Veterinary Clinical Podcasts

Latest Episodes:

74 Lameness May 11, 2018

Show notes

Today we are talking to Andy Fiske-Jackson, our senior lecturer in Equine Surgery here at the RVC, about lameness. We talk about his approach to working up a lameness and the use of motion sensors. A hot topic, experience might help though there is always bias, perhaps video recording can help or even better motion sensors? We hope that you enjoy. Don't forget to vote for us in the https://www.britishpodcastawards.com please!

There is a lot of literature on this, especially in the last few years….

https://www.ncbi.nlm.nih.gov/pubmed/29534022

https://www.ncbi.nlm.nih.gov/pubmed/28697877

https://www.ncbi.nlm.nih.gov/pubmed/28548349

https://www.ncbi.nlm.nih.gov/pubmed/28207317

If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @dombarfield. We would greatly appreciate your time to rate us on Apple podcast or Acast and kindly write us a review.

73 Clean your hands Apr 27, 2018

Show notes

Today Brian and I are joined in the studio by both Zoe Halfacree and Rosanne Jepson, both senior lectures in their respective fields of soft tissue surgery and internal medicine here at the RVC. They are also both on the infection control committee here in our small animal teaching hospital (Queen Mother Hospital for Animals) and next week it is the World Health Organisation (WHO) SAVE LIVES: Clean Your Hands, on 5^th May 2018. A campaign to promote hand hygiene in health care to prevent sepsis, as the slogan says ‘It’s in your hands’.

We discuss the importance in handwashing, how you can implement and audit this in practice.

5 moments for hand hygiene:

Before touching a patient
Before clean/aseptic procedure
After body fluid exposure risk
After touching a patient
After touching patient surroundings

For further information about the campaign and some great posters:

http://www.who.int/infection-prevention/campaigns/clean-hands/5may2018/en/

72 HCM in cats Apr 20, 2018

Show notes

Today Brian and I finally manage to lure Associate Professor David Connolly into the studio (we had to bribe with cake). David is a RVC stalwart, and a member of the Cardiology team. We cover approach to diagnosis and treatment with a bit of jumping around here and there. Don't forget your stethoscope, and your ultrasound. And maybe your ECG. We hope that you enjoy.

Some articles of interest (there are quite a few):

Risk factors for cats with HCM

https://www.ncbi.nlm.nih.gov/pubmed/26776589

Cardiac troponin I in cats with HCM

https://www.ncbi.nlm.nih.gov/pubmed/25319115

https://www.ncbi.nlm.nih.gov/pubmed/12878148

Prognostic indicators in cats with HCM

https://www.ncbi.nlm.nih.gov/pubmed/24134821

N-terminal pro B-type natriuretic peptide (NT-proBNP)

https://www.ncbi.nlm.nih.gov/pubmed/29262821

https://www.ncbi.nlm.nih.gov/pubmed/26813037

https://www.ncbi.nlm.nih.gov/pubmed/24283418

On transient myocardial thickening in cats.

https://www.ncbi.nlm.nih.gov/pubmed/29243322

71 Otitis externa in dogs Apr 13, 2018

Show notes

Today Brian makes sure that the sound is okay as we are back in the studio talking to Anke Hendricks, senior lecturer and one of our dermatology team here at the RVC. We cover Anke’s approach to ears for the first line therapy and when to step it up. You need to start using your microscope more, if you don't already. We hope that you enjoy.

Some of the literature, there was a whole In Practice focus on otitis in 2016 (http://inpractice.bmj.com/content/38/Suppl_2) some pointers for all.

https://www.ncbi.nlm.nih.gov/pubmed/29374119

http://inpractice.bmj.com/content/38/Suppl_2/1

http://inpractice.bmj.com/content/38/Suppl_2/2

http://inpractice.bmj.com/content/38/Suppl_2/17

http://inpractice.bmj.com/content/18/1/9

http://inpractice.bmj.com/content/34/7/392

70 Hypophysectomy Mar 16, 2018

Show notes

Today we are in the studio talking to Patrick Kenny and Joe Fenn. Patrick started the hypophysectomy surgery program back in 2012 and both he and Joe have performed many hypophysectomies in cats as they work with the Diabetic Remission Clinic here at the RVC. Pat has moved back to Sydney and is keen to start offering this surgery where he is now working at the Small Animal Specialist Hospital (SASH). Joe (lecturer here at the RVC in neurology and neurosurgery) is the lead surgeon for this procedure at the RVC and already challenging Patrick with the numbers of surgeries that he has performed. Though it is not all about the numbers! We talk about some of the challenges, risks and complications as well as why you would consider this procedure for your patients.

Some of the literature

https://www.ncbi.nlm.nih.gov/pubmed/20417901

https://www.ncbi.nlm.nih.gov/pubmed/28145031

https://www.ncbi.nlm.nih.gov/pubmed/11570124

69 Neurophobia Feb 23, 2018

Show notes

Today we are talking to Tom Cardy, lecturer in veterinary neurology and neurosurgery here at the RVC about some neurological questions that we are frequently asked. What is neurophobia? What about intranasal midazolam for status epilepticus, monitoring blood levels of anti-epileptic patients and spinal pain management.

Reducing neurophobia

https://bmcvetres.biomedcentral.com/articles/10.1186/s12917-014-0315-3

Intranasal midazolam:

https://www.ncbi.nlm.nih.gov/pubmed/28543780

68 Canine Cruciate Disease Feb 16, 2018

Show notes

Today we are talking to David Sajik, our lecturer in Orthopaedic Surgery here at the RVC about cruciate disease. Where to start and what are our options, the trends for surgical technique and where the evidence is at, as well as does the future hold anything for their management?

Treatments of this disease:

https://www.ncbi.nlm.nih.gov/pubmed/25328024

https://www.ncbi.nlm.nih.gov/pubmed/25028440

67 Colic Jan 19, 2018

Show notes

Today we are talking to Andy Fiske-Jackson, our senior lecturer in Equine Surgery here at the RVC about his approach to colic. Whether in the field or when they arrive to a hospital. A pragmatic approach, and we will try to get him back into the studio soon.

An approach to colic:

https://www.ncbi.nlm.nih.gov/pubmed/25016497

Here is a link to our equine hospital:

https://www.rvc.ac.uk/equine-vet/hospital-and-specialists

And for emergency referrals:

https://www.rvc.ac.uk/equine-vet/hospital-and-specialists/refer-a-horse

And this is a YouTube clip of Andy nominee for Horse and Hound Topspec Vet of the Year https://www.youtube.com/watch?v=iR_fkD6Ml4Y

66 Interns Jan 12, 2018

Show notes

Back in the studio for the New Year, though making sure that Brian has his work cut out for him by having a few guests and not enough microphones, some of our current interns having a chat about their experiences so far. Happy New Year.

Here is the link to our internship program: https://www.rvc.ac.uk/study/postgraduate/internships/small-animal

65 Christmas cracker Dec 22, 2017

Show notes

On the road again, and without a guest. Many thanks to you all for looking after the pets in the countries that you work. Just a little reminder about chocolate toxicity and the recent article in the Vet Record. Wishing you all a Merry Christmas and if we don't manage to pod next week, a Happy New Year.

All about canine chocolate exposure at this time of year http://veterinaryrecord.bmj.com/content/vetrec/181/25/684.full.pdf

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