TotalBond Veterinary Hospital at Forestbrook

Internal Medicine

Dr. Epstein is a Diplomate of the American Board of Veterinary Practitioners, Gastonia's only Board-Certified Specialist in Canine/Feline Practice, the highest such credential for a primary care veterinary clinician. You will find Dr. Epstein and his team trained and experienced to manage among the most complex of acute and chronic care conditions. At the same time, if circumstances require, we retain a consultative and referral network of trusted experts in various fields.


Dermatology involves the diagnosis and treatment of skin conditions or overall health. Pets can develop a range of skin conditions ranging in causes from seasonal allergies to serious diseases. Dermatological health is an important part of our regular examinations with your pet.


Cardiology involves heart health. Your pet can experience a range of heart conditions, and diagnosing them often involves the use of laboratory and imaging, and guiding management thereafter.


Glaucoma, cataracts, dry eye, conjunctivitis, and more. We use tear testing, corneal staining, and tonometry (measuring eye pressures) and more to that involves pressure in the eyes. Testing leads to diagnosis, and guiding management thereafter to maximize both vision and comfort.


Your pet’s endocrine system can be affected by a variety of imbalances, either over- or under-production of hormones…examples include but are not limited to diabetes, thyroid disease, Cushings Disease, Addisons Disease, and more.

Once a diagnosis is made, treatment strategies are aimed at either (depending on the condition) supplementing the missing hormone, or reducing excess production with significant quality of life improvements expected. These are chronic care conditions and we work you on monitoring and adjusting therapies accordingly.

Renal Disease

Almost all older dogs and cats eventually develop some degree of kidney dysfunction… and early recognition and management can allow these patients to live well and long.

It is one of the main reasons we recommend routine surveillance testing, and our laboratory is adept at picking up patients with early kidney disease - and even those at risk for in the next couple of years.

Once Identified, our doctors will map out a long-term management strategy with you, aimed at slowing the progression of chronic kidney disease and maximizing your pet's well being all along the way.

Liver Disease

The liver is a big detoxifying organ (among other things) and elevations of enzymes and other values often indicates subtle issues before any symptoms are evident.

As with other Internal medicine conditions, laboratory tests and diagnostic imaging will guide our doctor's recommendations managing things forward.

Bladder Disease

From Urinary Tract Infection to bladder or kidney stones, to the common condition of Feline Idiopathic Cystitis in cats, utilizing history, examination, laboratory analyses, and diagnostic imaging, we can diagnose and successfully manage all of the most common presentations of both dogs and cats.


From seizure disorders to herniated disc and "pinched nerve" conditions and much in between, utilizing history, examination, and our laboratory and radiology services we are able to diagnose and successfully manage most neurological presentations.

In the case of progressive paralysis and/or suspected intracranial (brain) diseases, advanced imaging (e.g. CT, MRI) by referral to a Neurologist at a specialty center in Charlotte may be necessary.

Gastrointestinal and Pancreatic Disease

Whether acute onset of vomiting or diarrhea, or a long-term, recurring condition, TotalBond Veterinary Hospital at Forestbrook is prepared to both diagnose and find the right treatment for your pet.

Sometimes this may involve a short stay In our hospital to receive fluids and other supportive care; other times management is outpatient only. Either way, our team is prepared to help!

Pulmonary Disease

Whether acute onset or chronic coughing or other respiratory disease, TotalBond Veterinary Hospital at Forestbrook is prepared to both diagnose and find the right treatment for your pet. This almost always involves diagnostic imaging and sometimes more advanced testing.

Medical Oncology: Chemotherapy for Cancer

Although not a Board-certified oncologist, Dr. Epstein and his team are long experienced In the use of chemotherapy for some of the most common types of cancer, including lymphoma, mast cell tumor, osteosarcoma, and others.

The diagnosis of cancer Is both intimidating and scary, and extensive educational material, discussions, and answering all your questions will provide the path forward - in many cases adding considerable life expectancy while maintaining high quality of life.

Some patients may be referred to an Oncologist at one of the referral centers in Charlotte.

Join the TotalBond Veterinary Hospital at Forestbrook Family Today!

Our animal hospital is located just 26 minutes from downtown Charlotte via I-85 N. We are by Gaston Country Club, easily accessible to the pets of Gaston County and the surrounding areas.

Phone: 704-867-8318

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