Internal Medicine

Care that goes deep

Get Help With the Challenging Questions

Pets that are referred to an Internal Medicine Specialist often have diseases that are difficult to diagnose, are multifaceted in nature, and involve several organ systems.
Internal medicine specialists are trained to treat the most serious diseases and health problems that affect pets. Our specialists are experienced with finding a diagnosis in challenging cases and have an arsenal of specialized diagnostic tools and methods available. They are capable of managing patients that have multiple disorders or diseases that do not respond well to standard protocols. Reaching a diagnosis and caring for a sick pet can be scary, frustrating and confusing. Our Internal Medicine Specialists are dedicated to allaying fears and helping clients to make sense of their pet’s options and ongoing care.

Veterinary Internal Medicine Services

Our Internal Medicine Specialist provides Diagnostic Evaluation and Treatment for the following conditions:

  • Endocrine diseases including diabetes mellitus, Cushing’s disease, Addison’s disease, hyperthyroidism, hypothyroidism, hyperparathyroidism, hypoparathyroidism, hypoglycemia;
  • Gastrointestinal diseases including inflammatory bowel disease, chronic vomiting or diarrhea, esophageal and gastric foreign bodies, and gastrointestinal neoplasia and pancreatitis;
  • Renal and urogenital diseases including acute and chronic kidney disease, urinary incontinence or obstruction, urinary tract infections, and glomerulonephritis;
  • Hepatic and biliary diseases including lipidosis, acute hepatitis/hepatocellular necrosis, cholangiohepatitis, biliary obstruction, hepatic encephalopathy, chronic active hepatitis;
  • Immune-mediated and hematologic diseases including anemia, thrombocytopenia and polyarthritis;
  • Infectious diseases including Ehrlichiosis, Lyme disease, feline infectious peritonitis (FIP), fungal infections, and Leptospirosis;
  • Cardiovascular diseases including congestive heart failure, pericardial effusion, hypertension, and pleural effusion;
  • Respiratory diseases including rhinitis, nasopharyngeal polyps,bronchitis, pneumonia, and asthma.

Diagnostic and Treatment Procedures offered:

  • Comprehensive physical examinations
  • Advanced laboratory testing of various tissue and blood samples
  • Diagnostic imaging (ultrasound, radiographs, MRI)
  • Endoscopy with high-resolution video
    • Upper GI (Gastroduodenoscopy)
    • Lower GI (Colonoscopy)
    • Nose (Rhinoscopy)
    • Lungs (Bronchoscopy)
    • Bladder (Cystoscopy)
    • Foreign Body Retrieval
  • Biopsies of masses, internal organs, or bone marrow
  • Feeding tube placement
    • E-tubes
    • PEG tubes
    • J-PEG tubes
  • Nutritional consults
Need a referral to Boundary Bay Veterinary Specialty Hospital?

Why Choose Us for Veterinary Internal Medicine?

Boundary Bay offers specialty veterinary internal medicine services; serving dog and cat owners throughout Vancouver, Surrey, Langley, Abbotsford, Maple Ridge, Burnaby, North Vancouver, West Vancouver, Chilliwack, the Interior and the Island as well as Bellingham, WA and northern Washington state. We invite you to consider the following reasons to entrust your pet to Boundary Bay’s internal medicine specialist.
Cool gadgets

Our internists utilize endoscopic cameras to look inside your pet and find out what is wrong.

Your pet is the priority

The needs of your pet and their quality of life is our foremost concern.

Partners with critical care

Internal medicine and critical care specialists work hand-in-hand to help the sickest patients.

Meet Our Veterinary Internist

Dr. Kimberly Hooi

BVSc, DVSc, DACVIM (SAIM)

Board-Certified Internist

Internal Medicine Service FAQs

What is a board-certified veterinary internal medicine specialist?

A board-certified veterinary internal medicine specialist, commonly called an internist, is a veterinarian who focuses on diagnosing and treating the body’s internal systems. In addition to completing undergraduate training and four years of veterinary school, a board-certified veterinary internist is similar to his/her human-medicine counterpart in that he/she has completed an internship and residency in the specialized field of internal medicine (an additional 3-5 years training). In addition to this extensive training, a board-certified veterinary internist must pass two rigorous examinations to achieve board certification from the American College of Veterinary Internal Medicine.

Why should I seek the care of a board-certified internist?

Your veterinarian may refer you to an internist if a diagnosis is proving elusive or therapy is not proving effective; due to his or her expertise in internal medicine, the internist may be able to obtain a diagnosis or adjust treatment plans to get your animal back to health.

In some cases, when the diagnosis is known, an internist may confirm the diagnosis and treatment, providing peace of mind.

For what conditions might my family veterinarian refer my pet to an internist?

  • Anemia or other bleeding disorders
  • Chronic vomiting or diarrhea
  • Complicated pancreatic disease
  • Coughing & other breathing problems
  • Endocrine disease (adrenal tumors, complicated diabetes, thyroid disorders)
  • Infectious disease
  • Kidney or bladder disease
  • Liver inflammation
  • Unexplained weight loss

What is endoscopy?

Endoscopy means looking inside and typically refers to looking inside the body for medical reasons using an endoscope, an instrument that allows the examination of the interior of a hollow organ or cavity of the body. Unlike most other medical imaging devices, endoscopes are inserted directly into the organ. An internist specializes in using an endoscope to visualize the inside of the nose, the gastrointestinal tract (esophagus, stomach, and intestines), the trachea and bronchus (breathing tubes), and the urethra and bladder.

An endoscope sometimes can be used to retrieve foreign objects from the stomach, thereby avoiding an invasive surgery.

Internal Medicine Appointment FAQs

How do I make an internal medicine appointment?

Boundary Bay Veterinary Specialty Hospital strongly encourages animal owners to obtain a referral from their regular veterinarian whenever possible. This ensures the proper transfer of medical information, is beneficial to the animal and the specialty veterinarian, and will help your companion receive the appropriate care.

Once your veterinarian has sent a referral, we will contact you to set up an appointment. If you have not heard from us within 24 hours of your veterinarian sending a referral, please contact a client care representative at 604-514-8383.

If you need guidance, are unable to obtain a referral, or do not have a veterinarian, please contact a Boundary Bay Veterinary Specialty Hospital client care representative at 604-514-8383.

When are internal medicine appointments available?

Internal medicine appointments are currently being made on a case-by-case basis.  Please contact the internal medicine service at 604-514-8383 if you have questions about an internal medicine appointment.

In case of an emergency: Should your pet become more ill or require immediate intervention before your appointment, please contact our hospital and we can see you on an emergency basis through the emergency service.

 

What is the cost of an internal medicine appointment?

The initial consult fee is $265.00 plus tax. Once your pet has been examined and you have had a discussion with the Internist regarding diagnostic and treatment options, you will be presented with an itemized treatment plan for the options presented to you. You may accept or decline any option.

What should I bring to my initial internal medicine appointment?

Please bring your pet and any current medications. Your family veterinarian should have provided records prior to your visit. However, it is a good idea to bring an extra copy of your pet’s records just in case. Please bring any x-rays/radiographs that have been performed. It is acceptable for your family veterinarian to send digital x-rays/radiographs prior to your visit.

How long is the appointment?

The initial consult may last up to 1 ½ hours. We are often able to perform diagnostic procedures, treatments and surgeries on the same day as your initial appointment, in which case you may be leaving your pet with us for several hours or for the day. We are open 24-hours per day, so animals may be picked up in the evening if necessary.

Recheck appointments may last up to an hour (or more if any procedures are required).

Does my pet need to be fasted for internal medicine appointments?

Please do not feed your pet after midnight the night before your appointment; it is ok to give your pet water up until the appointment. Please call for instructions if your pet is diabetic, younger than 4 months, or less than 4kg (10 pounds).

What should I expect during my internal medicine appointment?

The internist will perform a complete and thorough physical examination of your animal, and based on these initial findings, additional tests will be discussed. Depending on your animal’s condition, diagnostic testing or treatments may include:

  • Advanced laboratory testing of various tissue and blood samples;
  • Diagnostic imaging – ultrasound, radiography (x-rays), CT scans, MRIs;
  • Biopsies of masses, internal organs, or bone marrow;
  • Endoscopy – bronchoscopy (lungs), cystoscopy (bladder & urethra); colonoscopy (colon & small bowel), gastroduodenoscopy (stomach & upper intestines), rhinoscopy (nasal cavity), laparoscopy (minimally invasive surgery for biopsies of internal organs);
  • Feeding tube placement;
  • Nutritional consults.

What should I expect during my initial internal medicine appointment?

When you arrive for your appointment, please check in with Reception. The receptionist will advise the internal medicine service that you have arrived.

An internal medicine assistant or technician will bring you into an exam room with your pet, complete a history form, and perform a check of your pet’s vital signs (such as heart rate, temperature, etc). The internist will then review the information and examine your pet. Once this is complete, the internist will go over the diagnosis (or any further testing that may be required to reach a diagnosis) and treatment options. Depending on your animal’s condition, diagnostic testing or treatments may include:

  • Advanced laboratory testing of various tissue and blood samples;
  • Diagnostic imaging – ultrasound, radiography (x-rays), CT scans, MRIs;
  • Biopsies of masses, internal organs, or bone marrow;
  • Endoscopy – bronchoscopy (lungs), cystoscopy (bladder & urethra); colonoscopy (colon & small bowel), gastroduodenoscopy (stomach & upper intestines), rhinoscopy (nasal cavity), laparoscopy (minimally invasive surgery for biopsies of internal organs);
  • Feeding tube placement;
  • Nutritional consults.

Each option will be thoroughly explained so that you can make an informed choice for your pet.

A treatment plan will be prepared for you based on your pet’s specific needs. A treatment estimate will be explained and authorized by you prior to diagnostics or treatment.

We are often able to perform diagnostic procedures and treatments on the same day as your initial appointment, in which case you may be leaving your pet with us for several hours or for the day. We are open 24-hours per day, so animals may be picked up in the evening if necessary.

WE’RE OPEN DURING COVID-19

We are limiting access to our building as explained on our COVID-19 page. If you plan on visiting our hospital in Langley for emergencies or scheduled appointments, please read service details on our COVID-19 page.

Ask Us a Question

We’ll do everything in our power to help you make an informed decision!