Internal Medicine

We look for answers.

Some of the most important work in medicine happens quietly — in the moments when we pause, look closer, and ask one more question.

Internal medicine is, at its heart, detective work: connecting the dots, seeing patterns others might miss, and never losing sight of the patient as a whole. It’s also where prevention and compassion meet — because sometimes the greatest gift we can give a family is catching something before it becomes a crisis. Pause. Look. Ask A close-up of a calico cat with green eyes, white chest, and a mix of brown, black, and orange fur, sitting inside a tunnel and looking directly at the camera—ready for her visit to the veterinarian or vet near me. A dog sniffing the ground, perhaps searching for clues or waiting for a visit from a mobile vet.

The Small Details Take the 12-year-old corgi who came in for her routine wellness visit — bright-eyed, wagging, seemingly perfect. But during her exam, Dr. Marsigliano noticed something subtle, a fullness in the abdomen that didn’t feel quite right. Further testing revealed a large splenic mass that could have ruptured without warning. Surgery confirmed it was benign, and three years later, she’s still thriving. A simple exam, a small moment of attentiveness — and a life changed. A tan and white corgi with large ears sits on green grass, looking slightly upward. Wearing a collar and leash, this pup could be waiting for a mobile veterinarian or a visit to the vet; blurred trees and sky fill the background.

Collaboration

Then there was the poodle with severe, multi-drug resistant ear infections that put not only him at risk, but his family as well. Instead of sending the owners home with yet another round of medications, Dr. Marsigliano collaborated directly with the laboratory that performed the cultures, along with multiple board-certified specialists in dermatology and internal medicine, to build a plan that worked — medically, financially, and practically. The result? A dog finally free from chronic pain and a family who could relax again.

A close-up of a fluffy kitten with cream and white fur, bright blue eyes, and a pink nose, lying down and looking directly at the camera. One paw is slightly extended forward, as if ready for a friendly visit to the veterinarian.

Finding The Right Answers

And who could forget the rescue kitten, half the size she should have been, fragile and failing to grow. After ruling out parasites, infections, thyroid disease, and liver shunt, Dr. Marsigliano uncovered one of the rarest diagnoses in feline medicine: congenital pancreatic insufficiency. With the right therapy, the kitten began to thrive — proof that curiosity, patience, and persistence can truly rewrite a story.

Finding The Right Answers

And who could forget the rescue kitten, half the size she should have been, fragile and failing to grow. After ruling out parasites, infections, thyroid disease, and liver shunt, Dr. Marsigliano uncovered one of the rarest diagnoses in feline medicine: congenital pancreatic insufficiency. With the right therapy, the kitten began to thrive — proof that curiosity, patience, and persistence can truly rewrite a story.

For Dr. Marsigliano, every patient — whether senior dog, tiny kitten, or anything in between — is a reminder that medicine is personal. It’s not just about diagnosing disease; it’s about understanding the whole picture: lifestyle, environment, family, and joy.

At Iris Veterinary Care, internal medicine and preventive care go hand in hand. Because age is not a disease — and when we look deeper, listen closely, and treat with both science and empathy, the results speak for themselves: longer lives, happier families, and pets who feel like themselves again. Every Patient Close-up of a happy dog with light brown and white fur, mouth slightly open, showing teeth, and looking upwards. The blurred greenery hints at an outdoor visit from a mobile vet providing care in a familiar setting. A ginger and white cat peeks out from inside a cardboard box, looking directly at the camera with curious eyes—perhaps waiting for a visit from a mobile vet.