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TitreDateDurée
297. Three cases that spooked me!06 Nov 202500:21:02

Send me a derm question or story through text or voicemail!

Even as a specialist, I still get cases that surprise me or change appearances. It can leave me doubting what the next step is. But, if you take a breath, it is amazing what can happen when you figure them out. Check out three cases that recently threw me for a loop.

1. A dog with weird paw pad ulcers

2. A cat with an ulcerated nasal planum

3. A service dog with non-pruritic alopecia and scaling

Hint: If you check out the YouTube channel, there are a lot of clinical photos!

00:00  Intro
02:14  Case Number 1: Veni
08:02  Case Number 2: Gadget
14:42  Case Number 3: Bruno
19:19  Outro

296. More Eyes with Alex Sigmund30 Oct 202500:18:43

Send me a derm question or story through text or voicemail!

Alex Sigmund, DVM, DACVO returns to the podcast to discuss something other than allergies! There are so many non-allergic things that can occur with eyeballs (or the skin around the eyes) that may also include input from a dermatologist?

What non-allergic cause can lead to periocular dermatitis?

How do you start evaluation of blepharitis or chemosis?

We dig even deeper into eyes this week on The Derm Vet podcast!

00:01 – Intro
01:21 – What is the most common reason for periocular alopecia
03:48 – What topical antibiotic can you safely use around the eye
08:02 – Basic guidance on blepharitis
12:09 – When should general practitioners consult ophthalmologists
15:07 – Breeds with a strong overlap in skin and eye conditions
18:01 – Outro

287. Zarasyl: the natural science of silica and how it helps wound healing28 Aug 202500:33:15

Send me a derm question or story through text or voicemail!

Skin damage and cutaneous wounds can be frustrating and difficult to manage. With a growing world of antibiotic resistance and difficult cases of skin repair, alternative solutions are needed. Zarasyl combines the natural power of silica to optimize the wound healing environment. The product helps to moisturize while being semi-occlusive to allow oxygen through the barrier.

Julia Miller, DVM, DACVD is a frequent guest of the podcast and joins once again to discuss her experience with Zarasyl in dogs, cats and horses. This episode provides comedic relief with discussion of being a hand model and Labubus. But, most importantly, you will learn additional ways to treat wounds and manage dermatology cases with Zarasyl.

00:00 Intro
00:25 Dr. Julia Miller
02:16 Zarasyl
05:04 Using non-antibiotics when possible
07:41 What is Zarasyl?
10:54 How and when to use Zarasyl
13:20 Can it safely be used long-term?
18:04 Top diseases where you're using Zarasyl
19:50 Horses
22:36 Lessening the duration of antibiotics
26:40 Zarasyl's scientific support
29:14 Final thoughts about Zarasyl
31:58 Outro

197. When your allergy case stops responding...07 Dec 202300:12:07

Send me a derm question or story through text or voicemail!

Sometimes chronic allergy management can become difficult... but it isn't always because the allergies got worse. Another disease could pop up and you may need to view that case with fresh eyes... learn some tips on this week's episode of The Derm Vet podcast!

196. SCIT vs SLIT... which one is better?30 Nov 202300:14:56

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Immunotherapy... should you recommend subcutaneous or sublingual? Is there a difference in efficacy? What are pros and cons of each? 

Find out more in-depth information on this week's episode of The Derm Vet podcast!

195. Thanks and gratitude for your support!23 Nov 202300:08:49

Send me a derm question or story through text or voicemail!

Happy Thanksgiving to all of my friends in the US! I am so thankful for the support for The Derm Vet podcast and wanted to share a little love on this week's episode of the podcast!

194. Evolving in dermatology16 Nov 202300:14:09

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It is so important to learn new skills and change your way of doing things. This is not only best for the pet you are treating, but makes dermatology more fun for you! Learn about some of the ways I have changed my derm practice on this week's podcast episode!

193. Did you know there are different types of pemphigus?09 Nov 202300:12:03

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

192. Difficult derm convos02 Nov 202300:12:41

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Dermatology is a lot of talking. As we set up realistic expectations for our owners, there can be some tough conversations that need to happen. How can we approach these chats a bit easier?

Learn about an expectation I needed to make clear for an owner including how I approached it (even when uncomfortable). This scenario and more on this week's episode of The Derm Vet podcast.

191. Distribution of cat skin lesions26 Oct 202300:12:35

Send me a derm question or story through text or voicemail!

Did you know that recognizing different distribution patterns in cats can help guides your diagnostic workup? 

Check out this week's episode of The Derm Vet podcast to learn more!

190. Why are ear cultures controversial?19 Oct 202300:13:16

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Ear cultures are a bit controversial in veterinary dermatology. Do you know why? 

Check out this week's episode of The Derm Vet podcast to find out!

189. Labwork monitoring for derm drugs12 Oct 202300:16:21

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If you are managing an allergic or autoimmune pet with certain medications, how do you appropriately monitor their labwork? What changes are you looking for? What other diseases does the pet have that may require monitoring?

Check out some of my thoughts on The Derm Vet podcast this week! And (remember) that every clinician can be different!

188. How to practice fear free dermatology05 Oct 202300:18:52

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Chronic skin disease can cause a lot of discomfort for dogs and cats. In turn, this can cause veterinary visits for not only the pet, but the owner to be intimidating. Implementing fear free techniques can allow veterinarians to work with the patient and a client to make the experience less stressful. In a specialty that often includes lifelong, frequent rechecks, it will change the way you practice. 

Check out this week's episode of The Derm Vet podcast to learn how you can implement fear free techniques from scheduling the appointment all the way to the derm exam itself!

286. GRAB BAG: All about Cytology21 Aug 202500:25:33

Send me a derm question or story through text or voicemail!

I love getting your questions and answering them on the podcast. This week is one of my favorite topics: cytology! 

What tips do I have for direct impression smear vs. tape prep?

How do I know the appropriate treatment based on quantity of infectious organisms?

What is the difference between superficial pyoderma and deep pyoderma?

Get your questions answered on this week's episode of The Derm Vet podcast!

TIMESTAMPS

00:00 Intro
01:22 What advice do you have for collecting tape prep versus collecting direct impressions?
03:47 Tape prep
07:06 How to stain tape prep
08:43 How can we get better at sampling interdigital spaces?
11:16 Dry Lesion vs Wet Lesion
14:15 How do you interpret the number of Malassezia or bacteria on skin or ear cytology?
17:13 How do you differentiate between a deep pyoderma and a superficial pyoderma?
20:00 How many organisms do you consider 1 plus, 2 plus, 3 plus?
22:20 Thoughts on AI/Digital cytology machines
24:34 Outro

187. What I wish I knew sooner...28 Sep 202300:14:58

Send me a derm question or story through text or voicemail!

What are a few things I wish I knew sooner in my veterinary dermatology career? Listen to this week's episode of The Derm Vet podcast to find out!

186. Nasal Planum Diseases22 Sep 202300:26:33

Send me a derm question or story through text or voicemail!

Nasal planum diseases. There are so many different types and biopsy is going to be the most direct way to sort through your differentials. Check out this week's episode of The Derm Vet podcast for tips and tricks!

185. Vasculitis14 Sep 202300:17:40

Send me a derm question or story through text or voicemail!

Vasculitis is a disease that can encompass many different presentations. Usually end-points (pinnal tips, claws, tail tips, etc.) are affected due to lack of collateral circulation. Though pentoxifylline is the mainstay treatment traditionally, there are other options that are sometimes needed. This includes the off-label use of a common allergy medication. Check out this week's episode of The Derm Vet podcast to learn more!

184. Revisiting Apoquel vs. Cytopoint07 Sep 202300:13:36

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Apoquel and Cytopoint. Revolutionary therapies to manage pruritus from allergic dermatitis in dogs. Both should be stocked on the shelf of your veterinary clinic. But are there certain instances where I prefer one vs. the other?

Find out the answer on this week's episode of The Derm Vet podcast!

183. The complexity of atopic dermatitis (in humans AND pets!)31 Aug 202300:12:18

Send me a derm question or story through text or voicemail!

Atopic dermatitis should be viewed as a syndrome rather than a singular disease. Between genetics, skin barrier, environment, microbiome, TH2 immunity, etc. there are so many factors that play a role which is why dermatologists always mention a multimodal approach.

Check out more details on this week's episode of The Derm Vet podcast!

182. Importance of topical therapy24 Aug 202300:13:39

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Why do dermatologists love topical therapy? How can you explain to an owner the importance of bathing or applying a mousse?

Check out this week's episode of The Derm Vet podcast!

181. Frequency of ear flush17 Aug 202300:11:39

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How often should I have an owner flush a dog's ear? How do I know if I can change the frequency of flushing in a patient? Check out this week's episode of The Derm Vet podcast!

180. Collaboration with Skin Flint podcast10 Aug 202300:45:04

Send me a derm question or story through text or voicemail!

I love collaborating and this is an exciting one! Skin Flint podcast is a veterinary dermatology podcast (yes there is more than one!) based out of the UK. It was such an exciting opportunity to chat about the differences in how we treat dermatology but a lot of similarities as well. I have posted this episode of the podcast on my platform.

However, please check out Skin Flint podcast as well for more amazing dermatology tips!

https://open.spotify.com/episode/5FqBDcmpLcOcdem2CXQctr?si=e1yKpgCkTBmAiynVYG8XvQ

179. My Commencement Speech03 Aug 202300:14:44

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On May 15 of this year, I had the honor of giving the commencement speech at my alma mater (University of Missouri). It was such an honor and one of the most important speeches I have ever written. 

I decided to record it for the podcast hoping it brings some insight or inspiration to listeners. Enjoy!

178. Isoxazolines in dogs27 Jul 202300:13:24

Send me a derm question or story through text or voicemail!

Since we covered cats last week, we have to give dogs some love this week! 

I discuss the differences of the different DOG isoxazoline products in the United States (all the countries are different with labeling) on this week's episode of The Derm Vet podcast!

285. Neuro and Derm remix (CAT VERSION) with Fred Wininger14 Aug 202500:25:59

Send me a derm question or story through text or voicemail!

Back again! Fred Wininger, VMD, MS, DACVIM (Neurology) rejoins the podcast to talk about cats! Do clinical signs differ from dogs with neuro disease? What about the dreaded feline hyperesthesia syndrome? Should advanced imaging be considered?

Check out this week's episode of The Derm Vet podcast to jump into the world of cat neuro/derm!

00:00 Intro
00:25 Dr. Fred Wininger and cats
02:13 Otitis Media in cats
06:44 Next step for treating
13:20 Treating concurrent sinusitis rhinitis
15:20 Feline hyperesthesia
19:15 Toxoplasmosis
25:38 Outro

177. Isoxazolines in cats20 Jul 202300:16:25

Send me a derm question or story through text or voicemail!

We have talked a lot about the importance of isoxazolines in dogs and cats during the allergic workup. We want those easy wins by ruling out itchy ectoparasites!

But there are so many different products out there, what are the differences? I discuss the differences of the different CAT isoxazoline products in the United States (all the countries are different with labeling) on this week's episode of The Derm Vet podcast!

176. Pseudomonas otitis- biofilm, ulcerations and pain13 Jul 202300:48:56

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Pseudomonas otitis is one of the toughest issues we face in veterinary dermatology. What do these cases look like? What do these cases need topically and systemically? What ingredients should be in the ear flush?

Back to interviews on the podcast (my favorite!), I am joined by Amelia White, DVM, MS, DACVD from Auburn University. Listen into our discussion about this difficult case and gain tips on how to be successful with treatment on this week's episode of The Derm Vet podcast!

175. PHOVIA: an alternative treatment for pyoderma and other dermatologic disease06 Jul 202300:16:45

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Photobiomodulation is a novel way to manipulate the function of cells within the dermis and epidermis, to reduce inflammation while still accelerating regeneration. Phovia is a two-part system released by Vetoquinol in 2021. As pyoderma has become more and more difficult to control, it is essential that we investigate alternative methods to antibiotics. Phovia has also been shown to be helpful for the management of perianal fistulas (a painful, difficult disease!).

Learn about how Phovia works and the benefit of implementing its use in your practice. 

 This episode is sponsored by Vetoquinol.

References mentioned in the podcast episode:

1.      Marchegiani A. Klox Fluorescence Biomodulation System (KFBS), an alternative approach for the treatment of superficial pyoderma in dogs: preliminary results. In: Proceedings of 61st BSAVA Congress; Birmingham, England: 2018; 442.

2.      Marchegiani A, Cerquetella M, Tambella AM et al. The Klox Biophotonic System, an innovative and integrated approach for the treatment of deep pyoderma in dogs: a preliminary report. Vet Dermatol 2017; 28: 545 (abstract).

3.      Marchegiani, A., Tambella, A.M., Fruganti, A., Spaterna, A., Cerquetella, M. and Paterson, S. (2020), Management of canine perianal fistula with fluorescence light energy: preliminary findings. Vet Dermatol, 31: 460-e122. 

174. Keynote at Fetch KC (August 26!)29 Jun 202300:16:24

Send me a derm question or story through text or voicemail!

I love lecturing... but this keynote will be very special to me.

On August 26, I get to cross something off of my speaker bucket list: keynote presentation. I was supposed to do this keynote last year and had to drop out after our son was diagnosed with leukemia. 

So I feel so fortunate to get to finally fulfill this dream in two months. Fetch has a special place in my heart. Kansas City has a special place in my heart as a Mizzou grad and an Air Force brat who was stationed an hour away for years. This topic will also have a special place in my heart as I discuss how this medical journey with our son has changed my perspective on caregiver burden and empathy toward clients.

Check out this week's episode of The Derm Vet podcast to learn more about the keynote topic. I have a special code BOURGEOIS25 off your registration if you want to join me in KC!

173. Feline head and neck pruritus22 Jun 202300:15:35

Send me a derm question or story through text or voicemail!

Cat head and neck pruritus... what differentials for you have for a feline friend that is showing this pattern? Check out this week's episode of The Derm Vet podcast!

Reference from the episode: Hobi S, et al. Clinical characteristics and causes of pruritus in cats: a multicenter study on feline hypersensitivity-associated dermatoses. Vet Dermatol 2011; 22: 406-413.

172. 4 tips to get a derm diagnosis16 Jun 202300:14:20

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When in a fast paced GP practice, how can you categorize your thinking to appropriately diagnose and treat dermatologic cases? Check out my 4 tips to increase your confidence!

171. Flea lifecycle08 Jun 202300:11:56

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Do you understand the flea lifecycle? Know why it is important to know about the egg, larva, pupa and adult... also some gross flea facts.

170. Why perform ear cytology?01 Jun 202300:13:04

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If most ear products have ingredients to address bacteria, yeast and inflammation, then why is ear cytology important? check out this week's episode of The Derm Vet podcast!

169. How can you tell the allergy plan is successful?25 May 202300:12:18

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When you start a patient on an allergy protocol, how can you tell if it is successful? Do you expect them to never get an infection again? If they do, did the plan fail? 

Check out this week's episode of the podcast to learn what successful allergy management looks like!

168. Owner can't medicate pet.18 May 202300:13:06

Send me a derm question or story through text or voicemail!

You look at a new patient's history and see "owner can't give oral medications at home". But what if all the injectables didn't work? Do we just assume we can't help this pet?

What if we asked the owner more in-depth questions? How have you tried giving it? What was going on with the pet when you tried oral medications? Can you focus on topical therapy for the infection? Based on a recent case I had, I wanted to present a real life solution on this week's episode of the podcast.

284. Neuro and Derm mix tape (DOG VERSION) with Fred Wininger07 Aug 202500:27:13

Send me a derm question or story through text or voicemail!

A neurologist visits the podcast this week! Fred Wininger, VMD, MS, DACVIM (Neurology) has recently opened a state-of-the-art neurology focused specialty center called The Animal Neurology Center in St. Louis, MO! He joins the podcast to discuss the clinical signs that can overlap between neurology and dermatology. Whether a head tilt, nystagmus or circling, how do you know where to start with your patient? Dr. Wininger has the unique ability to take a complicated subject (he's literally a brain surgeon) and break it down to digestible, practical information.

Check out this week's episode of The Derm Vet podcast where we explore the canine brain, ear and beyond!

0:00 Intro
00:25 Dr. Fred Wininger
02:34 Differentiating cases
07:57 What other things are considered with peripheral vestibular?
10:55 Idiopathic vestibular disease in young dogs
13:17 Primary Secretory Otitis Media (PSOM)
18:35 Flea Prevention
22:45 Skin disease associated with neurologic pain
25:11 Dermatomyositis
26:55 Outro

167. Top 3 things to consider for an allergic flare11 May 202300:12:40

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Starting with an allergy case can be daunting... especially if you have a 15 minute exam to do it in. What are the top 3 things you should consider to get a pet out of an allergic crisis and on their way to management? Check out this week's episode of The Derm Vet podcast!

166. REPLAY: Bald Belly Cats04 May 202300:11:55

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Replay of a popular podcast episode form a year ago... bald belly cats!

Bald belly cats present commonly in veterinary dermatology. Many of these cats develop bald bellies due to overgrooming but there are also non-pruritic causes. 

What history questions should you ask? What differentials should you consider? What other clinical signs should you look for?

Check out this episode of the podcast to feel confident in the bald belly kitty workup!

165. Yeasty Beasties!27 Apr 202300:17:50

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

164. Intradermal vs serum testing for atopic dermatitis20 Apr 202300:12:29

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Is there a difference between intradermal and serum testing for atopic dermatitis? Learn the differences in what these tests measure and why testing should be recommended to your patients on this week's episode of The Derm Vet podcast!

163. DERM DEBUNK: Apoquel CAN'T help otitis.13 Apr 202300:12:20

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I am starting a new podcast episode type called: DERM DEBUNK. 

These are the "facts" I hear thrown around often. Some may not be true at all... some may be partially true. But (similar to any aspect of medicine) blanket statements can be really tough! First derm debunk episode, "Apoquel can't treat otitis."

There are so many varying degrees of otitis... Find out my thoughts on this week's episode of the podcast. 

162. What is a dermatology residency?06 Apr 202300:18:50

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What is the difference between a dermatology internship and residency? What does a dermatology residency entail? Is it worth it?

I was asked to create a podcast episode all about pursuing a dermatology residency. So this week's episode answers all the questions you asked about becoming a board certified veterinary dermatologist!

161. Cytology collection techniques30 Mar 202300:18:15

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Are you confident in cytology? It is the minimum database for dermatology case!

Refresh yourself on cytology collection techniques with this week's episode of The Derm Vet podcast. Remember... you don't have to use them all! Find the few you love and stick with them.

160. When the ear canal is swollen shut23 Mar 202300:13:20

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You walk into your next dog appointment... and the ear is completely swollen shut. What do you do??? Panic? Refer to surgery? Send home ear drops?

Check out my step-by-step process of a swollen ear canal and feeling confident about managing these cases!

159. Bulldog dermatology16 Mar 202300:15:24

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Oh, bulldogs... they are sweet but can have difficult dermatologic disease. From interdigital furuncles to demodex to facial folds... learn all about bulldog dermatology on this week's episode of The Derm Vet podcast!

158. Grab Bag! Topical Therapy for Canine Atopic Dermatitis09 Mar 202300:14:09

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I asked and you delivered! On Instagram, you gave me your questions regarding topical therapy for canine atopic dermatitis. Here my answers on this week's episode of the podcast!

283. GRAB BAG: Otitis31 Jul 202500:24:04

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You always deliver the best questions when I do grab bag episodes... this one was POPULAR! I got so many questions about different aspects of otitis. Flush, ear meds, cats, TECABO referral, and more!

Check out my answers to your top otitis questions on this week's episode of The Derm Vet podcast!

Intro 00:00
How To Tell If Otitis Is Due To Allergies  With No Other Signs Of Pruritis 01:21
Recommendations To Manage Pseudomonas Otitis 04:44
Maintaining Allergic Ears That Flare But Don't Have Infection 08:40
Benefit Of "Leave-In" Products vs Daily Products 10:28
Basic Guidelines For Choosing Commercial Ear Medication 13:58
What To Do With Ear Culture Results 16:10
Topical Ear Treatments For Cats 17:38
Outro 23:00

157. Don't forget the skin barrier!02 Mar 202300:13:05

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Why should you focus on the skin barrier? Why are dermatologists so passionate about it? 

Find out on this week's episode of The Derm Vet podcast!

156. Changing your client communication in derm23 Feb 202300:13:40

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Client communication can be difficult in chronic dermatology cases. Especially with so much misinformation available to clients from other sources. 

Learn how to be on the offense (not defense with clients)... and how this can change your happiness managing dermatology cases.

155. The Complete Ear Exam16 Feb 202300:15:49

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What does a complete ear exam look like? What order of steps should occur? What if the pet is wiggly?

Find out a quick, efficient way to evaluate the pinna, vertical canal, horizontal canal and tympanum of a dog and cat on this week's episode of The Derm Vet podcast!

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