Internal Medicine Service
Internal Medicine Service
From consults to diagnostics to treatment, our experienced internal medicine internists are ready to assist your pet.
After evaluating a patient’s provided medical history, our internists provide the most appropriate diagnostic plan for your pet, allowing them to make a more accurate diagnosis and optimal treatment plan. Some of the advanced diagnostic procedures that may be recommended include:
- Echocardiogram
- Ultrasound
- Aspirates via ultrasound guidance
- Arthrocentesis
- Endoscopy/Rhinoscopy/Bronchoscopy
- Endotracheal wash
- Feeding tube placement
- CT Scan
- Bone marrow aspirate & biopsy
Referrals can be made via RVetLink. Please call us with any questions at 716-694-0122.
Meet Our Veterinarians
In December 2023, we expanded our Internal Medicine Department to include two full-time internal medicine veterinarians on staff. They are available to see consults as well as take transfers, and manage hospitalized inpatients.

Shannon Palermo, VMD, DACVIM
Dr. Palermo completed her degree and her internal medicine residency at the Matthew J. Ryan Veterinary Hospital of the University of Pennsylvania. Dr. Palermo has several published articles to her name, and she also works with Mission Rabies.

Amanda Gerard, DVM, Residency-Trained
Dr. Gerard earned her Doctorate of Veterinary medicine from Iowa State University in 2013. Upon graduation, she completed an internship in Small Animal Medicine and Surgery at Iowa State and an Internal Medicine residency at the Atlantic Veterinary college.
Referring Your Pet to GAVC
When your pet is referred to Green Acres Veterinary Center, we are dedicated to giving your pet the exceptional care they deserve. We serve as an extension of your primary care facility and hope to strengthen and support the Western New York veterinary community by offering these services. The following is what you can expect when referring your pet:
- Your primary veterinarian completes our referral process and sends us your pet’s medical records.
- Once we’ve received these records, we will contact you to schedule a consult for your pet with the appropriate specialist(s).
- Our specialists will work closely with your primary referring veterinarian to determine a plan of action that prioritizes the health of your pet.
- If your pet needs immediate assistance, please utilize our emergency services (we are open 24 hours a day, 7 days a week).
Please call us with any questions at 716-694-0122 and we would be happy to assist!