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The IndeVets Happy Hour

The IndeVets Happy Hour

By IndeVets Drs. Andrew Heller and Marisa Brunetti

Drs. Andrew Heller and Marisa Brunetti get together to discuss clinical and not so clinical issues facing veterinarians.
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Episode 44: The Cavalier King Charles Spaniel

The IndeVets Happy HourDec 15, 2022

00:00
25:39
Episode 44: The Cavalier King Charles Spaniel

Episode 44: The Cavalier King Charles Spaniel

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

Dec 15, 202225:39
Episode 43: Access to care in the veterinary world
Dec 01, 202233:23
Episode 42: A fungi'd to Mushrooms with Rob Silver, DVM
Nov 15, 202244:11
Episode 41: Breed Predispositions - Golden Retrievers

Episode 41: Breed Predispositions - Golden Retrievers

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

Nov 01, 202233:13
Episode 40: Dr. Tara Bidgood with Project WAG

Episode 40: Dr. Tara Bidgood with Project WAG

Drs. Andrew Heller and Marisa Brunetti finalize interview Dr. Tara Bidgood from Zoetis to discuss Project WAG.

https://cloud.mc.zoetis.com/project-wag-landing-page-and-webform?utm_source=qr-code&utm_medium=fash-card&utm_campaign=project-wag/

Oct 15, 202222:06
Episode 39: Uveitis AF

Episode 39: Uveitis AF

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

Oct 01, 202233:41
Episode 38: Game changing new meds?

Episode 38: Game changing new meds?

Drs. Andrew Heller and Marisa Brunetti get together to discuss a few new therapies that have hit the market. 

1. Zenalpha (dechra) - alpha 2 sedative

2. Spryng osteocushion (PetVivo)- joint injection

3. Zorbium (elanco)- transdermal buprenorphine

Sep 15, 202225:10
Episode 37: ICYMI - A clinical recap of the AVMA Convention

Episode 37: ICYMI - A clinical recap of the AVMA Convention

In case you missed the first AVMA convention after the COVID hiatus, Dr. Heller and his guests -- Amy Lloyd, VMD, Chaundra Schofield, VMD, and Kelly Dunham, DVM -- cherry pick some of the interesting tidbits they gathered from the lectures they attended in Philly. 

Show notes: 

Toxicity: 

a. Don’t ever give cats hydrogen peroxide!!!! Hemorrhagic gastroenteritis/death. NO SAFE AT HOME REMEDY in cats.

b. Use dexdomitor 7mcg/kg IM to cause 81% of cats to puke. Hydromorphone SQ can also work 75% of the time. Xylazine less likely.

c. Cholestyramine is a great drug to use when trying to detox a patient who ingested a drug or poison that undergoes enterohepatic recirculation. It’s a bile acid sequestrant.

d. ILE – Intravenous Lipid Emulsion – helps draw out fat soluble toxicants. (most commonly made of soy bean oil) – great for marijuana toxicosis.

Hyperlipidemia: 

a. Fenofibrate (micronized form) 4-10mg/kg BID – should resolve 80-100% of cases by 1 month. Will require lifelong therapy. 

b. Low fat diet will treat only 25% of cases. 

Dermatology update: 

a. Chlorpactin – study showed powdered chlorine 0.4% solution kills MRSP topically in just 10 secs.

Chronic UTI: Nitrofurantoin – given nightly for 4 months can help with deep seeded chronic infections.

Feline arthritis: 

a. Dr. Kristen Shaw gave some great resources for both vets and owners to  help to identify cats affected by arthritis during her lecture:

i. zoetisus.com/oa-pain/feline-exam-videos.aspx (you can also link to dog OA resources from here)

ii. Catoachecklist.com

iii. Solensiavetteam.com

Carrie Jurney gave a lecture on CPR for the veterinary soul – she broke down veterinary personality types, individual tendencies as well as common work place stressors.

a. Two great resources she suggested for suicide prevention training were:

b. QPR training – www.qprinstitute.com

c. American foundation for suicide prevention – https://afsp.org/

d. www.betterhelp.com/nomv - Get matched with a licensed therapist and enjoy a FREE MONTH of professional online counseling

e. Psychology today’s therapist finder

Many filters including language, gender (including option or non-binary), insurance type, price, ethnicity served, sexuality, and faith

Injection site sarcomas

a. Can include extraskeletal osteosarcoma (I did not know this!)

b. 1-2-3 rule:

1. Increasing in size after 1 month

2. Larger than 2 cm

3. Still present 3 months after vaccine

c. 42% recurrence rate with COMPLETE EXCISION

d. 21.7% metastatic rate

Mary Telle – Keratoconjunctivitis Sicca

a. **Neurogenic can be caused by long-term otic preparations like Osurnia and Claro**

i. Other causes include trauma, neoplasia, otitis, hypothyroidism

ii. Usually unilateral and associated with a crusty ipsilateral nostril

iii. Pilocarpine 2% ophthalmic solution given orally at a dose of 1 drop per 10 kgs PO bid to start, but may need to increase based on response

iv. Since it is a parasympathomimetic drug, need to watch for toxicity including salivation, vomiting, diarrhea, bradycardia, and weakness

Sep 01, 202247:28
Episode 36: Corneas con Casey

Episode 36: Corneas con Casey

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

Aug 16, 202244:25
Episode 35: Cats Eyes

Episode 35: Cats Eyes

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

Aug 01, 202248:36
Episode 34: Casey Yes! (KCS)
Jul 01, 202239:55
Episode 33: Glaucoma Pearls

Episode 33: Glaucoma Pearls

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

Jun 15, 202246:49
Episode 32: A cumulative exam

Episode 32: A cumulative exam

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


May 16, 202220:02
Episode 31: Feline Pancreatitis

Episode 31: Feline Pancreatitis

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


Veterinary Podcast

May 01, 202222:11
Episode 30: Physical diseases induced by stress

Episode 30: Physical diseases induced by stress

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


http://www.hayleysangels.com/


Apr 15, 202226:19
Episode 29: Canine Pancreatitis

Episode 29: Canine Pancreatitis

Drs. Andrew Heller and Marisa Brunetti discuss their pearls of wisdom for diagnosing and treating canine pancreatitis. 


Experimental drug Fuzapladib discussed in the episode: 

https://www.iskweb.co.jp/eng/products/animal_health.html

Apr 01, 202222:10
Episode 28: What's new in '22? New drugs & new tests at our fingertips this year.
Mar 15, 202225:36
Episode 27: How to maximize efficiency in medical record keeping

Episode 27: How to maximize efficiency in medical record keeping

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

Mar 02, 202226:40
Episode 26: A high ALP does not mean Cushings

Episode 26: A high ALP does not mean Cushings

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

Feb 15, 202222:24
Episode 25: Ellen Loves Cats

Episode 25: Ellen Loves Cats

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

Jan 25, 202237:49
Episode 24: Hypothyroidism

Episode 24: Hypothyroidism

Drs. Andrew Heller and Marisa Brunetti get together over beers with a special guest, Dr. Amy Lloyd to discuss the pearls of hypothyroidism. 

This episode is brought to you by Conshohocken Beer Company! 

Jan 15, 202221:43
Episode 23: Marisa thinks everything has Addison's

Episode 23: Marisa thinks everything has Addison's

Drs. Andrew Heller and Marisa Brunetti sit down to discuss "The Great Pretender", or more commonly known as Addison's (hypoadrenocorticism). 

Check out their great pearls of when to suspect it, how to diagnose it, and then the best ways to treat it. 

Jan 02, 202219:50
Episode 22: Vaccine Brands (Holiday Bonus episode)

Episode 22: Vaccine Brands (Holiday Bonus episode)

Drs. Andrew Heller and Marisa Brunetti continue with their final episode in their 6 part series on the topic of vaccinology. In this episode, Dr. Brunetti breaks down the different brands of vaccines.  

AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/

WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Zoetis –

Vanguard Line

Bivalent CIV

crLyme

Elanco –

Bronchi-Shield, Duramune,, Rabvac (1 and 3) – dogs

Fel-o-guard  FVRCP (can also combine with FeLV and Chlamydia)

Fel-O-Vax, Rab Vac, - Cats

ULTRA ( Hybrid - FVRCP) – Cats

50% less volume

Nonadjuvanted

ULTRA Fel-o-vax – Cats

50% less volume

FVRCP, FeLV, FVRCP+FeLV, Dual FCV (?)

UltraNasal (Cats) FVRCP or FVRC

BI – (Bought Merial)

Recombitek – DA2PP, DA2LPP, Lyme, Oral Bord, Lepto

Purevax (rabies, felv, RCPCh)

Rabisin/Imrab

(No bivalent CIV)

Merck –

Nobivac Line – Canine (CIV bivalent H3N8, H3N2) and Feline

Nobivac EDGE (HALF VOLUME) – Lepto 4, DAPPv, DAPPv+ L4

Nov 25, 202106:19
Episode 21: The Vaccine Grab Bag
Nov 15, 202121:15
Episode 20: Feline Injection Site Sarcomas

Episode 20: Feline Injection Site Sarcomas

Drs. Andrew Heller and Marisa Brunetti continue with their 4th episode in their 6 part series on the topic of vaccinology. In this episode, they discuss feline injection site sarcomas.

AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/

WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Nov 01, 202125:24
Episode 19: Feline Vaccination Protocols

Episode 19: Feline Vaccination Protocols

Drs. Andrew Heller and Marisa Brunetti continue with their 3rd episode in their 6 part series on the topic of vaccinology. In this episode, they discuss the standard feline vaccines.

AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/

WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Oct 01, 202119:08
Episode 18: Canine Vaccine Protocols

Episode 18: Canine Vaccine Protocols

Drs. Andrew Heller and Marisa Brunetti continue the 2nd episode in their 6 part series on the topic of vaccinology. In this episode, they discuss the standard canine vaccines. 

AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/

WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Sep 15, 202139:29
Episode 17: An introduction to our new Vaccine Series: Who sets the standards?

Episode 17: An introduction to our new Vaccine Series: Who sets the standards?

Drs. Andrew Heller and Marisa Brunetti begin a new 6 part series on the topic of vaccinology. Join them for a discussion as they lay the groundwork for what many veterinarians take for granted in their daily work.

AAHA Standards: https://www.aaha.org/aaha-guidelines/vaccination-canine-configuration/vaccination-canine/

WSAVA Standards: https://wsava.org/global-guidelines/vaccination-guidelines/

Sep 01, 202120:00
Episode 16: Summer first aid

Episode 16: Summer first aid

Drs. Andrew Heller and Marisa Brunetti finish up the Hot Pet Summer series with a discussion about first aid for our pets. Things you can do to prepare for the most common emergencies of summer. 


show notes:
Hibiclens solution

Diphenhydramine (Benadryl) dose for dogs: 1mg/lb orally every 4-6h as needed



Aug 15, 202122:46
Episode 15: Atopic dermatitis.

Episode 15: Atopic dermatitis.

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

Aug 01, 202124:40
Episode 14: Ectoparasites of summer

Episode 14: Ectoparasites of summer

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

Jul 15, 202127:22
Episode 13: Toxic plants of summer

Episode 13: Toxic plants of summer

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

Jul 08, 202120:50
Episode 12: Part 2 of the Hot Pet Summer series: Noise Phobia

Episode 12: Part 2 of the Hot Pet Summer series: Noise Phobia

Drs. Andrew Heller and Marisa Brunetti talk about common noise phobias and how to deal with them. 

Show notes: 

  • Tiira & Lohi (2015) found that dogs with separation anxiety and noise phobia had less daily exercise compared to those that did not.
  • Through A Dog’s Ear™
  • Adaptil/Feliway - pheromone therapy
  • Thundershirts/Mutt muffs
Jun 22, 202121:35
Episode 11: Hot Pet Summer Series Part 1: Heatstroke

Episode 11: Hot Pet Summer Series Part 1: Heatstroke

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

Jun 15, 202120:29
Episode 10: Making dogs (and cats) puke.

Episode 10: Making dogs (and cats) puke.

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

https://www.vetoquinolusa.com/clevor

Jun 01, 202118:27
Episode 9: Sustainability in Vet Med

Episode 9: Sustainability in Vet Med

Drs. Andrew Heller and Marisa Brunetti interview Dr. Yui Shapard about sustainability in the veterinary industry.

Show notes:

https://vetsustain.org

https://www.oie.int/en/home/

 

May 16, 202123:20
Episode 8: The Clinical Interview

Episode 8: The Clinical Interview

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

May 04, 202119:30
Episode 7: Human resources & how to hire vets

Episode 7: Human resources & how to hire vets

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

Apr 15, 202128:37
Episode 6: Four key trends for animal hospitals in 2021

Episode 6: Four key trends for animal hospitals in 2021

Drs. Andrew Heller and Marisa Brunetti have a special guest this episode -- Michael Raphael, CEO of IndeVets, joins the happy hour to discuss the outlook for the veterinary industry coming out of the very precarious year of 2020. 

Here is the link to his most recent article: https://indevets.com/blog/four-key-trends-for-animal-hospitals-in-2021/


Apr 01, 202130:06
Episode 5: Heartworm - changes to the protocol

Episode 5: Heartworm - changes to the protocol

Drs. Andrew Heller and Marisa Brunetti welcome a special guest - Dr. Kelly Dunham - to discuss changes to the heartworm treatment protocol. 


American Heartworm Society Guidelines

https://www.heartwormsociety.org/veterinary-resources/american-heartworm-society-guidelines

Mar 17, 202126:19
Episode 4: Antibiotic therapy and duration of treatment

Episode 4: Antibiotic therapy and duration of treatment

Drs. Andrew Heller and Marisa Brunetti welcome 2 special guests - Drs. Chaundra Schofield and Amy Lloyd - to discuss treating common bacterial infections using antibiotics. 


Article referenced in the show: 

https://www.sciencedirect.com/science/article/pii/S109002331830460X?via%3Dihub

Mar 01, 202132:25
Featured Episode: Common Extra Label Drug Usage in Vet Med

Featured Episode: Common Extra Label Drug Usage in Vet Med

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



Feb 15, 202133:33
Episode 2: The COVID-19 episode

Episode 2: The COVID-19 episode

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

Feb 02, 202122:00
Episode 1: Welcome to the IndeVets Happy Hour

Episode 1: Welcome to the IndeVets Happy Hour

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

Jan 31, 202112:55