Hyperbaric Oxygen Therapy is the use of supplemental oxygen in a chamber under increased pressure so the blood oxygen concentration increases which facilitates healing. There are not many veterinary practices that have HBOT for pets. However, we are lucky enough to have Trenton Ewing, DVM, DACVD back on the podcast to discuss HBOT since his practice (Animal Dermatology Clinic in Pasadena, CA) has had HBOT available for years!Learn what diseases he has used this therapy to treat, what a typical HBOT "dive" looks like and how this therapy works! Not only can you check out our conversation on traditional podcast apps, but check out the YouTube channel which includes pictures and videos!00:00 Intro01:12 Hyperbaric Oxygen Therapy with Trenton Edwards02:34 What is an HBOT?04:36 Common cases referred to HBOT07:15 Typical HBOT Dive Protocol09:00 Issues doing it long-term?12:15 How stressful is it be for pets?14:12 Training for HBOT16:28 Contraindications19:56 How available is HBOT?23:12 Downsides24:00 Final Thoughts/Outro
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289. Venomous Insect Testing & Desensitization with Trenton Ewing
It can be scary to have a dog that goes through a life-threatening reaction to a honeybee sting. Often, these dogs are young and active. Though owners can take preventative measures, it is impossible to guarantee 100% avoidance of these venomous insects. So, what can be done?Trenton Ewing, DVM, DACVD joins the podcast this week to discuss a very effective way to manage these cases. Dr. Ewing practices at Animal Dermatology Clinic in Pasadena, CA and has previously done research on venomous insect testing and desensitization. We discuss a typical history in these patients, how testing is performed and the success rate of long-term desensitization. Enjoy this unique topic on this week's episode of The Derm Vet podcast!00:00 Intro00:25 Venomous Insect Testing with Trenton Edwards01:49 What spiked your interest in venomous testing?05:08 Typical history that a dog presents to Trenton as an initial exam09:27 Testing process14:27 Most common culprits15:40 Desensitizing 20:39 Faster protocols22:29 How long do we do monthly injections?25:10 What do you send them home with and what is the expectation?28:27 Outro
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288. Four things I have learned to implement into my derm cases
It is back to school season! For this episode, I review the four things I have learned to implement as a dermatologist. Even as a specialist, I like to progress and grow into how I am practicing!We will go over how to use supplement and skin supportive diets, venomous insect testing, improving immunotherapy and proactive skin management.00:00 Intro02:15 Being more thoughtful in recommending skin supplements or skin diets07:02 Venomous Insect Testing09:33 Improving immunotherapy12:48 Proactive, not reactive with allergy management16:53 Summary
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287. Zarasyl: the natural science of silica and how it helps wound healing
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 Intro00:25 Dr. Julia Miller02:16 Zarasyl05:04 Using non-antibiotics when possible07:41 What is Zarasyl?10:54 How and when to use Zarasyl13:20 Can it safely be used long-term?18:04 Top diseases where you're using Zarasyl19:50 Horses22:36 Lessening the duration of antibiotics26:40 Zarasyl's scientific support29:14 Final thoughts about Zarasyl31:58 Outro
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286. GRAB BAG: All about Cytology
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!TIMESTAMPS00:00 Intro01:22 What advice do you have for collecting tape prep versus collecting direct impressions?03:47 Tape prep07:06 How to stain tape prep08:43 How can we get better at sampling interdigital spaces?11:16 Dry Lesion vs Wet Lesion14:15 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 machines24:34 Outro
Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.