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Vet Surgery Emergency.com & MobileVetSurgeryGA.com <>< with surgeon. emergency, and critical care specialist Dr. Dennis Tim Crowe, Jr., DVM, PhD,
Diplomate, American College of Veterinary Surgeons, Emeritus Diplomate, American College of Veterinary Emergency and Critical Care, Charter and a Founder Fellow, American College of Critical Care Medicine, one of only several DVMs and AEMTs in this human healthcare critical care specialty college, Dr Crowe is an active Advanced Emergency Medical Technician - Medic who volunteers his time as a medical first responder and certified firefighter with his local Fire Rescue service (Oconee Country Fire Rescue) and welcomes the opportunity to provide surgical and consultation services to veterinarians and their hospitals and their patients. Dr Crowe has also been proving surgical, advanced biophysics based, and emergency care, to people and their pets living outside his travel radius (60 miles) by telephone consult by working with veterinarians that call asking for advice.in the care of their patients . This often being accomplished by telephone, FaceTime or by texting. The goal of these services is to assist to primary care veterinarians with specialty surgeries or biophysics based medical care (ortho, general, neuro, reconstructive, oncologic) at their facilities that would otherwise require referral, and to also offer consultation services ion-line while the veterinarian is busy treating the patient directly while Dr. Crowe guides the veterinarian in his provision of the surgery, emergency care, critical care, or biophysics based medical diagnostics and treatment. Re: Remote Consultation Services - Dr. Crowe provides consultation in surgery, emergency or critical care remotely, either on a contract basis or on an emergency basis 24/7 via text, phone call or FaceTime for veterinarians. If you, as a veterinarian request this service please call or text him directly at 706-296-7020. Text a little information about the patient you would like consultation assistance with and if its an emergency, please state that. Also call and if Dr. Crowe does not answer the phone at that time please leave a voice mail message. If its an emergency please also state that it is and leave a name and phone number. If you are an owner and would like this consultation service that may help your veterinarian and your pet please have your veterinarian simply call or text. Under urgent circumstances you, as an owner, can also call Dr. Crowe directly. However, because Dr. Crowe has not seen or examined your pet he can only give general guidelines for care, so it is best, if at all possible, to have the veterinarian that is caring for your pet make the call. Re: Mobile Surgical Services for Veterinarians and their Practices - Dr. Crowe performs most all major surgeries in companion animals (dogs, cats) and occasionally may operate on more exotic species (fawn, rabbit, etc.). He comes prepared to do elective surgery the day it is scheduled, generally liking to start in the morning so that recovery can be monitored in the afternoon. Follow-up care will be completed by the primary care veterinarian with phone consultations back to Dr. Crowe, as needed. Re: Mobile Emergency Services for Veterinarians and Emergency Clinics and Hospitals: Dr. Crowe also offers emergency surgery services on an emergent bases if called. Because of distances involved the general radius of 70-100 miles from Bogart, GA is the maximal distance away that Dr. Crowe can offer and provide these services. Except for when the patient is already anesthetized and in the OR Dr. Crowe generally will perform an examination of the pet. But in emergency conditions he generally arrives and scrubs in to help the veterinarian with the condition found. In most non-emergency cases surgery is on hold util Dr Crowe arrives and gathers up specific instruments he will possibly need for the procedure. Owners are then called and then the anesthesia, prep and surgery is done. Surgery set up is completed by Dr. Crowe as the primary care veterinarian completes the pre-anesthesia preparations and anesthesia induction and early maintenance. Commonly a veterinary technician is then involved with continued anesthesia monitoring as the surgical site is prepped and the patient taken to the OR. Dr. Crowe then performs the surgery (often requiring some surgical assistant scrubbing in for a portion of the procedure) and then consults with the veterinarian prior to his departure. To contact Dr. Crowe please call about any questions you may have about these services please call or text 706-296-7020. If for some reason he does not answer or you text please leave a detailed message with your name and phone number and he will call you back as soon as possible. Again, if its an emergency, please call or text and also state that this is an emergency. As the primary care veterinarian, you can also text Dr. Crowe and send lab work and radiographs by that means. If FaceTime is available that too can be used. There are very affordable options for veterinarians for an ongoing consultation service as well. Dr. Crowe offers all of these services as an experienced board-certified surgeon and emergency and critical care specialist with greater than 46 years of practice after graduating from ISU veterinary medical school, internship at the CSU-VMTH, and 5-year surgical residency at the OSH-VMTH and Riverside Methodist Hospital. Veterinarians are encouraged to call for estimates for surgical and consultation services. There are no costs if you call for inquiries for estimates for orthopedic, general, neuro, reconstructive, or oncologic surgery. This includes sending radiographs for suggestions for care and the estimated cost for the surgery required. Surgical Services Provided: Orthopedic - Most common orthopedic surgery procedures: TPLO, stifle suture and fascial stabilization, patella luxation correction, hip & shoulder stabilization, fracture reduction and stabilization (plate, pin-wire, external fixature), correction of growth deformities, management of fracture non-unions or malunions, OCD and FHO surgeries and others. General - Most common general surgery procedures: Total ear canal ablation; bulla osteotomy; mandibular resections; gall bladder resection; common duct irrigation; GDV correction and preventive surgery; many other abdominal surgeries involving the liver, spleen, pancreas, kidney, adrenal gland, stomach, intestines, colon and rectum; perineal hernia repair; thoracic surgery for removal of lung lobes; repair of esophageal structures and tears, correction and stabilization of thoracic wall injuries; urologic surgeries including perineal urethrostomy, ectopic ureter correction, removal of stones and the creation of temporary to permanent urethrostomies and cystostomies. Neurosurgery procedures: cervical slot and disc removal, hemilaminectomy and disc removal. Dr Crowe performs a myelogram for localization of the disc herniation or other spinal cord lesions and completes this just prior to the surgery. In his experience this is generally effective in localizing the lesion. Of course, CT and MRI imaging is preferred when it can be completed in a timely fashion. However, in urgent cases where time is so important for cord recovery, Dr. Crowe has found in his 44 years of performing emergency surgery for acute disc herniation that myelograms are effective in cord localization along with the findings from the neurologic exam in the vast majority of paraparetic or paralyzed patients. This has also been found by others and reported. He also can perform 960 nm diode laser surgery if, in his experience. would help in the patient's outcome and is accepted by the owner(s). Complementary therapies such as targeted pulsed electromagnetic field therapy for the treatment of edema and pain and recovery is also recommended and made available (frontiersin.org). Reconstructive procedures: BOAS surgeries including correction of stenotic nares, elongated soft palate, everted laryngeal saccules, tonsillectomy; ingrown tail removal; surgical care of severe wounds and burns; entropion correction, ear carriage correction; facial and eyelid deformity correction; and many other types of reconstructive procedures. Oncologic procedures: Removal of localized masses including those of large size that will then require skin flaps or graphs; removal of perianal and perineal masses; use of a 960 nm diode laser to remove vascular masses within the abdomen, thorax, body wall, mouth, tongue, nose and thyroid gland. Recovery and Follow-up: In most cases recovery and follow-up is performed at the primary care veterinarian's hospital. If the patient requires continued overnight care its will be up to the primary care veterinarian and the owner as to how best provide this service. Dr. Crowe will be glad to provide recommendations as to options based on his clinical experience as an emergency and critical care specialist as well (as he as many years of experience both in varied private and academic settings). He provides follow-up telephone consults and when needed will also provide follow-up examinations at the primary care hospital. In most cases telemedicine can also be provided using Facetime and the internet. As one primary care veterinarian said of Dr. Crowes expertise: "With greater than 40 years as a board-certified surgeon he has helped me, the pets and the owners, by doing surgeries I find more difficult to do myself or I would have had to refer. This has led to very good outcomes and very often at much less cost to the owners. It’s a very good service". Hilty Burr, DVM, Lake Chatuge Animal Hospital, Young Harris, GA Another veterinarian Dr Joey Gross remarked that he "does an amazing jog Summary of advantages for utilizing Dr. Crowe’s surgery services:
1. Primary care veterinarians have a surgeon that can come to their practice who has much experience. whether it be orthopedic, soft tissue, oral or neurologic surgery. 2. By performing the surgery at the local primary care veterinarian’s practice there is less stress for the client and their pet as they do not have to be referred to a different hospital. 3. There is greater continuity with the care that otherwise might be lost if the pet and owner have to go another hospital. 4. Experience has suggested an improved outcome because the pet continues to be cared for by those that are familiar with his/her health. Because of the teamwork with the local veterinarian and staff that is emphasized throughout, from the preoperative assessment through the recovery phase, even more complex surgeries can be done and often more economically as well. The convenience that this service provides to pet owners and their primary care veterinarians has been noted by many. As stated by one veterinarian “Dr. Crowe provides a very practical solution to me and my clients when I have a pet that needs his expertise as a very experienced and skillful surgeon. He comes prepared to do the surgery with the instrumentation needed, completes the operation using my trained staff and then provides careful follow-up with me. I also really appreciate the kind and compassionate way he treats my clients and their pets.. It's an amazing service, and he even provides emergency surgery coverage that has literally been lifesaving." Dr Joey Gross, Mars Hill Animal Hospital, Bogart, GA. Pet Owners Requesting Dr. Crowe's Services - Please work through your family veterinarian and request that their veterinarian simply call or text Dr. Crowe. Generally surgical consultations are completed first through a phone call. (Referring veterinarians are encouraged to text or call. Dr. Crowe can also be reached by e-mailing him at [email protected] , Radiographs, ultrasound images, lab test and biopsy results can also be sent by text or by e-mail. After he reviews the information provided he will call back the primary care veterinarian and discuss the possible surgical needs with him or her. It is encouraged for the primary care veterinarian to fill out a referral form (see referral form page) and send it also back by e mail. Mission of Veterinary Surgery Emergency: To provide the best, most practical and economical surgical care that will allow the pet to return to a quality of life that each of us would want for ourselves and to assist veterinarians with consultation services with the same goal: provide practical and economical suggestions for the care of their patients in need based on many years of experience in surgery, emergency and critical care. Biographical Information for Dr. D Tim Crowe, Jr. Dr. Crowe is owner of Veterinary Surgery, Emergency and Critical Care Services and Consulting and also operates Mobile Veterinary Surgery of Georgia, as surgical practice that goes to veterinarians’ practices and performs major surgery for them when they call for his assistance. The consulting service is a remote service where he assists veterinarians by telephone call, FaceTime, text messing and email when they call for advice on patients that they are treating. He also provides training to veterinarians on topics regarding general, neuro, and orthopedic surgery and on emergency and critical care, and also helps in the training of pet owners and first responders in pet first-aid and CPR, and recently completed a 4 part series on this topic that can be watched on YouTube (Crowe Pet CPR and First Aid) at no cost. Prior to this mobile surgery service and the consultation service Dr Crowe was Director of Trauma and Acute Care Surgery and Co-Director of Critical Care and Hyperbaric Medicine at the Regional Institute of Veterinary Emergencies in Chattanooga, TN. and prior to that he was surgeon and chief instructor for interns and surgical and emergency and critical care residents and interns at Western Nevada Veterinary Specialists, in Carson City, NV which also serviced the Lake Tahoe and Truckey, CA area. He is board certified in veterinary surgery as a Diplomate in the American College of Veterinary Surgeons and is now an Emeritus surgeon, as having been a Diplomate for over 30 years. The board certification required 5 additional clinical years of post-graduate surgical training, graduating from veterinary medical school, publishing original research, and passing the certification exam. He completed this training at Colorado State University were he organized emergency readiness with the development of a CRASH CART that would be stocked and ready for the care of emergency patients, when he was an intern there and his continued preparedness concept when he began his surgical residency at The Ohio State University College of Veterinary Medicine Teaching Hospital He is also board certified in veterinary emergency and critical care and was one of the founding members of the American College of Veterinary Emergency and Critical Care. In critical care Dr. Crowe is also a Fellow in the American College of Critical Care Medicine, an organization made up of experts in critical care professionals from multiple disciplines including physician intensivists, pharmacists, respiratory therapists, veterinary intensivists, and researchers. Dr. Crowe graduated from Iowa State University, receiving his DVM degree with honors in 1972. He then completed a rotational internship at Colorado State University (1972-1973) and a surgical residency at The Ohio State University (1973- 1976). He became board certified in 1980 while an Assistant Professor of Surgery at Kansas State University. He then moved to Georgia and was on the faculty at The University of Georgia College of Veterinary Medicine for 11 years, completing his tenure there in 1987 as an Associate Professor of Surgery and Chief of Emergency and Critical Care Services. He then moved to Wisconsin and was Director of Research at the Veterinary Institute for Trauma, Emergency and Critical Care and Chief of Surgery at the Animal Emergency Center in Milwaukee. This was one of the very first private practices in the US was started to trained interns and residents in veterinary emergency and critical care. While their Dr. Crowe was awarded a Research SBIR Grant from the National Institutes of Health for his invention – Esophageal Doppler for Assessment of Arterial Flow from that Aorta of which a portion of that research was published in Resuscitation in1995. He was there until 1997 and then Dr. Crowe moved to positions at Western Nevada Veterinary Specialists, Georgia Veterinary Specialists, Santa Cruz Veterinary Hospital, All Pets Emergency and Referral Center, and Pet Emergency and Specialty Center. At PEC he was Chief of Staff until 2009 when he began as a surgeon and criticalist at the Regional Institute for Veterinary Emergencies and Referrals (the RIVER) in Chattanooga, TN. In 2018 Dr. Crowe began consulting (www.VetSurgeryEmergency.com) and developing his mobile surgical practice (www.MobileVetSurgeryGA) in 2003. Dr. Crowe has been a practicing board certified surgeon for 44 years and board-certified emergency and critical care specialist for 35 years and has been a mentor for more than 40 interns and 30 residents. He continues teaching doctors and students through his consulting services. Dr. Crowe is also a founder and Past President of the Veterinary Emergency and Critical Care Society and a founder of the American College of Veterinary Emergency and Critical Care and has twice served as Vice President and Chair of the Scientific Committee. He is also a Fellow in the American College of Critical Care Medicine and has been active on several committees of the Society of Critical Care Medicine. In the last 12 years Dr. Crowe has been doing research in the clinical use of oral Electrolyzed Reduced Water (ERW) and Intravenous Vitamin C as electron donning agents in his practice, especially as adjuncts to the use of hyperbaric oxygen therapy (HBOT). He continues his research with HBOT, ERW, and targeted pulsed electromagnetic field (tPEMF) therapy, which have proven to decreases oxidative stress, improve hydration, and causes cell membrane stabilization. He also received his PhD in Biblical Archaeology in August 2023 from Newburgh Bible College and Theological Seminary, in Newburgh, IN. He also has investigated the use of electrolyzed oxidized water (EOW) generated by the same water ionizer that generates the ERW that is not toxic to tissues and yet kills 99.9% of all known pathogens. He uses this EOW in the care of infected burns and wounds. The electrolyzed reduced water (ERW) given to pets to drink has been shown to decrease inflammation substantially. It also makes important minerals such calcium, and magnesium, much more bioavailable. Along with the uses of hyperbaric oxygen, that literally saved his life from severe wound infections on two occasions, the consumption of ERW has also been a game changer for him, being a type 1 diabetic for greater than 55 years. Dr. Crowe loves to discuss his thoughts as to the synergistic effects of HBOT and ERW throughout the US and other countries and is passionate about these and how effective these are in preventing decreases in major organ dysfunction, including many that are associated with the most major illnesses and injuries. He also practices and lectures on biophysics-based medicine modalities such as photonic therapy, bioresonance, tPEMF and Pulsed Signa Therapy that has prevented him from needed a total knee replacement as the PST, as proven and published in the journal Rheumatology by Richard Markoll, MD, PhD that the magnetic energy generated by the unit stimulates normal cartilage formation as it mimics the cell signaling done by cartilage cells when they are placed under a normal stress weight bearing load. Dr Crowe also worked with inventor and publisher Dr Arthur Pilla, PhD who collaborated with Dr Crowe and with another colleague Dr Hilty Burr documented the effectiveness of the tPEMF in the suppression of a fibrosarcoma cancer in a dog after several attempts at surgical excision had failed. The device is currently available through Assisi Animal Health Inc., and several publications have been written and published concerning its effect for the modulation of pain in both humans and animals. The LOOP as it is called and initially given that name by Dr Crowe, and the Assisi Company adopted that name, is now FDA approved to be used for pain and swelling. Other modalities Dr. Crowe uses in his practice also involve quantum physics (acupuncture, acupressure, photonic therapy, chiropractic, Toftness and biotensing). Although these are not considered main-stream medicine he strongly believes these are effective in the holistic care of all patients (both animal and human). In biotensing the ERW and water placed into a hyperbaric oxygen chamber he has found it to reflect positive bioresonance where regular tap and bottled waters were found to be dissonant (a quality not supporting good health) and he has demonstrated this at several scientific and professional national and international conferences. Dr. Crowe is also a firefighter, NRAEMT, GA EMA rescue Dr. Crowe has helped author and teach Basic and Advanced Disaster Life Support Courses for Veterinarians and Veterinary Technicians as a member of the College of Public Health, University of Georgia Institute of Mass Destruction Defense and Georgia Emergency Management Agency and the Department of Homeland Security; He is a certified Rescue Specialist and Firefighter, certified and licensed medic and a member of Station 7, Oconee County Fire Rescue, a volunteer department serving all the county of approximately Dr. Crowe strongly believes that ERW should be the main drinking water for all first responders and during any disaster as it 6 times more effective in hydrating tissues than regular water, free of contaminants, and one of the single most important nutrients the body needs (as based on Gerald Pollack PhD’s work our cells are comprised of 99% water. In national, regional, state and international professional meetings Dr. Crowe has also recommended the drinking of electrolyzed reduced water as a supportive hydrogen donor in all patients (human or animal) and that includes those that receive hyperbaric therapy treatments. Dr. Crowe is also a member of the American College of Hyperbaric Medicine and has come to believe through greater than 25 years of experience treating patients with hyperbaric oxygen therapy (HBOT) that this modality should be used for any disease or injury that has major ischemia (lack of good blood flow, such as stroke), hypoxia (lack of adequate tissue oxygen levels, such as in patients with pulmonary edema), edema (swelling in tissues, such as in patients following crush injuries) or are infected (with bacteria, fungal organisms, or yeast) such as those suffering from diseases such as Lyme, Aspergillosis, and Covid-19 (as national and international research has shown HBOT is very effective have significant co-morbidities). Dr. Crowe has published more than 500 refereed and non-refereed articles; Has given over 1000 invited lectures worldwide, traveling to over 30 different countries and received the Zaslow Award from the Veterinary Emergency and Critical Care Society in recognition of his pioneering work and dedication to the advancement of veterinary emergency and critical care. He also has received a Presidential Citation for his dedication to the advancement of human critical care from the Society of Critical Care Medicine and recently received a Mentors Award from the American College of Veterinary Surgeons for his years of providing mentorship to many surgical residents throughout his career. Dr. Crowe is the inventor of over 50 different emergency procedures used in the US and around the world. Some of these include: 1. nasal, nasopharyngeal and nasotracheal oxygen catheter placement and use. 2. nasogastric tube placement and use for gastric decompression and feeding. 3. high and caudal placement and use of pharyngostomy tubes for esophageal and gastric decompression and feeding. 4. esophageal tube placement and use for decompression and feeding. 5. continuous closure of the abdominal wall following midline or near midline exploration of the peritoneal cavity. 6. rapid five to seven clamp splenectomy. 7. rapid Miller knot or double ligation of lung and liver lobe pedicle lobectomy. 8. diagnostic peritoneal lavage when abdominal ultrasound is not available. 9. rapid lateral thoracotomy and aortic cross-clamping for near cardiac or cardiac arrest. 10. ocular Doppler blood flow as a determinate for the effectiveness of closed chest CPR. 11. abdominal counter pressure used for the control or partial control of intra-abdominal hemorrhage. 12. simple abdominal blood harvesting and autotransfusion in severe abdominal hemorrhage. 13. use of large towels for abdominal packing in severe abdominal hemorrhage. 14. use of continuous Doppler monitoring in assessment of emergency, and critical patients. 15. use of continuous Doppler monitoring in general anesthesia. 16. use of esophageal Doppler monitoring in patients with poor perfusion. 17. use of Doppler monitoring in all EMS patients over blood pressure monitoring. 18. use of towel clamp placement and use in CPR to provide a means of active chest wall retraction. 19. use of a rapid tracheostomy for the gaining of a patent airway. 20. use of aortic occlusion in severe thoracic or abdominal hemorrhage. 21. use of an endotracheal tube as a tracheotomy tube or chest tube. 22. use of a feeding tube as a jugular vein feeding tube. 23. use of an 18 g hypodermic needle for s mini-cut- down for vascular access. Dr. Crowe grew up in Wisconsin and Michigan. When he was 7 years old, he, unfortunately, saw his own family dog named Spot get severely injured from a speeding car on the road in front of his families’ home. His mom explained later, “when many people asked me what was the reason that your son became so interested in veterinary medicine and helping animals?” She answered. “As Tim was crying, he asked everyone at the scene, ’Is there anyone who can save my dog?’ Spot died and that was when he was so touched by that experience.” “He later became interested in girls, as all boys do,” his mother said, “and one of the girls he was interested in at 12 years old had a horse. He thought that if he learned all about horses that then he would win the girls’ heart.” So I took Tim out to a small riding academy and he learned all about how to feed and care for horses. This led to his love for horses. The girl moved away, and Tim was left caring and riding the horse that was at the riding stable.” From that early beginning Dr. Crowe (Tim) became an expert in training horses and even made money through high school and collage going to where owners requested him to help in training their horses. He also worked for the local veterinarians and realized that this was wanted to do, although, he truly had this ambition after seeing his own dog get killed when he was seven. He had two major science projects in high school that the local veterinarians, laboratory technologist and MD pathologist helped him with, that resulted in him winning local, regional, and state science fairs. He then competed nationally and won the American Veterinary Medical Science Youth Award when he was a senior. He presented his research on Coccidiosis in Rabbits and Gastroenteritis in Dairy Calves at the National Science Fair in Albuquerque, NM and Saint Louis, MO. He went on to present his senior research at National Science Teacher’s and the American Veterinary Medical Association’s national conventions at Lewis Research Center, Washington DC, and Portland, OR. It was estimated that through his research in the sick dairy calves in his local area, that that two-thirds of them were saved. During summer breaks in high school, college, and veterinary medical school Dr. Crowe worked as a guide and caring for the horses at the Circle H Ranch, Clover Leaf Lakes, WI.; foreman and manager of horses at Diamond D Ranch, Tigerton Dells, WI. And at the Silver Spur Ranch, Gresham, WI. Then, worked as an assistant for a veterinarian in Canadian, TX.; and as wrangler and heard-health manager at the C Lazy U guest and working cattle ranch in Granby, CO. It is while there in Colorado that 120 horses became infected and ill with Equine Strangles. He worked tirelessly caring for them. Then his future wife Debbie began helping him in the care of these horses. They fell in love and were married the following year. You could say that through the caring of sick horses that a match was made in heaven. Now Deb and Dr. Crowe have been married for 51 years. They have two children and six grandchildren. Lastly, but not least, Dr. Crowe provides the following personal information: He is a Christian and truly believes that Jesus is the Son of God and that the only way one can get to Heaven is to believe in Him as their personal Savior as He died on a cross for their sins and rose from the dead on the third day. Dr. Crowe invites all who do not know Jesus as their personal Savior, to confess their sins, and accept the free gift of grace and forgiveness that only Jesus can give. Through the joy Jesus has given him, Dr. Crowe sings, plays guitar and harmonica at his local church (Saint James United Methodist) and also at a maximum-security state prison with Kairos Prison Ministry. For further information please feel free to contact Dr. Crowe at 706-296-7020 or [email protected] You can also receive information by visiting: www.MobileVetSurgeryGA,com or www.VetSurgeryEmergency.com |
American College of Veterinary Surgeons
