making Specialty Veterinary Care accessible and convenient

As a clinician at multiple veterinary specialty and emergency hospitals in Central and Western New York, Dr. Michael Koch witnessed the growing need for expeditious access to specialty level veterinary care. Unfortunately, caseload often exceeded the capacity of staffing and scheduling at these clinics, resulting in examinations and treatments being delayed by weeks or even months. With a desire to improve patient care and diagnostic accessibility for patients and clinicians in the region, Veterinary Internal Medicine Consulting (VIMC) was formed in 2022. By bringing specialty medicine into local clinics, VIMC reduces wait time for your patients and provides the comfort and convenience of your own office.

making Specialty Veterinary Care accessible and convenient

As a clinician at multiple veterinary specialty and emergency hospitals in Central and Western New York, Dr. Koch witnessed the growing need for expeditious access to specialty level veterinary care. Unfortunately, caseload often exceeded the capacity of staffing and scheduling at these clinics, resulting in examinations and treatments being delayed by weeks or even months. With a desire to improve patient care and diagnostic accessibility for patients and clinicians in the region, VIMC was formed in 2022. By bringing specialty medicine into local clinics, VIMC reduces wait time for your patients and provides the comfort and convenience of your own office.

Michael Koch, VMD

Board Certified in Small Animal Internal Medicine

Dr. Koch received his doctorate in veterinary medicine from the University of Pennsylvania School of Veterinary Medicine and completed a veterinary business certificate program through the University of Pennsylvania Wharton Small Business Development Center. He completed an internship at Red Bank Veterinary Hospital, a busy specialty and emergency hospital in New Jersey, followed by a small animal internal medicine residency at the Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania. Dr. Koch is board certified by the American College of Veterinary Internal Medicine in small animal internal medicine.

Dr. Koch has extensive experience diagnosing and managing complicated medical cases at a small animal specialty and emergency hospital in Western New York. In addition to being a full-time hospital clinician, Dr. Koch has held various roles consulting on cases for commercial veterinary laboratories as well as other specialty practices throughout New York State.

Dr. Koch’s attention to detail is coupled with an ability to holistically evaluate problems and provide balanced solutions. His passion for veterinary internal medicine, and desire to continuously improve the medical care delivered to patients, results in higher quality outcomes for his patients and the practices with whom he partners.

SERVICES

Ultrasound imaging has become a standard of care in diagnosing and monitoring countless diseases in veterinary patients. Dr. Koch uses his expertise as a board-certified internist to not only perform a thorough ultrasound but also interpret the findings and provide insight from a specialist’s perspective.

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ENDOSCOPY

Diagnostic and therapeutic endoscopy continues to revolutionize the practice of veterinary medicine. As a less invasive approach to visualizing and sampling tissues, endoscopically performed procedures are associated with reduced pain, reduced risk of blood loss, reduced risk of infection, and quicker recovery.

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ARTHROCENTESIS

Clinical presentation of immune mediated joint disease can be ambiguous. Patients can present with fever, lameness, poor appetite, or just non-specific biochemical or hematologic abnormalities. As part of a workup for patients suspected of having immune mediated polyarthritis (IMPA), arthrocentesis can be performed.

BONE MARROW SAMPLING

Bone marrow aspiration and/or biopsy is indicated in evaluating various hematologic abnormalities, including certain non-regenerative anemias, as well as bicytopenia or pancytopenia. Sampling can also be valuable as part of an evaluation for patients with fever, hypercalcemia, hyperglobulinemia, and to confirm suspicion of or stage myeloproliferative disorders.

ASSISTED ENTERAL NUTRITION

Hyporexia or anorexia in a sick patient adds a tremendous amount of physiologic stress to the patient, as well as emotional distress for their caretakers. Addressing these nutritional concerns while awaiting diagnostic results or clinical response to disease treatment is invaluable. These nutritional interventions are not used to prolong end-of-life care, but rather to support patients with treatable or manageable disease conditions. Assisted enteral feeding, along with a nutritional support plan formulated with EmerAid brand products, can be accomplished via:

• Esophagostomy tube
• Percutaneous endoscopic gastrostomy (PEG) tube

CASE CONSULTATION

Every diagnostic procedure performed by Dr. Koch includes a clinical interpretation and recommendation from the perspective of an experienced internist. If more comprehensive assistance with disease evaluation and management is needed, a detailed case consultation can be requested. This consultation can be done as an adjunct to diagnostic procedures provided by VIMC or as a separate service for patients that may not require diagnostics offered by VIMC. Medical record review is done offsite and a comprehensive report with recommendations for further diagnostics and appropriate treatment is provided directly to the primary clinician. Follow up consultation and recommendations for the same problem are provided for up to two months.

VETERINARY PROFESSIONALS

  • Focused experience gathering and interpreting diagnostic data, managing patients, and adapting clinical solutions
  • Only mobile ACVIM board-certified veterinary internist in the region who brings advanced diagnostic equipment and a licensed veterinary technician (LVT) to you
  • Increase continuity of patient care by providing service in the convenience of your practice
  • Improve patient outcomes with progressive and streamlined diagnostic and treatment plans
  • Create a brand-new revenue stream without any new overhead
  • Enhance your practice’s image by offering direct access to specialty services
  • Acute and chronic gastroenterology cases
  • Acute and chronic hepatopathies (referral for CT is recommended for cases of suspected portovascular anomalies)
  • Acute and chronic nasal/upper respiratory disease or lower respiratory disease
  • Acute and chronic renal and urinary tract disease
  • Endocrinology cases
  • Hematology cases
  • Immunology cases
  • Infectious disease cases

For more information on how VIMC can help enhance the service offerings and patient care in your hospital, email us at [email protected] or call 585.626.0007

State-of-the-art Technology

 Progressive medicine is supported by state-of-the-art equipment and VIMC utilizes the latest technology by:

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PET OWNERS

VIMC is a mobile, specialty veterinary service based in Central and Western New York. By partnering and working directly with your general practice veterinarian, VIMC brings specialized internal medicine services to your local clinic. This convenient arrangement reduces the stress and the wait time for your pet to receive advanced level care utilizing the latest diagnostic technology.

After completing an undergraduate degree and a four-year doctorate degree in veterinary medicine, a board-certified veterinary internist completes four years of internship and residency training. The candidate must then pass a demanding examination process to achieve board certification by the American College of Veterinary Internal Medicine (ACVIM).

Find out more about ACVIM board-certified specialists.

Board-certified veterinary internists have extensive training and experience dealing with disorders of:
  • Blood and bone marrow
  • Endocrine (hormone) organs
  • Gastrointestinal tract
  • Immune system
  • Kidneys and lower urinary tract
  • Liver
  • Lymphatic system
  • Upper and lower respiratory tract

Your veterinarian is extremely knowledgeable and skilled in providing a broad range of preventative and primary care services to your cat or dog. This dedicated care is responsible for assuring your furry companion enjoys years of good health and excellent quality of life. In addition, your veterinarian has an astute ability to detect and treat illnesses or injuries as they arise. However, there are some medical problems that benefit from specific expertise, and several factors, such as a clinician’s training, knowledge, and experience, can be an important influence on patient outcomes. In addition, access to specialized equipment—and the experience required to proficiently utilize it—can be critical in diagnosing and treating complex medical conditions. It is at these times that your veterinarian may partner with VIMC to assure the continued best care for your beloved animals.

Recommended by Veterinary Professionals

“Michael’s approach to clinical problem solving is focused, but thorough.”

Dr. Beth C
“Dr. Koch has been invaluable to me and my referred clients. He has gone out of his way to provide info/advice with each case.”
Dr. Paul B

“Great clinician; great teacher; great attitude.”

Dr. Peter C

“Very timely and comprehensive reporting.”

Kerrie F

“He is thorough and knowledgeable.”

Dr. Kent B

“…diagnostic evaluations are very well calculated and logical…”

Dr. Rebecka H

“Dr. Koch is clearly committed to a job well done. Quality of medicine is superb.”

Dr. Kathy M

Recommended by Veterinarian Professionals

Veterinary Internal Medicine Consulting (VIMC)

Veterinary Internal Medicine Consulting (VIMC) partners with and supports veterinary practitioners in Central and Western New York. By sharing expert knowledge of disease pathophysiology, as well as extensive experience with advanced diagnostics and therapeutics, we help improve the quality of care delivered to canine and feline patients.

Recommended by Veterinarian Professionals

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