Dr. Richard Harvey

Dr. Richard Harvey, BVSc DVD DipECVD PhD FRSB FRCVS, European Specialist in Veterinary Dermatology, Head of Dermatology

This is part 2 of our exclusive interview with Dr. Richard Harvey. The first part covered Next-Generation Sequencing in Veterinary Medicine which can be found here.

Part 2 will be covering questions for Dr. Harvey that are a little more personal and career-oriented for us and our audience to get to know him a little bit better and shed light on his background, interests, and veterinary journey experience.

A Look Into Dr. Harvey’s Veterinary Journey

Dr. Richard Harvey, Veterinary Dermatology Specialist

To start off, could you share with us your journey and passion for becoming a veterinarian, particularly in the field of dermatology, and what motivated you to specialize in this area?

I can tell you the wake-up moment. I was working mixed practice in Lincolnshire and the veterinary practice used duphar horse vaccination. It was a horse practice and as a thank you for buying duphar vaccine, you could choose a textbook and for some reason he chose…

“Moore and Kirk’s Dermatology, 3rd edition, the blue one. I was just knocked out and that was my wake-up moment. That was about 1977.”

Throughout your career, you have achieved several milestones, including obtaining the UK and European Diplomas in Veterinary Dermatology and a PhD. How did these accomplishments shape your professional trajectory?

Not quite as much as you would have imagined initially in that I had my own practice. So, within the practice, I gave diploma-level dermatology. I was on the European board, we went to the European meetings, and my children went all around Europe with us going to the European dermatology meetings.

So yeah, I hit dermatology at a good time, and I had a productive career at it and now at the end of my career, I’m doing full-time dermatology again. It’s perfect!

Since your focus is on small animals, what aspects of working with dogs and cats do you find most rewarding and challenging?

It’s warm and dry. I’ve done my fill of testing cows on a frozen winter morning, so it’s warm and dry.

“One of the advantages of having your own practices is that you see three generations of allergic dogs over the years. So, you get to know the clients as individuals.”

That’s not to say farm vets don’t know their farmer clients as individuals, but you get to know the animals of individuals. Obviously, in high-end horse practice, you might know the horses as individuals, but in many cases, you perhaps wouldn’t know them that much in the standard horse practice. So, it gives you the opportunity to do that.

Since we know that you’ve published 29 scientific papers and coauthored textbooks on ear disease and ear nose and throat disease, what inspired you to contribute to academia and share your knowledge with the veterinary community?

“I enjoy doing it!”

Enjoy writing and researching.

In your experience, what are some of the most common misconceptions or misunderstandings pet owners have about dermatological issues in their animals?

Frustration that they don’t understand what’s happening when they can see it right in front of them. The dog’s scratching. He’s losing hair. His ear is smelling. Perhaps frustration that they can’t get an answer quickly sometimes.

In some cases, if your dog is, well, for example, there’s a disease called VKH, which is a devastating disease that affects the eye and the skin, and paint this: If your dog is going blind, you’ll present it within two weeks. That’s the average time for VKH with an eye disease to be presented. If I see a dog with a chronic ear, oftentimes it’s three to six months down the road.

So, I think there’s a frustration amongst some owners that they’re not getting the answer they want and there’s a frustration among some vets.

“The problem isn’t getting better as quickly as they ought or it’s coming back and they don’t understand, because that’s what we’re there for. We take on these second-opinion cases and try and sort them out.”

As a specialist in veterinary dermatology, you must have encountered some fascinating and challenging cases. Can you share one or two memorable cases that left a significant impact on your career and approach to treatment?

I don’t think anything’s had a huge impact on my career. Well, I did get a veterinary prize for producing a paper from practice. It was the prize for the best paper from practice. So that was a nice reward. Somebody recognized me. Everything else, like publications and PhD, you earn, you work at it. So that was a nice surprise.

Besides your professional achievements, do you have any memorable moments with animals that have had a lasting impression on you personally?

I can remember the headline in a local paper: “Vet cures cat with dog medicine”, which was not exactly what happened. So that was a surprise. I was in a supermarket 3 weeks ago and somebody said “Richard! Richard!” I looked around and there nobody was. One of the staff recognized me, ran across the hall, gave me a hug, and said, “Thank you for looking after my cats!” because she thought I’d retired and moved on, you see. So, she didn’t realize I was still working down the road, just doing dermatology, but that’s the sort of thing that’s nice.

Apart from your work and research, what other interests or hobbies do you have, and how do you find a balance between your professional commitments and personal life?

I cook. I read thrillers.

As a well-known figure in the veterinary community, what advice would you give to aspiring veterinarians who wish to specialize in dermatology or pursue a career in academia and research like you?

Well, there are 17 veterinary dermatologists in the UK and there are less than 25 veterinary residents in Europe. Last year, around 120 set the European Critical Care Diploma and 6 set the dermatology one. So, what’s not fun about dermatology? There are no nights, there’s no weekends. You don’t get emergencies. But maybe that’s what some people like. It’s something I like!

Throughout your career, you’ve likely encountered advancements and changes in veterinary practices and technology. How do you stay up to date with the latest developments and how do you see the future of veterinary dermatology evolving?

Well, I keep up to date by researching books. For example, I’m doing an ENT book and I’m bringing that out to date, and that can be surprising, have what you’ve missed in the last 10 years if it’s not in your specialty. I read new scientists, so I try and keep up to date with what’s happening around the world in other spheres and then I read dermatology papers. In terms of where I read most Veterinary Dermatology, I suppose, the trade journal.

Veterinary work can be emotionally demanding. How do you cope with the challenges and maintain your passion for helping animals and their owners?

“You have to be professional, considerate, compassionate, and empathic as well.”

It’s one of those things you just get on with doing. It’s part of your profession, of your life. You have to do it.

Doesn’t happen too much in dermatology. Well, there are a couple of very nasty skin cancers that look like bacterial skin infections to start with and it’s only when they come to us that they realize that it’s life-threatening. So, there are one or two instances, but most of the time it’s dealing with the frustration. And I think the other thing is giving the owners a plan. You know, they come to get a diagnosis and they get a prognosis, and they get a plan and that’s what they don’t have. And to a certain extent, I mean I was guilty of this.

“When you’re in a practice, even in a small three-man practice, it’s hard to get continuity.”

When you have a larger practice, the first person says this is XYZ and everyone else assumes it’s the same thing.

“And then the misdiagnosis is carried on for months and months and months.”

Situations where I’m in control and my companion, the two of us, talk to each other. We understand what’s going on and we try not to get in that situation where we don’t know what’s happening; Giving owners a plan is only half of the step four.

“Once you know what’s going on, that’s half the battle.”

You then understand why the dog’s getting reparented ear disease because he’s got an underlying allergy. That’s why he’s getting ear disease. It won’t go away. But they need to know that because up till then no one has said why it keeps coming back. They don’t know. Give them the answer. That’s what they need.

Your textbook on ear, nose, and throat disease is a very valuable resource in the field. What motivated you to create this textbook and what impact do you hope it will have on fellow veterinarians and students?

Well, I suppose the first answer is, we’re doing the 2nd edition. So, enough people were persuaded that the first one was good to want us to come back and do it again. So, we’re doing the 2nd edition bigger and better. And I guess that’s it. I like to keep my brain occupied. If I’m not writing papers, I’m writing a book.

The Legacy Left Behind

Finally, we asked Dr. Harvey what he envisions as his legacy in the field of veterinary dermatology and how he hopes to be remembered by his colleagues and the broader community. In which he responds,

“I’d like to be remembered as someone who’s made a difference.”

He continued to share with us how he has been working towards this legacy and his efforts towards leaving a mark in the veterinary dermatology world.

“Publishing scientific papers gives you that. You HAVE made a difference. Writing the book means that you can put it together on another level. You can communicate with clinicians rather than just your peers.”

Find Dr. Richard Harvey’s two latest publications here:
  1. Quantifying the mycobiome and its major constituents on the skin of 20 normal dogs
  2. Quantification of the bacterial flora and its major constituents on the abdominal skin of clinically healthy dogs

Categories: Next-Gen DNA Sequencing Technology, Veterinary Dermatology

animal diagnostics

Validated by Veterinarians

“Clients expect their veterinarians to stay up to date on all matters that affect the health and well being of their non-human family members. The current technique that we have used to determine the presence and antibiotic sensitivity of organisms causing disease in our pets is over a century old.

With the emergence of dangerous antibacterial resistance, it is critical that veterinarians are able to offer laser focused diagnostics and treatment. MiDog enables us to offer care that exceeds the typical standard of care.”

Bernadine Cruz, DVM, Laguna Hills Animal Hospital Laguna Woods, CA

“I love the absolute abundance and comparing the fungal with bacterial infection. I do not worry as much about getting a false negative urinary infection reading as I do with traditional urine cultures. Several times the same urine would culture negative but MiDOG would detect pathogens.”

Michael Morgan, DVMQuail Animal Hospital, Tustin, CA

“The MiDOG All-in-One Test is amazing, I would use it instead of culture and sensitivity.  Such rapid and detailed results, I will reach for MiDOG before culture next time!

Thank you very much MiDOG, for sharing the opportunity to try your technology.”

Martha Smith-Blackmore, DVM, President of Forensic Veterinary Investigations, LLC – Boston, MA

The MiDOG All-in-One Microbial Test is our new gold standard of pathogen identification. The results are so accurate and valuable – especially with assessing both bacterial and fungal infections with the same sample.

Thank you MiDOG!”

Kathy Wentworth, DVM, Diplomate ABVP Canine and Feline Practice – PetPoint Medical Center, Irvine, CA

“The MiDOG staff was extremely helpful and supportive.”

Cathy Curtis, DVM – London, UK

“I have had great results using the MiDOG® Test. Compared to traditional culture tests, I am better able to target the treatment for dogs because the MiDOG® Test is so sensitive that it identifies all pathogens including bacteria and fungi, as well as antibiotic sensitivity.

The cost and turnaround time are about the same as a culture test, but I get much more data. The test has great performance and I believe the NGS technology will be a game changer for veterinarians treating dogs with lesions or other infections.”

Michael Kavanagh, DVM, Practice owner – Saddleback Animal Hospital, Tustin, CA

“It’s helpful to have an NGS spectrum because it gives you a broader insight of what’s happening and what might be going on.”

Richard Harvey BVSc DVD DipECVD PhD FRSB FRCVS – European Specialist in Veterinary Dermatology – Head of Dermatology, Willows Veterinary Centre & Referral Service – Solihull, England UK

“I have been using MiDog for over 4 years now and exclusively as my test of choice for all cultures for 3 years.  It is so great to submit a culture and feel confident there will be a result when it comes back, especially for urine cultures.  The reports were intimidating at first because they contain so much information.  After the first few, I am now quickly able to glance over it and pick out the highlights.  I can then come back later and pour over all the details.  I have been extremely pleased with my patients’ results using the test as well.  I don’t envision ever going back to traditional culture and susceptibilities again.”

Brian M. Urmson, DVM, Columbiana Veterinary Associates

“As an exotic veterinarian, there are numerous tests we have to consider to check specific bacterial and fungal organisms based on the species. MiDOG eliminates the need for many of these separate samples and provides definitive results quickly to help us treat our patients more efficiently and effectively. The lab is wonderful to work with and has never rejected our samples- they even processed a lizard toe we amputated and determined the cause of skin infection.”

Dr. Melissa Giese, Chicago Exotics Animal Hospital

“MiDOG’s diagnostic approach offers the unique ability to identify pathogens that evade traditional culture and sensitivity testing. I have found that adding a molecular based testing approach in the form of Next Generation Sequencing (NGS) from MiDOG to my routine diagnostic cultures can be extremely helpful in the identification and diagnosis of uncommon pathogens in veterinary medicine.”

Dr. Wayne Rosenkrantz, Animal Dermatology Clinic – Tustin

“She [Dr. Krumbeck] really did a great job of making complicated concepts accessible and demonstrating the value of your services. I’m really looking forward to working with MiDOG on my research project!”

Dr. Yaicha Peters, Animal Dermatology Clinic – San Diego

“As a proud collaborator with MiDOG, I deeply appreciate their dedication to fostering partnerships between industry and veterinary experts. Their commitment to enhancing diagnostic quality for veterinarians is commendable. In my experience, their support has been invaluable, earning them a ‘Double A+, Triple Star’ rating. Their assistance has been faultless, contributing significantly to the success of my projects and studies. I eagerly anticipate our continued collaboration.”

Dr. Richard Harvey, BVSc DVD DipECVD PhD FRSB FRCVS; European Specialist in Veterinary Dermatology

“We’re seeing that, if we prescribe too many antibiotics or they’re taken too frequently, animals are developing inappropriate or pathogenic strains of bacteria. We’re also seeing that our antibiotics are just not working against them anymore… It’s a good example of why we need better diagnostic testing, like MiDOG, so that we’re selecting the correct antibiotic every time our patients have an infection.”

Dr. Alissa Rexo, DVM, CVA, DACVD, Mid-Atlantic Veterinary Dermatology

“The NGS technique as offered by MiDOG is wonderful because pathogens like Melissococcus plutonius, for example, are difficult to grow and keep alive in the laboratory. A standard laboratory cannot truly examine or even properly diagnose this pathogen in bee hives at this time. But with NGS, we can reliably diagnose it.”

Dr. Joerg Mayer, Entomologist and Microbiologist at the University of Georgia

“For me, as a clinician and as a researcher, I see the immense value in the product [the All-in-One Test]. I have had great success using MiDOG clinically, including identifying Mycoplasma in a 24 year old pigeon, a Nannizziopsis spp in a ball python from a large pet distributor, Mycoplasma and Fusobacterium necrophorum co-infection in a peacock, and to identify an abnormal gut GI in a technician’s dog that tested negative for everything else (but we were able to establish what was abnormal, and work toward fixing it).”

Dr. Jeremy Rayl – Veterinarian, Block House Creek Animal Hospital, Cedar Park, Texas