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Our mothers were right - when you’re sick, you have to eat your chicken soup to get well. More importantly, we now recognize proper nutrition is critically important for the prevention and management of early disease. The same is true for your pets. 

Here at ASEH, our internal medicine specialists have both completed residences not only in internal medicine but also small animal clinical nutrition. This training has provided both the knowledge for making the best nutritional recommendations for your pet and the sensitivity to recognize that proper nutrition should be instituted early.  Our nursing staff also has extensive training and knowledge of the many pet foods available to our clients and looks forward to making recommendations for which diets are best, providing detailed information for how much and when to feed your pet, and answering any questions you have.


Endoscopy means to “look within”, and describes a procedure to view inside the body. Biopsies may be taken, and foreign bodies may be retrieved during this procedure. Endoscopy procedures are less invasive than surgery (no incision), less expensive, and available on a routine and emergency basis.


Dr. Thomas Smith is highly educated in chemotherapy and his foremost concern is your pet’s well being. Our Internal Medicine technicians are experienced in caring for cancer patients and administering chemotherapy. They will make your pet’s chemotherapy experience as comfortable and calm as possible. 

Chemotherapy is a very successful treatment for certain types of cancer, including lymphoma, osteosarcoma, and transmissible venereal tumors. Other cancers such as mast cell tumors and various types of leukemia may benefit from chemotherapy as well. Your pet’s type of cancer may also not respond to chemotherapy. Dr. Smith will determine if your pet is a good candidate at your consultation appointment. Our goal with chemotherapy is offering the best opportunity for remission and improved survival, while at the same time preserving a good quality of life.

Commonly Used Chemotherapy Drugs
Potential Chemotherapy Side Effects


Ultrasound uses very high frequency sound waves to produce images of internal body parts and other soft tissues in real time. It is the most widely used diagnostic tool in human medicine and is also commonly used at ASEH. The value of ultrasound is determined by the quality of the ultrasound unit and the capability of the ultrasonographer. The ASEH internal medicine specialists have had extensive training and years of experience in ultrasonography and use the most up to date technology.


Dr. Tom Smith, one of our internal medicine specialists, was trained in the radioiodine treatment of hyperthyroid cats at Kansas State University. He is thoroughly knowledgeable in all aspects of the process, has treated thousands of cats, and offers this treatment at ASEH. 

Hyperthyroidism is a fairly common disease of older cats. The thyroid becomes overactive and produces excessive amounts of thyroid hormone. Symptoms include increased appetite and thirst, weight loss, vomiting and diarrhea. Restlessness, vocalization and other behavioral changes are also noted. Heart failure may occur in chronic cases.