Internal Medicine
When Would Your Pet Need an Internist?
Do I need a Referral?
Doctor’s Background & Education
Lives Saved Back to Surgery & Specialty Care Home Page
Do I need a Referral?
Doctor’s Background & Education
Lives Saved Back to Surgery & Specialty Care Home Page
Like people, animals can develop a variety of illnesses requiring the skilled expertise of a knowledgeable, board-certified internal medicine specialist. At Bishop Ranch Veterinary Center & Urgent Care, if your pet requires the advanced care offered only by an internal medicine specialist, your pet will be seen by Dr. Janice Cain, an expert in diagnosing and treating especially challenging diseases of the respiratory, gastrointestinal, urogenital, endocrine, immunologic and hematologic systems. .
Dr Cain will work closely with the rest of your veterinary team and regular veterinarian at Bishop Ranch to solve complex medical problems and offer second opinions on diagnostically challenging medical cases. This can involve interpreting various tests results or performing special procedures that are not commonly done in general practice.
Services performed by Dr. Cain include abdominal ultrasound examination for liver, gall bladder, spleen, kidney, pancreatic and bladder problems; fiber optic procedures involving the lungs, stomach, small intestine and colon; and treatment for diseases such as diabetes, Cushing's disease, Addison's disease and hyperthyroidism.
Download our Internal Medicine and Reproductive Brochure:
Internal Medicine Brochure
Internal Medicine Brochure
When Would Your Pet Need an Internist?
Your pet may need to be seen by an internist when he or she is not responding to the current treatment plan, or your primary veterinarian refers you to Dr. Cain for diagnostic tests and/or procedures they do not commonly performe.
Diseases treated and procedures performed by internists include, but are not limited to:
- Gastrointestinal Diseases (endoscopy)
- Liver Disorders (ultrasound, biopsy and laparoscopic biopsy)
- Endocrine Diseases (Addison’s, Cushing’s and Diabetes)
- Pancreatitis
- Kidney Failure (medical management)
- Autoimmune Diseases (Hemolytic Anemia Thrombocytopenia, Polyarthritis)
- Fever and pain of unknown origin (complete medical evaluation)
- Bronchopulmonary Disorders (bronchoscopy)
- Urogenital Diseases (ultrasound, cystoscopy)
Do I need a Referral?
We recognize the value in seeking objective second opinions. We do not require a referral from your primary care veterinarian to make an appointment with Dr. Cain. Whether your primary veterinarian is contacted with additional medical information about your pet is your choice.
When possible, we will work with your primary care veterinarian so that we can diagnose and develop the best treatment plan available for your pet. In the event that you do not have a referral we recommend that you bring your pet’s medical records and/or any current diagnostic test results with you to your first appointment. This will help Dr. Cain more accurately assess your pet’s current treatment plan and medical condition.
Background and Education
Janice Cain, DVM
Diplomate, American College of Veterinary Internal Medicine As a board-certified Internal Medicine Specialist, Dr. Cain has years of advanced training in Internal Medicine and has met special criteria set by the American College of Veterinary Internal Medicine (ACVIM).
Publications
Dr. Cain has authored numerous scientific articles in professional journals and text books including Current Veterinary Therapy, Handbook of Small Animal Practie, Veterinary Pharmacology and Therapeutics, Geriatrics and Gerontology, and Veterinary Neonatology.
Diplomate, American College of Veterinary Internal Medicine As a board-certified Internal Medicine Specialist, Dr. Cain has years of advanced training in Internal Medicine and has met special criteria set by the American College of Veterinary Internal Medicine (ACVIM).
- Doctor of Veterinary Medicine, University of California, Davis 1984
- Internship: Santa Cruz Veterinary Hospital 1984 – 1985
- Residency in Internal Medicine: University of California, Davis 1985-1987
- Board Certification: ACVIM 1989
- American College of Veterinary Internal Medicine
- American Veterinary Medical Association
- American Animal Hospital Association
- Society for Theriogenology
Lives Saved
Indiana Age: 3
Breed: Alaskan Malamute
Diagnosis: Prostatic Cystic Disease Indiana was a new patient to Bishop Ranch Veterinary Center and was scheduled to see Dr. Cain for a reproductive semen freezing procedure. Upon collection of the semen sample it was noted that there was a considerable amount of bright red blood in his semen. Indiana’s owner indicated that he had had chronic blood drainage from his penis intermittently for approximately a year. Indiana had been treated for a urinary tract infection (UTI) by his primary veterinarian, but his condition had not improved. Dr. Cain recommended a prostate and ultrasound exam which revealed cysts within the prostate. Prostatic cysts are uncommon and are usually found in older dogs. Unfortunately, Indiana had numerous cysts, many of which were larger in size. Indiana was immediately started on a course of antibiotics and Finasteride, a human male prostate medication. One month later there was no blood present in his semen and by his second follow-up appointment the number and size of the cysts had been greatly reduced. Today Indiana is doing great and has put on 15 pounds of muscle. Summary Indiana’s condition went undiagnosed until he was brought to Dr. Cain for a reproductive procedure. A common course of treatment might have been to neuter Indiana however, Dr. Cain was able to avoid this by formulating a treatment plan that will allow Indiana, a valuable-winning show dog to remain intact as a potential breeding dog.
Breed: Alaskan Malamute
Diagnosis: Prostatic Cystic Disease Indiana was a new patient to Bishop Ranch Veterinary Center and was scheduled to see Dr. Cain for a reproductive semen freezing procedure. Upon collection of the semen sample it was noted that there was a considerable amount of bright red blood in his semen. Indiana’s owner indicated that he had had chronic blood drainage from his penis intermittently for approximately a year. Indiana had been treated for a urinary tract infection (UTI) by his primary veterinarian, but his condition had not improved. Dr. Cain recommended a prostate and ultrasound exam which revealed cysts within the prostate. Prostatic cysts are uncommon and are usually found in older dogs. Unfortunately, Indiana had numerous cysts, many of which were larger in size. Indiana was immediately started on a course of antibiotics and Finasteride, a human male prostate medication. One month later there was no blood present in his semen and by his second follow-up appointment the number and size of the cysts had been greatly reduced. Today Indiana is doing great and has put on 15 pounds of muscle. Summary Indiana’s condition went undiagnosed until he was brought to Dr. Cain for a reproductive procedure. A common course of treatment might have been to neuter Indiana however, Dr. Cain was able to avoid this by formulating a treatment plan that will allow Indiana, a valuable-winning show dog to remain intact as a potential breeding dog.
Persia
Age: 1
Breed: Saluki
Diagnosis: Colitis Persia had been having abnormal stools and a suppressed appetite for several months. Her owner noted she would have severe stomach gurgling followed by bloody, mucoid diarrhea. Concerned she was not improving under her current treatment plan, she sought a second opinion from Dr. Cain. Initial blood work indicated a deficiency of vitamin B12 – a sign of intestinal disease. Persia was started on B12 supplements to help increase her appetite and improve the digestion of her food. She improved considerably but when she had a relapse, Dr. Cain performed a colonoscopy and biopsy results confirmed colitis.
Colitis is an inflammation of the colon and causes a variety of bowel problems. Most often, colitis causes diarrhea but it can also cause constipation – causing dogs to strain and pass very little stool. Some dogs lose weight and can become debilitated without treatment. The goal in treating chronic colitis is to suppress the inflammation in a pet's colon and prevent recurrence through diet change and drug therapy.
Summary
Dr. Cain instituted a specific treatment plan for Persia and regularly communicated with her owners via phone and email -- monitoring her progress every-step-of-the-way. Because colitis can be tricky to manage, the communication between client and doctor was essential for a successful outcome –allowing them to make adjustments in Persia’s diet and/or medications when needed. Today, Persia is thriving and her colitis is under control.
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Age: 1
Breed: Saluki
Diagnosis: Colitis Persia had been having abnormal stools and a suppressed appetite for several months. Her owner noted she would have severe stomach gurgling followed by bloody, mucoid diarrhea. Concerned she was not improving under her current treatment plan, she sought a second opinion from Dr. Cain. Initial blood work indicated a deficiency of vitamin B12 – a sign of intestinal disease. Persia was started on B12 supplements to help increase her appetite and improve the digestion of her food. She improved considerably but when she had a relapse, Dr. Cain performed a colonoscopy and biopsy results confirmed colitis.
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