veterinary Advisor:
About the Diagnosis
Heartworms are a parasite of dogs and other canine species, such as foxes. Cats can also be affected, although they are more resistant to infection. Very rarely, a few cases have also been reported in people.
Heartworms are transmitted by mosquitoes. Once limited to the southern regions of the United States, heartworms are now found in most areas of the United States, and are well-recognized in Mexico, southern Canada, northern Italy, Japan, Mozambique, and many other regions of the world.
Mosquitoes inject a larval (immature) stage of the heartworm parasite, Dirofilaria immitis,into the dog or cat when they feed. The larvae mature into thin, adult worms that are several inches long. Adult heartworms live in the arteries of the lungs (pulmonary arteries) and in the heart. By their physical presence, they cause harm in two ways: they block the normal forward flow of blood, causing an excessive workload on the heart, and they also damage the inner lining of the blood vessels, which gives rise to blood clots that cut off circulation to parts of the lungs. Adult heartworms reproduce and release the next generation of immature larval worms, called microfilaria, into the bloodstream. Mosquitoes feeding on an infected dog pick up microfilaria and in this way they transmit heartworms to yet more animals.
The presence of worms in the heart and lungs (pulmonary arteries) causes damage that is related to the number of worms and the length of time they are present. Blood clots may form, or heartworms may die, forming an embolus (a blockage) that becomes lodged in a smaller artery, cutting off circulation to a part of the lungs. A large embolus can be fatal. Alternatively, but equally devastating, large numbers of worms can progressively obstruct blood flow to the point that heart failure develops.
Cats typically are infected with only a few worms, often only one or two. Damage to the pulmonary arteries is similar to those in dogs. Apart from the small size of cats compared to most dogs (such that one or two worms is a substantial worm burden for a cat), cats appear to be more resistant to heartworms than dogs: heartworms die sooner when they are in a cat than when they are in a dog.
Dogs infected with a few worms may not show any outward signs of infection. More heavily infected dogs will cough and tire easily with exercise. In addition, severe infections may cause weight loss and fluid accumulation in the abdomen because of circulatory disturbances (congestive heart failure).
Heartworm infections in cats may cause coughing or vomiting. Sudden, severe breathing difficulty and death are also possible, as a result of an embolus (clot) to part of the lungs. The symptoms can be identical to those of asthma in cats (including the X-ray appearance of the heart and lungs); therefore, heartworms should be considered and tested for in all cats that have asthma-like symptoms if living in, or having travelled to, a region that is endemic for heartworms.
Several tests are available to diagnose heartworms in dogs. Examination of a blood sample under a microscope may reveal microfilaria (larval worms), but this older approach fails in a significant portion of dogs with heartworms causing many false negative results. A certain percentage of infected dogs do not have microfilaria in the blood, so a superior test is the type that detects antigens (substances secreted by adult heartworms) in a dog’s blood. These tests are the diagnostic test of choice for screening for heartworms in dogs: they will detect almost all infections in dogs and are widely available at veterinary clinics.
When a test for heartworms is positive, then it is necessary to stage the heartworm infection. Doing so tells the veterinarian the severity of the dog’s heartworm infection, the best treatment choice to use, and the likelihood of success. All dogs with a positive heartworm test result need to have a set of radiographs (x-rays) of the chest.Chest x-rays show changes in the lungs and heart outline, if any are present, that are characteristic of heartworm disease, and they provide an indicator of the severity of the disease. For example, dogs with a heavy heartworm burden and advanced heartworm disease may have dramatic enlargement of the blood vessels in the lungs, and significant pulmonary lesions. These findings are important for allowing the veterinarian to make the best treatment decision. All dogs with a positive heartworm test also need standard laboratory tests (complete blood count, serum biochemistry profile, urinalysis) to assess the function of a dog’s liver, kidneys, and other organs in anticipation of treatment.
Additional tests are used on a case-by-case basis, depending on the results of the tests mentioned above. Echocardiography (ultrasound study of the heart) helps determine the extent of damage caused by the heartworms in some very advanced cases and may even allow visualization of the worms inside the heart. This is the most advanced stage of heartworm disease and it generally means that instead of using medications to kill the heartworms, only surgery can eliminate the worms properly.
Detection of heartworms is more difficult in cats. Microfilaria are seldom present, so tests that detect heartworm antigen or antibodies to heartworms are used. The small number of worms usually present in cats means that these tests are not as accurate as those used in dogs. Changes in the lungs and pulmonary arteries can be detected with chest x-rays. Echocardiograms or less commonly angiograms (where dye is injected into the bloodstream prior to an x-ray) may allow visualization of the worms in the heart or pulmonary arteries. In general, blood tests (heartworm antibody test) and echocardiography are the two forms of heartworm screening that work reasonably well in cats.
Living with the Diagnosis
Unless they have another medical condition that prevents treatment, all dogs with heartworms should be treated with medication to kill the heartworms (heartworm adulticides)- see below. If treatment is not possible, the dog should at least be placed on monthly heartworm prevention medication to prevent infection with additional worms; since the worms die very slowly (months to years) if adulticide injections are not given, ongoing damage to the heart and lungs is likely, and symptoms of heartworm-related illness, should they occur, are treated as they arise. Cats with heartworm disease are usually not treated with heartworm adulticides because medications used for eliminating adult heartworms are extremely hazardous to cats: about 20–30% of heartworm-infected cats would die during treatment. Therefore, infected cats should immediately begin to receive monthly preventive medication, and be monitored at home for problems. If breathing difficulty occurs, emergency treatment should be sought. Fortunately, cats are more able to clear heartworm infections on their own (on a scale of several months) than dogs are (takes a few years, which allows ongoing and often fatal damage to occur in the heart).
Perhaps the most important aspect of heartworm infection to remember is that most animals with heartworms have serious, potentially life-threatening complications that can occur as a result, yet they appear perfectly well externally. The lack of symptoms at any given time should not be taken as a reason to postpone or avoid treatment for heartworm disease.
More information is available at an excellent nonprofit, authoritative veterinary website for heartworm disease: www.heartwormsociety.org.
It is common to begin treatment (especially in mild or moderate, not severe, heartworm infections) with an oral antibiotic, doxycycline, that you need to give your dog at home for 4 weeks prior to heartworm adulticide injections. Doing so weakens the worms by killing a bacterium, Wolbachia, that lives inside heartworms. Without Wolbachia, the worms are much more susceptible to the adulticide injections. Most dogs tolerate doxycycline well, but some dogs develop digestive upset (loss of appetite, vomiting, and/or diarrhea) when taking it. If this is the case, be sure to notify your veterinarian to discuss whether to stop the doxycycline.
Heartworm adulticide injections (melarsomine/Immiticide) are painless and effective, but they must be followed up with excellent home care. Dogs are hospitalized and given a series of injections to slowly kill the adult worms. The medication usually kills the worms over a period of 2 to 4 weeks. If microfilariae are present in the blood, several monthly heartworm preventative medications will also kill the microfilariae. After a dog has received an adulticide injection, it is critically important to keep the dog confined and to eliminate ALL exercise for 4 weeks after the injection. The adulticide injection kills the worms slowly; if activity such as running, jumping, or playing is allowed at any time in the 4 weeks following injections to kill heartworms, a large clump of dying heartworms may break free and block the circulation to the lungs. This produces varying degrees of circulatory failure, which causes symptoms ranging from coughing and loss of appetite to, more frequently, sudden death. Therefore, even in the most energetic and healthy-looking dog, it is essentialto halt all physical activity except three 3- to 5-minute leash walks daily (simply to urinate and defecate) for 4 weeks and then to reintroduce physical activity slowly for the following 2 weeks. Since most heartworm infections require two sets of injections, 4 weeks apart, this means most dogs are kept from any physical activity for 8 weeks from the first injection.
If complications such as coughing or labored breathing occur, be sure to notify your veterinarian promptly. Often, these symptoms can be treated very effectively with oral cortisone-like drugs, whereas ignoring the symptoms can trigger a growing degree of inflammation in the lungs and may become a life-threatening complication.
No treatment to kill adult worms is used in cats. The worms will die naturally within a year. Episodes of breathing difficulty or other symptoms are treated with medication should they occur.
Note that these precautions and warnings apply only to treatment in the form of injections that are given to kill adult heartworms. The medication routinely given every month to prevent heartworm infection in the first place is extremely safe and carries none of the risks described above.
• Administer heartworm prevention to your pets as recommended by your veterinarian. In some areas, preventive medication must be given all year; in other areas, treatment is only needed during the summer. Cats and dogs should be on a heartworm prevention program that includes annual blood testing (dogs only), even if medication is given year-round. Realize that heartworm preventatives given regularly on a monthly basis are more than 99% effective.
• For dogs that have developed heartworm disease and have received treatment in the form of injections to kill the adult heartworms, for 4 to 6 weeks after treatment, keep your dog confined and do not allow it to exercise. When not confined to the house or a small pen, the dog should be on a leash. Call your veterinarian immediately if your dog begins to cough or seems not to feel well.
• Realize that although a dog with heartworms generally looks fine externally, the worms are persistent and they can put life-threatening strain on the heart. Heartworms are one instance where a dog’s normal outside appearance is misleading compared to the severity of what is going on inside. A heartworm-positive test means treatment is necessary now, before the worms inflict irreversible damage on the heart and lungs.
• Don’t stop heartworm prevention during the winter unless instructed to do so by your veterinarian. Warmer climates require year-round prevention measures.
• Don’t assume that having a long hair coat or being indoors most of the time means a pet is protected from mosquitoes and will not get heartworms. Many long-haired dogs and cats become infected with heartworms, and approximately 1/3 of cats with heartworm disease are reported as living 100% indoors.
• Don’t interpret a cat’s coughing as automatically being due to asthma. Many cats that formerly were thought to have asthma have been found to have heartworms instead (the symptoms are identical, but blood testing and x-rays/ultrasound can help tell the difference).
• Don’t be fooled by the advice for “slow kill treatment” that you will find touted on the internet. This approach is rarely the best thing for a pet, though in very select cases, it may be an option. Many dogs will still be “infective” throughout the “slow kill” treatment period and are a danger to other dogs. Worms that die while the dog is active can cause severe symptoms.
When to Call Your Veterinarian
• If your dog or cat with heartworm disease has sudden severe breathing difficulty. This is an emergency.
• After treatment (injections) for adult heartworms, if your dog starts to cough or stops eating.
Signs to Watch For
As symptoms that could indicate heartworm disease:
• Dogs: coughing, exercise intolerance, loss of appetite, swollen belly.
• Cats: coughing, vomiting, breathing difficulty.
As symptoms that occur after the adulticide injections, indicating possible problems and the need for a prompt recheck:
• Dogs: pain in the region of the back (some dogs develop inflammation and pain at the injection site 1-7 days after the injection was given)
• Any of the symptoms mentioned in “When to Call”, above
• Dogs should be retested for heartworms 3 to 4 months after treatment to confirm that all worms were killed. Occasionally, a second treatment is needed to kill all the worms. Healthy dogs on a prevention program should be tested for heartworms annually or as recommended by your veterinarian.
Pet Dental Health Month
January 28, 2016
February has been declared "Pet Dental Health Month".
Did you know that 80% of all pets that walk into a veterinary clinic are suffering from some degree of dental disease? Did you know that advanced dental disease in dogs and cats can lead to heart disease, kidney disease as well as tooth loss? Loose teeth are not only painful to your pet but also a direct source of systemic infection. Bad breath if often a warning sign of dental disease in pets.
During the month of February, we will be extending a $20 discount to the cost of a dental cleaning to encourage people to have their pet's teeth cleaned. Please consider having this done for your pet - you may improve the quality and length of your friend's life. Just give us a call at 217-787-9730 and the receptionist will assist you. Or you can visit our website at www.brewervet.com and enter your pet portal and request an appointment there.
November 24, 2015
The holiday season is fast approaching and it’s time to talk about some of the common dangers that this time of the year presents for our beloved pets.
Parties with lots of people may seem like a nightmare for a cat and a time for hiding in the back room, but for our dogs it is the perfect chance to sneak some delicious treats. We often see patients post-party time for gastrointestinal upset. They present with symptoms like vomiting and diarrhea, lethargy, or inappetence. These symptoms can be mild or very severe and even life threatening. Fatty foods such as turkey drippings, casseroles, or pecan pie to name a few, are especially likely to cause an illness called pancreatitis. This condition involves inflammation of the pancreas which if severe causes abdominal pain, recurrent vomiting, dehydration and diarrhea. It can be life threatening and treatment often involves several days of hospitalization for intravenous fluids and symptomatic care. Feeding our pets cooked turkey bones should also be avoided, as the sharp shards of bone can damage the intestines or cause an obstruction, which can quickly become a surgical problem. Avoid your pet getting gastrointestinal upset by asking guests not to feed the animals, or even by putting out a small bowl of your dog’s normal Milkbones or dog treats so they can safely enjoy the party along with your guests.
Cats may not enjoy the crowds around the holidays but they usually find the Christmas tree to be a fun new toy. Cats are notorious for chewing on the electrical cords of the tree lights, which can cause electrocution and death. Keeping the cords taped to the floor makes them less enticing to playful kitties. Some people need to resort to keeping cats out of the room where the tree is kept. Cats also enjoy playing with tinsel or ornaments with strings. The strings can become entangled at the base of the cat’s tongue, while the rest of the string is swallowed. This results in what’s known as a linear foreign body. The string stays attached to the tongue base but the intestines pull on the other end until the string acts as a saw to cut into the soft tissue of the intestines. This is a surgical emergency and should be seen promptly by a veterinarian. Signs to look for include vomiting, extreme salivation, lethargy, and anorexia(lack of appetite).
We often get questions here at Brewer Animal Hospital about cats chewing on poinsettias, a popular Christmas plant. While cats ingesting this plant can develop mild vomiting and diarrhea, the plant is not deadly for the cat. It is best to keep cats from eating houseplants in general, because some can be harmful, but the poinsettia’s poison potential has been blown out of proportion over time.
We at Brewer Animal Hospital hope these tips help to keep your pets healthy and wish everyone a safe and happy holiday season!
Halloween Tricks and Treats
October 29, 2015
Halloween is coming up! It's a fun time for the kids to get dressed up and over eat sugary treats. Stomach aches for the kids aren't always the only problem - sometimes Fido decides to sneak into the trick-or-treat goodies for a snack too.
Halloween candy comes in all types, but the kind most people worry about their dog eating contains chocolate. Chocolate contains something called methylxanthines - caffeine being one of them. The fat and sugar found in chocolate can also be a problem for pets when eaten in large amounts. In very high doses, the methylxanthines can cause seizures and heart abnormalities, with signs showing up about 6-12 hours after the chocolate is eaten. These severe signs are generally seen when dogs eat products that contain very high levels of methylxanthines - including cocoa powder and bakers chocolate. Fortunately most Halloween candy contains milk and white chocolate - these would need to be eaten in extremely large quantities in order for the dog to have heart or seizure side effects. The most common problems noted when dogs eat large bags of Halloween candy are related to the gastrointestinal tract. The food causes the animal to become bloated and uncomfortable, and often begin vomiting. Diarrhea follows after the food as time to digest. Some dogs that have sensitive stomachs can also develop pancreatitis.
Halloween candy that contains sugar free gum or candy could also be a problem for pets. An ingredient in these called Xylitol causes extreme low blood sugar very quickly- which can cause weakness, confusion, and even seizures. Call your veterinarian immediately if foods containing this ingredient are ingested by your pet.
If your pet does manage to get into the candy, call your veterinary clinic to ask what to do next. They will likely ask about the type and amount of candy the animal ate and how long it has been since it was eaten. If it was recent, even up to several hours, typically inducing vomiting is suggested. The best option is to take your pet to the clinic to allow them to induce vomiting and monitor the pet for signs of toxicity.
Diarrhea may occur even if most of the candy is removed via vomiting. It is a good idea to feed an easily digestible diet for a few days after candy ingestion. Boiled hamburger or chicken and white rice works well for GI upset. You can also ask your veterinarian for a canned diet that is easy to digest.
Keeping Halloween candy away from our animals is the best way to keep them safe. We at Brewer Animal Hospital hope everyone has a safe and Happy Halloween with the pets they love!
September 24, 2015
Late summer and fall is prime time for fleas. As the weather cools and the rains come, the flea population will explode. This time of year is always the worst time for flea infestations in dogs and cats. Be sure to check your pet regularly and /or use a monthly flea treatment. Advantage, Frontline, Nexguard, and Trifexis are all good options. Flea and tick products should be used until the end of November. One or two frosts do not stop flea activity. Nice, “Indian Summer” days in November often leads to loads of fleas!
Mosquito activity tends to be very high this time of year also. Be sure your dog or outdoor cat is receiving their monthly heartworm preventative. Heartguard Plus, Interceptor, Sentinel and Trifexis are good options for dogs. Revolution is a good product for cats. If you have any questions, you can call us at
Brewer Animal Hospital, 217-787-9730.
Flea and tick Control
June 11, 2015
There are so many options out there to prevent fleas and ticks. Many people use topical medications that are applied to the skin over the shoulders. Some of these are considered waterproof while others are only water resistant. If your pet is bathed regularly, waterproof products will work best, but there are other options. Several oral medications are available that provide flea and tick prevention, which means there is no need to worry about the product washing off or causing a greasy patch of fur for several days. If you are interested in those products or have questions about which prevention method would work best for your pet, don’t hesitate to ask! No matter which product you choose, please be sure to apply it at the recommended interval- generally once a month unless otherwise directed.
Already have a flea infestation? Along with diligent administration of a flea preventative to your pet, you will need to do some home clean up. Start by washing pet bedding and cleaning any other areas that your dog or cat likes to frequent. The flea lifecycle length can vary, depending on the conditions. Vacuuming regularly causes vibrations which can speed up the cycle to make the flea hatch to a stage that is more susceptible to killing. Be sure to vacuum under furniture – flea larvae and pupae love to hide in cool dark areas. There are many environmental sprays that can be used to help speed up the clean up, both in the yard and the home. Always check the label and read directions for proper use- they should be labeled for the area you are cleaning up and NEVER used directly on the animal itself. While we’re considering toxicity- also note that using dog products on cats is a HUGE no-no. Dog products often contain permethrin or pyrethroids that are extremely toxic to cats. There are many cat specific products that are safe and effective. Also keep in mind – just because your cat is indoor-only doesn’t mean it can’t get fleas. Cats that stay inside and are untreated can act as reservoirs for fleas when other pets that are allowed outside bring fleas inside.
Pet Obesity and Weight Loss
May 19, 2015
Is my pet overweight? This is a question vets get all the time. During a physical exam, vets typically score a pet with a Body Condition Score based on a scale of 1 to 9. An animal scoring a 1 is emaciated while an animal scoring a 9 is morbidly obese. Most vets prefer their patients to be somewhere in the 4 to 5 range.
When looking at the animal from the side, you should be able to see the belly tuck upwards from the ribcage. Overweight animals often have an accumulation of fat on the belly near the hind legs. Looking down on the pet from above, the belly should also get narrower between the ribcage and the hips, rather than being a straight line all the way down sides. Feeling along the ribcage can be another way to judge obesity – animals at a healthy weight should have ribs that can be counted easily when applying gentle pressure. If there is a thick fat layer over the ribs it is difficult to feel each one individually.
As with people, pets can be prone to obesity due to several factors including genetics, low activity level, high calorie diet, or metabolic problems. Generally however, it’s still all about calories in and calories out. By feeding the correct amount of calories for each specific pet, any animal can achieve a healthy weight. If your dog is otherwise healthy and enjoys the food it currently eats, it may be best to stick with the same food but feed slightly less- generally about 20% less than the current amount- to achieve weight loss slowly. By sticking with the same food, you can avoid causing gastrointestinal upset. Also, check the chart located on the bag- it should list the suggested amount of food to feed for different sizes of pets. This can be a good starting point, although keep in mind that it is only a guideline and may not be right for your pets metabolism or exercise level. Make sure that the food is measured with an accurate measuring cup as well- including leveling off the measuring cup so it is not mounded over with extra food-every kibble counts.
Many owners feed the correct amount of dog or cat food to their pets, but give too many or very high calorie treats to their pets, which can throw off any weight loss plan. One good way to stay on track is to save back a few of the pet food kibbles that were measured out for a meal to use as treats. This way the overall calorie intake remains the same, but the pet thinks it is getting a special treat. Another option is to use safe very low calorie foods as treats-these include plain Cheerios, low sodium canned green beans, carrot sticks, or ice cubes. Most pets are more interested in the fact that their favorite person is giving them something than in what that something actually is.
As with people, regular exercise is an important part of a healthy lifestyle. Taking dogs on regular walks or runs or using a toy or laser pointer to exercise a cat can increase a pets calorie needs. If they use more calories each day, they will lose weight even if the diet remains the same as before an exercise program was started. If cutting out treats is a problem, increasing exercise may be the route for you.
By keeping your pet at a healthy weight, you will be reducing their risk for multiple diseases including arthritis, diabetes, hip dysplasia complications, breathing difficulty, and skin diseases. A little tough love can go a long way to increase your pets lifespan so you can make more memories together. Let us know if you have any questions about how to keep your pet fit and happy!
May 2, 2015
As many people now know, there is currently an outbreak of Canine Influenza in the Chicago area. This contagious illness is different and more severe than the more common “kennel cough” we typically see in shelters and kennels in our area. There have not been any confirmed cases in the Springfield area as of yet, but it is important to know the signs and symptoms so animals that may be infected can be isolated and treated appropriately.
Dogs with Canine influenza will have a high fever, which may make them feel sluggish and decrease their appetite. Coughing with mucoid discharge from the nose is found in most animals. Bacterial pneumonia can develop on top of the viral influenza infection, which is why most treatment plans involve antibiotics. Because the root of the problem is viral, it takes time for the disease to run its course, up to 4 weeks in some cases. By providing the animal with supportive care and keeping them isolated from other animals, the outbreak can be controlled.
While there is a vaccine for canine influenza available, current research suggests it may not be the exact strain causing the outbreak. It is thought the vaccine may still provide some protection or lessen the severity of the disease, so it is still currently being recommended for at risk pets. Pets most at risk of influenza are those that visit kennels, dog parks, doggie daycares, parks, groomers etc where there are large numbers of dogs in one place. Nose to nose contact is all that is needed to pass the disease from dog to dog. If your pet visits these places, it would be wise to vaccinate.
The vaccine we provide at Brewer Animal Hospital is given two times to get immunity. After the first dose, a booster is given 3 weeks later. The animal is not considered protected until about 2 weeks after the second dose is given. If you are interested in the vaccine, don’t hesitate to call and make an appointment today!
Heartworm season discount
March 31, 2015
During the month of April, we are giving a $10 discount on heartworm testing. Please call our office(217-787-9730) to see if your dog is due for a heartworm test.
Heartworm is a disease spread by mosquitoes. When a mosquito bites your pet, they inject tiny larvae called microfilaria into the animal's bloodstream. If left untreated, these tiny organisms will eventually reach the pet’s heart and cause an infestation. If caught in time, heartworm disease can be treated. It is however somewhat costly, and very strenuous on the animal.
The best way to avoid heartworm disease is to give your dog monthly heartworm preventative such as Interceptor, Sentinel, Heartgard or Trifexis all of which are available at Brewer Animal Hospital. Very soon we will again have Proheart 6, the six month injection for heartworm prevention in dogs.
Before your dog can be started on heartworm prevention, a blood test is required to make sure that your pet is not already infected with microfilaria. This blood test is required every year if your dog does not stay on the preventative year-round. If your dog is kept on preventative all year, we require a test every other year.
Cats are also at risk for heartworm disease though they are not as susceptible as dogs. So, cats that spend any time outdoors should also be kept on heartworm prevention. Both Interceptor and Revolution are labeled for heartworm prevention in cats. We do not routinely screen cats for heartworm disease though we will test them if we suspect they are infected.
During the month of April, we are giving a $10 discount on heartworm testing. Please call our office(217-787-9730) to see if your dog is due for a heartworm test.
Spring has Sprung
March 16, 2015
Spring has sprung and so will fleas, ticks and mosquitoes. If your dog has not been taking heartworm preventative during the winter months, be sure to have a heartworm check done with us this spring! As the weather warms, the threat of parasites for our pets heats up as well. All dogs should be on a heartworm preventative as well as cats that go outdoors.
Don’t forget to get started on flea and tick medications for your dogs and cats. There are a number of different choices including oral and topical medications. Please call and speak to a Brewer Animal Hospital team member, we will be happy to assist you.
Be sure to check our prices before ordering online, we often beat the online mega-pharmacies. Also, we at Brewer Animal Hospital have competitively priced products on our own online store. You can access our online store through the pet portal link on the Brewer Animal Hospital home page. If you don’t have a pet portal already, you can sign up for one by clicking on the link or call us at 217-787-9730 and speak to one of our team members.
Welcome to our New Web site!!
February 25, 2015
We are THRILLED to introduce our new web site!!