Endoscopy on Dr. Koreman’s dog to remove plush toys she ate.

Normal feline esophagus visualized with high resolution videoendoscopy.

Normal anatomy of the back of dog's nose
(choanae) visualized with video endoscope

Mobile IM Services

Bringing Insight Onsite: AIM is the only specialty practice in the area offering mobile/on-site Internal Medicine (IM) Consultations AND core IM diagnostic procedures. 

Internal Medicine Specialists are the family pet’s gastroenterologist. AIM is the only mobile practice in the area providing endoscopy services by a residency trained & board-certified specialist.

Advanced Medical Imaging: Abdominal ultrasounds, echocardiograms and CT scans are coordinated with other local board-certified radiologists and cardiologists.

Mobile Services include:

  • Initial consultation and case history review
  • Follow-up re-checks on-site as needed for ongoing case management
  • Upper GI Endoscopy for diagnostic purposes (biopsies)
  • Colonoscopy (lower GI endoscopy) for diagnostic purposes (biopsies)
  • Endoscopic foreign body retrieval
  • Bronchoscopy
  • Rhinoscopy with nasal biopsies
  • Bone marrow aspirate and biopsy
  • Joint taps (arthrocentesis)
  • Cystoscopy (female dogs only)
  • Canine melanoma therapeutic vaccine (Oncept)
  • Telephone/email case consultation with referring veterinarians on select cases
  • PEG tube placement
  • Liaison with local board-certified radiologists, surgeons, oncologists, cardiologists, and nutritionists where appropriate for optimal case management
  • In-house consultations with referring veterinarians and patient exam (no meeting with client)

Click a topic below to view more information:

Why Partner with AIM

As a mobile consultant in the specialty of internal medicine, AIM’s role within your practice is to serve as an extension of your practice and to help you further assess patients with chronic, complicated, and/or complex diseases, but who are not in need of emergency or critical care treatment.

  • Care onsite at your practice for clients unable or unwilling to travel
  • Knowing your valued patients and clients will always be treated with patience and understanding. Consultations will never be rushed.
  • Access to a specialist with excellent working relationships with other local specialists and ability to liaise if needed to provide multidisciplinary care.
  • Onsite learning by the entire veterinary team through direct interaction with a veterinary specialist.
  • Endoscopic procedures done by a board certified specialist.

How It Works

For initial case consultations Dr. Mirkovic comes to your practice to meet directly with your client and patient. The initial consultation includes a 1-hour comprehensive review of the patient’s medical history, current problems, recently performed diagnostics, complete physical examination. Dr. Mirkovic will explain her assessment, further recommendations for testing and treatment options and prognosis if known directly to the pet owner and to the referring veterinarian. Further diagnostics such as blood tests, radiographs, endoscopic procedures can then be undertaken in the comfort of your hospital. A written report will be provided to the referring veterinarian and the pet owner. Referrals for advanced imaging (ultrasound, echocardiogram, CT imaging) are coordinated with local mobile board-certified radiologists or at local specialty hospitals.

Please be aware that patient care will remain with your practice after consultation and completion of any diagnostic procedures that may be undertaken as part of AIM’s visit to your clinic.

AIM requires a registered veterinary technician or veterinarian to monitor general anesthesia throughout any procedures. A veterinary assistant is required to assist with technical aspects of any procedure. Please make arrangements for appropriate staff support for any specialty procedures that are to be performed in-house. The referring veterinarian, or a colleague assuming case responsibility, should be in-clinic at all times during a procedure, and to see the patient through to time of discharge from clinic. Veterinarians should perform pre-anesthetic exams.

Note: Abdominal ultrasound is often an important part of the assessment of animals with internal medicine problems. It is ideal for your clinic to coordinate for your patient to have an ultrasound performed by a board-certified veterinary radiologist either before or after the consultation with AIM.

Contact information for mobile, board-certified radiologists can be provided.

Specialized Equipment

AIM’s equipment includes a state-of-the-art Karl Storz veterinary video endoscope – one of only a few video endoscopes in the area.

Other equipment includes:

  • Karl Storz veterinary fiber optic bronchoscope
  • Karl Storz Rigid Hopkins telescopes for rhinoscopy and cystoscopy with the ability to biopsy through the scope under direct visualization of lesions
  • Video processor and monitor to provide image capture and allow the entire veterinary team to visualize the procedures
  • Specialized foreign body retrieval instruments to optimize safety and ability to retrieve foreign bodies

Scheduling

  • We are available for new consultations, re-checks and endoscopic procedures Mondays - Fridays 9am - 5pm.
  • There is no emergency fee for short-notice/same day bookings during regular hours.
  • An emergency fee may apply for consultations and endoscopic procedures that take place after 5pm or on holidays.
  • Availablity afterhours, weekends and holidays is subject to limited availability as we are not an emergency service.

Preparation of Clients and Patients for Appointments

Payment & Cost of Services

AIM invoices veterinarians directly for services. We do not accept payment directly from pet owners or third parties for services provided in-clinic.

AIM may occasionally invoice clients directly for out-of clinic ongoing phone or email consultation that may take place following an in-clinic consultation if this consultation exceeds the average post-appointment follow-up time commitment. This is at the discretion of the consulting specialist and will be arranged directly with the client.

Veterinarians may contact us directly by email or phone to obtain a complete list of services and fees.