1 00:00:07,440 --> 00:00:12,119 Speaker 1: Yeah, you're listening to in the Vets Office with Doctor 2 00:00:12,240 --> 00:00:19,280 Speaker 1: Josie Horchak. Hi. Everyone, welcome to in the Vets Office. 3 00:00:19,360 --> 00:00:22,200 Speaker 1: I am your host, Doctor Josie, and as always, we 4 00:00:22,280 --> 00:00:24,360 Speaker 1: have Shannon here. It's so good to be here. 5 00:00:24,480 --> 00:00:28,000 Speaker 2: And honestly, I've been wanting to be in the room 6 00:00:28,160 --> 00:00:30,800 Speaker 2: when we've had pets, because we're in the Vets Office 7 00:00:30,840 --> 00:00:33,440 Speaker 2: and you brought two very cute friends with you today. 8 00:00:33,760 --> 00:00:36,840 Speaker 1: I did. I brought two of my dogs. There's one 9 00:00:36,880 --> 00:00:38,880 Speaker 1: at home. If I brought all three, i'd be mass chaos. 10 00:00:38,920 --> 00:00:40,279 Speaker 1: I mean, I've got room on my chair. I could 11 00:00:40,320 --> 00:00:42,159 Speaker 1: always squeeze when I think that one's bigger though, right, 12 00:00:42,280 --> 00:00:45,479 Speaker 1: he's like one hundred pounder. Okay, I might need a 13 00:00:45,479 --> 00:00:48,200 Speaker 1: bigger be a tight squeeze. But yes, I have Saya 14 00:00:48,320 --> 00:00:51,519 Speaker 1: and Biggie here and we're just getting them kind of 15 00:00:51,600 --> 00:00:55,800 Speaker 1: used to the office the Vets Office today because they're 16 00:00:55,840 --> 00:00:58,120 Speaker 1: coming back next week. The pet psychic is coming to 17 00:00:58,200 --> 00:01:01,200 Speaker 1: read them. Oh okay. I wanted them to kind of 18 00:01:01,320 --> 00:01:03,720 Speaker 1: get a feel for just being in the room for 19 00:01:03,800 --> 00:01:04,800 Speaker 1: the podcast life. 20 00:01:04,840 --> 00:01:07,480 Speaker 2: So if you hear any little noises, it's not doctor 21 00:01:07,560 --> 00:01:10,399 Speaker 2: Josie and I it's not dogs. They're not farting, it's 22 00:01:10,480 --> 00:01:14,240 Speaker 2: Biggie snorting. Yeah, that's why she brought her dogs. I 23 00:01:14,240 --> 00:01:16,120 Speaker 2: didn't bring a pet, so I can't use that excuse. 24 00:01:16,840 --> 00:01:19,559 Speaker 2: So today that we have one of your friends who's 25 00:01:19,600 --> 00:01:21,360 Speaker 2: a dentist on right. 26 00:01:21,200 --> 00:01:25,479 Speaker 1: Yes, doctor Cindy is going to be here. Really, she's amazing. 27 00:01:26,080 --> 00:01:29,080 Speaker 1: I will talk about all things dentistry for cats and dogs. 28 00:01:29,840 --> 00:01:31,679 Speaker 1: But before doing so, I thought we would kick it 29 00:01:31,680 --> 00:01:34,640 Speaker 1: off with a really great case of the week. Oh okay, 30 00:01:34,720 --> 00:01:38,560 Speaker 1: I have a good one. This is what happened. This 31 00:01:38,800 --> 00:01:42,720 Speaker 1: was a fun, sort of fun, fun for me, maybe 32 00:01:42,760 --> 00:01:46,720 Speaker 1: not for the owner's story. We had a dog come in. 33 00:01:47,080 --> 00:01:48,720 Speaker 1: She I think she was like a four year old 34 00:01:48,840 --> 00:01:53,200 Speaker 1: Golden Retriever, super cute, one of the classic breeds that 35 00:01:53,320 --> 00:01:55,080 Speaker 1: loves to eat things that they shouldn't. 36 00:01:55,200 --> 00:01:55,360 Speaker 3: Ah. 37 00:01:55,520 --> 00:01:59,320 Speaker 1: Yes, And the girlfriend of the owner brought the dog 38 00:01:59,400 --> 00:02:03,919 Speaker 1: in and the dog had been profusely vomiting, not wanting 39 00:02:03,960 --> 00:02:06,040 Speaker 1: to eat. So we take an X ray and lo 40 00:02:06,160 --> 00:02:09,560 Speaker 1: and behold, there is definitely something in her in her 41 00:02:09,560 --> 00:02:11,880 Speaker 1: intestines that we have to go in and get out. 42 00:02:11,960 --> 00:02:17,359 Speaker 1: It's obstructed, it's not moving. So I explained to the girlfriend, Hey, 43 00:02:17,400 --> 00:02:20,440 Speaker 1: we need to do somewhat emergency surgery to get this 44 00:02:20,639 --> 00:02:21,440 Speaker 1: object out. 45 00:02:21,800 --> 00:02:24,799 Speaker 2: You couldn't see what the object was on the X ray, 46 00:02:24,840 --> 00:02:25,960 Speaker 2: Like there was the one time when you were like, 47 00:02:26,000 --> 00:02:28,560 Speaker 2: is that an accordion or not an ad tambourine accordion 48 00:02:29,280 --> 00:02:31,840 Speaker 2: a tambourine amine, So you couldn't see what its. 49 00:02:33,040 --> 00:02:35,720 Speaker 1: When it's like a cloth, like a soft tissue structure, 50 00:02:35,760 --> 00:02:38,360 Speaker 1: you can't really make it out on X ray. So 51 00:02:38,720 --> 00:02:42,359 Speaker 1: a sock can look like underwear, a wash cloth can 52 00:02:42,400 --> 00:02:45,320 Speaker 1: look like a towel. It's very hard to tell. But 53 00:02:45,360 --> 00:02:47,680 Speaker 1: I knew it was something soft like that. Okay, So 54 00:02:47,800 --> 00:02:49,800 Speaker 1: we go in, we get it out, and it's a 55 00:02:49,800 --> 00:02:54,919 Speaker 1: pair of black lacy panties. Oh no, and we I 56 00:02:54,919 --> 00:02:56,640 Speaker 1: always like to save them and throw them in like 57 00:02:56,639 --> 00:02:58,720 Speaker 1: a sterile bag for the owner, just to be like, hey, 58 00:02:58,720 --> 00:03:00,840 Speaker 1: this is what your dog likes to eat, like here, 59 00:03:01,240 --> 00:03:03,920 Speaker 1: so that they wear them again. Exactly. I don't recommend 60 00:03:03,919 --> 00:03:06,079 Speaker 1: wearing them again, but I mean, you do you. 61 00:03:06,200 --> 00:03:08,639 Speaker 2: You do you if you're short on you know, thongs, 62 00:03:08,760 --> 00:03:11,120 Speaker 2: here it is, hey, underwh is expensive. 63 00:03:11,200 --> 00:03:13,920 Speaker 1: Underwear are really expensive even though they're very small. You're like, 64 00:03:14,280 --> 00:03:16,919 Speaker 1: should I save that? Yeah? Yeah, okay, so you bagged 65 00:03:16,960 --> 00:03:20,200 Speaker 1: it up. Yep, we bag it up. At this point, 66 00:03:20,240 --> 00:03:23,000 Speaker 1: the dad has now arrived, the owner, and so we 67 00:03:23,040 --> 00:03:25,519 Speaker 1: have the girlfriend and the owner sitting in the room. 68 00:03:25,560 --> 00:03:27,839 Speaker 1: I come in. I say, all right, you know, we'll 69 00:03:27,840 --> 00:03:31,160 Speaker 1: call our Fluffy. Fluffy's doing great. Here is what she 70 00:03:31,440 --> 00:03:35,320 Speaker 1: ate And I show them the underwear and the girlfriend 71 00:03:35,440 --> 00:03:39,160 Speaker 1: was like, those aren't mine? You know whose are those? 72 00:03:39,280 --> 00:03:39,560 Speaker 3: No? 73 00:03:40,040 --> 00:03:42,839 Speaker 1: Yes, no, And I was like, I'm just gonna moon 74 00:03:42,920 --> 00:03:45,200 Speaker 1: walk my way right out of here. I'm just gonna 75 00:03:45,280 --> 00:03:47,800 Speaker 1: let you too deal with this. So yeah, I just 76 00:03:47,840 --> 00:03:50,240 Speaker 1: you know, I was like, I gotta go. Did you 77 00:03:50,720 --> 00:03:53,240 Speaker 1: and ran away? Yeah, I'm not saying for that. Did 78 00:03:53,280 --> 00:03:55,720 Speaker 1: you have like do you have cameras in your No? 79 00:03:56,080 --> 00:03:58,160 Speaker 1: I wish I would have seen what what all ensued. 80 00:03:58,200 --> 00:03:59,960 Speaker 1: I think there was some like yelling coming from the room. 81 00:04:00,080 --> 00:04:02,480 Speaker 1: To be honest, it was. It was heated, to say 82 00:04:02,520 --> 00:04:04,440 Speaker 1: the least. She had to be in the middle of that. Hey, 83 00:04:04,520 --> 00:04:07,440 Speaker 1: she was like, I need my dad to know, or 84 00:04:07,480 --> 00:04:09,760 Speaker 1: I need my girlfriend's dad. I don't know. She needed 85 00:04:09,760 --> 00:04:12,520 Speaker 1: them to know. She's a truth seeker. Hey, thank goodness 86 00:04:12,560 --> 00:04:13,040 Speaker 1: for dogs. 87 00:04:13,080 --> 00:04:16,200 Speaker 2: Okay, Yeah, And what was the atmosphere like when they 88 00:04:16,200 --> 00:04:17,600 Speaker 2: walked out of the office. 89 00:04:17,760 --> 00:04:19,760 Speaker 1: That's the part that I don't deal with. They go out, 90 00:04:19,839 --> 00:04:21,760 Speaker 1: they pay, they talk to their receptionists. I'm like, my 91 00:04:21,839 --> 00:04:23,720 Speaker 1: job here is done. My hands are clean of this. 92 00:04:24,520 --> 00:04:26,880 Speaker 1: We have to be a fly on the wall, I know, 93 00:04:27,680 --> 00:04:29,359 Speaker 1: but you'd be surprised. There's a lot of veterinarians at 94 00:04:29,400 --> 00:04:32,719 Speaker 1: the same story. So, hey, if you're a cheater, watch 95 00:04:32,760 --> 00:04:34,360 Speaker 1: out for those ponies laying around. 96 00:04:34,400 --> 00:04:37,560 Speaker 2: Don't have a dog that eats underwear exactly, or don't 97 00:04:37,560 --> 00:04:38,040 Speaker 2: be a cheater. 98 00:04:38,279 --> 00:04:40,560 Speaker 1: That's also a really good that's the bottom line. Yes, 99 00:04:40,640 --> 00:04:41,320 Speaker 1: don't be a cheater. 100 00:04:41,440 --> 00:04:44,880 Speaker 2: Way, that is a really interesting something I would never 101 00:04:44,960 --> 00:04:47,200 Speaker 2: think would happen, is like, that's how your girlfriend finds 102 00:04:47,240 --> 00:04:49,560 Speaker 2: out that you're the cheater because. 103 00:04:49,279 --> 00:04:52,760 Speaker 1: Your dog ate the girl's underwear exactly. Unreal. 104 00:04:52,880 --> 00:04:55,560 Speaker 2: Okay, well, hopefully we don't have any questions from fans 105 00:04:55,560 --> 00:04:58,159 Speaker 2: that have to do with, you know, their dogs eating 106 00:04:58,240 --> 00:05:01,240 Speaker 2: underwear of someone that is not there. But we're going 107 00:05:01,320 --> 00:05:03,320 Speaker 2: to get to some listener Q and as. Yeah, let's 108 00:05:03,360 --> 00:05:03,920 Speaker 2: do it all right. 109 00:05:04,080 --> 00:05:04,839 Speaker 1: What's up first? 110 00:05:05,480 --> 00:05:08,280 Speaker 3: Hey, doctor Jesse, my cat throws up every few months? 111 00:05:08,360 --> 00:05:09,800 Speaker 3: Is this something I should worry about? 112 00:05:10,400 --> 00:05:13,120 Speaker 1: I get this question all the time from owners. Cats 113 00:05:13,800 --> 00:05:16,120 Speaker 1: can be This is not a scientific term, but I 114 00:05:16,160 --> 00:05:18,680 Speaker 1: say puky like they just like to throw up sort 115 00:05:18,680 --> 00:05:23,200 Speaker 1: of randomly. So I had a great mentor that had 116 00:05:23,240 --> 00:05:27,120 Speaker 1: this rule of three that she taught me, And what 117 00:05:27,160 --> 00:05:30,159 Speaker 1: that means is if your pet is throwing up three 118 00:05:30,240 --> 00:05:33,400 Speaker 1: days in a row, three times in one day, or 119 00:05:33,480 --> 00:05:36,080 Speaker 1: they have three issues going on at once so they're 120 00:05:36,080 --> 00:05:38,360 Speaker 1: throwing up, they have diarrhea, they're not wanting to eat, 121 00:05:39,160 --> 00:05:41,440 Speaker 1: then it's like, hey, you need to get them seen. 122 00:05:42,480 --> 00:05:44,840 Speaker 1: Otherwise I don't get two worked up about it. If 123 00:05:44,880 --> 00:05:47,320 Speaker 1: it's like a just ap, like a little throw up 124 00:05:47,360 --> 00:05:49,400 Speaker 1: here or there, it's not the end of the world. 125 00:05:49,839 --> 00:05:52,040 Speaker 1: I will say, if your cat like never throws up 126 00:05:52,080 --> 00:05:54,400 Speaker 1: and then starts to throw up like once every month 127 00:05:54,480 --> 00:05:57,120 Speaker 1: or so, you might want to look into that. But 128 00:05:57,160 --> 00:05:59,119 Speaker 1: if they're not meeting that rule of three, I don't 129 00:05:59,240 --> 00:06:00,360 Speaker 1: lose too much sleep it. 130 00:06:00,520 --> 00:06:02,520 Speaker 2: Yeah, And I feel for you because we have a 131 00:06:02,600 --> 00:06:05,560 Speaker 2: very puky cat at home, and he's fine, he is healthy. 132 00:06:05,760 --> 00:06:08,680 Speaker 2: He just usually likes because he has a little area 133 00:06:08,680 --> 00:06:10,280 Speaker 2: in our garage where he goes out, and then when 134 00:06:10,279 --> 00:06:12,640 Speaker 2: he comes in the house, he's like, oh, you know what, 135 00:06:12,720 --> 00:06:14,040 Speaker 2: I'm feeling, like, I have to throw up. 136 00:06:14,000 --> 00:06:16,160 Speaker 1: Now yeah, and then he does yeah, why not right 137 00:06:16,200 --> 00:06:17,840 Speaker 1: in the foyer. Oh yeah, yep, with. 138 00:06:17,800 --> 00:06:20,000 Speaker 2: My toddler running around, and I'm like, you stay over here, 139 00:06:20,120 --> 00:06:22,279 Speaker 2: do not. But it is a thing like he's We've 140 00:06:22,279 --> 00:06:23,760 Speaker 2: had him looked at a bunch of times because I 141 00:06:23,800 --> 00:06:26,080 Speaker 2: was in that panic mode too, of like is there something. 142 00:06:25,880 --> 00:06:26,479 Speaker 1: Wrong with him? 143 00:06:26,839 --> 00:06:30,480 Speaker 2: And our vets said the same thing. Obviously, Now we 144 00:06:30,520 --> 00:06:32,839 Speaker 2: will bring Murphy to you. Maybe you have something different. 145 00:06:32,839 --> 00:06:33,880 Speaker 2: But he just likes to puke. 146 00:06:34,120 --> 00:06:36,440 Speaker 1: Yeah, they puke and they have hair balls. So those 147 00:06:36,480 --> 00:06:39,440 Speaker 1: are of those gotta love cats, all right. Do we 148 00:06:39,480 --> 00:06:42,800 Speaker 1: have any more questions that we want to listen to? Hey, 149 00:06:42,880 --> 00:06:45,880 Speaker 1: doctor Josie, I thought my puppy had all of her 150 00:06:45,920 --> 00:06:49,040 Speaker 1: adult teeth, but I just realized that she still has 151 00:06:49,080 --> 00:06:52,000 Speaker 1: two baby teeth that haven't fallen out yet. What should 152 00:06:52,000 --> 00:06:55,440 Speaker 1: I do? Should you do anything? This is great? This 153 00:06:55,520 --> 00:06:58,440 Speaker 1: is on theme because our episode this week is all 154 00:06:58,480 --> 00:07:02,600 Speaker 1: about dentistry. This is really common, especially in our small dogs. 155 00:07:03,200 --> 00:07:06,120 Speaker 1: We find that, for whatever reason, a lot of times 156 00:07:06,160 --> 00:07:08,839 Speaker 1: they'll have baby teeth that don't fall out on their own, 157 00:07:09,080 --> 00:07:11,640 Speaker 1: and this can be a huge problem if they don't 158 00:07:11,720 --> 00:07:13,880 Speaker 1: if we don't take them out. So if they have 159 00:07:14,040 --> 00:07:16,760 Speaker 1: retained baby teeth. We take them out at the time 160 00:07:16,760 --> 00:07:19,560 Speaker 1: of their spe or neuter while they're under anesthesia. Okay, 161 00:07:19,800 --> 00:07:23,040 Speaker 1: I've seen pets where we didn't catch it or the 162 00:07:23,040 --> 00:07:25,440 Speaker 1: owner just elected not to have them taken out, and 163 00:07:25,680 --> 00:07:30,280 Speaker 1: it is so gross. They get like hair and food 164 00:07:30,400 --> 00:07:35,400 Speaker 1: and like just disgustingness wrapped around those teeth, and they 165 00:07:35,440 --> 00:07:39,040 Speaker 1: can get pretty diseased. So yes, you can absolutely do 166 00:07:39,080 --> 00:07:40,600 Speaker 1: something about it. We'll take them out at the time 167 00:07:40,640 --> 00:07:42,840 Speaker 1: of spae or neuter. So is there an age that 168 00:07:42,920 --> 00:07:45,480 Speaker 1: they should have lost all their baby teeth by? Yeah, 169 00:07:45,520 --> 00:07:47,560 Speaker 1: typically around six months of age, they have all of 170 00:07:47,560 --> 00:07:50,360 Speaker 1: their new adult teeth. These little guys, like are your 171 00:07:50,440 --> 00:07:53,800 Speaker 1: keys are maltesees. They can hang on to some baby 172 00:07:53,800 --> 00:07:56,360 Speaker 1: teeth about nine months or so, but if they're still 173 00:07:56,400 --> 00:07:59,840 Speaker 1: in there around nine nine, especially twelve months, they got 174 00:07:59,840 --> 00:08:00,320 Speaker 1: a out. 175 00:08:00,360 --> 00:08:00,720 Speaker 3: Okay. 176 00:08:00,800 --> 00:08:01,640 Speaker 1: Well, good to know. 177 00:08:01,800 --> 00:08:04,080 Speaker 2: And I feel like a lot of those questions that 178 00:08:04,160 --> 00:08:06,440 Speaker 2: people have to do with dentistry are going to be 179 00:08:06,480 --> 00:08:09,720 Speaker 2: answered in our guest that's on today. Because I had 180 00:08:09,760 --> 00:08:12,480 Speaker 2: a dog that always had issues with her teeth, and 181 00:08:12,480 --> 00:08:14,440 Speaker 2: I feel like if I had have known some things 182 00:08:14,560 --> 00:08:16,640 Speaker 2: prior to getting her. She was a friend Sheie who 183 00:08:16,960 --> 00:08:19,080 Speaker 2: just don't have great teeth. Yeah, it probably. 184 00:08:18,800 --> 00:08:22,240 Speaker 1: Would have saved her a lot of dentist trips. Absolutely, 185 00:08:22,360 --> 00:08:25,640 Speaker 1: And I'm so excited about our guest today in the 186 00:08:25,720 --> 00:08:30,160 Speaker 1: VETS office. We have my friend and my mentor, doctor 187 00:08:30,200 --> 00:08:33,839 Speaker 1: Cindy Charlie are joining us. Doctor Cindy is a VET 188 00:08:34,040 --> 00:08:38,240 Speaker 1: that was like me in general practice for quite a 189 00:08:38,240 --> 00:08:41,520 Speaker 1: while and then she decided to pursue a residency and 190 00:08:41,600 --> 00:08:46,679 Speaker 1: become a board certified Canine and Feline veterinary dentist in 191 00:08:46,880 --> 00:08:49,840 Speaker 1: oral surgeon. She's really gone on to become the most 192 00:08:49,880 --> 00:08:53,520 Speaker 1: saw after dental guru really in the vet world, and 193 00:08:53,559 --> 00:08:56,760 Speaker 1: she has spent years going all over the country training 194 00:08:56,800 --> 00:09:00,200 Speaker 1: veterinarians about vet dentistry. She taught me everything I know 195 00:09:00,240 --> 00:09:04,360 Speaker 1: about vet dentistry, and she has such enthusiasm for the 196 00:09:04,400 --> 00:09:07,640 Speaker 1: subject that you know, is amazing and really helps educate 197 00:09:08,720 --> 00:09:11,920 Speaker 1: doctors and owners and she's just it's contagious. So I'm 198 00:09:11,920 --> 00:09:14,240 Speaker 1: excited to have her here today. Awesome, All right, let's 199 00:09:14,240 --> 00:09:21,800 Speaker 1: talk about teeth with doctor Cindy. Hi, doctor Cindy, we 200 00:09:21,920 --> 00:09:24,679 Speaker 1: are so excited to have you in the VETS office today. 201 00:09:25,640 --> 00:09:28,480 Speaker 3: Welcome, Thank you, happy to be here. 202 00:09:29,000 --> 00:09:30,720 Speaker 1: I know I mentioned a little bit in my intro, 203 00:09:30,920 --> 00:09:34,960 Speaker 1: but doctor Cindy was a general practitioner like I am, 204 00:09:35,600 --> 00:09:39,520 Speaker 1: for almost twenty years, and then she decided that she 205 00:09:39,600 --> 00:09:43,960 Speaker 1: wanted to be a Board certified veterinary dentist. Can you 206 00:09:44,000 --> 00:09:46,280 Speaker 1: explain what exactly that means for the listeners? 207 00:09:46,960 --> 00:09:50,920 Speaker 3: Sure? I always call it my midlife crisis. So what 208 00:09:51,040 --> 00:09:55,320 Speaker 3: I realized early in my practice career was that nothing 209 00:09:55,400 --> 00:09:59,520 Speaker 3: had a big impact on how my patients felt than 210 00:09:59,600 --> 00:10:02,880 Speaker 3: to work in their mouths and eliminate world discomfort. And 211 00:10:02,960 --> 00:10:05,800 Speaker 3: so I had an opportunity to become a specialist. Just 212 00:10:05,920 --> 00:10:08,839 Speaker 3: like as a person you go to an oncologist or 213 00:10:08,960 --> 00:10:13,520 Speaker 3: radiologist or internal medicine specialist, all those specialists exist in 214 00:10:13,559 --> 00:10:17,040 Speaker 3: the world of veterinary medicine also, and so I went 215 00:10:17,600 --> 00:10:23,080 Speaker 3: back to become a board certified veterinary dentist. So there 216 00:10:23,200 --> 00:10:26,000 Speaker 3: are probably about one hundred and sixty of us or 217 00:10:26,040 --> 00:10:28,960 Speaker 3: so in the United States, not very many. It's a 218 00:10:29,000 --> 00:10:32,680 Speaker 3: relatively new specialty in veterinary medicine. But I went back 219 00:10:32,960 --> 00:10:35,560 Speaker 3: and did that because I felt it gave me an 220 00:10:35,559 --> 00:10:38,120 Speaker 3: opportunity to really impact patients' care. 221 00:10:38,800 --> 00:10:41,439 Speaker 1: And I think a really interesting thing that listeners may 222 00:10:41,440 --> 00:10:43,680 Speaker 1: not know until they listened to this podcast, is that 223 00:10:43,760 --> 00:10:46,720 Speaker 1: in veterinary medicine, it's very different than in human medicine. 224 00:10:46,760 --> 00:10:50,480 Speaker 1: When pets come to their general practitioner, we really do 225 00:10:50,840 --> 00:10:53,800 Speaker 1: what we feel comfortable doing until we're like, this is 226 00:10:53,840 --> 00:10:55,560 Speaker 1: maybe above my pay grade. I'm going to send them 227 00:10:55,559 --> 00:10:58,080 Speaker 1: to a specialist. So at any given moment, we can 228 00:10:58,080 --> 00:11:03,480 Speaker 1: be an ophthalmologistist a cardiologist. What are some of the 229 00:11:03,520 --> 00:11:07,440 Speaker 1: things that you typically see that general practitioners are sending 230 00:11:07,440 --> 00:11:09,320 Speaker 1: to you rather than doing themselves. 231 00:11:10,080 --> 00:11:13,040 Speaker 3: Yeah, So the greatest thing about being a specialist is 232 00:11:13,080 --> 00:11:18,119 Speaker 3: we have an opportunity to triangulate. So it's the veterinary specialist, 233 00:11:18,280 --> 00:11:20,920 Speaker 3: it's the general practitioner, it's the owner, and it's the 234 00:11:20,960 --> 00:11:23,400 Speaker 3: patient in the middle. So there's three of us putting 235 00:11:23,400 --> 00:11:25,880 Speaker 3: our heads together to be as smart as we can 236 00:11:26,400 --> 00:11:29,800 Speaker 3: about providing the pet with the best care. So some 237 00:11:29,880 --> 00:11:32,280 Speaker 3: of the common cases that I would have referred to 238 00:11:32,280 --> 00:11:35,120 Speaker 3: me would be a pet with a fractured tooth for 239 00:11:35,160 --> 00:11:38,640 Speaker 3: a root canal, a pet with a oral tumor a 240 00:11:38,720 --> 00:11:43,600 Speaker 3: cancerous tumor to have treatment for that, a dog that 241 00:11:43,679 --> 00:11:45,880 Speaker 3: got hit by a car that had a fractured jaw, 242 00:11:46,520 --> 00:11:50,520 Speaker 3: a hat or kitten that was born with a cleft palate. 243 00:11:50,640 --> 00:11:53,319 Speaker 3: Like kids are born with cleft palates, puppies and kittens 244 00:11:53,320 --> 00:11:57,560 Speaker 3: are sometimes born with that. Also, patient that may be 245 00:11:57,640 --> 00:12:01,680 Speaker 3: a high risk anesthetic patient that the general practitioner isn't 246 00:12:01,720 --> 00:12:05,559 Speaker 3: comfortable working on. So those types of cases that are 247 00:12:05,600 --> 00:12:09,000 Speaker 3: beyond what the general practitioners coforable working on and often 248 00:12:09,040 --> 00:12:09,560 Speaker 3: get referred. 249 00:12:10,200 --> 00:12:13,600 Speaker 1: I think what would be fun to do is, you know, 250 00:12:13,800 --> 00:12:16,559 Speaker 1: ICEE patients, Every single day, I'm doing an exam from 251 00:12:16,800 --> 00:12:19,960 Speaker 1: toes to nail, toes to nail, nose to tail, uh 252 00:12:20,240 --> 00:12:23,120 Speaker 1: and a big part of that is doing a really 253 00:12:23,120 --> 00:12:25,319 Speaker 1: good thorough oral exam. So a lot of times we're 254 00:12:25,320 --> 00:12:29,199 Speaker 1: talking about dentistry in general practice, and I thought it'd 255 00:12:29,240 --> 00:12:31,440 Speaker 1: be kind of fun to role play what I'm hearing 256 00:12:31,480 --> 00:12:33,800 Speaker 1: owners say to me on a daily basis and then 257 00:12:33,840 --> 00:12:36,320 Speaker 1: hearing what you have to say back. And this is 258 00:12:36,360 --> 00:12:39,040 Speaker 1: not to make fun of owners or listeners like this 259 00:12:39,160 --> 00:12:41,600 Speaker 1: is it's our job to educate you and you just 260 00:12:41,640 --> 00:12:44,199 Speaker 1: don't know what. You just don't know, So that's what 261 00:12:44,360 --> 00:12:47,679 Speaker 1: that's what we're here for. So the very number one 262 00:12:47,679 --> 00:12:49,600 Speaker 1: thing that I hear when we talk about oral health 263 00:12:49,679 --> 00:12:54,720 Speaker 1: and dentistry is you know, doctor Josie, I never brush 264 00:12:54,800 --> 00:12:57,520 Speaker 1: my dog's teeth growing up. We never had any issues. 265 00:12:58,000 --> 00:13:00,920 Speaker 1: And now you're recommending a teeth cleaning are dental for 266 00:13:01,040 --> 00:13:04,200 Speaker 1: my pet and it's so expensive, hundreds of dollars, maybe 267 00:13:04,200 --> 00:13:06,800 Speaker 1: one thousand dollars, Like, what is going on here? 268 00:13:07,200 --> 00:13:09,800 Speaker 3: Yeah, so years ago, we really didn't pay much attention 269 00:13:09,880 --> 00:13:12,640 Speaker 3: to the mouth. Even when I graduated from veterinary school, 270 00:13:12,760 --> 00:13:15,560 Speaker 3: I didn't learn much about dogs and cats and their 271 00:13:15,559 --> 00:13:17,839 Speaker 3: teeth and oral discomfort. I learned that dogs and cats 272 00:13:17,840 --> 00:13:21,000 Speaker 3: had teeth, but that was about it. So we've got 273 00:13:21,040 --> 00:13:24,160 Speaker 3: a lot smarter in veninary medicine as we've gone on, 274 00:13:24,400 --> 00:13:27,880 Speaker 3: And what we know now is that oral disease is 275 00:13:27,920 --> 00:13:31,280 Speaker 3: a huge source of discomfort and pain for the patients. 276 00:13:31,800 --> 00:13:35,000 Speaker 3: And very seldom will you or did I have a 277 00:13:35,080 --> 00:13:38,160 Speaker 3: patient come to us or the owner come to us 278 00:13:38,200 --> 00:13:41,160 Speaker 3: and say, my dog's mouth is painful, my cat's mouth 279 00:13:41,280 --> 00:13:46,040 Speaker 3: is painful. So that hidden source of discomfort is what 280 00:13:46,080 --> 00:13:48,920 Speaker 3: we're actor to try to treat before the dogger cat 281 00:13:48,960 --> 00:13:51,640 Speaker 3: stops eating. And in order to do that, we have 282 00:13:51,679 --> 00:13:55,319 Speaker 3: to put the patients under general anesthesia. Our patients don't 283 00:13:55,440 --> 00:13:57,959 Speaker 3: just open their mouths and say, ah, clean my teeth 284 00:13:58,000 --> 00:14:02,080 Speaker 3: and do a complete oral exam, so general anesthesia, preoperative 285 00:14:02,120 --> 00:14:06,560 Speaker 3: lab work, providing the best pre anesthetic evaluation that we can, 286 00:14:06,720 --> 00:14:11,000 Speaker 3: providing monitoring during anesthetic event. All of those things cost 287 00:14:11,160 --> 00:14:14,600 Speaker 3: money and require talented people on our team to assist us. 288 00:14:15,000 --> 00:14:19,320 Speaker 3: And so yes, doing a dentistry procedure under general anesthesia 289 00:14:19,360 --> 00:14:22,080 Speaker 3: can be expensive. But if we make it part of 290 00:14:22,160 --> 00:14:26,600 Speaker 3: our pets annual care, if we do an annual procedure, 291 00:14:27,040 --> 00:14:29,640 Speaker 3: then that could be less expensive over time. Instead of 292 00:14:29,640 --> 00:14:31,840 Speaker 3: ignoring the fact until we get to the point where 293 00:14:31,880 --> 00:14:35,880 Speaker 3: the jogger cat isn't eating and they've got a tremendous 294 00:14:35,920 --> 00:14:39,280 Speaker 3: amount of discomfort and we have to impove a lot 295 00:14:39,280 --> 00:14:41,000 Speaker 3: of their teeth to a lot of oral surgery. That 296 00:14:41,080 --> 00:14:42,200 Speaker 3: becomes more expensive. 297 00:14:42,520 --> 00:14:44,600 Speaker 1: Yeah, and I think you know, owners just don't know 298 00:14:44,680 --> 00:14:47,200 Speaker 1: on the back end that there's so much that goes on. 299 00:14:47,280 --> 00:14:49,760 Speaker 1: It's not just a teeth cleaning like you said, it's 300 00:14:49,880 --> 00:14:53,160 Speaker 1: we've got all those nurses that are helping with you know, 301 00:14:53,200 --> 00:14:57,240 Speaker 1: getting them ready for surgery and inducing them, intimating them. 302 00:14:57,400 --> 00:14:59,480 Speaker 1: It's just like all the things that would happen to 303 00:14:59,560 --> 00:15:02,920 Speaker 1: humans the human hospital. So there's a lot of talented 304 00:15:02,920 --> 00:15:04,880 Speaker 1: people involved. There's a lot of work that goes on 305 00:15:04,960 --> 00:15:07,280 Speaker 1: behind the scenes. And then it's not just a dental cleaning. 306 00:15:07,320 --> 00:15:10,160 Speaker 1: We're taking full mouth X rays, which is a huge 307 00:15:10,240 --> 00:15:12,640 Speaker 1: diagnostic tool. I'll maybe let you expand on that a 308 00:15:12,680 --> 00:15:16,280 Speaker 1: little bit. And you know, cleaning is a kind of 309 00:15:16,280 --> 00:15:18,640 Speaker 1: belittling what we do because we use high speed hand 310 00:15:18,640 --> 00:15:21,520 Speaker 1: tools to really clean those teeth and then we're probing 311 00:15:21,560 --> 00:15:24,280 Speaker 1: them to see is their disease that we can see 312 00:15:24,280 --> 00:15:26,240 Speaker 1: with our eye and around the gum line. I mean, 313 00:15:26,280 --> 00:15:28,880 Speaker 1: there's a it's quite a process and it's not just 314 00:15:28,920 --> 00:15:29,880 Speaker 1: a dental cleaning. 315 00:15:30,720 --> 00:15:33,160 Speaker 3: Yeah, I think the word dental. Historically we've used the 316 00:15:33,200 --> 00:15:37,280 Speaker 3: word dental to describe what we're doing, and that totally 317 00:15:37,440 --> 00:15:41,600 Speaker 3: under estimates the time, skill, and talent needed to complete 318 00:15:41,640 --> 00:15:45,800 Speaker 3: the procedure. So a comprehensive oral and radiographic evaluation under 319 00:15:45,840 --> 00:15:50,200 Speaker 3: general anesthetia is probably better wording to describe it to clients. 320 00:15:50,320 --> 00:15:53,280 Speaker 3: It's not just getting your dark tea cleaned. It's not 321 00:15:53,400 --> 00:15:55,440 Speaker 3: what you think the groomer may or may not be 322 00:15:55,480 --> 00:15:58,880 Speaker 3: able to do. There's a lot more to it. 323 00:16:07,880 --> 00:16:10,840 Speaker 1: The other thing that I find the owners signed surprising 324 00:16:11,160 --> 00:16:15,160 Speaker 1: is when we have to do oral surgery. So we'll say, hey, 325 00:16:15,360 --> 00:16:17,720 Speaker 1: you know, this tooth is fractured, it's disease. I'm going 326 00:16:17,800 --> 00:16:20,000 Speaker 1: to extract it. And I think they think, ah, you're 327 00:16:20,040 --> 00:16:22,240 Speaker 1: just gonna pluck it right out, And what they don't 328 00:16:22,280 --> 00:16:24,480 Speaker 1: realize is like there's a lot of work on the 329 00:16:24,520 --> 00:16:27,120 Speaker 1: back ends there. Can you explain us a little bit, 330 00:16:27,200 --> 00:16:29,440 Speaker 1: just a quick synopsis of what oral surgery looks like. 331 00:16:30,160 --> 00:16:33,000 Speaker 3: Sure, that's no problem. So the most commonly fractured tooth 332 00:16:33,080 --> 00:16:36,080 Speaker 3: and teeth and dogs get fractured way more commonly than 333 00:16:36,120 --> 00:16:39,240 Speaker 3: teeth and cats. And the dog, the most commonly fractured 334 00:16:39,560 --> 00:16:42,200 Speaker 3: tooth is the upper fourth freemo, which is one of 335 00:16:42,200 --> 00:16:44,960 Speaker 3: the major chewing teeth. So as a dog goes to chew, 336 00:16:45,400 --> 00:16:47,400 Speaker 3: they put a huge amount of force between their upper 337 00:16:47,400 --> 00:16:49,920 Speaker 3: tooth and their lower tooth, and if they chew on 338 00:16:50,000 --> 00:16:51,720 Speaker 3: things they shouldn't, and that can be a question we 339 00:16:51,760 --> 00:16:55,800 Speaker 3: addressed later, then they can fracture that tooth. And fractured 340 00:16:55,880 --> 00:16:59,440 Speaker 3: teeth if they have pulp exposed, which is the nerve 341 00:17:00,040 --> 00:17:03,400 Speaker 3: of the tooth, are super painful and the only two 342 00:17:03,400 --> 00:17:05,159 Speaker 3: options for how to treat that tooth or to do 343 00:17:05,320 --> 00:17:07,800 Speaker 3: oral surgery to remove it or to refer to a 344 00:17:07,960 --> 00:17:10,679 Speaker 3: venerary dentist to have a root canunt treatment. Ton and 345 00:17:11,400 --> 00:17:16,400 Speaker 3: other teeth that are disease with periodonal disease often need 346 00:17:16,440 --> 00:17:18,920 Speaker 3: to be removed. There's a lot of other disease processes 347 00:17:18,960 --> 00:17:21,360 Speaker 3: and teeth that cause us to need to do oral surgery. 348 00:17:22,600 --> 00:17:26,760 Speaker 3: In dogs. The only time that we can just remove 349 00:17:26,800 --> 00:17:29,840 Speaker 3: the tooth or what I call extracted tooth. If the 350 00:17:29,880 --> 00:17:32,080 Speaker 3: tooth is super loose, like a little bit of Yorky 351 00:17:32,520 --> 00:17:35,760 Speaker 3: it's fourteen years old, that has horrible periodonal disease, that 352 00:17:35,920 --> 00:17:39,439 Speaker 3: has all loose insizors. Those the teeth in the front, 353 00:17:39,720 --> 00:17:42,880 Speaker 3: sometimes we can just remove those, but the vast majority 354 00:17:42,880 --> 00:17:46,560 Speaker 3: of cases we need to do oral surgery. So we 355 00:17:46,600 --> 00:17:49,280 Speaker 3: need to open a up the gum tissue, We need 356 00:17:49,320 --> 00:17:51,680 Speaker 3: to remove bone. If it's a tooth that has more 357 00:17:51,720 --> 00:17:54,560 Speaker 3: than one root, we need to cut the tooth into sections. 358 00:17:54,920 --> 00:17:57,400 Speaker 3: We need to take each toothruth out one at a time, 359 00:17:57,680 --> 00:17:59,960 Speaker 3: clean out the tooth sockets. Man they say that comes 360 00:18:00,240 --> 00:18:03,439 Speaker 3: you flap the clothes over and put futures inside the 361 00:18:03,480 --> 00:18:06,840 Speaker 3: mouth that will dissolve with time. So those procedures for 362 00:18:06,960 --> 00:18:10,000 Speaker 3: one too sometimes can take us up just thirty minutes 363 00:18:10,119 --> 00:18:13,000 Speaker 3: or more for just one of these big teeth in 364 00:18:13,080 --> 00:18:13,480 Speaker 3: the dog. 365 00:18:13,800 --> 00:18:16,960 Speaker 1: Yeah, it's not easier, requires a lot of skill and 366 00:18:17,480 --> 00:18:19,639 Speaker 1: my brow is sweating sometimes, like it's a lot of 367 00:18:19,640 --> 00:18:22,800 Speaker 1: work and it costs money. You can touch on this 368 00:18:22,880 --> 00:18:25,480 Speaker 1: a little bit. I think A really a big thing 369 00:18:25,480 --> 00:18:28,320 Speaker 1: that I hear owners say often is you know, I 370 00:18:28,359 --> 00:18:31,359 Speaker 1: want to do this. I'm just really nervous about putting 371 00:18:31,359 --> 00:18:34,440 Speaker 1: my dog under anesthesia or my cat under anesthesia. What 372 00:18:34,800 --> 00:18:35,520 Speaker 1: do you say to that. 373 00:18:35,960 --> 00:18:39,040 Speaker 3: You should be I'm always nervous when my dog or 374 00:18:39,080 --> 00:18:42,080 Speaker 3: cat has to go under anesthesia too. So the thing 375 00:18:42,119 --> 00:18:45,720 Speaker 3: we want to look at is the risk versus the benefits, 376 00:18:45,920 --> 00:18:48,439 Speaker 3: And when we're working in the dogger cat's mouth, the 377 00:18:48,720 --> 00:18:51,960 Speaker 3: huge benefit is that you can properly diagnose and treat 378 00:18:52,280 --> 00:18:54,840 Speaker 3: your dogger cat's oral disease and get rid of any 379 00:18:55,160 --> 00:18:57,960 Speaker 3: painful teeth that they may have. So when we're done 380 00:18:57,960 --> 00:19:00,199 Speaker 3: with the dentistry and oral surgery procedure, your dog or 381 00:19:00,320 --> 00:19:02,880 Speaker 3: cat goes home with a pain free mouth, and that's 382 00:19:02,920 --> 00:19:06,720 Speaker 3: one thing that we can count on. So general anesthesia 383 00:19:07,720 --> 00:19:10,080 Speaker 3: in dogs and cats and in our patients is the 384 00:19:10,119 --> 00:19:12,880 Speaker 3: same as it is with humans. So we go through 385 00:19:12,920 --> 00:19:16,359 Speaker 3: a complete evaluation of the patient prior to general anesthesia. 386 00:19:16,680 --> 00:19:19,679 Speaker 3: We do preoperative lab work, bloodwork to check kidney and 387 00:19:19,680 --> 00:19:24,040 Speaker 3: liver function, make sure they're not anemic. We sometimes may 388 00:19:24,080 --> 00:19:26,679 Speaker 3: do a chest X ray. We may ask for an 389 00:19:26,680 --> 00:19:29,280 Speaker 3: evaluation from a cardiolosis if there's a heart murmur. So 390 00:19:29,320 --> 00:19:31,239 Speaker 3: we do everything we can to make sure that that 391 00:19:31,280 --> 00:19:36,160 Speaker 3: patient's properly prepared for anesthesia and we can minimize the risk, 392 00:19:36,280 --> 00:19:38,560 Speaker 3: and we know if there's pre existing conditions, how to 393 00:19:38,600 --> 00:19:42,240 Speaker 3: adjust our anesthetic protocol. And then we choose drugs that 394 00:19:42,280 --> 00:19:45,280 Speaker 3: are based on that individual patient. It's not always a 395 00:19:45,400 --> 00:19:48,840 Speaker 3: one size fits all. We use pre medication which has 396 00:19:48,920 --> 00:19:53,080 Speaker 3: pain medication in it, and that it's pain medication on 397 00:19:53,160 --> 00:19:56,240 Speaker 3: board before we start any kind of painful procedure. Our 398 00:19:56,280 --> 00:19:59,280 Speaker 3: patients breathe in gas anesthesia, just like you would if 399 00:19:59,280 --> 00:20:02,399 Speaker 3: you went to the hospit for a procedure. They're intubated, 400 00:20:02,440 --> 00:20:06,200 Speaker 3: so they're airways protected, and they're monitored by our nurses. 401 00:20:06,720 --> 00:20:10,639 Speaker 3: And that monitoring involves lots of different things. It involves 402 00:20:10,800 --> 00:20:13,879 Speaker 3: the nurse actually being there to monitor your dog or 403 00:20:13,920 --> 00:20:16,880 Speaker 3: your cat while it's under anesthesia, and it also involves 404 00:20:16,920 --> 00:20:19,120 Speaker 3: us monitoring their heart rate and rhythm with any kg. 405 00:20:19,720 --> 00:20:22,480 Speaker 3: We monitor the amount of oxygen in their red blood 406 00:20:22,520 --> 00:20:25,359 Speaker 3: cells with a pulse oximeter. We monitor the amount of 407 00:20:25,400 --> 00:20:29,520 Speaker 3: carbon diox they breathe out, and we monitor their blood pressure. 408 00:20:30,480 --> 00:20:33,480 Speaker 3: They're on ivy fluids during the whole procedure. They have 409 00:20:33,680 --> 00:20:36,840 Speaker 3: patient warming devices that help them keep warm because their 410 00:20:36,880 --> 00:20:39,960 Speaker 3: temperature goes down during the procedure. And like I said, 411 00:20:40,000 --> 00:20:44,520 Speaker 3: they have a dedicated nurse who's going to monitor their anesthesia. 412 00:20:44,680 --> 00:20:47,320 Speaker 3: So we do everything we can to minimize the risk 413 00:20:47,320 --> 00:20:50,879 Speaker 3: of our patients under anesthesia. Doctor Josie, both you and 414 00:20:50,880 --> 00:20:53,080 Speaker 3: I would be pelling a big fat life. We looked 415 00:20:53,080 --> 00:20:56,840 Speaker 3: at our people and said, there's no risks. There's always 416 00:20:56,880 --> 00:21:00,000 Speaker 3: some risk, but we do everything we can tip certainly 417 00:21:00,119 --> 00:21:00,679 Speaker 3: minimize that. 418 00:21:01,160 --> 00:21:04,520 Speaker 1: Yeah, And the reality is the overwhelming majority, overwhelming majority 419 00:21:04,640 --> 00:21:07,840 Speaker 1: do great. And I always think like and you know, 420 00:21:07,840 --> 00:21:09,560 Speaker 1: I'll say to the owner, Okay, well if we don't 421 00:21:09,560 --> 00:21:11,879 Speaker 1: do anesesia and we do nothing, we never clean your 422 00:21:11,880 --> 00:21:16,119 Speaker 1: dog's teeth. I see these pets. They come in, they're ten, eleven, twelve, thirteen, 423 00:21:16,200 --> 00:21:20,639 Speaker 1: fifteen years old, and they have teeth that are rotting 424 00:21:20,640 --> 00:21:23,520 Speaker 1: out of their mouth. They are We even get something 425 00:21:23,520 --> 00:21:26,520 Speaker 1: called too, through abscesses where the infection is so bad 426 00:21:26,520 --> 00:21:28,520 Speaker 1: around the root of the tooth that it starts to 427 00:21:28,800 --> 00:21:31,520 Speaker 1: come out of their cheek and have draining tracks on 428 00:21:31,560 --> 00:21:33,159 Speaker 1: the side of their face. I mean, they are in 429 00:21:33,760 --> 00:21:36,679 Speaker 1: what I would have to imagine is probably excruciating discomfort. 430 00:21:37,320 --> 00:21:40,760 Speaker 1: And so although there is some risk involved with anesesia, 431 00:21:40,920 --> 00:21:45,199 Speaker 1: I think that that greatly outweighs the downside to not 432 00:21:45,320 --> 00:21:48,760 Speaker 1: doing it and the discomfort that they potentially would be 433 00:21:48,840 --> 00:21:52,240 Speaker 1: going through for years and years not having that dental procedure. 434 00:21:53,359 --> 00:21:55,359 Speaker 1: And like you said, we do. I don't think people 435 00:21:55,400 --> 00:21:58,240 Speaker 1: realize all the things that we do on the back 436 00:21:58,359 --> 00:22:00,880 Speaker 1: end that, just like in human medicin them are monitoring 437 00:22:00,960 --> 00:22:03,560 Speaker 1: them so closely. We're doing pre op and postop and 438 00:22:04,119 --> 00:22:06,120 Speaker 1: all taking all these measures to make it as safe 439 00:22:06,160 --> 00:22:06,760 Speaker 1: as possible. 440 00:22:07,600 --> 00:22:11,720 Speaker 3: Yeah, when I was a younger person, but younger, my 441 00:22:11,840 --> 00:22:13,760 Speaker 3: dad taught me that if I had changed the oil 442 00:22:13,800 --> 00:22:16,720 Speaker 3: in my car every three or five thousand miles, whatever 443 00:22:16,720 --> 00:22:19,480 Speaker 3: it was, then that my car would last longer. And 444 00:22:19,520 --> 00:22:22,200 Speaker 3: the same thing goes for your pet's oral healthcare. If 445 00:22:22,240 --> 00:22:26,600 Speaker 3: we address the issue when it's minor, and we're addressing 446 00:22:26,680 --> 00:22:29,439 Speaker 3: issues when the dog or cat has just ginger itis, 447 00:22:29,480 --> 00:22:32,120 Speaker 3: just inflammation of the gum tissue, and we're putting those 448 00:22:32,119 --> 00:22:35,000 Speaker 3: patients under anesthesia to evaluate what's going on underneath the 449 00:22:35,040 --> 00:22:38,000 Speaker 3: gum line. We're light years ahead than if we wait 450 00:22:38,040 --> 00:22:40,280 Speaker 3: and say no, no, no, not a big deal, not 451 00:22:40,320 --> 00:22:42,359 Speaker 3: a big deal, not a big deal. And then you 452 00:22:42,400 --> 00:22:45,840 Speaker 3: and I are having conversations with pet parents that are yes, 453 00:22:45,880 --> 00:22:48,879 Speaker 3: the risk is high, and yes your pet could die, 454 00:22:49,119 --> 00:22:51,440 Speaker 3: but we don't have any choice right now because your 455 00:22:51,440 --> 00:22:54,600 Speaker 3: pet's not eating. So I really don't, I mean neither 456 00:22:54,640 --> 00:22:57,000 Speaker 3: of us like those cases where we're looking clients at 457 00:22:57,000 --> 00:22:59,360 Speaker 3: the eye going oooh, and we're thinking, wow, I wish 458 00:22:59,640 --> 00:23:02,600 Speaker 3: would have dressed this sooner, because now our anthetic chris 459 00:23:02,920 --> 00:23:05,360 Speaker 3: is up higher because now we've got a sick patient 460 00:23:05,880 --> 00:23:09,000 Speaker 3: on top of a really badly diseased amount. So I 461 00:23:09,040 --> 00:23:12,359 Speaker 3: think that changing the oil in the car is a 462 00:23:12,400 --> 00:23:15,400 Speaker 3: way better idea for maintenance than wait until the car 463 00:23:15,440 --> 00:23:15,960 Speaker 3: breaks down. 464 00:23:16,560 --> 00:23:19,120 Speaker 1: I'm really good about getting my pet stentals, but I'm 465 00:23:19,160 --> 00:23:23,080 Speaker 1: really bad about getting my car oil changed. I probably 466 00:23:23,080 --> 00:23:27,600 Speaker 1: gotta work on that, you know. I think this is 467 00:23:27,640 --> 00:23:30,240 Speaker 1: an interesting point. You said that you know, when they 468 00:23:30,320 --> 00:23:32,240 Speaker 1: come to us and they're not wanting to eat anymore 469 00:23:32,240 --> 00:23:35,840 Speaker 1: because they're in so much discomfort that tends to be 470 00:23:36,080 --> 00:23:40,679 Speaker 1: fairly rare. I would say pets are so amazing in 471 00:23:40,720 --> 00:23:43,520 Speaker 1: the sense that their fight or flight animals like, they 472 00:23:43,560 --> 00:23:47,479 Speaker 1: don't oftentimes show us when they're feeling discomfort. Specifically cats, 473 00:23:47,520 --> 00:23:49,920 Speaker 1: I find and so a lot of times I'll find 474 00:23:49,960 --> 00:23:53,760 Speaker 1: a fractured tooth, or I'll find a tooth with periodonal disease, 475 00:23:54,119 --> 00:23:55,480 Speaker 1: and the owner will be like, oh my god, I 476 00:23:55,480 --> 00:23:57,960 Speaker 1: had no idea. They're not acting. I don't think they're uncomfortable. 477 00:23:57,960 --> 00:24:01,440 Speaker 1: I think they're totally fine. What do you say to that, I. 478 00:24:01,440 --> 00:24:04,560 Speaker 3: Say that dogs and cats can't raise their pawms say 479 00:24:04,560 --> 00:24:07,720 Speaker 3: their mouth hurts. We see cases all the time where 480 00:24:07,840 --> 00:24:10,040 Speaker 3: if it was us and we fractured a tooth and 481 00:24:10,040 --> 00:24:12,919 Speaker 3: had pulplex boths, we've become calling one eight hundred my 482 00:24:13,000 --> 00:24:16,080 Speaker 3: favorite sensus in a nanosecond, like we don't even have 483 00:24:16,080 --> 00:24:18,720 Speaker 3: to think about it, and anybody out there who's had 484 00:24:18,720 --> 00:24:22,920 Speaker 3: a fractured tooth knows what that feels like. So doctor cats, 485 00:24:22,960 --> 00:24:26,720 Speaker 3: like you said, doctor Josie, their main thought is to survive, 486 00:24:27,000 --> 00:24:29,040 Speaker 3: where you go to the bottom of the pack, so 487 00:24:29,080 --> 00:24:31,880 Speaker 3: they a lot of times will even shift how they're chewing. 488 00:24:32,800 --> 00:24:34,879 Speaker 3: If they've got a fractured tooth, with puplex bows or 489 00:24:34,880 --> 00:24:37,920 Speaker 3: severe periodonal disease or oral masks, they'll shift and chew 490 00:24:37,960 --> 00:24:39,880 Speaker 3: on the other side of their mouth. So when we're 491 00:24:39,920 --> 00:24:44,359 Speaker 3: doing our thorough oral exam, we may see that on 492 00:24:44,440 --> 00:24:47,760 Speaker 3: the side that's painful, there's a lot of calculus or 493 00:24:47,880 --> 00:24:52,280 Speaker 3: brown are tartar build up and decide that's not painful. 494 00:24:52,280 --> 00:24:55,480 Speaker 3: It is pretty clean because they're chewing on one side. 495 00:24:55,920 --> 00:24:58,520 Speaker 3: So I don't know. There's nothing I've done in my 496 00:24:58,680 --> 00:25:02,320 Speaker 3: entire career. In my careers a long one that's had 497 00:25:02,320 --> 00:25:04,600 Speaker 3: a bigger impact on how my patients feel. And you've 498 00:25:04,600 --> 00:25:07,040 Speaker 3: got clients come in after their doughter cat has a 499 00:25:07,119 --> 00:25:11,199 Speaker 3: dentistry procedure and they say, oh my gosh, doctor Josie, 500 00:25:11,560 --> 00:25:15,200 Speaker 3: I feel so badly that I didn't do this when 501 00:25:15,240 --> 00:25:17,639 Speaker 3: you told me last year or the year before, because 502 00:25:17,680 --> 00:25:20,120 Speaker 3: now my dog or my cat's a brand new dog. 503 00:25:20,760 --> 00:25:23,399 Speaker 3: My dog's acting like a puppy, my cat's not hiding 504 00:25:23,440 --> 00:25:27,240 Speaker 3: under the couch. So our pets do everything they can 505 00:25:27,359 --> 00:25:31,040 Speaker 3: to mask discomfort, but there's nothing I've done this. It's 506 00:25:31,040 --> 00:25:33,119 Speaker 3: had a bigger impact on how my patients feel and 507 00:25:33,240 --> 00:25:34,680 Speaker 3: work in their mouth and fix their mouth. 508 00:25:34,960 --> 00:25:37,359 Speaker 1: Yeah, it really has hands down. Probably I mean, I 509 00:25:37,400 --> 00:25:39,119 Speaker 1: think you've rubbed off on me a little bit, but 510 00:25:39,160 --> 00:25:42,160 Speaker 1: it's definitely one of my favorite parts of my job. 511 00:25:42,200 --> 00:25:45,840 Speaker 1: And oftentimes when I'm bringing a pet in for a procedure, 512 00:25:45,880 --> 00:25:48,720 Speaker 1: it's a healthy puppy that I'm spaying, and they leave 513 00:25:48,760 --> 00:25:51,320 Speaker 1: and they're you know, they're painful and the owner's kind 514 00:25:51,320 --> 00:25:54,680 Speaker 1: of dreading it, and or they're getting a tumor removed. 515 00:25:54,680 --> 00:25:57,760 Speaker 1: But dentistry is so special in that they're coming in 516 00:25:58,160 --> 00:26:01,240 Speaker 1: it's almost immediate gratification. I'm sure they may be sore 517 00:26:01,359 --> 00:26:04,760 Speaker 1: for a day a couple days after, but their whole 518 00:26:05,200 --> 00:26:09,240 Speaker 1: demeanor and personality can can change night and day with 519 00:26:09,320 --> 00:26:13,560 Speaker 1: getting an alcae tooth removed. So it's really, yeah, for sure, 520 00:26:13,760 --> 00:26:16,360 Speaker 1: really awesome as a veterinarian to see. 521 00:26:17,040 --> 00:26:18,800 Speaker 3: I had one client come in. This is just to 522 00:26:18,800 --> 00:26:21,679 Speaker 3: share a fun story. She came in and I was 523 00:26:21,720 --> 00:26:24,679 Speaker 3: doing a two week recheck after I'd done oral surgery 524 00:26:24,720 --> 00:26:27,080 Speaker 3: and her cat and her KTT. It's very severe periodonald 525 00:26:27,119 --> 00:26:28,800 Speaker 3: disease and we removed a lot of teeth and the 526 00:26:28,840 --> 00:26:32,040 Speaker 3: owner was really worried about the procedure and about anesthesia, 527 00:26:32,480 --> 00:26:34,920 Speaker 3: and she came in for that recheck and she looked 528 00:26:34,920 --> 00:26:37,399 Speaker 3: at me, said doctor Simmy, and I said yeah. She said, 529 00:26:37,920 --> 00:26:42,000 Speaker 3: my cat's a different color. And I said what she said, 530 00:26:42,000 --> 00:26:45,080 Speaker 3: my cat's a different color? I said, your cat looks 531 00:26:45,240 --> 00:26:48,000 Speaker 3: orange to me. Its color was when it came in. No, no, no, like, 532 00:26:48,080 --> 00:26:50,720 Speaker 3: my cat's a different color. Well, what had happened was 533 00:26:50,720 --> 00:26:52,920 Speaker 3: that the mouth was so painful that had stopped grooming, 534 00:26:53,560 --> 00:26:56,399 Speaker 3: and so in fact, in her perception, that cat was 535 00:26:56,440 --> 00:26:59,200 Speaker 3: now a different color because the cat had resumed grooming 536 00:26:59,440 --> 00:27:01,680 Speaker 3: and taking care herabae coat, and that cat's tall coat 537 00:27:01,800 --> 00:27:03,639 Speaker 3: was totally different to that owner. 538 00:27:03,960 --> 00:27:06,440 Speaker 1: It's amazing. I love those stories. It makes it all 539 00:27:06,440 --> 00:27:10,119 Speaker 1: worth it, for sure. So what are some things that 540 00:27:10,200 --> 00:27:13,800 Speaker 1: owners can be doing at home? And I mean, of 541 00:27:13,800 --> 00:27:16,960 Speaker 1: course this does not supplement in getting a dental procedure 542 00:27:17,000 --> 00:27:18,800 Speaker 1: done with your veterinarian. But what can they be doing 543 00:27:19,000 --> 00:27:23,000 Speaker 1: to improve their pets oral health at home? 544 00:27:23,400 --> 00:27:26,840 Speaker 3: Yeah, yeah, perfect, Let's just talk about a couple of things. Plaque. 545 00:27:26,880 --> 00:27:29,119 Speaker 3: So what's plaque? I think is owners, it's important for 546 00:27:29,200 --> 00:27:31,399 Speaker 3: you to know what black is. When you wake up 547 00:27:31,400 --> 00:27:33,479 Speaker 3: in the morning and you run your tongue across your 548 00:27:33,480 --> 00:27:35,320 Speaker 3: teeth and it feels like you have socks on your teeth. 549 00:27:35,440 --> 00:27:37,720 Speaker 3: That's plaque. It's clear, you can't see it. You go 550 00:27:37,760 --> 00:27:41,439 Speaker 3: in the bathroom and take two brush it goes away. Okay. 551 00:27:41,800 --> 00:27:44,159 Speaker 3: So that's awesome when that black goes away and you 552 00:27:44,200 --> 00:27:47,320 Speaker 3: feel better about things. But what happens in three to 553 00:27:47,400 --> 00:27:50,040 Speaker 3: five days for people and per dogs and cats, that 554 00:27:50,160 --> 00:27:54,040 Speaker 3: plaque becomes calculous. That's that hard brown stuff. And once 555 00:27:54,119 --> 00:27:56,480 Speaker 3: that hard brown stuff accumulates on their teeth, you can 556 00:27:56,840 --> 00:27:58,840 Speaker 3: brush to the cows come home, it's not going to 557 00:27:58,960 --> 00:28:02,560 Speaker 3: go away. Okay. So the goal with doing home care 558 00:28:03,040 --> 00:28:06,480 Speaker 3: is that in between the anesthetized sedi history procedures that 559 00:28:06,520 --> 00:28:08,240 Speaker 3: we're going to do for your pet, we would like 560 00:28:08,280 --> 00:28:12,240 Speaker 3: to control that plaque and have it not become that calculus. 561 00:28:12,840 --> 00:28:15,920 Speaker 3: So to do that, the best option is to brush 562 00:28:15,920 --> 00:28:19,000 Speaker 3: your daughter cass teeth David, And most people look at 563 00:28:19,000 --> 00:28:22,040 Speaker 3: me and go, yeah, right, that I'm going to do that. 564 00:28:22,440 --> 00:28:25,600 Speaker 3: And the fact of the matter is it's a choice 565 00:28:25,600 --> 00:28:27,760 Speaker 3: by the owner on whether you make that a priority 566 00:28:27,840 --> 00:28:30,479 Speaker 3: or not. We have a dog, true story, who adopted 567 00:28:30,520 --> 00:28:33,320 Speaker 3: him from the Chicago Anti Croulty Society. His name's Crosby 568 00:28:33,960 --> 00:28:36,320 Speaker 3: and he was about eight months when we adopted him. 569 00:28:37,320 --> 00:28:39,240 Speaker 3: And he has a lot of things that he's not 570 00:28:39,360 --> 00:28:42,600 Speaker 3: perfect at, but this one thing he's perfect at. Before 571 00:28:42,640 --> 00:28:45,560 Speaker 3: his dinner every night, when we say yet kay, he 572 00:28:45,640 --> 00:28:47,920 Speaker 3: comes running into the kitchen to get his teeth brush 573 00:28:48,040 --> 00:28:49,760 Speaker 3: because he knows after he gets his teeth brush that 574 00:28:49,840 --> 00:28:52,800 Speaker 3: he gets to suck. And so he gets his teeth 575 00:28:52,800 --> 00:28:55,320 Speaker 3: brush once once a day. And that's the key with 576 00:28:55,440 --> 00:28:58,440 Speaker 3: dogs and cats, is the brush once a day and 577 00:28:58,520 --> 00:29:00,920 Speaker 3: make it fun. And you can ask your veterinarians about 578 00:29:00,920 --> 00:29:02,720 Speaker 3: how to do that. But it's just like teaching your 579 00:29:02,760 --> 00:29:04,800 Speaker 3: dog to sit or your cat to chase the ball. 580 00:29:05,120 --> 00:29:07,480 Speaker 3: There's lots of things we ask our pets to do 581 00:29:07,520 --> 00:29:09,800 Speaker 3: and teach our pets to do, and brushing teeth is 582 00:29:09,840 --> 00:29:12,520 Speaker 3: certainly possible if we make it a priority. We only 583 00:29:12,520 --> 00:29:14,840 Speaker 3: need to worry about the outside of the two surfaces. 584 00:29:14,840 --> 00:29:16,640 Speaker 3: Their tongue does a pretty good job taking care of 585 00:29:16,640 --> 00:29:20,320 Speaker 3: the insie. If you look at me or doctor Josie 586 00:29:20,360 --> 00:29:22,080 Speaker 3: and you go, there is no way I'm brushing my 587 00:29:22,160 --> 00:29:25,560 Speaker 3: daughter cat's teeth. There's other things you can do. There's diets, treats, 588 00:29:25,600 --> 00:29:29,360 Speaker 3: twos water additives that help decrease plaq and or calculus. 589 00:29:29,760 --> 00:29:32,600 Speaker 3: When you brush your teeth tonight, pet parents, look at 590 00:29:32,600 --> 00:29:36,480 Speaker 3: your toothpaste has the ADA Field acceptance on it. That's 591 00:29:36,520 --> 00:29:40,920 Speaker 3: the American Sental Association. There's a group in veterinary medicine 592 00:29:40,960 --> 00:29:44,640 Speaker 3: called the Veterinary Oral Health Council VOHC, And if you 593 00:29:44,680 --> 00:29:48,920 Speaker 3: go to www dot VOHC dot org, there's a list 594 00:29:48,920 --> 00:29:52,160 Speaker 3: of products that have the boh S Field Acceptance and 595 00:29:52,200 --> 00:29:55,120 Speaker 3: those products we know do how help decrease plaque and 596 00:29:55,280 --> 00:29:55,920 Speaker 3: org calculums. 597 00:30:05,720 --> 00:30:09,160 Speaker 1: So you mentioned earlier that the most common tooth we 598 00:30:09,240 --> 00:30:13,400 Speaker 1: see fractured in our dog patients specifically is that big 599 00:30:13,440 --> 00:30:16,920 Speaker 1: premolar up top, and a lot of times they fracture 600 00:30:16,920 --> 00:30:20,840 Speaker 1: it by chewing on hard things at home. Bones, toys. 601 00:30:21,200 --> 00:30:23,680 Speaker 1: What kind of chew toys would you recommend that our 602 00:30:23,720 --> 00:30:25,320 Speaker 1: dogs should be playing with at home. 603 00:30:26,040 --> 00:30:28,080 Speaker 3: That's a great question, doctor Josie, And I'm really glad 604 00:30:28,120 --> 00:30:31,200 Speaker 3: you asked that because as pet parents, we go into 605 00:30:31,320 --> 00:30:34,160 Speaker 3: the pet store, and right in the front bin at 606 00:30:34,200 --> 00:30:36,760 Speaker 3: the pet store as we walk in our big huge 607 00:30:37,000 --> 00:30:41,480 Speaker 3: knuckle bones and femur bones and pig ears and cow hoofs, 608 00:30:41,520 --> 00:30:44,000 Speaker 3: and it says your dog must to these because that's 609 00:30:44,000 --> 00:30:47,720 Speaker 3: what they did in the while, when in fact, those 610 00:30:47,720 --> 00:30:50,560 Speaker 3: are some of the biggest culprits of causing fractured tea. 611 00:30:50,840 --> 00:30:52,640 Speaker 3: So what I tell pet parents is when you go 612 00:30:52,720 --> 00:30:54,360 Speaker 3: into the pet store or trying to do your dog 613 00:30:54,800 --> 00:30:57,880 Speaker 3: a favor, what you want to do is every single 614 00:30:57,920 --> 00:30:59,560 Speaker 3: thing you pick up, you want to say to yourself, 615 00:30:59,600 --> 00:31:02,600 Speaker 3: south will this give when my dog two's on it? 616 00:31:02,760 --> 00:31:05,840 Speaker 3: Or will it not? If the answer is yep, I 617 00:31:05,840 --> 00:31:08,640 Speaker 3: can compress it, yep, it bends, yep, it'll give, then 618 00:31:08,680 --> 00:31:11,360 Speaker 3: spend your ten ninety nine. But the answer is no, 619 00:31:11,600 --> 00:31:14,120 Speaker 3: it's not going to, then put it right back in 620 00:31:14,120 --> 00:31:17,720 Speaker 3: the bin. So things that most commonly cause fractured teeth 621 00:31:17,840 --> 00:31:26,520 Speaker 3: in our patients are bones, natural bones, raw hide, bones, figures, cowhos, deer, antlers, rocks. 622 00:31:26,760 --> 00:31:29,080 Speaker 3: So if your dogs are rock goes to the bottom 623 00:31:29,080 --> 00:31:30,600 Speaker 3: of the lake and picks up rocks and throws them 624 00:31:30,640 --> 00:31:33,800 Speaker 3: up on the bank, that's probably not awesome. In addition, 625 00:31:34,040 --> 00:31:36,120 Speaker 3: tennis balls can be bad. If they chew on tennis 626 00:31:36,160 --> 00:31:38,400 Speaker 3: balls all the time, they won't fracture your dog's seat, 627 00:31:38,440 --> 00:31:41,320 Speaker 3: but that outer green surface is really abrasive and they'll 628 00:31:41,360 --> 00:31:44,360 Speaker 3: sometimes cause your dogs teeth to wear down, so if 629 00:31:44,400 --> 00:31:46,360 Speaker 3: you can bend it or compress it, they can have it. 630 00:31:46,720 --> 00:31:49,160 Speaker 3: If you can't put it back out on the shelf. 631 00:31:49,440 --> 00:31:51,320 Speaker 1: That's great. I think that's so helpful. And I know 632 00:31:51,360 --> 00:31:53,920 Speaker 1: you mentioned the VOHC, but that website has been so 633 00:31:54,000 --> 00:31:57,920 Speaker 1: helpful for me. I have a five year old Chihuahua 634 00:31:58,040 --> 00:32:01,960 Speaker 1: at home, and he also was a rescue. He is 635 00:32:02,000 --> 00:32:05,160 Speaker 1: a feisty little guy and if I tried to say 636 00:32:05,240 --> 00:32:09,000 Speaker 1: dente's and brush his teeth, I'm losing a finger, no 637 00:32:09,120 --> 00:32:11,680 Speaker 1: doubt about it. So we do our best. There are 638 00:32:11,880 --> 00:32:15,480 Speaker 1: some really great dental chews and additives on that website, 639 00:32:15,520 --> 00:32:18,960 Speaker 1: and of course he gets his annual dental procedure with me. 640 00:32:19,120 --> 00:32:22,600 Speaker 1: But yeah, not every pet is up for brushing. But 641 00:32:22,640 --> 00:32:24,960 Speaker 1: with that said, if you have a puppy or you 642 00:32:25,000 --> 00:32:28,480 Speaker 1: have a young dog, desensitizing them and getting them used 643 00:32:28,520 --> 00:32:30,960 Speaker 1: to it from the get go is going to save 644 00:32:31,000 --> 00:32:32,600 Speaker 1: you so many headaches down the line. 645 00:32:33,160 --> 00:32:37,840 Speaker 3: Yeah. And the other huge advantage to brushing your dogger 646 00:32:37,920 --> 00:32:40,960 Speaker 3: cat's teeth is that you're in their mouths every single day, 647 00:32:42,200 --> 00:32:44,920 Speaker 3: so you know what's normal and you know that they're 648 00:32:44,960 --> 00:32:46,920 Speaker 3: not pulling away from you when you're trying to brush 649 00:32:46,960 --> 00:32:49,360 Speaker 3: their teeth. And I've had clients who brush their dogger 650 00:32:49,480 --> 00:32:52,480 Speaker 3: cat's teeth every day. And I had a cat mom 651 00:32:52,640 --> 00:32:55,080 Speaker 3: call me and say, oh my gosh, I brought brush 652 00:32:55,160 --> 00:32:57,520 Speaker 3: Welter's teeth every day, and I want to brush his 653 00:32:57,560 --> 00:32:59,360 Speaker 3: teeth today. And he pulled away from me and he's 654 00:32:59,440 --> 00:33:02,480 Speaker 3: never done that before, and he came in. They brought 655 00:33:02,520 --> 00:33:03,920 Speaker 3: him in and we looked at it. Sure enough, he 656 00:33:04,000 --> 00:33:05,640 Speaker 3: had a tooth that was painful for him that we 657 00:33:05,720 --> 00:33:09,040 Speaker 3: needed to treat. For a dog that has a discolored tooth, 658 00:33:09,880 --> 00:33:12,200 Speaker 3: owners brushing their teeth, it's just like yesterday, this tooth 659 00:33:12,240 --> 00:33:15,560 Speaker 3: is white. Today it's not white, it's red. There must 660 00:33:15,560 --> 00:33:17,600 Speaker 3: be something wrong, and they get on the phone call 661 00:33:18,200 --> 00:33:21,200 Speaker 3: orald tumors. We find one way earlier. So there are 662 00:33:21,200 --> 00:33:27,200 Speaker 3: advantages besides just making the teeth look good and delaying 663 00:33:27,200 --> 00:33:30,560 Speaker 3: the odset of periodontal disease, of having you in the 664 00:33:31,000 --> 00:33:32,680 Speaker 3: pet's mouth on a regular basis. 665 00:33:32,800 --> 00:33:35,960 Speaker 1: Absolutely well, thank you so much for coming on today. 666 00:33:35,960 --> 00:33:38,080 Speaker 1: This is such a big part of what I do 667 00:33:38,160 --> 00:33:41,080 Speaker 1: every day, and I think it's so important to educate 668 00:33:41,120 --> 00:33:45,280 Speaker 1: our listeners and create awareness around it because as you 669 00:33:45,320 --> 00:33:47,239 Speaker 1: and I know, it is such a huge part of 670 00:33:47,280 --> 00:33:52,000 Speaker 1: our pets health and happiness and comfort, and so there's 671 00:33:52,040 --> 00:33:54,320 Speaker 1: really nobody better for us to have here today to 672 00:33:54,320 --> 00:33:56,560 Speaker 1: answer these questions. So I really appreciate you coming. 673 00:33:57,280 --> 00:33:59,640 Speaker 3: Yeah, thanks, doctor Josie, Thanks for the opportunity. I'm always 674 00:33:59,640 --> 00:34:03,200 Speaker 3: happy to talk to pet parents about teeth and oral healthcare. 675 00:34:03,280 --> 00:34:06,040 Speaker 3: It's it's one of my passions. And like I said, 676 00:34:06,080 --> 00:34:07,880 Speaker 3: there's nothing that will make a bigger impact on how 677 00:34:07,880 --> 00:34:10,160 Speaker 3: your pet feels then to make sure you take care 678 00:34:10,160 --> 00:34:10,640 Speaker 3: of their mouth. 679 00:34:11,040 --> 00:34:18,800 Speaker 1: Awesome, Well, thank you so much, you bet all right. Awesome. 680 00:34:18,800 --> 00:34:20,960 Speaker 2: That was so great to get to have doctor Cindy 681 00:34:21,000 --> 00:34:23,239 Speaker 2: on here and learn so much. I feel like we 682 00:34:23,280 --> 00:34:26,240 Speaker 2: don't often talk a lot about dentistry with our pets, 683 00:34:26,280 --> 00:34:27,400 Speaker 2: so it's really really awesome. 684 00:34:27,600 --> 00:34:29,759 Speaker 1: Yeah, it is, and it's so important. I mean, as 685 00:34:29,880 --> 00:34:35,040 Speaker 1: you all have learned for their overall health and luckily 686 00:34:35,239 --> 00:34:38,000 Speaker 1: for her, doctor Cindy is pretty much retired now. So 687 00:34:38,160 --> 00:34:40,480 Speaker 1: if people have questions about their pets oral health, I 688 00:34:40,520 --> 00:34:43,480 Speaker 1: recommend talking to your vet and then certainly check out 689 00:34:43,480 --> 00:34:48,120 Speaker 1: that Veterinary Oral Health Counsel that we talked about, the VOHC. 690 00:34:49,080 --> 00:34:50,719 Speaker 1: You can google that and it'll pop right up. And 691 00:34:50,760 --> 00:34:53,160 Speaker 1: it's got lots of great resources to learn about what 692 00:34:53,200 --> 00:34:54,800 Speaker 1: you can be doing at home for your animals. 693 00:34:54,880 --> 00:34:56,879 Speaker 2: And she obviously is a close friend of yours two 694 00:34:56,920 --> 00:34:58,680 Speaker 2: and like you said your mentor, so you can also 695 00:34:58,880 --> 00:35:01,600 Speaker 2: you know, submit your question too and ask doctor Josie 696 00:35:01,600 --> 00:35:03,120 Speaker 2: and she can get them to her for sure. 697 00:35:03,200 --> 00:35:03,719 Speaker 1: Absolutely. 698 00:35:04,000 --> 00:35:06,920 Speaker 2: All right, now onto one of my favorite parts of 699 00:35:07,120 --> 00:35:07,560 Speaker 2: the show. 700 00:35:10,160 --> 00:35:15,560 Speaker 1: All right, paw and order for this week, numero uno. 701 00:35:15,920 --> 00:35:19,040 Speaker 1: I would not put coconut oil on my pet or 702 00:35:19,040 --> 00:35:20,920 Speaker 1: in its food. I don't know what is going on 703 00:35:20,960 --> 00:35:24,080 Speaker 1: with coconut oil, but it is like skyrocketed. People love it. 704 00:35:24,640 --> 00:35:24,839 Speaker 3: Yeah. 705 00:35:24,880 --> 00:35:27,120 Speaker 1: I feel like there was like maybe three or four 706 00:35:27,200 --> 00:35:28,640 Speaker 1: years ago it really. 707 00:35:28,400 --> 00:35:30,160 Speaker 2: Became big and then people kind of, you know, it 708 00:35:30,239 --> 00:35:32,719 Speaker 2: was like fizzled off a little bit, and now we're 709 00:35:32,760 --> 00:35:35,000 Speaker 2: obsessed with coconut oil again. I love using it. And 710 00:35:35,040 --> 00:35:37,279 Speaker 2: I will say my vet, when my friend she had 711 00:35:37,280 --> 00:35:39,480 Speaker 2: like a really dry nose, she used to tell me 712 00:35:39,560 --> 00:35:41,960 Speaker 2: to put on her nose. So now I'm learning we 713 00:35:42,000 --> 00:35:42,759 Speaker 2: should not do that. 714 00:35:42,960 --> 00:35:46,800 Speaker 1: I think it's moisturizing. So if it's like a dry 715 00:35:47,600 --> 00:35:50,440 Speaker 1: piece of cartilage like the nose, sure, okay, But when 716 00:35:50,440 --> 00:35:53,600 Speaker 1: they have cuts or scrapes. People like just like to 717 00:35:53,640 --> 00:35:56,399 Speaker 1: slather it on and it's like an ointment. Yeah, it's 718 00:35:56,440 --> 00:35:58,600 Speaker 1: like an ointment. Or if they're like, oh they're coats dry, 719 00:35:58,600 --> 00:36:02,080 Speaker 1: I'm gonna rub them in coconut oil and then grease 720 00:36:02,160 --> 00:36:04,440 Speaker 1: theme up and they come in and they can like 721 00:36:04,480 --> 00:36:09,160 Speaker 1: frying egg on them and I just it clogs their pores. 722 00:36:09,200 --> 00:36:11,920 Speaker 1: There's really no like medicinal properties to it. I'm just 723 00:36:12,120 --> 00:36:14,560 Speaker 1: I avoid it. It also causes diarrhea if you feed it 724 00:36:14,560 --> 00:36:16,480 Speaker 1: to them. So yeah, because I've. 725 00:36:16,320 --> 00:36:19,279 Speaker 2: Seen people like take a heaping spoonful and just they 726 00:36:19,320 --> 00:36:21,239 Speaker 2: love it, slap it on there, they love it, So 727 00:36:21,400 --> 00:36:22,160 Speaker 2: don't feed it. 728 00:36:22,280 --> 00:36:25,080 Speaker 1: I mean, yeah, there's really no benefit to coconut oil. 729 00:36:25,239 --> 00:36:28,560 Speaker 2: Yeah, other than the fact they're very slippery, exactly greasy 730 00:36:28,600 --> 00:36:30,040 Speaker 2: if you want it all over the ay. 731 00:36:30,120 --> 00:36:34,400 Speaker 1: Good to know. Number two. I would absolutely positively not 732 00:36:34,600 --> 00:36:36,960 Speaker 1: get pet insurance the day after my pet has an 733 00:36:37,000 --> 00:36:41,040 Speaker 1: emergency we or even after the day after they're sick. 734 00:36:41,120 --> 00:36:43,680 Speaker 1: This is so important if you are getting a puppy 735 00:36:43,840 --> 00:36:46,960 Speaker 1: or adopting a dog, get pet insurance right away. Right 736 00:36:47,120 --> 00:36:50,279 Speaker 1: the second they have an ear infection, they're vomiting, they 737 00:36:50,280 --> 00:36:53,960 Speaker 1: have diarrhea that becomes a pre existing condition, and the 738 00:36:54,000 --> 00:36:57,000 Speaker 1: insurance companies will not cover. Yeah, it's just like insurance 739 00:36:57,000 --> 00:36:59,920 Speaker 1: for people. Yeah, like you can't do that. Just like 740 00:37:00,040 --> 00:37:02,799 Speaker 1: and I have owners coming in being like, can you 741 00:37:02,840 --> 00:37:04,760 Speaker 1: just leave this out of the medical note, like basically 742 00:37:04,760 --> 00:37:06,600 Speaker 1: asking me to commit insurance fraud. And I'm like, I 743 00:37:06,680 --> 00:37:09,120 Speaker 1: love you guys so much. You're like no, but this 744 00:37:09,160 --> 00:37:10,480 Speaker 1: is one boundary I will not cross. 745 00:37:10,920 --> 00:37:14,560 Speaker 2: And honestly, I was that person that wished I had 746 00:37:14,560 --> 00:37:17,360 Speaker 2: have just, you know, like done it and gotten peture, 747 00:37:17,440 --> 00:37:20,480 Speaker 2: got pet insurance from the beginning, right because I had 748 00:37:20,480 --> 00:37:22,960 Speaker 2: a Frenchy Boston mix and like they are prone to 749 00:37:22,960 --> 00:37:25,360 Speaker 2: having health issues. But I was like, I'm not gonna 750 00:37:25,360 --> 00:37:27,239 Speaker 2: need it, so I didn't. And let me tell you, 751 00:37:27,560 --> 00:37:29,680 Speaker 2: I really wish I had have had some pet insurance. 752 00:37:29,760 --> 00:37:34,040 Speaker 1: Yes, it's it's really come a long way, and it's 753 00:37:34,080 --> 00:37:36,560 Speaker 1: so important. I mean, veterinary medicine, the diagnostics, all the 754 00:37:36,560 --> 00:37:38,759 Speaker 1: things that we do can really add up and be expensive, 755 00:37:38,960 --> 00:37:42,880 Speaker 1: especially if it's an emergency. So get pet insurance right away. 756 00:37:42,920 --> 00:37:44,759 Speaker 1: It is absolutely positively worth it. 757 00:37:44,880 --> 00:37:47,640 Speaker 2: Yes, I am saying do it for yourself because it 758 00:37:47,640 --> 00:37:49,000 Speaker 2: will save you in the long run. 759 00:37:49,040 --> 00:37:50,680 Speaker 1: It will all right, what else we got on here. 760 00:37:50,960 --> 00:37:51,080 Speaker 2: Uh. 761 00:37:51,360 --> 00:37:53,560 Speaker 1: Last, but not least, I would not feed my pets 762 00:37:53,600 --> 00:37:57,040 Speaker 1: out of a plastic football. A lot of people get 763 00:37:57,080 --> 00:37:59,680 Speaker 1: in trouble today. A lot of people don't realize this. 764 00:37:59,760 --> 00:38:01,319 Speaker 1: It's not the end of the world. But I see 765 00:38:01,360 --> 00:38:03,719 Speaker 1: a lot of my patients come in with chin acne. 766 00:38:04,120 --> 00:38:06,880 Speaker 1: So they have like acne just like you and I, 767 00:38:06,960 --> 00:38:10,239 Speaker 1: little red pimples and irritation on their chin. And it's 768 00:38:10,280 --> 00:38:14,560 Speaker 1: because plastic and ceramic bowls tend to it's a great 769 00:38:14,560 --> 00:38:18,759 Speaker 1: place for that bacteria to grow. So stainless steel tends 770 00:38:18,800 --> 00:38:21,320 Speaker 1: to be a little bit better for that. And even still, 771 00:38:21,360 --> 00:38:24,359 Speaker 1: I would wash your pets food bowls two to three 772 00:38:24,360 --> 00:38:27,080 Speaker 1: times a week. They're just like us. They need to 773 00:38:27,160 --> 00:38:30,000 Speaker 1: have clean surfaces to eat off of, and it keeps 774 00:38:30,040 --> 00:38:32,720 Speaker 1: them from getting sick. And nobody wants chin pimples. 775 00:38:32,760 --> 00:38:35,400 Speaker 2: Oh. I feel like my dear sweet Phoebe, who's up 776 00:38:35,400 --> 00:38:37,640 Speaker 2: above right now looking down at us, is like you 777 00:38:37,680 --> 00:38:40,560 Speaker 2: could have saved me from all those years of acne, mom, 778 00:38:40,640 --> 00:38:42,960 Speaker 2: And like no one has ever told me that. Like she, 779 00:38:43,160 --> 00:38:46,040 Speaker 2: I always would keep her bowl clean. But she's a frenchie, 780 00:38:46,120 --> 00:38:48,840 Speaker 2: so she's like getting right in there right the dishes, 781 00:38:48,920 --> 00:38:52,200 Speaker 2: so yeah, yeah, you don't realize that would be really 782 00:38:52,280 --> 00:38:52,680 Speaker 2: nice to know. 783 00:38:52,760 --> 00:38:55,480 Speaker 1: That's why we're here. Nat, thank you for helping me. 784 00:38:55,520 --> 00:38:58,359 Speaker 2: And future puppy that I get and you bring years 785 00:38:58,400 --> 00:38:59,560 Speaker 2: in right now is make me want to get one 786 00:38:59,640 --> 00:39:02,680 Speaker 2: right now. But stainless steel, I feel like it's also 787 00:39:02,760 --> 00:39:06,239 Speaker 2: just like humans, like, using plastics really aren't great for 788 00:39:06,320 --> 00:39:09,120 Speaker 2: us or anybody, so stainless steel is the way to go. 789 00:39:09,160 --> 00:39:12,000 Speaker 2: What about the glass like ceramic ones, I. 790 00:39:12,200 --> 00:39:14,520 Speaker 1: It really for me, stainless deal is the best. Then 791 00:39:14,560 --> 00:39:16,200 Speaker 1: if you need to go to glass, ceramic and then 792 00:39:16,239 --> 00:39:18,360 Speaker 1: last not leads to the plastic, but stainless stale far 793 00:39:18,440 --> 00:39:20,319 Speaker 1: and aways the best. Okay, cool, good to know. 794 00:39:20,400 --> 00:39:25,000 Speaker 2: Well, I really hope you enjoyed today's episode and any questions, 795 00:39:25,000 --> 00:39:26,440 Speaker 2: like I said, you can ask if you have it 796 00:39:26,480 --> 00:39:28,880 Speaker 2: about dentistry or anything to do with your pets, you 797 00:39:28,920 --> 00:39:31,239 Speaker 2: can ask doctor Josie in our show notes. You can 798 00:39:31,320 --> 00:39:32,280 Speaker 2: just submit your questions. 799 00:39:32,360 --> 00:39:34,520 Speaker 1: Yeah, or follow me on Instagram. Feel free to dm 800 00:39:34,560 --> 00:39:38,120 Speaker 1: me It's at doctor Josie Vett. And then we're a 801 00:39:38,120 --> 00:39:40,160 Speaker 1: brand new podcast, y'all. We need all the likes we 802 00:39:40,200 --> 00:39:43,720 Speaker 1: can get, so definitely like us. Leave us any feedback 803 00:39:43,760 --> 00:39:46,880 Speaker 1: you have anywhere that you listen to podcasts, We appreciate it. 804 00:39:46,960 --> 00:39:48,120 Speaker 1: All right, we'll see you next week. 805 00:40:01,280 --> 00:40:01,320 Speaker 2: She