okan 2

Dr Okan Kahraman

Case Presentation


Vet.Okan KAHRAMAN Greenpet Veterinary Clinic     İstanbul/Turkey




Signalament and History

. 3month unvaccinated female cat

. The cat licking the affected foot pads also smelling bad at foot pads sometimes lamess were observed



Pysical Examination

.All foot pads were affected

.Swollen,soft,ulcerated/erosions (also contaminated with bacteria )

.and some of them were paintful while pysical examination espacially whish one has ulcerated

.vital signs were completly well

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Picture 1

.photos (include each foot pads) ( Picure 1)


Laboratory results

. Just Leucocystosis other parameters were okay. FIV And FelV test was (-)

Differential Diagnosis.Plasma Cell Pododermatitis.FIV ,FelV.Autoimmune Dermatoses (pemhigus complex,lupus eryt.).Neoplasia


Diagnosis and Treatment.

Feline plasma cell pododermatitis .

prednisolon 1mg/kg X 2 PO (3 day ) after 3.

Day 4mg/kg Metilprednisolon asetat

S.c.cefovesin (convenia ) 8mg/kg S.C.

clindamycin 15mg/kg X 2 PO (5 day ) .


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Picture 2

After 10 days later Photos( Picture 2)

WHO ARE Vets on The Balkans? Veterinarians speak…..

10334323_1650417485231859_7490271749546982451_nLUIGI VENCO, DVM , SCPA, Dipl EVPC, Pavia, Italy


It ‘s a wonderful Journal.  Open source. Clinical cases and tips useful for the reader. Not just a display of vanity for the authors. Congratulations to the editors for strong expended effort




Dr Constantin Ifteme – Center of Veterinary Endoscopy and Minimum Invasive Surgery


Vets on the Balkans it is more than a promoting platform of all successful projects from the veterinary medicine in the Balkans region.  It can be compared with the Olympics of the veterinarians from this geographical area, with major involvement in training and continuous learning of the veterinary community.



Dr Iuliana Ionascu, DVM , PhD, member ESVO


Vets on the Balkans is the meeting point of the specialists, the friends and of the people who have the joy of sharing their experience in areas of interest in veterinary medicine.Vets on the Balkans helped us by placing us in direct contact with specialists and taught us how to work together. The first step is done. The next step is one that I want from the bottom of my heart:  to write therapeutic guides together.So, Vets on the Balkans, my dream has to be your accomplishment in the years to come.I love you for what you created. Good luck on your wonderful journey!


 Dr Alexandru Diaconescu, DVM, PhD, Senior Lecturer


I think it’s a great idea! All the vets in the Balkans area can learn from each other’s experience, we can share opinions, interesting clinical cases, etc.

I wish you good luck!


Dr Rares Capitan , DVM, resident ECVD

I think is a good interesting idea. I really hope that this project will  continue for a long time and collect many vets as want to share their experience. So the whole community from the Balkans will progress in a good way.


Dr Ana Maria Boncea, DVM, resident ECVD

“Vets on the Balkans” is like a fresh air for all the vet’s from every place…Is an open door for sharing your experience, upgrading your knowledge and enjoy the vet’s life spectaculy. Let’s share together all beautiful insides of our job!


Dr Vladislav Zlatinov – Central Vet Clinic in Sofia, Bulgaria

 It is so great to have such a professional forum, connecting Balkans (and not only) vets! I literally see people from different countries in the region, getting to know each other because of your journal.  The “Vets on The Balkans” deserve all the compliments for your great positive initiative and work!


Dr Stefan Savov- Ditton  Reach Veterinary Surgery, England

 The journal is a really brilliant idea. I read all the articles. I find some really good examples there. It has proved that veterinarians on Balkans are no worse than the colleagues in the western countries. I wish you more and more interesting cases shared on the pages of the journal and lots of luck.



Dr Mila Bobadova ( Veterinary Clinic “ Dobro Hrumvane”  in Sofia, Bulgaria)

 We needed that kind of journal at Balkans, a connection spot and an open source. It brings veterinary medicine to a new level, but most of all it helps all the vets from Balkans to get to know each other. For that I am very thankful and I am sure it will make a difference.


Dr Svetlina Aleksandrova ( Veterinary Clinic “Light Vet” in Sandanski, Bulgaria)

 Vets on the Balkans is great new way for communication and learning. The reality is that we can not know everything for any condition. The learning process continue until the end of our lives. I love the case reports – a lot of photos and good explications. The Learn and Travel initiative will make a lot of collegues better in their prefered section of veterinary medecine. Please, dr Gancheva, continue to do what you do in the best way – connect!


Dr Liliya Mihailova ( Veterinary Clinic “ United Veterinary Clinic “ in Varna, Bulgaria )

 According to me ” Vets on the Balkans “o is one of the greatest way for many veterinarians to communicate and share knowledge and experience. Because is a new and modern way to connect veterinarians not only from countries of Balkan peninsula but also from countries all over the world. Moreover It provides the latest scientific information about news in veterinary medicine and useful personal professional experience.


Dr Spas Spasov  ( Veterinary Clinic “ United Veterinary Clinic “ in Varna, Bulgaria )

 I want to extend my greetings to the great work you do with the magazine. It is very interesting and useful. I wish to become more known. I wish to be ever visited. I think the idea to united vets on the Balkans is realized.



Dr Vanya Stoyanova – Veterinary Clinic Provet in Plovdiv, Bulgaria

 Useful  veterinary journal,creative realized idea.
Like to read the letters ,interesting posts ,new information for me and classified my level where I am on the market with the Balkan colleagues .Receive information for future symposiums,Conferences and Webinars. Thank You  Luba Gancheva & Co
Wish you continue enjoying with your fantastic work!!!


 Dr Dimitar Djambazov Veterinary Clinic Sofia in Sofia, Bulgaria

 Vets on the Balkans is a unique in its respective category as a journal who strives to connect the countries on the Balkans- a highly diverse and interesting set of countries.

The journal provides easy-to-reach and concise practical knowledge as well as the opportunity for interviews, presentations and step-by-step guidelines for management of specific problems.

From where I stand as a practitioner the case reports are by far my favorite method of acquiring new information in the veterinary field. That is of course after one has a strong basic knowledge on a given subject.

And here’s where the next indispensible role of “Vets on the Balkans” becomes evident. The journal not only acts as a mean of learning and developing oneself as a veterinary professional with blog posts but also serves as a connecting point between the countries and veterinarians in the region, as to promote and organize practical sessions, continuing education projects and various externships. This is indispensible help, strongly appreciated by many and luckily gaining more and more popularity among animal caregivers on the Balkans.
The effort invested in the journal by its creator and her collaborators is immense and undoubtedly greatly acknowledged as we all know how hard it can be to sustain such a project, be a practicing veterinarian at the same time and have a life from time to time as well.

As a young and still lacking a certain amount of experience, vet, I appreciate the Vets on the Balkans journal as a source of CPD, but also as a opportunity to reach and connect to our neighbors on the Balkans.



 Dr Emil Ofner – Veterinary Clinic More in Sibenik, Croatia

 Task for every journal is to have a good impact factor on its readers. Vets on the Balkans journal doesn’t do just that, but it also successfully ties up vets from different Balkan countries and others. It is the first of its kind in the Balkans and for sure it will facilitate further development of the veterinary profession. Hopefully it will become a great online tool for improvements of veterinary skills and knowledge.

 Dr Mario Kreszinger – Veterinary Clinic Kreszinger in Zagreb, Croatia

 It very useful easy approachable source of informations we need in everyday Jobs routine.


Dr Nikola Bunevski– Veterinary Clinic Kreszinger in Zagreb, Croatia

 Sharing is caring. Every information is priceless. We are working near each other we have similar problems and questions, it will be better for each of us if we share those questions and problems to one another, we will come to answers faster and painless. Vets on the Balkans can serve that purpose.Thank you for having me.




 Dr Zoran Loncar- Veterinary Clinic Novak in Belgrade, Serbia

 Vets on the Balkan is refreshment and result of people with good energy and wish to improve our region. We live in small countries and if we cooperate together we have better chance to improve ourselves.


Dr Nikoleta Novak- Veterinary Clinic Novak in Belgrade, Serbia

I read the interview you had with our colleague Nikola Bunevski, and I think he said it perfectly; “Sharing is caring. Vets on the Balkans can serve that purpose””Vets on Balkans” is really a great idea and I do wish you all the best on this exciting and high-minded mission.



 Dr Marko Novak- Klinika Loka in the city Škofja Loka in Slovenia

 I came across VTB when I was scrolling down the facebook and I saw these interesting articles from guys doing great job. I think it is one of those starters that help people to become better at what they do.



 Banu Dokuzeylul, DVM, PhD ,Department of Internal Medicine

Faculty of Veterinary Medicine

Istanbul University, Istanbul, Turkey

 I like reading. One day I found myself reading a case from Vets on The Balkans Online Journal. This subject was one of my interesting areas in veterinary medicine. With this article, I couldn’t imagine a good collaboration and friendship start. With Dr. Luba Gancheva’s support, I was invited to seminar in Bucharest. As I see until today, the journal improves day by day. Instead of giving important information, this journal combines the colleagues on the Balkans. If you want to be a part of a great friendship and have a vulnerable data, you must start to read the journal as fast as you can.10334323_1650417485231859_7490271749546982451_n



PETCODE Veterinary Hospital on the Balkans….. is it real?

PETCODE ANIMAL HOSPITAL; where our dreams came true

Just before starting to make our new  animal hospital I asked my collegues to write me about their dreams. I was not wondering what we can do,  I was wondering  about a small animal practioner’s dreams . It is not easy to understand the meaning of these dreams for a vet working  in Germany, Holland or England but I am sure you can understand  how important this is for us. In countries like Turkey or in Balkans, there is always some thing is absent while we are practicing. I asked the same question to some of my patient owners. I was sure that as the people who love their pets they would also have dreams about a perfect hospital.  I knew that it was impossible to make a perfect hospital  but I believed that all these dreams will guide us  to create a close one.IMG_1122IMG_1125

After I collected all these notes from my friends  I read them may be a hundred  times. I saw that some of my friends  was dreaming about wider and bigger spaces to practice, some of them was dreaming about high technologies  like MRI and CT, some about a better laboratory and etc. The list was so long but we did our best to make them true one by one. Of course we could not manage to make them all but we are still on work and continue .That is why I am not calling PetCode as  “the perfect animal hospital” I am calling us as “The hospital where the dreams come true.”

Now I will try to tell you about Petcode, the sum of  our dreams.IMG_1121IMG_1123

Our Petcode Animal Hospital is serving  in a 1400 square meter building and it is physically  the biggest animal hospital in Turkey. We are using 2 different entrance and 3 separate parts in Petcode. In polyclinics section you can find our account office, secretary and information desk, pharmacy, a wide waiting room with different waiting areas  for dog  and cat owners, two examination rooms for dogs and two examination rooms for cats, physical therapy and rehabilitation service with a hydrotherapy pool, hemodialysis unit, pet coiffeur and meeting room. In hospital section we have emergency entrance, emercency waiting and examination room, computered radiography, colored doppler ultrasonography, electrocardiography and office rooms, hospitalization section, central examination room for hospitalized patients, reanimation rooms,  oral health and dentistry unit, surgery preperation room, half sterile room and full sterile operation room. You can enter our hospital’s third section  with our elevator and here you can find computered tomography, restaurant  and, changing rooms for our staff, laudry and storage.IMG_1124

In PetCode Animal Hospital we believe that  “ Cats are not small dogs ” and  with  this policy we divided our wide waiting room  to 2 parts,  one is for dog owners and the other  is for cat owners. There are 4 routine examination rooms in our hospital and 2 of them is for cats and 2 for dogs. Dogs are never alouded to enter cat examination rooms just to reduce the stress of cats. We have special hiding places in our cat examination rooms so when they jump and escape from the examination table we never try to catch them because we already know  where they will enter.

“Physical Therapy and Rehabilitation”(FTR)  is one of the most popular branches in veterinary medicine all over the world. The high percentage of geriatric animals among the pet population,and the important  tendency of dogs and cats to obesity is increasing the risk of osteoarthritis. Osteoarthritis  creates the main need for physical therapy and rehabilitation in most cases. The increasing  number of advanced surgeries we are performing  is also increasing the demand of patient owners for a better and faster recovery period. So physical therapy and rehabilitation is becoming more and more popular every year and of course we made a big investment  for FTR in PetCode. Our hospital has a hydrotherapy pool supported with a lifting crane for paraplegic animals. We have a  gait analysis system which shows given weight to each extremity quantitatively . Our treadmil, electrotherapy, therapeutic ultrasound, laser therapy and laser acupunture systems are the other feautures of Petcode FTR service.

Petcode Hemodialysis Service is the only hemodialysis  chance for dogs  in Turkey so patients with kidney failure and differenttoxications are coming to us everywhere from Turkey. Of course keeping a chronic renal failure patient alive just with hemodialysis is so expensive and not efficient and logical most of the time but we are mostly helping acute renal failure patients successfuly. Our hemodialysis machine is just suitable for patients over 15kg and we are performing peritoneal dialysis for our smaller dogs and cats.IMG_3087

According to American Animal Hospital Association veterinary dentistry creates the biggest income for every small animal practice in USA and in Petcode we made a serious  investment for veterinary dentistry. We are not only performing tartar cleaning and teeth extractions we are also using intraoral cameras, taking x-rays,  performing fillings, coverings and implants.

In PetCode we are  closing our polyclinic section everyday at 20.00 but emergency entrance is open for the rest of the night with an on duty veterinarian and a veterinary technician. When we had a surgical emergency we always call all our surgical team and perform the surgery.IMG_7684

During day time all our staff  pass the hospital section  door with a card reader. Our patient owners are not alouded to enter to the hospital section by themselves and even for visiting for their patiens we always guide them. They can pass to hospital section just with special plastic overshoeses, galoshes.

Because of our huge street animal population Turkey is a heaven for all kinds of infection diseases and in  PetCode we are fighting with hospital infections seriously. We are using hepafilters in all risky points, all our cages are made from chrome-nickel steel  for better disinfection, and they all have full glass doors to prevent the spread of infections via splashig, coughing, sneezing. We keep patients with infectious diseases in an isolated room. We are always  trying to obey high standart disinfection and sterilization rules everywhere in the hospital.

Oxygen is life and in PetCode we produce our own oxygen with a very special system and we safely use this oxygen in our anesthesia machine, intensive care units and everywhere in our hospitalization section.IMG_0549IMG_1831

Our hospitalization service has 4 sections.  We keep our patients with all kinds of infectious diseases in our infectious disease room. Our staff enter this room with special outwear. There is a special antibacterial plastic curtain in the entrance of this room which keep the infections inside and we are using special hepafilters  for the ventilation  so that possible infections are not entering to the general ventilation system  of the hospital. When we have patients that we are not sure about their health and vaccination status we keep them in cages in our  quarantinedepartment until we feel sure that they do not carry any kind of infectious disease to our other visitors. In our regular hospitalization section we have 2 parts and of course one is for dogs and the other one is for cats. All these parts are openning to a central examination room and we carry our patients here for their regular applications.

In PetCode we are able to perform almost all kind of surgeries. We are doing a lot of brain and spinal surgeries,total hip replacements,  tuberositas tibia advancements, tuberositas tibia transpozitions, eksteranl fixators, vertebral stabilisations, ventriculoperitoneal and syringosubarachnoid shunts,  different types of reconstructive and oncological surgeries, and eye surgeries including phacoemulsifications. All these advanced surgical procedures  give us a big responsibility as well.

. If you are planning to perform that sort of sophisticated and advanced surgical procedures , of course just good surgical skills are not enough for these plans. You need experience, a good team, perfect medical equipment and a very sterile surgical room.FullSizeRender

That is why Petcode  brought  “Full sterile operation room term”  to Turkey.  We enter to our operation room through a half sterile room always with head caps and masks. Floor surface of our operation room is made from esd conductive, antistatic and antibacterial material. Our walls are covered with chrome- nickel steel  because bacterial contamination of this material is  diffucult and disinfection is always easy. IMG_6016IMG_6010Ventilation of this room is special because air is entering to the room through hepafilters and a system always aspirates the dirty air inside the room again through hepafilters so there is always positive pressure inside the room and air entrance is limited even we are openning our doors during enterance. Our surgical room is also full of state of art medical equipments that allow us to perform all kind of surgeries.

Petcode is the one and only private animal hospital that has  its own computered tomography machine in Turkey. With the help of our  three dimentional reconstruction programmes we use,  we are able to obtain very high qualified images almost compatible with high field  magnetic resonans images so we can diagnose several  neurological and oncological problems easily.1424295_1650399288567012_3625160114951452674_n1497350_1650399538566987_593934141063559119_n

As you can see, PetCode Animal Hospital is the biggest investment done for small animal practice in Turkey  but we are still dreaming about a perfect animal hospital with our  lives coded to animal love,and veterinary medicine.