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Guy Hanson Senior Director, International Consulting | UK

Guy Hanson

Guy works with a range of clients across five continents to improve their email delivery, subscriber engagement, and revenue generated. With over 15 years of experience, he is a global e-mail expert.

Check out his blog posts .

Our custom solutions are designed to take our clients’ email programs to the next level. Whether we’re providing additional visibility, fine-tuning the program, or assisting in a complete overhaul, our insights and recommendations are digestible, practical and crafted for marketers to act upon.

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"Return Path came highly recommended and did not disappoint. We were given a comprehensive analysis of our templates in a tangible and easy to implement manner. They provided a list of short and long term solutions to take our program to the next level."

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Our Consulting Team can regularly be found sharing new and innovative email knowledge at industry events. Whether they are consulting during a 1:1 coaching clinic, hosting roundtables, giving presentations on our latest research and products, or taking in the latest industry news, they are always on the the front lines of all things email.

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Don't panic! Here's what to do if you missed a dose.

If you've missed a dose of heartworm prevention medicine, there are several things you need to take into consideration before starting your pet back on heartworm preventatives.

However, in the case that your pet has never been on heartworm prevention it's important that you learn how to get started right away . Heartworm disease has been reported in all 50 states year-round. Monthly heartworm preventatives can help your pet avoid this potentially deadly disease.

The American Heartworm Society has recommended year-round heartworm protection , without missing a dose. A missed heartworm pill leaves your pet exposed to becoming infected, which can happen even in winter. Making monthly heartworm medication part of your pet's health care regimen makes it easier to remember. Of course, mistakes happen and sometimes pet parents forget a dose. However, it may help you to remember if you consider that:


Many times pet parents are given inappropriate information by both their friends and maybe even some veterinarians. It is not necessary to have a pet immediately tested for heartworms if they have missed one month of heartworm medicine. The reason for this is because it takes at least 6 months for a pet to become heartworm-positive if he or she is bitten by mosquitoes carrying heartworms. This means that even if your pet has become infected during the time that you missed a heartworm dose, test results would not show as positive until 6 months after the initial infection.

It is not necessary to have a pet immediately tested for heartworms

Most of the monthly heartworm medicines have a safety factor of at least 15 days of protection if a dose is missed. This means that if you're just a week or two late, your pet is likely still within that window of protection and would be unlikely to become infected during that time. In this case, it would be fine to just resume giving your pet heartworm prevention medication as usual.

The simplest answer to those who miss a month of heartworm prevention is to give the dose immediately and restart the monthly preventative schedule. At the time of an annual or semi-annual exam, a routine blood heartworm test is recommended, along with a complete wellness exam and/or vaccinations and other laboratory testing if appropriate. While pet parents are encouraged to maintain their monthly heartworm preventative scheduling, accidentally missing a dose will not be a health risk or harmful to their pets in these isolated circumstances.

Spine Sports

Arthritis Types

A cortisone injection can usually be administered in a doctor's office and takes less than 5 minutes. Like any injection, it may be mildly to moderately painful. Patients typically feel a pinching followed by a burning sensation that dissipates quickly.

During the procedure, imaging technology such as ultrasound may be used. Whether or not imaging technology is used depends on the doctor's preference, the patient's anatomy, and the joint being injected. For example, imaging technology must be used for injections into the lumbar spine's facet joints to avoid injury to vertebral discs or nerve roots. Imaging technology is also often used for hip joint injections .

Local anesthetics are often mixed with the cortisone, so the injected area may feel numb immediately after the procedure. The anesthetic usually wears off within a few hours at which time the patient may notice an increase in joint pain. This aching sensation is usually gone within 24 hours but can last up to 3 days.

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Below is a step-by-step description of a typical cortisone injection procedure. An injection may be administered so that medication is delivered directly into the joint capsule or near the joint capsule, depending on the condition being treated.

In This Article:

See What Is Arthrocentesis?

The patient may be asked to stay in the medical office or waiting room for observation for 30 minutes following the injection. This precaution is taken to make sure that the patient does not have unusually severe pain or an allergic reaction to any material in the injection.

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