The Derm Vet Podcast

Ashley Bourgeois, DVM, Dip ACVD

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.

  • 13 minutes 43 seconds
    246. Isoxazolines

    Isoxazolines are anti-parasitics that inhibit chloride channels in the nervous systems of invertebrates. This paralyzes and kills parasites by blocking the transmission of neuronal signals. 

    Isoxazolines are more selective to fleas, ticks, and mites than to mammals, including humans, dogs and cats. It has been a game changer for our flea allergic pets and treating mange cases.

    Learn some of the specific differences of these products on this week's episode of The Derm Vet podcast!

    TIMESTAMPS
    00:00 Intro
    00:25 Before Isoxazolines 
    02:28 What is Isoxazolines
    04:34 Afoxolaner
    06:18 Sarolaner
    08:03 Lotilaner
    09:10 Fluralaner
    11:28 Summary
    13:05 Outro

    14 November 2024, 3:00 pm
  • 15 minutes 41 seconds
    245. Canine Demodicosis

    Thanks to the isoxazolines... we don't see demodex as much as we used to! However, it is still a disease that can be overlooked and important to recognize and treat. But when treatment can range from nothing to an anti-parasitic... how do you approach these canine cases?

    Localized vs. Generalized
    Juvenile-onset vs. Adult-onset
    Did you know there are three types of Demodex we can find on dogs?

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

    TIMESTAMPS
    00:00 Intro
    00:25 Why I'm in Thailand
    00:45 Canine Demoidicosis
    04:02 Demodex Canis
    04:24 Demodex Cornei
    05:09 Demodex Injai
    06:54 Classification of Demodicosis
    09:25 Juvenile Onset vs Adult Onset
    11:34 How We Diagnose Demodicosis
    13:38 Treatment for Demodicosis
    15:24 Outro

    7 November 2024, 3:00 pm
  • 17 minutes 58 seconds
    244. Spoooooky derm tips

    Happy Halloween!

    I asked for your spooky derm concerns and you delivered! Check out our top 5 sppoookkkyyy derm tips on this week's episode of The Derm Vet podcast.

    1. Combining immunosuppressive drugs
    2. Feline otitis
    3. Cutaneous lymphoma
    4. Missteps that can haunt you
    5. Pseudomonas otitis

    TIMESTAMPS
    00:00 Intro
    01:08 Concern with Combining Immunosuppressive Medications
    05:46 Treating Feline Otitis
    08:11 Cutaneous Lymphoma
    10:25 What is a common misstep that can haunt a practitioner?
    14:28 Pseudomonas Otitis
    16:42 Outro

    31 October 2024, 1:00 pm
  • 16 minutes 3 seconds
    243. Why the non-drug stuff matters

    Derm drugs are SO important! BUT... there is a reason we talk about multimodal therapy being so essential in managing allergic cases. Preventatives, diet, immunotherapy, topicals, supplements, etc. are crucial. However, we have to tailor and customize our plan for each individual patient AND client.

    Learn how the non-drug management tools can help with prevention, skin barrier, microbiome and future flares on this episode of The Derm Vet podcast.

    TIMESTAMPS
    00:00 Intro
    01:03 Why Dermatologists Are Adamant About Non-Drugs
    01:51 Prevention
    04:58 Skin Barrier
    07:57 Microbiome
    09:35 Helping Clients Manage Disease Long-term
    13:13 Summary
    15:38 Outro

    24 October 2024, 1:00 pm
  • 42 minutes 41 seconds
    242. Zenrelia: a new tool for canine allergic dermatitis!

    Here it is... I have questions. You have questions. We all have questions about the new canine allergy medication: Zenrelia. 

    I was able to have Tom Lewis, DVM, DACVD on the podcast who was involved with the initial studies and has prescribed it in over 40 dogs! We jump into many of your commonly asked questions about how this medication works, implementing it in your clinical practice, warnings, etc. 

    Take a listen about this new medication in the canine allergy toolkit!

    TIMESTAMPS
    00:00 Intro
    00:25 Zenrelia Is Finally Out
    01:51 Why We Need More of This Type of Medicine for Dogs
    06:25 The Difference of Selectivity for These Medications
    09:28 What is Unique About Zenrelia Compared to Other Meds
    15:26 Tom Lewis' Involvement in Zenrelia Studies
    24:18 How Cases Are Selected 
    31:06 Box Warning for Zenrelia
    37:38 Final Thoughts
    42:01 Outro

    17 October 2024, 1:00 pm
  • 12 minutes 27 seconds
    241. How do we stop bacterial resistance?

    No doubt that bacteria keep getting smarter and smarter... recently, I had a culture come back from a superficial pyoderma with NO ANTIBIOTIC OPTIONS! So we have to pivot and consider options such as dilute bleach rinses.

    What terminology is being used for this type of resistance? How can we prevent it from worsening? Find out some tips on this week's episode of The Derm Vet podcast!

    TIMESTAMPS
    Intro 00:00
    Terminology For Resistant Bacteria 01:20
    Recommendations For Managing Pyoderma 03:34
    Why Do Antibiotics Sometimes Fail? 05:40
    Outro 11:52

    10 October 2024, 1:00 pm
  • 11 minutes 32 seconds
    240. Is ear cytology really worth the client's money?

    Allergies add up! Is it really that important to perform ear cytology when most of commercial products have combination ingredients? What do you do if an ear is not responding?

    Learn why it is crucial to justify the cost of repeated ear cytology to your cases. Many of these products have potent ingredients so we want to assure we are using them appropriately!

    3 October 2024, 1:00 pm
  • 15 minutes 8 seconds
    239. How to implement Phovia into your daily practice

    Phovia is an innovative form of photobiomodulation that is easy to use in a veterinary clinical practice and can have several benefits (antibacterial, wound healing, etc.).  It is easy to use and fast!

    But, what kind of cases could benefit from this technology? Would it be common to use on a daily basis in general practice? Check out how common Phovia can be used in a general practice. From acral licks, post-surgical incision and deep pyoderma, the common opportunities are endless!

    This episode is sponsored by Vetoquinol.

    TIMESTAMPS
    Intro 00:00
    Explaining Photobiomodulation (PBM) 01:22
    When Veterinarians Would Use Phovia 05:14
    How Phovia Is Helpful 12:18
    Outro 14:02

    26 September 2024, 1:00 pm
  • 13 minutes 9 seconds
    238. Skin barrier... what are the different ways we can support it?

    Skin barrier might not sound that exciting, but it is really important to consider in managing allergic dogs and cats. How do you do it?

    We know topicals are important! But there are other ways you can help the skin barrier through nutrition, supplements, even collars! Learn all about the ways that skin barrier can be enhanced in this week's episode of The Derm Vet podcast!

    TIMESTAMPS
    Intro 00:00
    The Layers Of Atopic Dermatitis 01:06
    How To Restore The Skin Barrier In Pets 04:02
    Outro 12:34

    19 September 2024, 1:00 pm
  • 32 minutes 13 seconds
    237. What is MicroSilver and how can it help your derm patients?

    I welcome back Dr. Galia Scheinberg on the podcast this week! Dr. Scheinberg has a lot of experience using the Vetbiotek products which contains MicroSilver. How is this ingredient compared to other silver containing products?

    Microsilver has a larger surface area, allowing for more positive ions to be released and for longer periods of time. Also, microsilver clings to the fur and skin, for prolonged contact without any systemic absorption.

    Learn all about the Vetbiotek line which contains MicroSilver and Ceramide III. You can check out all of the options at https://nextmune.shop/.

    TIMESTAMPS
    Intro 00:00
    The Importance Of Topical Therapy 01:52
    Starting With Flares 05:10
    Maintenance Therapy 09:44
    Why Microsilver Is Different 15:38
    Dr. Sheinberg's Take On BioCom 23:02
    Touching On BioSeb Shampoo 25:34
    Outro 31:22

    12 September 2024, 1:00 pm
  • 18 minutes 9 seconds
    236. Otitis Media: the gold standard treatment AND the shoestring budget option

    Otitis media is a middle ear infection and can occur due to many different primary diseases. Ideally, these cases receive advanced imaging with CT or MRI, undergo video-otoscopy with myringotomy, submit a C/S and receive several weeks of appropriate antimicrobial systemic treatment. 

    But, what if an owner can't afford referral? How else can we help these cases? Check out this week's episode of the podcast regarding clinical signs, causes, diagnostics and treatment options for otitis media.

    TIMESTAMPS
    Intro 00:00
    A Quick Refresher On Otitis Media 01:08
    The Differences In Clinical Signs 03:52
    What To Do If A Dog Or Cat Has Otitis Media 08:12
    Treatment For Otitis Media 11:08
    Outro 16:38

    5 September 2024, 1:00 pm
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