Veterinary Clinical Podcasts

143 Feline Infectious Peritonitis 2024

Fri, 28 Jun 2024 08:00:00 GMT

Joining Brian and myself in our studio we are delighted to have Dr Sarah Tayler, one of our fabulous lecturers and Dr Jodie Green, one of our amazing residents both in our Small Animal Internal Medicine team here at the RVC. We thought it was time to catch up about Feline Infectious Peritonitis (FIP), it has been a couple of years and we are understanding a little more about the therapies that we have, trying to find out why some patients don’t respond to therapy (going from a nearly 100% mortality to 20% and we are asking questions about these 20% - how times change quickly). We have a little more experience now in using these drugs in the UK, built on information from our Australian colleagues, and now they are available in the USA. We hope that you enjoy.

Some websites of interest

/small-animal-vet/specialist-referrals/clinical-services/veterinary-internal-medicine/feline-infection-peritonitis

https://bova.co.uk/resources/bova-scholars/

have webinars on FIP

/small-animal-vet/news/successful-fip-treatment-with-remdesivir

Some papers of interest

https://pubmed.ncbi.nlm.nih.gov/37766254/
https://pubmed.ncbi.nlm.nih.gov/37548535/
https://pubmed.ncbi.nlm.nih.gov/36002137/
https://pubmed.ncbi.nlm.nih.gov/37403259/
https://pubmed.ncbi.nlm.nih.gov/37732386/
https://pubmed.ncbi.nlm.nih.gov/37551843/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 143 Feline Infectious Peritonitis 2024 with Sarah Tayler and Jodie Green. Published on Jun 28 2024 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; or podcast@rvc.ac.uk or Instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, Acast or Spotify and kindly write us a review.

142 Relapse of dogs with immune mediated disease

Fri, 17 May 2024 08:00:00 GMT

Joining Brian and myself in our virtual studio we are joined by the fantastic Richard Sparrow, Staff Clinician in Internal Medicine here at the RVC. Richard recently published a paper looking at relapse rates in immune mediated diseases (immune mediated haemolytic anaemia, immune mediated thrombocytopenia and immune mediated polyarthritis) in dogs and we thought to use this as a sounding board for a conversation about this topic, how to treat and taper immunosuppressive drugs and what do we do about ongoing preventative healthcare, such as vaccination. We hope that you enjoy.

Reference:

https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.17004

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 142 Relapse of dogs with immune mediated disease with Richard Sparrow. Published on May 17 2024

If you have any comments about this podcast, please get in touch: emailpodcast@rvc.ac.uk or follow us on instagram@rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

141 Sleep, fatigue and mental health

Fri, 22 Dec 2023 09:00:00 GMT

Joining Brian and myself in our studio (three times a charm) we are delighted to speak to Nicola Ho, Lecturer in Anaesthesia and Analgesia here at the RVC. Nicola, with her anaesthesia colleagues, sent out a questionnaire to those anaesthesia vets, nurses and technicians to find out how sleep and fatigue affected them. It is an interesting and pertinent topic when most of us have roles in which we need to work shift work and/or be on call and how that might affect us, and the patients we look after. It might not have answers though a space to start or continue the conversation to think about what you can do to make it better where you are for you and your team. We hope that you enjoy.

Some references:

https://pubmed.ncbi.nlm.nih.gov/37142463/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 141 Sleep, fatigue and mental health with Nicola Ho. Published on Dec 22 2023 If you have any comments about this podcast, please get in touch: email podcast@rvc.ac.uk or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

140 Oral hypoglycaemic drugs for diabetic cat

Fri, 15 Dec 2023 09:00:00 GMT

Joining Brian and myself in our studio (again, that is two in a row) we delighted to speak to Chris Scudder, Senior Lecturer in Internal Medicine and Co-Head of the Internal Medicine Team here at the RVC. There has been a couple of new drugs on the market one in the USA (bexagliflozin) and one in the UK (velagliflozin) both SGLT-2 inhibitors, oral hypoglycaemic agents to be used in newly diagnosed diabetic cats. We thought we’d chat to Chris about the information that is out there about these agents, how they can be used and what questions we have about their use. He recently spoke to our ECC team about euglycaemic diabetic ketoacidosis (eDKA) and I was intrigued. We hope that you enjoy.

Some references:

https://pubmed.ncbi.nlm.nih.gov/37148170/

https://pubmed.ncbi.nlm.nih.gov/34975223/

There is an abstract on page 2512 here
https://onlinelibrary.wiley.com/doi/10.1111/jvim.16559

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 140 Oral hypoglycaemic drugs for diabetic cats with Chris Scudder. Published on Dec 15 2023

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

139 Lower Urinary Tract Surgery

Fri, 08 Dec 2023 09:00:00 GMT

Joining Brian and myself in our studio (yes that is right we are back) we are delighted to speak to Lynda Rutherford, Senior Lecturer in Soft Tissue Surgery and Head of Soft Tissue Surgery here at the RVC. I thought we’d continue the theme of the last podcast on feline urethral obstruction and speak to a surgeon about this subject, really what you can do if you can’t place a urethral catheter (is there a stone that you can’t hydro-pulse, unlikely) but maybe there is a urethral tear (traumatic or iatrogenic). Lynda kindly spoke to us about BOAS previously and it is always good to catch up. Lynda gave a talk to the hospital about on this topic and thought it would be good to share with a wider audience, we hope that you enjoy.

Some references:

https://pubmed.ncbi.nlm.nih.gov/21515222/

https://pubmed.ncbi.nlm.nih.gov/35363097/

https://pubmed.ncbi.nlm.nih.gov/17501659/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 139 Lower urinary tract surgerywith Lynda Rutherford. Published on Dec 8 2023

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

138 Feline Urethral Obstruction

Fri, 28 Apr 2023 08:00:00 GMT

Joining Brian and myself in our virtual studio we are delighted to speak to Professor Edward Cooper, Section Head of Small Animal Emergency and Critical Care at The Ohio State University. I thought we’d continue the theme of the last podcast on feline urethral obstruction and speak to an international authority on the subject, who has been trying to answer some fundamental questions about this topic. He kindly returned my email and spoke to us, despite technical issues he was incredibly patient. Prof Cooper is clearly passionate about this topic and it was great to talk, we hope that you enjoy.

Link to Prof Cooper’s bio: https://vet.osu.edu/cooper-edward

Some references:

https://pubmed.ncbi.nlm.nih.gov/21118011/

https://pubmed.ncbi.nlm.nih.gov/31250535/

https://pubmed.ncbi.nlm.nih.gov/31840942/

https://pubmed.ncbi.nlm.nih.gov/36779411/

https://pubmed.ncbi.nlm.nih.gov/33620246/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 138 Feline Urethral Obstruction with Edward Cooper. Published on April 28 2023

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

137 Urethral obstruction management in primary care

Fri, 14 Apr 2023 08:00:00 GMT

Joining Brian and myself in our virtual studio (had to dust off the microphone, apologies for that) we are delighted to have Dr Dave Beeston, one of our final year residents in Emergency and Critical Care, here at the RVC. Dave has many interests and enthusiasm for a variety of ECC topics and is no stranger to this podcast regarding his own career journey, though we thought we'd talk to him about one of his research papers, regarding the occurrence and clinical management of urethral obstruction in male cats, a vetcompass study looking at cats in primary care in the UK. We hope that you enjoy.

The paper discussed: Beeston, D., Humm, K., Church, D.B., Brodbelt, D. and O'Neill, D.G., 2022. Occurrence and clinical management of urethral obstruction in male cats under primary veterinary care in the United Kingdom in 2016. Journal of Veterinary Internal Medicine, 36(2), pp.599-608. https://pubmed.ncbi.nlm.nih.gov/35199370/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 137
Urethral obstruction management in primary care with David Beeston. Published on April 14 2023 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, podbean or Acast and kindly write us a review.

136 Heat Related Illness

Fri, 18 Nov 2022 09:00:00 GMT

Joining Brian and myself in our virtual studio we are delighted to have Dr Emily Hall, one of our lecturers in Veterinary Education here at the RVC. Emily has been working with the VetCompass group looking at Heat Related Illness in the UK and we thought we'd talk to her to about her research in this field and the questions that left unanswered. We hope that you enjoy.

Emily has her own blog on this topic too, where you can find links to the papers. http://heatstroke.dog/

There is even an infographic: /Media/Default/VetCompass/210324%20EH%20Heat%20Stroke%20infographic.pdf
And Congress abstract recordings to watch: /vetcompass/audio-visual-resources/conference-presentations

Some references of interest:
Hall, Hall, E. J., Carter, A. J., & O’Neill, D. G. (2020). Incidence and risk factors for heat related illness (heatstroke) in UK dogs under primary veterinary care in 2016. Scientific Reports, 10(1), 9128. https://doi.org/10.1038/s41598-020-66015-8
Hall, E. J., Carter, A. J., & O’Neill, D. G. (2020). Dogs Don’t Die Just in Hot Cars—Exertional Heat-Related Illness (Heatstroke) Is a Greater Threat to UK Dogs. Animals, 10(8), 1324. https://doi.org/10.3390/ani10081324
Hall, E. J., Carter, A. J., Bradbury, J., Barfield, D., & O’Neill, D. G. (2021). Proposing the VetCompass clinical grading tool for heat-related illness in dogs. Scientific Reports, 11(1), 6828. https://doi.org/10.1038/s41598-021-86235-w
E. J., Carter, A. J., Chico, G., Bradbury, J., Gentle, L. K., Barfield, D., & O’Neill, D. G. (2022). Risk Factors for Severe and Fatal Heat-Related Illness in UK Dogs—A VetCompass Study. Veterinary Sciences, 9(5), 231. https://doi.org/10.3390/vetsci9050231
Carter, A. J., & Hall, E. J. (2018). Investigating factors affecting the body temperature of dogs competing in cross country (canicross) races in the UK. Journal of Thermal Biology, 72, 33–38. https://doi.org/10.1016/j.jtherbio.2017.12.006

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 136 Heat Related Illness with Emily Hall. Published on November 18 2022

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, podbean or Acast and kindly write us a review.

135 Antimicrobial Awareness week 2022

Fri, 11 Nov 2022 09:00:00 GMT

Joining Brian and myself in our virtual studio we are delighted to have Dr Rosanne Jepson, Associate Professor in Internal Medicine here at the RVC. Rosanne has many research and clinical interests, though she has been steering our antimicrobial stewardship in our hospital for many years. It is World Antimicrobial Awareness week 18-24 November. We talk about what we are doing and asking our clients and hopefully give you some ideas on what you can do and how you and your teams can participate in this One Health initiative. We hope that you enjoy.

WHO https://www.who.int/campaigns/world-antimicrobial-awareness-week/2022

RCVS Knowledge https://knowledge.rcvs.org.uk/amr/antibiotic-amnesty/Which has the RUMA (Responsible Use of Medicines Alliance) questionnaire link for clients.

Some papers of interest:
https://pubmed.ncbi.nlm.nih.gov/33405979/
https://pubmed.ncbi.nlm.nih.gov/25721619/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 135 Antimicrobial Awareness Week with Rosanne Jepson. Published on November 11 2022

134 Endothelial glycocalyx

Fri, 30 Sep 2022 08:00:00 GMT

Joining Brian and myself in our virtual studio we are delighted to have Dr Sara Lawrence-Mills, one of our fabulous residents in Anaesthesia and Analgesia here at the RVC. Sara has taken an interest into the endothelial glycocalyx and we thought we'd talk to her to find out why. We hope that you enjoy.

Some references of interest:

https://pubmed.ncbi.nlm.nih.gov/35654338/
https://www.frontiersin.org/articles/10.3389/fvets.2021.661660/full
https://pubmed.ncbi.nlm.nih.gov/22290457/
https://pubmed.ncbi.nlm.nih.gov/32067360/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 134 Endothelial glycocalyx with Sara Lawrence-Mills. Published on September 30 2022

133 Chronic kidney disease and hypertension in cats

Fri, 13 May 2022 08:00:00 GMT

Joining Brian and myself in our virtual studio (although again I crept into the studio) we are delighted to have Dr Jack Lawson, one of our fabulous lecturers in Internal Medicine here at the RVC. We talk to him about canine mast cell tumours. Current recommendations and what is new. We hope that you enjoy.

The review paper we discuss, further references are in the article:https://pubmed.ncbi.nlm.nih.gov/34428941/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 133 Chronic kidney disease and hypertension in cats with Jack Lawson. Published on May 13 2022

132 Canine Cutaneous Mast Cell Tumour

Fri, 06 May 2022 08:00:00 GMT

Joining Brian and myself in our virtual studio (although I was actually in the studio by myself) we are delighted to have Dr Andy Yale, one of our fabulous lecturers in Oncology (congratulations too on passing your board examinations this year and he is now an EBVS® European Veterinary Specialist in Small Animal Oncology). We talk to him about canine mast cell tumours. Current recommendations and what is new. We hope that you enjoy. Some papers of interest (there are lots more)

https://pubmed.ncbi.nlm.nih.gov/32542733/
https://pubmed.ncbi.nlm.nih.gov/34977208/
https://pubmed.ncbi.nlm.nih.gov/34513966/
https://pubmed.ncbi.nlm.nih.gov/34671978/
https://pubmed.ncbi.nlm.nih.gov/33724647/
https://pubmed.ncbi.nlm.nih.gov/34513966/
https://pubmed.ncbi.nlm.nih.gov/33222871/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 132 Canine Cutaneous Mast Cell Tumour with Andy Yale. Published on May 6 2022 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.

131 Feline Infectious Peritonitis

Fri, 04 Feb 2022 08:00:00 GMT

In our virtual studio joining myself and Brian we are delighted to have Dr Sarah Tayler, one of our fabulous staff clinicians and Dr Jodie Green, one of our amazing residents both in our Small Animal Internal Medicine team here at the RVC. We talk to them both about Feline Infectious Peritonitis and the game changing new treatments available. We have only just begun using these new drugs in the UK and it is incredibly promising so far. We hope that you enjoy.

Some websites of interest

https://sockfip.org

https://bova.co.uk/resources/bova-scholars/ have webinars on FIP

/small-animal-vet/news/successful-fip-treatment-with-remdesivir

Some papers of interest

https://pubmed.ncbi.nlm.nih.gov/32441826/

https://pubmed.ncbi.nlm.nih.gov/30755068/

https://pubmed.ncbi.nlm.nih.gov/29778200/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 131 Feline Infectious Peritonitis with Sarah Tayler and Jodie Green. Published on Feb 4 2022

130 Pre-purchase radiographs

Fri, 19 Nov 2021 09:00:00 GMT

In our virtual studio joining myself and Brian we are delighted to have Dr Rhiannon Morgan, one of our fabulous lecturers in Equine Diagnostic Imaging here at the RVC. We talk to Rhiannon about pre-purchase radiographs and expand to all forms of diagnostic imaging. Some common things to look out for and when you should ask for another opinion. Rhiannon is very familiar to podcasting as she is the host of the EVJ In conversation podcast, though it is the first time for her to be the guest, and we are delighted that she joined us. We hope that you enjoy.

Information on Pre-purchase examinations

https://www.beva.org.uk/Guidance-and-Resources/PPE
https://www.rcvs.org.uk/setting-standards/advice-and-guidance/code-of-professional-conduct-for-veterinary-surgeons/supporting-guidance/equine-pre-purchase-examinations/

Some papers of interest

https://pubmed.ncbi.nlm.nih.gov/34687227/
https://pubmed.ncbi.nlm.nih.gov/33862666/
https://pubmed.ncbi.nlm.nih.gov/31418917/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 130 Pre-purchase radiographs with Rhiannon Morgan. Published on Nov 18 2021 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.

129 Aspiration pneumopathy without antimicrobials

Fri, 08 Oct 2021 08:00:00 GMT

129 Aspiration pneumopathy without antimicrobials In our virtual studio joining myself and Brian we are delighted to have Simon Cook, one of our fabulous lecturers in Emergency and Critical Care here at the RVC. We talk to Simon about aspiration pneumopathy and treating without antimicrobials, mainly asking him about a recent retrospective study. Food for thought about current practice and working towards generating more information to provide guidelines to help clinical decision making in these cases. We hope that you enjoy.

Link to the paper:
https://pubmed.ncbi.nlm.nih.gov/34423436/

Link to keep up with veterinary literature:
https://vetlit.org/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 129 Aspiration pneumopathy without antimicrobials with Simon Cook. Published on Oct 08 2021 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.

128 Laminitis

Fri, 02 Jul 2021 08:00:00 GMT

In our virtual studio joining myself and Brian we are delighted to have Dr Nicola Menzies-Gow, Reader in Equine Medicine here at the RVC. Nicola’s main area of research interest throughout her career has been equine laminitis, and we thought that we would try to cover this vast topic in a podcast. So more of an overview considering the time! We hope that you enjoy.

Some papers and websites of interest:

https://pubmed.ncbi.nlm.nih.gov/30724397/

https://pubmed.ncbi.nlm.nih.gov/30724412/

https://pubmed.ncbi.nlm.nih.gov/29504630/

https://beva.onlinelibrary.wiley.com/doi/10.1111/evj.13055

/equine-vet/information-and-advice/fact-files/laminitis

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 128 Laminitis with Nicola Menzies-Gow. Published on Jul 02 2021 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.

127 Xenotransfusion

Fri, 25 Jun 2021 10:00:00 GMT

Joining Brian and myself in our virtual studio is Associate Professor Karen Humm one of our leads of our Emergency and Critical Care service as well as lead of or Transfusion Medicine Service here at the RVC. Karen has a keen interest in all things related to transfusion medicine and we thought that we would discuss xenotransfusions. Specifically giving dog blood to cats, this might not be something that everyone agrees with, though certainly something that could be lifesaving. We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/31867733/

https://pubmed.ncbi.nlm.nih.gov/22983454/

https://journals.sagepub.com/doi/full/10.1177/1098612X211007071

To cite this podcast as: Dom Barfield. RVC Clinical Podcast 127 Xenotransfusion with Karen Humm. Published on Jun 25 2021.

126 Deranged sodium

Fri, 16 Apr 2021 14:15:00 GMT

Joining Brian and myself in our virtual studio is Dr Erica Tinson one of our fabulous lecturers in Emergency and Critical Care here at the RVC. Erica has an interest in a variety of topics though we thought that we would discuss the highs and lows of sodium. We focus on the management of the extremes of both, hopefully not something you see commonly, but we hope will help when you do. We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/31448558/
https://pubmed.ncbi.nlm.nih.gov/28164834/
https://pubmed.ncbi.nlm.nih.gov/28017410/
https://pubmed.ncbi.nlm.nih.gov/10580909/
https://pubmed.ncbi.nlm.nih.gov/8176662/

Some equations of interest:

The Androgué-Madias formula:

Change in serum (Na+) = [infusate (Na+) – serum (Na+)] / total body water +1
Or
Change in serum (Na+) = [infusate (Na+) + infusate (K+) – serum (Na+)] / total body water +1

Free water deficit = {(current [Na+] /normal [Na+])-1} x (0.6 x body weight in kg)

Current Na+ is patients current plasma sodium concentration. Normal Na+ is the patients normal sodium concentration.

Some podcasts of interest

https://emcrit.org/emcrit/hyponatremia/
https://emcrit.org/emcrit/better-management-hyponatremia/

To cite this podcast as: Dom Barfield. RVC Clinical Podcast 126 Deranged sodium with Erica Tinson. Published on Apr 16 2021.

125 Developments in POCUS

Fri, 02 Apr 2021 14:15:00 GMT

Joining Brian and myself in our virtual studio is Dr Laura Cole one of our fabulous lecturers in Emergency and Critical Care here at the RVC. Laura has passion and enthusiasm for a variety of topics, and we are privileged that she joined us to share her thoughts about the development in POCUS. Ultrasound use for many reasons is being used more frequently in practice and we discuss recent techniques and descriptions. So, if you want to know about shred sign, z lines and curtains, please have a listen. We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/28370336/
https://pubmed.ncbi.nlm.nih.gov/33085212/
https://pubmed.ncbi.nlm.nih.gov/30216579/
https://pubmed.ncbi.nlm.nih.gov/33270302/
https://pubmed.ncbi.nlm.nih.gov/31429645/
https://pubmed.ncbi.nlm.nih.gov/33496045/
https://www.frontiersin.org/articles/10.3389/fvets.2019.00291/full
https://www.frontiersin.org/articles/10.3389/fvets.2020.616882/full

To cite this podcast as: Dom Barfield. RVC Clinical Podcast 125 Developments in POCUS with Laura Cole. Published on Apr 02 2021.

124 Vetlife 2021

Fri, 26 Mar 2021 15:15:00 GMT

Joining Brian and myself in our virtual studio we are delighted to have Rosie Allister, manager of the vetlife helpline. There has been a lot going on in the last year for everyone in and out of the profession and vetlife has received 25% increase in calls. We speak about vetlife, how we can support students on their transition into practice in these times of current restrictions. We also talk about bereavement and this podcast contains some discussion on suicide. We also consider our veterinary identity. Please follow the signposts in the podcast and/or the links below. It is good to talk, but it matters how we do it.

https://bvajournals.onlinelibrary.wiley.com/do/10.1002/vetr.00200001
https://www.vetlife.org.uk
https://www.vetmindmatters.org
https://www.befrienders.org
https://www.ava.com.au/member-services/vethealth/telephone-counselling-service/
https://www.avma.org/resources-tools/wellbeing/get-help

To cite this podcast as: Dom Barfield. RVC Clinical Podcast 124 Vetlife 2021 with Rosie Allister. Published on Mar 26 2021.

123 Minimum Inhibitory Concentration

Fri, 12 Feb 2021 09:44:00 GMT

Back in our virtual studio joining myself and Brian we are delighted to have Dr Siân Frosini Lecturer in Veterinary Clinical Microbiology here at the RVC. Siân did her undergraduate training here at the RVC and her PhD, and we are truly delighted that she has stayed on. We thought that we’d talk about bacteriology, sample submission and what do these reports with minimum inhibitory concentration actually mean. We hope that you enjoy.

Some papers and websites of interest:

https://pubmed.ncbi.nlm.nih.gov/23890240/
https://pubmed.ncbi.nlm.nih.gov/29577253/
https://ca.idexx.com/files/idexx-microbiology-mic-guide-ca-en.pdf

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 123 Minimum Inhibitory Concentration with Siân Frosini. Published on Feb 12 2021

122 Gastric Dilatation and Volvulus

Fri, 05 Feb 2021 09:55:00 GMT

Joining myself and Brian in our virtual studio we are delighted to have Professor of Small Animal Surgery Dan Brockman speak about management of GDV’s. Dan has been working at the RVC for over 20 years and has a variety of interests in soft tissue surgery. Dan could discuss many topics, though we asked him to share with you his tips for the surgical management of GDV. We hope that you enjoy.

Some papers and websites of interest:

https://pubmed.ncbi.nlm.nih.gov/32077192/
https://pubmed.ncbi.nlm.nih.gov/7591946/
https://pubmed.ncbi.nlm.nih.gov/29203936/
https://bvajournals.onlinelibrary.wiley.com/doi/abs/10.1136/inpract.31.2.66
https://bvajournals.onlinelibrary.wiley.com/doi/abs/10.1136/inpract.31.3.114

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 122 Gastric Dilatation and Volvulus with Dan Brockman. Published on Feb 05 2021

121 Veterinary Sustainability

Fri, 20 Nov 2020 10:00:00 GMT

Joining myself and Brian in our virtual studio we are delighted to have Dr Zoë Halfacree, who after many years with the soft tissue team at the RVC has moved to Davies Veterinary Specialists. We have spoken to Zoë previously on the podcast about a variety of subjects, though her passion now has centred on veterinary sustainability. We talk to Zoë about what this is, why and how we can get involved and why we should start now. We hope that you enjoy.

Some papers and websites of interest:

https://veterinary-practice.com/article/plastics-in-healthcare
https://pubmed.ncbi.nlm.nih.gov/31202620/
https://vetspecialists.co.uk/sustainability/
https://www.veterinaryevidence.org/index.php/ve/article/view/251
https://vetsustain.org
https://pubmed.ncbi.nlm.nih.gov/22892401/
https://pubmed.ncbi.nlm.nih.gov/32031491/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 121 Veterinary Sustainability with Zoë Halfacree. Published on Nov 20 2020

120 Minimally invasive surgery

Fri, 04 Sep 2020 09:05:00 GMT

Joining myself and Brian in our virtual studio we are delighted to have Associate Professor Karla Lee, who is the head of our soft tissue surgery team here at the RVC. Karla has many interests in surgery though we thought we would catch up with her on her thoughts about minimally invasive surgery in small animals, the pros and cons and what to get started with. Is this the future for small animal surgery? We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/28906566/
https://pubmed.ncbi.nlm.nih.gov/28763276/
https://pubmed.ncbi.nlm.nih.gov/31194657/
https://pubmed.ncbi.nlm.nih.gov/30444260/
https://pubmed.ncbi.nlm.nih.gov/27031418/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 120 Minimally invasive surgery with Karla Lee. Published on Sep 04 2020

119 Haemangiosarcoma

Fri, 28 Aug 2020 12:36:00 GMT

Joining myself and Brian in our virtual studio we are delighted to have Dr Irina Gramer, who is the head of our oncology team and lecturer in oncology here at the RVC. We thought that we would discuss a relatively common neoplasia that we both see and current ideas on treatment and prognosis and if there is anything in the pipeline for future diagnosis and treatment. We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/30197439/
https://pubmed.ncbi.nlm.nih.gov/30691610/
https://pubmed.ncbi.nlm.nih.gov/31251441/
https://pubmed.ncbi.nlm.nih.gov/31648405/

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 119 Haemangiosarcoma with Irina Gramer. Published on Aug 28 2020

118 Portosystemic shunts (6 years on)

Fri, 21 Aug 2020 12:38:00 GMT

Joining myself and Brian down the end of the technology wire in our virtual studio we are delighted to have Professor of Small Animal Surgery Vicky Lipscomb, who is our Clinical Director of the RVC’s small animal university teaching hospital (the Queen Mother Hospital for Animals). Vicky spoke to Shailen back in podcast 16 (/small-animal-referrals/news-events/clinical-podcasts/16-portosystemic-shunts) and we thought it was about time to catch up with Vicky about what we have learnt in the last 6 years on how we manage our PSS patients and what questions we are now asking. It you want to listen back to the explanation of what PSS are and the pathophysiology and how to diagnose them please listen back to podcast 16. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/30706530
https://www.ncbi.nlm.nih.gov/pubmed/30251431
https://www.ncbi.nlm.nih.gov/pubmed/30084495
https://pubmed.ncbi.nlm.nih.gov/32691934

To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 118 Portosystemic shunts (6 years on) with Vicky Lipscomb. Published on Aug 21 2020

117 SUB

Fri, 26 Jun 2020 12:40:00 GMT

Joining Brian and myself remotely is Dr Rebecca Geddes, Clinical Scientist Fellow in small animal medicine here at the RVC. We managed to persuade Dr Geddes to come back onto the podcast to talk about SUBs (subcutaneous ureteral bypass) in cats, something that she has recently started to look a lot into from a medical perspective. We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/30311526/
https://pubmed.ncbi.nlm.nih.gov/30398425/
https://pubmed.ncbi.nlm.nih.gov/24174498/

116 Biochemistry

Fri, 22 May 2020 12:46:00 GMT

We are delighted today to have Emma Holmes joining Bri and myself at an acceptable social distance (remotely). Emma is one of our Lecturers in Clinical Pathology here at the RVC. We asked Emma to discuss aspects of biochemistry in practice and in-house. Stay safe and we hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/25297372
https://pubmed.ncbi.nlm.nih.gov/25146362
https://pubmed.ncbi.nlm.nih.gov/27152928

115 Pyoderma

Fri, 15 May 2020 12:49:00 GMT

We are delighted today to have Ross Bond joining Bri and myself remotely. Ross is Professor of Veterinary Dermatology here at the RVC. Ross joined the RVC in 1990, when the QMHA had only been open for a few years. Ross has a number of interests, particularly in microbial skin disease. We thought that we would speak to him on pyoderma. We hope that you enjoy.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/29162115/
https://pubmed.ncbi.nlm.nih.gov/21831997/
https://pubmed.ncbi.nlm.nih.gov/22731400/
https://pubmed.ncbi.nlm.nih.gov/25376505/

114 Vetlife 2020

Fri, 08 May 2020 08:28:00 GMT

Joining Brian and myself remotely we are delighted to have Rosie Allister, manager of the vetlife helpline. We had planned to catch up following her completing the London Marathon this year and speaking to our students, however she recorded a lecture for our students this year as we all come to terms with the new normal. We speak about how things have been going with vetlife and have there been any noticeable trends for callers with the current pandemic and lockdown. We also speak about her PhD, now that she can tell us more. Lots of great points and food for thought for our profession not only in these current times though beyond. We hope that you enjoy.

https://www.vetlife.org.uk

113 Gallbladder mucoceles

Fri, 06 Mar 2020 09:41:00 GMT

We are delighted today to have Ashley Hartley joining Bri and myself in the studio. Ashley is a staff clinician in internal medicine here at the RVC. Although she’d really like to talk about Trypanosoma cruzi infections we thought we’d speak about gallbladder mucoceles instead. Ashley is passionate about all things to do with internal medicine, in particular infectious diseases, and we are grateful for her coming into the studio to share her thoughts today. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/29205503
https://www.ncbi.nlm.nih.gov/pubmed/31854510
https://www.ncbi.nlm.nih.gov/pubmed/31492387
https://www.ncbi.nlm.nih.gov/pubmed/31490022
https://www.ncbi.nlm.nih.gov/pubmed/30079451

112 Patient safety in veterinary anaesthesia

Fri, 24 Jan 2020 09:46:00 GMT

Back in the New Year Bri and myself are back in the studio and are delighted to be joined by Matthew McMillan, who is a staff clinician here in Veterinary Anaesthesia and Analgesia. Matt has a passion about understanding patient safety and errors and has also co-authored a book on that (Errors in Veterinary Anaesthesia with John Ludders). We decided to have a chat about patient safety in veterinary anaesthesia. We will ask Matt to come back in when his next book is published. We hope that you enjoy.

Book:

https://onlinelibrary.wiley.com/doi/book/10.1002/9781119259749

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/25480898
https://pubmed.ncbi.nlm.nih.gov/24571414
https://pubmed.ncbi.nlm.nih.gov/26489997

111 Aspiration pneumonia

Fri, 03 Jan 2020 09:48:00 GMT

Joining myself in the studio is Tom Greensmith, one of our ECC lecturers here at the RVC. We thought that we’d ask him about the management of aspiration pneumonia in dogs. We hope that you enjoy. Happy New Year.

Some papers of interest:

https://pubmed.ncbi.nlm.nih.gov/28750782
https://pubmed.ncbi.nlm.nih.gov/30211637
https://pubmed.ncbi.nlm.nih.gov/24588929
https://pubmed.ncbi.nlm.nih.gov/30843218 (on cats)

110 What can anatomical pathologists do for us?

Fri, 27 Dec 2019 09:53:00 GMT

For the final podcast of the year, we have managed to have a few consecutive ones, hopefully a good omen for the New Year. We are delighted to have Professor Ken Smith, Head of the Department of Pathobiology and Population Sciences here at the RVC. He is Professor of companion animal pathology and could speak about a great many things from Tasmanian devil facial tumour disease to theatre. Though we thought we’d ask Ken more about what anatomical pathologists do for us, and also how we can help them in achieving that. We hope that you enjoy and Happy New Year.

Some articles of interest:

/Media/Default/Pathology%20and%20Diagnostic%20Laboratories/Documents/rvc-labs-services-pricelist-2020.pdf

https://www.rcpath.org/discover-pathology/careers-in-pathology/careers-in-medicine/become-a-veterinary-pathologist.html

https://www.msdvetmanual.com/clinical-pathology-and-procedures/collection-and-submission-of-laboratory-samples/collection-and-submission-of-laboratory-samples-from-animals

http://apha.defra.gov.uk/External_OV_Instructions/Essential_Skills_for_Official_Veterinarians/Notifiable_Diseases/index.htm

http://apha.defra.gov.uk/apha-scientific/services/lab/index.htm

If you have any comments about this podcast, plese 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.

109 Christmas shifts

Fri, 20 Dec 2019 13:45:00 GMT

It is that time of the year when many people are winding down for the holidays though often in our professional team the work not only continues though often gets busier. Joining Brian and myself in the studio we are joined by Ruth Serlin a lecturer here at the RVC in Veterinary Professionalism. We take a windy road in our discussion about looking after yourself and your team during this time. We also discuss an approach to euthanasia, pet bereavement and certain aspects of communication. There are certainly a few sensitive topics in this podcast, though something that all our veterinary teams have to manage daily. However, if you are struggling at this time of year, or any time of year please contact Vetlife, the Samaritans or other charity organisation helplines. We hope that you manage to have some down time during this holiday period and are looking forward to the New Year. Happy holidays, look after yourself and each other.

Vetlife: https://www.vetlife.org.uk Tel(UK):0303 040 2551

Samaritans: https://www.samaritans.org Tel(UK): 116 123 Tel(USA): 1 (800) 273-TALK

https://thesamaritans.org.au Tel(Aus) 135 247

http://www.samaritans.org.nz Tel(NZ) 0800 726 666

Resources in the USA: https://www.avma.org/resources/wellbeing/get-help

Some websites of interest in relation to pet bereavement:

https://www.rspca.org.uk/adviceandwelfare/pets/bereavement
https://www.bluecross.org.uk/pet-bereavement-and-pet-loss
https://www.theralphsite.com

108 MRSP

Fri, 13 Dec 2019 13:46:00 GMT

We are coming to the end of another year and well today other events happened in the UK. Anyway regardless of that we have been trying to get Associate Professor of Veterinary Dermatology Anette Loeffler into the studio for a while now, she was a little short of time though has promised to come back again next year. Luckily Brian was on hand to sort out the audio. We discussed what it means if you come up against MRSP – methicillin-resistant Staphylococcus pseudintermedius. Enjoy.

Some articles of interest:

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4694142/
https://www.ncbi.nlm.nih.gov/pubmed/31437674
https://www.ncbi.nlm.nih.gov/pubmed/29162115
https://www.ncbi.nlm.nih.gov/pubmed/29981702
https://www.ncbi.nlm.nih.gov/pubmed/27406860

107 Life after graduation - 2 years up

Fri, 06 Dec 2019 13:48:00 GMT

Another year has passed by and as we close on 2019 Brian and I are joined by a previous RVC graduate Dave Beeston. We find out what Dave’s been up to in the last year and he’s certainly easier to get back into the studio. He hasn’t started his own podcast yet, though he has been on other podcasts (yes, I know, I couldn’t believe it either). We’ll see if we can continue doing this for a couple more years, we certainly need to get more podcasts out in 2020. Dave will be back writing his column in the Vet Times in the new year. We hope that you enjoy.

https://www.vettimes.co.uk/articles/david-beeston/

If you are interested in our small animal, or any internship then please follow this link:

/study/postgraduate/internships/small-animal

106 Nausea

Fri, 01 Nov 2019 13:50:00 GMT

Today joining Brian and myself in the studio we are delighted to have Ludovic Pelligand, Associate Professor of Veterinary Anaesthesia and Clinical Pharmacology here at the RVC. We have tried to get him in the studio for a while and delighted that he found time in his busy schedule to talk to us about his experience with treating nausea and vomiting in dogs. We will get him back on shortly! Enjoy.

105 Curative

Fri, 25 Oct 2019 12:56:00 GMT

Today joining Brian and myself in the studio we are delighted to have Professor Dan Chan, our Head of Department here at the RVC. We could talk to him about so many things, though he has recently been involved in the Consensus on the Rational Use of Antithrombotics in Veterinary Critical Care (CURATIVE) and we thought that we’d have a chat with him about that. Enjoy.

The whole Consensus is available in a Special Issue in the Journal of Veterinary Emergency and Critical Care open access here;

https://onlinelibrary.wiley.com/toc/14764431/2019/29/1

104 MUO

Fri, 18 Oct 2019 12:59:00 GMT

Today joining Brian and myself in the studio we have Joe Fenn one of our outstanding lecturers here in neurology and neurosurgery. We are discussing the topic of meningoencephalitis of unknown origin (MUO). As Joe explains this has also been known as Meningitis of unknown aetiology, or etiology depending on what side of the pond you are and incorporates necrotising meningoencephalitis (NME) and granulomatous meningoencephalitis (GME). Joe speaks about clinical signs, diagnosis and treatment. Enjoy.

103 Anisocoria

Fri, 11 Oct 2019 13:04:00 GMT

What a treat we have for you today, joined in the studio by Elsa Beltran one of our fabulous lecturers in small animal neurology and neurosurgery here at the RVC. She talks about approach to anisocoria. You can tell that she is passionate about this subject and knows it inside out. Brian kept the levels right and I kept quiet. We hope that you enjoy.

102 Approach to diarrhoea

Fri, 04 Oct 2019 13:06:00 GMT

We’re back, thanks to the one listener who asked where we were, I would like to say on a cruise, though in reality that wasn’t the case. Anyhow we are in the studio, with Brian and joined by Aarti Kathrani one of our senior lecturers here in Internal Medicine. Aarti has a particular interest in GI diseases, so we thought that we’d ask her for her approach to manage dogs and cats with diarrhoea. Having discussed this, there are certainly more topics that we would like to ask her in the future.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/31167836

https://inpractice.bmj.com/content/28/8/480.short

https://www.wsava.org/Global-Guidelines/Gastrointestinal-Guidelines

101 Professional Development Phase

Fri, 14 Jun 2019 13:08:00 GMT

Joining myself in the studio we are delighted to have Mary de Las Casas, a PDP Post Graduate Dean working for the Royal College of Veterinary Surgeons (the UK regulatory body of the veterinary profession), talking about the PDP. A fitting time since most veterinary schools in the UK have finished their final examinations (well done) and this is the UK’s version of helping new veterinary graduates transition into their professional life and reflect on their practice. We appreciate that it is a national topic, though it does raise the question about post graduate education and where we are headed as a profession, which is applicable to all. We hope that you enjoy.

Some pages of interest:

https://www.rcvs.org.uk/home/

https://www.rcvs.org.uk/lifelong-learning/professional-development-phase-pdp/

100 Epilepsy (6 years on)

Fri, 24 May 2019 09:17:00 GMT

Joining Brian and myself in the studio we are delighted to have Professor Holger Volk, guru of neurology and neurosurgery, though internationally renowned for his (and his teams) work on epilepsy. Holger spoke to Shailen in the first RVC clinical podcast and being sentimental we thought we’d ask him back for our hundredth podcast. A lot has happened in the last 6 years and we thought that we’d catch up with what has changed. We hope that you enjoy.

Some pages of interest:

https://www.facebook.com/rvccanineepilepsyresearch

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/30216557

https://www.ncbi.nlm.nih.gov/pubmed/30103909

https://www.ncbi.nlm.nih.gov/pubmed/30064067

https://www.ncbi.nlm.nih.gov/pubmed/30001753

https://www.ncbi.nlm.nih.gov/pubmed/29499762

https://www.ncbi.nlm.nih.gov/pubmed/29420639

99 Elbow Dysplasia

Fri, 17 May 2019 14:59:00 GMT

Joining Brian and myself in the studio we are delighted to have the fabulous Matthew Pead, senior lecturer in small animal orthopaedics here at the RVC. Matthew has been in and around the RVC for over 30 years and can speak eloquently on a variety of topics from opera and fine art to educational theory. We thought we should narrow it down to Elbow dysplasia. Matthew bought in his dog, Jack, who has elbow dysplasia and we have attached a short video of Matthew performing a forelimb physical exam. It has taken us 99 podcasts to include another medium. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/28234985

https://www.ncbi.nlm.nih.gov/pubmed/30703814

https://www.ncbi.nlm.nih.gov/pubmed/22151597

https://www.ncbi.nlm.nih.gov/pubmed/28197017

98 Parrots

Fri, 10 May 2019 14:59:00 GMT

Joining myself in the studio we are delighted to have Vicki Baldrey, one of fabulous lectures here in all things exotic at the RVC. Vicki is an avian specialist so we thought that we’d talk to her about an approach to managing a psittacine that is presented to you. We hope that you enjoy.

/about/our-people/vicki-baldrey

some review papers:

https://www.ncbi.nlm.nih.gov/pubmed/20682428

https://www.sciencedirect.com/journal/veterinary-clinics-of-north-america-exotic-animal-practice/vol/19/issue/2

97 Vetlife

Fri, 03 May 2019 14:59:00 GMT

Joining Brian and myself in the studio we are delighted to have Rosie Allistair, manager of the vetlife helpline. She has come to us following completing the London Marathon the previous day and is going to talk to our final year students about vetlife, so we thought that we’d ask her to talk about it on the pod. Rosie is also near completion of her PhD at the University of Edinburgh fooling a cohort of veterinary students enter the profession. We hope that you enjoy.

https://www.vetlife.org.uk

96 Hip Dysplasia

Fri, 15 Feb 2019 15:59:00 GMT

Joining Brian and myself in the studio we are delighted to have Dr Richard Meeson, senior lecturer in small animal orthopaedics here at the RVC. He is a fountain of knowledge although we thought we would narrow our conversation to hip dysplasia. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/28576269

https://www.ncbi.nlm.nih.gov/pubmed/28460694

https://www.ncbi.nlm.nih.gov/pubmed/28576271

95 Equine Gastric Ulcer Syndrome

Fri, 08 Feb 2019 15:59:00 GMT

Although we have chased him for a while (everyone has full schedules these days) we have managed to entice one of our equine colleagues to join Brian and myself in the studio, Dr Mike Hewetson. Mike is senior lecturer in equine medicine here at the RVC. We thought that we’d ask him about equine gastric ulcer syndrome, it seems he knows quite a bit about it. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/29653546

https://www.ncbi.nlm.nih.gov/pubmed/28284214

https://www.ncbi.nlm.nih.gov/pubmed/26340142

https://www.ncbi.nlm.nih.gov/pubmed/27461724

94 DKA

Fri, 25 Jan 2019 15:59:00 GMT

Joining Brian and myself in the studio is Tom Greensmith, one of our ECC staff clinicians here at the RVC. We thought that we’d ask him about the management of diabetic ketoacidosis in dogs and cats. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/26551019

https://www.ncbi.nlm.nih.gov/pubmed/28017407

https://www.ncbi.nlm.nih.gov/pubmed/25546713

93 Calcium and phosphate

Fri, 11 Jan 2019 15:59:00 GMT

Joining Brian and myself in the studio is Dr Rebecca Geddes, one of our lectures here at the RVC in internal medicine and part of a fantastic research group looking into renal disease in cats. We thought that we’d ask her about calcium and phosphate and what we need to do about it with our clinical patients. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/27527663

https://www.ncbi.nlm.nih.gov/pubmed/23464730

http://www.iris-kidney.com/guidelines/staging.html

92 Vertebral malformations in brachycephalic breeds

Fri, 04 Jan 2019 15:59:00 GMT

Back in the studio after welcoming in the New Year, Brian and I are joined by Dr Steven De Decker, senior lecturer and head of our neurology and neurosurgery service here at the RVC. We talk to Steven about vertebral malformations in brachycephalic breeds. We hope that you enjoy and Happy New Year.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/29464823

https://www.ncbi.nlm.nih.gov/pubmed/28283076

https://www.ncbi.nlm.nih.gov/pubmed/30179095

91 Fluid Therapy

Fri, 21 Dec 2018 15:59:00 GMT

Back in the studio after our Christmas shopping Brian and I are joined by Simon Cook, one of our fabulous lecturers in Emergency and Critical Care here at the RVC. We talk to Simon about fluid therapy and what is changing.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/27914759

https://www.ncbi.nlm.nih.gov/pubmed/27914756

In fact take a look at the whole of that issue of Vet Clinic of North America: Small Animal Practice

90 Life after graduation

Fri, 09 Nov 2018 15:59:00 GMT

In the studio and with better audio now that Brian is recording this time, we are joined a year later by a previous RVC graduate Dave Beeston. We follow up on Dave’s transition into being a professional and find out if he still cooks once a week to prepare all his meals. He continues to be involved in a variety of different things and no doubt he will have his own podcast shortly. Makes me think what have I done in the last year? Not sure that we will continue as long as Michael Apted following Dave, but we will try to get him back next year. Dave will be back writing his column in the Vet Times in the new year. We hope that you enjoy.

https://www.vettimes.co.uk/articles/david-beeston/

89 Hypoglycaemia

Fri, 02 Nov 2018 15:59:00 GMT

Back in the studio with Brian and we are joined by Laura Cole, one of our final year residents in Emergency and Critical Care here at the RVC. Laura worked in small animal private practice for a number of years before she completed a rotating internship with us at the RVC and stayed on to have further clinical training in ECC. She wrote an article for the Vet Times on hypoglycaemia and thought that it would be good to have a chat about it. We’ve hit 88 podcasts, 88 miles per hour allowed for time travel, not sure we are there yet. We hope that you enjoy.

Some papers of interest:

https://www.vettimes.co.uk/article/135568/

https://www.ncbi.nlm.nih.gov/pubmed/25587730

88 Pericardial effusion

Fri, 26 Oct 2018 14:59:00 GMT

Back in the studio, joined by Simon Cook, one of our fabulous lecturers in Emergency and Critical Care here at the RVC. We talk to Simon about pericardial effusions and their management. We’ve hit 88 podcasts, 88 miles per hour allowed for time travel, not sure we are there yet. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/28992908

https://www.ncbi.nlm.nih.gov/pubmed/28079972

https://www.ncbi.nlm.nih.gov/pubmed/24236526

We will have to wait a bit before Simon’s paper comes out in the Journal of Veterinary Emergency and Critical Care:

Pericardial catheter placement in the management of pericardial effusion: 18 dogs Cook, Simon; Cortellini, Stefano; Humm, Karen R

And looking forward to his findings from his current study. We will get him back into the studio to discuss

87 Feline IBD and lymphoma

Fri, 12 Oct 2018 14:59:00 GMT

Forced out of the studio, we find ourselves in Brian’s office. We are lucky enough to have Sarah Stewart join us who is one of our staff clinicians in internal medicine and oncology here at the RVC. She did her training at the AMC in New York and has a great approach to managing cases, and one of her passions which spans both internal medicine and oncology is the approach to cats we suspect have IBD or lymphoma. We hope that you enjoy.

Some papers of interest with links provided by Sarah:

Some good review articles:

https://www.ncbi.nlm.nih.gov/pubmed/22736679

https://www.ncbi.nlm.nih.gov/pubmed/23677821 (paper at link below as not available via pubmed):

http://vetfolio-vetstreet.s3.amazonaws.com/9a/586420bbf211e2b140005056ad4734/file/PV2013_Al-Ghazlat1_CE.pdf

https://www.ncbi.nlm.nih.gov/pubmed/23814916 (paper at link below as not available via pubmed):

https://pdfs.semanticscholar.org/458f/0ee8ec2b3d99acfd55160d303774f43c9a95.pdf

86 Intervertebral Disk Herniation

Fri, 21 Sep 2018 14:59:00 GMT

Today we are joined by Elsa Beltran one of our fabulous lecturers in small animal neurology and neurosurgery here at the RVC. We are in the studio, and Brian is on the whistles and faders, so hopefully the audio quality is good from the start. Today we discuss the different types of intervertebral disk extrusion/protrusion in dogs and their presentation, diagnosis, treatment and recovery. It might be an idea to listen to Podcast on the Rule of Six (37) regarding clinical reasoning in canine spinal disease. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/22250580

https://www.ncbi.nlm.nih.gov/pubmed/29192043

https://www.ncbi.nlm.nih.gov/pubmed/28964544

85 Canine Patellar Luxation

Fri, 24 Aug 2018 14:59:00 GMT

Today we are joined by Andy Phillips, one of our lecturers in small animal orthopaedics here at the RVC. We are in the studio, and Brian is on the whistles and faders from the start. We thought we would discuss canine patellar luxation, what it is and how they can be managed.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/27008322

https://www.ncbi.nlm.nih.gov/pubmed/24817090

https://www.ncbi.nlm.nih.gov/pubmed/28094422

84 Canine tracheal collapse

Fri, 17 Aug 2018 14:59:00 GMT

We are back in the studio, and our second take we actually located Brian to help record. We are joined by Sarah Stewart who is one of our staff clinicians in internal medicine and oncology here at the RVC. She did her training at the AMC in New York and has a great approach to managing canine tracheal collapse as I found out on the shop floor, as it were. We invited her into the studio so we could share her wisdom with you. We hope that you enjoy.

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/29460368

https://www.ncbi.nlm.nih.gov/pubmed/29941216

https://www.ncbi.nlm.nih.gov/pubmed/26780854

83 Common Equine ophthalmic conditions

Fri, 13 Jul 2018 14:59:00 GMT

This is the second part of the conversation that we had with Roser Tetas, one of our fantastic lecturers in veterinary ophthalmology here at the RVC. We talk about some common ophthalmic conditions in horses.

There are some ophthalmology courses run through the RVC CPD (other course providers are available, though not sure that they would all be given a 5-star rating!)

https://cpd.rvc.ac.uk/cpd-courses/equine-ophthalmology

Some papers of interest:

https://www.ncbi.nlm.nih.gov/m/pubmed/28985983

https://www.ncbi.nlm.nih.gov/m/pubmed/24995630

82 Equine ophthalmic examination

Fri, 06 Jul 2018 14:59:00 GMT

In the studio, though without Brian’s help, which was needed as we had a rookie error where we lost power. Joined by Roser Tetas, one of our fabulous lecturers in veterinary ophthalmology here at the RVC. We talk about the differences and an overview of how to perform an ophthalmic exam in a horse in this pod. We started off saying it is the same, however there are a few subtleties compared to the smaller species that we treat. If you would like to hear more about ophthalmic examination then have a listen to pod 42 /small-animal-referrals/news-events/clinical-podcasts/42-ophthalmological-examination

There are some ophthalmology courses run through the RVC CPD (other course providers are available, though not sure that they would all be given a 5-star rating!)

https://cpd.rvc.ac.uk/cpd-courses/equine-ophthalmology

Some papers of interest:

https://www.ncbi.nlm.nih.gov/m/pubmed/25894301/

https://www.ncbi.nlm.nih.gov/m/pubmed/19046262/

81 Technical aspects of ultrasonography

Fri, 29 Jun 2018 14:59:00 GMT

Back in Brian’s office as the studio was busy, different microphones though luckily a fabulous guest, Nell Fitzgerald, one of our lecturers in diagnostic imaging here at the RVC. We have a chat about the technical aspects of ultrasound and tips on how to get the best out of your machine if you are starting off, or if you are experienced but often wondered what those buttons are meant to do. We hope that you enjoy.

There are some ultrasound courses run through the RVC CPD (other course providers are available, though not sure that they would all be given a 5-star rating!)

/study/cpd

Some papers of interest:

Lamb C, Boswood A Doppler ultrasound examination in dogs and cats

In Practice 2005;27:183-189.

Lamb C Doppler ultrasound examination in dogs and cats In Practice 2005;27:238-247.

80 IMHA

Fri, 22 Jun 2018 14:59:00 GMT

Back in the studio this week with Brian controlling the levels. We are lucky to be joined by Barbara Glanemann, senior lecturer in small animal internal medicine here at the RVC. She has an interest in immune mediated diseases and we have a chat about her approach to immune mediated haemolytic anaemia. How you make a diagnosis, the other tests that one might do, treatment and how to follow their progress. We understand that there is going to be a consensus statement coming out in the near future about their management, but until then you have this!

Some papers of interest:

https://www.ncbi.nlm.nih.gov/pubmed/25586014

https://www.ncbi.nlm.nih.gov/pubmed/29509140

https://www.ncbi.nlm.nih.gov/pubmed/27152382

https://www.ncbi.nlm.nih.gov/pubmed/23279007

79 Five tips for emergencies

Fri, 15 Jun 2018 14:59:00 GMT

Kicked out of the studio, so back in Brian’s office, though he is there to help with the whistles and faders and we are joined by the wonderful Stefano Cortellini, one of our lecturers in Emergency and Critical Care. We turn the clock back to think of 5 things that you should consider when managing your first emergency cases.

Examine the patient
Listen to the clients
Analgesia
Ask a colleague, look it up, phone a friend
Give your patients the time they deserve

78 B(O)AS

Fri, 08 Jun 2018 14:59:00 GMT

Today joining Brian and myself in the studio is Lynda Rutherford, one of our small animal surgery lecturers here at the RVC. We have a chat about Brachycephalic Obstructive Airway Syndrome, or Brachycephalic Airway Syndrome. Although we are back in the studio, there seemed to be lots of chat going on outside, apologies. We discuss about objective measurements prior to the surgery, what clients ask about and where are we going to see improvements in their management for the future. For all those budding surgeons out there, it seems that we have hit a hot topic with a number of veterinary specialist surgeons getting together to discuss this at ECVS in Athens next month: https://www.ecvs.org/services/asm_2018.php We hope that you enjoy our conversation.

Some articles of interest:

https://www.ncbi.nlm.nih.gov/pubmed/29599258

https://www.ncbi.nlm.nih.gov/pubmed/29047114

https://www.ncbi.nlm.nih.gov/pubmed/27159898

https://www.ncbi.nlm.nih.gov/pubmed/28146288

https://www.ncbi.nlm.nih.gov/pubmed/26563910

77 Equine anaesthesia

Fri, 01 Jun 2018 14:59:00 GMT

Today Brian and I speak to Kata Veres-Nyéki, one of our lecturers here at the RVC in anaesthesia and analgesia. We are back in the studio, hopefully the acoustics are better. We chat about premedication and induction in the field and in a hospital environment. We hope that you enjoy. Good luck to those taking final year exams.

Some articles of interest:

https://www.ncbi.nlm.nih.gov/pubmed/24680204

https://www.ncbi.nlm.nih.gov/pubmed/29413553

https://onlinelibrary.wiley.com/toc/20423292/15/S7

76 Oncological diagnostics

Fri, 25 May 2018 14:59:00 GMT

Today Brian and I speak to Charlotte Johnston one of our lecturers here at the RVC in oncology. We are out of the studio and in Brian’s office, so please excuse the background fridge noise. We speak about how best to obtain an oncological diagnosis, from FNAs to PRAs. 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

75 How to read a paper

Fri, 18 May 2018 14:59:00 GMT

Today Professor Adrian Boswood joins Brian and myself in the studio to talk about how to read a paper. In the digital age many people can access information, though in a professional sense we need to learn how to process this and evaluate the information to understand if and how it can be applied to our patients. We hope that you enjoy. Don't forget to vote for us in the https://www.britishpodcastawards.com please!

There are some great toolkits out there to assist with evidence-based veterinary medicine https://knowledge.rcvs.org.uk/evidence-based-veterinary-medicine/ebvm-toolkit/

Lectures from the RCVS knowledge EBVM Skills day are on youtube are worth a look, especially this by Dr Tim Mair on How to Critically appraise a paper and how to run a journal club. https://www.youtube.com/watch?v=tza1mqorPGU&list=PLH0d8Oil9uAt3tKX9S-cp0FUoQKpZi210&index=3

Here are the books that Prof Boswood recommends in the podcast:

Clinical Epidemiology

https://books.google.co.uk/books?isbn=1451178794

Study design and statistical analysis

https://books.google.co.uk/books?isbn=0521826756

And this is one that I found helpful.

How to read a paper

https://books.google.co.uk/books?isbn=1118801113

74 Lameness

Fri, 11 May 2018 14:59:00 GMT

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

73 Clean your hands

Fri, 27 Apr 2018 14:59:00 GMT

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

Fri, 20 Apr 2018 14:59:00 GMT

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

Fri, 13 Apr 2018 14:59:00 GMT

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

Fri, 16 Mar 2018 15:59:00 GMT

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

Fri, 23 Feb 2018 15:59:00 GMT

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

Fri, 16 Feb 2018 15:59:00 GMT

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

Fri, 19 Jan 2018 15:59:00 GMT

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:

/equine-vet/hospital-and-specialists

And for emergency referrals:

/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

Fri, 12 Jan 2018 15:59:00 GMT

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: /study/postgraduate/internships/small-animal

65 Christmas cracker

Fri, 22 Dec 2017 15:59:00 GMT

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

64 Life after graduation

Fri, 15 Dec 2017 15:59:00 GMT

Back in the studio, though without Bri, so I still can improve on the sound quality. Slightly different this week, talking to Dave Beeston a recent RVC graduate on how he is managing the transition of life after graduation. Dave gives us an honest insight and also has a blog in the Vet Times.

If you would like to read Dave’s blog in the Vet Times:

https://www.vettimes.co.uk/article/first-day-as-a-veterinary-surgeon/

63 Abdominal trauma in dogs

Fri, 01 Dec 2017 15:59:00 GMT

Today we venture out of the studio and talk to both Stefano Cortellini and Karen Humm that are both heart and soul of our emergency and critical care team here at the RVC about an abdominal trauma in dogs. They have two review articles they have co-authored, the first one has been published in the current issue of In Practice. We discuss the first article and what has changed the way that they approach these trauma patients. We will get them back into the comfort of the studio next year to talk about the next review article and hopefully improve the sound quality and potentially keep the conversation more on track.

Here is the link to the article http://inpractice.bmj.com/content/39/10/434

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

62 Small ruminants, alpacas and pigs

Fri, 24 Nov 2017 15:59:00 GMT

Today we have ventured a little out of our comfort zone, joined by James Adams our staff clinician in large animal medicine here at the RVC talking about common presentations of sheep, goats and alpacas and a little bit about pigs. Mainly aimed for those of us who work in small animal practice and have a different type of pet booked onto the consult list.

61 Pancreatic lipases

Fri, 17 Nov 2017 15:59:00 GMT

Back in the studio we have Jill Maddison, Professor of General Practice and has an international reputation from pharmacology to clinical problem solving. Currently the chair of the World Small Animal Veterinary Association Continuing Education Committee. We were listening to her discus how she uses pancreatic lipase tests in practice and thought it would be good to share. There might be a little sensitivity and specificity to consider though we hope that you enjoy.

If you want to read more about clinical reasoning:

https://www.amazon.co.uk/d/cka/Clinical-Reasoning-Small-Animal-Practice-Jill-Maddison/1118741757 (other retailers are available)

Info on pancreatic lipase tests https://www.ncbi.nlm.nih.gov/pubmed/24739030

https://www.ncbi.nlm.nih.gov/pubmed/22676337

There are many to have a look through.

60 Hypoadrenocorticism treatment

Fri, 10 Nov 2017 15:59:00 GMT

For the 60^th Pod we have a treat, not one but two Professors join Brian and myself in the studio. This week we talk to Hattie Syme, Professor of internal medicine and David Church, Deputy Principal here at the RVC about treating patients with hypoadrenocorticism. The initial therapy and the transitional therapy. It is all about supplementing with mineralocorticoids and glucocorticoids. Now there might be differing views on which medications to use. This all came about from a conversation with them both on the clinic floor and thought that a slight contrast in views would be good for you to hear.

You could have a look at what is written about therapies prior to listening http://www.msdvetmanual.com/endocrine-system/the-adrenal-glands/hypoadrenocorticism#v3271580

To screen for HypoA https://www.ncbi.nlm.nih.gov/pubmed/22092627

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 store or Acast and please write us a review.

59 SDMA

Fri, 03 Nov 2017 15:59:00 GMT

In this podcast, we talk to Dr Rosanne Jepson, senior lecturer in internal medicine here at the RVC about SDMA (symmetric dimethylarginine). I did not know until the end of this recording that Rosanne published on SDMA back in 2008 (https://www.ncbi.nlm.nih.gov/pubmed/18371026). What is it and how to use it. It seems that there will be lots more coming out about this in the next few years. Enjoy the pod.

Here are some links:

Relationship between SDMA and GFR https://www.ncbi.nlm.nih.gov/pubmed/25272985

IDEXX https://www.idexx.com/small-animal-health/sdma-home.html

IRIS http://www.iris-kidney.com International Renal Interest Society, a great resource.

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

58 Acid base

Mon, 30 Oct 2017 15:59:00 GMT

This week we talk to Dr Duana McBride, lecturer in emergency and critical care here at the RVC about Acid base. Duana has a straight forward logical approach to blood gas interpretation and the reasons of why it is important to have a look in the emergency patient.

There are many resources to help you navigate their interpretation. Here are a suggested few. The best FOAMed podcaster (in my humble opinion); Dr Scott Weingart, has 5 podcasts on acid base https://emcrit.org/?s=acid+base

The Merck manual http://www.msdmanuals.com/en-gb/professional/endocrine-and-metabolic-disorders/acid-base-regulation-and-disorders/acid-base-disorders

And how useful they can be even in GI disease. http://onlinelibrary.wiley.com/store/10.1111/j.1939-1676.2005.tb02770.x/asset/j.1939-1676.2005.tb02770.x.pdf?v=1&t=j98vv871&s=43aadc6be2be16348a163d263ddbcabbb87dfbf8

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 write a review.

57 Reptiles

Fri, 20 Oct 2017 14:59:00 GMT

Today we talk to Jo Hedley, Lecturer in Exotic species and small mammal medicine and surgery here at the RVC about an approach to dealing with reptiles. What do you do if someone brings you in a bearded dragon, or a corn snake. Well discuss an approach to dealing with these cases when they come in your door.

56 Changing the Landscape

Fri, 06 Oct 2017 14:59:00 GMT

This week we talk to Dr Tom Cardy, staff clinician in neurology and neurosurgery here at the RVC about Changing the Landscape of Canine Idiopathic Epilepsy. It might be a mouthful, though we are not talking just about the treatment of the patients, though how we consider first line therapy, are there adjuncts to use and highlight the importance of not only focusing on the disease, the patient, though also the owner and local vet in providing this care. Tom is very patient with me, though he is a patient man. Enjoy.

Find out about the RVC epilepsy app here /news-and-events/press-office/rvc-creates-a-dog-epilepsy-smart-phone-app-to-help-manage-mans-best-friend-s-fits or download for android devices here https://play.google.com/store/apps/details?id=com.rvc.phonegap&hl=en_GB

Or on the apple app store https://itunes.apple.com/gb/app/id992917809?mt=8

Have a look at the ACVIM Small Animal Consensus Statement on Seizure management in Dogs from 2015 http://onlinelibrary.wiley.com/doi/10.1111/jvim.13841/epdf

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 and write a review.

55 POCUS

Fri, 22 Sep 2017 17:07:00 GMT

Dr Cortellini, lecturer in emergency and critical care here at the RVC, returns to the pod to talk about the use of ultrasound in the ER. Whether you call it Point Of Care UltraSound (POCUS) or focus assessment with sonography for trauma/triage (FAST) we hope that you enjoy the discussion.

Here are some links to papers about using these techniques (there are many)

If you are interested in finding out more or learning the techniques, you could get yourself to the first international veterinary point of care ultrasound symposium https://www.ivpocus.org/inaugural-symposium-2017/ It is in Austin (Texas) from the 31st October to 2nd November 2017.

54 Hyperthyroidism and azotaemia

Fri, 15 Sep 2017 14:59:00 GMT

This week we talk to Hattie Syme, professor of internal medicine here at the RVC about hyperthyroidism and azotaemia. Hattie’s main research is in chronic kidney disease, hypertension and hyperthyroidism and thankfully we could speak to her today touching on a couple of her favourite topics. We hope to get her back soon to the podcast.

If you are in the UK and have a patient that you might think benefit from radioactive iodine therapy then you can find out more information here: http://www.rvc.ac.uk/small-animal-referrals/advanced-techniques-and-specialist-procedures/radioactive-iodine-i131-therapy

Suggested reading. (links to free full text on line)

Survival and the development of azotaemia after treatment of hyperthyroid cats https://www.ncbi.nlm.nih.gov/pubmed/20649748

Association of iatrogenic hypothyroidism with azotemia and reduced survival time in cats treated for hyperthyroidism

https://www.ncbi.nlm.nih.gov/pubmed/20695989

Evaluation of predictors for the diagnosis of hyperthyroidism in cats

https://www.ncbi.nlm.nih.gov/pubmed/21985139

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield; or use the RVC facebook page). We would greatly appreciate your time to rate us on apple podcast store and write us a review.

53 Diabetes 2049 and beyond

Fri, 08 Sep 2017 14:59:00 GMT

Today we talk to Stijn Niessen, in the third of the Stijn sessions about the future of diabetes. Stijn is a senior lecturer here at the RVC and diabetes guru, heading our diabetes remission clinic (https://www.facebook.com/RVC.Diabetic.Remission.Clinic/) and you can find out more about the clinic's work here http://www.rvc.ac.uk/research/research-centres-and-facilities/clinical-investigation-centre/projects/diabetic-remission-clinic

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield; or use the RVC facebook page). We would greatly appreciate your time to rate us on apple podcast and kindly write us a review.

52 Approach to the bleeding patient

Fri, 01 Sep 2017 14:59:00 GMT

Today we talk to Stefano Cortellini, lecturer in emergency and critical care here at the RVC about an approach to the bleeding patient. Where do you start, what you should be thinking and what investigations can you do. We hope it clarifies your approach.

Pet blood bank has lots of information on how to choose the right products and FAQs

https://www.petbloodbankuk.org

51 Monitoring in diabetes

Fri, 25 Aug 2017 14:59:00 GMT

Today we talk to Stijn Niessen, Senior Lecturer in Internal Medicine here at the RVC about how you monitor and what you monitor in your diabetic patients. Stijn has a wealthy of knowledge on diabetes, literally a world leader and heads our diabetes remission clinic (https://www.facebook.com/RVC.Diabetic.Remission.Clinic/) and you can find out more about the clinics work here http://www.rvc.ac.uk/research/research-centres-and-facilities/clinical-investigation-centre/projects/diabetic-remission-clinic

Part two of the Stijn sessions. We hope that you enjoy.

50 Levetiracetam

Fri, 18 Aug 2017 15:00:00 GMT

In this podcast, we talk to Joe Fenn, lecturer in veterinary neurology and neurosurgery here at the RVC about the use of levetiracetam. Joe has been busy with his new-found fame from being mentioned on a radio 5 live podcast. There might be a couple of references to wittertainment, though it’s mainly about levetiracetam, and a DVD of the week. Enjoy.

Here are a couple of links if you’d like to read more on leviteracetam:

49 Insulin choice in cats

Fri, 11 Aug 2017 15:00:00 GMT

Today we talk to Stijn Niessen, Senior Lecturer in Internal Medicine here at the RVC about how do you clinically decide about which insulin to use in your feline patients. Stijn has a wealthy of knowledge on diabetes, leads our diabetes remission clinic (https://www.facebook.com/RVC.Diabetic.Remission.Clinic/) and you can find out more about the clinics work here http://www.rvc.ac.uk/research/research-centres-and-facilities/clinical-investigation-centre/projects/diabetic-remission-clinic

Also mentioned on the podcast is the Quality of life tool for feline diabetes https://www.ncbi.nlm.nih.gov/pubmed/20707839

There is a lot of information there, and we should probably dub this the first of the Stijn sessions. We hope that you enjoy.

48 Chickens

Sat, 05 Aug 2017 15:00:00 GMT

Today we talk to Jo Hedley, Lecturer in Exotic species and small mammal medicine and surgery here at the RVC about an approach to common problems with backyard chickens. Covering routine healthcare (vaccinations and anti-parasite medications) and an approach to birds presenting that have been bitten by a fox, sour crop, breathing problems and issues with egg laying. A little vignette to get you started if it has been a while since you last saw a backyard chicken.

47 Clinical reasoning

Fri, 28 Jul 2017 15:00:00 GMT

Today we talk to Jill Maddison, Professor of General Practice and has an international reputation from pharmacology to clinical problem solving. Currently the chair of the World Small Animal Veterinary Association Continuing Education Committee. We could have talked about anything such is the breadth of her knowledge and understanding, though we chose to talk about clinical reasoning. Enjoy.

Define the problem
Refine the problem
Define and refine the system
Define the lesion

https://www.amazon.co.uk/d/cka/Clinical-Reasoning-Small-Animal-Practice-Jill-Maddison/1118741757 (other retailers are available)

46 Spinal trauma

Fri, 21 Jul 2017 15:00:00 GMT

This is the second part of the podcast talking to Dr Patrick J Kenny. Pat was a senior lecturer here at the RVC lecturer in veterinary neurology and neurosurgery, though has recently returned home to Sydney. We talk to Pat about an approach to spinal trauma, the Do’s and Don’ts, what imaging to perform and how to immobilise a patient. We pick up shortly after we were side tracked talking about steroids.

Immobilisation
Primary survey (ABC’s, or major body systems)
Oxygen
Check for deep pain
Analgesia
Secondary survey
Focus on maintaining blood pressure and keep up with oxygenation
Diagnostic imaging – survey radiographs and CT

45 Spinal trauma

Fri, 14 Jul 2017 15:00:00 GMT

In this podcast, we talk to Dr Patrick J Kenny. Pat was a senior lecturer here at the RVC lecturer in veterinary neurology and neurosurgery, though has recently returned home to Sydney. We talk to Pat about an approach to spinal trauma, the Do’s and Don’ts, what imaging to perform and how to immobilise a patient.

Immobilisation
Primary survey (ABC’s, or major body systems)
Oxygen
Check for deep pain
Analgesia
Secondary survey
Focus on maintaining blood pressure and keep up with oxygenation
Diagnostic imaging – survey radiographs and CT

44 Ophthalmological tips & tricks

Fri, 07 Jul 2017 15:00:00 GMT

We catch up again with Charlotte Dawson, lecturer in ophthalmology here at the RVC, to ask her about her tips and tricks from an array of ophthalmological presentations and conditions.

43 Complete Blood Count

Fri, 30 Jun 2017 15:00:00 GMT

In this podcast, we talk to Kate English, lecturer in clinical pathology here at the RVC. From tips on blood collection and how to smear, to how you interpret the results. Listen and enjoy! We’re not suggesting that after you listen to this podcast that you will be able to look at a blood smear and guess the PCV, but you will listen to someone who does!

42 Ophthalmological examination

Fri, 16 Jun 2017 15:00:00 GMT

In our 42^nd podcast we might not uncover the mysteries of life the universe and everything, though we do have the opportunity to refresh our approach to ocular examination with Charlotte Dawson, lecturer in ophthalmology here at the RVC. It was Jeff Smith who taught me ophthalmology in Sydney, who said more is missed by not looking than not knowing. To be fair he might have borrowed that from Thomas McCrae, one of the forefathers in post graduate medical education, though it is still as pertinent now as it was then.

41 Traumatic brain injury

Tue, 30 May 2017 14:59:00 GMT

Today we talk to Elsa Beltran, one of our fabulous senior lecturers in neurology and neurosurgery here at the RVC about traumatic brain injury. Initial assessment, tools that we can use to grade injury and see if there is an improvement or not, when to think about diagnostic imaging, and more. We’d loved talking to her and am sure you will get a lot out of it.

Some papers of interest including Elsa’s paper on the use of MRI in Traumatic brain injury;

https://www.ncbi.nlm.nih.gov/pubmed/22063205

https://www.ncbi.nlm.nih.gov/pubmed/22063206

http://onlinelibrary.wiley.com/doi/10.1111/jvim.12368/abstract

http://onlinelibrary.wiley.com/doi/10.1111/j.1939-1676.2001.tb01594.x/abstract

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

40 Coxofemoral luxation

Thu, 18 May 2017 14:59:00 GMT

In this podcast, we talk to Elvin Kulendra, lecturer in orthopaedic surgery here at the RVC about coxofemoral luxation in dogs. The most common luxation in dogs and the majority are related to trauma. Elvin talks about initial assessment, the major body systems, and gait and neurological function, which radiographs to take and steps on how to perform a closed reduction, which should be successful 50% of the time (higher in cats). Allegedly there are 20 ways to perform an open reduction, though we don’t talk about all of them. Cage rest regardless of reduction technique for at least 4 weeks, lead walking only (no jumping, stairs etc.).

A review on coxofemoral luxations: https://www.ncbi.nlm.nih.gov/pubmed/15943127

39 Acute vestibular disease

Fri, 12 May 2017 14:59:00 GMT

In this podcast, we talk to Joe Fenn, lecturer in veterinary neurology and neurosurgery here at the RVC about presentation and management of acute vestibular disease. There might be a couple of references to wittertainment, though it’s mainly about vestibular disease. Enjoy.

Here are a couple of links if you’d like to read more on vestibular disease:

https://www.ncbi.nlm.nih.gov/pubmed/22847320

https://www.ncbi.nlm.nih.gov/pubmed/22847321

38 Blood pressure in dogs and cats

Mon, 01 May 2017 14:59:00 GMT

In this podcast, we talk to Dr Rosanne Jepson, lecturer in internal medicine here at the RVC about blood pressure in dogs and cats.

Hypotension, hypertension and everywhere in between. How, with what, where and why to measure. Are we underestimating, overestimating with different techniques? Cuff size and repeatability of readings. Do your patients have ‘white coat’ hypertension? Tips and tricks, if you are regular user, or it is something that you are wanting to bring in more to your practice. Enjoy the pod.

Here are some links:

Consensus statement from ACVIM published in 2007, https://goo.gl/bmtxuP though we believe will be updated soon

IRIS http://www.iris-kidney.com International Renal Interest Society, a great resource.

37 Rule of Six

Fri, 07 Apr 2017 14:59:00 GMT

In this podcast, we talk to Tom Cardy, staff clinician in neurology and neurosurgery here at the RVC about the ‘Rule of Six’, or the ‘Six Finger Rule’ (which has no bearing on Count Rugen or indeed Inigo Montoya). It is a clever process used to teach clinical reasoning in canine spinal disease, in six steps.

Signalment
Onset
Deterioration
Pain
Asymmetry
Neuroanatomical localisation

Here is the link to the paper published in the Veterinary Record in 2015 http://veterinaryrecord.bmj.com/content/early/2015/07/21/vr.102988

Tools and mnemonics that make our day to day life easier are always warmly welcomed!

36 Continuous Renal Replacement Therapy and Therapeutic Plasma Exchange

Fri, 31 Mar 2017 14:59:00 GMT

Today we talk to Stefano Cortellini, lecturer in emergency and critical care here at the RVC about the process and indications for Continuous Renal Replacement Therapy (CRRT) and Therapeutic Plasma Exchange (TPE). Further information about this therapy can be found here http://www.rvc.ac.uk/small-animal-referrals/advanced-techniques-and-specialist-procedures/continuous-renal-replacement-therapy

Information on acute kidney injury (AKI) and grading can be found on the website of the International Renal Interest Society (IRiS) here http://www.iris-kidney.com/guidelines/grading.html

The indications for considering treating patients with AKI are; metabolic acidosis, electrolyte imbalance (especially refractory hyperkalaemia), and uraemia. The patients we see, have a potential reversible cause, are often anuric and we can successfully catheterise. tend to be most affected are those that are anuric. Some toxins can be removed by dialysis when different filters are used. TPE has been used for immune mediated diseases (IMHA, polyradiculoneuritis), and cutaneous and renal glomerular vasculopathy.

If you are in the UK and have a patient that you might think benefit from this therapy, then do not hesitate to contact the RVC http://www.rvc.ac.uk/small-animal-referrals/

35 Bite wounds

Wed, 04 Jan 2017 15:59:00 GMT

Today we talk to Zoë Halfacree, senior lecturer in soft tissue surgery here at the RVC, about bite wounds and some things to consider in how to approach them, after initial patient assessment and stabilisation.

Analgesia; full mu opioid based upon pain score
Antibiotics; broad spectrum, such as potentiated amoxicillin
Culture where possible
Diagnostic imaging
When to explore; preferably within 4-6 hours of presentation
Lavage techniques; isotonic crystalloid (e.g. compound sodium lactate) using a 25ml syringe and 19-gauge needle. If you attach the fluid bag to an extension set and that to a three-way tap, with the needle and syringe, if makes it a little easier to flush
Wet to dry dressing vs placing a drain

Zoë discussed these aspects of bite wound management. Although this is a relatively common problem that we encounter, there is little information in the literature to help guide us on ways to manage these challenging patients.

Enjoy!

If you have any comments about this podcast, please get in touch, email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC Facebook page. We would greatly appreciate your time to rate us on iTunes and write a review.

34 EPIC

Thu, 03 Nov 2016 15:59:00 GMT

In this podcast we talk to one of the principle investigators of the EPIC study, Professor Adrian Boswood. We discuss the findings of the evaluation of pimobendan in dogs with cardiomegaly caused by preclinical mitral valve disease. Why not go to the Journal of Veterinary Internal Medicine’s website, download it and have a read now! http://onlinelibrary.wiley.com/doi/10.1111/jvim.14586/full

It is not often that a single paper has the ability to radically change clinical practice. This epic study has overwhelming evidence that pimobendan administration before the onset of clinical signs in dogs with mitral valve disease (MVD) prolongs the preclinical period by 15 months. The dogs were identified by having a ≥3/6 grade systolic heart murmur, echocardiographic evidence of MVD, and radiographic or echocardiogram evidence of cardiomegaly.

You can also see a video of Professor Boswood discussing this study on youtube https://www.youtube.com/watch?v=wtzr1E3V-gE and an infographic too https://www.youtube.com/watch?v=5qxHMGZ-9aU

It is indeed EPIC.

If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review

33 Angiostrongylosis redux

Mon, 10 Oct 2016 14:59:00 GMT

To kick start the return of the RVC Clinical podcast we speak to Karen Humm, Lecturer in Emergency and Critical Care here at the RVC. Karen was last heard here when she spoke to Shailen about this disease in number 23 of the podcast, two years ago now.

As with most of the diseases we treat, prevention is far better than cure. There has been a paper published earlier in the year by groups at Bristol and Swansea University (http://www.ncbi.nlm.nih.gov/pubmed/26830203) that shows the prevalence can change dramatically depending upon your location. What is it like in your area?

32 Radiography and Radiology In Practice: Top Ten Tips

Sun, 22 Feb 2015 15:59:00 GMT

Access to plain radiography is very widespread now in veterinary medicine. As with any diagnostic test it is essential to make sure that we use this modality in the best ways possible for our patients, their carers and indeed our personal and professional performance. In this episode I am joined by Andrew Parry who is a European specialist in Veterinary Diagnostic Imaging and a member of the Diagnostic Imaging team at the QMHA. Most of this long episode is spent discussing Andy's top 10 tips for how to get the most value out of plain radiography and radiology but we also talk about advanced imaging modalities that are becoming increasingly available and consider some of the issues surrounding this development.

To summarise, Andy's top 10 tips were as follows:

The more specific the question that you want to answer is, the more likely the imaging modality will answer it. Imaging used as a screening tool is rarely very useful. Make sure the appropriate imaging has been done. When do we use a retrograde study for example?
Pay attention to patient positioning.
Using an exposure guide in practice can be really useful.
Just because you are using a CR system, you should still be careful about radiographic technique.
When imaging the thorax, a high KV, high mA and low S technique should be used. When imaging the abdomen a low KV, high mA and higher S technique should be used.
With dyspnoiec cats, you can take a DV thoracic radiograph by placing the cassette within the cat carrier and exposing through the open box. Most dyspnoiec cats will lie in a roughly DV position and it’s better than manual restraint.
When imaging the thorax under sedation or anaesthesia, obtain the DV first, before the laterals. Inflate the chest if under GA.
When obtaining limb radiographs, if you are uncertain whether a finding on one limb is truly significant, radiograph the contralateral limb.
The more effort you put into your imaging study, the more likely you are to get a result. It’s all about making it easy for yourself.
When describing a radiograph, describe the obvious things that you see first. That means you wont be constantly distracted by them.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

31 Lymphoma in Dogs and Cats

Sat, 31 Jan 2015 15:59:00 GMT

Lymphoma (previously often referred to as lymphosarcoma) is one of the most (if not the most?) common types of cancer to affect dogs and cats. In this episode we discuss lymphoma in general terms covering a variety of topics such as what it is, patient presentation, clinical approach to the patient, treatment options and prognosis. For this episode I am joined once again by Chiara Leo, Lecturer in Oncology at the ��app.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

(Image: "Canine lymphoma 1" by Joel Mills - Own work (Wikipedia))

30 Veterinary Ethics and Animal Welfare in Clinical Practice - Part 2

Sun, 11 Jan 2015 15:59:00 GMT

In and amongst all the science and medicine that are at the centre of veterinary practice, it is essential that we don't overlook the overarching principles and considerations relating to Ethics and Animal Welfare. After all, they have to be a guiding light for what we do in clinical practice. This is the second in a two-part mini-series of podcast episodes featuring Martin Whiting, Lecturer in Veterinary Ethics and Law here at the RVC. In these episodes we discuss a variety of topics and issues. We start with discussing what 'veterinary ethics' and 'animal welfare' mean and then spend the remainder of the time seeing how these concepts apply to a variety of small animal clinical scenarios. The podcasts end with some comments on professional ethics in the context of regulatory bodies.

If you haven't listened to Part 1, we would recommend you do this before listening to this second episode.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk ; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

29 Veterinary Ethics and Animal Welfare in Clinical Practice - Part 1

Sat, 20 Dec 2014 15:59:00 GMT

In and amongst all the science and medicine that are at the centre of veterinary practice, it is essential that we don't overlook the overarching principles and considerations relating to Ethics and Animal Welfare. After all, they have to be a guiding light for what we do in clinical practice. This is the first in a two-part mini-series of podcast episodes featuring Martin Whiting, Lecturer in Veterinary Ethics and Law here at the RVC. In these episodes we discuss a variety of topics and issues. We start with discussing what 'veterinary ethics' and 'animal welfare' mean and then spend the remainder of the time seeing how these concepts apply to a variety of small animal clinical scenarios. The podcasts end with some comments on professional ethics in the context of regulatory bodies.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

28 Corneal ulceration - Part 2

Sat, 29 Nov 2014 15:59:00 GMT

This is the second part in the two-part mini-series on corneal ulceration in dogs and cats with Màrian Matas Riera who is a lecturer in Ophthalmology here at the RVC. If you haven't listened to Part 1 yet it is highly recommended that you listen to that episode first as we dive right back in here in the second part. In this two-part podcast mini-series we start with a refresher of the anatomy of the eye and more specifically the anatomy and function of the cornea. We then discuss causes of corneal pathology and the spectrum of severity in ulcerative keratitis. Examination of the patient and appropriate treatment according to severity are discussed and the podcast mini-series is rounded off with some chat about corneal transplant and a quick tangent on diabetic cataracts!

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

27 Corneal ulceration - Part 1

Sun, 09 Nov 2014 15:59:00 GMT

Finally some Ophthalmology! Corneal ulceration (ulcerative keratitis) is a problem that is encountered commonly in small animal practice and the approach to treatment depends on a good understanding of the severity of the problem in the individual patient. In this two-part podcast mini-series we start with a refresher of the anatomy of the eye and more specifically the anatomy and function of the cornea. We then discuss causes of corneal pathology and the spectrum of severity in ulcerative keratitis. Examination of the patient and appropriate treatment according to severity are discussed and the podcast mini-series is rounded off with some chat about corneal transplant and a quick tangent on diabetic cataracts! I am joined for this feast of Ophthalmology by Màrian Matas Riera who is a lecturer in Ophthalmology here at the RVC. Part 2 of this mini-series will be uploaded in approximately 3 weeks' time.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

26 Tomcat urethral obstruction ('Blocked cats') - Part 2

Sat, 18 Oct 2014 14:59:00 GMT

This is the second part of my discussion on blocked cats with Dr Rosanne Jepson, Lecturer in Small Animal Internal Medicine and Dominic Barfield, Lecturer in Emergency and Critical Care; and in absentia with Nicola Kulendra, Lecturer in Small Animal Surgery. And of course like in the first episode I can't help but chip in as well! As nentioned in the last post, there is a lot to talk about so we have not been able to plunge into the deepest depths in any one area but this is a very useful overview of the topic.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

25 Tomcat urethral obstruction ('Blocked cats') - Part 1

Sat, 27 Sep 2014 14:59:00 GMT

Tomcats with urethral obstruction are sadly a common small animal emergency population; this problem is one of the 'classics' no doubt, and with the potential to be fatal. Survival rates in the short-term can be extremely high with the right approach to stabilisation and management, medium-to-long term the prognosis can be more guarded. In a slightly roundtable fashion I am joined to discuss this topic by Dr Rosanne Jepson, Lecturer in Small Animal Internal Medicine; by Dominic Barfield, Lecturer in Emergency and Critical Care; and in absentia by Nicola Kulendra, Lecturer in Small Animal Surgery. And of course I can't help but chip in as well! In this two-part podcast series we discuss a whole host of questions surrounding this disorder including what FLUTD is, approach to the blocked cat, and recommendations following successful intervention. There is a lot to talk about so we have not been able to plunge into the deepest depths in any one area but this is a very useful overview of the topic.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

24 Student extramural studies (EMS) - maximising the potential

Sun, 07 Sep 2014 14:59:00 GMT

All veterinary students have to undertake extramural studies (EMS) as part of their undergraduate training. How can they go about making the most of these experiences? Many veterinary practices and other organisations offer EMS placements to students. What steps can they take to ensure that not only do students get the most from their placement but also that the practice benefits from having students seeing practice with them? What steps can both parties take to maximise the potential of the EMS experience and ensure that it is as mutually beneficial as possible? These and other things, especially clinical teaching in practice, are what we discuss in this podcast episode for which I am joined by Ruth Serlin and Jane Tomlin. Both Ruth and Jane are very involved in student teaching and development at the RVC and they explain their respective roles further in the podcast.

Anyone potentially interested in becoming an EMS provider, please see further details HERE.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

23 Angiostrongylus vasorum (canine lungworm)

Sat, 16 Aug 2014 14:59:00 GMT

Angiostrongylosis is a horrible disease affecting dogs not just in the UK but in many other countries besides. The two most commonly reported clinical presentations are associated with spontaneous bleeding or respiratory signs due to verminous pneumonia! In this podcast we discuss this parasitic infection in some depth and I am joined once again by Karen Humm who is a Lecturer in Emergency & Critical Care (ECC) at the QMHA and a co-Director of the Transfusion Medicine service.

In the podcast Karen and I were not entirely clear about exactly what the two licensed veterinary preparations are licensed for...I am not sure I am any more clear so here are some links for you to check them out!

Milbemax

Advocate

Alongside this podcast, I have also just published a short blog piece summarising a couple of papers on A. vasorum recently published in The Veterinary Record which you can find HERE.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks. And remember we are now also on Stitcher Radio.

PS. In the podcast Karen mentions some parasite that has a life-cycle which as you can tell she finds very exciting! She was keen I shared the link with you so here you go!

22 Being a new grad vet in practice

Tue, 05 Aug 2014 14:59:00 GMT

So you've made it through vet school, landed your veterinary degree, now what? It's the start of another phase in your lifelong journey! There are many things to consider as a new grad vet starting life in practice. In this podcast we discuss issues such as choosing your first job, coping with those early days seeing cases, sources of support and advice, the PDP (UK), internships and specialisation! I am joined in this podcast by Dr Tom Cardy who graduated in 2011 and is now a resident in Neurology & Neurosurgery at the QMHA. Tom has had an interesting and unusual working life to date which gives him some extra valuable insights.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! And note that these podcasts are now also available on Stitcher Radio.

21 Gastrointestinal signs and Canine IBD

Sat, 26 Jul 2014 14:59:00 GMT

Dogs - and cats - with chronic intermittent gastrointestinal signs are a common population in small animal practice! What's to be done? How should we approach these patients? In this podcast I discuss these questions with Dr Karin Allenspach, Associate Professor and Reader in Small Animal Internal Medicine and Head of the Clinical Investigation Centre (CIC) at the RVC. Karin has a special interest in gastroenterology and especially in canine inflammatory bowel disease (IBD) which we go on to discuss in more detail here.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! And note that these podcasts are now also available on Stitcher Radio.

20 Transfusion medicine

Sat, 05 Jul 2014 14:59:00 GMT

Anyone for some blood? Or how about some plasma? Transfusion medicine is a developing field in small animal practice as access to blood products increases - at least in some countries - and no doubt this trend is set to continue. In this podcast we discuss topics such as what transfusion medicine is and what the main indications are as well as some of the practical considerations with respect to administration. We also discuss blood banks and blood donors. Oh, and the small matter of changing our terminology for canine blood types! I am joined in this podcast by Karen Humm who is a Lecturer in Emergency & Critical Care (ECC) at the QMHA and a co-Director of the Transfusion Medicine service. During the podcast Karen also gives us a brief overview of the Transfusion Medicine service at the QMHA.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please take 30 seconds (!) to rate the podcasts in iTunes +/- write a review! Thanks.

19 Chronic kidney disease (CKD) - Part 2

Thu, 12 Jun 2014 14:59:00 GMT

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In the first podcast on CKD we discussed topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In this second part we will look at clinical aspects of CKD in terms of patient approach and management, covering topics such as suspecting and making the diagnosis, IRIS staging, treatment and prognosis. I am joined once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

As mentioned in the podcast, do check out the International Renal Interest Society (IRIS) website.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please rate the podcasts in iTunes and write a review too! Thanks.

18 Chronic kidney disease (CKD) - Part 1

Thu, 22 May 2014 14:59:00 GMT

Chronic kidney disease (CKD) is a common problem in cats and dogs, especially as they get older. In this first of two podcasts on CKD we discuss topics such as the anatomy and function of the kidney, why the kidney may become dysfunctional and what the consequences are, some terminology, and causes of kidney disease. In the second part we will look at clinical aspects of CKD in terms of patient approach and management. I am joined for both episodes once again by Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

As always, if you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

Please rate the podcasts in iTunes and write a review too! Thanks.

17 Veterinary nursing

Thu, 08 May 2014 14:59:00 GMT

Everyone knows that the nurses are really in charge!!...Having already undergone some substantial changes over the last two decades or so, veterinary nursing in the United Kingdom remains in the midst of changing times as nurses continue to work for greater recognition, endorsement and accountability. This podcast features Hayley Carne BSc (Hons) RVN Grad Dip, Assistant Lecturer in Veterinary Nursing at the ��app.

Some of the things we discuss include how to become a veterinary nurse, potential career options, procedures and treatments registered nurses are allowed to do, and CPD requirements. We also touch on some more potentially contentious issues such as what impact the move towards greater qualification may have on attitudes towards basic patient care, and the future for individuals who have worked as veterinary nurses for some time without formal qualification.

Find out more about nursing courses offered by the RVC at the links below:

Foundation Degree in Veterinary Nursing
BSc in Veterinary Nursing
Graduate Diploma

If you have any comments or suggestions, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page). Also please rate the podcasts in iTunes.

16 Portosystemic shunts

Sat, 03 May 2014 14:59:00 GMT

Portosystemic shunts (PSS) are a relatively common problem in small animals and are the subject of this next podcast in our series. The podcast features Vicky Lipscomb who is Head of the Soft Tissue Surgery service at the QMHA and has a particular interest in these troublesome vessels! Some of the things we discuss in this podcast include the different types of PSS, when to be suspicious of the problem, diagnosis and treatment options.

Find out more about CPD from the RVC featuring Vicky here.

15 Alabama Rot-like Syndrome in UK dogs

Mon, 14 Apr 2014 14:59:00 GMT

Over the last 18 months or so a number of dogs in the United Kingdom have been affected by a disorder which causes skin lesions initially followed within a few days by signs of acute kidney injury. Histopathology in these cases has shown cutaneous and renal glomerular vasculopathy consistent with changes seen in a condition known as Alabama Rot, described in North America but not previously reported in the UK. In this podcast we discuss the experience with this disorder in the UK thus far and illustrate what is – or more accurately – what is not known about this disorder. The podcast features Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the RVC and also a member of the Renal Replacement Therapy team at the QMHA. Rosanne has a special interest in nephrology in particular.

A couple of links mentioned in the podcast include:

Forestry Commission (England) website which has a list of the reported cases including their geographical distribution

The Animal Health Trust questionnaire has now closed.

Another source of further information about the disease is Anderson Moores.

If you have any comments about this podcast, please get in touch (email sjasani@rvc.ac.uk; tweet @RoyalVetCollege using #saclinpod; or use the RVC's Facebook page).

14 Feline cardiomyopathy

Sat, 12 Apr 2014 14:59:00 GMT

Heart disease is relatively common in domestic cats and these patients form a significant part of the caseload for many companion animal veterinary practices. In this podcast we discuss feline cardiomyopathy in general terms touching on issues such as classification of types, screening for subclinical cardiomyopathy, the relevance of dietary taurine, arterial thromboembolism, and prognostication. This podcast features Professor Virginia Luis Fuentes of the QMHA Cardiology Service who has a special interest in feline cardiomyopathy and aortic thromboemoblism and is always involved in research and progress in these areas.

Find out more about CPD from the RVC featuring Virginia here.

13 Human factors, non-technical skills and professionalism

Sat, 22 Mar 2014 15:59:00 GMT

What are human factors, non-technical skills and professionalism? Human factors, non-technical skills and professionalism are concepts whose importance in clinical practice is increasingly being recognised and appreciated. So far more attention has been paid to these concepts in the field of human medicine but some discussion is now occurring in veterinary medicine too. In this podcast which features Liz Chan we discuss these concepts explaining what they mean and why they are relevant to clinical practice and/or patient safety. Liz is a specialist in Veterinary Anaesthesia and Analgesia and currently works at the RVC as a Lecturer in Veterinary Education.

Find out more about CPD from the RVC featuring Liz here.

12 Healthcare-associated infection

Sun, 02 Mar 2014 15:59:00 GMT

Healthcare-associated infection is an extremely important consideration both in veterinary and human medicine. In this podcast we discuss issues such as what terminology we should use, why we should care about HAI, and prevention and monitoring. The podcast features Dan Chan who is Head of the Emergency and Critical Care services and also a member of the Infection Control Committee at the Queen Mother Hospital for Animals.

Find out more about CPD from the RVC featuring Dan here and consider some relevant webinars here and here.

11 Tips for general anaesthesia safety

Sat, 08 Feb 2014 15:59:00 GMT

Many, many dogs and cats undergo general anaesthesia daily around the world. It is such a common intervention that being prepared and confident is vital and knowing how to maximise safety essential. In this podcast featuring Ian Self we discuss aspects such as patient assessment, preparation, induction, maintenance and recovery. We also touch on what the published data about peri-anaesthetic mortality is for dogs and cats. Ian is Head of the QMHA Anaesthesia and Analgesia service and a Lecturer in Anaesthesia.

Find out more about CPD from the RVC featuring Ian here.

10 Canine Cruciate disease

Fri, 17 Jan 2014 15:59:00 GMT

Cruciate disease is one of the most common orthopaedic problems in dogs. In this podcast we review the anatomy and function of the cruciate ligaments and then go on to discuss the ways in which they can become diseased, how the diagnosis is made, and what the various treatment options are including surgical versus conservative management. The podcast features Richard Meeson who is a Lecturer in Orthopaedic Surgery and part of the QMHA Orthopaedic service. This podcast is a 'must listen' for anyone who sees or will go on to see dogs as clinical patients!

Find out more about CPD from the RVC featuring Richard here.

09 Veterinary Oncology

Sat, 28 Dec 2013 15:59:00 GMT

Oncology is a relatively young speciality in small animal veterinary medicine but one that is exciting and continually evolving. In this latest podcast we discuss this area with Chiara Leo of the QMHA Small Animal Oncology service. Some of the things we talk about include what cancer is and general principles of the approach to and treatment of cancer. Chiara also offers her opinion on how pre-existing perceptions of veterinary oncology need to be rethought and to evolve as this field of veterinary medicine makes good clinical progress. Be sure to listen and remember....

08 Small Animal Poisons

Thu, 05 Dec 2013 15:59:00 GMT

There are many potential ways in which dogs and cats can poison themselves! In this latest podcast we discuss some of the more well known 'classic' poisons such as chocolate, ethylene glycol (antifreeze) and anticoagulant rodenticides, as well as some more recently identified ones such as grapes/raisins/currants/sultanas and xylitol in dogs. We also chat about neuromuscular toxins such as metaldehyde and permethrins,. One of the key things we stress is the difference between dose-dependent and non dose-dependent (idiosyncratic) poisoning. The podcast features Dom Barfield, Lecturer in Emergency and Critical Care at the QMHA.

Find out more about CPD from the RVC featuring Dom here.

07 Diabetes Mellitus and Remission

Tue, 12 Nov 2013 15:59:00 GMT

"Every month is diabetes month in my mind!" (Stijn Niessen, 2013). Diabetes mellitus is a common and very important hormonal disease in both dogs and cats. And while not reported in dogs, it has been known for some time that cats can go into diabetic remission. In this podcast featuring Stijn Niessen, Lecturer in Internal Medicine at the QMHA, we start by discussing diabetes mellitus in general terms, including how best to classify the different types, common signs of the disease, making the diagnosis and trying to make sense of the different types of insulin preparations available. Stijn then goes on to fill us in on the motivation for and aims of the new RVC Feline Diabetic Remission Clinic (email fdrc@rvc.ac.uk).

In the podcast Stijn also mentions that vets in the United Kingdom can submit samples from cats for fructosamine measurement for free - find out more at this RVC Clinical Investigations Centre website page under 'Feline diabetes and acromegaly'.

Find out more about CPD from the RVC featuring Stijn here.

06 Physiotherapy and Hydrotherapy - a general discussion

Fri, 02 Aug 2013 14:59:00 GMT

Physiotherapy, hydrotherapy and rehabilitation therapies are gaining increasing recognition as being an important part of veterinary healthcare and these services are increasingly available. In this podcast we discuss the emergence, uses and potential benefits of these therapies with Holly Smith, Head Nurse for Neurology and Rehabilitation in the QMHA.

Listeners update (Nov 2013)

Thu, 01 Aug 2013 14:59:00 GMT

A quick update on how the podcasts are going and a BIG THANK YOU to you the listeners for your interest and support!

Please do feel free to get in touch including with questions about current podcasts and suggestions for future topics:

Email Shailen at sjasani@rvc.ac.uk
Post on our Facebook page
Tweet @RoyalVetCollege hashtag #saclinpod

IF YOU LIKE THIS PODCAST SERIES PLEASE RATE IT ON ITUNES - THANK YOU!!!

05 Feline ureteric obstruction

Fri, 12 Jul 2013 14:59:00 GMT

Urethral obstruction ('blocked cats') is a well recognised emergency problem in cats. However obstruction of one or both ureters is also increasingly recognised. In this podcast Nicola Kulendra (nee Bound) of the QMHA Soft Tissue Surgery service explains more about this condition, what the consequences are, how the diagnosis is made and treatment options available. This is a condition that may be easy to miss so be sure to listen to this podcast!

Find out more about CPD from the RVC featuring Nicola here and here

04 Nutrition in sick animals

Fri, 21 Jun 2013 14:59:00 GMT

What are the consequences of malnutrition? What is nutritional support? When is the right time to start nutritional support? Does refeeding syndrome truly exist? When should you start feeding patients after gastrointestinal surgery?

These are some of the things that we discuss in this podcast which features Dan Chan who is Head of the Emergency and Critical Care services and Clinical Nutritionist at the Queen Mother Hospital for Animals. Nutritional support of veterinary patients is an area that has received quite a lot of attention in recent times so be sure to listen to this episode!

Find out more about CPD from the RVC featuring Dan here

03 Polyuria/polydipsia (PU/PD)

Fri, 31 May 2013 14:59:00 GMT

Polyuria/polydipsia (PU/PD) is a common presenting complaint in small animal practice; a number of different disease states can disrupt normal physiology resulting in this problem. In this episode I discuss PU/PD with Dr Rosanne Jepson who is a Lecturer in Internal Medicine at the QMHA. Some of the things we discuss include what we mean by polyuria and polydipsia, background pathophysiology that can lead to this problem, and a rational approach to the PU/PD patient.

Find out more about CPD from the RVC featuring Rosanne here

02 Blunt traumatic limb fractures

Fri, 10 May 2013 14:59:00 GMT

Limb fractures are a common injury following blunt trauma in dogs and cats and a rational approach to the management of these patients is crucial. In this episode I discuss this problem with Elvin Kulendra who is a Lecturer in Small Animal Surgery at the QMHA and spends most of his time nowadays doing orthopaedics. Some of the things we talk about include how easy it is to detect a fracture, when is the best time to manipulate a fracture, open versus closed fractures, tips on radiography and the rational use of antimicrobials.

Find out more about CPD from the RVC featuring Elvin here

01 Seizures

Fri, 19 Apr 2013 14:59:00 GMT

Seizures are relatively common in cats and especially in dogs. In this inaugural podcast I discuss this presenting complaint with Dr Holger Volk who is Head of the Neurology & Neurosurgery service and Clinical Director of the Queen Mother Hospital for Animals.

Some of the things we talk about include definitions and classification of seizures, rational telephone advice, a general clinical approach and anti-convulsive medications. Oh, and "we will rock you!"

Find out more about CPD from the RVC featuring Holger here

Introduction

Fri, 29 Mar 2013 15:59:00 GMT

Shailen Jasani introduces the podcast series and explains what you can expect. The podcasts are primarily aimed at vets and nurses in first opinion/non-referral practice as well as undergraduate and postgraduate students:

Free to access and download (including via iTunes)
Discussions of clinical topics with an emphasis on practical application
Informal and conversational style

Please feel free to get in touch with your questions, comments and suggestions to help us improve the podcasts going forward:

Email: sjasani@rvc.ac.uk

Post on the RVC's Facebook page

Use twitter: @RoyalVetCollege, hashtag #saclinpod

IF YOU LIKE THIS PODCAST SERIES PLEASE RATE IT ON ITUNES - THANK YOU!!!

"These podcasts are a wonderful idea, I follow every podcast from Spain. Thanks RVC and Shailen Jasani, you are doing a great job helping vets to improve."