Birch Veterinary Internal Medicine

Introduction / Overview

For pet owners in New Hampshire, especially those facing complex or chronic health challenges with their beloved companions, the need for specialized veterinary care becomes paramount. Birch Veterinary Internal Medicine, based in Greenland, NH, fulfills this critical role by offering advanced diagnostic and treatment options for intricate medical conditions. Led by Dr. Tonya E. Brown, a Board-Certified Diplomate of the American College of Veterinary Internal Medicine (ACVIM) and a Fear Free Certified Professional, this practice focuses on supporting both primary veterinarians and pet owners in managing difficult-to-diagnose or chronic diseases. Unlike a general practice, Birch Veterinary Internal Medicine is dedicated to delving deep into internal systems, providing specialized expertise in areas like endocrinology, gastroenterology, and immunology. Their approach is rooted in understanding the unique complexities of each case, striving to give pets the best possible quality of life for as long as possible. For New Hampshire residents whose pets require a higher level of medical investigation and management, Birch Veterinary Internal Medicine stands as a beacon of advanced, compassionate, and patient-centered care.

Location and Accessibility

Birch Veterinary Internal Medicine is strategically located at 609 Portsmouth Ave, Greenland, NH 03840, USA. This address places them in a highly accessible area within the New Hampshire Seacoast region, making it convenient for pet owners from Greenland itself, as well as nearby communities such as Portsmouth, Stratham, and Exeter. Portsmouth Avenue is a well-known and easily navigable road, simplifying travel to the clinic, particularly for pets who may be unwell or anxious. It's important to note that while they have a physical address, Birch Veterinary Internal Medicine emphasizes a collaborative approach, working with referring veterinarians. This means that while direct patient visits occur at their Greenland location, the integration with your primary vet ensures continuity of care. The ease of access to their facility underscores their commitment to providing specialized internal medicine services readily to the New Hampshire pet-owning community, ensuring that advanced diagnostic and treatment options are within reach when needed most.

Services Offered

Birch Veterinary Internal Medicine specializes in the diagnosis and management of complex and chronic internal diseases in pets. Their services go beyond routine veterinary care, focusing on advanced diagnostics and tailored treatment plans for challenging cases. Key areas of expertise and procedures offered include:

• Internal Medicine Consultations: As board-certified specialists, Dr. Brown and her team review extensive medical records, discuss cases with referring veterinarians, and provide expert recommendations for further diagnostics and therapeutics.

• Advanced Diagnostic Imaging:

  • Abdominal, Non-Cardiac, and Small Parts Ultrasonography: A non-invasive and painless diagnostic technique using ultrasound waves to visualize internal organs and tissues, identifying abnormalities not visible on X-rays.
  • CT Scan: (Indicated as available or coming soon in some related general internal medicine descriptions, likely part of comprehensive diagnostic capabilities, either in-house or via referral coordination)

• Endoscopy (Upper & Lower GI, Rhinoscopy, Bronchoscopy, Cystoscopy): Utilizing a long, flexible tube with a camera to visualize internal tracts (digestive, respiratory, urinary), allowing for minimally invasive diagnosis and sometimes biopsy collection. Their website indicates this is "coming soon" as a mobile service for your regular veterinarian's office.

• Management of Endocrine Disorders: Specialization in conditions affecting the thyroid, pituitary, parathyroid, and adrenal glands, including diabetes (Diabetes Mellitus), Cushing's disease, and Addison's disease. They focus on finding the balance between diseases for optimal quality of life.

• Gastroenterology: Diagnosis and treatment of digestive system issues such as chronic vomiting, diarrhea, inflammatory bowel disease (IBD), pancreatitis, and protein-losing enteropathy (PLE).

• Hepatology: Expertise in liver diseases, including acute liver failure and chronically elevated liver values, with a focus on definitive diagnosis and appropriate medical therapy, often including specialized diets.

• Nephrology & Urology: Specialized management of kidney and urinary tract diseases in dogs and cats, including acute and chronic renal failure, recurrent urinary tract infections (UTIs), incontinence, and urinary stone management.

• Immunology: Understanding and regulating dysfunctional immune systems, treating diseases such as immune-mediated hemolytic anemia (IMHA), immune thrombocytopenia (ITP), immune-mediated polyarthritis (IMPA), and immune-mediated intestinal and liver diseases.

• Hematologic Disorders: Diagnosis and management of blood disorders.

• Respiratory Conditions: Addressing issues like chronic cough or nasal discharge.

• Infectious Diseases: Diagnosis and treatment of various infectious agents, including tick-borne diseases.

• Specialized Procedures: Including fine needle aspirates, feeding tube placement, endotracheal washes, bone marrow aspirates/biopsies, and joint taps (arthrocentesis).

• Nutritional Management: Guidance on specialized diets for complex medical conditions, including feeding tubes and parenteral nutrition when necessary.

Features / Highlights

Birch Veterinary Internal Medicine stands out in the New Hampshire veterinary landscape due to several distinctive features, strongly supported by client testimonials:

• Board-Certified Expertise: The practice is led by Dr. Tonya E. Brown, a Board-Certified Diplomate of the American College of Veterinary Internal Medicine (ACVIM). This signifies an elevated level of training, knowledge, and experience in internal medicine, offering a critical advantage for pets with complex or undiagnosed conditions. This specialized training means she is "uniquely trained to manage chronic disease processes, complete thorough diagnostic evaluations, and perform specialized procedures."

• Fear Free Certified Professional: Dr. Brown is a Fear Free Certified Professional, demonstrating a deep commitment to minimizing fear, anxiety, and stress in pets during their veterinary visits. This focus on emotional well-being significantly improves the experience for both pets and their owners, making diagnostic and treatment processes smoother and less traumatic.

• Compassionate and Caring Approach: Customer reviews consistently highlight Dr. Brown's compassion. Testimonials state, "Dr. Brown was wonderful! She clearly loved my dog and was very compassionate and caring towards both her and us," and "Dr. Brown is so compassionate and knowledgeable — I am so grateful to be working with someone who treats my pup like her own." This genuine care fosters trust and comfort for pet owners.

• Thorough and Explanatory Consultations: Clients appreciate the detailed explanations provided. One reviewer noted, "She always takes the time to explain to us what's going on and clearly cares so much for our little guy," and "She explained what she was doing clearly and fully–wanting to make sure that we were not either subjecting my dog or our pocketbooks to unnecessary testing or procedures." This transparency and dedication to client education are highly valued.

• Collaborative Care Model: Birch Veterinary Internal Medicine often partners with a pet's primary veterinarian, providing an invaluable referral service. This collaborative approach ensures that pets receive comprehensive, integrated care, with specialists supporting the ongoing relationship with the family vet.

• Focus on Quality of Life: The practice is committed to improving and maintaining the quality of life for pets with chronic and difficult-to-manage conditions, striving to balance effective treatment with the pet's overall well-being and happiness.

Contact Information

Address: 609 Portsmouth Ave, Greenland, NH 03840, USA

Phone: (603) 722-0182

Mobile Phone: +1 603-722-0182

Conclusion: Why this place is suitable for locals

For New Hampshire locals, particularly those in the Seacoast area, whose pets are facing complex health challenges that require advanced expertise, Birch Veterinary Internal Medicine in Greenland stands as an invaluable resource. Its accessible location on Portsmouth Avenue ensures that highly specialized care is within reach when a pet's condition warrants a deeper investigation or more nuanced management. What makes Birch Veterinary Internal Medicine exceptionally suitable for residents is the unique combination of board-certified specialization and a deeply compassionate, Fear Free approach. Dr. Tonya E. Brown's extensive training in veterinary internal medicine means she possesses the knowledge and skills to tackle the most perplexing cases, offering sophisticated diagnostics like advanced ultrasound and endoscopy for conditions affecting internal organs, endocrine systems, and more. Simultaneously, her Fear Free certification ensures that even the most anxious pets receive care in an environment designed to minimize stress and maximize comfort, a significant benefit for both pets and their owners. Reviews from local pet parents consistently praise Dr. Brown's clear explanations, her dedication to treating pets "like her own," and her commitment to avoiding unnecessary procedures, aligning perfectly with the values of transparency and thoughtful care that New Hampshirites appreciate. For those difficult-to-diagnose illnesses or chronic conditions where your primary veterinarian seeks a specialist's insight, Birch Veterinary Internal Medicine offers the advanced, empathetic, and collaborative care that can truly make a difference in your pet's life.

Birch Veterinary Internal Medicine

609 Portsmouth Ave, Greenland, NH 03840, USA