The IndeVets Happy Hour

Drs. Marisa Brunetti and Andrew Heller host Dr. Anita Patel to continue the breed predisposition series about one of their favorites: The Cavalier King Charles Spaniel, NOT TO BE CONFUSED WITH the King Charles Spaniel. 

Dr. Andrew Heller interviews Dr. Miguel Ortiz, IndeVet and member of the Western Veterinary Conference board, about the access-to-care issue facing our industry.  Access to Veterinary Care Coalition Report : https://pphe.utk.edu/wp-content/uploads/2020/09/avcc-report.pdf AVMA Report on Economic Picture of Access to care in US https://avmajournals.avma.org/view/journals/javma/260/14/javma.21.11.0486.xml Association of demographics and veterinary care: https://pubmed.ncbi.nlm.nih.gov/33466270/ Overview of Social Determinants that limit access to care: https://www.frontiersin.org/articles/10.3389/fvets.2021.787555/full AVMA Article on trauma, burden transfer, and burnout: https://avmajournals.avma.org/view/journals/javma/260/12/javma.22.05.0196.xml

Dr. Robert Silver, DVM of Real Mushrooms joins the pod to discuss how mushroom supplements can be used therapeutically in our canine species.  Check out Turkey Tail, Reishi, Lion's Mane, and Cordyceps. CE credits can be earned here: https://ce.dvm360.com/courses/the-medicinal-magic-of-functional-mushrooms-yijn

Drs. Andrew Heller and Marisa Brunetti embark on a new series about breed predispositions. First up: Golden Retrievers!

Drs. Andrew Heller and Marisa Brunetti finalize interview Dr. Tara Bidgood from Zoetis to discuss Project WAG. https://cloud.mc.zoetis.com/project-wag-landing-page-and-webform?utm_source=qr-code&utm_medium=fash-card&utm_campaign=project-wag/

Drs. Andrew Heller and Marisa Brunetti finalize their ophthalmology series with Dr. Casey Robinson. Check out these pearls of wisdom about uveitis. 

Drs. Andrew Heller and Marisa Brunetti get together to discuss a few new therapies that have hit the market.  1. Zenalpha (dechra) - alpha 2 sedative 2. Spryng osteocushion (PetVivo)- joint injection 3. Zorbium (elanco)- transdermal buprenorphine

In case you missed the first AVMA convention after the COVID hiatus, Dr. Heller and his guests -- Amy Lloyd, VMD, Chaundra Schofield, VMD, and Kelly Dunham, DVM -- cherry pick some of the interesting tidbits they gathered from the lectures they attended in Philly.  Show notes:  Toxicity:  a. Don’t ever give cats hydrogen peroxide!!!! Hemorrhagic gastroenteritis/death. NO SAFE AT HOME REMEDY in cats. b. Use dexdomitor 7mcg/kg IM to cause 81% of cats to puke. Hydromorphone SQ can also work 75% of the time. Xylazine less likely. c. Cholestyramine is a great drug to use when trying to detox a patient who ingested a drug or poison that undergoes enterohepatic recirculation. It’s a bile acid sequestrant. d. ILE – Intravenous Lipid Emulsion – helps draw out fat soluble toxicants. (most commonly made of soy bean oil) – great for marijuana toxicosis. Hyperlipidemia:  a. Fenofibrate (micronized form) 4-10mg/kg BID – should resolve 80-100% of cases by 1 month. Will require lifelong therapy.  b. Low fat diet will treat only 25% of cases.  Dermatology update:  a. Chlorpactin – study showed powdered chlorine 0.4% solution kills MRSP topically in just 10 secs. Chronic UTI: Nitrofurantoin – given nightly for 4 months can help with deep seeded chronic infections. Feline arthritis:  a. Dr. Kristen Shaw gave some great resources for both vets and owners to  help to identify cats affected by arthritis during her lecture: i. zoetisus.com/oa-pain/feline-exam-videos.aspx (you can also link to dog OA resources from here) ii. Catoachecklist.com iii. Solensiavetteam.com Carrie Jurney gave a lecture on CPR for the veterinary soul – she broke down veterinary personality types, individual tendencies as well as common work place stressors. a. Two great resources she suggested for suicide prevention training were: b. QPR training – www.qprinstitute.com c. American foundation for suicide prevention – https://afsp.org/ d. www.betterhelp.com/nomv - Get matched with a licensed therapist and enjoy a FREE MONTH of professional online counseling e. Psychology today’s therapist finder Many filters including language, gender (including option or non-binary), insurance type, price, ethnicity served, sexuality, and faith Injection site sarcomas a. Can include extraskeletal osteosarcoma (I did not know this!) b. 1-2-3 rule: 1. Increasing in size after 1 month 2. Larger than 2 cm 3. Still present 3 months after vaccine c. 42% recurrence rate with COMPLETE EXCISION d. 21.7% metastatic rate Mary Telle – Keratoconjunctivitis Sicca a. **Neurogenic can be caused by long-term otic preparations like Osurnia and Claro** i. Other causes include trauma, neoplasia, otitis, hypothyroidism ii. Usually unilateral and associated with a crusty ipsilateral nostril iii. Pilocarpine 2% ophthalmic solution given orally at a dose of 1 drop per 10 kgs PO bid to start, but may need to increase based on response iv. Since it is a parasympathomimetic drug, need to watch for toxicity including salivation, vomiting, diarrhea, bradycardia, and weakness

Drs. Andrew Heller and Marisa Brunetti continue their ophthalmology series with Dr. Casey Robinson. Check out these pearls of wisdom about corneal disease. 

Drs. Andrew Heller and Marisa Brunetti continue their ophthalmology series with Dr. Casey Robinson. Check out these pearls of wisdom about keratoconjunctivitis sicca (KCS) and the lacrimal system. Link to a diagnostic/treatment decision tree for KCS as referenced in the episode. 

Drs. Andrew Heller and Marisa Brunetti introduce a new series: OPHTHO!!! Check out these pearls of wisdom about glaucoma with IndeVets' own Dr. Casey Robinson.

In this episode, Drs. Andrew Heller and Marisa Brunetti quiz the audience about the material they covered in the first 31 episodes of The IndeVets Happy Hour. Enjoy!

Drs. Andrew Heller and Marisa Brunetti discuss their pearls of wisdom for diagnosing and treating feline pancreatitis. For canine pancreatitis, check out episode 30.  Veterinary Podcast

On this episode of the IndeVets Happy Hour, Drs. Andrew Heller and Marisa Brunetti talk with special guest Dr. Joanne Lefebvre Connolly about how stress affects our patients. Dr. Connolly is a veterinarian and author who specializes in in-home end-of-life care and euthanasia, and has written several books including Animal Teachings 1 and Animal Teachings 2, which empower families and their pets to live better and also prepare for a peaceful and dignified passing. http://www.hayleysangels.com/

Drs. Andrew Heller and Marisa Brunetti discuss their pearls of wisdom for diagnosing and treating canine pancreatitis.  Experimental drug Fuzapladib discussed in the episode:  https://www.iskweb.co.jp/eng/products/animal_health.html

On this episode of the IndeVets Happy Hour, Drs. Andrew Heller and Marisa Brunetti interview other members of the IndeVets clinical leadership team (Drs. Kelly Dunham, Amy Lloyd, and Anita Patel) about Solensia, Nu Q Vet Cancer Screening, and Canalevia. Plus a reprise on Clevor by Dr. Brunetti.  If you have comments, please email clinical@indevets.com

On this episode of the IndeVets Happy Hour, Drs. Andrew Heller and Marisa Brunetti interview Dr. Maria Botinas about best practices in medical record keeping. 

Drs. Andrew Heller and Marisa Brunetti get together on this episode of the IndeVets Happy Hour to discuss the pearls of Hyperadrenocorticism aka Cushing's Disease. 

Drs. Andrew Heller and Marisa Brunetti get together for an IndeVets happy hour with a special guest, Dr. Ellen Bishai, to discuss the pearls of hyperthyroidism.

Drs. Andrew Heller and Marisa Brunetti sit down to discuss "The Great Pretender", or more commonly known as Addison's (hypoadrenocorticism).  Check out their great pearls of when to suspect it, how to diagnose it, and then the best ways to treat it.