BluePearl Pet Hospital
Lakewood, WA
Emergency Medicine

24/7 Emergency and Specialty
By appointment
Please call ahead before visiting

Pet emergency medicine by BluePearl.

Pet emergencies can be scary – we’re here to help you handle them.

We understand that seeing your pet sick, hurt or in distress can be stressful – especially if you don’t know what’s wrong. Fortunately, our experienced ER clinicians are prepared to take action and help.

A vet specialist holds a small grey puppy wearing a cone on an exam table.

Common pet emergencies.

A BluePearl anesthesiology and pain management vet prepares to fix an anesthetic facemask on a yellow lab while a vet tech helps hold the dog on the exam table.

Acting quickly in an emergency may save your pet’s life.

If your pet is experiencing an emergency, you’ll have an entire veterinary team helping them so you can get back to what matters most – spending precious moments together.

  • Accidents, injuries and trauma (hit-by-car, animal attacks, etc.)
  • Bleeding 
  • Bloat (gastric dilatation volvulus, or GDV)
  • Collapse or unresponsiveness
  • Complications from chronic diseases 
  • Difficulty breathing 
  • Straining to urinate
  • Ingestion of medications, poisons or objects 
  • Seizures
  • Vomiting and diarrhea

Our emergency team.

Experience makes all the difference. 

Our emergency team is made up of veterinarians, vet technicians and assistants, and support staff with rigorous training and experience in specialty medicine. The team works hand in hand to provide the comprehensive, compassionate care your pet needs and deserves. Because we’re a multidisciplinary hospital, the team can consult the expertise of other specialty departments, too.

Garrett Ballou


Emergency Medicine
On the job

Dr. Garrett Ballou’s special interests include emergency medicine and surgery, anesthesia and pain management and internal medicine.

  • Doctor of Veterinary Medicine, Washington State University, Pullman
  • Bachelor of Science, Western Washington University, Bellingham

Morgen Dugan


Emergency Medicine
On the job

Dr. Morgen Dugan finds treating blocked cats, repairing wounds, foreign body surgeries and medicine cases such as diabetic ketoacidosis (DKA) and immune-mediated hemolytic anemia (IMHA) particularly gratifying.

  • Doctor of Veterinary Medicine, North Carolina State University, Raleigh
  • Bachelor of Science, Biology, Appalachian State University, Boone, NC
Off duty

Dr. Dugan has a husband and two amazing cats (only one of them has a functioning brain cell – the other is very cute). She and her husband enjoy being outdoors doing things like hiking, rock climbing and exploring. They are currently working on building a garden. Dr. Dugan has also recently become obsessed with crocheting.

Eleanor Itzkow


Emergency Medicine
On the job

Dr. Eleanor Itzkow has a background in wildlife rehabilitation and is quite interested in avian and exotic medicine. She particularly enjoys treating gastrointestinal and dermatological conditions, as it can bring so much relief to both the owner and the pet.

  • Internship, Small Animal Medicine & Surgery, BluePearl Specialty and Emergency Pet Hospital, Tampa FL
  • Doctor of Veterinary Medicine, University of Minnesota, Saint Paul
  • Bachelor of Science, Animal Sciences, University of Illinois, Urbana-Champaign
Off duty

Dr. Itzkow currently shares her life with a very sweet and aged Amazon Parrot, a very fluffy and ridiculous Belgian sheepdog, and one very patient fiancé.

Kevin Sio


Emergency Medicine
On the job

Dr. Kevin Sio has experience working with zoo animals, and he is especially interested in exotic species and wildlife medicine.

  • Internship, Small Animal Medicine & Surgery, Premier Veterinary Group, Chicago, IL
  • Doctor of Veterinary Medicine, Colorado State University, Fort Collins
  • Bachelor of Science, Biology, Creighton University, Omaha, NE
Off duty

Dr. Sio enjoys hiking, cycling and playing Pokémon Go.

Publications & Articles

Alexandra Siverling


Emergency Medicine
On the job

Dr. Alexandra Siverling’s special interests include emergency medicine, internal medicine, neurology and cardiology.

  • Doctor of Veterinary Medicine, University of Wisconsin, Madison
  • Bachelor of Science, Neurobiology, University of Wisconsin, Madison
Off duty

In her spare time, Dr. Siverling can be found adventuring in the great outdoors hiking, biking or rock climbing. She shares her life with her husband and their two sweet cats.

Sheppard Thorp


Emergency Medicine
On the job

Dr. Sheppard Thorp has extensive experience treating all forms of pet emergencies, including toxicities, trauma, obstruction, acute and immune-mediated diseases, infections, and chronic degenerative diseases such as heart, respiratory and kidney failure. He is skilled in emergency surgeries such as gastric dilatation and volvulus (GDV), cesarean section, foreign body retrieval, splenectomy, cystotomy, and tracheostomy. His special interests include hypotensive shock, hypotension, circulatory and ventilator collapse, and pain control. His goal is to improve his patients’ health and comfort, especially during their time at the hospital.

  • Doctor of Veterinary Medicine, University of Pennsylvania, Philadelphia
  • Bachelor of Arts, Kenyon College, Gambier, OH
Off duty

As a certified Master Birder, Dr. Thorp leads bird-watching tours and field trips, bird-count surveys, and teaching courses for various nature and wildlife groups. His pets include Hux Pux Deluxe (Huxley), a yellow Lab with tricuspid valve dysplasia who loves to play fetch; Hebe, a chocolate Golden Retriever/Lab mix who loves to swim; and Lemon, a pushy three-legged Pitbull who loves to run. Dr. Thorp loves spending time with his loving wife and three amazing children.

What to expect.

We know an unexpected trip to the emergency pet hospital can be stressful, and we want you to be prepared so you have one less thing to worry about. Our entire BluePearl team will be with you every step of the way.

Before your visit

  • If possible, call us before arriving so we can discuss your pet’s condition, help you with directions and prepare our team.
  • Collect your pet’s medical records, current medication or any historical information.
  • If your pet has eaten something potentially toxic, bring the substance with you if it’s safe to do so.

During your visit

  • When you arrive, let us know if you need help bringing your pet in from the car, and we’ll be ready to assist you.
  • Our team will perform an initial triage exam on your pet to assess their condition.
  • To stabilize your pet, we may need to administer IV fluids, pain medications, oxygen therapy and sometimes blood or plasma transfusions.
  • Before you leave, you’ll receive discharge instructions and a list of any recommended medications.

After your visit

  • We’ll let your family veterinarian know about your pet’s condition and the treatment they receive at BluePearl. This communication is key in the ongoing management of your pet’s care.
  • You know your pet better than anyone, and you play a crucial role in any follow-up treatment necessary. If you have any concerns about providing care at home (such as giving medication or monitoring your pet’s symptoms), let us know – we’re here for you.