Millie Rosales, DVM, DACVD

What to Expect at Your Appointment

Making Your Appointment

You can make an appointment with Dr. Rosales at any of the specialty locations. At the time you make your appointment, you will be asked the name of your family veterinarian. This is important information for us to have because we may need to work closely with your veterinarian as part of your pet’s treatment plan. Dr. Rosales will also need your pet’s medical records as part of her assessment of your pet’s condition. If you have not received a referral to Dr. Rosales from your veterinarian, we may need you to do this in order for us to have permission to obtain your pet’s medical records.

Dr. Rosales’ receptionists will confirm your pet's appointment a day or two before the visit. If you are unable to make your appointment we kindly ask that you cancel with 24 hours notice. This gives us ample time to call those clients who are on our waiting list.

If your work schedule does not fit into our appointment schedule, we gladly accept drop offs. Please ask the receptionist about this option.

Prior to Your Initial Consultation

  • Do not bathe your pet or clean its ears 2 days prior to your appointment. Do not apply any ear medications the morning of the recheck appointment
  • If possible, patients that are non-diabetic should not receive food after 10 pm the night before the first exam visit. Water is allowed up to the morning of the appointment. This is in case bloodwork needs to be obtained or a sedation or anesthetic procedure needs to be performed.
  • Diabetic patients should continue to receive insulin as directed by your veterinarian. Pets on thyroid supplements or seizure patients on anti-convulsant medication should continue on their medications as instructed by your veterinarian.
  • Please bring all current medications to your appointment: including shampoos, sprays, ointments, ear medications, flea and heartworm medications.

Your Initial Consultation

We ask that you come 10-15 minutes prior to your scheduled appointment to fill out a new client information form as well as a pet questionnaire.

                                     To save time, you may now complete the pet questionnaire online by clicking here.

Once the paperwork is filled out, Dr. Rosales’ dermatology technician will take you into the examination room and briefly ask you about your pet’s problems. The technician will then review the case with Dr. Rosales. Dr. Rosales will then ask you some more questions about your pet, perform a thorough dermatological exam on your pet, obtain diagnostics samples (i.e. skin cytologies) and then discuss with you about your pet's skin problem. At the same time Dr Rosales is talking to you about your pet's skin/ear problems, the technician will be analyzing your pet’s samples. A treatment plan based on these test results will then be formulated. A letter summarizing the visit, exam findings, test results and treatment plan will go home with you on that same day or sent to you via postal mail the next day. Your veterinarian will also receive the same letter, so that he/she is informed about your pet.

The initial consultation visit can take approximately 90 minutes. This time is essential in figuring out your pet’s skin problem, and Dr. Rosales is committed to ensuring that your pet’s condition is assessed properly.

Your Follow Up Consultation

Follow up consultations are essential in making sure that your pet is responding properly to the treatment plan. It is possible your pet can look better at the time of the recheck exam; however, the primary problem for your pet’s skin condition may not have been fully determined. This is seen quite often in pets with allergies, where the secondary problems are properly addressed but the primary problem is still not resolved and can lead to relapse of your pet’s skin condition within a short period.

Follow up exam visits may require repeating diagnostics that were performed at the initial visit in order to make sure that improvement is occurring. Your pet may or may not need to remain on medications.

Depending on the primary condition your pet may have, it may be necessary to see your pet for several follow up visits. For certain conditions or therapies, phone consultation may only be needed. We may also have you follow up with your family veterinarian. Please discuss with Dr. Rosales any concerns you may have with these follow up appointments, as we understand that several visits can lead to financial concerns.

Intradermal Allergy Testing

Those patients that are referred specifically for intradermal allergy testing will need the following medications withdrawn prior to testing:

  • Oral corticosteroids (i.e. prednisone) will need to be discontinued for at least 4 weeks.
  • Patients will need to have been off any injectable corticosteroids (i.e., dexamethasone, depo medrol) for at least 6-12 weeks.
  • Otic steroid topicals will need to be discontinued for at least 2-4 weeks.
  • Patients will need to have been off any topical antihistamines & topical steroids for 2 weeks (Includes: any cream, ointment, spray, rinse or shampoo on the skin).
  • Oral antihistamines (i.e. Benadryl or Zyrtec) will need to be discontinued for 2 weeks.
  • Oral fatty acids (if possible) will need to be discontinued for 2 weeks.
  • Unspayed pets - please make sure the pet has not been in heat for 4 weeks.

If the patient cannot be off any of the above medications the pet will gladly be seen, but an intradermal skin test may not be performed on the initial visit.

Other topical options that may relieve the pet of itchiness are cool baths with oatmeal containing products or lime sulfur dips. Also, barrier methods, as t-shirts, booties, or e- collars, can be helpful in stopping a pet from itching itself.