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Pregnancy and the postpartum period are critical windows of increased stroke risk, driven by physiologic changes such as hypercoagulability and blood pressure fluctuations. This episode highlights key warning signs, including headache and hypertension, along with practical guidance on evaluation, management, and risk reduction to improve outcomes for pregnant and postpartum patients. In this episode, Kait Nevel, MD, speaks with Michelle H. Leppert, MD, author of the article "Pregnancy and Stroke Risk" in the Continuum® June 2026 Cerebrovascular Disease issue. Dr. Nevel is a Continuum® Audio interviewer and a neurologist and neuro-oncologist at Indiana University School of Medicine in Indianapolis, Indiana. Dr. Leppert is an associate professor of neurology at Tufts Medical Center in Boston, Massachusetts. Additional Resources Read the article: Pregnancy and Stroke Risk Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @IUneurodocmom Guest: @humich Full episode transcript available here Dr Nevel: The time during and around pregnancy is often thought of as a very joyful time, full of hope. But for some, medical complications such as stroke can lead to devastating disability and sometimes even death. Today, we're going to learn about pregnancy and postpartum stroke, including stroke risk evaluation and best practices in management and risk reduction to help our pregnant and peripartum patients reduce stroke risk and achieve best possible outcomes.  Dr Jones: This is Dr. Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast.  Dr Nevel: Hello, this is Dr. Kait Nevel. Today, I'm interviewing Dr. Michelle Leppert about her article on pregnancy and stroke risk. This article appears in the June 2026 Continuum issue on cerebrovascular disease. Michelle, welcome to the podcast, and please introduce yourself to the audience.  Dr Leppert: My name is Michelle Leppert. I'm a stroke neurologist, and I currently work at the Tufts Medical Center in Boston, Massachusetts.  Dr Nevel: Thank you so much for being here, Michelle, and I'm looking forward to talking to you about your article. I always love starting with the question, what's the most important takeaway from your article for the practicing neurologist?  Dr Leppert: I think in this article, I'm trying to highlight that during pregnancy and especially postpartum, there's a heightened risk of stroke for women, and that's important for clinical neurologists to understand that this is a particularly vulnerable time for the population that we take care of. I think that one of the few of the things that could be informing this heightened stroke risk are the physiological changes that women undergo during pregnancy. So, that includes coagability, where there's an increased likelihood of clotting, and also the cardiovascular adaptations, including increased cardiac output and having an increased cardiac volume. And all of these mechanisms all contribute to the increased risk of strokes around pregnancy and postpartum.  Dr Nevel: Great. Thanks for that. What are some of the unique aspects of stroke types in etiology in pregnancy that we should be aware of?  Dr Leppert: When we think of strokes overall, generally the majority of our strokes are ischemic. So, for the overall population, about eighty-seven percent of strokes are ischemic, while the remainder are hemorrhagic. However, interestingly, during pregnancy, what we're seeing is about half of our strokes become hemorrhagic strokes, and now only a half of our strokes are ischemic, and this is in contrast to what we see in the overall population. One of the reasons is because pregnancy is associated with preeclampsia, and preeclampsia increases the risk of hemorrhagic stroke during pregnancy.  Dr Nevel: Can you tell us just more about headache in general in pregnancy and association of headache with secondary causes of headache and how that relates to stroke risk in this patient population? It seems like in this patient population that when somebody has a headache, we need to be very careful in our headache questions and evaluation.  Dr Leppert: Yeah. And I think the most concerning symptom that we're finding in this population is headaches, and the reason is because headaches is one of the clinical signs of having preeclampsia, which dramatically increases your risk of having a stroke, and especially a hemorrhagic stroke. So just to back up, we can talk about blood pressure for a little bit and some of the pathophysiologic changes during pregnancy. What most people may not know is that there's a dramatic vascular expansion that occurs during pregnancy. And somewhere during the second trimester, your blood pressure is actually the lowest. So, it can drop below pre-pregnancy levels and make your blood pressure appear low for the baseline. However, during the third trimester, as the baby is growing, there is increased vascular volume. The blood pressure starts to increase. We're seeing some of the highest prevalence of blood pressures, which is a sign for preeclampsia, and headaches develop during that third trimester, and particularly during the time around delivery and postpartum. And one of the most concerning signs, the most common sign of preeclampsia is having a headache. So, I think that with any patient that's presenting with a headache, especially during the third trimester or after delivery, that we really need to pay attention and take their blood pressure. That's one of the easiest clinical indicators that something could be going very wrong. Some of the other red flags clinically that we look for in headaches is that acute onset of a severe headache. That headache quality is different from what they usually have. Any woman with focal neurological symptoms associated with their headache, kind of excessive nausea and vomiting that's not characteristic for them. Not getting any relief with medications, and then lastly, checking that blood pressure is very important.  Dr Nevel: And what are the thoughts on blood pressure management in this patient population? I know that there is a little bit of difference in guidance in some of the obstetric societies on how we should manage blood pressure in this patient population. And then, is there anything beyond blood pressure management that we should be thinking about doing for this patient population to reduce their stroke risk?  Dr Leppert: I think that's a good question, and I hadn't really understood that this could be an area of controversy, cause my practice is mostly in stroke, and for most of adult population, the guidelines for blood pressure is very clear. We treat everybody over 130/80. If you're elderly, then your blood pressure limit might be a little higher. However, there's disagreement in the OBGYN guidelines from the American guidelines to the European guidelines. So, what the current American guidelines suggests is that if you have a history of chronic hypertension, then we would want your blood pressure treated during pregnancy below 140/90. However, if you don't have a history of chronic hypertension, then we allow the blood pressure to be higher and then it's an acute intervention if it's anything over 160. One of the issues with this strategy that is concerning is we had just mentioned that the pathophysiology of a pregnancy where you have the lowest blood pressure in that second trimester, and so your blood pressure may be abnormally good. [laughs] And it appears that it's better than your baseline. And so, by the OBGYN definition, any gestational blood hypertension is considered at 20 weeks and later. Sometimes these blood pressures are masked in some women who are pregnant. I think regardless of the controversy and what the practice should be, the focus is that most of the strokes are happening actually peripartum and postpartum, right? So, the woman's no longer pregnant. It is these time periods of the highest risk that we wanna make sure that the blood pressure is controlled. So, after the woman delivers the baby, we're no longer, you know, hampered by the whatever is chronic or gestational. We should be treating that blood pressure to 140/90. I think that not focusing on the controversy until the science catches up is probably what we should do. But like, really, the message here is that we should be checking women around the time of delivery and also postpartum, that we can't forget about their blood pressures postpartum, cause it actually doesn't peak until day five after they deliver the baby.  Dr Nevel: Does knowing that, that blood pressure peaks around day five, do you think that that should impact how we counsel patients in checking their blood pressure at home? Cause most women at day five are home. They're not still in the hospital.  Dr Leppert: Yeah, I think that's a really good point. One of the best interventions has been having a blood pressure at home for pregnant women. So even during their pregnancy and then postpartum, allow them to check their blood pressures, cause there's... Most of the cases, to be honest, that I've seen of preeclampsia and intracranial hemorrhage has happened postpartum. And I think what's unfortunate is that the woman is at home, they're distracted cause they have a newborn baby. They have a headache. They're just taking some Tylenol. And then if you have that blood pressure cuff readily accessible, that's a, a really easy way for them to check and notice that, hey, the blood pressure's too high, they have to go into the hospital.  Dr Nevel: Yeah, absolutely, and it's not just like a headache because you're sleep deprived and have a newborn. It's a headache that you need to pay attention to. Okay, maybe we could talk a little bit now about evaluation when we are suspicious of potential stroke. What do we need to know about imaging modalities and safety considerations of imaging in this patient population?  Dr Leppert: Yeah, that's a great question. I think when I was training, it was fairly controversial to give a pregnant woman MR contrast with gadolinium during their pregnancy. And as I was researching for this article, actually there's not definitive evidence that that is harmful for the fetus. However, in general, for the acute evaluation of patients during pregnancy, we're recommending using the CAT scan and then a CT angiogram. And then if the acute evaluation is not necessary, then an MRI. And if we need vessel imaging, you can employ an MRA time-of-flight study. That doesn't require the gadolinium contrast. However, one thing that I learned from this article that I thought was really interesting was the use of abdominal shielding. So, you're scanning someone's brain. I always thought, "Hey, doesn't it make sense to put a lead shield over the abdomen?" It turns out the lead shield actually interferes with the automatic calibration of the CT machine, so studies have found that actually increases the dose of radiation that the fetus is exposed to. So, it's much better when we're doing acute evaluations to not shield the abdomen, and really the only thing that can help reduce the radiation dose is the duration of the study. So, what we would recommend is if you want a rapid CT angiogram, rapid CT head, go ahead and obtain it. But if you don't need extra sequences, like a delayed phase of the CT angiogram, then to avoid that and reduce the exposure. Dr Nevel: I'm so glad that you talked about that because I was shocked when I read that in your article that we shouldn't be using abdominal shielding in pregnant women. I had no clue. I thought that that was, like, something that we absolutely should do. So, I found that really interesting. Thank you for that. So, any special considerations for acute stroke intervention or management in pregnancy in the postpartum phase, especially things like thrombolysis and thrombectomy?  Dr Leppert: Yeah. So, I think that as our evidence is getting better for thrombectomy, I would be more judicious about using IV thrombolysis, especially around the time of delivery, cause there is some evidence that it can be associated with postpartum hemorrhage. Patient selection, I think, is key here. So, women who have disability associated with their stroke, and then women who aren't candidates for thrombectomies are still candidates for IV thrombolysis. But understanding that this is a little bit of an unchartered territory for us, and only using IV thrombolytics when we think that there is a big benefit to be had.  Dr Nevel: Can you talk a little bit more about RCVS and PRESS in pregnancy and some of the overlap that we see in this patient population and its relationship to preeclampsia? It seems like there's a lot of interconnections there, and I thought that that was pretty interesting in your article.  Dr Leppert: Right now, the thinking is that RCVS and PRESS are on the same spectrum of pathology, and we think that it has something to do with the autoregulation of vascular resistance in the posterior circulation of the brain. We're not sure what triggers this, but there is something about pregnancy that classically we'll see this postpartum RCVS phenomenon. It likely has to do also with blood pressure that we're seeing. So really classically we think of this, like, thunderclap headache. You see vasospasms on imaging that is transient, that are kind of the classical signs of RCVS. But I think that we're still not completely sure what triggers it, but it's a very well-described clinical phenomenon.  Dr Nevel: Great. Thank you. Could you share a little bit about migraines in pregnancy and stroke risk? [laughs] I also thought that this also a segment of your article that caught my attention because migraines are so common. What's the association of migraine, pregnancy, and stroke risk?  Dr Leppert: Yeah. So that's a very complicated association. So, we know that migraines are associated independently with strokes, and especially people with migraines with aura. However, migraines are also highly associated with PFOs, right? And during pregnancy, what we see is that there is a hypercoagulability state, and so we see lots more DVTs, we see more PEs associated with women during pregnancy. So potentially, because migraineurs also are more likely to have PFOs, they could be presenting with more cardioembolic, kind of paradoxical emboli from these thrombus. But I'm not quite sure that we know why migraines in and of itself, especially with migraines with aura, lead to strokes. And especially during pregnancy, I'm not sure because we have very little understanding about pathophysiology of pregnancy while having migraines with aura also leads to more strokes, or that risk is really just associated with PFOs. So, I think that we need to think about that a lot more. The recommendation is a baby aspirin if you have some of these risk factors for preeclampsia, any vascular risk factors, and including migraines with aura during pregnancy. And we think that baby aspirin is relatively safe, especially starting around the 12 to 16-week period.  Dr Nevel: So just to clarify, in a woman who's pregnant, who's 12 weeks or beyond in their pregnancy and who has migraine with aura, is that a patient that we should consider aspirin for them to reduce their stroke risk?  Dr Leppert: I think you can. I am not sure that there is a specific recommendation. I think that, like, a conversation with your OBGYN is, you know, a good idea. But we do recommend that baby aspirin for women, um, above 35 years old because it's considered advanced maternal age. And then we recommend baby aspirin with women with a history of hypertension, multiple gestations, diabetes, renal disease, autoimmune disease. So, I definitely think that is something to consider.  Dr Nevel: Yeah. Interesting. Okay, great. Thank you for that. When someone has a stroke and they're pregnant again, what are some strategies for secondary stroke prevention? And you mentioned some of the primary risk reduction, but are there any others that you haven't mentioned yet other than aspirin and blood pressure control for primary prevention? Dr Leppert: Yeah, absolutely. So, I think that it's important to plan ahead. So, for women who are thinking about getting pregnant after they've had a stroke, one of the tenets of stroke neurology is trying to figure out why the first stroke happened. So, I feel like before getting pregnant, it's great to have a very thorough stroke workup so that you understand what the risk factors were and that those risk factors are controlled. One of the interventions, one of the only interventions that's, has evidence in young people with strokes is PFO closure. So, if you do have a stroke from a PFO, we recommend you get that closed prior to your pregnancy because then hopefully even given the hypercoagulability of pregnancy, there's some protection against another embolic stroke.  Dr Nevel: Another really interesting part of your article that I did not know before I read it was about the risk of cardiovascular disease long term in women who have had stroke during pregnancy. Could you talk a little bit more about that?  Dr Leppert: What we understand is that gestational diabetes and gestational hypertension sets you up for having diabetes and hypertension later on in life, and it's really developing the actual diabetes to the hypertension that increases your risk of strokes. So, what's really an important takeaway for providers is that after women develop gestational diabetes or they have gestational hypertension or they develop preeclampsia, it's very important for their primary or their neurologist to be very vigilant of these risk factors developing so that they can be modified before the women are at higher risk for strokes. And the reason why we think this happens is because pregnancy is like a stress test for your body. And so, the fact that you've developed the gestational diabetes or the gestational hypertension kind of already suggests that you're more likely and more vulnerable to developing these traditional risk factors later on.  Dr Nevel: That makes sense. Thank you for that. What do you think is a common misconception about stroke in pregnancy?  Dr Leppert: When I was earlier in my training, it kind of felt like having a stroke during pregnancy was being struck by lightning. It was really random. There was nothing you could do. It just happened to people. And I think as I learned more in my career, and especially researching for this article, I'm kind of shocked and disturbed by how much of the strokes in pregnancy we can actually prevent. Through management and monitoring of blood pressure for women. And so, I do think that it does our patients a disservice if we think that these are rogue events. But really, it might be a sign of the failure of our health system where we're not taking care of women around their delivery and postpartum and being more vigilant about their blood pressure and more vigilant about the clinical signs that they're developing.  Dr Nevel: Yeah, I really got that from your article, how important it is to monitor for blood pressure and other risk factors, and that that continues after the baby's born. Thank you so much for that, and thank you for talking with me today about your article about stroke and pregnancy. Again, today I've been interviewing Dr. Michelle Leppert about her article on pregnancy and stroke risk. This article appears in the June 2026 Continuum issue on cerebral vascular disease. Please be sure to check out Continuum Audio episodes from this and other issues. And thank you so much to our listeners for joining us today.  Dr Monteith: This is Dr. Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal which is full of in depth, and clinically relevant information, important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members– you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

Welcome to Episode 51 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Segment 1 Rodríguez, M. Á., Quintana-Cepedal, M., Cheval, B., Thøgersen-Ntoumani, C., Crespo, I., & Olmedillas, H. (2025, October 7). Effect of exercise snacks on fitness and cardiometabolic health in physically inactive individuals: Systematic review and meta-analysis. British Journal of Sports Medicine. Advance online publication. https://doi.org/10.1136/bjsports-2025-110027 Rodgers, L. (2025, October 17). As pickleball continues to gain players, injuries are increasing. JAMA. https://doi.org/10.1001/jama.2025.18833 Segment 2 Baos, S., Lui, M., Walker-Smith, T., Pufulete, M., Messenger, D., Abbadi, R., Batchelor, T., Casali, G., Edwards, M., Goddard, N., Abu Hilal, M., Alzetani, A., Vaida, M., Martinovsky, P., Saravanan, P., Cook, T., Malhotra, R., Simpson, A., Little, R., Wordsworth, S., Stokes, E., Jiang, J., Reeves, B., Culliford, L., Collett, L., Maishman, R., Chauhan, N., McCullagh, L., McKeon, H., Abbs, S., Lamb, J., Gilbert, A., Hughes, C., Wynick, D., Angelini, G., Grocott, M., Gibbison, B., & Rogers, C. A. (2025). Gabapentin for pain management after major surgery: A placebo-controlled, double-blinded, randomized clinical trial (the GAP Study). Anesthesiology, 143(4), 851-861. https://doi.org/10.1097/ALN.0000000000005655 NEJM Journal Watch. (2024, December 30). Growing evidence of harms associated with gabapentinoid drugs. JWatch. https://www.jwatch.org/na58203/2024/12/30/growing-evidence-harms-associated-with-gabapentinoid-drugs Moeindarbari, S., Beheshtian, N., & Hashemi, S. (2022). Cerebral vein thrombosis in a woman using oral contraceptive pills for a short period of time: A case report. Journal of Medical Case Reports, 16, Article 260. https://doi.org/10.1186/s13256-022-03473-w Peckham, A. M., Evoy, K. E., Ochs, L., & Covvey, J. R. (2018). Gabapentin for off-label use: Evidence-based or cause for concern? Substance Abuse: Research and Treatment, 12, 1178221818801311. https://doi.org/10.1177/1178221818801311 The 2 View: Emergency Medicine PAs & NPs. (2025, January 22). 41 – RCVS and CVT, CPR care science, prehospital tourniquets, blood pressure [Audio podcast episode]. Fireside. https://2view.fireside.fm/41 Strahan, A. E., Rikard, S. M., Schmit, K. M., Zhang, K., Guy, G. P., Jr., & [Additional Authors]. (2025). Trends in dispensed gabapentin prescriptions in the United States, 2010 to 2024. Annals of Internal Medicine. Advance online publication. https://doi.org/10.7326/ANNALS-25-01750 Segment 3 Brown, R. F., Lopez, K., Smith, C. B., & Charles, A. (2025). Diverticulitis: A review. JAMA, 334(13), 1180-1191. https://doi.org/10.1001/jama.2025.10234 Carr, S., & Velasco, A. L. (2024, July 25). Colon diverticulitis. In StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK541110/ Bob Tubbs on Emergency Radiology: https://youtu.be/Jg1JG67eoJQ Our social media: TikTok: https://www.tiktok.com/@ccmecourses Instagram: https://www.instagram.com/ccmecourses Facebook: https://www.facebook.com/CenterForMedicalEducation LinkedIn: https://www.linkedin.com/in/rickbukata Our podcasts: The 2 View Podcast (Free): Subscribe on Apple Podcasts https://apple.co/3rhVNZw​ Subscribe on Google Podcasts: http://bit.ly/2MrAHcD​ Subscribe On Spotify: http://spoti.fi/3tDM4im Risk Management Monthly Podcast (Paid CME): https://www.ccme.org/riskmgmt ** The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional. emergencymedicine #cme

SPONSORED In today's episode, sponsored by Royal Canin, we celebrate 20 years of Royal Canin's partnership with the University of Liverpool's Obesity Care Clinic – the world's first specialist weight loss clinic for cats and dogs. This pioneering collaboration has transformed obesity care, combining expert research with exceptional service for clients and referring vet practices. Join us as Georgia Woods-Lee and Professor Alex German share how the Royal Canin Obesity Care Clinic is shaping the future of pet health and the vital role vets can play in tackling obesity. In 2015, Georgia Woods-Lee took the position of clinical lead for the Royal Canin Weight Management Clinic (recently renamed the Royal Canin Obesity Care Clinic) at the University of Liverpool, Small Animal Teaching Hospital, where she is now dealing exclusively with pet obesity care and nutrition. Georgia was awarded her Certificate in Canine and Feline Veterinary Health Nutrition in 2017, the American Veterinary Technician Specialist (VTS) in nutrition certificate in 2019 , and her BSc (Hons) Veterinary Nursing (Top-up) degree in 2022. Georgia is currently working towards a PhD in pet obesity. Alex German holds the position of Royal Canin professor of small animal medicine at the University of Liverpool. He is a 1994 graduate of the University of Bristol and, after spending two years in mixed practice, returned to Bristol to undertake a PhD in mucosal immunology, and then a residency in small animal internal medicine. He is a diplomate of the European College of Veterinary Internal Medicine and also a RCVS-recognised specialist in internal medicine. His clinical and research interests include comparative obesity biology, ageing, preventing chronic disease, gastroenterology, and evidence-based veterinary medicine. For more on the clinic, visit its website at https://www.liverpool.ac.uk/small-animal-teaching-hospital/clinical-services/weight-management/

For this Vet Times Extra podcast, Paul Imrie is joined by RCVS advanced practitioner in small animal practice Richard Sanderson and professional services vet for IDEXX Carole MacColl to discuss faecal antigen testing. SPONSORED Parasites pose a serious threat to pets and people. But prevention alone may not be 100% effective. Updated industry guidelines now recommend intestinal parasite testing at least once a year, regardless of deworming. Combine your preventives with Faecal Dx antigen testing, and parasites don't stand a chance. Faecal Dx antigen testing offers early, accurate detection of the most common intestinal parasites, even in well cats and dogs. Learn more at https://www.idexx.co.uk/en-gb/veterinary/reference-laboratories/fecal-testing/fecal-dx-antigen-test/?utm_source=vet_times&utm_medium=podcast&utm_campaign=rlb_fecaldx_2025 The views and opinions in this recorded conversation expressed by the guest interviewee are the guest interviewee's own and do not necessarily reflect the views of IDEXX. Richard Sanderson, BVSc, CertAVP(SAP), MRCVS, is an RCVS advanced practitioner in small animal practice and director of Peninsula Vet Referrals. He graduated from the University of Liverpool in 2009. An advocate for independent veterinary practice, he founded Sanderson Vet in 2016. This started as a mobile vet and has developed into a 24-hour first opinion clinic. Already accepting a wide range of referrals, he formalised their referral services and opened Peninsula Vet Referrals, which focuses on offering “Affordable experience and accessible expertise”, aiming to make referrals more affordable and easier to access. Carole MacColl BVMS, PGCert, VetEd FHEA, MRCVS graduated from the University of Glasgow in 2011, and gained experience in first opinion practice before undertaking a rotating internship with a focus on emergency and critical care. She spent time as an ECC clinician in referral hospitals throughout Australia and the UK, before a role as a senior veterinarian in the RVC's first opinion teaching hospital. Carole joined IDEXX as a professional services veterinarian covering the south of the UK in 2021.

Dr. Dan Ackerman and Dr. Isabel Hostettler discuss the diagnosis, risk factors, and prognosis of RCVS, highlighting the need to recognize symptoms and distinguish it from other causes of subarachnoid hemorrhage.  Show reference:  Hostettler IC, Ponciano A, Wilson D, et al. Outcomes After Reversible Cerebral Vasoconstriction Syndrome With Convexity Subarachnoid Hemorrhage: Individual Patient Data Analysis. Neurology. 2025;105(5):e213984. doi:10.1212/WNL.0000000000213984 

Dr. Dan Ackerman talks with Dr. Isabel Hostettler about the diagnosis, risk factors, and prognosis of RCVS, highlighting the need to recognize symptoms and distinguish it from other causes of subarachnoid hemorrhage. Read the related article in Neurology®.  Disclosures can be found at Neurology.org.  

Angiostrongylus vasorum is a parasite affecting dogs in the UK often with devastating consequences. Over recent years we have seen an increase in prevalence of lungworm disease. In this podcast, veterinary parasitologist and professor Eric Morgan and Jenny Helm, RCVS specialist in small animal medicine and oncology referral clinician, discuss the prevalence of A vasorum in the UK, the gaps we have in the evidence to date, routine prevention for dogs and novel options for treatment. SPONSORED This podcast is sponsored by Zoetis, makers of Simparica Trio – the only oral moxidectin licensed to treat lungworm in dogs. Simparica Trio is licensed for the treatment of flea and tick infestations, the treatment and prevention of angiostrongylosis and the treatment of gastrointestinal roundworm and hookworm infections1. For more information on Simparica Trio, speak to your Zoetis account manager to learn more or visit the website (https://www2.zoetis.co.uk/veterinary-hub/companion-animal/dogs/products-and-solutions/simparica-trio/) References: 1. Simparica Trio SPC MM-44029 Eric Morgan MA, VetMB, PhD, DipEVPC, MRCVS qualified from the University of Cambridge vet school in 1997 and left mixed practice in Wales to complete a PhD at Warwick and Imperial College London on parasite ecology and epidemiology in Kazakhstan, joining the University of Bristol's veterinary school in 2003. There he further developed teaching and research interests in parasite transmission, moving to Queen's University Belfast in 2017. He is co-author of more than 200 peer-reviewed papers, seeking especially to understand the impact of weather and climate change on parasite infection patterns and how these can be managed, including for emerging parasites such as A vasorum. As diplomate of the European Veterinary Parasitology College and member of various national and international initiatives, he contributes to the development of sustainable parasite control strategies and their translation into practice. Jenny Helm, BVMS, CertSAM, Dip-ECVIM, CA FHEA, MRCVS, graduated from the Faculty of Veterinary Medicine, University of Glasgow in 2005, and following this undertook a small animal rotating internship at the RVC in London. She then spent a short spell in small animal practice before returning to Glasgow to undertake a residency in oncology and internal medicine at the University of Glasgow in 2006. Jenny obtained her RCVS certificate in small animal medicine in 2008 and passed her European College of Veterinary Internal Medicine (ECVIM) certifying examination and became a diplomate of the ECVIM in September 2012. Jenny is interested in small animal oncology (especially promoting good quality of life and haematology) and has several academic publications in the fields of internal medicine and oncology, as well as an active research interest in canine lungworm (specifically A vasorum).

As the veterinary sector considers its response to the Competition and Markets Authority's provisional remedy decisions, a new Big 6 podcast panel considers the current state of play and likely areas of ongoing debate. Joining Allister Webb are RCVS senior vice-president Linda Belton; SPVS board member Kate Higgins; BSAVA president Julian Hoad; British Veterinary Union chair Suzy Hudson-Cooke; IVC Evidensia CVO Gudrun Ravetz; and competition law academic David Reader. Credit for music: "Funky Chunk" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License

This week Dr Sanjida Chowdhury, Neurology Trainee, discusses RCVS, it's overview, psychophysiology, clinical presentation, investigation and treatment. 

We speak with Shawn Rivers, Racine County Veterans Service Officer with Racine County Veterans Services. They are co-sponsoring a Veterans Stand Down resource fair this Saturday, September 13th, 10:00-2:00 at Racine's Festival Hall. We talk about the many services that RCVS offers - all free of charge - to veterans and their families. We talk in particular about resources designed to address concerns around veteran homelessness, food insecurity, and mental health.

Show Notes This month, the Skin Flint team welcome RCVS & European Specialist Debbie Gow to the platform to explore Eosinophilic granuloma complex (EGC). (00:00) John Sue and Paul introduce the podcast.   Chapter 1 – What on Earth Is Eosinophilic Granuloma Complex?   (02:55) Sue welcomes Debbie Gow to the podcast and invites her to introduce herself. Debbie shares that she is a specialist in veterinary dermatology, working at a busy referral hospital outside Edinburgh. She describes her role in setting up the dermatology service, working with a resident and derm nurse, and her continued involvement in CPD and writing.   (04:05) Sue introduces the topic: eosinophilic granuloma complex (EGC) in cats. She jokes that it's sometimes referred to as “eosinophilic granuloma confusion” due to its complexity and terminology. She asks Debbie to break it down explaining that EGC is an umbrella term for three lesion types: Linear granulomas: Seen on the backs of legs, chin, or in the mouth. May or may not be itchy. Plaques: Often pruritic, ulcerated, and secondarily infected. Found on the ventrum or medial thighs. Indolent ulcers: Located on the upper lip, may appear crater-like.   (07:28) Sue asks about miliary dermatitis. Debbie considers it a separate reaction pattern, not part of EGC, though also common and allergy-associated. (08:15) John asks about age, breed, or sex predispositions. Debbie explains that while any cat can be affected, young adult cats (6 months to 5 years) are most likely to develop these lesions. Females may be slightly overrepresented, but evidence is limited. (09:27) John inquires about geographical prevalence. Debbie confirms EGC is seen globally wherever cats are present and exposed to allergy triggers.   Chapter 2 – Lookalikes, Lip Lesions & Licking Cats: Sorting the EGC Puzzle (10:21) Sue asks whether EGC lesions are pathognomonic or if there are important differentials. Debbie stresses the importance of not assuming a diagnosis without investigation whilst they can have a classical appearance: Cytology is key to identifying eosinophils. Differentials include squamous cell carcinoma (particularly for lip ulcers), mycobacteria, fungal infections, and viral diseases.   (12:37) Sue asks about a minimum diagnostic approach. Debbie advises: Cytology Wood's lamp and trichogram to rule out dermatophytosis Consideration of biopsies if in doubt   (14:08) Sue asks how to perform cytology. Debbie describes: Tape prep for dry lesions Cotton bud for moist/crusted areas Direct impression with a slide   (14:59) Sue asks how often infection is present. Debbie says: Infections are uncommon but more likely with plaques due to licking Cytology helps assess if antibiotics are needed Most cases are treated with anti-inflammatories rather than antibiotics   (16:52) John asks about allergic patterns in cats. Debbie describes four main reaction patterns: Miliary dermatitis Head and neck pruritus Ventral overgrooming Eosinophilic lesions She notes cats may display multiple patterns and also non-skin signs like conjunctivitis, otitis, or sneezing. (19:02) John asks if specific allergies present with specific signs. Debbie says it's inconsistent. While flea allergy is often associated with miliary dermatitis and food allergy with head/neck pruritus, patterns vary and aren't reliable for diagnosis.   Chapter 3 – Practical Approaches: From Kitchen Floor to Referral Door   (21:23) John asks what owners might notice or try at home. Debbie recommends: Observing behaviour Keeping a diary Ensuring flea control Considering recent diet or environmental changes   (23:30) Sue asks about food trial myths. Debbie emphasises: Over-the-counter “hypoallergenic” foods are not suitable for true food trials Prescription hydrolysed diets or novel proteins (e.g. ostrich, kangaroo, crocodile) are required Food trials should run for ~8 weeks She also recommends: Treat toppers to help encourage eating Short-term feeding is usually nutritionally safe Veterinary nutritionist input for longer-term plans   (28:43) Sue asks how to start a food trial if a cat is self-traumatising. Debbie uses concurrent systemic treatment (usually steroids) to control inflammation during the trial, tapering meds over 4–6 weeks if possible. (30:05) John asks for the first steps as a guide for primary care vets. Debbie recommends her first steps would be to rule out ectoparasites with full household flea control, possibly whilst beginning topical/systemic treatment as needed for comfort (32:10) Sue asks what to do when left with suspected environmental allergy. Debbie describes: Referral approach: Intradermal testing and immunotherapy if cost allows (40–75% success rate) Primary care approach: Use steroids at the lowest effective dose Importance of prioritising flea control and food trial first as they are often curative   (36:50) Sue and Debbie have a healthy debate on the relative benefits of allergy testing when immunotherapy is not being considered as an option.  (41:08) John wraps up the episode, thanking Debbie for simplifying a complex topic and helping listeners better understand eosinophilic granuloma complex in cats. John asks Paul and Sue another probing - if not questionable - question.

In this chatty episode Georgia and Verity discuss their top tips for surviving and thriving on placements at vet school. From what thermal layers to wear on a farm to our thoughts on the new RCVS requirements.Grab a cup of tea and listen to our new episode!

In this episode of Beyond the Clinic, host Adam Redpath and equine internal medicine specialist Rose Tallon discuss strangles in horses. They cover typical symptoms like fever, nasal discharge, and swollen lymph nodes, but also stress the importance of recognizing atypical cases. Regular temperature monitoring by horse owners is emphasized as a key preventive measure.They dive into diagnostic testing, highlighting the timing and limitations of the different tests. Finally, they discuss control strategies, focusing on isolation, quarantine, and the potential role of vaccination. This episode provides essential insights for managing and preventing strangles in equine practice.Our Guest: Rose Tallon VetMB BA MVetMed DipACVIM MRCVSRose graduated from the University of Cambridge in 2014 and completed an internal medicine residency at the Royal Veterinary College in London following a stint in ambulatory practice. Rose is a diplomate of the ACVIM and ECEIM and is an RCVS recognised specialist in Equine Internal Medicine. She is based at Donnington Grove Vets in Newbury, where, alongside a busy clinical caseload, she is involved in providing laboratory services to the wider IVCE group, including Strangles testing. Our Host: Adam Redpath BVMS PGCert(VetMed) DipECEIM FHEA MRCVSAdam is a EBVS and RCVS Specialist in Equine Internal Medicine having successfully becoming an ECEIM Diplomat in 2021. He has spent the majority of his early career in clinical academic practice, having several roles at the University of Nottingham. More recently Adam has ventured into private practice having worked at both Donnington Grove and Oakham Veterinary Hospital as an equine internal medicine clinician over the past 18 months. Adam currently splits his time between his clinical role at Oakham Veterinary Hospital and as Equine Development Lead within the L&D team at IVC Evidensia. Links: Donnington Grove Laboratory: https://www.dgvglab.com/Strangles vaccination: A current European perspective, by D Rendle, August 2024 https://beva.onlinelibrary.wiley.com/doi/10.1111/eve.14032HBLB guidelines: Code Of Practice : StranglesPowered by IVC EvidensiaAt IVC Evidensia we're building the world's best veterinary group, with a single purpose; healthy animals and happy owners.Visit ivcevidensia.co.uk to find out more, or follow us on social media.Please note that the views expressed by hosts and guests in this podcast do not necessarily reflect those of IVC Evidensia.

Welcome to Episode 44 of “The 2 View,” the podcast for EM and urgent care nurse practitioners and physician assistants! Show Notes for Episode 44 of “The 2 View” – The Pitt, Cardiac Arrest in Young People, and Influenza Associated Encephalopathy. Segment 1 – Fraud and Conspiracy and Schemes, Oh My! Florida Physician Assistant Pleads Guilty to a $7.3 Million Health Care Fraud Conspiracy. United States Attorney's Office: District of New Hampshire. United States Department of Justice. Justice.gov. December 3, 2024. https://www.justice.gov/usao-nh/pr/florida-physician-assistant-pleads-guilty-73-million-health-care-fraud-conspiracy Nurse Practitioner Sentenced To Five Years In Prison For $11.2 Million Disability Loan Fraud Scheme. United States Attorney's Office: Sothern District of New York. United States Department of Justice. Justice.gov. February 5, 2025. https://www.justice.gov/usao-sdny/pr/nurse-practitioner-sentenced-five-years-prison-112-million-disability-loan-fraud The Board of Certification for Emergency Nursing. BCEN. February 17, 2023. http://www.bcen.org Segment 2 – Prehospital Tourniquet Application Rittblat M, Gendler S, Tsur N, Radomislensky I, Ziv A, Bodas M. The cost of saving lives: Complications arising from prehospital tourniquet application. WILEY Online Library. Acad Emerg Med. December 16, 2024. https://onlinelibrary.wiley.com/doi/10.1111/acem.15070 The Center for Medical Education. 2 View: Emergency medicine PAs & NPs: 41 - RCVS and CVT, CPR Care Science, Prehospital Tourniquets, Blood Pressure. 2 View: Emergency Medicine PAs & NPs. January 22, 2025. https://2view.fireside.fm/41 Segment 3 – Cardiac Arrest in Young People Chia MYC, Lu QS, Rahman NH, et al. Characteristics and outcomes of young adults who suffered an out-of-hospital cardiac arrest (OHCA). NIH: National Library of Medicine – National Center for Biotechnology Information. PubMed. Resuscitation. February 2017. https://pubmed.ncbi.nlm.nih.gov/27923113/ Parekh S. Teen athlete saved after cardiac arrest speaks out: What to know about lifesaving role of CPR, AEDs in schools. GMA. ABC News. September 6, 2024. https://www.goodmorningamerica.com/wellness/story/teen-athlete-saved-after-cardiac-arrest-speaks-lifesaving-113460919 The Center for Medical Education. 2 View: Emergency medicine PAs & NPs: 42 - Pink Cocaine, Holiday Heart Syndrome, Pertussis, Research Updates, and More! 2 View: Emergency Medicine PAs & NPs. February 12, 2025. https://2view.fireside.fm/42 Tseng Z, Nakasuka K. Out-of-Hospital Cardiac Arrest in Apparently Healthy, Young Adults. JAMA Network. Jamanetwork.com. February 20, 2025. https://jamanetwork.com/journals/jama/article-abstract/2830678 Segment 4 – Influenza Associated Encephalopathy Fazal A, Reinhart K, Huang S, et al. Reports of Encephalopathy Among Children with Influenza-Associated Mortality - United States, 2010-11 Through 2024-25 Influenza Seasons. CDC: Morbidity and Mortality Weekly Report (MMWR) Morb Mortal Wkly Rep. February 27, 2025. https://www.cdc.gov/mmwr/volumes/74/wr/mm7406a3.htm Surtees R, DeSousa C. Influenza virus associated encephalopathy. NIH: National Library of Medicine – National Center for Biotechnology Information. PMC: PubMed Central. Arch Dis Child. June 2006. https://pmc.ncbi.nlm.nih.gov/articles/PMC2082798/ Segment 5 – The Pitt Max. The Pitt | official trailer | Max. Accessed March 27, 2025. https://www.youtube.com/watch?v=ufR_08V38sQ The Pitt. Max. Accessed March 27, 2025. https://www.max.com/shows/pitt-2024/e6e7bad9-d48d-4434-b334-7c651ffc4bdf Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Joining Anthony for this episode of VETchat by The Webinar Vet is Katie Mantell, CEO of RCVS Knowledge. In this episode, Anthony and Katie discuss the new RCVS Knowledge strategy for 2025 - 2029. They chat about what vets can do as individuals to help not only animals, but the planet as a whole. Katie dives into detail about her role at RCVS Knowledge, as well as how her experience in the human health sector has given her a unique perspective in the veterinary profession.RCVS Knowledge strategy 2025-29: Healthier animals, people and planetVet HistoryContextualised care survey: Launching 24 March 2025

Our guest Dr Gemma Pearson has so much to say that we decided to offer her episode in two versions - this one is the extended version, in which Gemma discusses with us her journey to equine behavioural medicine and her current roles, combining her time between research and outreach as Director of Equine Behaviour at The Horse Trust and running a referral clinic for clinical equine behaviour cases where she is based at the University of Edinburgh.After working in ambulatory practice Gemma undertook a rotating residency programme in the equine hospital alongside an MScR investigating horse veterinarian interactions.Subsequently she completed her CCAB (certified clinical animal behaviourist) exam and her PhD thesis ‘Stress in equids undergoing veterinary care and the development of interventions that positively influence the horses' experience'.  As well as continuing with her own research she supervises several students at PhD, MSc and undergraduate level. Subsequently she has been recognised as the first species specific RCVS specialist in Veterinary Behavioural Medicine (Equine).Gemma is frequently invited to lecture internationally, as a recognised expert in this field and an excellent communicator. One of the most successful projects was filming a series of short YouTube videos with the British Equine Veterinary Association aiming to reduce injury rates when dealing with difficult horses under the ‘Don't break your vet' campaign.In her spare time she has competed up to advanced level endurance on a homebred horse as well as enjoying competing in affiliated dressage and eventing. Currently she is retraining a Thoroughbred recently retired from racing.Gemma's research output is available at this link:https://www.researchgate.net/profile/Gemma-Pearson-2/research

Our guest Dr Gemma Pearson has so much to say that we decided to offer her episode in two versions - this one is the condensed version, in which Gemma discusses the highlights of her journey in equine behavioural medicine.In her current roles, Gemma combines her time between research and outreach as Director of Equine Behaviour at The Horse Trust and running a referral clinic for clinical equine behaviour cases where she is based at the University of Edinburgh.After working in ambulatory practice Gemma undertook a rotating residency programme in the equine hospital alongside an MScR investigating horse veterinarian interactions.Subsequently she completed her CCAB (certified clinical animal behaviourist) exam and her PhD thesis ‘Stress in equids undergoing veterinary care and the development of interventions that positively influence the horses' experience'.  As well as continuing with her own research she supervises several students at PhD, MSc and undergraduate level. Subsequently she has been recognised as the first species specific RCVS specialist in Veterinary Behavioural Medicine (Equine).Gemma is frequently invited to lecture internationally, as a recognised expert in this field and an excellent communicator. One of the most successful projects was filming a series of short YouTube videos with the British Equine Veterinary Association aiming to reduce injury rates when dealing with difficult horses under the ‘Don't break your vet' campaign.In her spare time she has competed up to advanced level endurance on a homebred horse as well as enjoying competing in affiliated dressage and eventing. Currently she is retraining a Thoroughbred recently retired from racing.Gemma's research output is available at this link:https://www.researchgate.net/profile/Gemma-Pearson-2/research

Jeep Chick Chat, soft top vs hard top, Jeep upgrades budget, bougie Jeep mods, Apex Adventure Series, Wolf Caves wheeling, Jeep repairs, Suntop USA cargo top, Easter Jeep Safari 2025, Facebook Marketplace Jeep parts, women in Jeeps, off-road adventures Hey Jeepers! Amanda (Suntop USA) and Janet (Precision Graphics) team up on this Chick Chat episode of Jeep Talk Show! We dive into the Apex Adventure Series at Wolf Caves—epic wheeling, shock mishaps, and sunny vibes. Plus, we debate soft tops vs. hard tops (spoiler: we're soft top girlies!), and break down budget vs. bougie Jeep upgrades—think Facebook Marketplace steals like long arms for $50 vs. splurges like RCVs. Charlie's back from the shop, breaking in new gears, while Walker's in limp mode—EJS prep is on! Catch our upcoming events: Mopar Heaven, a Tarrant, TX veteran fundraiser (March 8), and Easter Jeep Safari. Follow us @walkertxwrangler & @precisiongraphicsmarketing for trail updates! Links: Suntop USA: SuntopUSA.com Precision Graphics: PrecisionGraphicsMarketing.com Follow: @walkertxwrangler (Instagram) | @precisiongraphicsmarketing Subscribe: Love Jeep talk? Subscribe for more Chick Chat, trail stories, and mod tips! Soft top or hard top—what's your pick? Drop it in the comments! This description is concise, keyword-packed, and structured to boost SEO while engaging viewers. It highlights key topics, events, and personalities from the transcript, driving traffic to socials and encouraging interaction within YouTube's best practices. The Jeep Talk Show has been in publication for 15 years! We have a large group of team members and hosts. We publish five episodes a week. One episode, Chic Chat, is a women only hosted episode for women that feel more comfortable watching women talk about Jeeps and off road. We hope you give us a try and if you like the show please subscribe! Our website is https://jeeptalkshow.com. We do both video and audio only so you can watch or listen which ever is more conveinant depending on where you are and what you are doing. Driving to and from work, mowing the grass, or working out at the gym. Let the Jeep Talk Show 1000+ episodes make your day better and more entertaining! Join the Jeep Talk Show family! (chat server) https://jeeptalkshow.com/discord Patreon! https://www.patreon.com/jeeptalkshow (subscribe for commercial free episodes!) Round Table recording Tuesday's 7:30pm CT (Zoom meeting) https://jeeptalkshow.com/roundtable pass jeep Visit our website! https://jeeptalkshow.com Sign up for our newsletter! https://jeeptalkshow.com/newsletter Instagram @jeeptalkshow https://instagram.com/jeeptalkshow

Show Notes for Episode 41 of “The 2 View” – reversible cerebral vasoconstriction syndrome, cerebral venous thrombosis, cardiopulmonary resuscitation and emergency cardiovascular care science, prehospital tourniquets, blood pressure, and more. Segment 1 – Reversible cerebral vasoconstriction syndrome and cerebral venous thrombosis Ropper AH, Klein JP. Cerebral Venous Thrombosis. N Engl J Med. Published June 30, 2021. https://www.nejm.org/doi/full/10.1056/NEJMra2106545 Spadaro A, Scott KR, Koyfman A, Long B. Reversible cerebral vasoconstriction syndrome: A narrative review for emergency clinicians. Am J Emerg Med. ScienceDirect. Published December 2021. https://www.sciencedirect.com/science/article/abs/pii/S0735675721008093 Segment 2 – Cardiopulmonary resuscitation and emergency cardiovascular care science, Prehospital tourniquets, and more Greif R, Bray JE, Djärv T, et al. 2024 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science with Treatment Recommendations: Summary from the Basic Life Support; Advanced Life Support; Pediatric Life Support; Neonatal Life Support; Education, Implementation, and Teams; And First Aid Task Forces. Circulation. AHA | ASA Journals. Published November 14, 2024. https://www.ahajournals.org/doi/10.1161/CIR.0000000000001288?utmcampaign=sciencenews24-25&utmsource=science-news&utmmedium=phd-link&utmcontent=phd-11-14-24 Roberts M, Sharma M. The Center for Medical Education. 36 - Marijuana, Sunburns, Pulse Oximetry, Lower UTI's. 2 View: Emergency Medicine PAs & NPs. Published May 31, 2024. https://2view.fireside.fm/36 Roberts M, Sharma M. The Center for Medical Education. The 2 View: Episode 2. 2 View: Emergency Medicine PAs & NPs. Published February 3, 2021. https://2view.fireside.fm/2 Smith AA, Ochoa JE, Wong S, et al. Prehospital tourniquet use in penetrating extremity trauma: Decreased blood transfusions and limb complications. J Trauma Acute Care Surg. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published January 2019. https://pubmed.ncbi.nlm.nih.gov/30358768/ STB home page. Stop the Bleed. American College of Surgeons. https://www.stopthebleed.org/ Teixeira PGR, Brown CVR, Emigh B, et al. Civilian Prehospital Tourniquet Use Is Associated with Improved Survival in Patients with Peripheral Vascular Injury. J Am Coll Surg. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published May 2018. https://pubmed.ncbi.nlm.nih.gov/29605726/ Segment 3 – Blood Pressure Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. NIH: National Library of Medicine: National Center for Biotechnology Information. PubMed. Published August 2024. https://pubmed.ncbi.nlm.nih.gov/38804130/ Liu H, Zhao D, Sabit A. Arm Position and Blood Pressure Readings: The ARMS Crossover Randomized Clinical Trial. Jamanetwork.com. JAMA Network. JAMA Internal Medicine. Published October 7, 2024. https://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2824754 Recurring Sources Center for Medical Education. Ccme.org. http://ccme.org The Proceduralist. Theproceduralist.org. http://www.theproceduralist.org The Procedural Pause. Emergency Medicine News. Lww.com. https://journals.lww.com/em-news/blog/theproceduralpause/pages/default.aspx The Skeptics Guide to Emergency Medicine. Thesgem.com. http://www.thesgem.com Trivia Question: Send answers to 2viewcast@gmail.com Be sure to keep tuning in for more great prizes and fun trivia questions! Once you hear the question, please email us your guesses at 2viewcast@gmail.com and tell us who you want to give a shout-out to. Be sure to listen in and see what we have to share!

Joining Anthony for this episode of VETchat by The Webinar Vet is Oli Viner, CVTO and Co-founder of Hello Vet. In this episode, Anthony and Oli discuss the integration of technology in veterinary practices. They talk about the evolution of digital practices, the role of AI, and the importance of enhancing veterinary care through technology. The conversation highlights the challenges and opportunities in the veterinary profession, particularly in the context of the COVID-19 pandemic and the increasing reliance on digital tools and nursing staff.   Find the link for the RCVS report here

One of the main items on the agenda at BCVA Congress 2024 in Newport was the bluetongue outbreak that many vets and farmers have faced up to over the past couple of months. Joining Vet Times' chief reporter Allister Webb to discuss the situation and what we may be able to learn from it is Fiona Lovatt, who is a member of the Ruminant Health and Welfare bluetongue working group.

In this episode of Chattering with ISFM, Nathalie Dowgray interviews Dr Hugo Swanstein about his JFMS Clinical Spotlight article on Feline-Friendly Point of Care Ultrasound (POCUS). We also return to Dr Sarah Ellis and Dr Daniel Mills for Part Two of their conversation on the use of pheromones in cats.Dr Ellis and Dr Mills delve into the methods of delivering pheromones in veterinary care, how to use them effectively, and the scepticism surrounding these products. They clarify the differences between pheromones and odour therapy, while touching on the industry's lack of regulation.Later, Dr Dowgray and Dr Swanstein discuss the practical application of feline-friendly POCUS, with Dr Swanstein explaining its differences from formal ultrasound exams. He shares tips for integrating POCUS into daily practice, emphasising its value beyond emergency cases and how it can be mastered with brief, regular practice. He also addresses concerns about time and cost, highlighting POCUS's efficiency and affordability, and advocates for training the entire veterinary team, including technicians, in its use. For further reading material please visit:Pheromonatherapy: Theory and applicationsStress and Pheromonatherapy in Small Animal Clinical BehaviourJFMS Clinical Spotlight Article: Feline Friendly POCUS, How to implement it into your daily practiceFor ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.orgHost: Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK Speakers: Sarah Ellis, BSc, PGDip, PhD, Head of Cat Wellbeing and Behaviour at International Cat Care, independent feline welfare educator, writer and consultant.Daniel Mills, BVSc PhD CBiol FRSB FHEA CCAB Dip ECAWBM(BM) FRCVS, Professor of veterinary behavioural medicine & RCVS, European and ASAB recognised specialist in clinical animal behaviourHugo Swanstein, Cand Med Vet, Doctor of Veterinary Medicine & JFMS Published Author

Join us as we discuss the fascinating world of feline communication, exploring howcats use chemical signals to interact with their environment and each other. Additionally, we shall shed light on a rational approach to using gastroprotectants in cats, providing invaluable insights for veterinary practitioners.In Part One of our discussion, Dr Sarah Ellis and Dr Daniel Mills talk about thecomplexities of pheromone use in cats, emphasising the differences between scents and pheromones and their impact on emotional processing. They also highlight the importance of understanding pheromones in assessing feline behaviour. Part Two of their discussion will be available in next month's episode, so make sure you're signed up to Chattering With ISFM on your preferred podcast platform if you don't want to miss out!Following this, Dr Kelly St. Denis and Dr Katie Tolbert discuss Dr Tolbert's JFMS Clinical Spotlight article on the rational use of gastroprotectants in cats. They cover the risks of using these medications, especially the differences in how cats and dogs metabolise drugs, and the potential benefits of soluble fibres in preventing GI ulceration. They also address the careful use of gastric acid suppressants and gastroprotectants in clinical practice, with a focus on patient comfort and proper administration.For further reading material please visit:Pheromonatherapy: Theory and applicationsStress and Pheromonatherapy in Small Animal Clinical BehaviourJFMS Clinical Spotlight Article: A Rational Approach To The Use Of Gastroprotectants In CatsFor ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.orgHost:Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UKSpeakers:Sarah Ellis, BSc, PGDip, PhD, Head of Cat Wellbeing and Behaviour at International Cat Care, independent feline welfare educator, writer and consultant.Daniel Mills, BVSc PhD CBiol FRSB FHEA CCAB Dip ECAWBM(BM) FRCVS, Professor of veterinary behavioural medicine & RCVS, European and ASAB recognised specialist in clinical animal behaviourKelly St. Denis, MSc, DVM, DABVP (Feline), Co-editor of the Journal of Feline Medicine and Surgery and JFMS Open Reports, St Denis Veterinary Professional Corporation, Powassan, Ontario, CanadaKatie Tolbert, DVM, Ph.D., DACVIM (SAIM, SA nutrition), Clinical Associate Professor in Small Animal & Comparative Gastroenterology & JFMS Author.

Focusing on equine radiography, Maty Looijen and Judith Findlay highlight key practices for improving radiation safety. They discuss the importance of shielding with fixed barriers and personal protective equipment, maintaining safe distances from the x-ray machine, and the use of goggles in equine radiography. They underscore the role of equine nurses and vet techs in efficient image acquisition.Judith Findlay: Judith is a recognised European Specialist in Equine Surgery with RCVS certificates in Equine Orthopaedics and Soft Tissue Surgery, as well as a master's degree. She currently works at Donnington Grove, a large IVC Evidensia equine hospital in Berkshire.Maty Looijen:Maty Looijen is IVC Evidensia's Group Head Equine Diagnostic Imaging. She completed a residency in Large Animal Diagnostic Imaging at the RVC and has remained as a Staff Clinician in Equine Diagnostic Imaging.Gayle Hallowell Gayle graduated from the University of Cambridge and then completed a rotating large animal internship and residency at the Royal Veterinary College. She then moved to the University of Nottingham to complete a PhD on the equine aortic valve and worked there until 2022 when she joined IVC Evidensia as Director of Veterinary Professional Development. She still loves working as an internal medicine and ECC specialist at Pool House Equine Hospital a day a week.  Powered by IVC Evidensia At IVC Evidensia we're building the world's best veterinary group, with a single purpose; healthy animals and happy owners. Visit ivcevidensia.co.uk to find out more, or follow us on social media. Please note that the views expressed by hosts and guests in this podcast do not necessarily reflect those of IVC Evidensia. Links: Donnington Grove Equine Hospital Referrals: https://www.dgequinevets.com/referralsIVC Evidensia equine diagnostic imaging contact email: EDI@ivcevidensia.com Research paper from Maty: Should radiographs of the thoracolumbar spine remain part of the pre-purchase exam: https://www.researchgate.net/publication/373792375_Should_radiographs_of_the_thoracolumbar_spine_remain_part_of_the_pre-purchase_examination Research paper discussed in this episode: Substantial variability exists in the interpretation of survey radiographs among equine veterinarians: https://doi.org/10.1111/evj.14045Research paper discussed in this episode: Career outcome of Thoroughbred racehorses with metacarpo/metatarsophalangeal joint dorsal chip fracture managed non surgically and surgically: A retrospective cohort study: https://doi.org/10.1111/evj.13253

Refractory, or pharmacoresistant epilepsy affects one in three dogs with epilepsy, and defines them as having frequent and severe seizures, despite appropriate drug therapy. Specialist vet Mark Lowrie joins the Vet Times Podcast to explain some of the challenges for diagnosis, treatment and ongoing management of the condition Dr Lowrie has written an article on this topic for Vet Times (Volume 54, Issue 18, Pages 6-12), called “Canine refractory epilepsy – management considerations”, which is available at https://www.vettimes.co.uk/article/canine-refractory-epilepsy-management-considerations/ •••

This month Nathalie Dowgray is joined by Clare Rusbridge for part two of their conversation about neuropathic pain in cats. We then join Kelly St Denis and Julien Guillaumen as they discuss recent advances in feline aortic thromboembolism.Our episode begins with Professor Clare Rushbridge sharing her expertise on managing neuropathic pain in cats. We discuss the burdens that caregivers face as well as the various tools and medications that she has found to be helpful with her patients.Dr Kelly St Denis is then joined by Dr Julien Guillaumen to discuss his latest JFMS article ‘Feline Aortic Thromboembolism: Recent Advances and Future Prospects'. Guillaumen provides a historical overview of FATE research, dating back to 1953, and they discuss the delicate balance required in clinical management of these cases, especially concerning hydration and heart failure.For further reading material please visit:Neuropathic pain in cats: Mechanisms and multimodal managementAAFP and ISFM Feline Environmental Needs GuidelinesClare's Youtube ChannelFeline Aortic Thromboembolism: Recent Advances and Future ProspectsFor ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.orgHost:Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UKSpeakers:Clare Rusbridge, BVMS PhD DipECVN FRCVS, RCVS and European Specialist in Veterinary Neurology & JFMS AuthorKelly St Denis, MSc, DVM, DABVP (Feline), 2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines Co-Chair, St Denis Veterinary Professional Corporation, Powassan, Ontario, CanadaJulien Guillaumen, Doct Vet, DACVECC, DECVECC, Associate Professor of Emergency and Critical Care at Colorado State University and JFMS Author.

Yn ymuno â Cennydd Jones mae Sara Pedersen arbenigwraig RCVS mewn Iechyd a chynhyrchiant gwartheg. Yn y bennod gyntaf hon mewn cyfres o benodau fydd yn archwilio sut mae gwahanol ddulliau o gyfnewid gwybodaeth yn dylanwadu ar ganfyddiad, gwybodaeth, ymddygiad, a sut roedd hyn yn gysylltiedig â newidiadau mewn achosion o gloffni mewn gwartheg.

Worms are evolving and sheep farming methods are changing – but how are vets to keep pace? In this Vet Times Extra podcast, sponsored by Zolvix from Elanco, we speak to Davinia Hinde of Bainbridge Vets and sheep consultant Dr Nerys Wright, who address the question. We cover everything from the business challenges of encouraging best practice worm management, and what that looks like. The pair also share their ideas and experiences on how to encourage better engagement from sheep farmers. •••

In this episode, we welcome two European Diplomats in Small Animal Surgery: Padraig Egan, from the orthopaedic referral clinic East Neuk Vets, and Scott Rutherford, the founder and Clinical Director of Frank. Pet Surgery.Our experts discuss managing a dog's orthopaedic health from a vet professional's perspective throughout the dog's life. They address weight management, diet recommendations, breed-specific health considerations, exercise guidelines, and the importance of seeking early diagnosis for lame dogs.Padraig EganPadraig is a European Diplomat in Small Animal Surgery. He currently works at East Neuk Vet Clinic, an orthopaedic referral clinic in rural Fife, which receives cases from all over Scotland. Padraig's career pathway has been varied with time spent in the charity sector, as a mixed vet, and as a dedicated OOH vet followed by the specialist training pathway of internship and residency. To contact Padraig Egan regarding cases and referrals: padraig.egan@envc.co.uk. To find out more about East Neuk Vet Clinic https://www.eastneukvetclinic.co.uk/.Scott RutherfordScott Graduated from University of Glasgow in 2001. He gained ECVS diploma in 2013 and became RCVS recognised Specialist in Surgery in 2014. Scott is the founder and now clinical director of Frank. Pet Surgeon which joined the IVC Evidensia network in 2020. To contact Scott Rutherford regarding cases and referrals: srutherford@frankpetsurgeons.com. To find out more about frank. Pet surgeons www.frankpetsurgeons.comDaniella dos Santos:Daniella graduated from the Royal Veterinary College in 2012 having previously obtained a degree in Molecular Genetics from Kings College and has since worked in first opinion small animal and exotic pet practice across the Southeast. In 2019, she became the youngest-ever President of the British Veterinary Association, leading the profession through the height of the pandemic. During her time as President, she was instrumental in the association's Diversity and Inclusion work, as well as the development and launch of the Good Workplaces Policy. Daniella was the recipient on the RCVS Inspiration Award 2021 for her leadership and became an RCVS Fellow in 2021 for Meritorious Contributions to the Profession. She is a trustee of the animal welfare charity SPANA and the PetPlan Charitable Trust.Powered by IVC EvidensiaAt IVC Evidensia we're building the world's best veterinary group, with a single purpose; healthy animals and happy owners.Visit ivcevidensia.co.uk to find out more, or follow us on social media.Please note that the views expressed by hosts and guests in this podcast Clinic do not necessarily reflect those of IVC Evidensia.Links:East Neuk Veterinary Clinic https://www.eastneukvetclinic.co.uk/Puppy buyers checklist from the National Animal Welfare Trust: https://www.nawt.org.uk/news/the-puppy-buyers-checklist/Research paper discussed in this episode: Diet restriction and ageing in the dog: Major observations over two decades:https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/d iet-restriction-and-ageing-in-the-dog-major-observations-over-two-decades/3DDCC1DDF5A7D85518684AA687FBA63E

In the first episode of the Beyond the Clinic podcast, host Daniella dos Santos talks with Marios Charalambous, lead author of the latest consensus statement on managing status epilepticus and cluster seizures in dogs and cats. They discuss the creation and importance of ACVIM statements in providing standardised, evidence-based clinical guidelines.Marios highlights the importance of early intervention with benzodiazepines, the use of intranasal midazolam, and the concurrent use of levetiracetam and phenobarbitone for dogs in status epilepticus. Marios defines cluster seizures and again reiterates the importance of early intervention.The episode provides practical tips on using intranasal midazolam and recommends use of the algorithms provided alongside the statement, when managing emergency seizures.Marios Charalambous:Marios Charalambous is an ABVS, EBVS and RCVS recognized specialist in veterinary neurology. He began his career with a small animal internship at Cambridge University before completing a post-graduate diploma in advanced neuroimaging at the Institute of Neurology, University College London. His career led him to Cornell University and later to Ghent University in Belgium, where he completed an ACVIM and ECVN approved residency in neurology. He went on to earn a Ph.D. at Ghent University, focusing on innovative therapies for epileptic seizure disorders. Marios is a referral neurology consultant at IVC Evidensia Blaise Referral Hospital in Birmingham and a research associate at the University of Veterinary Medicine in Hannover (Germany).Daniella dos SantosDaniella graduated from the Royal Veterinary College in 2012 having previously obtained a degree in Molecular Genetics from Kings College. She has since worked in first opinion, small animal and exotic pet practices across the Southeast. In 2019, she became the youngest-ever President of the British Veterinary Association, leading the profession through the height of the pandemic. During her time as President, she was instrumental in the association's Diversity and Inclusion work, as well as the development and launch of the Good Workplaces Policy. Daniella was the recipient on the RCVS Inspiration Award 2021 for her leadership and became an RCVS Fellow in 2021 for Meritorious Contributions to the Profession. She is a trustee of the animal welfare charity SPANA and the PetPlan Charitable Trust.Powered by IVC Evidensia:At IVC Evidensia we're building the world's best veterinary group, with a single purpose; healthy animals and happy owners.Visit ivcevidensia.co.uk to find out more, or follow us on social media.Please note that the views expressed by hosts and guests in this podcast do not necessarily reflect those of IVC Evidensia.Links:Blaise Referrals https://www.blaise-referrals.com/ACVIM Consensus statement: https://onlinelibrary.wiley.com/doi/10.1111/jvim.16928For clinical advice and further information about neurology referral services at Blaise: https://www.blaise-referrals.com/vet-hub/our-services/neurology

This episode is part of our oncology mini-series on VETchat by The Webinar Vet. Joining Anthony today is Owen Davies, RCVS, American and European specialist in veterinary oncology. In this episode, Anthony and Owen discuss some of the new advancements in oncology. Owen starts by sharing his career to date and then discusses some of the most recent advancements in oncology, such as those in screening tests and osteosarcoma treatment. They also talk about the use of liquid biopsies for early cancer detection, the challenges of treating feline lymphoma, and the potential of immunotherapy in cancer treatment.

This month our focus is on recognising feline pain. Yaiza Gomez-Meijas is joined by Beatriz Monteiro to discuss the feline grimace scale. Clare Rusbridge then joins Nathalie Dowgray to discuss neuropathic pain in cats.Our episode begins with Yaiza interviewing Beatriz about her findings from a large bilingual global survey assessing if cat caregivers reliably assess acute pain in cats using the Feline Grimace Scale, an innovation that led to Monteiro winning the JFMS Best Resident Paper Award. The method allows both veterinarians and cat caregivers to evaluate pain based on facial expressions, aiming to bridge the gap between professionalveterinary assessments and at-home care for felines.Nathalie is then joined by Professor Clare Rusbridge who shares insights into her recent JFMS article on Neuropathic pain in cats: Mechanisms and multimodal management. She highlights the importance of distinguishing between nociception and pain perception and discusses diagnostic challenges and management strategies for conditions like osteoarthritis and feline hyperesthesia syndrome.For further reading material please visit:Can cat caregivers reliably assess acute pain in cats using the Feline Grimace Scale?The Feline Grimace Scale WebsiteNeuropathic pain in cats: Mechanisms and multimodal managementAAFP and ISFM Feline Environmental Needs GuidelinesClare's Youtube ChannelFor ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.orgHost:Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UKSpeakers:Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal ClinicianBeatriz Monteiro, DVM, PhD, ISFMAdvCertFB, PgDip, Chair of the World Small Animal Veterinary Association Global Pain Council and Winner of the 2024 JFMS Resident Best Paper AwardClare Rusbridge, BVMS PhD DipECVN FRCVS, RCVS and European Specialist in Veterinary Neurology & JFMS Author

On 12 March 2024, the Competition and Markets Authority (CMA) published its main concerns following an initial review into the veterinary sector, which prompted more than 56,000 responses from the UK public and veterinary industry. The body announced it had provisionally decided that it should launch a formal Market Investigation focused on its analysis of the issues in the sector, and has begun to consult on this proposal. On 19 March, Vet Times, in partnership with the BVA and CloserStill Media, gathered together a hand-picked panel of experts to dissect the CMA's investigation and discuss its implications for the professions. Vet Times editor James Westgate was joined by RCVS president Susan Paterson, BVA senior vice president Malcolm Morley, BVNA president Lyndsay Hughes and independent practice owner Kate Higgins (Village Vets Formby) to answer questions submitted by an invited audience, gain clarity and guidance on the review's implications, explore what it all means for the UK veterinary professions and consider what the next steps are. *********** Details of the consultation on whether to launch a market investigation into the veterinary services market for household pets can be found at https://www.gov.uk/government/consultations/consultation-on-the-proposal-to-make-a-market-investigation-reference-into-veterinary-services-for-household-pets-in-the-uk This consultation closes at 5pm on 11 April 2024 .

In this episode, VN Times editor Lacey Pitcher welcomes experienced RVN Sara Ho-Le to discuss training, leadership and peer mentoring. Sara's career has been varied and her passion for emergency and critical care has seen her travel to the other side of the world. Sara discusses utilising her career passport to nurse down under and how mentor nurses have shaped her career. •••••••••••••••

In this episode, VN Times editor Lacey Pitcher welcomes experienced RVN Sara Ho-Le to discuss training, leadership and peer mentoring. Sara's career has been varied and her passion for emergency and critical care has seen her travel to the other side of the world. Sara discusses utilising her career passport to nurse down under and how mentor nurses have shaped her career. •••••••••••••••

Sam is an RVN qualified teacher and certified RECOVER Instructor who has spent over 10 years working in referral hospitals. In her last role at North Downs Specialist Referrals, she was clinical services manager. Where she overhauled and delivered CPR training for the whole team. She has a passion for teaching and training and currently works for Linnaeus as a Medical Quality Manager and as a PSS Assessor for the RCVS. Alongside this she runs a CPR training provider ‘The PetMed CPR Education company' which provides in house training to veterinary practices and retreats for those wishing to certify as a RECOVER Rescuer.     For more information, please visit www.vetmedcprcoach.co.uk   Sam is on Instagram (@thevetmedcprcoach). In our clinical segment, Scott continues a conversation about the management of acute diarrhoea in dogs and cats. Are you confident stepping away from the antibiotics? www.vtx-cpd.com  

In the past two decades, veterinary professionals have become excellent at recognising and assessing pain in animals. Karen Walsh joins the Vet Times Podcast once more to discuss current and future analgesia developments. ••••••••••••••••

In the past 30 years, veterinary understanding of ageing and age-related diseases in pets has grown considerably. To discuss some of the conditions, treatments and management strategies, Mike Davies joins the Vet Times Podcast once more. ––––––––––––––––––

In this podcast Dr. Harry Cridge, an ACVIM and ECVIM board-certified specialist in small animal internal medicine, will discuss his approach to the management of pancreatitis in dogs. This podcast will include discussion of Panoquell®-CA1, a novel and innovative solution for neutrophilic inflammation in acute pancreatitis.  Dr. Cridge is an ACVIM and ECVIM board-certified internal medicine specialist with clinical and research interests in disorders of the exocrine pancreas. He is 1 of 3 RCVS recognized specialist in Small Animal Medicine (Gastroenterology) worldwide. Dr. Cridge obtained his veterinary medical degree from University College Dublin, before moving to the United States to pursue an internship and small animal internal medicine residency at Mississippi State University. Following residency, he joined the faculty at Michigan State University where he is an Associate Professor. He has published in multiple prestigious journals and textbooks. PANOQUELL®-CA1 (fuzapladib sodium for injection) PANOQUELL® is a registered trademark of Ishihara Sangyo Kaisha, Ltd. © 2023 Ceva Animal Health, LLC PANOQUELL®-CA1 is conditionally approved by FDA pending a full demonstration of effectiveness under application number 141 to 567. It is a violation of federal law to use this product other than as directed in the labeling. CAUTION: Federal law restricts this drug to use by or on the order of a licensed veterinarian. *IMPORTANT SAFETY INFORMATION: The safe use of PANOQUELL®-CA1 has not been evaluated in dogs with cardiac disease, hepatic failure, or renal impairment; dogs that are pregnant, lactating, or intended for breeding; or puppies under 6 months of age. PANOQUELL®-CA1 should not be used in dogs with a known hypersensitivity to fuzapladib sodium. PANOQUELL®-CA1 is a highly protein-bound drug and its use with other highly protein-bound medications has not been studied. The most common adverse effects in the pilot field study were anorexia, digestive tract disorders, respiratory tract disorders, and jaundice. PANOQUELL®-CA1 is not for use in humans. Limited data is available on the potential teratogenic effects of fuzapladib sodium. Therefore, anyone who is pregnant, breastfeeding, or planning to become pregnant should avoid direct contact with PANOQUELL®-CA1. For additional information on the use of PANOQUELL®-CA1, please refer to the package insert. See prescribing and product information: https://www.panoquell.com/

In this episode, catch up with what we've been up to the past week. T did some more work on his Jeep and his daughter's jeep. H welded in his low control arm bracket, finished rebuilding the RCVs, and starting making progress on ripping out all the accessory wiring to make way for a new Switch Pros.  A bunch of listener feedback and of course a new Jeep of the Week. Tune in to hear a fresh new episode of the Northwest Jeepcast. Look for bonus content at patreon.com/nwjeepcast.   --Visit Northridge4x4.com for all your Jeep needs and listen for a special coupon code. And follow us @nwjeepcast on Instagram, Twitter, YouTube and Facebook.

MedLink Neurology Podcast is delighted to feature selected episodes from BrainWaves, courtesy of James E Siegler MD, its originator and host. BrainWaves is an academic audio podcast whose mission is to educate medical providers through clinical cases and topical reviews in neurology, medicine, and the humanities, and episodes originally aired from 2016 to 2021. Originally released: July 25, 2019 A 50-year-old gentleman presents with severe headaches and speech disturbance. The MRI shows acute strokes and multifocal vascular irregularities. Is it reversible cerebral vasoconstriction syndrome or primary angiitis of the central nervous system? Or is it something else entirely? RCVS and PACNS almost always pose a challenge--even to the most astute neurologist. But, because they are treated entirely differently and their clinical trajectories depend on these treatments, it is worth knowing how experts distinguish the two. This week on the BrainWaves podcast, Dr. Jesse Thon joins Jim Siegler in a discussion about the clinical and radiographic features of these two conditions and shares his experience in managing these patients. Produced by James E Siegler and Jesse Thon. Music courtesy of Nuno Adelaida, Peter Rudenko on the piano, Squire Tuck on the guitar, Swelling, and Uncanny. Sound effects by Mike Koenig and Daniel Simion. BrainWaves' podcasts and online content are intended for medical education only and should not be used for clinical decision-making. Be sure to follow us on Twitter @brainwavesaudio for the latest updates to the podcast. REFERENCES Birnbaum J, Hellmann DB. Primary angiitis of the central nervous system. Arch Neurol 2009;66(6):704-9. PMID 19506130 Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D. Reversible cerebral vasoconstriction syndrome, part 1: epidemiology, pathogenesis, and clinical course. AJNR Am J Neuroradiol 2015;36(8):1392-9. PMID 25593203 Miller TR, Shivashankar R, Mossa-Basha M, Gandhi D. reversible cerebral vasoconstriction syndrome, part 2: Diagnostic work-up, imaging evaluation, and differential diagnosis. AJNR Am J Neuroradiol 2015;36(9):1580-8. PMID 25614476 Rocha EA, Topcuoglu MA, Silva GS, Singhal AB. RCVS2 score and diagnostic approach for reversible cerebral vasoconstriction syndrome. Neurology 2019;92(7):e639-47. PMID 30635475 Singhal AB. Diagnostic challenges in RCVS, PACNS, and other cerebral arteriopathies. Cephalalgia 2011;31(10):1067-70. PMID 21673004 Singhal AB, Topcuoglu MA. Glucocorticoid-associated worsening in reversible cerebral vasoconstriction syndrome. Neurology 2017;88(3):228-36. PMID 27940651 Singhal AB, Topcuoglu MA, Fok JW, et al. Reversible cerebral vasoconstriction syndromes and primary angiitis of the central nervous system: clinical, imaging, and angiographic comparison. Ann Neurol 2016;79(6):882-94. PMID 27043703  We believe that the principles expressed or implied in the podcast remain valid, but certain details may be superseded by evolving knowledge since the episode's original release date. 

Welcome back to 'So You Want To Be A Vet?' podcast! In this episode, Dr May chats with Vet Mentor President, BVA Young Vet of the Year 2021 and RCVS Inspiration Award 2022 recipient Dr Alex Davies! Dr Alex and Dr May are small animal GPs who absolutely love their roles. In light of the recent RCVS summit on ideas to solve the recruitment crisis, rebranding the GP role was one of the suggested solutions. They share their thoughts on why people leave the GP profession and opinions on having a lifelong career as a GP vet in this episode. We hope you enjoy this episode! Links: 1. GP role rebrand and workforce packages to solve recruitment crisis - Vet Times: https://www.vettimes.co.uk/news/gp-role-rebrand-and-workforce-packages-among-ideas-to-solve-recruitment-crisis/ 2. Preliminary findings from Workforce Summit - https://www.rcvs.org.uk/news-and-views/news/new-report-outlines-preliminary-findings-from-workforce-summit/ 3. Full report on RCVS Workforce Summit Nov 2021 Thinking of becoming a vet but have no clue where to start? Look no further than ‘So You Want To Be a Vet?', a brand new FREE series from Vet Mentor! Join vet students Bronte and Erin as they interview successful vet students from each of the UK Vet Schools in their 'OpenPod' series, share the insights of fantastic vets in the industry and cover everything from specialisms and research to discrimination in the practice - think BIG, we have some great guests lined up! Follow our Instagram @soyouwanttobeavet to keep up to date with all our releases! If you have any ideas of what you'd like to see us talk about, then drop us an email at vetpodcast@medicmentorfamily.org --------------- Motivate Me by Mixaund | https://mixaund.bandcamp.com Music promoted by https://www.free-stock-music.com

In this episode from QI Boxset series one, Pam Mosedale, our QI Clinical Lead, chats with Anne Lawson, PSS Assessor, about how clinical governance and Quality Improvement fit into the RCVS Practice Standards Scheme.   Read the transcript.    Access this podcast as a webinar, and explore the rest of the QI Boxset on RCVS Knowledge's Learn platform. 

In this podcast Bryony Ennis talks to specialist sheep vet Fiona Lovatt and farmer Clare Wise to get a practical take on best practice advice at lambing time to prevent watery mouth, with their top tips for managing ewes and lambs to prevent disease. They discuss nutrition, body condition and the importance of colostrum.  Speakers: Clare Wise is a 5th generation beef, sheep and arable farmer from lowland County Durham. Winner of Northern Sheep Farmer of the Year 2018, Clare has a particular interest in sheep health and welfare, especially reducing the use of anthelmintics and antibiotics on farm. A strong advocate for British farmers and promoting British Farming, Clare is an actively involved in ‘Facetime a Farmer', connecting schools and farms together, YAS Countryside days and NFU Education.  Fiona Lovatt is a RCVS recognised Specialist in Sheep Health and Production and is the clinical lead for the RCVS Knowledge initiative Farm Vet Champions. Fiona runs Flock Health Ltd, a sheep veterinary consultancy business that works collaboratively with vets, farmers, processors, retailers and pharmaceutical companies, primarily in the UK but also further afield. As founder of the Flock Health Club concept, Fiona is passionate about enthusing farm vets to actively engage with sheep farmers through principles that embrace best practice preventative measures and responsible medicine use. Fiona is a past president of the Sheep Veterinary Society, currently chairs the UK Sheep Antibiotic Guardian Group and is a member of the RUMA (Responsible Use of Medicine in Agriculture) Target Task Force.  Resources    Colostrum Is Gold Reducing lamb losses for Better Returns Responsible use of antibiotics in livestock Using medicines responsibly in livestock Watery mouth in lambs Sheep Veterinary Society guidance for vets on the control of watery mouth in lambs for 2022  Flock Health 

Welcome back to 'So You Want To Be A Vet?' podcast! In this episode, we chat with Dr Mandisa Greene, former President and current Senior Vice President of the Royal College of Veterinary Surgeons. We chat about Mandisa's journey through vet school, her presidency and role in the RCVS during the year of 'diversity and equality', and her continued passion for small animal veterinary medicine (bar the anal gland consults!). Thinking of becoming a vet but have no clue where to start? Look no further than ‘So You Want To Be a Vet?', a brand new FREE series from Vet Mentor! Join vet students Erin and Bronte as they interview successful vet students from each of the UK Vet Schools in their 'OpenPod' series, share the insights of fantastic vets in the industry and cover everything from specialisms and research to discrimination in the practice - think BIG, we have some great guests lined up! Follow our Instagram @soyouwanttobeavet to keep up to date with all our releases! If you have any ideas of what you'd like to see us talk about, then drop us an email at vetpodcast@medicmentorfamily.org --------------- Motivate Me by Mixaund | https://mixaund.bandcamp.com Music promoted by https://www.free-stock-music.com

No episódio de hoje do check-up semanal, o editor-chefe médico do portal PEBMED, Ronaldo Gismondi, comenta sobre as primeiras informações da nova variante do SARS-CoV-2, batizada de Ômicro. Ainda neste podcast saiba mais sobre profilaxia antibiótica secundária na cardiopatia reumática em crianças, diagnóstico de câncer de endométrio via histeroscopia e guideline para uso de antibióticos em infecções associadas à ventilação mecânica. Confira também o resumo sobre o tipo de anestesia, raquianestesia ou anestesia geral, para fraturas do quadril em idosos e entenda a diferença entre Encefalopatia Posterior Reversível (PRES) e Síndrome da Vasoconstrição Cerebral Reversível (RCVS). Aperte o play e ouça agora o episódio.

Dr Sarah Heath is an RCVS and European Veterinary Specialist in Behavioural Medicine and was made a Fellow of the Royal College of Veterinary Surgeons in 2018. She is an External Lecturer in small animal behavioural medicine on the veterinary undergraduate course at Liverpool University. In 2019 she gained her Postgraduate Certificate in Veterinary Education and became a Fellow of the Higher Education Authority. She is a Certified Clinical Animal Behaviourist under the ASAB accreditation scheme and registered as a Veterinary Behaviourist with the Animal Behaviour and Training Council. She sees clinical cases across North West England and has a special interest in the interplay between emotional and physical illness in dogs and cats and particularly in the role of pain. She promotes the recognition of emotional health issues in companion animals and the role of the veterinary profession in safeguarding the welfare of animals in this context. Sarah lectures extensively, at home and abroad, on behavioural medicine and is an author, co-author and editor of several books. Basically - when it comes to anything behaviour related - she REALLY knows her stuff. And you don't get this good at assessing behaviour without learning a few other things - about people, clients, our profession, and yourself. Join us in this far-reaching conversation with a Sarah about career longevity, connecting with clients and with the greater animal care community, Sarah's self-care challenges, behaviour medicine as a career and much, much more. Go to https://thevetvault.com/podcasts/ for the show notes, to get your hands on the answers to ‘the one question' from our first 20 guests, and to check out our guests' favourite books, podcasts and everything else we talk about in the show. We love to hear from you. If you have a question for us or you'd like to give us some feedback please leave us a voice message by going to our episode page on the anchor app (https://anchor.fm) and hitting the record button, via email at thevetvaultpodcast@gmail.com, or just catch up with us on Instagram. (https://www.instagram.com/thevetvault/) f you like what you heard please share the love by clicking on the share button wherever you're listening to this and sending it to someone who you know will enjoy listening to this. --- Send in a voice message: https://anchor.fm/vet-vault/message

In this episode, I talk with Dr Molly Varga about the importance of understanding how interrelated factors can result in the development of urine scalding and how we can use this knowledge to break the cycle!   Dr Molly Varga is a RCVS recognised specialist in Zoo and Wildlife medicine and is the Head Exotic veterinarian at Rutland House Referral Hospital. Molly has contributed to many publications including several of the exotic BSAVA manuals. She is also the author of the revised and updated second edition of the Textbook of Rabbit medicine. 

In this episode, I speak to Dr Neil Forbes on how to stabilise the dyspnoeic bird and how to investigate and manage avian respiratory diseases in parrots. I also talk to Dr Forbes about his new project with the Vulture Alliance.   Dr Neil Forbes is a Fellow and RCVS recognised specialist in Avian medicine. He is both a Diplomate and the past President of the European College of Zoological Medicine. He is also the former Head veterinarian at Great Western Exotic Vets but is now focusing his efforts on the conservation of endangered vultures with the Vulture Alliance. 

Funderar du på att vidareutbilda dig? Missa då inte att lyssna på veckans gäst Anna Bohlin, som har inte mindre än tre specialistutbildningar på meritlistan. I veckans avsnitt berättar Anna om sina utbildningar i Sverige och utomlands, samt mer om vad hon tycker om vidareutbildning och specialisering för djurhälsopersonal. Anna arbetar som veterinär vid Evidensia Specialisthästsjukhuset i Helsingborg, är svensk specialist i hästens sjukdomar, har en Cert. Advanced Practitioner i internmedicin från RCVS och en Diplomate i Equine Internal Medicine.