Internal Medicine

Our board-certified veterinary internal medicine specialists are trained and experienced in diagnosing and treating pets with the most serious diseases and health problems.

About Internal Medicine at BBVSH

Pets that are referred to a veterinary internal medicine specialist (or veterinary internist), often have diseases that are difficult to diagnose, are multifaceted in nature, and involve several organ systems.

Our board-certified veterinary internists are experienced with finding a diagnosis in challenging cases. They have an arsenal of specialized diagnostic tools and methods available, and are capable of managing patients that have multiple disorders or diseases that do not respond well to standard protocols.

At Boundary Bay Veterinary Specialty Hospital, our Internists also work closely with other on-site board-certified specialists in critical care, surgery, radiology, oncology and neurology to provide timely, collaborative, and seamless care.

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.

Learn more about our veterinary internal medicine services in the video below.

Find Out More

About these Internal Medicine services offered at Boundary Bay

Need a referral to Boundary Bay Veterinary Specialty Hospital?

screenshot 2025-03-23 112023

How Can an Internal Medicine Specialist Help My Pet?

At Boundary Bay Veterinary Specialty Hospital, our board-certified internal medicine specialists are trained to diagnose and manage complex or chronic conditions—especially when a pet’s symptoms are unclear or don’t respond to standard treatments. Using a wide range of advanced diagnostic tools available in-house, they work to pinpoint the underlying cause of illness and develop a tailored treatment plan that meets your pet’s ongoing needs. If multiple health issues are involved, they also coordinate with other board-certified specialists in critical care, surgery, cardiology, neurology and oncology, ensuring your pet benefits from truly comprehensive, coordinated care.

Caring for a pet with a serious or long-term illness can be overwhelming. It’s normal to feel uncertain or anxious about what comes next. That’s why our internal medicine team is committed not only to treating your pet, but also to supporting you every step of the way. We take time to explain medical conditions and treatment options in clear, compassionate language, guide you through home care and follow-up, and remain available to answer questions throughout the process.

Our goal is to make the path forward as clear and manageable as possible—so you can feel confident that your pet is receiving the right care, and that you’re never navigating it alone.

Specialized Diagnostic Tools for Complex Cases

At BBVSH, our internal medicine specialists have access to advanced, in-house diagnostic technology to help pinpoint the cause of illness—especially in cases where symptoms are complex or unclear. Diagnostic tools include ultrasound and other advanced imaging techniques that allow for non-invasive evaluation of internal organs, as well as endoscopy, which uses a small camera to examine the gastrointestinal tract and collect biopsies. C-arm fluoroscopy provides real-time moving X-rays to assess swallowing disorders, airway disease, and other conditions.

For more detailed imaging, we use CT scans to evaluate the chest, abdomen, and nasal passages, and MRI scans to assess soft tissue structures such as muscles, tendons, ligaments, eyes, brain, and spinal cord. Our specialized in-house bloodwork and laboratory testing can detect infections, metabolic disorders, and immune-related conditions. With this full range of diagnostic tools, our internal medicine team is equipped to investigate even the most challenging cases—and to work diligently toward answers for pets with complex medical concerns.

Internal Medicine Services

Offered at boundary Bay Veterinary Specialty Hospital

Our hospital is specially equipped with minimally invasive diagnostic tools such as endoscopic cameras, CT scanner, MRI and C-ARM fluoroscope (real-time video imaging) to provide diagnostic evaluation and treatment for your pet’s condition.

Conditions treated include:

  • Endocrine diseases Including: diabetes mellitus, Cushing’s disease, Addison’s disease, thyroid and parathyroid disorders, hypoglycemia.
  • Gastrointestinal diseases Including: inflammatory bowel disease, chronic vomiting/diarrhea, foreign bodies, neoplasia, pancreatitis.
  • Renal and urogenital disease Including: acute and chronic kidney disease, incontinence, urinary obstruction or infections, glomerulonephritis.
  • Hepatic and biliary diseases Including: hepatic lipidosis, hepatitis, cholangiohepatitis, biliary obstruction, hepatic encephalopathy.
  • Immune-mediated and hematologic diseases Including: IMHA, ITP, Evan’s syndrome, polyarthritis.
  • Infectious diseases Including: Ehrlichiosis, Lyme disease, FIP, fungal infections, Leptospirosis.
  • Cardiovascular diseases Including: congestive heart failure, pericardial and pleural effusion, hypertension.
  • Respiratory diseases Including: rhinitis, polyps, bronchitis, pneumonia, asthma.
  • Other internal medicine conditions Including: refractory diabetes, blood disorders, chronic infections, hormone and immune disorders, multi-organ disease affecting the kidney, liver, gallbladder, lungs, urinary or reproductive tracts.

Diagnostic and Treatment Procedures Offered

  • Examinations and Testing Comprehensive physical examinations • Advanced laboratory testing of various tissue and blood samples
  • Imaging and Visualization Diagnostic imaging (ultrasound, radiographs, MRI) • Endoscopy with high-resolution video
  • Endoscopic Procedures
    • Upper GI (Gastroduodenoscopy)
    • Lower GI (Colonoscopy)
    • Nose (Rhinoscopy)
    • Lungs (Bronchoscopy)
    • Bladder (Cystoscopy)
    • Foreign body retrieval
    • Stricture dilation
  • Sampling and Biopsy Biopsies of masses, internal organs
    • Bone marrow aspirates and biopsies
  • Tube Placement and Nutritional Support
    • Feeding tube placements
    • E-tubes
    • PEG tubes
    • J-PEG tubes
    • Nutritional consults
  • Specialized Procedures Tracheal and urinary tract stenting

Meet Our Internal Medicine Team Members

BVSc, DipECVIM-ca, MRCVS

Board-certified Internist

BVSc, DVSc, DACVIM (SAIM)

Board-certified Internist

DVM, MVSc, DACVIM

Board-certified Internist (Locum)

DVM, Dip ECVIM-ca

Board-certified Internist

BVM, MVS, MVSc, DACVIM

Board-certified Internist
Download our Internal Medicine Flyer

Choose Boundary Bay for Internal Medicine

We offer specialty veterinary internal medicine service by board-certified internists, serving dog and cat owners throughout B.C. and northern Washington. We invite you to consider the following reasons to entrust your pet to Boundary Bay’s internal medicine specialists.

Board-certified internists

Our board-certified internists have completed additional, rigorous education and training. Our internists have seen thousands of the most difficult cases and have a proven track record for accurate diagnoses.

Specialized, minimally-invasive and rapid diagnostics

Our internists utilize endoscopic cameras to look inside your pet and find out what is wrong. Also at their disposal: CT scanner, MRI and C-ARM fluoroscope (enables real-time video images during interventions).

Help with difficult cases

Internists perform advanced diagnostics and therapeutics for patients who are not easily diagnosed, that do not respond to standard treatments or have multiple disorders.

Team-oriented approach

Our internists works closely with other on-site specialists in critical care, surgery, cardiology, neurology, oncology, and diagnostic imaging to provide timely, collaborative, seamless care.

How to Get a Referral to Our Internal Medicine Services

There are two ways to get an appointment for specialty care at our hospital:

  1. From your primary veterinarian
    A referral ensures the proper transfer of medical information. It is beneficial to your pet and the specialty veterinarian to have all relevant medical information and will help your pet receive appropriate care.
  2. Contact us directly
    You are welcome to contact us directly without a referral if you believe your pet would benefit from specialty or behaviour care. However, we believe strongly in working hand-in-hand with your family veterinarian to provide comprehensive care, and if it is possible to provide records or a referral from your family vet, it is helpful. Please contact us at 604-514-8383 or at info@bbvsh.com.

For Pet Owners

A referral from your family veterinarian ensures the proper transfer of medical information. It is beneficial to your pet and the specialty veterinarian to have all relevant medical information and will help your pet receive appropriate care.

You are welcome to contact us directly without a referral if you believe your pet would benefit from specialty or behaviour care. However, we believe strongly in working hand-in-hand with your family veterinarian to provide comprehensive care, and if it is possible to provide records or a referral from your family vet, it is helpful. Please contact us at 604-514-8383 or at info@bbvsh.com.

For Referring Veterinarians & Vet Clinics

Referrals to our Surrey, BC Hospital

Online form | Download PDF form

PDFs can be emailed to info@bbvsh.com or faxed to 604-427-2494

Referrals to our hospital in Bellingham, WA

Online form | Download PDF form

PDFs can be emailed to bellingham@bbvsh.com or faxed to 1-888-867-6928

Our Code of Conduct

we love animals

Respect

We are here to take good care of your pet and we’re committed to establishing trust and mutual respect with our clients, however, please know that abusive language, aggressive behaviour, and lack of respect toward any of our staff members will not be tolerated.

Most Critical First

We prioritize care based on severity, ensuring that the most critically ill patients receive attention first. Upon arrival, your pet will undergo a thorough triage assessment to determine the level of urgency. This process allows us to quickly identify and treat potentially life-threatening conditions.

Pay For Service

Emergency Services aim to diagnose and support your pet during their illness or crisis; however, please recognize that you are paying for the services rendered, not the results achieved. The fees cover time, expertise, and resources dedicated to your pet’s care, regardless of outcome.

If your pet is experiencing a life-threatening emergency, come directly to our hospital.

Walk-ins are welcome; no appointment is required.

If you are able, call ahead and let us know you are coming.

Our phone number is (604) 514-8383

More Reasons to Entrust Your Pet to Us

There are so many reasons to bring your pet to us for specialty services or an emergency. Here are our top seven.

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