With the end of the year comes a lot of reflection... and stress. Working on chronic dermatology cases can provide frustration as many medications and differentials aren't always a slam dunk on the first exam. 

So, ending the year on a more positive note, learn how derm workups and medication selection aren't perfect for specialists either. Selection of diagnostics and drugs can be trial and error in certain patients... and that's okay.

Cats and dogs are very different with their skin lesions and distribution is no different. If a dog presents with claw fold disease, the list of differentials is much better than a cat with claw fold skin disease. Throw in oral lesions and otitis... and we have to recognize how there are differences in how we create differential lists.

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

TIMESTAMPS
00:00 Intro
00:25 Distribution of lesions between cats and dogs
02:05 Claw Fold Disease
05:54 Otitis
09:01 Oral Cavity
11:11 Recap

It can be hard in a busy practice to fully work up and treat recurrent otitis. I wanted to provide a quick and easy way to reimagine these cases when they walk into your door. When you see an ear case, I want you to think of two Is and two Ws. What are they?

Infection
Inflammation
Wash
Why

Check out more on this quick and dirty episode of The Derm Vet podcast!

TIMESTAMPS

00:00 Intro
00:25 Ear Disease: Two I's and Two W's
01:04 Infection
02:18 Inflammation
03:55 Wash
05:45 Why
07:14 Summary
08:00 Outro

I asked and you delivered!!!! I wanted to know what general practitioners wish dermatologists knew before they referred a case. You gave me lots of great points!

A recurring theme in my responses... write it down! If an owner declines a diagnostic, medication, referral, flea prevention, etc. make sure you write it in the record. If it is there, then we will know the recommendation was made. We all want to be on the same team with these chronic derm cases! Check out this week's episode of The Derm Vet podcast.

TIMESTAMPS
00:00 Intro
00:25 What is something GPs want Derms to know
01:20 "We DO recommend cytology before referring but owners decline repeatedly"
04:38 "It can be frustratingly difficult to get clients to do antipyretic therapies"
06:35 "I legit try to get my clients to go to you sooner"
08:42 "I have tried to get them on consistent vet-prescribed flea control"
12:36 "We don't have a dermatologist in Puerto Rico"
14:35 "I'm sorry I have to send my needy/annoying clients to you"
17:00 Outro

It is Thanksgiving in the USA... I asked you what you are thankful for in dermatology. From cytology to Pseudopelade to dermatologists, find out what you were thankful for as listeners and what I am thankful for as a podcaster!

TIMESTAMPS
Intro 00:00
What The Derm Vet Listeners Are Thankful For 00:44
What Dr. Bourgeois Is Thankful For 15:08
Outro 17:00

Depending on where you live geographically, you may see a lot of deep fungal disease or not much at all. How do you recognize deep fungal disease? What diagnostics can be done?

Even if you don't see a lot of deep fungal disease where you live, dogs and cats change environments so it could happen! Learn about blastomycosis, coccidiomycosis, cryptococcus, sporotrichosis and histoplasmosis on this week's episode of The Derm Vet podcast.

TIMESTAMPS
00:00 Intro
00:25 Shoutout to ESAVS Dermatology 2 students!
01:29 Deep Fungal Infections
04:04 Blastomycosis
07:28 Coccidioidomycosis
09:19 Cryptococcus
12:17 Sporotrichosis
13:53 Histoplasmosis
16:44 Outro

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

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

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

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

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