The Cone of Shame Veterinary Podcast

Latest Episodes:

COS 137 New Heart Murmur In A Cat Scheduled For A Dental (HDYTT) May 12, 2022

Show notes

Dr. Anna McManamey joins the podcast to discuss heart murmurs in cats. Alabaster is a 4 year old MN domestic shorthair who is in for his first dental cleaning. On physical examination, Alabaster has a grade 2-3/6 systolic murmur. Dr. Mac breaks down what her concerns are, the risk factors and next steps to take. Let's get into it!

ABOUT OUR GUEST: Dr. McManamey (aka Dr. Mac) is a veterinary cardiologist. She received her degree of veterinary medicine from the University of Missouri. She then completed a rotating internship at the Ohio State University followed by an emergency and critical care internship at North Carolina State University. She finished her cardiology residency at North Carolina State University and became an ACVIM diplomate in 2021. Dr. Mac is currently an assistant clinical professor at Purdue University in Indiana. Cardiology is her favorite subject because it can be made as simple or as complex as needed. Furthermore, every animal has a heart and that means Dr. Mac gets to work with all kinds of species. Her areas of interest within cardiology are echocardiogram, congenital heart disease and interventional procedures, as well as emergency management of cardiac disease. She has a very supportive and patient husband along with three canine fur-children, one of which had a patent ductus arteriosus (of course).

COS 136 Management Of Acute Pain In Cats - New Consensus Guidelines May 05, 2022

Show notes

Dr. Sheila Robertson is board certified in anesthesia and in animal welfare in the USA and Europe and serves as the senior medical director at Lap of Love Pet Hospice. Today, she joins Dr. Andy Roark to discuss a recent research publication on which she is an author: the 2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats. This is a great episode for anyone interested in getting our feline patients better pain control and generally better experiences in the veterinary clinic.

LINKS: 2022 ISFM Consensus Guidelines on the Management of Acute Pain in Cats: https://journals.sagepub.com/doi/metrics/10.1177/1098612X211066268 Feline Grimace Scale (Website & App): https://www.felinegrimacescale.com/ AAFP Feline Friendly Handling Guidelines: https://catvets.com/guidelines/practice-guidelines/handling-guidelines

ABOUT OUR GUEST: Dr. Sheila Robertson graduated from the University of Glasgow in Scotland in 1980. After some time in mixed animal practice, she spent a year as a surgery intern followed by specialized training in anesthesia and analgesia at Bristol University (United Kingdom). While at Bristol she also completed her PhD investigating the physiologic effects of different anesthetic protocols in horses. She is board certified in anesthesia and in animal welfare in the USA and Europe and holds a certificate in small animal acupuncture. She has been a faculty member at the University of Saskatchewan, Michigan State University, and the University of Florida. Her research interests have focused on the recognition and alleviation of acute pain in cats, horses and even iguanas, topics she has published widely on. She spent 2 years as an assistant director in the division of Animal Welfare at the American Veterinary Medical Association. In 2014 she completed her graduate certificate in Shelter Medicine at the University of Florida. In 2019 she received her certification as a Traditional Chinese Veterinary Medicine Palliative and End-of-Life practitioner by the Chi Institute of Chinese Medicine. Currently she is the senior medical director of Lap of Love Veterinary Hospice, a large network of veterinarians dedicated to end-of-life care and in-home euthanasia throughout the USA. Dr Robertson is also a courtesy Professor in the Department of Small Animal Clinical Sciences, University of Florida, Gainesville, Florida. She continues to volunteer at community cat clinics and High-Volume High Quality Spay and Neuter Programs.

COS 135 The Expanding Labrador & Nutrition Resources For Clients (HDYTT) May 02, 2022

Show notes

Charlie, the 2 year-old labrador has crept from 76 lbs to 84 lbs over the last 6 months. We need to do something about this, and Charlie’s owners don’t seem super motivated to intervene. They’re good people, and they will listen if we can just communicate the right message in the right way. Dr. Shelly Adrian, US Ambassador for the Purina Institute, joins Dr. Andy Roark to discuss this oh-so-common case and some resources that veterinary teams can use to have these conversations more effectively. Let’s get into this episode! This episode is brought to you ad-free by the Purina Institute. LINKS Purina Institute CentreSquare: https://www.purinainstitute.com/centresquare?utm_campaign=pin-centresquare2022&utm_medium=influencer&utm_source=podcast&utm_content=cr-apr_andy_roark_cone-of-shame_cs_episode135_pt-na&utm_term= Purina Institute: https://www.purinainstitute.com?utm_campaign=pin-centresquare2022&utm_medium=influencer&utm_source=podcast&utm_content=cr-apr_andy_roark_cone-of-shame__homepage_episode135_pt-na&utm_term= What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr Shelly Adrian received her DVM from Kansas State University College of Veterinary Medicine in 2007. She went on to a rigorous one-year private practice internship, mainly focused on Emergency Medicine, at the Pet Emergency & Specialty Center in San Diego, CA. Dr Adrian remained with that clinic for an additional 2 years as an emergency veterinarian. In 2010, she entered general practice in San Diego, and continues to practice in coastal San Diego. Shelly’s areas of interest include nutrition, internal medicine, and emergency medicine. In 2015, Shelly joined Nestle Purina Pet Care as a Veterinary Communications Manager and was named a Senior Veterinary Communications Manager in 2019. Her current responsibilities include supporting several veterinary schools as well as providing education on behalf of the veterinary sales team. Shelly also took on the role of US Ambassador for the Purina Institute in 2021 and works to further communication to the veterinary community regarding the science behind nutrition. Shelly resides with her physicist husband in San Diego and has three dogs: a 77-pound “greyhound-lookin’ thing” named Nutmeg, a young “Monkey” golden retriever mix, who she found on Petfinder.com, and their newest puppy “Walnut”.

COS 134 Selling The Practice You Love Apr 28, 2022

Show notes

What does it feel like to sell the veterinary practice that you love and poured your heart into for so many years? What decisions and considerations get made along the way? Dr. Saye Clement joins Dr. Andy Roark on this episode to tell her story of selling the practice she called home for 18 years. LINKS: Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Dr. Saye Clement is a veterinarian with over 28 years of clinical experience. Aside from stints as an emergency veterinarian and self-employed locum, she has spent the majority of her career at Carling Animal Hospital (in Ottawa, Canada) as a Co-Owner, Medical Director and Clinician. In late 2021, she stepped down from her leadership role within the hospital and assumed a role as an associate veterinarian. Outside of practice, she was honored to serve as the Director for Learning for Vet Alliance (an organization which supports independent practices in Canada) and enjoys giving the occasional lecture or workshop. She is passionate about helping others to develop great clinic culture and operational processes, and strives to provide information that can be easily implemented by busy professionals.

COS 133 Dr. Doug Mader on The Broken Bearded Dragon (HDYTT) Apr 21, 2022

Show notes

A 6 month-old bearded dragon presents for shaking and not eating. Dr. Doug Mader walks us through the best way to approach this case and discusses why Metabolic Bone Disease (MBD) is a term we should think twice about using. LINKS: Dr. Mader's Website: https://www.dougmader.com/ Follow Dr. Mader on Facebook: https://www.facebook.com/groups/170060086888423/user/1416949546 Retain Your Team - Speak the Languages of Appreciation in Your Workplace: https://unchartedvet.com/product/appreciation-languages-101/ What’s on my Scrubs?! Card Game: https://drandyroark.com/training-tools/ Dr. Andy Roark Swag: drandyroark.com/shop All Links: linktr.ee/DrAndyRoark ABOUT OUR GUEST: Douglas R. Mader, MS, DVM, Diplomate ABVP (Canine/Feline), Diplomate, ABVP (Reptile/Amphibian), Diplomate, ECZM (Herpetology), Fellow, Royal Society of Medicine Dr. Mader received his DVM from the University of California, Davis in 1986. In addition, he completed a Residency in Primate and Zoo animal medicine. He is the consulting veterinarian for the Monroe County Sheriff's Zoo, the Key West Aquarium, Dynasty Marine, the Sea Turtle Hospital, the Everglades Alligator Farm and the Theater of the Sea. Previously Dr. Mader owned the Marathon Veterinary Hospital, a double AAHA accredited 24 hr emergency/referral hospital. Dr. Mader is an internationally acclaimed lecturer and is on the review boards of several scientific journals. He has published numerous articles in scientific and veterinary journals, national magazines, and, is the author/editor and co-editor of three textbooks on Reptile Medicine and Surgery. Dr. Mader’s latest project is his new book “The Vet at Noah’s Ark - Stories of Survival from an Inner-city Animal Hospital.”

COS 132 Anesthesia Best Practices For The Urethral Obstruction Cat (HDYTT) Apr 14, 2022

Show notes

Tasha McNerney CTV VTS CVPP joins us to discuss the case of Hercules Mulligan. a 4 yo MN Domestic Shorthair who cannot urinate. That's right... This poor guy has a urethral obstruction and will need anesthesia and pain control STAT! What are the top tips and tricks for handling these cases? What mistakes do doctors and technicians want to make sure to avoid? Let's find out!

LINKS: Sacrococcygeal Block Demo: https://www.youtube.com/watch?v=KhAN4SavVzg Think Anesthesia: https://www.thinkanesthesia.education

ABOUT OUR GUEST: Tasha McNerney obtained her CVT in 2005 and has worked clinically in the areas of anesthesia and surgery ever since. Tasha obtained her CVPP (certified veterinary pain practitioner) designation in 2013 and became a veterinary technician specialist in anesthesia in 2015. Tasha has been a featured speaker on various anesthesia and pain management topics at several international veterinary conferences. Tasha is the author of many articles and blogs on anesthesia and pain management related topics. In 2013 Tasha created the Facebook group Veterinary Anesthesia Nerds, which has over 65,000 members taking part in education and exchange of ideas from all over the world! Tasha is crazy and bought a 1920's fixer upper and is now obsessed with home improvement tutorials on YouTube. She lives in Philadelphia with her husband, son, one perfect cat, and one jerk cat. Trust me that cat is a jerk.

COS 131 Budrow the Itchy, Soft-Stomach Dog (HDYTT) Apr 11, 2022

Show notes

Dr. Jason Gagné, a Board-Certified Veterinary Nutritionist and Purina’s Director of Veterinary Technical Communications, is on to help Dr. Andy Roark sort out a tough case. Budrow is a 3 year-old mix breed dog with waxing-and-waning bouts of diarrhea and vomiting, and year-round allergies. His owners have tried all sorts of drugs and diets on this poor dog, and now we’re right back where we started. Let’s unpack what’s going on and get to the bottom of this!

LINKS Purina ProPlan Veterinary Diets - https://www.purinaproplanvets.com

ABOUT OUR GUEST Dr. Jason Gagné is a Board-Certified Veterinary Nutritionist and is Purina’s Director of Veterinary Technical Communications where he leads scientific innovation and product development for the Purina Pro Plan Veterinary Diets Brand. Jason works closely with innovation and renovation of dietary formulations, developing clinical trials, and Sales and Marketing. Prior to, and throughout his residency at Cornell, he served as an Associate Veterinarian in a small animal practice in Syracuse, New York. Jason has authored several publications in veterinary journals and textbooks, given scientific presentations at the regional and national level, taught a series of courses at Cornell, and serves as a scientific reviewer for leading journals and the American Kennel Club Canine Health Foundation.

COS 130 New Research- Wellness For Vets, Staff & How They Differ Apr 07, 2022

Show notes

Guest: Dr. Addie Reinhard - It’s no surprise that both veterinarians and their support staff have high rates of burnout, but are these groups experiencing stress for the same reasons? What can individuals do to reduce these stresses? What can practices do to protect their people, and what role does personal autonomy play in all of this? New research, the Merck Animal Health Veterinary Wellbeing Study III, sheds light on not just the factors causing psychological stress in the veterinary profession, but also what we can do about it.

LINKS: Merck Animal Health Veterinary Wellbeing Study III https://www.merck-animal-health-usa.com/about-us/veterinary-wellbeing-study Are They Ready? Trials, Tribulations, and Professional Skills Vital for New Veterinary Graduate Success https://www.frontiersin.org/articles/10.3389/fvets.2021.785844/full AVMA Wellbeing Resources https://www.avma.org/resources-tools/wellbeing QPR Training https://www.avma.org/resources-tools/wellbeing/qpr-suicide-prevention-training MentorVet Website www.mentorvet.net MentorVet Instagram https://www.instagram.com/mentorvet

ABOUT OUR GUEST: Dr. Addie Reinhard is a veterinary wellbeing researcher. Her research focuses on developing and evaluating innovative interventions to support mental health and wellbeing within the veterinary profession. She is the Founder and CEO of MentorVet, an evidence-based mentorship and professional development program for recent veterinary graduates. She is on the research team for the next phase of the Merck Animal Health Veterinary Wellbeing Study. In 2021, she completed a master’s degree in Community and Leadership Development and a Graduate Certificate in College Teaching and Learning from the University of Kentucky and holds a certificate in Veterinary Human Support from the University of Tennessee. She is also a certified QPR instructor.

COS 129 Straining To Pee And The TCC Apr 04, 2022

Show notes

Professor Biscuit has been having some blood in his urine, and Dr. Roark is seeing something that doesn’t look right in the poor guy’s bladder. Today we talk with Veterinary Oncologist Dr. Sandra Bechtel about Transitional Cell Carcinoma and how we can best approach it. Let’s get into it!

LINKS: KRUUSE - Preferred partner to the Veterinary Industry since 1896 https://kruuse.com

ABOUT OUR GUEST: Sandra (Axiak) Bechtel is a Veterinary Medical Oncologist and Associate Professor at the University of Florida in Gainesville, FL. She graduated from Michigan State University’s College of Veterinary Medicine in 2004 followed by an internship at Mississippi State University and Medical Oncology residency at Gulf Coast Veterinary Specialists. She achieved board certification in Medical Oncology in 2008 and practiced as an Associate Oncologist at Veterinary Specialists of North Texas in Dallas and Assistant/Associate Professor at the University of Missouri prior to joining the University of Florida in 2017. She loves teaching veterinary students how to apply their didactic education to patient care and to understand the goals of cancer therapy in dogs and cats. Her research focuses on improving the lives of companion animals with naturally occurring cancer and providing translational models for research in cancer causation, progression, and treatment. Particular areas of interest include novel diagnostics and treatments in cancer therapy and immune system dysfunction and modulation in cancer. This focus provides advanced cancer treatment for companion animals and essential information for translation of novel treatments into people. She has lectured and published extensively on her research in translational oncology. She relishes outdoor activities with her husband Scott and daughter Ainsley, and enjoys taking her boisterous Cavalier King Charles Spaniel, Watson for long walks.

COS 128 Effective Enrichment For The Cat That Refuses To Play (HDYTT) Mar 31, 2022

Show notes

Gertrude is a 16lb obese cat who simply refuses to lose weight. She will not run, play, or exercise in any way. She refuses to eat anything but the food she wants. Her health is on the line and Dr. Andy Roark is out of ideas. Fortunately, Ingrid Johnson is here to talk about how she handles these cases. Let’s get into it!

LINKS: Fundamentally Feline: https://www.fundamentallyfeline.com/ Put on Your PANTS! Hold Meeting that Matter: https://unchartedvet.com/product/put-on-your-pants-meetings/ Uncharted April Conference: https://unchartedvet.com/uncharted-april-2022/ Uncharted Podcast on iTunes: https://podcasts.apple.com/us/podcast/the-uncharted-veterinary-podcast/id1449897688

ABOUT OUR GUEST: Ingrid Johnson is a Certified Cat Behavior Consultant (CCBC) through The International Association of Animal Behavior Consultants (IAABC). Ingrid owns and operates Fundamentally Feline, providing in home consults for locals and virtual consultations worldwide for clients experiencing behavior challenges with their cat(s). In addition to behavior consults, Ingrid also offers medicating consultations to help clients overcome, or get ahead of, medicating challenges. Prevention and training, the best medicine! She makes her own line of feline foraging toys, scratching posts, vertical space, and litter boxes. She lectures nationwide on cat behavior at veterinary conferences such as AAFP, VMX, ACVC and the like. She is employed at Paws Whiskers and Claws, a feline only veterinary hospital, as a tech, groomer, and office manager and has been working exclusively with cats since 1999. In the Fall of 2016 a paper she co-authored, Food puzzles for cats: Feeding for physical and emotional well-being, was published in the JFMS (Journal of Feline Medicine and Surgery) and to compliment it she co-developed FoodPuzzlesforCats.com. To date it is the most popular and widely downloaded paper in the history of the journal! Ingrid’s home, cats, and environmental enrichment expertise has been featured on Animal Planet’s Cats101 show and featured in numerous publications including the website WebMD. She has created a series of educational How-To videos of her own, viewable on Fundamentally Feline’s website and YouTube channel. Ingrid regularly interviews and offers her expertise for various media outlets. She is Co-Director of Paw Project-Georgia, working towards ending the cruel practice of de-clawing cats. Cat Fancy magazine’s 2008 “Home Issue” showcased her feline friendly accommodations and the aesthetically pleasing ways you can provide for your cats innate basic needs while still having a home the humans can enjoy. Ingrid is a huge advocate for enrichment and is determined to thwart the belief that one’s home will look unsightly in efforts to provide it. Ingrid shares her home with husband Jake, five rescue cats, and Sebastian, a rescued Great Pyrenees Dog. Follow Fundamentally Feline on Facebook, Twitter, Instagram and You Tube!

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