In conversation with Dr Iain Grant
Dr Iain Grant joined Fitzpatrick Referrals Oncology and Soft Tissue in Guildford, Surrey in January 2018 as Senior Clinician in Medical Oncology and Research.
Q. Why did you decide to join us here at Fitzpatrick Referrals?
Fitzpatrick Referrals has a reputation for the provision of first-class oncology care to veterinary patients. I really wanted to be part of that and I hope that I can bring to the hospital my own brand of care within the medical oncology field. Heading the medical oncology service was an important opportunity for me.
Q. What are your clinical interests?
My main interests clinically are in developing a greater understanding of the needs of my patients and clients from a palliative care perspective. Little is documented about this within veterinary oncology at the current time and I feel that we are in a position to become influential in this field.
Q. What are the most common cases that are referred to you?
We see a wide diversity of tumour types at a referral level due to the reputation of our hospital. The most common are mast cell tumours, anal sac carcinomas and lymphoma. Osteosarcoma (a primary cancer of the bone) provides opportunities to work closely with our other hospital in Eashing due to Professor Fitzpatrick’s work in limb-sparing techniques.
Q. What advancements in oncologic care are you looking forward to at Fitzpatrick Referrals?
I hope that we will develop a reputation for excellence in palliative care in addition to our current reputation for the provision of state of the art therapies. This could include the development of clinical research in this field, introduction of client counselling services and hopefully, in time, the advent of radiation therapy at the hospital, which may be used both therapeutically and palliatively. We are also introducing a ‘shared-care’ arrangement for chemotherapy with our referring vets to increase convenience to their clients embarking on chemotherapy for their pets, and to empower primary care clinicians in therapeutic decision making.
Q. Do you have any advice for vets about the care of patients with cancer?
Always be thorough when evaluating a cancer patient. Try to answer the questions:
- What tumour type am I dealing with?
- Where in the body can the cancer be found?
- What are the treatment options available for this patient’s individual type and stage of disease?
Seek advice where necessary from specialists. In addition, always consider the early signs of cancer e.g. if a patient has a nasal discharge that is not resolving or persistent lower urinary tract signs or lameness in a breed prone to bone cancer do not forget that a neoplastic process may be at the bottom of it.
Advice for your patients
Our team of clinicians will happily give advice to vets about a patient, simply contact us at the relevant hospital with full clinical history: