Preventative Medicine

Preventative medicine is the majority of our practice. It stems from trying to prevent all of the problems we see in practice; problems like, vomiting and/or diarrhea, heartworm, abscesses, feline leukemia, herpes, and so on.

Vaccinations are a big part of a pet’s life. Risk or exposure is evaluated for the individual pet and a vaccine protocol is initiated. One size does not fit all. Rabies vaccine is legally required. The pet owner does not want the consequences of an unvaccinated pet involved in a potential bite situation. It is a legal nightmare and can have severe consequences for the pet.

Spaying and neutering are very essential in the well being of the pet. The risk of ovarian, testicular or mammary cancer increases as your pet ages. The risk of life threatening uterine infection increases as a female becomes older. Spaying and neutering provides a lifetime of less stress for you and your pet in your home without the hassle of heat cycles (that occur in both female and male pets).

wormsParasite prevention is imperative for both pets and young children in the household. Some of the intestinal worms can be zoonotic (contagious) to humans. An annual check of feces on puppies and kittens, and any adult pet that goes outside, is important. Dogs should be given heartworm preventative monthly year round. We live in an area where there is a 20% chance of getting heartworm. Testing is done yearly to insure the pet has no heartworms. Heartworm disease is treatable, but it is expensive and lengthy. Fleas and ticks are a six-to-nine-month problem here in Kansas City. Ticks more so in spring to summer and fleas more so summer to early winter. For dogs the new oral products are very effective. Unfortunately, cats still have to use the topical applications.

Microchipping is very important. The animal shelter, humane groups, and streets are loaded with unidentifiable pets that would have been easily identified if microchipped. Microchipping is extremely easy, relatively painless, and inexpensive. Home Again has a life-time registration that is easy to update anytime with new information.


Tiffany Hills Animal Hospital offers digital radiography. The advantages of digital radiography are that the images are clearer than older technology. In addition, images can be transfered via email from doctor to doctor. The images can also be manipulated, enhancing the film study.


There are many times a patient needs lab work. Specimens like blood, urine, feces, or tissue must be analyzed. Dr Fortney has the capability to immediately analyze samples using an in-house blood analyzer, microscope, and centrifuge. There is always the option to send the sample to an outside veterinary laboratory depending on the requirements of the circumstance.

Bathing and Grooming

We offer baths, shave downs, and nail trims. We believe the more frequent your pet is bathed, the better their coats will look. The caveat is to use the right shampoo.


Tiffany Hills Animal Hospital has an up-to-date surgical suite and the equipment to handle most routine procedures. Read more about Dr. Fortney's surgical suite»

For complicated surgeries, Dr. Fortney believes your pet should be in the hands of a specialist like a Board Certified Surgeon. We are lucky in Kansas City because we have two specialty practices that have the experience to handle these difficult cases: Blue Pearl Veterinary Specialty and Emergency and VCA Mission Med Vet both have outstanding board certified specialist.


Boarding is a lot more difficult than most people understand. For most (almost all) pets, boarding is not a vacation. It is stressful; barking at the strangers, different potty times, different feeding times, different food, different smells and noisy sleeping conditions. What to do when you have to be gone? Pets are the happiest at home. My first choice is to hire a licensed/bonded pet sitter checking your pet several times a day. We have known several pet sitters for over 20 years and highly recommend them. We highly recommend cats to stay at home and have a pet sitter or neighbor check on the cat daily or every other day. The second best is a boarding facility where the pet has plenty of room, like a large run or huge kennel. With all the room, if the pet needs to potty, they can without feeling cramped in a small area. In the larger space, they have room to sleep in one area of the kennel away from food, water, and potty. The facility should have staff that walks the pet in an outside area. The facility should have the staff that can recognize any subtle signs of distress while boarding.

Tiffany Hills Animal Hospital has only 5 runs and 3 huge kennels. Tiffany Hills Animal Hospital probably is the only facility that has a veterinarian taking care of the pets. At Tiffany Hills Animal Hospital, we only board those pets that have special needs.

End of Life Questions

The only thing inevitable in life is growing old and dying. Age is not a disease, but it comes with changes. If the pet is still enjoying life, then make your pet’s life comfortable. Pain, cancer, organ disease can be treated and/or controlled. There may be no cure, but there are ways to manage the problems. But at some point, euthanasia will have to be considered. At that point, we will assess the quality of your pet’s life. Euthanasia is a very personal and emotional decision. But, Dr. Fortney has always felt the owner knows their pet the best and will always decide what is right for their pet.

And Everything Else

Let's face it, Cathy and I have 3 pets and Lord knows there is always something happening. Eating deer poop, rolling in deer poop, eating petunia flowers, broken toe nail, lacerations, vomiting and diarrhea, ear infections, allergies, arthritis, red eyes, and so on. And that is just describing my pets!