The Derm Vet Podcast

247. Weird diagnosis: deep fungal Nov 21, 2024

Depending on where you live geographically, you may see a lot of deep fungal disease or not much at all. How do you recognize deep fungal disease? What diagnostics can be done?
Even if you don't see a lot of deep fungal disease where you live, dogs and cats change environments so it could happen! Learn about blastomycosis, coccidiomycosis, cryptococcus, sporotrichosis and histoplasmosis on this week's episode of The Derm Vet podcast.
TIMESTAMPS
00:00 Intro
00:25 Shoutout to ESAVS Dermatology 2 students!
01:29 Deep Fungal Infections
04:04 Blastomycosis
07:28 Coccidioidomycosis
09:19 Cryptococcus
12:17 Sporotrichosis
13:53 Histoplasmosis
16:44 Outro

246. Isoxazolines Nov 14, 2024

Isoxazolines are anti-parasitics that inhibit chloride channels in the nervous systems of invertebrates. This paralyzes and kills parasites by blocking the transmission of neuronal signals.
Isoxazolines are more selective to fleas, ticks, and mites than to mammals, including humans, dogs and cats. It has been a game changer for our flea allergic pets and treating mange cases.
Learn some of the specific differences of these products on this week's episode of The Derm Vet podcast!
TIMESTAMPS
00:00 Intro
00:25 Before Isoxazolines
02:28 What is Isoxazolines
04:34 Afoxolaner
06:18 Sarolaner
08:03 Lotilaner
09:10 Fluralaner
11:28 Summary
13:05 Outro

245. Canine Demodicosis Nov 07, 2024

Thanks to the isoxazolines... we don't see demodex as much as we used to! However, it is still a disease that can be overlooked and important to recognize and treat. But when treatment can range from nothing to an anti-parasitic... how do you approach these canine cases?
Localized vs. Generalized
Juvenile-onset vs. Adult-onset
Did you know there are three types of Demodex we can find on dogs?
Find out more on this week's episode of The Derm Vet podcast!
TIMESTAMPS
00:00 Intro
00:25 Why I'm in Thailand
00:45 Canine Demoidicosis
04:02 Demodex Canis
04:24 Demodex Cornei
05:09 Demodex Injai
06:54 Classification of Demodicosis
09:25 Juvenile Onset vs Adult Onset
11:34 How We Diagnose Demodicosis
13:38 Treatment for Demodicosis
15:24 Outro

244. Spoooooky derm tips Oct 31, 2024

Happy Halloween!
I asked for your spooky derm concerns and you delivered! Check out our top 5 sppoookkkyyy derm tips on this week's episode of The Derm Vet podcast.
1. Combining immunosuppressive drugs
2. Feline otitis
3. Cutaneous lymphoma
4. Missteps that can haunt you
5. Pseudomonas otitis
TIMESTAMPS
00:00 Intro
01:08 Concern with Combining Immunosuppressive Medications
05:46 Treating Feline Otitis
08:11 Cutaneous Lymphoma
10:25 What is a common misstep that can haunt a practitioner?
14:28 Pseudomonas Otitis
16:42 Outro

243. Why the non-drug stuff matters Oct 24, 2024

Derm drugs are SO important! BUT... there is a reason we talk about multimodal therapy being so essential in managing allergic cases. Preventatives, diet, immunotherapy, topicals, supplements, etc. are crucial. However, we have to tailor and customize our plan for each individual patient AND client.
Learn how the non-drug management tools can help with prevention, skin barrier, microbiome and future flares on this episode of The Derm Vet podcast.
TIMESTAMPS
00:00 Intro
01:03 Why Dermatologists Are Adamant About Non-Drugs
01:51 Prevention
04:58 Skin Barrier
07:57 Microbiome
09:35 Helping Clients Manage Disease Long-term
13:13 Summary
15:38 Outro

242. Zenrelia: a new tool for canine allergic dermatitis! Oct 17, 2024

Here it is... I have questions. You have questions. We all have questions about the new canine allergy medication: Zenrelia.
I was able to have Tom Lewis, DVM, DACVD on the podcast who was involved with the initial studies and has prescribed it in over 40 dogs! We jump into many of your commonly asked questions about how this medication works, implementing it in your clinical practice, warnings, etc.
Take a listen about this new medication in the canine allergy toolkit!
TIMESTAMPS
00:00 Intro
00:25 Zenrelia Is Finally Out
01:51 Why We Need More of This Type of Medicine for Dogs
06:25 The Difference of Selectivity for These Medications
09:28 What is Unique About Zenrelia Compared to Other Meds
15:26 Tom Lewis' Involvement in Zenrelia Studies
24:18 How Cases Are Selected
31:06 Box Warning for Zenrelia
37:38 Final Thoughts
42:01 Outro

241. How do we stop bacterial resistance? Oct 10, 2024

No doubt that bacteria keep getting smarter and smarter... recently, I had a culture come back from a superficial pyoderma with NO ANTIBIOTIC OPTIONS! So we have to pivot and consider options such as dilute bleach rinses.
What terminology is being used for this type of resistance? How can we prevent it from worsening? Find out some tips on this week's episode of The Derm Vet podcast!
TIMESTAMPS
Intro 00:00
Terminology For Resistant Bacteria 01:20
Recommendations For Managing Pyoderma 03:34
Why Do Antibiotics Sometimes Fail? 05:40
Outro 11:52

240. Is ear cytology really worth the client's money? Oct 03, 2024

Allergies add up! Is it really that important to perform ear cytology when most of commercial products have combination ingredients? What do you do if an ear is not responding?
Learn why it is crucial to justify the cost of repeated ear cytology to your cases. Many of these products have potent ingredients so we want to assure we are using them appropriately!

239. How to implement Phovia into your daily practice Sep 26, 2024

Phovia is an innovative form of photobiomodulation that is easy to use in a veterinary clinical practice and can have several benefits (antibacterial, wound healing, etc.). It is easy to use and fast!
But, what kind of cases could benefit from this technology? Would it be common to use on a daily basis in general practice? Check out how common Phovia can be used in a general practice. From acral licks, post-surgical incision and deep pyoderma, the common opportunities are endless!
This episode is sponsored by Vetoquinol.
TIMESTAMPS
Intro 00:00
Explaining Photobiomodulation (PBM) 01:22
When Veterinarians Would Use Phovia 05:14
How Phovia Is Helpful 12:18
Outro 14:02

238. Skin barrier... what are the different ways we can support it? Sep 19, 2024

Skin barrier might not sound that exciting, but it is really important to consider in managing allergic dogs and cats. How do you do it?
We know topicals are important! But there are other ways you can help the skin barrier through nutrition, supplements, even collars! Learn all about the ways that skin barrier can be enhanced in this week's episode of The Derm Vet podcast!
TIMESTAMPS
Intro 00:00
The Layers Of Atopic Dermatitis 01:06
How To Restore The Skin Barrier In Pets 04:02
Outro 12:34

237. What is MicroSilver and how can it help your derm patients? Sep 12, 2024

I welcome back Dr. Galia Scheinberg on the podcast this week! Dr. Scheinberg has a lot of experience using the Vetbiotek products which contains MicroSilver. How is this ingredient compared to other silver containing products?
Microsilver has a larger surface area, allowing for more positive ions to be released and for longer periods of time. Also, microsilver clings to the fur and skin, for prolonged contact without any systemic absorption.
Learn all about the Vetbiotek line which contains MicroSilver and Ceramide III. You can check out all of the options at https://nextmune.shop/.
TIMESTAMPS
Intro 00:00
The Importance Of Topical Therapy 01:52
Starting With Flares 05:10
Maintenance Therapy 09:44
Why Microsilver Is Different 15:38
Dr. Sheinberg's Take On BioCom 23:02
Touching On BioSeb Shampoo 25:34
Outro 31:22

236. Otitis Media: the gold standard treatment AND the shoestring budget option Sep 05, 2024

Otitis media is a middle ear infection and can occur due to many different primary diseases. Ideally, these cases receive advanced imaging with CT or MRI, undergo video-otoscopy with myringotomy, submit a C/S and receive several weeks of appropriate antimicrobial systemic treatment.
But, what if an owner can't afford referral? How else can we help these cases? Check out this week's episode of the podcast regarding clinical signs, causes, diagnostics and treatment options for otitis media.
TIMESTAMPS
Intro 00:00
A Quick Refresher On Otitis Media 01:08
The Differences In Clinical Signs 03:52
What To Do If A Dog Or Cat Has Otitis Media 08:12
Treatment For Otitis Media 11:08
Outro 16:38

235. Oncologist Opinion: Mast Cell Tumors Aug 29, 2024

Welcome back, Dr Rachel Venable, DVM, MS, DACVIM (oncology) to the podcast! This week we discuss mast cell tumors!
I don't know about you... but I always get confused about current guidelines with MCT. They can be anything from low-grade removal and no sweat... to multiple high-grade panic! How much margin do you really need? When is Stelfonta an option? Check out all this great conversation all about MCTs and how to approach them from a boarded oncologist!
TIMESTAMPS
Intro 00:00
Predispositions To Mast Cell Tumors 01:08
Single Mast Cell Tumors 02:25
Multiple Mast Cell Tumors 08:30
Are Subcutaneous Mast Cell Tumors More Of A Concern? 13:54
Staging Mast Cell Tumors 15:18
An Overview Of Stelfonta 17:36
Outro 20:10

234. Oncologist Opinion: Cutaneous lymphoma Aug 22, 2024

Cutaneous lymphoma can be a tricky disease. It is red, flaky and itchy just like allergies can be. If you see an older dog with these lesions, it should be a differential. But, what do you do if you get back a biopsy of cutaneous lymphoma? What if you can't refer the case to an oncologist?
Today's post welcomes Rachel Venable, DVM, MS, DACVIM (oncology) to discuss this disease and what you can do to manage them. She is the founder of Pet Cancer Care Consulting which is a teleconsulting service. Dr. Venable talks about diagnosis, prognosis and various treatment protocols regarding cutaneous lymphoma.
TIMESTAMPS
Intro 00:00
What Oncologists See With Epitheliotropic Lymphoma 02:00
The Prognosis Of Epitheliotropic Lymphoma 05:45
Does Dr. Venable Do Staging? 09:50
The Difference Between B-Cell And T-Cell Lymphoma 11:28
Walking Through Different Scenarios 12:58
The Concern Of Apoquel Neoplasia 19:00
Outro 21:44

233. Think like a Dermatologist Aug 15, 2024

How can you take your exam and history and "think like a dermatologist"?
How can you elevate your game in derm when working up these skin cases?
Check out how we pick up on distribution, species variations and history cues to start our skin workup in dogs and cats on this week's episode of The Derm Vet podcast!
TIMESTAMPS
Intro 00:00
The Purpose Of Collecting A History 02:02
The Examination 08:36
Outro 16:46

232. KeraVet Gel: a new product for wound healing Aug 08, 2024

Wounds can be tough, but there is a new product to help with that. KeraVet Gel is a hydrogel wound dressing intended to act as a protective covering for partial thickness wounds. It is the first veterinary product to include keratin as an ingredient based on human-grade products. Additionally, it contains the most bitter lick deterrent available on the market to discourage pets from traumatizing the area. Wouldn't it be great to get rid of E-collars?
Today, we welcome Cherice Roth, DVM (lead medical advisor for KeraVet bio) to discuss the benefits of this product for dogs and cats. Also, how to best implement it into your daily clinical practice.

231. Top 6 mistakes made before derm referral Aug 01, 2024

I get it! There is so much to cover in general practice that referring your patients to a dermatologist can feel daunting. I want to help! Here are the top 6 mistakes I see before cases are referred. It doesn't mean you are doing anything wrong... these are just simple things that can be fixed to have less frustrated clients.
TIMESTAMPS
Intro 00:00
They're Not On Flea Control (Mistake #1) 01:30
Not Explaining A Diet Trial (Mistake #2) 04:58
Giving Up On Quality Allergy Medications (Mistake #3) 07:00
Thinking Everything Is Allergies (Mistake #4) 09:18
Pet Owners Not Understanding The Intentions Of Allergy Testing (Mistake #5) 11:42
Waiting Too Long (Mistake #6) 14:02
Outro 15:46

230. Dr. Molly talks derm in the GP world Jul 25, 2024

Dr. Molly Brinkmann is a GP and medical director of a small animal general hospital in Tennessee. You may know her for the hilarious content she puts on Instagram (@drmollysays)... but she also loves managing skin cases as a general practitioner. We discuss working up these cases as a general veterinarian when you first see them and how to implement successful chronic management.
This is a great episode including two busy vet moms passionate about what they do for animals and their owners!
TIMESTAMPS
Intro 00:00
The Companion Project 01:24
How A General Practitioner Handles A Derm Case 06:34
Dr. Molly's Experience With Flea Prevention 09:32
General Practitioners Using Diet Trials 12:24
General Practitioners And Chronic Management 22:02
When General Practitioners Consider Referrals 26:28
Does Insurance Cover Immunotherapy? 31:00
Outro 32:22

229. 5 ways to rock your skin biopsies! Jul 18, 2024

Do you feel comfortable with skin biopsies? For such a small sample, it is easy to mess up.
Check out this week's episode of The Derm Vet podcast regarding prepping (don't!), sampling and submitting to maximize your results!
TIMESTAMPS
Intro 00:00
Get More Than One Sample (Tip #1) 03:20
User A Bigger Punch (Tip #2) 05:02
Do Not Prep Them (Tip #3) 06:48
Use A Dermatopathologist (Tip #4) 08:16
Rock Your Skin Biopsies (Tip #5) 10:10
Outro 11:54

228. Erythema Multiforme Jul 11, 2024

Erythema multiforme (EM) is an uncommon inflammatory skin disease. The onset is often very sudden and concerning and can affect the skin and mucous membranes leading to other issues (anorexia, difficulty defecating, etc.).
The condition can require anywhere from no treatment to immunosuppressive drugs. Learn more about this disease in this week's episode of The Derm Vet podcast!
TIMESTAMPS
Intro 00:00
Erythema Multiforme In Humans 02:16
What Erythema Multiforme Looks Like 03:12
Treatment For Erythema Multiforme 05:44
Outro 10:32

227. GRAB BAG: Autoimmune Diseases Jul 04, 2024

Another grab bag episode of the podcast, you submitted questions about AUTOIMMUNE DISEASES on Instagram. Here is some information that goes through sebaceous adenitis treatment, ear margin vasculitis differentials, topicals for autoimmune diseases and more!
TIMESTAMPS
Intro 00:00
Treatment Options For Sebaceous Adenitis 01:02
Mycophenolate In Autoimmune Cases 05:35
High Dose Prednisone Protocol 07:10
Treating With Antibiotics Before Biopsying An Autoimmune Case 09:04
Rule Outs For Ear Margin Vasculitis 11:30
Topicals For Autoimmune Diseases 14:20
Outro 16:36

226. What diseases (besides allergies) can be treated with Apoquel Jun 27, 2024

Apoquel (oclacitinib tablet) is approved for the treatment of allergic dermatitis in dogs over 12 months of age. However, veterinary medicine can present difficult cases and off-label use based on anecdotal experience can be important to provide quality of life when other options aren't working.
Check out some diseases that have been reported to have been treated successfully with Apoquel... that aren't allergies. The diseases may surprise you!
TIMESTAMPS
Intro 00:00
Discoid Lupus Erythematosus 04:16
Symmetrical Lupoid Onychodystrophy 08:22
Pemphigus Foliaceus 09:56
Vasculitis 12:36
Outro 14:30

225. Top 5 things to consider when seeing a derm case Jun 20, 2024

It can be daunting to start with a dermatology case in veterinary medicine... or even manage changes in a case you have seen for years! Check out my TOP 5 TIPS to consider when seeing a dermatology case on this week's episode of The Derm Vet podcast!
Join My Email List: https://thedermvet.com/
The Sit. Stay. Laugh! Podcast: https://podcasts.apple.com/us/podcast/the-sit-stay-laugh-podcast/id1743984464

TIMESTAMPS
Intro 00:00
Do You Know Your Diagnosis? (Tip #1) 02:40
Does This Treatment Make Financial Sense For The Pet Owner? (Tip #2) 07:16
Can The Pet Owner Physically Do It? (Tip #3) 09:36
What Is The Current Priority? (Tip #4) 11:16
What Is The Future? (Tip #5) 14:14
Outro 15:38

224. GRAB BAG: Food allergies Jun 13, 2024

I gave you the opportunity to ask questions about food allergies... and you delivered!
Come check out the top questions you have about food allergies in this week's episode of The Derm Vet podcast!
TIMESTAMPS
Intro 00:00
How To Challenge A Pet After A Diet Trial 01:56
My Flea Preventative Recommendation For Diet Trials 06:26
Can Pets React To Hydrolyzed Protein? 09:22
How Many Diet Trials To Consider Before A Pet Is Not Food Allergic 10:48
Does A Patient Need To Have A Year Round History In Order To Have Food? 13:04
Dental Chew Recommendations 14:38
Prednisone Helping Itchy Pets For Food 16:54
What If A Pet Doesn't Like Their Prescription Diet? 18:46
Age Distribution For Food Allergies 20:32
How Long Should Diet Trials Last? 21:54
Outro 23:26

223. The history should NOT be a mystery Jun 06, 2024

History collection is so important in veterinary dermatology... so many skin lesions can look the same. It can be especially crucial when figuring out why infections are happening in a pet.
On this episode, we will discuss important history questions and how to do it in a time efficient manner. Finally, remember that history collecting doesn't just happen at the first exam... it is an ongoing saga as you keep seeing the pet as a recheck.
TIMESTAMPS
Intro 00:00
Why Getting A History Is So Important 01:34
Ectoparasite Control 08:06
If Other Pets And People In The House Are Affected 09:30
Being More Efficient 11:14
Important Red Flags To Remember 14:38
Outro 19:12

222. 5 RED FLAGS that the case is not allergic May 30, 2024

As a dermatologist, I see A LOT of allergies. However, there are other causes of skin diseases that can cause a pet to develop pruritus, skin lesions, etc. In this episode, I will cover the 5 red flags that should get you considering other causes of skin disease besides allergies.
1. Dermatologic disease starts when the pet is senior
2. Mucus membranes are affected
3. The pet is not itchy
4. Infection is controlled but the lesions or pruritus do not respond to steroids or other anti-pruritic therapies
5. Weird lesions like depigmentation or nodules are present
TIMESTAMPS
Intro 00:00
Lesions Starting When The Pet Is Older (Red Flag #1) 03:56
Mucous Membranes Being Affected (Red Flag #2) 06:02
The Pet Is Not Itchy (Red Flag #3) 07:52
Not Responding To Anti-Pruritic Medication (Red Flag #4) 10:00
Weird Lesions (Red Flag #5) 12:06
Outro 14:34

221. Being a dermatology nurse in Scotland May 23, 2024

On this episode of The Derm Vet podcast, Jenni Grant joins. Jenni is the head veterinary nurse at The Dermatology Referral Service in Scotland. We discuss the differences between practicing in the United States compared to Scotland. Also, some great information regarding improving your cytology skills as a veterinary nurse/technician and how to communicate with clients regarding chronic allergy management.
TIMESTAMPS
Intro 00:00
Jenni's Role Within Her Dermatology Practice 02:56
Jenni's Veterinary Journey 04:10
How Technicians Help With Client Communication 12:54
Jenni's Dermatology Workflow 17:30
Intradermal Allergy Testing In Scotland 20:22
Videotoscopies In Scotland 23:50
Jenni's Advice For Aspiring Dermatology Nerds 27:32
Jenni's Favorite And Least Favorite Dermatology Disease 31:18
Outro 32:37

220. The Dos and Don'ts of getting amazing cytology samples! May 16, 2024

One of the top questions I get asked... "How do I get better cytology samples?". This week's episode of The Derm Vet podcast goes over some Dos and Don'ts to improve your cytology collection technique to get amazing samples!
DO: use your non-dominant hand to assist
DO: get under crust and scale
DO: practice
DO: use different collection techniques
DON'T: be wimpy with your sampling
DON'T: skip it
DON'T: rub the slide back and forth
DON'T: give up
TIMESTAMPS
Intro 00:00
The Do's Of Cytology 01:03
The Don'ts of Cytology 08:36
Outro 15:38

219. 6 tips to convince clients to use topicals May 09, 2024

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

218. Take away the FEAR in EARS May 02, 2024

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

217. Eyes and Skin- A veterinary ophthalmologist joins the podcast! Apr 25, 2024

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

216. German Shepherd Dermatology Apr 18, 2024

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

215. How the Irish vets manage allergies Apr 11, 2024

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

214. How to make dermatology CHEAPer... Apr 04, 2024

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

213. Color Dilution Alopecia Mar 28, 2024

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

212. Feline Dermatology with Dr. Gary Marshall Mar 21, 2024

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

211. How to use less drugs with environmental allergies Mar 14, 2024

"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

210. Veterinary Dermatology in Mexico -- what's the same and what's different? Mar 07, 2024

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

209. My path in derm Feb 29, 2024

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!

208. Four quick tips to improve your derm practice Feb 22, 2024

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!

207. When flea-nial strikes! Feb 15, 2024

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.

206. Tips and Tricks to be Successful with Diet Trials Feb 08, 2024

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!

205. The most annoying dermatologist answer ever... "It depends." Feb 01, 2024

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.

204. The Derm Vet X The Dogtor Bros crossover: Parenthood in veterinary medicine Jan 25, 2024

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!

203. Are you using topicals correctly? Jan 18, 2024

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!

202. Working up pododermatitis Jan 11, 2024

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!

201. Happy New Year! Is it the right time to start a diet trial? Jan 04, 2024

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!

200. Derm wrap up for 2023! Dec 28, 2023

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!

199. Approach to immune mediated disease Dec 21, 2023

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!

198. How to collect a cat derm history Dec 14, 2023

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!

197. When your allergy case stops responding... Dec 07, 2023

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!

196. SCIT vs SLIT... which one is better? Nov 30, 2023

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!

195. Thanks and gratitude for your support! Nov 23, 2023

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!

194. Evolving in dermatology Nov 16, 2023

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!

193. Did you know there are different types of pemphigus? Nov 09, 2023

We often talk about pemphigus foliaceus... but did you know there are other forms of pemphigus? Learn some of the differences in distribution, pathology and species on this week's episode of The Derm Vet podcast!

192. Difficult derm convos Nov 02, 2023

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.

191. Distribution of cat skin lesions Oct 26, 2023

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!

190. Why are ear cultures controversial? Oct 19, 2023

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!

189. Labwork monitoring for derm drugs Oct 12, 2023

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!

188. How to practice fear free dermatology Oct 05, 2023

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!

187. What I wish I knew sooner... Sep 28, 2023

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!

186. Nasal Planum Diseases Sep 21, 2023

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!

185. Vasculitis Sep 14, 2023

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!

184. Revisiting Apoquel vs. Cytopoint Sep 07, 2023

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!

183. The complexity of atopic dermatitis (in humans AND pets!) Aug 31, 2023

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!

182. Importance of topical therapy Aug 24, 2023

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!

181. Frequency of ear flush Aug 17, 2023

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!

180. Collaboration with Skin Flint podcast Aug 10, 2023

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

179. My Commencement Speech Aug 03, 2023

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!

178. Isoxazolines in dogs Jul 27, 2023

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!

177. Isoxazolines in cats Jul 20, 2023

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!

176. Pseudomonas otitis- biofilm, ulcerations and pain Jul 13, 2023

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!

175. PHOVIA: an alternative treatment for pyoderma and other dermatologic disease Jul 06, 2023

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.

174. Keynote at Fetch KC (August 26!) Jun 29, 2023

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!

173. Feline head and neck pruritus Jun 22, 2023

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.

172. 4 tips to get a derm diagnosis Jun 15, 2023

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!

171. Flea lifecycle Jun 08, 2023

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.

170. Why perform ear cytology? Jun 01, 2023

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!

169. How can you tell the allergy plan is successful? May 25, 2023

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!

168. Owner can't medicate pet. May 18, 2023

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.

167. Top 3 things to consider for an allergic flare May 11, 2023

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!

166. REPLAY: Bald Belly Cats May 04, 2023

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!

165. Yeasty Beasties! Apr 27, 2023

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

164. Intradermal vs serum testing for atopic dermatitis Apr 20, 2023

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!

163. DERM DEBUNK: Apoquel CAN'T help otitis. Apr 13, 2023

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.

162. What is a dermatology residency? Apr 06, 2023

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!

161. Cytology collection techniques Mar 30, 2023

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.

160. When the ear canal is swollen shut Mar 23, 2023

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!

159. Bulldog dermatology Mar 16, 2023

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!

158. Grab Bag! Topical Therapy for Canine Atopic Dermatitis Mar 09, 2023

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!

157. Don't forget the skin barrier! Mar 02, 2023

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!

156. Changing your client communication in derm Feb 23, 2023

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.

155. The Complete Ear Exam Feb 16, 2023

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!

154. Diet trials in puppies Feb 09, 2023

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.

153. The life of a vet parent Feb 02, 2023

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.

152. How should an ER vet practice dermatology? Jan 26, 2023

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.

151. When should I suspect something besides allergies? Jan 19, 2023

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!

150. Why did Apoquel stop controlling my dog's itch? Jan 12, 2023

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.

149. 5 Challenges for the New Year Jan 05, 2023

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.

148. End of Year Wrap Up- 2022 Dec 29, 2022

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!

147. Allergy Spiel: The Atopy Talk Dec 22, 2022

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!

146. Allergy Spiel: The Food Talk Dec 15, 2022

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!

145. Allergy Spiel: The Flea Talk Dec 08, 2022

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!

144. Series Kick off: Allergy Spiels Dec 01, 2022

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.

143. What I am thankful for in veterinary dermatology Nov 24, 2022

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!

142. Pustules- What are they? What differentials should I have? Nov 17, 2022

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!

141. Papules- What are they? What differentials should I have? Nov 10, 2022

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.

140. Comedones- What are they? What differentials should I have? Nov 03, 2022

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!

139. Scaling- What is it? What differentials should I have? Oct 27, 2022

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.

138. Crusting- What is it? What differentials should I have? Oct 20, 2022

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!

137. Chlorhexidine- how it works, how to use it and could there be resistance? Oct 13, 2022

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.

136. Canine Atopic Dermatitis: what are the hints? Oct 06, 2022

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!

135. What does chronic management of canine atopic dermatitis look like? Sep 29, 2022

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.

134. Ear cultures: are they useful or not? Sep 22, 2022

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.

133. Hill's Global Symposium Sep 15, 2022

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.

132. Fact or Fiction: "If you love what you do, you will never work a day in your life." Sep 08, 2022

"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.

131. Aural hematoma Sep 01, 2022

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

130. Managing Early Canine Allergic Dermatitis Aug 25, 2022

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.

129. Q and A: Canine Atopic Dermatitis Aug 18, 2022

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.

128. August is Itchy Pet Awareness Month- Time to Get Ready! Aug 11, 2022

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

127. Beyond prescribing flea prevention Aug 04, 2022

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.

126. The Allergy Journey of the WESTIE Jul 28, 2022

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.

125. Histiocytoma Jul 21, 2022

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!

124. Canine Papillomavirus Jul 14, 2022

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.

123. Bleach for resistant pyoderma Jul 07, 2022

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.

122. Scabies Jun 30, 2022

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!

121. Why epidermal barrier matters in the multimodal approach Jun 23, 2022

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.

120. Working up otitis... the PSPP system Jun 16, 2022

Otitis can be a frustrating disease to diagnose and manage. However, it is one of the most common diseases seen in general practice. Successful treatment does not just mean picking the right ear drop. You have to consider why the infection is happening and what other factors are present that may complicate remission of the disease.
Learn how the PSPP system can be a quick way to have a full view of how to manage a complicated otitis case!

119. Bald Belly Cats Jun 09, 2022

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!

118. Dermatology in Shelter Medicine Jun 02, 2022

Stephen Kochis, DVM joins the podcast to discuss dermatology in shelter medicine. He is the Chief Medical Officer for the Oregon Humane Society in Portland, OR.
Dr. Kochis discusses some of the amazing work he does in shelter medicine managing dermatologic diseases including feline dermatophytosis and canine allergies. Also, the importance of getting to know your local shelters.

117. What is the TOP thing you should do prior to dermatology referral? May 26, 2022

Before referring a dog or cat to a dermatologist, what should you do? Of course we love cytology, diet trials, topical therapy, etc. but there is ONE particular thing I would love for every case to have before seeing us at the dermatology clinic. Check out this episode of the podcast to find out my top request!

116. The CLAW... fold May 19, 2022

Claw fold disease is often overlooked in dogs and cats during the dermatologic examination. However, this a common anatomical area that is affected in pets with allergies, infections, parasites or autoimmune diseases.
Though there are similarities in claw fold diseases between dogs and cats, there are some differences that should be recognized as well. Learn all about clinical signs, diagnostics and differentials in this episode!

115. Apoquel® and Cytopoint’s effect on allergic inflammation May 12, 2022

Welcome Valerie Fadok, DVM, PhD, DACVD to the podcast to discuss canine allergic and atopic dermatitis! She is a senior veterinary dermatologist with Zoetis.

We’ve come a long way in our ability to manage allergic skin diseases in dogs. Due to our increased knowledge based on research, there are better therapeutics available. We have learned that several Type 2 cytokines such as IL-2, IL-4, IL-6, IL-13, and IL-31 are major players in mediating allergic pruritus and inflammation. These cytokines mediate their action through Janus kinase-1 and appear early in the allergic inflammation cascade.
It is so important with the management of allergic and atopic dogs that we continue to have studies showing the effect of therapies on itch and inflammation. Check out this episode of the podcast to learn more!
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. Visit ScienceofStrongerBonds.com for more information.

APOQUEL-IMPORTANT SAFETY INFORMATION

Do not use Apoquel in dogs less than 12 months of age or those with serious infections. Apoquel may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions. New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval. Apoquel has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. Apoquel has been used safely with many common medications including parasiticides, antibiotics and vaccines. For more information, please see the full Prescribing Information at Apoquel.com/pi.

Apoquel Indications

Control of pruritus (itching) associated with allergic dermatitis and control of atopic dermatitis in dogs at least 12 months of age.

Cytopoint Indications: Cytopoint has been shown to be effective for the treatment of dogs against allergic dermatitis and atopic dermatitis.

114. Yeast otitis May 05, 2022

How do you diagnose and appropriately treat yeast otitis? What if it doesn't respond? When do you reach for systemic medications?
Learn why cytology is SO important in these cases and how to manage yeast otitis.

113. Diet trial barriers Apr 28, 2022

Discussing food changes and diet trials with clients can be very frustrating and emotional. How do you break down that barrier? How do you gain confidence as a clinician when you are already dreading the conversation?
Learn some tips and tricks on approaching the food talk with your clients!

112. How Your Technician Can Help Your Dermatology Patients Apr 21, 2022

Technicians are the backbone of a veterinary clinic. Between client communication, collecting diagnostics and administering therapies, their capabilities truly are amazing! Today, I welcome two amazing technicians to the podcast: Amanda Friedeck, BS, LVT, VTS (Dermatology) from Texas A and M University and Shannon Carroll from Animal Dermatology Clinic Portland. They discuss the similarities and differences between their roles at a University and private practice caring for dermatology patients.
Zoetis has recently launched an amazing program for veterinarian technicians that provides free education about Cytopoint. You can check out the below links about implementing this program:
https://cloud.mc.zoetis.com/Cytopoint_NGSE_Landing_Page
https://learn.zoetisus.com/learn/course/1186/Cytopoint%253A%2520Essential%2520Facts%2520and%2520New%2520Information%2520You%2520Need%2520to%2520Know%2520%28CE%253A%25200.5%29
This podcast was sponsored by Zoetis, the makers of Apoquel and Cytopoint. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.

111. All about Allergy Testing Apr 14, 2022

Why should you refer a dog or cat for environmental allergy testing? It is important to realize this is a not a diagnostic test but how we formulate immunotherapy for desensitization.
Learn about the different allergy tests (intradermal, serum) and the purpose of performing them.

110. Plasma Cell Pododermatitis Apr 07, 2022

Plasma cell pododermatitis is an autoimmune disease we most commonly see in cats. Learn about the clinical presentation, diagnosis and treatment options!

109. Antibiotic alternatives Mar 31, 2022

Infections are getting scarier and scarier. with resistance.
Now more than ever, it is essential that we are being judicious with our antibiotic use. But what alternatives are there? From topical therapy to fluorescent light therapy (Phovia), find out what options are available and are necessary to implement.

108. Ear flush basics Mar 24, 2022

Why is ear flushing important? Should we flush in the clinic or at home? What flush should you use for cocci, rods, yeast or just ceruminous debris?
Ear flushing is an essential tool in the treatment and management of otitis. Get a review of the basic strategies you can use to have more success with your cases!

107. Cytology confidence- how to feel good about your samples Mar 17, 2022

You hear dermatologists talk about the importance of cytology. But, how do you become confident about your collection technique?
Learn how to master this important derm diagnostic. You will become an expert in no time with these tips!

106. Criteria for diagnosing canine atopic dermatitis Mar 10, 2022

Workup of the allergic dog can be time consuming and difficult. Going through the necessary rule outs is important for allergies, but there are criteria that can heighten your suspicion of atopic dermatitis Check out some criteria that can help you feel more confident about diagnosing a dog with atopic dermatitis!

105. Market Research- How Can it Help Our Dermatology Practice? Mar 03, 2022

Today, Steve Pfohl joins as a guest on the podcast. He is the market research lead for the U.S. dermatology portfolio at Zoetis. Market research is conducted to help uncover insights that provide value to veterinarians and dog owners. This information can improve our communication with owners, and this benefits their pets’ lives.
For more interesting information about market research and how it impacts your daily veterinary practice, check out this!

104. Old McDonald had an itchy farm animal! Feb 24, 2022

Julia Miller, DVM, DACVD is back to chat about farm animal dermatology. From cows to pigs to goats... get a down and dirty discussion about problems that can be seen with the skin!

103. Horsin' around... Equine dermatology Feb 17, 2022

Julia Miller, DVM, DACVD joins the podcast to chat about horses! There are a lot of amazing things we can do to control horses with skin disease between topicals, immunotherapy and changing simple things like nutrition.
Listen to our discussion which ranges from urticaria to dermatophytosis!

102. What is a minimum derm database? Feb 10, 2022

Scrape, pluck, smear... biopsy if weird. We need to remember to go back to the basics in derm cases. So, get a quick refresher on where to start with abnormal skin lesions.

101. Canine Hyperadrenocorticism- the good, the bad, the confusing Feb 03, 2022

Dr. Lauren Adelman is back on the podcast! She is a board-certified internal medicine specialist practicing at Canada West Veterinary Specialists in Vancouver, BC. On this episode, we discuss hyperadrenocorticism (Cushing's disease). This can be a complicated disease to diagnose and manage. So check out our discussion and feel comfortable knowing there is no clear cut answer!

100. Canine Hypothyroidism: Get it right and avoid overdiagnosing! Jan 27, 2022

Welcome Lauren Adelman, DVM, DACVIM to the podcast! An internist at Canada West Vet Specialists in Vancouver, BC. We discuss the clinical signs, diagnosis and treatment options for canine hypothyroidism.
One of the most overdiagnosed diseases... how do you know you got it right?

99. Sebaceous Adenitis Jan 20, 2022

Sebaceous adenitis is an autoimmune disease that can cause scaling, follicular casting and hair loss in dogs. Standard Poodles, Vizslas and Akitas are predisposed. Learn how to recognize this disease, diagnose it through biopsy and the wide array of treatment options that are available.

98. Color Dilution Alopecia Jan 13, 2022

Color dilution alopecia (CDA) is an inherited condition that causes patches of hair loss, and may also include flaky skin and pruritus. The condition is associated with individuals who have a “dilute” color, and is most commonly seen in dogs with a blue or fawn coat.
Learn about this interesting disease, how to diagnose it appropriately and manage it long-term.

97. Cytology collection techniques and staining Jan 06, 2022

You always hear me mention "cytology everything"! But, how do you actually collect a diagnostic cytology sample?
Cytology is the minimum database of any dermatology case. So, it is important to find 2-3 techniques you feel comfortable with and become a PRO at them. From direct impression to tape to toothpick samples, get a step-by-step guide on the difference collection methods.
Don't forget to check out The Derm Nerds which includes a cytology collection PDF and RACE approved cytology presentation! https://thedermvet.com/the-derm-nerds

96. 2021 wrap up- top 5 tips from The Derm Vet Dec 30, 2021

I asked you what you have learned from the podcast this year. My husband joins me again (check out the 2020 wrap up!) to chat about your responses. From cytology to feline dermatology to being a veterinary parent, check out a summary of 2021!
Thank you for continuing to help this podcast grow and reach more people!

95. All about IL-31 and its inhibitors Dec 23, 2021

IL-31 has gained a lot of attention in the last decade based on its role in pruritus for canine allergic dermatitis. Also, the specific therapies that target this pruritic cytokine (Apoquel and Cytopoint). This episode welcomes Meagan Painter, DVM, DACVD. She is a boarded certified dermatologist at MSPCA-Angell West in Waltham, MA.
Dr. Painter has recently released an online course all about canine allergies (theallergicdog.com) that dives even further into this important topic!

94. How can marketing help your practice? Dec 16, 2021

Laura Dennis joins the podcast for this episode. She is the Vice- President of Sales and Marketing for Xoran Technologies. She provides her marketing expertise on ways that you can allow your practice to thrive. For example, if you have innovative technology such as cone beam CT and want to inform clients and other clinics.

93. When should I refer to a dermatologist? Dec 09, 2021

As a general practitioner, you see itchy, infected pets all day long. But, when do you decide to make the referral to a dermatologist? Every veterinarian is going to have a different comfort level with managing chronic, allergic pets. Every client is going to have a different threshold for getting a specialist involved with their pet. However, there are some basic guidelines that can be used of when referral can fit into your recommendations.

92. Top 5 Tips for Stenotic Ears Dec 02, 2021

Stenotic ears can be very challenging to get under control and manage long-term. Get the 5 top tips to be successful with reversing these severe changes!

91. Itchy or stressed? Nov 25, 2021

The podcast welcomes back Dr. Chris Pachel, DVM, DACVB, CABC! How can you tell if a dog's licking is related to allergies or behavior? It may not be as straight forward as you think since there can be some overlap. Client communication, multimodal treatment, etc.
Dig into some details of this complex area of case management!

90. Overgrooming cats Nov 18, 2021

How much grooming is too much grooming in a cat? Can stress really be the cause? Do you refer them to a dermatologist, internist or behaviorist?
Learn where to start with overgrooming cats! Diagnostics, causes and how to get them under control and comfortable.

89. Oral lesions- should I send them to a dentist or dermatologist? Nov 11, 2021

The podcast welcomes Dr. Amy Thomson, DVM, DAVDC (@toothy.thomson) to discuss cases that can cross over from dentistry to dermatology.
Learn about oral lesions, how to biopsy them and client education. We discuss eosinophilic granuloma complex and autoimmune and neoplastic diseases in the mouth.

88. Proliferative and Necrotizing Otitis Externa (PNOE) Nov 04, 2021

Proliferative and Necrotizing Otitis Externa (PNOE) is a rare autoimmune disease that can affect young cats. Once you see a picture of this disease, you won't forget it! Learn about the clinical apperance and treatment options available for this crusty disease.

87. I’m Completely Booked! What To Do When You Can’t Get Itchy Patients in Right Away: Phone Fixes, ER visits and More Oct 28, 2021

Since owners are having a hard time getting into their general veterinarian, there is an increase amount of dermatologic patients trying presenting to the emergency veterinary clinic. This can be acute moist dermatitis (“hot spots”), otitis and general allergic itch. Dr. Nell Dalton, DVM (WestVet in Boise, ID) discuss this in this podcast episode. She communicates with owners that life-threatening emergencies take precedent, but she tries to accommodate dermatology patients as much as she can. Knowing these pets and clients are having their quality of life affected by the itch, lesions, etc. This may include collecting diagnostics and phoning the owner later with results or arranging a drop off appointment where the pet can stay in the clinic until time allows.

86. Symmetrical Lupoid Onychodystrophy (SLO) Oct 21, 2021

Symmetrical lupoid onychodystrophy is an autoimmune disease that can cause dog's to slough their claws. It can be very painful and requires chronic management. Learn the approach to this disease from diagnosis to treatment.

85. Cone Beam CT in general practice Oct 14, 2021

Cone-beam computed tomography systems are a variation of traditional computed tomography (CT) systems. This technology has been used in human dentistry with the ability to rotate around the patient, capturing data using a cone-shaped X-ray beam. This information can be used to reconstruct a 3D image of the patient’s anatomy.
Cone-beam CT is making its way into veterinary medicine. Beyond dentistry, it can be used to evaluate the middle ear, limbs, etc. A more affordable and portable option! Dr. Mike Canfield, DVM, DACVD from Animal Dermatology South in New Port Richey, FL joins the podcast to share his experience utilizing cone-beam CT. He is a dermatologist that also practices as a general practitioner and has a lot of experience with this cool advancement in imaging.

84. Douxo® S3 and Ophytrium: advancing ingredients to improve epidermal barrier Oct 07, 2021

Initially, I was a little thrown off when I heard Douxo® was changing their main active ingredient from phytosphingosine to ophytrium. Why change it now? But, as I learned more about the upgrades that were being made to the new Douxo® S3 line, I was really excited hear about the thought and innovation that went into upgrading this line.

On this episode of the podcast, I got to talk to two amazing ladies from Ceva Animal Health: Dr. Christine Mullins (veterinary services manager) and Jacqueline Hodges (associate key account manager). They walk though the steps to this upgrade to assessing its effect on new canine skin models, a human skin model (to assure safety for owners) and in real canine patients. Not only were the ingredients considered but the user experience with the bottle, smell and lather. Enjoy learning all about this new line of topicals!

83. Antihistamines delay relief from acute allergic flares Sep 30, 2021

With veterinary clinics being so busy, it seems helpful to hand out an antihistamine dose
over the phone when a client calls about their itchy pet. However, the more we learn
about the pathomechanism of pruritus in dogs, histamine doesn’t play as big of a role as
originally thought. Pruritus from canine atopic dermatitis is actually driven by various
proinflammatory and pruritogenic cytokines such as interleukin-31.
In the veterinary profession, we have so many amazing therapies that provide fast
effective pruritus relief. We want to establish trust with our clients by helping their dog’s
allergic symptoms quickly. Check out this episode to learn more!

82. Review of the Clinical Consensus Guidelines for Dermatophytosis Sep 23, 2021

Dermatophytosis can be a frustrating disease process. There are many different diagnostic tests and treatment options. This episode reviews "Diagnosis and treatment of dermatophytosis in dogs and cats: clinical consensus guidelines of the World Association for Veterinary Dermatology". This was an extensive review of the literature over several years. The article is available at: https://pubmed.ncbi.nlm.nih.gov/28516493/

81. What flare factors cause my allergic patients to itch? Sep 16, 2021

On this episode, I discuss the four common flare factors for allergic pets. If a dog becomes itchy despite the use of an effective antipruritic, we want to assure a flare factor isn’t complicating things before switching our allergy management. Listen in to see if you agree with these flare factors!

80. What ear flush should I carry in the clinic? Sep 09, 2021

From my hotel room in Las Vegas for WVC, a basic overview of the various ear flushes you should consider carrying in the clinic. Pick 3 different types such as antiseptic, TrizEDTA and cerumenolytic.

79. Keys to Success with the Diagnostic Workup of the Itchy Dog Sep 02, 2021

An allergic workup is key to reduce itch in dogs and control infection long-term. Identifying the underlying cause of pruritus is essential to minimize the severity and frequency of infections. This leads to less resistant bacteria in our patients and reduction in systemic medications over the lifetime of the pet.

In this episode of the podcast, I’m joined by Dr. Jennifer Schissler, DVM, MS, DACVD. We discuss the canine allergic workup and the importance of communication to owners of allergic pets.

78. The expense of allergies and how pet insurance can help Aug 26, 2021

Allergies are chronic, frustrating and expensive. With so many different things to treat (itch, infection, parasites, etc.), costs can add up quickly. This2 episode welcomes Dr. Adam Christman, DVM, MBA. He is the Chief Veterinary Officer for Fetch DVM 360. We discuss how common allergies are in the clinic and how offering pet insurance to your clients at a young age can alleviate a lot of the financial burden for this chronic disease management.
This episode of the podcast is sponsored by Nationwide Pet Insurance.

77. Epitheliotropic lymphoma in dogs Aug 19, 2021

Do you know how to recognize the clinical signs of epitheliotropic lymphoma in dogs? Remember, not every itchy dog is allergic. Listen to this quick overview of this disease including clinical signs, diagnostics and treatment options.

76. Breaking down the basics of autoimmune skin disease Aug 12, 2021

When should you be suspicious of an autoimmune disease? How do you collect the best biopsy samples? This podcast episode welcomes Dr. Tyler Jordan, DVM, DACVD to discuss the basics of autoimmune skin diseases in dogs and cats. Dr. Jordan is currently earning his PhD degree at North Carolina State University including research in canine pemphigus foliaceus. This is a great overview of autoimmune diseases- how to recognize them clinically, diagnose and manage with therapeutics.

75. Fetch the Best- How to Successfully use Apoquel® and Cytopoint to Manage Allergic Dogs Aug 05, 2021

Apoquel® (oclacitinib tablet) and Cytopoint are tremendous tools in the management of allergic and atopic dermatitis in dogs. On this episode of The Derm Vet podcast, I got to discuss both of these therapies with Dr. Dana Liska, DVM, DACVD. Dr. Liska is a senior veterinary specialist in dermatology with Zoetis Petcare.
Learn how these therapies can be successfully utilized during the canine allergic workup and provide relief from pruritus.
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. Visit ScienceofStrongerBonds.com for more information.

Apoquel-Important Safety Information

Do not use APOQUEL in dogs less than 12 months of age or those with serious infections. APOQUEL may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions. New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval. APOQUEL has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. APOQUEL has been used safely with many common medications including parasiticides, antibiotics and vaccines. For more information, please see the full Prescribing Information at APOQUEL.com.

APOQUEL® Indications

Control of pruritus (itching) associated with allergic dermatitis and control of atopic dermatitis in dogs at least 12 months of age.

Cytopoint Indications: CYTOPOINT has been shown to be effective for the treatment of dogs against allergic dermatitis and atopic dermatitis.

74. How to create a successful workup and therapeutic plan for canine otitis Jul 29, 2021

Dr. Darin Dell, DVM, DACVD joins this episode of the podcast. He is the medical director of Wheat Ridge Animal Hospital in Wheat Ridge, CO. Topical therapy in canine otitis can be very frustrating due to all of the product options and recurrence of infections.
Dr. Dell provides advice on the diagnostic workup of canine otitis and how to create a therapeutic plan for each individual case. Topical commercial leave-in products (such as Osurnia) can provide an easy way to treat infections and increase compliance and follow-up at recheck. We discuss how to implement these therapies in cases and the range of severity canine otitis externa cases can present in the clinic.

73. Itchy Pet Awareness Month Jul 22, 2021

August is Itchy Pet Awareness Month! This is the third year of raising awareness for itchy pets and what veterinarians can do to help provide fast relief. On this episode of the podcast, I welcome Dr. Michele Rosenbaum, VMD, DACVD (Medical Lead for Dermatology at Zoetis Petcare) and Cammie Johnson (Senior Marketing Manager for Dermatology at Zoetis Petcare). Hear about all the fun things you can do to celebrate Itchy Pet Awareness Month in the clinic to help educate owners!
Check out these great resources mentioned within the episode:
ItchyPetAwarenessMonth.com
ItchingForHelp.com
ZoetisPetCare.com
ScienceOfStrongerBonds.com
LetsTalkAllergicItch.com

This podcast was sponsored by Zoetis, the makers of treatments including APOQUEL (oclacitinib tablet) and CYTOPOINT. Zoetis is dedicated to changing the way we approach canine pruritus to protect the bonds between the pet, the owner and the veterinary team. Visit ScienceofStrongerBonds.com for more information.
Apoquel-Important Safety Information

Do not use APOQUEL in dogs less than 12 months of age or those with serious infections. APOQUEL may increase the chances of developing serious infections, and may cause existing parasitic skin infestations or pre-existing cancers to get worse. Consider the risks and benefits of treatment in dogs with a history of recurrence of these conditions. New neoplastic conditions (benign and malignant) were observed in clinical studies and post-approval. APOQUEL has not been tested in dogs receiving some medications including some commonly used to treat skin conditions such as corticosteroids and cyclosporines. Do not use in breeding, pregnant, or lactating dogs. Most common side effects are vomiting and diarrhea. APOQUEL has been used safely with many common medications including parasiticides, antibiotics and vaccines. For more information, please see the full Prescribing Information at APOQUEL.com.

72. Interdigital furuncles/cysts Jul 15, 2021

Interdigital furuncles (aka interdigital cysts) can be very uncomfortable for the pet and alarming for the owner. The difficult thing about management is the (often) multifactorial component (infection, allergies, arthritis, etc.).
Treating infection, decreasing inflammation and working up the underlying cause is imperative in successful management. Get a brief overview of this disease and what you can do to make these pets feel better!

71. When should TrizEDTA ear flush be used? Jul 08, 2021

Dealing with acute or chronic otitis can be really difficult. Especially when it becomes resistant to therapies. Knowing which topical ear flushes should be used in gram-negative infections can maximize success of your difficult otitis cases.
Gram negative infections (such as Pseudomonas sp.) are notorious for creating biofilms which can make treatment even more challenging. TrizEDTA is an ingredient in several different veterinary ear flushes which can help. TrizEDTA has antibioitic-potentiating effects by creating holes within the bacteria. Additionally, it has anti-biofilm properties. This episode goes over the benefits of TrizEDTA in gram-negative infections.

70. When a derm case walks into the ER... Jul 01, 2021

Dermatology and critical care cases may seem quite different, but there are more similarities than you may think. Setting client expectations, considering long-term management and prioritizing treatment in certain cases are important whether it is for a patient with DKA or allergies.
Dr. Justine Lee, DVM, DACVECC, DABT joins me on the podcast today to give her view as a criticalist managing skin and ear cases. As the CEO of VETgirl, Dr. Lee is an expert on teaching veterinarians how to manage cases in the ER setting. We have a wonderful conversation and discover a lot of overlap between our two specialties. Enjoy!

69. The dreaded perianal fistula Jun 24, 2021

Perianal fistula is an autoimmune disease predominantly seen in German Shepherd dogs. It can be very uncomfortable and various clinical signs. But, when appropriately diagnosed, medical management can drastically improve the dog's quality of life. Learn how to diagnose this disease, appropriately document location in medical records and how to approach medical management.

68. Implementing Topical Therapy Successfully Jun 17, 2021

The more we learn about allergies in pets... the more complex it becomes. It is important that the multimodal approach to allergies includes consistent topical therapy. This episodes welcomes Dr. Rusty Muse, DVM, DACVD, MANZCVS. Dr. Muse is the Medical Director for Animal Dermatology Clinic and practices out of the Long Beach and Tustin, CA locations.
Dr. Muse shares his passion for topical therapy. This episodes goes over client communication, topical ingredients, treating infections and long-term maintenance therapy.

67. Improving the veterinary-client relationship Jun 10, 2021

Communication between a client and veterinarian is one of the most important aspects of managing a pet with chronic skin disease. But, what type of communication is a client looking for? What things would they change with how options are presented? In this episode, we dive into an article that illustrates different aspects of communication that clients are seeking. This can be important in any aspect of veterinary medicine.
Coe J, et al. JAVMA 2008; 233: 1072-1080

66. What is diascopy? Jun 03, 2021

Diascopy is a simple technique that can be used in the clinic with a microscope slide. It can help differentiate from inflammation and hemorrhage. Enjoy this quick episode going over this interesting diagnostic test and how it can be helpful with your erythematous cases.

65. Unilateral otitis- what to suspect May 27, 2021

The differential list for unilateral otitis can be quite different from the typical allergic otitis. It is essential to perform a full otoscopic examination (even if if requires anesthesia or sedation) to assure a foreign body or mass is not present. Either of these can cause nasty, persistent infections that often only affect one ear. Instead of treating with topical medications over and over again, make sure you go searching for the primary cause.

64. When to suspect an endocrinopathy in a derm case May 20, 2021

Traditional signs of hypothyroidism or hyperadrenocorticism don't always occur in canine patients. We think of lethargy, weight gain, polydipsia, polyuria, etc. But, you can simply see patients that have recurring pyoderma and otitis as the predominant sign of an endocrinopathy. Learn what hints in the history and clinical symptoms can put hypothyroidism or hyperadrenocorticism higher on your differential list for a derm patient.

63. MRSP- how to turn the bad and ugly into good. May 13, 2021

Methicillin resistant staph has become a scary aspect of veterinary dermatology. It is important to know how to recognize MRSP through clinical lesions and history, collect diagnostics like cytology and C/S and be diligent about treatment. But, almost more importantly, how to recheck these cases appropriately and work up the underlying cause.
Today, I am joined by Dr. Meghan Solc, DVM, Dip ACVD from Dermatology for Animals in Akron, Ohio to discuss this in-depth and important topic. Dr. Solc mentioned an excellent resource for pet owners regarding MRSP at wormsandgermsblog.com done with the Canadian Academy of Veterinary Dermatology (link below).
https://www.wormsandgermsblog.com/2021/03/articles/animals/dogs/new-mrsp-methicillin-resistant-staphylococcus-pseudintermedius-fact-sheets-for-pet-owners-english-francais/

62. What does work-life balance look like? May 06, 2021

Work-life balance... what does that look like? It is important to realize it is different for everybody. It also can look different for the same person at different timepoints in their life. Being empathetic and understanding for others and yourself is very important.
Balance is not easy.
Balance looks different for everyone.
Balance is everchanging.
Balance is personal.

61. What is the difference between Apoquel and Cytopoint? Apr 29, 2021

Interleukin (IL)-31 has received a lot of attention over the last decade due to its role in pruritus in canine allergies. Apoquel and Cytopoint have been amazing therapies to relieve itchy dogs. But, it is important to realize there are differences in how they work. Learn how to use these therapies separately or together!

60. Diagnosing and managing canine otitis Apr 22, 2021

Canine otitis can occur secondary to many different etiologies such as allergies and endocrinopathies. It is a very common occurrence and can be very frustrating for the pet, owner and veterinarian. On this episode, I welcome Dr. Millie Rosales (Miami Veterinary Dermatology) to discuss the otoscopic examination, cytology, treatment and long-term management.

59. Crusty Cats... a review of feline pemphigus Apr 15, 2021

Cases of feline pemphigus can develop very severe lesions and be intimidating. However, recognizing the lesion distribution and performing appropriate diagnostics can provide a definitive diagnosis. This allows the veterinarian to treat or refer to a dermatologist. Appropriate management of these cases can lead to a normal quality of life (with some vet visits sprinkled in). Learn the basics regarding diagnostics and treatment of this kitty autoimmune disease!

58. Derm Myth Busters Apr 08, 2021

It is time to bust some derm myths! Dr. Andrea Hernandez from Animal Dermatology Clinic in Tustin, CA joins the podcast today. We cover some common misconceptions in veterinary dermatology such as diets, flea controls and over-the-counter topical therapy. It is a fun episode that all veterinarians can relate to!

57. Lesion distribution matters Apr 01, 2021

We often think about what type of lesion is present... Crusting, ulceration, depigmentation. But, HOW and WHERE it presents can be extremely important. Are the lesions symmetrical? Are mucous membranes affected? Paws? Rump?
Get a refresh on the basics of lesion distribution!

56. Why you should keep toothpicks in your vet clinic Mar 25, 2021

Just a plain ol' toothpick can tell you so much information! Using it to sample the claw fold in itchy pets can reveal sneaky bacteria or yeast that could be masking results of allergy medications. Review a simple method that can make a big difference in management of your itchy patients!

55. Take a step back (client expectations) Mar 18, 2021

Veterinary dermatology can be frustrating and confusing... not only for the owner, but as the clinician managing the case. We need to make sure before suggesting allergy testing, diet trials, etc. that we have discussed with owners the purpose and commitment to those diagnostics. Sometimes just treating an infection and making a pet comfortable can be a great place to start! Dealing with allergies comes with several layers. Sometimes we need to take our time and address each layer separately.

54. Feline otitis- what can you actually do? Mar 11, 2021

Feline otitis... it is tough! There are not many options labeled for cats and they can be difficult with administration. When do you use something off-label? When do you compound? What if a cat has otitis media?
Today, Dr. Ali Diesel, DVM, Dip ACVD joins the podcast from Texas A&M University. We tackle this tough topic to provide ideas so we can help our kitty patients with their ears! You can do it, and make them feel better!

53. Top tips for skin biopsies Mar 04, 2021

Getting back a non-diagnostic histopathology report can be so frustrating! What do you do to avoid this from happening? This episodes highlights the importance of site selection, biopsy punch size, choosing a dermatopathologist and more!

52. Is derm essential? Feb 25, 2021

When COVID hit, there was a lot of questioning regarding what services were essential. If dermatology is (most of the time) not fatal, is it considered an essential service? With so much stress and emotions in our world, what are the various ways a pet with allergies could affect an owner?
Pruritus, pain, odor, appearance... these are all things that can affect the quality of life of a pet and an owner. We dive into these reasons and some research regarding caregiver burden associated with dermatologic disease in dogs.

51. Systemic treatment for otitis Feb 18, 2021

Most otitis cases can be handled with topical therapy. But, what about in cases where it isn't enough and we have to reach for oral medications? Stenotic ear canals, otitis media, etc. There are certain situations where the use of systemic oral antibiotic and corticosteroids are beneficial. This episode will cover these scenarios, collecting middle ear cultures, and more!

50. The pinna! Don't forget it... Feb 11, 2021

When we think of a COMPLETE ear exam, we think of the horizontal canal, vertical canal, tympanic membrane and bulla. However, the pinna is often forgotten! For the most visible part of the ear, it can be overlooked. There are so many pinnal diseases (pyoderma, mycobacterium, vasculitis, etc.) that can cause head shaking and scratching. Get a glimpse on how to palpate and sample the pinna to make our patients more comfortable.

49. Don't be a Know-It-All Feb 04, 2021

There are SO many products out there! Let me provide a little relief... it isn't necessary to know them ALL. It is most important to know active ingredients and when you would use them. But, don't waste your poor brain space memorizing every single brand name, ingredient and concentration. In the real world, you can't carry every product in the clinic. And, you can always look up products if you aren't familiar with something a client brings in. So, don't feel like you have to be a know-it-all... know the basics and how to use your resources!

48. A clinical pathologist's perspective of cytology Jan 28, 2021

Who loves cytology more than a veterinary dermatologist? A clinical pathologist! This episode features Dr. Kate Baker, DVM, MS, Dip ACVP talking all things cytology. You know we had a ton of fun! Not only are we both vet moms of two little ones... we LOVE looking under the microscope!
Dr. Baker shares tips regarding aspirate submissions and cells you can feel comfortable identifying in general practice. This is a fun, practical episode! I hope you enjoy listening to it as much as we loved recording it!

47. WHEN to diet trial Jan 21, 2021

Does a diet trial need to be done in EVERY single allergic patient? There are a lot of different opinions about how to diet trial, when to diet trial, what diets to use, etc. While it is never wrong to perform a diet trial in an allergic workup, there are certain clinical signs where it definitely needs to be considered. This episode goes over those clinical signs such as gastrointestinal upset, non-seasonal pruritus, etc.
Other podcast episodes addressing food allergies:
Episode 10- Frustrating food allergies
Episode 14- How to perform a diet trial

46. All about Atopy Jan 14, 2021

This episode features Catherine Milley, DVM, Dip ACVD from Animal Dermatology Clinic Portland in Oregon to discuss canine atopic dermatitis. She is my partner in crime in the clinic and passionate about managing complicated canine atopy cases. We go over history, clinical symptoms, antipruritic therapies and allergy testing with immunotherapy.
It is a great chat about one of the most common diseases seen by veterinarians!

45. EGC in cats: Can you name the three presentations? Jan 07, 2021

Eosinophilic granuloma complex (EGC) is a unique clinical presentation in allergic cats. There are three clinical presentations of EGC and a cat can exhibit just one or all three! Can you name them?
Listen to this week's episode to dabble in a little feline dermatology!

44. 2020 wrap up- what derm tips have you learned? Dec 31, 2020

On this episode, I asked what tips you learned from The Derm Vet (podcast, webinar, social media, blog, etc.) this year that you use in practice the most. My husband joins me to present the top 5 tips! It is a fun way to reflect on such a crazy year... and we end the episode with ideas to reflect on 2020 and set some betterment goals (beyond eating better and exercise) for 2021.
Enjoy and thanks for all your continued support on this podcast! It grows because of YOU.

43. Is that pet stressed or itchy? Dec 24, 2020

Overgrooming cats, acral lick dermatitis, oh my! Can pets really lick out of habit? Is that chocolate Lab really paw chewing due to stress?
Knowing whether a case should be sent to behavior or dermatology can be tough! Luckily, this episode features Dr. Chris Pachel, DVM, DACVB, CABC from Animal Behavior Clinic (Portland, OR) to help answer all of these questions. As a behaviorist, Dr. Pachel is able to give amazing insight of how common pets lick and chew due to stress, anxiety, etc. It is an informative (and fun!) conversation about a very common topic.

42. Easy derm wins! Dec 17, 2020

In the crazy, tumultuous year of 2020... let's have some easy wins! Here are some quick, simple ways to improve your dermatology case management. Questions to ask clients, diagnostics in the clinic, you can do this!

41. Fear Free + Dermatology Dec 10, 2020

Today the podcast welcomes Dr. Brittany Lancellotti DVM, Dip ACVD from Animal Dermatology Clinic in Pasadena, CA. It is a great discussion of the importance of fear free within our practices including tips you can use with patient's today and how to communicate fear free with your clients.
Dr. Lancellotti has been passionate about implementing these methods into dermatology practice for several years. Besides lecturing on this topic, Dr. Lancellotti is also in the process of launching her own podcast (Your Vet Wants You to Know) which is intended for pet owners to learn information regarding their pet's medical condition. If you don't have time to talk about a disease such as atopic dermatitis in-depth, you can refer your clients to this podcast for the drive home!

40. Tips for better otoscopy Dec 03, 2020

Sorry for the poor audio during this recording. Otoscopy is a part of a complete dermatologic examination, but performing it well and comfortably in a dog or cat can be intimidating. This short episode explains some easy tips to improve your otoscopy skills right now in the clinic.
Also, the podcast is officially a year old with this episode! Thank you so much for the support and loving dermatology as much as I do.

39. Connecting on a personal level with clients Nov 19, 2020

We talk about the importance of client communication a lot in dermatology. But, how do you go beyond educating and actually connect to clients on a personal level? On this episode, I am joined by Dr. Joya Griffin, DVM, Dip ACVD from Animal Dermatology Clinic in Louisville, KY.
Dr. Griffin is passionate about connecting with her clients personally. Not only to make her clients more comfortable and trusting, but to make the time in the clinic more fun for her! This is a fun, enthusiastic episode with two veterinary dermatologists who love to gab!

38. Why are dermatologists obsessed with bathing? Nov 12, 2020

You always hear dermatologists mention frequent bathing in allergic cases. With so many therapies, diets and preventatives needed in allergy management, is bathing really that important?
Well, obviously, the answer is yes! But, in this episode, you will find out how to communicate with your clients the importance of lathering their pets up frequently. It is essential to prevent infections, remove pollens and debris from the skin, and restore epidermal health.

37. Repairing the epidermal barrier in allergic patients Nov 05, 2020

Allergy management is multifactorial. Beyond antipruritics and infection control, restoring the epidermal barrier function is important. Several studies show that even normal appearing skin in an allergic dog has abnormalities related to the the epidermal barrier. Using systemic, topical and/or nutritional products to repair the barrier is a wonderful tool to improve overall management of allergic dermatitis.

36. SCARY skin infections Oct 29, 2020

In the spirit of Halloween, we cover a SPOOKY topic... MRSP. It's not MRSA, but still scary and frustrating or owners and clients. I am joined by Dr. Mitzi Clark, DVM, Dip ACVD, assistant clinical professor at Cornell University's College of Veterinary Medicine.
We discuss how to recognize, diagnose, treat, and prevent MRSP. This is one of the most difficult challenges in veterinary dermatology!

35. Old dog dermatology Oct 22, 2020

What happens when a dog presents with skin lesions at 12 years old... and never had these issues before? Though allergies can start at an older age, don't always assume this is the case. Endocrinopathies, demodicosis, lymphoma... there are other things that need to be ruled out through a complete history and appropriate diagnostic testing.
Check out a quick snapshot on how to approach a senior dog with their first pyoderma.

34. Ears- To culture or not to culture? Oct 15, 2020

There is a lot of debate in veterinary dermatology regarding the use of ear culture and sensitivity testing. Learn some of the pros and cons regarding ear cultures. There is a place for ear cultures, but it is not every case. Learn how topical concentrations can differ from MICs reported on ear cultures and when this diagnostic test can be helpful.

33. When steroids make it worse (calcinosis cutis) Oct 08, 2020

Calcinosis cutis is a clinical presentation that is quite striking. Once you start recognizing the appearance (often a firm erythematous plaque on the dorsum, axilla, etc.), it becomes easier to add to the differential list. It can be caused by endogenous or exogenous steroid. This episode will go over the clinical presentation, diagnostics, and treatment.

32. Choosing an ear flush Oct 01, 2020

Managing otitis cases can be difficult! It is important to know in-house techniques and how to train your clients to effectively clean the ear at home. Choosing the right ear cleaner is essential in clearing a current infection and preventing recurrence. Learn about the different types of ear flushes and why you should carry more than one in your clinic!

31. Sublingual immunotherapy- how well does it work and why choose it? Sep 17, 2020

Allergen specific immunotherapy has been around for years but the subcutaneous form is more traditionally used. Sublingual immunotherapy (SLIT) has gained more and more popularity as we strive to find different ways to cater to our patients. This episode goes over the basics of SLIT. How efficacious is it compared to subcutaneous immunotherapy? What patients do you prescribe it for? How long does it take to work?
All of your SLIT questions answered here!

30. Convincing clients cytology is valuable Sep 10, 2020

Cytology is the minimum database for dermatology cases. However, it is one of the most underutilized diagnostic tests in management of allergic patients. Veterinarians are often nervous to offer cytology based on cost, time or lack of confidence. But, explaining the value of cytology to clients can be easier than you think!
Though cytology has been discussed on the podcast before, today's episode specifically touches on convincing owners the importance of a skin or ear cytology. From what you can find to how it can make management of their allergic pet cheaper long-term.

29. QoL for derm patients and clients Sep 03, 2020

Is dermatology essential? A big question everybody asked when COVID-19 first started hitting. If allergies aren't fatal, why is it such a big deal for owners to get their pets in right away? There are several quality of life and caregiver burden studies that illustrate how dramatically an owner and pet's life is affected by allergic symptoms and infections.
Today, I am joined by Dr. Becca Mount from Dermatology 4 Animals in New Mexico to discuss how to deal with overwhelmed clients and empathize with their frustrations. It is important to communicate appropriately and get the owner on your team!

28. Dermatophytosis- How to catch it and treat it Aug 27, 2020

Dermatophytosis- one of the great imitators. Though, "classically" people think dermatophytosis should appear as a circular lesion, it usually doesn't. It can appear as erythema, scaling, crusting, ulceration, focal kerion, etc. It can really look like anything!
This episodes gives a cliff note version of clinical signs, diagnosis (cytology, DTM, PCR, biopsy, etc.), and treatment.

27. Pemphigus foliaceus... from diagnosis to treatment Aug 20, 2020

I am joined by Dr. Melissa Hall, DVM, Dip ACVD from Metropolitan Animal Specialty Hospital (Los Angeles, CA) to discuss pemphigus foliaceus. This is one of the more common cutaneous autoimmune diseases diagnosed in cats and dogs. It can be an incredibly rewarding disease to manage, but also a very frustrating one.
Dr. Hall and I cover the clinical signs, how to successfully diagnose with cytology and biopsy, and treatment options for dogs and cats with pemphigus foliaceus. It is a fun conversation about a disease process you may see in your clinic!

26. When you suspect the case is autoimmune... Aug 06, 2020

The nasal planum is depigmented. There are ulcers in the mouth. Crusting with no bacteria present on cytology. How do you handle a case when you suspect an autoimmune disease is present?
Identifying lesions, when cytology is suspicious, and how to biopsy are all covered in today's episode!

25. 5 tips to set client expectations Jul 30, 2020

Down & Dirty Derm! Today's topic... 5 tips to help set your client expectations when dealing with chronic allergies. To starting the conversation about allergies, getting owners to actually use flea control, and calming angry clients when another ear infection happens... these are quick tips that can help client communication be more effective.
1. Plant the seed
2. Be proactive about flares
3. Empathize and relate
4. Do what is possible
5. Relate it to humans

24. Discoid lupus erythematosus Jul 16, 2020

DDD about DLE! Discoid lupus erythematosus is one of the more common autoimmune diseases that affects the nasal planum in dogs. However, it can appear similar to other diseases such as pemphigus foliaceus or epitheliotropic lymphoma. Learn about differentiating clinical signs, selecting areas to biopsy, and treatment options.

23. Cat Derm- Breaking through the limitations Jul 09, 2020

Feline allergies can be overwhelming! There are less medications for itchy cats, and a lot of our feline friends won't take oral medications anyway. This emphasizes the importance of working up cat allergies. If we identify the underlying allergy (whether it's flea, food, environmental, or a combination) then we can minimize the use of chronic medications. Making it healthier for the cat, and less frustrating for the owner.
Today, Dr. Eva Ganz, DVM, Dip ACVD from the Metropolitan Animal Specialty Hospital in Los Angeles, CA joins me. Dr. Ganz has done research in feline allergies and has a passion for them! We discuss convincing owners to use flea prevention, how to diet trial picky cats, and our take on success of immunotherapy. You wanted more cats, you got it!

22. Basics of skin scraping Jul 02, 2020

Today's DDD (Down & Dirty Derm) goes over skin scrapings. When do you perform a deep scrape vs. a superficial scrape? And, what about tricky areas like the periocular region? We will go over these simple questions and how to appropriately position your light and condenser to enhance your ability of finding those pesky mites!

21. Race in veterinary medicine Jun 25, 2020

Today, we cover skin within veterinary medicine in a completely different and deeper way. Dr. Courtney Campbell is a board certified veterinary surgeon practicing with VetSurg in Ventura, CA. We have a real discussion as a Black male and white female, specialists within veterinary medicine with very different experiences. A raw, candid conversation occurs about race within our field. Dr. Campbell opens up about his experience in the veterinary field as only 2% of veterinarians are Black. We talk about what it means to be a true white ally, white privilege, and the importance of knowing the history of oppression so we can appropriately diagnose the problem and implement the treatment.
It is one of the most important and impactful conversations I have ever had. All of the thank yous to Dr. Campbell for sharing on this episode.

20. Acral lick dermatitis Jun 18, 2020

Acral lick dermatitis (aka lick granuloma) can be extremely frustrating with several different causes. From allergies to behavioral to osteoarthritis... there are a variety of triggers that can lead to deep infection and frustrated owners. Learn how to start working these cases up with tissue cultures and diagnostics to figure out the underlying cause.

19. Tackling client burnout in derm cases Jun 11, 2020

There are many reasons why today's podcast episode is important. On this episode, I welcome Dr. Jeff Tinsley. At time of recording, Dr. Tinsley is finishing up his dermatology internship with Animal Dermatology Clinic in Louisville, KY and about to start his dream residency at the same clinic. We are both passionate about client communication with chronic derm cases so that was an easy subject for us to discuss.
However, with our country recently waking up to the realness of systemic racism and lack of diversity in the veterinary field (less than 2% being black colleagues), we start out the episode having a genuine, raw conversation of how to embrace and uplift the Black Lives Matter movement. Not just now, but forever.

18. Yeast paronychia: topical vs systemic treatment Jun 04, 2020

Another episode of DDD (Down and Dirty Derm)! I address one of the most common questions asked on social media. Every time I show a picture of an infected clawfold... "Do you treat this yeast overgrowth systemically or topically?".
As with any derm topic, IT DEPENDS! I go over the factors that guide my decisions in these cases. Infection severity, patient acceptance, owner ability, recheck cytology, etc. These are all important and discussed in this quick episode!

17. How to convince owners to use flea prevention May 28, 2020

Today, I am joined by Dr. Ashley Detwiler, DVM, Diplomate ACVD to discuss ectoparasite control, specifically for flea allergic pets. Dr. Detwiler currently practices with Pittsburgh Veterinary Dermatology but has lived in many different areas of the country from Florida to Michigan. So, she has dealt with a lot of different environments and fleas. We discuss how to convince pet owners to use flea prevention, what flea allergies look like in cats and dogs, and the evolution of flea preventatives.

16. Video otoscopy May 21, 2020

Today's DDD (Down and Dirty Derm) goes over video otoscopy (VO). Whether it is a mass in the ear canal or a terrible chronic Pseudomonas otitis, VO can be an extremely useful tool for your ear cases. It allows magnification of the ear canal to identify small tears in the tympanum and aural masses. Also, the ability to culture and flush out the middle ear.
Learn why referring your ear cases for VO will make your local dermatologist and clients happy!

15. How to be a virtual dermatologist (telemedicine) May 14, 2020

In the last couple of months, our world forever changed due to COVID-19. And veterinary medicine was asked to pivot and adapt very quickly. Telemedicine has been the hottest (and most debated) topic in the healthcare industry. Sure, it is more convenient to allow clients and patients to stay at home. But, are we able to practice appropriately? What about cytology? Otoscopy? Are clients accepting of full exam fees?
Today, I am joined by Dr. Jacqueline Gimmler from Animal Dermatology Referral Clinic in Grapevine, TX. Dr. Gimmler is a board certified dermatologist strictly practicing telemedicine at this time, We discuss our experiences with dermatology telemedicine including how to address suspected infection, setting up client expectations, otitis treatment without otoscopy, and much more!

14. How to perform a diet trial May 08, 2020

Introducing DDD (Down and Dirty Derm)! These episodes are meant to be quick, bite-sized bits of information. Fast tips that you can put into practice right away or refer back to after you see a derm case. Our first DDD episode will be how to perform a good diet trial. Refer back to episode 10 for a more in-depth discussion about food allergies. But this episode provides a step-by-step guide of how I navigate a diet trial through anti-pruritics, rechecks and ingredient challenges. Enjoy!
If you are finding this podcast helpful then please leave a review so we can continue to reach more people in the veterinary industry!

13. Lather up! Topical therapy tips to help your allergic patients Apr 30, 2020

Today, we welcome Dr. Andrew Rosenberg, DVM, Dip ACVD to the podcast to discuss topical therapy! Dr. Rosenberg owns and practices at Animal Dermatology & Allergy Specialists in New Jersey and New York. Multimodal therapy is very important in allergic cats and dogs and should include topical therapy. This can help minimize the use of systemic medications in our chronic itchy patients.
But many questions arise about topical protocols... How often should you bathe a dog with pyoderma? What if the owner can't bathe? What shampoo should you recommend? What about cats? We cover all these questions and more!

12. When neuro and derm collide Apr 16, 2020

Today's episode features Dr. Lo Curtis, a neurologist practicing in the Austin, TX area. Dr. Curtis is making her own splash in the veterinary industry through her podcast (Thrive DVM) which discusses health and mental well being. But, in this episode, I pick her brain (ha!) about neurologic symptoms that otitis cases can show such as facial paralysis and Horner's syndrome. We also discuss myringotomy, primary secretory otitis media, diagnostic imaging and empirical antibiotic treatment. It is a fun and energetic episode!

11. A GP's perspective on derm referral Apr 02, 2020

This episode features Dr. Tannetje Crocker, an amazing small animal general practitioner and emergency veterinarian practicing in north Texas. Dr. Crocker goes over how she communicates the chronicity of allergies to her clients and derm referral even when cases are doing well. We also discuss medication withdrawal prior to allergy testing, whether to diet trial prior to referral and (unrelated to derm) how to train yourself to be an early riser.
This is a fun conversation between two moms trying to make a difference in the veterinary industry!

10. Frustrating food allergies... how to convince your clients to do a diet trial. Mar 19, 2020

This episode features Dr. Kacie Blessing, DVM, Dip ACVD (from Animal Dermatology Clinic in San Diego, CA) discussing tips on how to convince your clients to perform a quality diet trial. We also talk about when a diet trial is pertinent in the allergic workup for your patients and which diets to select.
Enjoy listening to two dermatologists give you their perspectives on how they handles these cases!

9. PSPP- Say what? Figuring out your otitis cases! Mar 05, 2020

The first otitis episode! Do you cringe when a recurrent otitis case ends up on your appointment schedule? We have to look beyond treating the bacteria and yeast! Learn about the PSPP system. The acronym PSPP (Primary causes, Secondary causes, Predisposing factors, Perpetuating factors) breaks down how to approach creating a diagnostic workup and treatment plan for your chronic otitis causes from multiple angles. A great way to start learning more about dog and cat ears in this introductory podcast episode to otitis.

8. Apoquel, Cytopoint, Atopica, steroids... which do I choose? Feb 13, 2020

There are so many different anti-itch and anti-inflammatory medications out there. Which do you reach for when dealing with an allergic dog or cat? Dermatology is not cookie cutter and there are so many different combinations of therapies out there for managing allergic dermatitis. This episode will explore different guidelines for when to select Apoquel, Cytopoint, Atopica or corticosteroids. Examples include diet trials, young dogs, concurrent diseases and stenotic otitis.

7. Basic tips to improve your feline derm skills Jan 30, 2020

You don't have to dread seeing feline derm cases! By using fear free techniques and understanding the unique ways cats exhibit different hypersensitivities, feline dermatology can be fun and rewarding! This episode goes over some basic ways you can quickly improve your skills when working up a cat with allergies. Future episodes will go more in depth regarding the allergic workup itself and treatment options.

6. Why your allergic patients should start immunotherapy Jan 16, 2020

If you have a perfectly controlled allergic patient on medications, why bother to refer them for allergy testing and immunotherapy? There are so many tools we have to provide a good quality of life for our allergic pets. However, allergies are a chronic disease process and we want to make sure to offer the best, safest long term options. This episode will go over the basic philosophies of immunotherapy and why you should refer to your local dermatologist for environmental allergy testing.

5. #vetmom. How to survive the chaos. Jan 08, 2020

Being a veterinarian is hard. Being a mom is hard. Being a vet mom definitely has its challenges. But it can be one of the most rewarding titles! As working moms are taking over the veterinary field, it is important for us to support one another and be transparent. We can learn from each other and get through the crazy seasons of life by sharing the ups and the downs. This podcast will break down tips to preserve your sanity, focus on work-life integration and be productive as a #vetmom.

4. How to perform skin biopsies Jan 01, 2020

A skin biopsy is one of the most important diagnostic tools in veterinary dermatology. When performed properly, it can provide a wealth of information and, hopefully, a definitive diagnosis. However, inconclusive results can be frustrating for the clinician and owner. In this episode, we will discuss tips to maximize collection of quality skin biopsies including site selection, timing of procedure, technique and submission.
Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

3. Collecting a derm history Dec 19, 2019

Is it a rash that itches? Or an itch that becomes a rash? There are so many clues that can be discovered in a quality derm history. But it can be daunting to ask so many questions when you are short on time. Learn some directed questions to help guide you through the diagnostic workup of your itchy patients.
Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

2. Diagnosing pododermatitis Dec 10, 2019

Pododermatitis is an inflammatory process that can cause a lot of discomfort and inflammation to the paws of dogs and cats. This episode goes through diagnostic testing and differentials for pododermatitis including demodicosis, interdigital cysts and dermatophytosis. Paw pads and claw disorders will not be covered in this episode.
Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

1. Don't fear the smear! Cytology 101. Dec 03, 2019

Cytology should be performed on a frequent basis in any veterinary clinic seeing daily dermatology cases. However, it is often one of the most underutilized tools. Becoming familiar and comfortable with collecting and reading cytologies can be a game changer for your itchy patients! It is a quick, cost effective diagnostic tool that can help guide your workup and evaluate the patient's response to medication. We will cover collecting cytology samples and how to use it in your daily practice. Don't fear the smear! Make it your favorite tool in dermatology!
Cheery Monday Kevin MacLeod (incompetech.com)
Licensed under Creative Commons: By Attribution 3.0 License
http://creativecommons.org/licenses/by/3.0/

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