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 Feline ophthalmology.

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 get together over beers with a special guest, Dr. Amy Lloyd to discuss the pearls of hypothyroidism. This episode is brought to you by Conshohocken Beer Company!

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.

Drs. Andrew Heller and Marisa Brunetti continue with their final episode in their 6 part series on the topic of vaccinology. In this episode, Dr. Brunetti breaks down the different brands of vaccines. AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/ WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/ Zoetis – Vanguard Line Bivalent CIV crLyme Elanco – Bronchi-Shield, Duramune,, Rabvac (1 and 3) – dogs Fel-o-guard  FVRCP (can also combine with FeLV and Chlamydia) Fel-O-Vax, Rab Vac, - Cats ULTRA ( Hybrid - FVRCP) – Cats 50% less volume Nonadjuvanted ULTRA Fel-o-vax – Cats 50% less volume FVRCP, FeLV, FVRCP+FeLV, Dual FCV (?) UltraNasal (Cats) FVRCP or FVRC BI – (Bought Merial) Recombitek – DA2PP, DA2LPP, Lyme, Oral Bord, Lepto Purevax (rabies, felv, RCPCh) Rabisin/Imrab (No bivalent CIV) Merck – Nobivac Line – Canine (CIV bivalent H3N8, H3N2) and Feline Nobivac EDGE (HALF VOLUME) – Lepto 4, DAPPv, DAPPv+ L4

Drs. Andrew Heller and Marisa Brunetti continue with their 5th episode in their 6 part series on the topic of vaccinology. In this episode, they discuss the miscellaneous issues of vaccination, including titers, common vaccine mistakes, exemptions, and certificates. IndeVets Happy Hour is ranked #11 on the top Veterinary Podcasts Here. AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/ WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Drs. Andrew Heller and Marisa Brunetti continue with their 4th episode in their 6 part series on the topic of vaccinology. In this episode, they discuss feline injection site sarcomas. AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/ WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Drs. Andrew Heller and Marisa Brunetti continue with their 3rd episode in their 6 part series on the topic of vaccinology. In this episode, they discuss the standard feline vaccines. AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/ WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Drs. Andrew Heller and Marisa Brunetti continue the 2nd episode in their 6 part series on the topic of vaccinology. In this episode, they discuss the standard canine vaccines. AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/ WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Drs. Andrew Heller and Marisa Brunetti begin a new 6 part series on the topic of vaccinology. Join them for a discussion as they lay the groundwork for what many veterinarians take for granted in their daily work. AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/ WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Drs. Andrew Heller and Marisa Brunetti finish up the Hot Pet Summer series with a discussion about first aid for our pets. Things you can do to prepare for the most common emergencies of summer. show notes: Hibiclens solution Diphenhydramine (Benadryl) dose for dogs: 1mg/lb orally every 4-6h as needed

Drs. Andrew Heller and Marisa Brunetti continue the Hot Pet Summer series with a discussion about atopy, another disease process that is usually worse in the warmer months. They hit the causes, the work-up, the treatments that work, and the treatments that DON'T.

Drs. Andrew Heller and Marisa Brunetti continue the Hot Pet Summer series with a discussion about pesky ectoparasites that infest, feed, and inflict disease on our pets (and on us).

Drs. Andrew Heller and Marisa Brunetti continue the Hot Pet Summer series with a discussion about the most common toxic plants.

Drs. Andrew Heller and Marisa Brunetti talk about common noise phobias and how to deal with them. Show notes: Tiira & Lohi (2015) found that dogs with separation anxiety and noise phobia had less daily exercise compared to those that did not. Through A Dog's Ear™ Adaptil/Feliway - pheromone therapy Thundershirts/Mutt muffs

Drs. Andrew Heller and Marisa Brunetti introduce a new "summer series" with the first topic on heatstroke.

Drs. Andrew Heller and Marisa Brunetti discuss a most delicious topic: inducing emesis. And there's a NEW DRUG out there to help us! https://www.vetoquinolusa.com/clevor

Drs. Andrew Heller and Marisa Brunetti interview Dr. Yui Shapard about sustainability in the veterinary industry. Show notes: https://vetsustain.org https://www.oie.int/en/home/

Drs. Andrew Heller and Marisa Brunetti reveal their secret to uncovering a veterinarian's worthiness during the interview process.

Join us for a more in depth understanding of what it takes to hire veterinarians in today's world. Drs. Andrew Heller and Marisa Brunetti interview the head of Human Resources at IndeVets, Gillian Florentine, for part 1 of the discussion.

Drs. Andrew Heller and Marisa Brunetti have a special guest this episode -- Michael Raphael, CEO of IndeVets, joins the happy hour to discuss the outlook for the veterinary industry coming out of the very precarious year of 2020. Here is the link to his most recent article: https://indevets.com/blog/four-key-trends-for-animal-hospitals-in-2021/

Drs. Andrew Heller and Marisa Brunetti welcome a special guest - Dr. Kelly Dunham - to discuss changes to the heartworm treatment protocol. American Heartworm Society Guidelines https://www.heartwormsociety.org/veterinary-resources/american-heartworm-society-guidelines

Drs. Andrew Heller and Marisa Brunetti welcome 2 special guests - Drs. Chaundra Schofield and Amy Lloyd - to discuss treating common bacterial infections using antibiotics. Article referenced in the show: https://www.sciencedirect.com/science/article/pii/S109002331830460X?via%3Dihub

Drs. Andrew Heller and Marisa Brunetti host the IndeVets Happy hour with 2 special guests - Drs. Chaundra Schofield and Amy Lloyd - to discuss when and how we can use drugs off label in our companion species. If you would like to be a part of the next happy hour or if you would like to write and tell us about other ELDU that you know about, please write to us at clinical@indevets.com.

Drs. Andrew Heller and Marisa Brunetti sit down and discuss the many ways COVID-19 has affected how vets have practiced over the past year. What it's done to, and for, the veterinary industry as a whole. And how it has affected the mental health of veterinarians.

Drs. Andrew Heller and Marisa Brunetti welcome you to their new podcast where they discuss the every day issues that general practice veterinarians deal with, both clinical and not so clinical in nature. We hope you enjoy being part of the conversation!