Veterinary Clinical Podcasts

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 https://www.rvc.ac.uk/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/ If you have any comments about this podcast, p

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!) https://www.rvc.ac.uk/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. 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

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 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.

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 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.

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

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 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.

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 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; tweet @domba

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

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 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.

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 5th 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/ If you have any comments about this podcast, pl

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 If you have any comments about thi

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 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.

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 If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk

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 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.

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 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.

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: https://www.rvc.ac.uk/equine-vet/hospital-and-specialists And for emergency referrals: https://www.rvc.ac.uk/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 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.

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: https://www.rvc.ac.uk/study/postgraduate/internships/small-animal 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.

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 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.

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/ 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.

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.