Hudson Highlands Veterinary Specialty Group, a group of board certified specialists, accepts referrals from other general practice veterinarians and sees patients at our Lime Kiln Road facility.

General practice veterinarians around the tri-state area look to us to provide specialty care for their clients. This partnership is critical in order to offer each client with the best treatment plan for their pet. We respect the relationship between the referring doctors and their clients. Patients are directed back to their primary veterinarian upon completion of their treatment plan with us.

Referring veterinarians are welcome to visit our facility to see the benefits of partnering with us. Consultations with specialists are by appointment only, please call (845) 221-2244 and speak to Tara, our Referral Coordinator.


Dr. Paul McNamara, DVM, DACVS, Board Certified Veterinary Surgeon

We offer a full range of orthopedic surgeries including but not limited to:

  • Tibial Plateau Leveling Osteotomy Surgery (TPLO)
  • Fracture Repair
  • Hip Evaluations
  • Patella Luxation Surgery
  • Femoral Head Osteotomy
  • Growth Abnormalities

The surgical procedures we offer include but are not limited to:

  • Abdominal and Intestinal Surgery
  • Anal Sacculectomy
  • Cystotomy, Urethrostomy
  • Uterine Infections (pyometra)
  • Stomach Surgery – Tumor, Outflow Obstructions, Torsions
  • Ear Surgery – Ablations, Ear Canal Resections, Tumor Removal, Bulla Osteotomies
  • Hernia Repair
  • Reconstructive Surgery and Skin Grafting
  • Thyroid Surgery

Internal Medicine

What is a Board Certified Veterinary Internal Medicine Specialist?

Just as your own primary care doctor might send you to a specialist to address an unusual or difficult problem, your family veterinarian may feel your pet requires a specialist to diagnose and treat certain conditions.

Veterinary Internal Medicine specialists have several years of advanced training in Internal Medicine beyond veterinary college. Board-certified Internal Medicine specialists have achieved the highest level of specialization in veterinary medicine that is possible. They have done both an internship and residency, published scientific publications and passed rigorous examinations therefore meeting all the criteria established by the American College of Veterinary Internal Medicine (ACVIM). Many years of concentrated training has focused their knowledge and skills to improve their ability to diagnose and treat the problem presented. Internists are sometimes called “the puzzle solvers of veterinary medicine.” In order to create a complete picture of a pet’s health issues, internists collect and match the many pieces of information they can glean from the patient’s history, clinical signs, lab results and imaging studies, and special testing.

Specialists work closely with your family veterinarian to help provide complete veterinary care for your pet by giving second opinions on difficult cases, providing specialized hospitalization and therapies if required and performing complex diagnostic procedures.

Consultations and outpatient diagnostics are available at our main facility in Hopewell Junction with board certified specialist Dr. John Broussard. For an appointment, please call Tara, our referral coordinator, at 845-223-8682. Or have your general practice veterinarian complete the form in the referral forms section of this website.

The Internal Medicine service at the Hudson Highlands Veterinary Medical Group specializes in the diagnosis and treatment of serious health problems of dogs and cats including:

  • Metabolic diseases, such as pancreatitis
  • Infectious diseases, such as tick borne and fungal diseases
  • Endocrine disease, such as diabetes, Cushing’s and Addison’s disease, and hyperthyroidism
  • Hematological disease, such as immune mediated hemolytic anemia (IMHA) and thrombocytopenia (IMT)
  • Gastrointestinal disease, such as inflammatory bowel disease, protein-losing enteropathy
  • Liver disease, such as chronic hepatitis and hepatic lipidosis
  • Renal disease, such as acute or chronic renal failure
  • Lower urinary diseases, such as urinary incontinence and urinary tract infection
  • Respiratory disorders, such as canine bronchitis and feline asthma
  • Fever of unknown origin

Your Visit

It is very helpful if you can fill out our online questionnaire prior to your scheduled appointment.

Internal Medicine Services and Procedures

  • High-resolution ultrasonography (abdominal, cervical, thoracic, appendicular) with fine-needle aspirates
  • Endoscopy with high definition video
  • Upper and lower gastroenteroscopy
  • Foreign body retrieval
  • Feeding tube placement, enteral and parenteral nutrition
  • Rhinoscopy
  • Bronchoscopy and bronchoalveolar lavage
  • Cystoscopy
  • Computed Tomography (CT)


Ultrasound is a tool that Internal Medicine specialists use to help diagnose illnesses in pets. Ultrasound is safe, comfortable and non-invasive diagnostic tool used to diagnose abnormalities such as a tumor in the liver or spleen, enlarged adrenal glands, inflamed pancreas, thickened intestines or abnormal kidney size. We are also able to use our ultrasound machine to perform ultrasound guided fine needle aspirates or collect biopsies. These procedures allow us to gather fluid samples or tissues for analysis and to aid in diagnosis. Our internist is using the new state-of-art high-level ultrasound system to pick up every detail and assure an accurate diagnosis.


Endoscopy allows our Internal Medicine specialist to visualize the internal organs of patients by using a scope that projects the live image on to a monitor. We can visualize the patient’s internal organs, in real time, just like live television. There are several different types of endoscopic procedures offered at our clinic. Flexible endoscopes are used to examine the oral cavity, esophagus, stomach and small intestines, or passed through the rectum for colon biopsies. Foreign bodies can be removed without the need for invasive surgery.

There are also smaller flexible bronchoscopes that can be passed into the trachea to examine the main airways leading to the lung. Endoscopic procedures do require general anesthesia. However, with this non-invasive procedure most pets are able to rejoin their families the same day and will have minimal to no exercise restrictions following the procedure.

Rigid endoscopy is used to closely examine the abdominal cavity (laparoscopy), urogenital tract and nasal cavities. The advantages of rigid endoscopy over surgery allow for the closer inspection of organs, minimal incision size or no incision at all, less discomfort and a faster recovery post procedure.

CT (computerized tomography)

CT scans reveal great detail in and around the bony structures of the body. It is especially useful in aiding in the diagnosis of diseases affecting the nasal cavity and the middle/inner ear, the nervous system and joints, as well as identifying problems located in the chest and abdomen.


Dr. Lauren Pinchbeck of Northeast Veterinary Dermatology Specialists is no longer visiting Hudson Highlands, she is consolidating her services to an office in Norwalk.  To schedule with her please contact her appointment line at 914-777-DERM (3376).

Cardiology Care

Dr. Jonathan Goodwin has partnered with us to provide referral consultations. Dr. Goodwin enjoys personally helping clients combat congenital and acquired cardiac issues identified in their family pets. Appointments can be arranged thorough Tara in our referral office.