The Derm Vet Podcast

Topical therapy is so important in the management of long-term dermatologic disease. Whether it is maintenance for skin barrier dysfunction or to control an active infection, we know it can make a huge difference in our success. However, it can be a big hassle for pet owners to implement. So, how do you convince owners to use the shampoo you sent home. 

Do you ask the right questions? 
Do you provide the right education?

Learn six tips that will help you convince pet owners to bathe, wipe and spray on this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
Client Communication Is Important 01:02
Look At The History 02:52
Ask What Formulations Have Worked 05:56
What Frequencies Have Worked In The Past 09:38
Ask Pet Owners About Location 11:04
Explain Why Topicals Are Important 14:28
Know The Ingredients Of The Topicals Your Using 17:40
Outro 19:04

Chronic otitis can be a scary and frustrating disease to  manage. Ears can be painful to the pet and lead to irreversible changes like calcification. Learn some tips on how to be less fEARful at managing ear disease on this week's episode of The Derm Vet podcast!

Timestamps
Intro 00:00
First Tip On Managing Ears 01:40
Second Tip On Managing Ears 03:16
Third Tip On Managing Ears 06:49
Fourth Tip On Managing Ears 09:30
Fifth Tip On Managing Ears 10:58
Sixth Tip On Managing Ears 12:38
Outro 15:40

On this week's episode of the podcast, Dr. Alex Sigmund, DVM, DACVO joins for a fun conversation. As a board-certified veterinary ophthalmologist he gives his input regarding allergic conjunctivitis, periocular disease and more! You can find him on Instagram as @theveteyeguy. Enjoy this fun episode!

TIMESTAMPS
Intro 00:00
Common Ophthalmology Cases That Are Referred To Dermatologists 03:18
Periocular Dermatitis And Alopecia 08:56
The Rarity Of Pyogranulomatous Blepharitis 12:43
Experience With Uveodermatologic Syndrome 18:10
How Ophthalmologists Manage Allergic Conjunctivitis 23:00
Topical Steroids Need A Plan For Ocular Diseases 27:40
Dr. Sigmund's Thoughts On Traumatic Ulcers 34:33
Outro 41:09

With different dog breeds, we can see various phenotypes of allergic skin disease. With German Shepherd dogs, we can see a more ulcerative dermatitis when they get infected with their underlying allergies. Areas of the body such as ventral abdomen and paws tends to be particularly affected.

A different presentation of skin disease can lead to different medical management and we often need to focus on more broad spectrum inflammation control. Learn more about this and certain diseases seen predominantly in this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
l've Been Seeing A Lot Of German Shepherds 00:28
German Shepherds And Allergic Dermatitis 01:24
The Areas Of The Body Affected On German Shepherds 04:32
My Suggestions 07:26
Other Diseases We See In German Shepherds 12:10
Outro 14:36

On this episode of The Derm Vet podcast, I get to welcome Darragh O' Hanlon. He is an advanced veterinary practitioner in veterinary dermatology in Dublin, Ireland. You may know him as @thetopicalvet on Instagram. We have a great conversation about long-term allergy management and how to implement immunotherapy successfully in allergic patients.

Here some of the differences and similarities of managing pet allergies in Ireland and the United States!

Timestamps
Intro 00:00
Allergies In The US vs Ireleand 04:50
Allergies In Urban Environments 06:58
Seasonal Allergies In Ireland 08:26
Different Pollens In Ireland 12:26
Allergy Testing And Immunotherapy In Ireland 17:56
Darragh's Favorite Ways To Use Topicals 35:10
Outro 40:02

A preview of one of my lectures coming up this summer at the World Congress of Veterinary Dermatology (WCVD)... 

Managing dermatologic diseases can be frustrating and costly for pet owners due to the chronicity of diseases and ongoing treatment required for many patients. Secondary issues such as pyoderma and otitis are also common issues that can be recurrent and add to unexpected costs. There are many different aspects of management that can cost money such as pharmaceuticals, topicals, diagnostics, nutrition, parasiticides and supplements. 

How can dermatologists and general practitioners utilize appropriate tools to lessen the costs long-term for pet owners? Learn how to keep dermatology management CHEAPer by utilizing Cytology, History, Examination, Assessment and Plan. 

TIMESTAMPS
Intro 00:00
My New Lecture For WCVD10 00:28
How To Make Dermatology C.H.E.A.P. 01:56
C)ytology 04:00
H)istory 06:49
E)xamination 08:44
A)ssessment 11:18
P)lan 13:26
Outro 17:06

Color Dilution Alopecia (CDA) is a rare disease that affects dogs with dilute coat color (blue, fawn, etc.). This disease results from abnormal distribution of melanin granules and formation of macromelanosomes in the hair shaft. This weakens hair and causes them to break especially along the dorsum. Learn how to recognize this disease, useful diagnostics and treatment options on this week's episode of The Derm Vet podcast.

TIMESTAMPS
Intro 00:00
What Is Color-Dilution Alopecia? 01:06
Main Symptoms Of Color-Dilution Alopecia 02:02
The Tricky Part Of Color-Dilution Alopecia 02:43
The Disease Process 04:04
The Complications 07:19
Treatment Options 09:36
Educating Pet Owners 12:44
Outro 13:48

We all know that cats are tough with their skin management... so I invited my good friend and feline practitioner Dr. Gary Marshall to join the podcast to discuss this topic. 

What can you use in cats to manage itch? Is it appropriate to give steroid injections? How do you get a cat to take Atopica? What about flea control?

Learn the similarities and differences of how we treat these cat cases in this week's episode of The Derm Vet podcast!

TIMESTAMPS
Intro 00:00
Skin Disease In Cats 02:38
Other Things That Cause Hair Loss And Itching In Cats 07:05
Flea Bite Hypersensitivity In Cats 12:31
Tips For Diet Trials With Cats 17:36
Feline Atopic Skin Syndrome 22:55
Allergy Testing In Cats 32:33
What To Use For Cat Ear Infections 37:21
Outro 43:30

"Ideally, I would give no drugs at all to manage the allergies."

When owners tell you this, do you just assume it isn't possible. Of course, there are certain cases that are tough and require systemic medications to control their atopic dermatitis. However, there are options we have to manage these pets with less systemic drugs. From diagnosis to skin support to immunotherapy... learn the options you have to use less drugs for environmental allergies.

TIMESTAMPs
Intro 00:00
Getting The Diagnosis Correct 01:49
Different Ways To Help The Skin Barrier 05:35
Allergen Specific Immunotherapy 11:48
Outro 13:32

It is always fascinating to learn about veterinary medicine in different countries. There can be many similarities but a lot of differences as well. Today's podcast episode welcomes Dr. Galia Sheinberg, DLACVD to discuss her dermatology practice in Mexico City.  We talk about the differences in work flow for veterinary medicine between Mexico and USA. She also gives some insight in the Latin American College of Veterinary Dermatology and how it is growing and providing a broader scope of dermatology to Mexico, Central America, South American and beyond.

TIMESTAMPS
Intro 00:00
Dr. Sheinberg's Derm Journey 01:43
Getting Board Certified In Latin America 07:09
The Derm Community Is So Supportive 09:56
Teaching At A Derm Meeting Is Different 13:24
It's Okay To Say "I Don't Know" 15:02
The Differences Between Practicing Medicine In The US vs Mexico 15:48
The Difference In Diseases Between The US and Mexico 21:48
Dr. Sheinberg Sees Lots Of Puppies With Scabies 23:52
The Difference In Regulations With Topicals In Certain Countries 26:38
The Pattern Of Resistance With Bacteria In Mexico 30:28
The Challenges Of Client Communication 34:42
Outro 43:00

I had people asking about my path in dermatology recently. So I put together a fun, personal episode of the podcast highlighting my path in school, internship and residency. This includes how I fell in love with dermatology and why I started The Derm Vet. 

Enjoy this week's episode!

Four quick tips to improve your overall confidence in dermatology diagnostics and case management. Learn about them on this week's episode of The Derm Vet podcast!

Flea-nial by the owner can be difficult when you really feel like flea allergy dermatitis is a big cause of a pet's itch. Learn about a recent situation I had in the clinic and how I navigated that conversation.

We have covered food trials on the podcast previously. But what are some tips you can use to really work with your clients and be successful? Vegan marshmallows? What can they chew while on a diet trial?

Check out this week's episode of The Derm Vet podcast!

Have you ever been at a conference, asked a dermatologist a question and get the dreaded answer.... "it depends"?

Why can't we commit to a more clear cut answer for you? Find out why on this week's episode of The Derm Vet podcast.

Exciting episode of the podcast this week! The Derm Vet X The Dogtor Bros crossover! I had the privilege to discuss parenthood on their podcast and wanted to share the episode on my platform. Even if you are not a parent, there is a lot of great discussion about work/life integration. 

Check out this episode and other episodes of The Dogtor Bros podcast!

It is very important to assure you know what ingredients are in the topicals you are using. Also, to utilize topical products beyond infection control. Learn more about particular products and when to use them on this week's episode of The Derm Vet podcast!

There are many causes for pododermatitis... how do you assure you work these cases up the right way? If it is due to underlying allergies, which treatments tend to be more successful?

Check out this week's episode of The Derm Vet podcast!

With the new year, many people are feeling refreshed and the need to make a change. As a veterinary dermatologist, I had a lot of clients putting off diet trials in their pets until after the holidays. But is it the right time in January? What reminders do we need to give clients? Find out more on today's episode of The Derm Vet podcast!

I can't believe it has the end of another year for the podcast! Here is a fun year end wrap up where I discuss derm wins for listeners of The Derm Vet podcast!

What are things you should consider when approaching a case with an immune mediated disease?

Check out this week's episode of The Derm Vet podcast!

The podcast is officially 4 years old! Thanks for your support!

Cat dermatology can be difficult. Even more reason it is SO important to know how to collect a quality history on your kitty patients. 

What questions should you ask? How can you be time efficient with history? Find out this and more on this week's episode of The Derm Vet podcast!

Sometimes chronic allergy management can become difficult... but it isn't always because the allergies got worse. Another disease could pop up and you may need to view that case with fresh eyes... learn some tips on this week's episode of The Derm Vet podcast!

Immunotherapy... should you recommend subcutaneous or sublingual? Is there a difference in efficacy? What are pros and cons of each? 

Find out more in-depth information on this week's episode of The Derm Vet podcast!

Happy Thanksgiving to all of my friends in the US! I am so thankful for the support for The Derm Vet podcast and wanted to share a little love on this week's episode of the podcast!

It is so important to learn new skills and change your way of doing things. This is not only best for the pet you are treating, but makes dermatology more fun for you! Learn about some of the ways I have changed my derm practice on this week's podcast episode!

Dermatology is a lot of talking. As we set up realistic expectations for our owners, there can be some tough conversations that need to happen. How can we approach these chats a bit easier?

Learn about an expectation I needed to make clear for an owner including how I approached it (even when uncomfortable). This scenario and more on this week's episode of The Derm Vet podcast.

Did you know that recognizing different distribution patterns in cats can help guides your diagnostic workup? 

Check out this week's episode of The Derm Vet podcast to learn more!

Ear cultures are a bit controversial in veterinary dermatology. Do you know why? 

Check out this week's episode of The Derm Vet podcast to find out!

If you are managing an allergic or autoimmune pet with certain medications, how do you appropriately monitor their labwork? What changes are you looking for? What other diseases does the pet have that may require monitoring?

Check out some of my thoughts on The Derm Vet podcast this week! And (remember) that every clinician can be different!

Chronic skin disease can cause a lot of discomfort for dogs and cats. In turn, this can cause veterinary visits for not only the pet, but the owner to be intimidating. Implementing fear free techniques can allow veterinarians to work with the patient and a client to make the experience less stressful. In a specialty that often includes lifelong, frequent rechecks, it will change the way you practice. 

Check out this week's episode of The Derm Vet podcast to learn how you can implement fear free techniques from scheduling the appointment all the way to the derm exam itself!

What are a few things I wish I knew sooner in my veterinary dermatology career? Listen to this week's episode of The Derm Vet podcast to find out!

Nasal planum diseases. There are so many different types and biopsy is going to be the most direct way to sort through your differentials. Check out this week's episode of The Derm Vet podcast for tips and tricks!

Vasculitis is a disease that can encompass many different presentations. Usually end-points (pinnal tips, claws, tail tips, etc.) are affected due to lack of collateral circulation. Though pentoxifylline is the mainstay treatment traditionally, there are other options that are sometimes needed. This includes the off-label use of a common allergy medication. Check out this week's episode of The Derm Vet podcast to learn more!

Apoquel and Cytopoint. Revolutionary therapies to manage pruritus from allergic dermatitis in dogs. Both should be stocked on the shelf of your veterinary clinic. But are there certain instances where I prefer one vs. the other?

Find out the answer on this week's episode of The Derm Vet podcast!

Atopic dermatitis should be viewed as a syndrome rather than a singular disease. Between genetics, skin barrier, environment, microbiome, TH2 immunity, etc. there are so many factors that play a role which is why dermatologists always mention a multimodal approach.

Check out more details on this week's episode of The Derm Vet podcast!

Why do dermatologists love topical therapy? How can you explain to an owner the importance of bathing or applying a mousse?

Check out this week's episode of The Derm Vet podcast!

How often should I have an owner flush a dog's ear? How do I know if I can change the frequency of flushing in a patient? Check out this week's episode of The Derm Vet podcast!

I love collaborating and this is an exciting one! Skin Flint podcast is a veterinary dermatology podcast (yes there is more than one!) based out of the UK. It was such an exciting opportunity to chat about the differences in how we treat dermatology but a lot of similarities as well. I have posted this episode of the podcast on my platform.

However, please check out Skin Flint podcast as well for more amazing dermatology tips!

https://open.spotify.com/episode/5FqBDcmpLcOcdem2CXQctr?si=e1yKpgCkTBmAiynVYG8XvQ

On May 15 of this year, I had the honor of giving the commencement speech at my alma mater (University of Missouri). It was such an honor and one of the most important speeches I have ever written. 

I decided to record it for the podcast hoping it brings some insight or inspiration to listeners. Enjoy!

Since we covered cats last week, we have to give dogs some love this week! 

I discuss the differences of the different DOG isoxazoline products in the United States (all the countries are different with labeling) on this week's episode of The Derm Vet podcast!

We have talked a lot about the importance of isoxazolines in dogs and cats during the allergic workup. We want those easy wins by ruling out itchy ectoparasites!

But there are so many different products out there, what are the differences? I discuss the differences of the different CAT isoxazoline products in the United States (all the countries are different with labeling) on this week's episode of The Derm Vet podcast!

Pseudomonas otitis is one of the toughest issues we face in veterinary dermatology. What do these cases look like? What do these cases need topically and systemically? What ingredients should be in the ear flush?

Back to interviews on the podcast (my favorite!), I am joined by Amelia White, DVM, MS, DACVD from Auburn University. Listen into our discussion about this difficult case and gain tips on how to be successful with treatment on this week's episode of The Derm Vet podcast!

Photobiomodulation is a novel way to manipulate the function of cells within the dermis and epidermis, to reduce inflammation while still accelerating regeneration. Phovia is a two-part system released by Vetoquinol in 2021. As pyoderma has become more and more difficult to control, it is essential that we investigate alternative methods to antibiotics. Phovia has also been shown to be helpful for the management of perianal fistulas (a painful, difficult disease!).

Learn about how Phovia works and the benefit of implementing its use in your practice. 

 This episode is sponsored by Vetoquinol.

References mentioned in the podcast episode:

1.      Marchegiani A. Klox Fluorescence Biomodulation System (KFBS), an alternative approach for the treatment of superficial pyoderma in dogs: preliminary results. In: Proceedings of 61st BSAVA Congress; Birmingham, England: 2018; 442.

2.      Marchegiani A, Cerquetella M, Tambella AM et al. The Klox Biophotonic System, an innovative and integrated approach for the treatment of deep pyoderma in dogs: a preliminary report. Vet Dermatol 2017; 28: 545 (abstract).

3.      Marchegiani, A., Tambella, A.M., Fruganti, A., Spaterna, A., Cerquetella, M. and Paterson, S. (2020), Management of canine perianal fistula with fluorescence light energy: preliminary findings. Vet Dermatol, 31: 460-e122. 

I love lecturing... but this keynote will be very special to me.

On August 26, I get to cross something off of my speaker bucket list: keynote presentation. I was supposed to do this keynote last year and had to drop out after our son was diagnosed with leukemia. 

So I feel so fortunate to get to finally fulfill this dream in two months. Fetch has a special place in my heart. Kansas City has a special place in my heart as a Mizzou grad and an Air Force brat who was stationed an hour away for years. This topic will also have a special place in my heart as I discuss how this medical journey with our son has changed my perspective on caregiver burden and empathy toward clients.

Check out this week's episode of The Derm Vet podcast to learn more about the keynote topic. I have a special code BOURGEOIS25 off your registration if you want to join me in KC!

Cat head and neck pruritus... what differentials for you have for a feline friend that is showing this pattern? Check out this week's episode of The Derm Vet podcast!

Reference from the episode: Hobi S, et al. Clinical characteristics and causes of pruritus in cats: a multicenter study on feline hypersensitivity-associated dermatoses. Vet Dermatol 2011; 22: 406-413.

When in a fast paced GP practice, how can you categorize your thinking to appropriately diagnose and treat dermatologic cases? Check out my 4 tips to increase your confidence!

Do you understand the flea lifecycle? Know why it is important to know about the egg, larva, pupa and adult... also some gross flea facts.

If most ear products have ingredients to address bacteria, yeast and inflammation, then why is ear cytology important? check out this week's episode of The Derm Vet podcast!

When you start a patient on an allergy protocol, how can you tell if it is successful? Do you expect them to never get an infection again? If they do, did the plan fail? 

Check out this week's episode of the podcast to learn what successful allergy management looks like!

You look at a new patient's history and see "owner can't give oral medications at home". But what if all the injectables didn't work? Do we just assume we can't help this pet?

What if we asked the owner more in-depth questions? How have you tried giving it? What was going on with the pet when you tried oral medications? Can you focus on topical therapy for the infection? Based on a recent case I had, I wanted to present a real life solution on this week's episode of the podcast.

Starting with an allergy case can be daunting... especially if you have a 15 minute exam to do it in. What are the top 3 things you should consider to get a pet out of an allergic crisis and on their way to management? Check out this week's episode of The Derm Vet podcast!

Replay of a popular podcast episode form a year ago... bald belly cats!

Bald belly cats present commonly in veterinary dermatology. Many of these cats develop bald bellies due to overgrooming but there are also non-pruritic causes. 

What history questions should you ask? What differentials should you consider? What other clinical signs should you look for?

Check out this episode of the podcast to feel confident in the bald belly kitty workup!

Peanuts... Snowmen... Yeasty Beasties! All things Malassezia on this week's episode of The Derm Vet podcast!

Is there a difference between intradermal and serum testing for atopic dermatitis? Learn the differences in what these tests measure and why testing should be recommended to your patients on this week's episode of The Derm Vet podcast!

I am starting a new podcast episode type called: DERM DEBUNK. 

These are the "facts" I hear thrown around often. Some may not be true at all... some may be partially true. But (similar to any aspect of medicine) blanket statements can be really tough! First derm debunk episode, "Apoquel can't treat otitis."

There are so many varying degrees of otitis... Find out my thoughts on this week's episode of the podcast. 

What is the difference between a dermatology internship and residency? What does a dermatology residency entail? Is it worth it?

I was asked to create a podcast episode all about pursuing a dermatology residency. So this week's episode answers all the questions you asked about becoming a board certified veterinary dermatologist!

Are you confident in cytology? It is the minimum database for dermatology case!

Refresh yourself on cytology collection techniques with this week's episode of The Derm Vet podcast. Remember... you don't have to use them all! Find the few you love and stick with them.

You walk into your next dog appointment... and the ear is completely swollen shut. What do you do??? Panic? Refer to surgery? Send home ear drops?

Check out my step-by-step process of a swollen ear canal and feeling confident about managing these cases!

Oh, bulldogs... they are sweet but can have difficult dermatologic disease. From interdigital furuncles to demodex to facial folds... learn all about bulldog dermatology on this week's episode of The Derm Vet podcast!

I asked and you delivered! On Instagram, you gave me your questions regarding topical therapy for canine atopic dermatitis. Here my answers on this week's episode of the podcast!

Why should you focus on the skin barrier? Why are dermatologists so passionate about it? 

Find out on this week's episode of The Derm Vet podcast!

Client communication can be difficult in chronic dermatology cases. Especially with so much misinformation available to clients from other sources. 

Learn how to be on the offense (not defense with clients)... and how this can change your happiness managing dermatology cases.

What does a complete ear exam look like? What order of steps should occur? What if the pet is wiggly?

Find out a quick, efficient way to evaluate the pinna, vertical canal, horizontal canal and tympanum of a dog and cat on this week's episode of The Derm Vet podcast!

Diet trials in puppies... When do you consider it? What approach should you take with the owner? What options are available? What if the owner doesn't want to do a full workup in the dog with ear infections?

Diet trials are challenging enough... but it can be especially overwhelming for an owner with a new puppy. Check out this week's episode of the podcast which dives into the challenges and approaches to diet trials in puppies.

This podcast is sponsored by Hill's Pet Nutrition.

Life as a vet parent is difficult and it doesn't look the same for everybody. Community and not comparing to others is so vital. I welcome back my friend Dr. Tannetje Crocker to talk about our experiences as vet moms. The highs, the lows, the guilt and our advice.

What do the emergency doctor and dermatologist have in common? Probably more than you think! 

With hospitals being so busy, how can you manage an ear infection at 2am? What derm medications should be on an ER shelf? Welcome my good friend Dr. Tannetje Crocker as we discuss dermatology in the ER.

Sure, dermatologists manage a lot of allergies. However, there are signs that should raise a red flag that you AREN'T dealing with an allergic patient? 

Distribution of lesions seem off? The history doesn't jive with allergies? Not responding to traditional therapies? Tune into this week's episode of the podcast to learn more!

A very common history we receive from owners... "Apoquel used to work great! But now it doesn't control my dog's itch." Do dogs really become immune to Apoquel or other anti-itch drugs? Or could there be other reasons itch fails to be controlled by the medication over time?

Find out the top 3 reasons we can see anti-itch medications stop working in an allergic dog on this week's episode of the podcast.

What are five things you can do to improve your veterinary practice for the year? How about reigniting your passion for veterinary medicine? Check out these simple challenges you can do throughout the year to love what you do.

2022 has been quite a year! Here is the annual wrap up episode of The Derm Vet podcast. Highlighting the top things you all have learned from the podcast this year when I asked on social media. Thanks for another wonderful year! 

So... you have ruled out flea and food allergy and now it is time for THE talk. The chronic, lifelong, multimodal therapy required atopic dermatitis talk? For such a common disease, how come this spiel can be so difficult? 

Check out this week's episode of The Derm Vet podcast for tips and tricks!

Who is ready for the next allergy spiel???? This is about the dreaded FOOD TALK.

How do you approach this conversation if you know the owner will be hesitant to switch foods? What about all the opinions regarding pet food? Check out this week's episode of the podcast!

Kicking off our first topic in this allergy spiels series: THE FLEA TALK. 

Get nervous when you have to bring up starting flea prevention to a client? What about including other pets in the household? What if the client isn't seeing fleas? Check out this week's episode of the podcast!

When asked on social media what topics you would covered in the podcast... many of you asked for allergy spiels. How do I communicate with owners of allergic pets? How do I convince owners to start flea prevention even if they don't see fleas? How do you stop dreading the food allergy talk?

This is an introduction to client communication as we spend the next few weeks going over specific allergy spiels. 

This podcast episode is releasing on Thanksgiving 2022 in the US. Find out the things I am thankful for in veterinary dermatology... both medical and non-medical!

A pustule is a common dermatologic lesion. Though it is often related to a secondary pyoderma, there are other differentials that can cause a pustule. From recognizing it clinically, sampling for diagnostics and coming up with appropriate differentials, learn all about pustules in this episode of the podcast!

Papules are often overlooked clinical lesions. These small red dots can be essential to identify during the dermatologic examination.  Though they are often due to bacterial infection, there are other differentials that should be on your list. This episode will review important diagnostics and things to consider when seeing papules on exam.

Comedones (or blackheads) are not as common as other dermatologic clinical signs. But they can be really important to identify and the differentials can be quite unique. Learn what a comedo actually is and what diseases you want to be thinking about in this episode of the podcast!

Continuing our journey in lesions. Find out what scaling is and what differentials should be on your list. It can often happen with crusting (covered last week) but depending on the presentation there are certain diseases that should come to mind.

What is a crust? What differentials are on our list with a crusting disease? Is it primary or secondary? 

These are all the questions we go over on this week's episode of The Derm Vet podcast!

Chlorhexidine... very commonly used ingredient in veterinary medicine.

BUT... do you know the mechanism of action? What percentage is proven to be effective for pyoderma? Did you know chlorhexidine resistance has been reported?

Check out this week's episode of the podcast.

Diagnosis of canine atopic dermatitis... it can be time consuming to do all the rule outs (though necessary). But there is criteria that can make it very likely (or unlikely) that you are dealing with canine atopic dermatitis. 

Check out this week's episode of the podcast for the hints!

Managing canine atopic dermatitis long-term can be difficult and frustrating. Between managing flares and client education there can be a lot to juggle. Today's podcast welcomes Fiona Bateman, BVSc, MANZCVS, DACVD. She is a senior veterinary dermatologist for Zoetis.

We discuss how to work with clients to manage these chronic cases, long-term anti-pruritic therapy and identifying flare factors. Though these cases can be confusing and hard to manage, there are some key tips that can help navigate this common case presentation.

This podcast is sponsored by Zoetis.

It is one of the biggest debates in veterinary dermatology. Are ear cultures useful? Check out this week's podcast to hear why this is a hot topic and my thoughts on it. 

Welcome Dr. Karen Shenoy to the podcast! She is the Chief Veterinary Officer for Hills US. We discuss Hill's Global Symposium which is focusing on dermatology this year! Dr. Shenoy and I will be co-hosting this event which contains a bunch of amazing speakers. 

Register at hillsglobalsymposium.com! It is free and will be recorded so you can catch up later if you can't watch the entire event live.

"If you love what you do, you will never work a day in your life."

Is this really true? Or an unrealistic concept? Check out this episode of the podcast with Dr. Jeff Tinsley (senior resident at Animal Dermatology Clinic Louisville).  We discuss this and ways to recharge outside of work. 

I was recently giving a set of lectures about allergies and I was asked about the prevalence of aural hematomas in dogs with no signs of otitis externa. I hadn't appreciated this clinically but then ran across a review article that discussed a new potential etiology and though it was interesting. Check out this week's episode of the podcast and let me know your thoughts! Have you appreciated this in the clinic?

Study reference:
O’Neill, D.G.; Lee, Y.H.; Brodbelt, D.C.; Church, D.B.; Pegram, C.; Halfacree, Z. Reporting the epidemiology of aural haematoma
in dogs and proposing a novel aetiopathogenetic pathway. Sci. Rep. 2021, 11, 21670

As a dermatology specialists we tend to see the more severe, chronic cases of allergic dermatitis and infection. But in general practice, our colleagues are seeing these cases at much earlier stage in younger dogs. So how do you start management at these initial signs of allergies?

This podcast episode welcomes back Dr. Dana Liska, DACVD. Dr. Liska is a senior veterinary dermatologist with Zoetis. We discuss early recognition, management and client communication regarding canine allergic dermatitis.

This podcast is sponsored by Zoetis.

I opened it up on Instagram! In this episode, I answer the top questions submitted regarding canine atopic dermatitis. This is a great summary of some of the most important aspects of this chronic, frustrating disease.

It’s Itchy Pet Awareness Month!  Come listen to this podcast episode with Alice Joseph and Dr. Shannon Cabell of Zoetis.

We will discuss fun ways to get your practice ready for Itchy Pet Awareness Month in August including wonderful resources listed below:

www.itchypetawarenessmonth.com 
www.itchingforhelp.com
www.zoetispetcare.com/blog

Flea bite hypersensitivity is a common cause of pruritus and secondary infection in dogs and cats. It can be easy to prescribe flea prevention and assume you have ruled it out. But some cases need a little more detail when collecting history and providing discharge instructions...

How is the owner giving the flea prevention?
Are other dogs and cats on quality fast flea prevention?
What frequency is owner giving the prevention?

Find out about a recent case I had where the pet was on great flea prevention... but the other pets in the household weren't. A big difference occurred with just a small change.

Welcome Dr. Valerie Fadok, DVM, PhD, DACVD back to the podcast. She is a senior veterinary dermatologist with Zoetis. One of her passions involves a dog breed that we see quite often in dermatology... The West Highland White Terrier aka Westie! Hear all about this allergy prone breed and the amazing research being done through the Westie Foundation of America (westiefoundation.org).

Some wonderful studies are mentioned on this episode. The references are listed below:
1. Favrot C et al. Atopic dermatitis in West Highland white terriers- part 1: natural history of atopic dermatitis in the first three years of life. Vet Dermatol 2020;301:106-e16. AR-17046

2. Rostaher A, et al. Atopic dermatitis in a cohort of West Highland white terriers in Switzerland. Part II: estimates of early life factors and heritability. Vet Dermatol 2020; 31:276-e66. AR-17045

3. Rostaher A, et al. Atopic dermatitis in a cohort of West Highland white terriers in Switzerland. Part III: early life peripheral blood regulatory T cells are reduced in atopic dermatitis. Vet Dermatol 2021; 32:239-e63. AR-17047

This podcast was sponsored by Zoetis. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team.

This week's episode goes over differentials, diagnosis and treatment options for histiocytoma. Do you "wait and see" or go for the removal? Check out your options here!

This week's episode is all about canine papillomavirus. They aren't always obvious wart-like lesions in young dogs. Did you know there are inverted papillomas?  Pigmented plaque-like lesions in Pugs? 

Check out the podcast to take a little dive into this common virus.

Resistant infections seem to get worse every year. So how do you handle a culture that comes back with limited antibiotic options? Or an owner can't afford to culture but systemic antibiotics are not resolving the pyoderma?

Dilute bleach is an inexpensive, effective topical option for pyoderma. There are various concentrations listed in the literature and certain tips that can increase your chances of being successful with implementing bleach as a rinse, spot treatment or soak.

We always want easy wins in veterinary dermatology... and Scabies is absolutely one of them! Sarcoptic mange can make an animal miserable. But, luckly, it is a very easy mite to treat leading to fast comfort! 

However, this mite can be sneaky and difficult to find on skin scrapings. Check out this podcast episode for lesion distribution, diagnosis, history and treatment!

You hear dermatologists mention the "multimodal approach to allergies" but what does that mean beyond prescribing an anti-itch therapy? 

Find out why the epidermal barrier matters and how you can help restore it for your itchy patients.