Located at Metropolitan Veterinary Hospital, we are a large team of board-certified doctors and technicians invested in caring for your pet’s surgical and neurologic needs. With doctors specializing in soft-tissue, oncologic, neurologic and orthopedic surgery, our practice offers the knowledge and skill required to meet your pet’s medical needs.
In addition, understanding your concern for your pet, we aim to alleviate any apprehension by keeping you well informed throughout your pet’s stay in the hospital. While the surgery and neurology service is generally in the hospital from 8 a.m. to 6:30 p.m. Monday through Friday and 8 a.m. until noon on Saturdays, we are open and fully-staffed 24 hours a day — offering you and your pet around the clock care and attention.
To make an appointment or receive treatment from our board-certified specialists, you’ll need a referral from your veterinarian.
Soft Tissue/Oncology Surgery
Focusing solely on soft-tissue and oncologic surgery, Dr. Padgett is able to offer elite knowledge of and surgical treatment for respiratory conditions (laryngeal paralysis, tracheal collapse, chylothorax) endocrine conditions (thyroid disorders, adrenal glands, pancreatic abnormalities), portosystemic shunts and many neoplastic conditions.Minimally invasive surgery (laparoscopy and thoracoscopy) allow us to perform many advance procedures in the abdomen or thorax with less potential discomfort and much shorter recovery times. Using small incisions and an inserted camera, we can perform full exploratory surgery, biopsy multiple organs, remove masses, and perform many other procedures. Hospitalization time is shortened and pets are much happier!
All of our surgeons are at the forefront of pain management. We spare nothing to make sure our patients are comfortable.
Metropolitan Veterinary Hospital is one of the few referral hospitals in the nation with both on-site CT and MRI. We are also the only veterinary hospital in Northeast Ohio with a superconducting high-field MRI. This technology combined with the skill and expertise offered by Dr. Axlund (our board certified neurologist with an extensive medical and surgical neurologic background) makes Metro a facility unparalleled in Ohio.
Specialists at Metropolitan Veterinary Hospital have been using non-invasive procedures for the diagnosis of intervertebral disk disease in chondrodystrophic dogs for over 2 years. We are pleased to announce that in our hospital, invasive neurologic testing is becoming a thing of the past for many paralyzed patients! Utilizing our helical CT scanner and advanced techniques, we are able to offer quick and accurate diagnosis and lessen the anesthesia and potential complications associated with traditional procedures.
Ohio Veterinary Surgery and Neurology has been performing hip replacement surgery at Metropolitan Veterinary Hospital (MVH) since 2000. Since 2007, both cemented and cementless implants have been used with success.
By focusing solely on orthopedic surgery, Dr. Daye can offer arthroscopy, the most advance cruciate ligament repairs (TPLO, TTA), advanced surgical therapy of elbow and hip dysplasia (TPO, total hip replacement (cemented and cementless), sliding humeral osteotomy (SHO) for elbow arthritis, distal femoral osteotomy (DFO) for severe patellar luxations, and repair of simple to complex fractures and angular deformities. In addition, many closed/limited approach procedures can be performed using fluoroscopy.
Using the advanced technology available at MVH, Dr. Daye can diagnose and treat many shoulder, elbow, carpal, stifle, and hock conditions entirely arthroscopically. Sacroiliac luxations, coxofemoral luxations, ligament avulsions, and even spinal fractures can be treated through stab incisions using fluoroscopy, thereby minimizing patient discomfort and recuperation time.
Frequently Asked Post-Op Questions (FAQs)
Q: When will my pet have a bowel movement?
A: It is normal for your pet to have a bowel movement any time after surgery but it can be 3-5 days after surgery before a bowel movement is seen. This is due to a combination of fasting, anesthesia and medications that have been sent home with your pet. Please call our office if your pet is straining to defecate or if no bowel movement has been seen 5 days after surgery.
Q: What if my pet has diarrhea?
A: Some diarrhea can be a common side effect for some pets due to the stress of surgery and the change in their daily routine. Please call our office if the diarrhea is lasting more than 48 hours after being home or if your pet seems to be having an excessive amount of diarrhea. Occasionally there can be a small amount of bright red blood in the diarrhea if you pet has been stressed, but again, please call our office if you think it is excessive or if you are concerned.
Q: What if my pet seems to be urinating large amounts often or leaking urine while resting?
A: You pet received a lot of IV fluids while in hospital. It can take 2-3 days for those to be flushed out of their system and things to return to normal. Also, some medications used during surgery can affect your pet’s ability to urinate normally for a couple days. Offer additional short walks and additional time outside to give them the opportunity to relieve themselves more frequently. Please call our office if you pet has not urinated at all in 24 hours or if you think they are straining to urinate.
Q: What do I do if my pet won’t take their medications?
A: Bread cream cheese, peanut butter or chicken meat balls are great at hiding medications. First offer them the treat without the pill, then hide pill in the next offering and lastly offer again without the medication. Pill Pockets™, which are sold at most pet stores, are another great way to hide medication and can be used similarly to the aforementioned treats.
Some pharmacy will provide gel caps. These can be used to hide your pet’s pill in. They mask the taste and your pet may take them better in treats than just the pill itself.
If your pet still doesn’t take the medication, a pill gun or pill stick can be used to push the pill to the back of the throat. Once the medication is there, remove the pill gun or stick and close your pet’s mouth. Rub their neck until they swallow. A small amount of water can also be syringed into their mouth to help them swallow.
If you continue to have difficulty getting your pet to take their medications, please call our office.
Q: How long should I give medications for?
A: It is important to finish all medications provided as directed. It is especially important to finish all antibiotics as prescribed unless directed otherwise.
Q: What if the medication is making my pet sick?
A: If you think you pet is not tolerating the medications well, first make sure you try giving the medications with a small meal, unless otherwise instructed. If you are still concerned your pet is sick from the medications, please call our office so we can discuss what the next steps should be.
Q: Can all the medications sent home with my pet be given together?
A: Unless otherwise directed in your discharge paperwork, all medications being set home are safe to be given at the same time.
Q: When can my pet have a bath?
A: We recommend your pet does not have a full bath or get groomed until their incision has healed (usually after two the week recheck).
Q: What if I have questions after the surgery service has closed for the day?
A: You can always call Metropolitan Veterinary Hospital ER service at 330-666-2976. However, they do not have the intimate knowledge nor same relationship we have with your pet, so please be patient while they help answer your after hours questions. When calling, please inform them with whom your pet had surgery, what the surgery was and how long ago the surgery was performed.
You will receive a call immediately following your pet’s procedure to let you know their status and the outcome of the procedure or surgery.
In addition, you will receive a call from us every morning that your pet is in the hospital. We perform rounds first thing in the morning and then call you with an update. We will also call you in the evenings — offering an update on how your pet did throughout the day.
Current Clinical Investigations
“Effect of peri- and post-operative management techniques on incidence of pneumonia in idiopathic canine laryngeal paralysis”
Dr. S. Padgett: In progress, accepting patients.
“Long-term outcome and complications of 34 distal femoral osteotomies performed for correction of MPL in dogs without cranial cruciate disease.”
Dr. Dustine D Spencer, Nick Crawfis, and Dr. R. Mark Daye: In progress, accepting patients.
“A prospective, randomized comparison of post-operative antibiotic usage in clean, elective stifle orthopedic procedures.”
Dr. D. Spencer, Amanda Sheets, and Dr. R. Mark Daye: In progress, accepting patients.
“Prospective evaluation of a citrate-based biomaterial wedge for Modified Maquet procedure in the treatment of cranial cruciate ligament rupture in dogs.”
Dr. R. Mark Daye and Dr. Alex Terreros: In progress, accepting patients.
“Modified cranial closing wedge osteotomy for the treatment of cranial cruciate ligament rupture: alternating pre-operative planning technique, complications, and medium to long-term outcome.”
Dr. Alex Terreros and Dr. R. Mark Daye: In progress, accepting patients.
“Osteosarcoma chemosensitivity study in dogs with naturally occurring long bone presumptive osteosarcoma.” A joint study with Case Western University to identify FDA-approved chemotherapy medications to inhibit the growth of established metastases and to determine a reliable method to predict osteosarcoma treatment outcomes.
Dr.Greenfield (Case Western University), Dr. Rance Gamblin, and Dr. Sheldon Padgett: In progress, accepting patients.
“Evaluating the Use of an active drain for closure of limb amputations in dogs.”
Dr. Megan Mathews and Dr. Sheldon Padgett: In progress, accepting patients.
“Gastric dilatation and volvulus (GDV) study regarding lactate values in patients undergoing surgery for GDV.”
Dr. Emily Pearce and Dr. Sheldon Padgett: In progress, accepting patients.
Meet Our Doctors
Dr. Sheldon Padgett, DVM, MS, DACVS
Dr. Padgett grew up in northwest Ohio, and attended The Ohio State University for both his undergraduate studies and his veterinary degree (making him a true Buckeye). After graduation from veterinary school, he spent a year of intensive training at the Animal Medical Center in New York City. Following this, he pursued a surgical residency at the Washington State University College of Veterinary Medicine. During the 3-year surgical residency, he also obtained his Master’s degree. After practicing in Massachusetts for 3 years, he then came back to Ohio in 2000 and established Veterinary Surgery Services of NE Ohio, now Ohio Veterinary Surgery and Neurology, LLC, the surgical practice at Metropolitan Veterinary Hospital, and part of the Metropolitan Veterinary Referral Group.
While all small-animal board certified surgeons are trained in both orthopedic and general (soft-tissue) surgery, Dr. Padgett is able to concentrate primarily on soft tissue surgery (mostly within body cavities). Dr. Padgett has published and lectured on many topics such as liver surgery, pain management, endocrine surgery, thoracic and airway surgery and thyroid surgery. One of his special interests includes surgical oncology, or the surgical treatment of tumors. He enjoys this field as it is both challenging, and it allows him to work closely with other specialists for the best care available to his patients. He is an active member of the American College of Veterinary Surgeons, the Veterinary Cancer Society, and the Society for Veterinary Soft Tissue Surgery.
Dr. R. Mark Daye, DVM, MS, Diplomate ACVS
Dr. Daye grew up in Western Canada near Calgary, Alberta. His pre-veterinary education was completed at the University of Alberta. Dr. Daye received his veterinary degree from the Western College of Veterinary Medicine at the University of Saskatchewan. Following graduation, he completed a year-long rotation as a small-animal medical and surgical intern at the Animal Medical Center in New York City. After a year in private emergency practice and six months in a cardiothoracic surgery research laboratory, he completed a three-year small animal surgical residency at Auburn University. Dr. Daye is board certified by the American College of Veterinary Surgeons. In July 2003, he relocated from North Carolina to join Veterinary Surgery Services of Northeast Ohio (now Ohio Veterinary Surgery and Neurology, LLC).
While trained in all areas of small-animal surgery, Dr. Daye focuses his day-to-day attention on orthopedic conditions – treating general surgical conditions and neurosurgical conditions only on an as-needed or emergency basis. This focus allows Dr. Daye to offer a comprehensive list of advanced orthopedic procedures, including simple and complex fracture repairs of the entire skeletal system, arthroscopic treatments for many joints, multiple advanced treatments for ruptured cranial cruciate ligaments, multiple elbow dysplasia surgeries, as well as pubic symphysiodesis, triple pelvic osteotomy and total hip replacement for treatment of canine hip dysplasia.
Dr. Daye has received extensive training in many cutting edge orthopedic surgical procedures and fosters aggressive pain management for his orthopedic patients. He is a longtime and currently active member of the Veterinary Orthopedic Society and the International Veterinary Academy of Pain Management. He is a reviewer of scientific studies in orthopedics for the prestigious veterinary medical journal Veterinary Surgery.
Dr. Todd W. Axlund, DVM, MS, ACVIM (Neurology)
Dr. Axlund began his academic career as an undergraduate student at the University of Northern Colorado and Oxford Polytechnic in Oxford England. He then attended veterinary school in his home State of Iowa at Iowa State University, graduating with distinction in 1996. An internship at the University of Missouri followed in 1996-97, where he was honored to receive the Outstanding Intern award. Dr. Axlund moved to Auburn, Alabama next where he completed his residency at Auburn University in Neurology and his masters thesis work. Board certification, issued by the American College of Veterinary Internal Medicine, specialty of Neurology, was achieved in 2000, and Dr. Axlund received his Masters of Science degree in 2003.
Dr. Axlund served as a faculty member at Auburn University from 2000-2007, where he became a Tenured Associate Professor of Neurology/Neurosurgery in 2004. He is a frequent contributor in the veterinary literature on subjects including surgical management of atlantoaxial subluxation, hydrocephalus, status epilepticus, and pituitary dependent hyperadrenocorticism (via hypophysectomy) among others. A selection of some of his publications can be seen below. He has presented material at the. American Veterinary Medical Association Annual Meeting, Western Veterinary Conference, Central Veterinary Conference, and the American College of Veterinary Internal Medicine Annual Forum to name but a few. His research results have been presented at major conferences both nationally and internationally including the Veterinary Cancer Society and Society for Neuroscience annual meetings.
Dr. Axlund moved to the Akron, Ohio area in 2007 with his wife, Nancy, who is a veterinarian as well, his two children, and a house full of 3- and 4-legged loved ones that were adopted over the years. While not spending time at the practice, Dr. Axlund likes to hike in the scenic Cuyahoga River Valley with his family and spend time on a single track riding one of his mountain bikes. A love of nature dictates most of his spare time in general, and the rule at the Axlund house is “be outside whenever possible”! The Axlund’s feel strongly about community service as well, with the public school system, after school programs and the local Humane Societies receiving top attention.
- Axlund T.W. , Isaacs A.M., O’Brien D. Fibrocartilaginous Emboli in the Brainstem of a Dog: A case report. Journal of Veterinary Internal Medicine. J Vet Int Medicine 2004;18(5):15-19.
- Isaacs A.M., Axlund T.W. Hepatic Encephalopathy: diagnosis and treatment in dogs. Standards of Care Emergency and Critical Care Medicine 2004;66:1-7.
- Axlund T.W., Behrend E.N., Winkler J. Surgical Treatment of Canine Hyperadrenocorticism. Compend Contin Educ Pract Vet. 2003;25(5): 334-347.
- Axlund T.W., Hudson J. Computed Tomographic Appearance of the Normal Lumbosacral Intervertebral Disc Space in Dogs: 22 cases. Vet Rad Ultrasound 2003;44(6):630-634.
- Axlund T.W., McGlasson M.L., Smith A.N. Treatment of Intracranial Meningiomas in the Dog with Surgery Alone or in Combination With Irradiation. Journal Amer Vet Med Assoc 2002;221(11):1597-1599.
- O’Brien D, Axlund T.W. Brain Disease. In Textbook of Veterinary Internal Medicine, 6th ed. Ettinger SJ, Feldman EC (eds.). WB Saunders, 2004.
- Axlund T.W., O’Brien D. Central Vestibular Disease. In Small Animal Ear Diseases, An Illustrated Guide. Gotthelf, L (ed). WB Saunders, 2005.
- Axlund T.W., O’Brien D, Sorjonen DS. Feline Dysautonomia Revisited. In Consultation in Feline Internal Medicine, 4th ed. August, JR (ed). WB Saunders, 2001, pp 381-4.
- Isaacs, A., Axlund T.W. Case of the Month: Spinal Toxoplasmosis in the Cat. Online Journal of Veterinary Neurology and Neurosurgery, www.neurovet.org, December, 2002.
- Axlund T.W., Wolf C. Atlantoaxial Subluxation. In Textbook Clinical Veterinary Advisor. Cote, E. (ed). Mosby, 2007.
- Axlund T.W., Narak J. Fibrocartilaginous Embolism. In Textbook Clinical Veterinary Advisor. Cote, E. (ed). Mosby, 2007.
- Coates, J.R., Axlund T.W., Dewey, C.W., Smith J. Hydrocephalus in Dogs and Cats. Compendium 2006;Feb:136-146.
- Tieber L.M, Axlund T.W., Simpson, S.T., Hathcock J.T. Survival of a Suspected Case of CNS Cuterebrosis in a Dog. J. Amer. An. Hosp. Assoc; May/June 2006;42:238-242.
- Carnes M.B., Tieber L., Axlund T.W. Management of Canine Idiopathic Epilepsy. Standards of Care Emergency and Critical Care Medicine 2006;8:1-6.
- Axlund T.W. Excercise-induced Collapse in Labrador Retrievers. Standards of Care Emergency and Critical Care Medicine 2005;7:7-11.
- Axlund T.W., Behrend E.N., Sorjonen D.C., Simpson S.T., Kemppainen R.J. Canine Hypophysectomy using a ventral paramedian approach and an ultrasonic surgical aspirator. Veterinary Surgery; 2005;34:1-11.
Dr. Brie Anne Mauser, DVM, MS, ACVIM (Neurology)
Dr. Mauser is a board-certified small animal Neurologist at Metropolitan Veterinary Hospital where she has been part of the medical team since 2011. Dr. Mauser is originally from a small town in West Virginia, Sutton, and graduated from Marshall University with a Bachelor’s Degree in mathematics in 2004. After determining that animals were more intriguing than numbers, Dr. Mauser continued her education at West Virginia University studying animal physiology and earning a Master’s Degree in 2007. She then attended The Ohio State University where she earned her Doctorate in Veterinary Medicine in 2011. Following graduation from veterinary school, Dr. Mauser moved to Akron and completed a yearlong rotating internship and a three-year residency in small animal neurology here at Metropolitan Veterinary Hospital. She attained board certification with the American College of Veterinary Internal Medicine in July 2015.
Although Dr. Mauser maintains an interest in all aspects of small animal neurology and neurosurgery, she has particular interest in cerebrovascular disease and central nervous system inflammatory disease. When not caring for her patients, Dr. Mauser enjoys traveling and spending time outdoors with her family.
Dr. Josh Collins, DVM, DACVS
Dr. Collins pursued education at Hiram College, The Ohio State University, Michigan Veterinary Specialists, and Ocean State Veterinary Specialists. Dr. Collins brings with him considerable experience in a wide range of orthopedic and soft-tissue conditions. He is published in both of the veterinary surgical journals, Veterinary Surgery and Veterinary Comparative Orthopedics and Traumatology and maintains a healthy interest in clinical research. Dr. Collins surgical interests vary from the common CCL repairs to reconstructive and oncological procedures. Minimally invasive orthopedic and soft-tissue surgery holds a particular interest making Dr. Collins a great fit for our already well-developed minimally invasive programs.
In his private life, Dr. Collins enjoys many outdoor athletic activities including time with his dog Maverick. His interest in sailing occupies an increasing amount of spare time these days.
Dr. Curtis Cathcart, DVM, DACVS-SA
Dr. Cathcart is from Edmonton, Alberta in Western Canada. His pre-veterinary education was completed at the University of Alberta. Dr. Cathcart received his veterinary degree from the Western College of Veterinary Medicine (WCVM) at the University of Saskatchewan. Following graduation, he entered general practice and took on ownership of a small animal clinic in Victoria, BC on Vancouver Island. Wanting to pursue his surgical interests he left practice and completed a year-long rotation as a small-animal medical and surgical intern at WCVM, as well as year-long surgical internships at Dallas Veterinary Surgical Center and what is now known as SAGE Veterinary Centers in the San Francisco bay area. He then spent two years doing research as a research associate under Dr. Budsberg at the University of Georgia, studying such things as new analgesic (pain) medications, NSAIDs, compartment syndrome, blood clotting testing, and total knee replacements. He completed a three-year small animal surgical residency right here at Metropolitan Veterinary Hospital. Dr. Cathcart is board certified by the American College of Veterinary Surgeons. After residency he took on an appointment as associate professor at WCVM for 2 years and then started a mobile specialty surgery practice in Saskatoon, Saskatchewan. In January 2019 he rejoined Ohio Veterinary Surgery and Neurology, LLC as a surgeon.
Dr. Cathcart has published several articles related to his research work, many of which he has also presented at symposiums. Trained in all areas of small-animal surgery, Dr. Cathcart is available to treat both soft tissue and orthopedic conditions. He is an active member of the American College of Veterinary Surgeons and Veterinary Orthopedic Society.
Dr. Alex Terreros, DVM, Resident in Surgery
Dr. Terreros grew up in the province of Québec, Canada and pursued his veterinary education at the University of Montréal. Following graduation, he completed a small animal medicine and surgery internship at the University of Montréal’s teaching hospital, the CHUV. He spent the next year as a surgical intern at the DMV veterinary Center, a large veterinary private practice. Following completion of this program, he spent a year working at the Animal Health Clinic in Montréal while also remaining a part of the DMV Center’s team performing emergency surgical interventions on an on-call basis.
He moved to Akron, Ohio in 2017 to pursue residency training at the Metropolitan Veterinary Hospital. Dr. Terreros’ surgical interests include minimally invasive surgery and orthopedics. Outside of work, Dr. Terreros loves to play soccer, box and follow his favorite sports teams: the Montréal Impact and the Montréal Canadiens. He and his girlfriend Mallorie, who is also a veterinarian, share their lives with their rescued cat Robert.