What We Notice
Before We Diagnose
Featured this issue Dr. Priya Mehta · Diplomate ACVIM (Large Animal)
Dr. Priya Mehta
BVSc, MVSc, Dip. ACVIM · Associate Professor, Equine Medicine
Colorado State University Veterinary Teaching Hospital
“The colic that nearly got away wasn't hiding in the ultrasound — it was in the way the mare kept glancing at her left flank every forty seconds, even while eating.”
Current Essay
Visceral Pain Patterns the Textbooks Don't Map
A 12-year retrospective on equine abdominal cases where the presenting posture told a different story than the rectal findings — and what that divergence meant for surgical triage.
Dr. James Okafor
DVM, PhD, Dip. ACVIM (Oncology) · Clinical Oncologist
UC Davis School of Veterinary Medicine
“We spend a great deal of time teaching residents to read scans. Almost no time teaching them to watch how the dog moves toward the owner before we've touched it.”
Current Essay
Pre-Examination Observation as Diagnostic Tool
On the clinical intelligence gathered in the 90 seconds before a physical examination begins — and why oncology patients in particular reveal so much in that window.
Visceral Pain Patterns the Textbooks Don't Map
Dr. Priya Mehta's 12-year retrospective on equine abdominal cases — and what divergent findings mean for surgical triage.
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Dr. Sinéad Brennan
MVB, CertVA, Dip. ECVAA · Head of Anaesthesia & Critical Care
Fitzpatrick Referrals, Guildford
“Every anaesthetic death I've investigated had a moment — usually quiet, usually early — where something didn't feel right and nobody said it out loud.”
Current Essay
The Culture of Speaking Up in the Operating Theatre
Anaesthesia mortality in veterinary practice is under-reported and under-studied. This essay traces the systemic silences that precede adverse events and what individual clinicians can change now.
Dr. Yuki Tanaka
DVM, MS, Dip. ACVP · Clinical Pathologist & Researcher
Cornell University College of Veterinary Medicine
“A CBC is not a snapshot. It is a sentence in a conversation the patient's body has been having with itself for weeks before the appointment was even booked.”
Current Essay
Reading Haematology as Narrative, Not Data
Why the trend matters more than the value, and how to train yourself to see a complete blood count as a temporal story rather than a list of numbers against reference ranges.
Dr. Marcus Adeyemi
BVSc, MRCVS, Dip. ECVS · Soft Tissue Surgeon
Pride Veterinary Centre, Derby
“The decision to operate is almost never the hardest decision. The hardest decision is knowing when three more days of conservative management is wisdom and when it is procrastination.”
Current Essay
On the Ethics of Watchful Waiting
A surgical perspective on the cases that should not go to theatre — and the institutional pressures that make it harder than it should be to say so.
62 essays. Every one written by a practitioner, for a practitioner.
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A journal for the clinical mind that never stops questioning.
Rounds was built on a single observation: the most important veterinary thinking happens in the margins — in handwritten case notes, in corridor conversations after rounds, in the quiet moment when a diagnosis shifts because of something the patient’s owner said offhandedly. None of that makes it into journals.
We ask practicing clinicians to write the piece they wish they could have read three years into practice. The result is a growing body of work that sits between the peer-reviewed literature and the clinical instinct you can only develop by showing up.
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“The best clinical education happens between colleagues who trust each other enough to say what the textbook left out.”
— The Editors, Rounds