1120 Welch Road
Commerce, Michigan
248 960-7200

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Moeser & Pino Smiles Staff Staff 2


To provide hope and enhance the well-being of our patients’ lives through integrated medicine and education.


Foremost Value

The needs of our patients, their families and referring veterinarians come first.


Value Statements


Treat everyone including patients, their families, referring veterinarians and colleagues with dignity and respect.


Provide the best care, treating patients and their families with sensitivity and empathy.


Carry out the highest standards of professionalism, ethics and personal responsibility, worthy of the trust our referring veterinarians and patient families place in us.


Provide a nurturing environment that promotes healing and reduces stress.


Value collaboration by combining the contribution of each individual staff member, referring veterinarian and patient family members.


Deliver the best outcomes and highest quality service for every patient, every family, every referring veterinarian, every time.


Push the boundaries of knowledge and expertise through the creative ideas and unique skill sets of each employee to enhance the well-being of the communities we serve.


Our vision to provide the best technology combined with compassionate care lead us to create three centers in one.  Many neurological disorders are emergencies in nature and as such we wanted to be 24/7 with a doctor on site at all times – this lead us to begin our ER practice.  Neurological disorders require accurate diagnostic capabilities as well as efficiently delivered – this lead to create our diagnostic suites for MRI, CT and Digital Radiography.  Lastly, neurological patients need rehabilitative services to bring back motor skills as quickly as possible – this lead us to begin our rehabilitation practice.  We have created a center that allows clients to have their pets neurological needs met from start to finish, all within one comprehensive facility.


Many of our patients come to us as an emergency, some completely paralyzed and they require immediate imaging, surgery and physical rehabilitation to help regain full use of their limbs.  Often times the family members of these pets have not yet formed a relationship with us, they are worried about their pet, they have questions and they are scared.  It is our goal to welcome them into our facility, keep them well informed throughout the process and provide a comfortable calming environment.


Prior to building the new facility, we were a stand-alone neurology practice without an emergency service or rehabilitation. Understanding that fully healing our patients would require a combination of emergency service, neurology, MR imaging and rehabilitation, our vision was to have a center where this could be accomplished under one roof.  When choosing to design and build a new facility, these three components were essential to achieving our vision.  In addition, we wanted a warm and welcoming environment that gave people comfort knowing that they have come to the right place.  Our building and most importantly, our doctors and staff, made that a reality.


The imaging suite of our hospital is our most unusual feature.  We have dedicated MRI, CT and Digital Radiography suites, making diagnosis of our patients’ neurological disorders efficient and accurate enabling treatment to be determined in a timely manner.


Our rehabilitation area is equipped with an overhead lift system to help facilitate physical therapy sessions on our larger, non-ambulatory patients.  We also have two underwater treadmills to offer water therapy, along with acupuncture, electro-acupuncture, electrical stimulation, therapeutic ultrasound, cold laser therapy as well as a range of physical exercises and massage.


Our emergency department is staffed with highly skilled urgent care veterinarians and certified critical care technicians. We supplement the care of your family veterinarian by being available to you after hours or when a regular appointment is not possible. Our instant triage means that your pet’s condition will be assessed immediately. Our state-of-the-art facility and diagnostic equipment insure that your pet’s emergency is diagnosed and treated quickly.


By combining all facets of emergency care, neurology/neurosurgery, MR imaging and rehabilitation into our hospital, we were able to ensure that from the moment a pet and their family came through our front door, through the last rehabilitation appointment, all their needs would be met.  We are three centers, one placebringing together advanced medicine, patient health and well-being, and compassionate care.


Practice Philosophy

The practice philosophy at our center is to provide a state-of-the art facility complete with comprehensive diagnostics, expert treatment and compassionate care for pets suffering from neurological disease, experiencing emergency medical conditions and in need of animal rehabilitation.  We also believe in providing the same compassionate care for their owners, who are often under considerable emotional distress.  We pursue excellence in delivering service and care to our clients, their pets and our referring veterinarians. Our center is unique in that it is a premier neurology practice with emergency and rehabilitation services all working together under one roof to help our patients get back on their paws.


Dr. Michael Wolf has practiced veterinary neurology for over 20 years, with a special focus on animal MRI imaging, neurosurgery and the treatment of brain tumors. Dr. Wolf was the first veterinarian to invest in an MRI in Michigan, a move that immediately elevated the level of care to a new standard of excellence. He has been in private practice since 1994.

Patient Tails

Megaesophagus Awareness Week


It’s Megaesophagus Awareness Week!

Megaesophagus is a condition in which the muscles of the esophagus lose their tone and are no longer able to propel food into the stomach. This condition can be idiopathic (unknown cause) or it can be secondary to an underlying disease such as we see often in our neurology department, myasthenia gravis.


A recent case we have seen at Animal Neurology, Rehab & ER Center is that of Charlie, a 2.5 year old boxer mix. When Charlie was only a year and a half in July of 2014 he was experiencing an acute onset of muscle weakness in his rear limbs. This is a common neurological symptom that can actually be caused by many different neurological disorders. Upon examination, Dr. Adam Moeser, a board-certified neurologist, determined a possible diagnosis of myasthenia gravis.


When myasthenia gravis occurs certain chemicals in the body are not reaching their specific muscle receptors, this means there is a failure in the communication between the brain and the muscles, a loss of connection. When the brain tells specific muscles to contract and a pet has myasthenia gravis, that message may never be received causing muscle weakness or a muscle not to react how they are supposed to.


Dr. Moeser was able to confirm this in a few short minutes with a Tensilon Test. This is an injection of a medication that when given to myasthenia gravis patients it can alleviate many of the symptoms in about a minute. Only a specific blood test can confirm a myasthenia gravis diagnosis.  When Charlie reacted positively to the Tensilon Test, Dr. Moeser ordered the blood test to confirm.


One of the muscle groups we see affected most often by this disease is the esophagus. The signal is not reaching the muscle to contract and propel food to the stomach, the condition known as megaesophagus. Myasthenia gravis can be managed with medications but only resolves in about 90% of the cases. The connection damage is often permanent so the megaeophagus only resolves in about 50% of the cases.


The next step for Dr. Moeser was to determine if Charlie was also experiencing megaesophagus, an x-ray confirmed this diagnosis. It showed the dilation of the thoracic portion of the esophagus. Thankfully there was no evidence of pneumonia.


Do you know the symptoms of Megaesophagus?


• Regurgitation of water, mucous or food. (Regurgitation is throwing up without any warning; “vomiting” is associated with retching. With regurgitation, the food is often in its original form.)
• Loss of appetite or refusal to eat.
• Sudden weight loss.
• Swallowing difficulty, exaggerated and/or frequent swallowing.
• They will also try to clear their throat frequently with a “hacking” sound.
• Sour and/or foul smelling breath.
• Many canines may be mis-diagnosed with a gastro-intestinal problem.
• Aspiration pneumonia is a frequent complication.


If your dog’s condition fits the above symptoms, it is imperative to see your veterinarian immediately. If present, aspiration pneumonia must be treated. Simultaneously, it is an absolute necessity that your dog is fed in a vertical position and that they sit for 15-30 minutes in the same vertical position so that gravity can propel the food to the stomach. Please see the Canine Megaesophagus website at for additional tips and resources. The proper food type, consistency and some medication is also necessary.


Charlie was then started on medications for his myasthenia gravis and given instructions on vertical feeding methods as well as food consistency to aide with the symptoms of megaesophagus. Charlie responded very well to the medications and after a few months his myasthenia gravis went into remission. At that time there was also no evidence of megaesophagus. Charlie experienced no permanent damage from his myasthenia gravis and made a full megaesophagus recovery. Charlie has been doing great since February 2015!


For more information on megaesophagus head on over to Roxie’s MEGA Mission! You can share your story with others, hear stories from families caring for their own megaesophagus patient as well as tips on coping with megaesophagus.

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