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Surgery Research


        Australian journal where horses
        with EMPF also had liver fibrosis.                          Improves Treatment
        With that information, she and Dr.
        Pacheco decided to start Chance on
        four weeks of steroids to bring down
        inflammation and slow the progess
        of the fibrosis. They also put him on
        a new diet of hay-free alfalfa feed.


        The prognosis for EMPF treatment
        is fair to poor, but at his one-month
        checkup, Chance showed significant
        improvement in weight gain and
        body condition, and his liver tests
        were close to normal. His chest
        x-rays showed significant reduction
        of the fibrosis.                                                                     PHOTOGRAPHY BY RON MANDSAGER

        At his next check up, six months
        later, Chance showed even more        Did you get it all? It’s a common    most effectively treated via surgical
        improvement in both his lungs         question asked after tumor removal   intervention,” he says.
        and liver. “Most important was        surgery. Dr. Milan Milovancev is
        his incredible improvement in         a soft tissue surgeon at the CCVM    After receiving his Doctorate of
        attitude and body condition,’ says.   whose research focuses on that       Veterinary Medicine, he completed
        Dr. Pacheco. “He was 145 pounds       aspect of cancer treatment.          a surgical internship, then a three-
                                                                                   year residency in small animal
        heavier than when he first came into   Dr. Milovancev operates on          surgery at the University of
        the hospital. He made an amazing      hundreds of dogs with cancer every   Wisconsin. He was interested in
        recovery.”                            year and, at the same time, has      research from the start.

                                              devoted many hours to studying and
        Dr. Pacheco recognizes that the       developing improved techniques       “As soon as I started clinical work,
        team approach at the CCVM is a big    for treating locally invasive tumors.   I realized there were opportunities
        advantage in treating her patients.   His research has investigated how    to improve how clinical services
        “We have so many opportunities to     tumors grow, how to plan tumor       are delivered, either through a
        collaborate,” she says. “I can work   surgery, and how to best test for    better understanding of underlying
        with radiologists, and patholo-       residual cancer cells after surgery.  disease process, or by developing
        gists, and other specialists. We also   “I am dedicated to improving       new methods of diagnosis and
        have great equipment and great        quality of life for cancer patients by   treatment,” he says.
        technicians. It’s a big group who are   working to maximize chances of
        involved in caring for our patients.”  removing the tumor during the first   Dr. Milovancev has been on the soft
                                              surgery, while preserving as much    tissue surgery team at CCVM for
        Chance is currently feeling good      healthy tissue as possible,” he says.  ten years, and likes the university
        and enjoying a normal life. “He has                                        setting. “I enjoy the diversity of
        slowly gotten better and better,” says  Dr. Milovancev developed an        engaging, yet related activities I
        his trainer, Tobey Spitzer. “I started   interest in surgery as a fourth-year   participate in: clinical service to
        working him slowly on the ground      veterinary student at the University   animals and their families; research
        and now I am riding him. He looks     of Minnesota. “While on clinical     driven by a desire to improve patient
        beautiful!”                           rotations, working with actual       quality of life; and training of
                                              patients, I realized that many of the   veterinary students.”
                                              problems our patients encounter are
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