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Speaker 1: You're listening to In the Vets Office with doctor Josie Horchak.

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Speaker 1: Welcome back to in the Vets Office everyone.

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Speaker 2: I am your host, Doctor Josie, and this is an

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Speaker 2: amazing week because we are joined once again by doctor Isabella.

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Speaker 1: Hello. Hi.

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Speaker 2: We had such great feedback on our previous episode that

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Speaker 2: I figured we had to get you back into the

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Speaker 2: Vets Office to do another episode.

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Speaker 1: Yeah. I had a blast, so when you asked me

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Speaker 1: to come back, I was ready to go. Really excited.

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Speaker 2: I'm excited to We're actually filming today's episode in my

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Speaker 2: basement because the iHeart Studio is moving right now, and

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Speaker 2: so we're really leaning into the podcast from home. Moment

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Speaker 2: we are in I'm in my slippers and pretty much

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Speaker 2: my pajamas, yeah, leggings, hoody. Yeah, we're chilling and Sia's

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Speaker 2: on her a little best next to me, and I

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Speaker 2: don't know if I'll ever go back to podcasting from

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Speaker 2: the studio after this. Just kidding, Morgan, our poor producer

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Speaker 2: had to set up this whole thing, so we will

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Speaker 2: in fact be going back to the studio, But until then,

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Speaker 2: slippers and pj's for the win, all right, So we'll

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Speaker 2: start our episode as always with with our case of

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Speaker 2: the week, Doctor Isabella and I were putting our heads

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Speaker 2: together thinking about some interesting cases we have seen, and

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Speaker 2: we kept coming back to this one thing that we

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Speaker 2: are noticing in practice. It's not so much a case,

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Speaker 2: but it's more of an observation. Yeah, if we see

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Speaker 2: it all the time, all the time, and it really

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Speaker 2: makes my day. And we have found that when we

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Speaker 2: walk into exam rooms, we are addressing the pets and

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Speaker 2: speaking to them directly, and then the owners will respond

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Speaker 2: as though they are the pet in like very silly voices.

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Speaker 1: Yes, yes, all the time. And I don't know if

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Speaker 1: every vet does this, but doctor Josie and I both

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Speaker 1: agree like we are in there asking the pet, how

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Speaker 1: are you? You look beautiful today? How's it going? And

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Speaker 1: the owner inevitably will respond in some weird, high pitched voice,

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Speaker 1: you said you have some like I do, certain accents.

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Speaker 2: I had an older lady that was convinced her shit

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Speaker 2: so you had a lisp, so she'd like, doctor Josie.

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Speaker 1: I'm not feeling so well today. I'm telling me hers,

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Speaker 1: I'm feeling thick.

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Speaker 2: Like she would talk to me as though she was

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Speaker 2: her dog with a lip and it was amazing, doesn't

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Speaker 2: You're a brother in law.

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Speaker 1: Yes, and we keep bringing up poor Ryan on these podcasts.

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Speaker 1: But Ryan, he's an attractive guy, yes, and he is

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Speaker 1: always the one who brings the cats into their vat.

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Speaker 1: My sister said she gets embarrassed every time because they'll

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Speaker 1: ask how their cat is doing, and Ryan will inevitably say, oh,

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Speaker 1: you know, he's doing okay, just throwing up sometimes, but

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Speaker 1: other than that, I'm good not throwing up. Throwing throwing up.

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Speaker 2: People really lean into it, oh, because I narrate my

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Speaker 2: animals at home, like they teach you, have their own

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Speaker 2: voices all the time.

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Speaker 1: And I just think that people.

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Speaker 2: Don't like they don't do that out in public often,

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Speaker 2: but we get to see that side of them.

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Speaker 1: Yes, and it's amazing. It'll be a big burly man

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Speaker 1: with a tiny little Yorky or you know, some like

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Speaker 1: young attractive person and it's just fun to watch people

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Speaker 1: let their guards down and be funny.

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Speaker 2: I do have an older gentleman who brings in his

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Speaker 2: Persian cat. And Persian cats, for those of you that

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Speaker 2: don't know, have those like smushed faces and they're like

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Speaker 2: have a permanent frown on their face and he speaks,

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Speaker 2: He narrates her as though she's.

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Speaker 1: An an old British lady. Nick Hello, doctor Josie, I ate.

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Speaker 2: Three kibble this week, like he talks to me the

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Speaker 2: whole time as though he's the cat, but in a

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Speaker 2: in a British accent. It's amazing, And I respond. I

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Speaker 2: do too, respond as if we're having a normal conversation.

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Speaker 1: Back and forth.

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Speaker 2: I always say, our job is very weird, sometimes very

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Speaker 2: some funny thing.

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Speaker 1: We're not afraid to let people see our side. For sure.

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Speaker 2: You've got to let your freak flag fly and that

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Speaker 2: med you know, and I tell people it's a judge

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Speaker 2: free zonees.

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Speaker 1: Yes, so you whatever, you be vulnerable. You talk to

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Speaker 1: your pets. However, you need to show us pictures of

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Speaker 1: poop vomit, and we no judgment whatsoever. We've seen it.

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Speaker 2: All, yes, exactly. All right, Well we'll dive into our

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Speaker 2: listener questions. First up, at.

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Speaker 1: What point in a dog's life do you transition them

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Speaker 1: from regular food to senior food.

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Speaker 2: That's a great question. I and doctor Isabella, you can

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Speaker 2: tell you what you do. So I don't know that

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Speaker 2: there is an exact time where it's like you need

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Speaker 2: to get off adult food and onto senior food. But

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Speaker 2: I do sort of have like a time frame where

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Speaker 2: I think dogs and cats move from regular adulthood into

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Speaker 2: senior hood. Dogs, I would say a rough age of seven.

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Speaker 1: To eight years old.

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Speaker 2: Yeah, And you were saying if they're really small, we

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Speaker 2: probably can push that back a little.

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Speaker 1: Bit, right. It totally depends on the size of the

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Speaker 1: pet times. The small breed dogs a little Yorkis toy poodles,

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Speaker 1: they can live easily until sixteen seventeen years old, So

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Speaker 1: senior for them is going to look a little bit

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Speaker 1: different than senior for the great Dane like you had,

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Speaker 1: who Senior for them is probably five five six. Yeah,

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Speaker 1: i'd say like.

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Speaker 2: As an overall general rule, though like most dogs, we

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Speaker 2: start to look at them as I hate to say senior.

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Speaker 2: I feel like there's such a when owners here a

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Speaker 2: senior you can just see it in their eyes. Yes,

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Speaker 2: But I guess we'll say senior hood into their older

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Speaker 2: years really like around seven or eight. And that's important

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Speaker 2: because that's when we as vaterinarians really start recommending screening

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Speaker 2: lab work. We recommend it before then, but we really

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Speaker 2: put an emphasis on it once they get a little

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Speaker 2: bit older, so screening lab work and then touching their

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Speaker 2: food as well.

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Speaker 1: Yeah, and once they get to that, like true senior age,

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Speaker 1: I mean, before them, we're recommending annual adult blood work

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Speaker 1: to monitor and get a baseline. But once we get

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Speaker 1: to the senior it's like we might want to be

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Speaker 1: checking things twice a year. So things change in terms

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Speaker 1: of what our recommendations are at that point too. Yes,

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Speaker 1: and not to leave out cats. Cats, cats are pretty standard.

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Speaker 1: They like, you know, our stats have similar lifespans.

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Speaker 2: Yeah, it's not like our tiny dogs versus our big dogs.

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Speaker 2: So I would say ten years of age is usually

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Speaker 2: when I deem them moving into their senior years.

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Speaker 1: I agree. And cats we have to be extra cautious

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Speaker 1: with because oftentimes we'll see kittens and then we don't

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Speaker 1: see them again until they're seniors because they're fine. Owners

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Speaker 1: don't bring them in and then we see them when

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Speaker 1: you know kidney changes are happening.

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Speaker 2: Part of my French. But when shit hits the fan

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Speaker 2: is when we see them. Yeah, a lot of time.

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Speaker 1: Yeah, and cats can hide things until it is not

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Speaker 1: okay right, so things can be brewing, and that's why

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Speaker 1: we recommend even for cats, checking bloodwork to monitor kidney values,

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Speaker 1: get their baselines when they're young or middle aged, and.

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Speaker 2: At least do a really good physical exam on them

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Speaker 2: once a year. Yes, absolutely, I agree. I hope that

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Speaker 2: answers the question. And to be fair, I do think

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Speaker 2: it's important to get them from adult to senior food.

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Speaker 2: It's way more important to get them off puppy food, yes,

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Speaker 2: and onto adult food. But if your older pet is

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Speaker 2: eating adult food, it's probably not the end of the world.

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Speaker 1: Yeah, totally agree. And sometimes we get to the point

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Speaker 1: where seniors are really picky and I'm like, honestly, I

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Speaker 1: just want them to eat, so we find that. I

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Speaker 1: totally agree. All right, let's do question number two.

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Speaker 3: Hello, my question is I have an aggressive mixed dog.

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Speaker 3: I do not know why she's aggressive. I've had her

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Speaker 3: since she was a puppy. We do live out kind

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Speaker 3: of far and don't get a lot of visitors, so

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Speaker 3: and she hasn't had a lot of interaction with people,

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Speaker 3: so maybe that's why. Anyway, she needs to get her

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Speaker 3: nails trimmed, and I'm afraid to do it because sometimes

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Speaker 3: she gets this look in her eye like she would

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Speaker 3: bite me. She has not bitten me, but I'm just

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Speaker 3: I get afraid, so I want to take her to

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Speaker 3: the VET to get them clipped. But in order for

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Speaker 3: her to go to the VET, she has to be tranquilized,

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Speaker 3: and I have to start to tranquilize her probably I

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Speaker 3: think two days before she goes to the VET, so

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Speaker 3: she's super drunk, and I'm just worried that I have

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Speaker 3: to do that. Anytime she goes to the VET for

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Speaker 3: a heartworm test, for anything, I have to tranquilize her.

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Speaker 3: And I'm worried about doing it for her nail trimmings.

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Speaker 3: I mean, can that be bad for her? Or should

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Speaker 3: I just let them grow until they're so long that

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Speaker 3: we can't stand it and then do it. I just

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Speaker 3: don't know what to do. If you could help, that

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Speaker 3: would be great. Thank you so much, and thank you

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Speaker 3: for what you do.

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Speaker 2: Another great question. This owner is using the word tranquilize.

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Speaker 2: I think what she is intending to say as the

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Speaker 2: veterinarian wants to give some oral sedation prior to her

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Speaker 2: dog's VET visits.

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Speaker 1: There are some dogs.

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Speaker 2: Out there that are extremely fractious, and we do have

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Speaker 2: to give them injectable sedation at the vet hospital. But

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Speaker 2: I think more commonly, and I think what she's saying is, hey,

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Speaker 2: I have to give my dogs oral medication prior to

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Speaker 2: every vet visit. And I understand, especially not knowing, like

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Speaker 2: is that safe for my dog? I just want to

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Speaker 2: get a nail trim on her? Do I really need

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Speaker 2: to give her these medications? And I understand where owners

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Speaker 2: are coming from. With that being on the other side

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Speaker 2: of the coin, I would say it is very safe

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Speaker 2: and helps us times a million get our job done.

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Speaker 1: Oh yeah, And I honestly feel awful seeing a pet

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Speaker 1: come into the clinic who is terrified scared, you know,

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Speaker 1: and the way that dogs and are stressed, they can

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Speaker 1: manifest that in different ways. Some cats are going to

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Speaker 1: rip our face off. Other pets are hiding in the corner,

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Speaker 1: and in either of those scenarios, that's not an enjoyable

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Speaker 1: visit for them exactly and us and we use it

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Speaker 1: very very commonly now, the oral sedatives just to take

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Speaker 1: the edge off. It's not going to knock them on

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Speaker 1: their butt, but it will help us get done what

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Speaker 1: we need to get done. It's super safe, and yeah,

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Speaker 1: I feel like I try to tell owners just because

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Speaker 1: I'm recommending this to you does not mean, you have

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Speaker 1: a bad pet, exactly, it's just to take their edge off.

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Speaker 1: And quite frankly, when I go to the dentist, I'm like,

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Speaker 1: can I have like happy gas or laughing gas? I

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Speaker 1: want a good experience. So I just think of it

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Speaker 1: kind of in that way.

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Speaker 2: I totally agree, and I think there's been a huge

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Speaker 2: shift in our field. I started working in vet med

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Speaker 2: in a vet hospital. I was fifteen, which was almost

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Speaker 2: twenty years ago. Wait was that twenty years ago? Twenty

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Speaker 2: my very yeah, wow, oh my gosh, I'm getting old.

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Speaker 2: And I realized, you know, back then, we didn't use

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Speaker 2: medications to help take the edge off prior to pets

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Speaker 2: coming in, and so it was a lot of physical

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Speaker 2: getting physical with them and having to like hold them

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Speaker 2: down and have like a big guy sit on top

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Speaker 2: of them so that we could get done what we

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Speaker 2: needed to get done. And the days of doing.

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Speaker 1: That are over.

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Speaker 2: We're really in the majority of modern animal hospitals are

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Speaker 2: not using that kind of restraint anymore. We're really taking

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Speaker 2: into consideration like our pets fear levels and stress levels

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Speaker 2: and trying to mitigate those. And so if I have

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Speaker 2: to give my pet a little something to take the

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Speaker 2: edge off, and that means that they don't have a

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Speaker 2: horrible traumatizing experience at the vet.

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Speaker 1: I'm okay with that absolutely. I give it to my

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Speaker 1: own dog, And it's also something to bring up to

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Speaker 1: your veterinarian if your dog gets anxious at the groomers

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Speaker 1: or for travel perpose, we can use these oral sedatives

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Speaker 1: for all those instances. And yeah, I think if a

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Speaker 1: dog comes in and we are body slamming them to

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Speaker 1: the ground to get their nail trim done, the next

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Speaker 1: visit is not going to be pleasant. It's going to

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Speaker 1: be even worse. So we just got to set them

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Speaker 1: up for success.

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Speaker 2: And then just to reiterate, the safety profile on these

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Speaker 2: medications is huge. I mean, these medications are so safe,

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Speaker 2: They're tried and true, they're used in human medicine all

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Speaker 2: the time. I can honestly say, I don't think I've

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Speaker 2: ever seen an adverse reaction to them. So I understand, like,

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Speaker 2: oh gosh, I'll have to give them multiple times, you know,

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Speaker 2: for multiple visits.

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Speaker 1: But there is no, no, nothing wrong with that. Yeah no,

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Speaker 1: I do it for monkey. Yeah me too. I do

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Speaker 1: it for my dogs when it's thunderstorming outside and they

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Speaker 1: are so much happier. Assuming Bigie needs something, then he

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Speaker 1: goes to the vent. Yes, big he needs the whole

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Speaker 1: shit inject the whole shabang. He is a bad boy.

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Speaker 1: All right. Well, those are great questions.

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Speaker 2: When we come back, we are going to dive into

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Speaker 2: our main topic of the day, which is allergies. A

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Speaker 2: lot of you have been asking about it, and so

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Speaker 2: this is a huge topic in veterinary medicine and something

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Speaker 2: that really requires a sit down conversation like this. So

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Speaker 2: we'll be right back and we'll dive into it.

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Speaker 1: Awesome.

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Speaker 2: All right, you guys have asked and we have heard.

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Speaker 2: We are going to do the whole shabbang allergy talk.

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Speaker 2: And I posted on my Instagram that I was really

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Speaker 2: dreading this episode because the allergy talk is so.

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Speaker 1: I don't know what the right word is.

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Speaker 2: It can just be complex and it can be really

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Speaker 2: frustrating for owners. And I said I might need to

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Speaker 2: bring a bottle of wine to this episode, and I have,

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Speaker 2: in fact brought a bottle of wine. So without further

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Speaker 2: a deal, we're just gonna pop this for this talk.

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Speaker 2: I'm trying to pop it.

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Speaker 1: Woo. All right, let's get a crack in I wish

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Speaker 1: we could have this in our exam room.

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Speaker 2: I know, right, what if we brought a bottle of

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Speaker 2: wine into the exam room. I feel like owners would

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Speaker 2: love it.

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Speaker 1: Oh yeah, oh yeah, definitely.

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Speaker 2: Okay, So here, Morgan, would you like to drink out

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Speaker 2: of the bottle?

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Speaker 1: Okay.

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Speaker 2: So when I sit down with an owner, and Isabelle

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Speaker 2: and I were talking about this, when you have a

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Speaker 2: pet come in and you're like, this pet has allergies,

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Speaker 2: it usually looks like you say.

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Speaker 1: Because you brought up a really good point. The pet

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Speaker 1: that comes in with multiple ear infections, Oh oh yeah.

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Speaker 1: This is like the classic established care new client, new patient.

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Speaker 1: They're coming in for a second opinion on there were

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Speaker 1: current ear infections, and they've been giving drops yep all

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Speaker 1: the time to no avail, And now they're coming in

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Speaker 1: to figure out why I keep having to do this

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Speaker 1: over and over again.

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Speaker 2: And when I sit down with them, I say, I

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Speaker 2: think your pet has allergies. I think that's the underlying

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Speaker 2: issue here. And I just want you to know as

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Speaker 2: an owner, this sucks. This is far and away the

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Speaker 2: worst thing to work up. It takes time. There is

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Speaker 2: no easy fix. We can't just slap a band aid

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Speaker 2: on it. We're going to have to do some trial

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Speaker 2: and error, so like just you know, buckle up because

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Speaker 2: we're kind of in for the long haul.

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Speaker 1: Yeah, And oftentimes when we see these people for that

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Speaker 1: first appointment, can't we don't even have the time to

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Speaker 1: go into the full detail that we will on this episode.

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Speaker 1: So we have to focus on treating their secondary infections

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Speaker 1: that they come in for first, and then ultimately rechecking

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Speaker 1: the skin and the ear infections are going to be

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Speaker 1: so so so important because then we can get them

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Speaker 1: back to ground zero and transition to like addressing their

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Speaker 1: underlying cause exactly.

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Speaker 2: And that brings me to a great point, which I

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Speaker 2: think the first thing is what do allergies? And also

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Speaker 2: I just want to say I'm really sorry for all

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Speaker 2: our cat owners out there. This is primarily for dogs

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Speaker 2: out meat can't touch a little bit. Cats do suffer

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Speaker 2: from allergies, but I'd say dogs tend to be our

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Speaker 2: most common offender. We can well bring up cats as needed. Definitely,

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Speaker 2: the big thing for me is how do they How

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Speaker 2: are we typically seeing allergies present in our pets? And

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Speaker 2: I think for us it's sort of unusual because when

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Speaker 2: we have allergies. We have a sniffy nose, we have

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Speaker 2: runny eyes, we might have a claw or a sneeze,

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Speaker 2: And that's not typically the way that it can but

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Speaker 2: not typically the way the allergies present in our pets.

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Speaker 1: Right more more commonly, I mean most of the time

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Speaker 1: we don't even notice until we see the secondary infections

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Speaker 1: or they smell like yeast and they're scratching. But predominantly

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Speaker 1: we're going to see chewing and looking at the paws,

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Speaker 1: which super itchy. That is like slam dunk allergies. My

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Speaker 1: own dog, when I come home and our foot is soaked,

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Speaker 1: I'm like, I know, you've had your foot in your

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Speaker 1: mouth all day, chewing it like a corn cobs, chewing

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Speaker 1: it like a corn cob, licking their feet, scratching their ears,

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Speaker 1: scratching their armpits, scratching everywhere. I feel like those are

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Speaker 1: the most common ear infections or current ear infections. And

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Speaker 1: one other weird one is recurrent anal gland issues. Yes,

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Speaker 1: I feel like we don't focus on that as much,

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Speaker 1: but a lot of dogs with underlying allergies will need

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Speaker 1: their anal glands addressed more often than more often ones

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Speaker 1: that don't.

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Speaker 2: I agree with that, and then from there, once we've

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Speaker 2: kind of established okay, this pet has the signs of allergies,

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Speaker 2: the next the next question is, well, what is causing

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Speaker 2: allergies in our pets? And there's really three big things

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Speaker 2: that cause allergies in our pets. Number one is fleas,

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Speaker 2: number two is something in their food, and number three

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Speaker 2: is something in the environment. Environment can be anything from

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Speaker 2: like something seasonal like grasses, trees, pollens, to something that's

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Speaker 2: there all year round like dust, mites, mold spores and

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Speaker 2: those kinds of things.

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Speaker 1: Yeah, and I think that's a good point to bring

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Speaker 1: in our cat population because a lot of cats are

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Speaker 1: indoor only, they can still have environmental allergies to things

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Speaker 1: that are going on in the house.

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Speaker 2: Absolutely, or even like if it is high grass season

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Speaker 2: and trees and pollens. We're bringing that in on our

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Speaker 2: clothes and our shoes, and so it definitely can affect

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Speaker 2: our kitties as well, for sure. And we see a

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Speaker 2: lot of kiddies get fleas, Yes, I feel like they

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Speaker 2: get fleas more often than our dogs do. Yes, And

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Speaker 2: they absolutely have food allergies. So this applies to cats

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Speaker 2: for sure, definitely. So we know as muginarians. Okay, your

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Speaker 2: pet comes in, it's itching. It's one of these three things.

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Speaker 2: Where do we start with trying to figure out what

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Speaker 2: the underlying issue is? And this is where it gets

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Speaker 2: a little bit more complicated. The first thing is we

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Speaker 2: do a really good physical exam and we take a

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Speaker 2: really good history from the owner. And it's quite doing

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Speaker 2: a physical to rule in or out fleas. Right, if

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Speaker 2: you don't have fleas on yet, you probably don't have

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Speaker 2: the flea issue right.

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Speaker 1: Less likely for sure. I do really really focus on

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Speaker 1: their history with these pets, and if they are not

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Speaker 1: on flee in tick prevention, I tell those owners like, theoretically,

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Speaker 1: even if we don't see a flee today, it's still possible.

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Speaker 1: So we can't rule out flea allergy in pets who

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Speaker 1: are on prevention. I agree with that.

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Speaker 2: And they can get bit by a flea and then

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Speaker 2: have this long lasting allergic reaction just from one flea bite.

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Speaker 1: Yes, And what people don't realize is that dogs and

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Speaker 1: cats are actually allergic to the saliva from the flea.

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Speaker 1: So a flea can jump on the pet, leave some

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Speaker 1: saliba kiss ye, leave some saliva behind, jump off. We

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Speaker 1: see no fleas but they're presenting for a flea allergy.

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Speaker 2: I agree it can be obscure because if they're not

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Speaker 2: on prevention and we don't see fleas on them, then

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Speaker 2: we just have to treat them as though maybe this

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Speaker 2: is a allergy.

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Speaker 1: But it also could not be right. And I tell

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Speaker 1: owners like, honestly, you we don't want like our fleas

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Speaker 1: in our environment, but a diagnosis of a flea allergy

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Speaker 1: is kind of a good thing. Slam dunk. Yeah, we

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Speaker 1: can treat them. We can. Hopefully this is a one off,

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Speaker 1: and it's significantly less expensive than going down a diagnostic

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Speaker 1: rabbit hole. I agree with that for the other causes.

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Speaker 2: Sadly though, I feel like that is one out of

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Speaker 2: every ten allergy cases, maybe even less than that.

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Speaker 1: We see, Yeah, and our pets coming into the hospital,

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Speaker 1: I agree those pets do present with a very specific

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Speaker 1: physical exam. Though, yes, I'm sure we probably learned the

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Speaker 1: same way invet school that these pets are itchy, they

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Speaker 1: have scabs, they can have live fleas predominantly in what

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Speaker 1: we call the pants region. Yes, did you learn it

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Speaker 1: less where they would put their pull their jeans up. Yep,

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Speaker 1: So imagine a dog wearing pants or cat and basically

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Speaker 1: near their butt based of their tails. The tail, Yes,

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Speaker 1: that is where we predominantly see the symptoms. So if

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Speaker 1: a dog comes in, even if they don't have fleas,

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Speaker 1: but they're not on prevention and their pants region is angry,

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Speaker 1: then I'm like, Okay, this is probably flee we got

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Speaker 1: a problem.

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Speaker 2: We're like Sherlock Holmes, Yes, so that that kind of

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Speaker 2: explains fleas. And like I said, that's I don't do

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Speaker 2: you think one out of ten? Do you think I'm

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Speaker 2: over guestimating that over?

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Speaker 1: I think it's more common than we think it is,

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Speaker 1: especially because like again cats specifically, yeah, and cats, we

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Speaker 1: have a lot of people who live in apartments. Your

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Speaker 1: cat could be indoor only they go outside, but the

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Speaker 1: dog in the apartment next door could have fleas and

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Speaker 1: they can get that just from living in the apartment.

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Speaker 1: So we don't talk about this as much, but keeping

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Speaker 1: even cats on flea intent prevention year round is gold standard.

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Speaker 1: I agree.

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Speaker 2: So if we do the exam, we don't, you know,

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Speaker 2: and take a history and we don't think that fleas

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Speaker 2: are involved, the next place that we start is thinking

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Speaker 2: about a food allergy ninety nine point nine nine nine

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Speaker 2: nine nine percent of the time. If a pet is

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Speaker 2: allergic to something in their food, it's going to be

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Speaker 2: the protein. Two of the really big things that I

428
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Speaker 2: hear owners say that don't really apply to a food

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Speaker 2: allergy are number one, Fluffy's been eating the same food

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Speaker 2: for years and years and years, so it couldn't possibly

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Speaker 2: be a food allergy. Into that, I say, sadly, that's

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Speaker 2: not true. They can develop a food allergy really at

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Speaker 2: any point in their life. It's kind of like my

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Speaker 2: twenty five year old cousin who never had an allergy

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Speaker 2: and then woke up one day and Ada Carrott and

436
00:22:43,320 --> 00:22:47,040
Speaker 2: her lips blew up. The humans also develop allergies later

437
00:22:47,040 --> 00:22:50,320
Speaker 2: in life, definitely. And then number two, the other one

438
00:22:50,640 --> 00:22:53,760
Speaker 2: is well, I've tried switching up the food multiple times

439
00:22:53,760 --> 00:22:55,720
Speaker 2: and I haven't seen any improvement, So I don't think

440
00:22:55,720 --> 00:22:57,919
Speaker 2: it's a food allergy. Both of those things I hear them,

441
00:22:58,000 --> 00:23:01,280
Speaker 2: and well, it's great to know. They doesn't really sway

442
00:23:01,280 --> 00:23:02,040
Speaker 2: me one way or another.

443
00:23:02,160 --> 00:23:05,120
Speaker 1: Definitely agreed if it's a food, they have the right

444
00:23:05,160 --> 00:23:08,560
Speaker 1: thought process do, but they just need a little little

445
00:23:08,600 --> 00:23:09,800
Speaker 1: extra help exactly.

446
00:23:11,040 --> 00:23:15,280
Speaker 2: And so what we tell owners is could this be environmental? Yes,

447
00:23:15,400 --> 00:23:17,879
Speaker 2: could this be food? Yes, we don't really know until

448
00:23:17,920 --> 00:23:20,840
Speaker 2: we do additional testing. And so the first place to

449
00:23:20,880 --> 00:23:24,720
Speaker 2: start is to rule out or potentially rule in a

450
00:23:24,760 --> 00:23:27,280
Speaker 2: food allergy. And the only way to do that is

451
00:23:27,359 --> 00:23:28,639
Speaker 2: by doing a diet trial.

452
00:23:29,000 --> 00:23:34,280
Speaker 1: Yes, and diet trials are not fun. They're not They're

453
00:23:34,400 --> 00:23:36,919
Speaker 1: definitely harder on the owner than the pet. I agree

454
00:23:36,920 --> 00:23:40,639
Speaker 1: with that, But environmental allergies, unless you're going to the

455
00:23:40,720 --> 00:23:45,640
Speaker 1: veterinary dermatologist and getting testing, it's a diagnosis of exclusion,

456
00:23:45,840 --> 00:23:48,720
Speaker 1: which means we have to rule out every other possible

457
00:23:48,760 --> 00:23:51,719
Speaker 1: cause before just being confident and saying your dog has

458
00:23:51,800 --> 00:23:56,000
Speaker 1: environmental allergies exactly. And again, wouldn't it be nice if

459
00:23:56,040 --> 00:23:58,199
Speaker 1: it was as easy as switching up the food and

460
00:23:58,240 --> 00:24:00,159
Speaker 1: putting them on a different diet and you don't have

461
00:24:00,160 --> 00:24:04,439
Speaker 1: to worry about their allergies over again exactly? So the

462
00:24:04,480 --> 00:24:09,280
Speaker 1: diet trial is very strict. We have to feed them

463
00:24:09,280 --> 00:24:12,000
Speaker 1: a very specific type of food. There's kind of two

464
00:24:12,080 --> 00:24:17,000
Speaker 1: different options. What I most commonly recommend is a diet

465
00:24:17,520 --> 00:24:21,200
Speaker 1: called a hydrolyzed protein diet. That is where the protein's

466
00:24:21,240 --> 00:24:23,760
Speaker 1: broken down super small so the body should not react

467
00:24:23,840 --> 00:24:27,000
Speaker 1: to it as foreign and they have to be on

468
00:24:27,160 --> 00:24:30,400
Speaker 1: a strict hydrolyzed protein diet, which you could talk about

469
00:24:30,440 --> 00:24:34,440
Speaker 1: the other option, for a minimum of eight to twelve weeks.

470
00:24:35,240 --> 00:24:38,280
Speaker 1: No other food should go in that dog's mouth.

471
00:24:38,520 --> 00:24:41,760
Speaker 2: Nothing flavored at all. None, no treats, no bones, no

472
00:24:41,840 --> 00:24:45,440
Speaker 2: flavored medications. And this is why doctor Isabella says, Hey,

473
00:24:45,480 --> 00:24:48,040
Speaker 2: this is really hard because you have to get everyone

474
00:24:48,040 --> 00:24:50,360
Speaker 2: in your family on board. If you have a toddler

475
00:24:50,440 --> 00:24:53,280
Speaker 2: throwing things over the high chair, that can ruin the

476
00:24:53,320 --> 00:24:55,359
Speaker 2: diet trial and your back at square one starting all

477
00:24:55,400 --> 00:24:55,879
Speaker 2: over again.

478
00:24:55,960 --> 00:24:58,720
Speaker 1: Yes, and this is exactly what we do for cats

479
00:24:58,760 --> 00:25:01,440
Speaker 1: to for everyone who has cats. Yes, we do diet

480
00:25:01,480 --> 00:25:03,560
Speaker 1: trials for cats. Sac same and you said it's for

481
00:25:03,600 --> 00:25:07,960
Speaker 1: eight full weeks. Eight full weeks, and then by that

482
00:25:08,080 --> 00:25:11,000
Speaker 1: point we kind of go in one of two directions.

483
00:25:11,200 --> 00:25:16,119
Speaker 1: If their symptoms have resolved, then we can do what

484
00:25:16,160 --> 00:25:22,000
Speaker 1: we call challenges, where we reintroduce certain ingredients or foods

485
00:25:22,080 --> 00:25:25,160
Speaker 1: back into their diet, and if they are itchy again

486
00:25:25,280 --> 00:25:28,040
Speaker 1: within a week or two, then we know, okay, we

487
00:25:28,040 --> 00:25:30,280
Speaker 1: can't be feeding them that, and we just kind of

488
00:25:30,320 --> 00:25:32,040
Speaker 1: do a trial and error until we get to the

489
00:25:32,119 --> 00:25:35,280
Speaker 1: right I really want to emphasize too that the food

490
00:25:35,359 --> 00:25:39,520
Speaker 1: that we are using in diet trials are prescription based.

491
00:25:40,040 --> 00:25:43,080
Speaker 2: There are other food brands out there that will label

492
00:25:43,080 --> 00:25:48,800
Speaker 2: foods hypoallergenic, but they're not truly that hydrolyzed, very very

493
00:25:48,800 --> 00:25:52,720
Speaker 2: small protein based veterinary food that really can only be

494
00:25:52,800 --> 00:25:53,800
Speaker 2: used in a diet trial.

495
00:25:53,920 --> 00:25:56,800
Speaker 1: So that's a really a big thing.

496
00:25:57,000 --> 00:25:59,760
Speaker 2: And four weeks into the diet trial, I tell my owners,

497
00:25:59,800 --> 00:26:02,560
Speaker 2: you not be seeing any improvement at all. There's still

498
00:26:03,160 --> 00:26:05,760
Speaker 2: there's still some leftover protein from the food they were

499
00:26:05,800 --> 00:26:10,600
Speaker 2: eating before that may be causing that residual allergy flare up.

500
00:26:10,600 --> 00:26:12,480
Speaker 2: And so you really can't deem whether or not it's

501
00:26:12,520 --> 00:26:14,200
Speaker 2: working until you hit week eight.

502
00:26:14,600 --> 00:26:17,440
Speaker 1: Definitely, they have to be in it for the long run,

503
00:26:17,480 --> 00:26:20,119
Speaker 1: and I'm like, let's just like put our all into

504
00:26:20,160 --> 00:26:23,800
Speaker 1: this for two months, and then after that, let's say

505
00:26:23,840 --> 00:26:26,880
Speaker 1: they're itching, just continues, then we know, okay, you can

506
00:26:26,880 --> 00:26:30,160
Speaker 1: eat whatever he want, it's probably not the food, right,

507
00:26:30,880 --> 00:26:32,120
Speaker 1: And then you brought up challenging.

508
00:26:32,200 --> 00:26:34,639
Speaker 2: I am sort of of the mindset where I feel

509
00:26:34,680 --> 00:26:36,560
Speaker 2: like I think owners are like, oh my gosh, I

510
00:26:36,560 --> 00:26:39,520
Speaker 2: don't want to just feed them this hydrolyzed protein food.

511
00:26:39,600 --> 00:26:42,359
Speaker 2: But if it was my dog, I would just keep them.

512
00:26:42,440 --> 00:26:45,199
Speaker 2: I usually say, just keep them on the hydrolyzed protein

513
00:26:45,240 --> 00:26:49,000
Speaker 2: food because a it's healthy, it's well balanced, They're going

514
00:26:49,040 --> 00:26:51,280
Speaker 2: to do great for the entirety of their lives on it.

515
00:26:52,320 --> 00:26:55,040
Speaker 2: And if you want to like start adding maybe a

516
00:26:55,200 --> 00:26:57,280
Speaker 2: treat in. But as far as like changing up their

517
00:26:57,320 --> 00:26:59,800
Speaker 2: diet and going back to something over the counter, that

518
00:26:59,800 --> 00:27:01,440
Speaker 2: will makes me very taken a risk.

519
00:27:02,200 --> 00:27:06,000
Speaker 1: My personal my dog Monkey is on a hydrolyzed protein diet.

520
00:27:06,160 --> 00:27:08,920
Speaker 1: She's been on it since she was like a year

521
00:27:08,920 --> 00:27:13,480
Speaker 1: old and now she's four. She loves it, so yeah,

522
00:27:13,520 --> 00:27:16,480
Speaker 1: I've kept her on that long term. It is prescription,

523
00:27:16,680 --> 00:27:19,000
Speaker 1: so it's going to be a little bit more pricey.

524
00:27:19,400 --> 00:27:21,720
Speaker 1: So if I have owners who are, you know, trying

525
00:27:21,720 --> 00:27:25,359
Speaker 1: to be a little bit more financially conscious, then we

526
00:27:25,400 --> 00:27:29,800
Speaker 1: can talk about other options. But even for example, the

527
00:27:29,880 --> 00:27:32,320
Speaker 1: sensitive skin and stomach diets that are over the counter,

528
00:27:33,280 --> 00:27:38,760
Speaker 1: those can be contaminated in the factory, so with other proteins,

529
00:27:38,760 --> 00:27:43,919
Speaker 1: with yes, with other producterior or anything. So we cannot

530
00:27:45,160 --> 00:27:47,680
Speaker 1: assume since our dog's been on a sensitive skin and

531
00:27:47,680 --> 00:27:52,400
Speaker 1: stomach diet and nothing's helping, we can't assume that right.

532
00:27:52,880 --> 00:27:54,520
Speaker 1: The other thing, too, is if you think about it.

533
00:27:54,560 --> 00:27:57,720
Speaker 2: If yes, prescription food is going to be a little

534
00:27:57,720 --> 00:27:59,680
Speaker 2: bit more than your regular run of the mill food,

535
00:28:00,240 --> 00:28:02,800
Speaker 2: but if they respond really well to it, ultimately you're

536
00:28:02,920 --> 00:28:04,879
Speaker 2: probably going to save money because you're going into the

537
00:28:04,960 --> 00:28:07,920
Speaker 2: vet less to or check ups and skin rashes and

538
00:28:07,960 --> 00:28:13,679
Speaker 2: infections and ear infections. So that's one one factor. So

539
00:28:14,720 --> 00:28:17,040
Speaker 2: if we do the diet trial, or even if we

540
00:28:17,040 --> 00:28:18,840
Speaker 2: don't do the diet trial, we'll say, then the other

541
00:28:19,240 --> 00:28:22,680
Speaker 2: thought that we have is it could be environmental and

542
00:28:22,800 --> 00:28:26,879
Speaker 2: like doctor Isabella said, that primarily is a diagnosis of

543
00:28:26,960 --> 00:28:29,760
Speaker 2: exclusion ideally gold standard. We would love to do the

544
00:28:29,800 --> 00:28:33,000
Speaker 2: eight week diet trial. Your pet is still itching, then

545
00:28:33,040 --> 00:28:35,359
Speaker 2: we say, okay, we've ruled out fleas, we've ruled out

546
00:28:35,359 --> 00:28:39,920
Speaker 2: a food allergy. It probably has environmental allergies. And that can,

547
00:28:40,320 --> 00:28:42,320
Speaker 2: like I said, manifest in a lot of different ways.

548
00:28:42,320 --> 00:28:44,480
Speaker 2: It can be all year round. If they're allergic to

549
00:28:44,520 --> 00:28:47,280
Speaker 2: something like dust mites, it can be really bad in

550
00:28:47,320 --> 00:28:53,000
Speaker 2: the spring and fall when it's hey season. So it's

551
00:28:53,000 --> 00:28:55,280
Speaker 2: not like a one size fits all by any means. Oh,

552
00:28:55,480 --> 00:28:56,120
Speaker 2: definitely not.

553
00:28:57,360 --> 00:29:01,560
Speaker 1: And there is a way to definitively diagnose environmental allergies. Yes,

554
00:29:02,040 --> 00:29:06,240
Speaker 1: and that requires consultation with a veterinary dermatologist.

555
00:29:06,320 --> 00:29:08,720
Speaker 2: Yes, if we're going gold standard, we refer you to

556
00:29:08,760 --> 00:29:12,720
Speaker 2: the dermatologists and they do intradermal testing where they take

557
00:29:13,520 --> 00:29:16,160
Speaker 2: these tiny little needles and they poke the dogs with

558
00:29:16,240 --> 00:29:18,760
Speaker 2: all the different allergens, just like they do in humans

559
00:29:19,120 --> 00:29:21,560
Speaker 2: and see how they react, and depending on what they

560
00:29:21,600 --> 00:29:26,360
Speaker 2: react to, they will formulate allergy injections like a protocol,

561
00:29:26,400 --> 00:29:28,640
Speaker 2: and they also have drops that go underneath the tongue

562
00:29:29,640 --> 00:29:35,600
Speaker 2: and from there we help them lessen their allergies with

563
00:29:35,760 --> 00:29:38,800
Speaker 2: these these special formulations based on what they're allergic to.

564
00:29:39,000 --> 00:29:42,040
Speaker 1: Yeah, it's truly just like if you were to go

565
00:29:42,120 --> 00:29:44,800
Speaker 1: to the allergy doctor and they were to formulate an

566
00:29:44,840 --> 00:29:50,520
Speaker 1: allergy shop for you. Yeah, identical. But that's a big commitment.

567
00:29:50,880 --> 00:29:54,440
Speaker 2: H It's not inexpensive you're looking at It depends on

568
00:29:54,440 --> 00:29:58,120
Speaker 2: where you live, but probably thousands of dollars, right, I see, Like,

569
00:29:58,320 --> 00:30:01,400
Speaker 2: I don't know three thousand dollars, but you can probably

570
00:30:01,800 --> 00:30:03,520
Speaker 2: around there also we need to ask.

571
00:30:03,640 --> 00:30:08,600
Speaker 1: But yeah, yeah, so it's a big commitment, and you're

572
00:30:08,640 --> 00:30:11,520
Speaker 1: also going to have to do multiple rechecks with the

573
00:30:11,560 --> 00:30:13,280
Speaker 1: dermatologists throughout the process.

574
00:30:13,640 --> 00:30:15,680
Speaker 2: We're not saying that's wrong, Like, if you want to

575
00:30:15,720 --> 00:30:17,560
Speaker 2: get to the bottom of it, I love that, Like

576
00:30:17,680 --> 00:30:20,680
Speaker 2: we support you, Yeah, definitely, but just understanding that it's

577
00:30:20,720 --> 00:30:22,840
Speaker 2: not going to be the most inexpensive route.

578
00:30:22,920 --> 00:30:26,120
Speaker 1: And if you can't do that or don't want to

579
00:30:26,360 --> 00:30:30,080
Speaker 1: for whatever reason, like we've got other options, So you

580
00:30:30,120 --> 00:30:32,560
Speaker 1: should feel bad for not being able to take your

581
00:30:32,560 --> 00:30:34,520
Speaker 1: dog to the dermatologists. I agree with that.

582
00:30:34,920 --> 00:30:38,400
Speaker 2: I'd say the majority of owners don't. Oh yeah dermatologists, No,

583
00:30:38,520 --> 00:30:41,520
Speaker 2: not unless it's very severe. But I agree just like

584
00:30:41,960 --> 00:30:45,440
Speaker 2: regular run of the mill seasonal allergies, No, they're not

585
00:30:45,520 --> 00:30:48,160
Speaker 2: doing that. I agree with that. So that really brings

586
00:30:48,240 --> 00:30:49,920
Speaker 2: us to it. I feel like then we end up

587
00:30:49,960 --> 00:30:52,440
Speaker 2: with a set of clients that fall into a bucket

588
00:30:52,480 --> 00:30:56,400
Speaker 2: of Okay, my family can't possibly do a food trial.

589
00:30:56,480 --> 00:31:00,280
Speaker 2: I've got seven kids, We're going to fail it. It's

590
00:31:00,320 --> 00:31:01,680
Speaker 2: going to be a waste of my money to do

591
00:31:01,720 --> 00:31:03,920
Speaker 2: a diet trial, or I just simply don't want to

592
00:31:03,960 --> 00:31:04,239
Speaker 2: do that.

593
00:31:04,720 --> 00:31:06,400
Speaker 1: And then we've also got the bucket.

594
00:31:06,080 --> 00:31:09,960
Speaker 2: Of my pet we are pretty sure has environmental allergies,

595
00:31:10,000 --> 00:31:11,880
Speaker 2: but I, for whatever reason, don't want to go to

596
00:31:11,880 --> 00:31:14,880
Speaker 2: the dermatologist. And then that leaves us with Okay, we

597
00:31:14,960 --> 00:31:17,720
Speaker 2: know your pet has allergies. We're not entirely sure which

598
00:31:17,840 --> 00:31:21,440
Speaker 2: kind of allergy, but we're going to we have options

599
00:31:21,480 --> 00:31:23,800
Speaker 2: as far as treating it and keeping them comfortable.

600
00:31:23,480 --> 00:31:28,520
Speaker 1: Right, And our goal from the general practitioners standpoint in

601
00:31:28,560 --> 00:31:32,960
Speaker 1: those situations is basically just to manage their symptoms so

602
00:31:33,000 --> 00:31:36,400
Speaker 1: that they don't end up with those secondary ear infections,

603
00:31:36,440 --> 00:31:39,120
Speaker 1: skin infections, anal gland issues exactly.

604
00:31:39,160 --> 00:31:42,720
Speaker 2: And I think that's like the big takeaway point for

605
00:31:42,840 --> 00:31:47,360
Speaker 2: me as a general practitioner is I know your pet

606
00:31:47,400 --> 00:31:50,360
Speaker 2: has allergies, but we are not treating the underlying cause.

607
00:31:50,400 --> 00:31:52,080
Speaker 2: If we haven't done a diet trial, we haven't done

608
00:31:52,080 --> 00:31:56,680
Speaker 2: the intradermal testing. We are simply keeping your pet's itchiness

609
00:31:56,720 --> 00:31:59,760
Speaker 2: at bay, trying our best to prevent those infections. But

610
00:31:59,800 --> 00:32:03,520
Speaker 2: they will be times when those infections break through, and

611
00:32:03,560 --> 00:32:05,600
Speaker 2: there are going to be times when hey, you couldn't

612
00:32:05,600 --> 00:32:08,360
Speaker 2: get here on time for it's side A point, which

613
00:32:08,400 --> 00:32:10,320
Speaker 2: we'll talk about it's side A point injection. And so

614
00:32:10,520 --> 00:32:14,000
Speaker 2: it's going to be a constant battle of doing our

615
00:32:14,040 --> 00:32:16,520
Speaker 2: best to manage the symptoms. It's not going to be

616
00:32:16,600 --> 00:32:20,040
Speaker 2: a cure though, right exactly. I wish it was.

617
00:32:20,200 --> 00:32:22,720
Speaker 1: Yeah, me too. I mean, it's kind of like with people.

618
00:32:23,200 --> 00:32:26,000
Speaker 1: A lot of times we don't figure out exactly what

619
00:32:26,000 --> 00:32:28,640
Speaker 1: we're allergic to. I don't know what I'm allergic to outside,

620
00:32:28,640 --> 00:32:31,280
Speaker 1: but it's something, yeah, and I take an antihistamine. Yeah,

621
00:32:31,320 --> 00:32:34,160
Speaker 1: exactly basically what we're doing with the pets. I agree.

622
00:32:34,400 --> 00:32:36,400
Speaker 2: So first things first, we treat if your pet comes

623
00:32:36,440 --> 00:32:40,320
Speaker 2: to us and looking like it's having an allergic flare up,

624
00:32:40,360 --> 00:32:42,880
Speaker 2: we treat the underlying infection. Like doctor Isabella said, We're

625
00:32:42,880 --> 00:32:44,840
Speaker 2: going to treat that your infection. We're going to treat

626
00:32:44,840 --> 00:32:46,680
Speaker 2: that skin rash. A lot of times, that's going to

627
00:32:46,720 --> 00:32:51,360
Speaker 2: include an antibiotic and potentially like something that treats east

628
00:32:51,760 --> 00:32:54,800
Speaker 2: whether that is like a shampoo or a moose or

629
00:32:54,840 --> 00:32:57,680
Speaker 2: an oral medication. We're going to really target whatever is

630
00:32:58,800 --> 00:33:00,360
Speaker 2: causing the infection on your pets skin.

631
00:33:00,680 --> 00:33:03,880
Speaker 1: Yes, so yeah, that's what we want to do first

632
00:33:03,920 --> 00:33:09,160
Speaker 1: and foremost, but ultimately and depending on how severe their

633
00:33:09,200 --> 00:33:12,719
Speaker 1: problems are when they come in, we are not going

634
00:33:12,800 --> 00:33:17,640
Speaker 1: to get rid of these secondary infections without treating an

635
00:33:17,680 --> 00:33:22,320
Speaker 1: underlying itch exactly because it's when they itch themselves, lick

636
00:33:22,400 --> 00:33:25,960
Speaker 1: themselves to themselves raw that they get those secondary bacterial

637
00:33:26,200 --> 00:33:27,440
Speaker 1: or yeast infections.

638
00:33:27,520 --> 00:33:30,240
Speaker 2: So I think that's a really good point to make,

639
00:33:30,400 --> 00:33:33,200
Speaker 2: is I think people are always like, well, why is

640
00:33:33,240 --> 00:33:35,280
Speaker 2: my dog my dog has allergies? Why is it getting

641
00:33:35,280 --> 00:33:37,680
Speaker 2: an infection? And so much of it is because they're

642
00:33:37,760 --> 00:33:41,960
Speaker 2: so they're traumatizing their own skin, which is already angry

643
00:33:42,160 --> 00:33:45,640
Speaker 2: right that it's just making it so susceptible to bacteria

644
00:33:45,680 --> 00:33:47,840
Speaker 2: and yeast coming in and causing infections.

645
00:33:48,040 --> 00:33:50,800
Speaker 1: They hone in on that. I mean, I have a

646
00:33:50,800 --> 00:33:53,560
Speaker 1: dog who licks her paws, So I'm sure there are

647
00:33:53,600 --> 00:33:55,760
Speaker 1: pet owners out there who can agree with me that

648
00:33:55,840 --> 00:33:57,800
Speaker 1: in the middle of the night, when you're trying to

649
00:33:57,800 --> 00:34:00,400
Speaker 1: sleep in all you hear, is there anything worse that

650
00:34:00,480 --> 00:34:07,600
Speaker 1: licking sound? It is the worst. So yeah, that ultimately

651
00:34:07,760 --> 00:34:11,640
Speaker 1: their mouth is full of bacteria, and they just focus

652
00:34:11,680 --> 00:34:13,560
Speaker 1: in on one point. They get into a frenzy, and

653
00:34:13,600 --> 00:34:15,560
Speaker 1: that's when we get those infections.

654
00:34:16,960 --> 00:34:19,719
Speaker 2: Yeah, So treating that infection first and foremost, and then

655
00:34:19,960 --> 00:34:22,160
Speaker 2: from there we really have to think about interrupting that

656
00:34:22,239 --> 00:34:26,440
Speaker 2: itch cycle. And I say, we have two main medications

657
00:34:26,520 --> 00:34:29,040
Speaker 2: on the market currently. It used to be we didn't

658
00:34:29,080 --> 00:34:32,240
Speaker 2: have them really when I first came out of at school.

659
00:34:32,320 --> 00:34:34,680
Speaker 2: The first medication came out which is called apoquel. But

660
00:34:34,719 --> 00:34:37,880
Speaker 2: prior to that, everyone was using steroids. Yes, and not

661
00:34:37,920 --> 00:34:39,760
Speaker 2: to say that steroids are wrong, and in really severe

662
00:34:39,840 --> 00:34:43,520
Speaker 2: cases we do use them, but nowadays we tend to

663
00:34:43,560 --> 00:34:46,640
Speaker 2: steer a little bit away from steroids right at the

664
00:34:47,000 --> 00:34:49,520
Speaker 2: start of treatment. And so the two main options are

665
00:34:49,560 --> 00:34:55,359
Speaker 2: Apoquell and side a point. Yes, and they both are

666
00:34:55,560 --> 00:34:59,880
Speaker 2: different medications, but they both similarly try to interrupt the

667
00:35:00,120 --> 00:35:04,120
Speaker 2: itch cycle. They turn off different receptors that are associated

668
00:35:04,160 --> 00:35:06,800
Speaker 2: with itch and our pets. And I know it sounds crazy,

669
00:35:06,840 --> 00:35:08,759
Speaker 2: like just sitting here being like, how does that work?

670
00:35:08,800 --> 00:35:11,960
Speaker 2: But they are amazing and that pets can get pretty

671
00:35:12,800 --> 00:35:15,239
Speaker 2: immediate relief when starting these medications.

672
00:35:15,440 --> 00:35:19,080
Speaker 1: Yeah, and both side a point and apple quil they

673
00:35:19,160 --> 00:35:22,080
Speaker 1: have their own individual pros and cons, So we can

674
00:35:22,200 --> 00:35:25,400
Speaker 1: kind of talk about both of those. I think we

675
00:35:25,560 --> 00:35:30,640
Speaker 1: both agree that our general first line, if we're going

676
00:35:30,680 --> 00:35:32,879
Speaker 1: to recommend one of those, is going to be side

677
00:35:32,880 --> 00:35:35,760
Speaker 1: a point. Absolutely, It's what I give to my own dog.

678
00:35:36,600 --> 00:35:42,080
Speaker 1: It just has a higher long term safety profile. So

679
00:35:42,560 --> 00:35:47,120
Speaker 1: side a point is a injection that goes under the

680
00:35:47,120 --> 00:35:50,799
Speaker 1: pet skin. What Jack doctor Josie was explaining, it's a

681
00:35:51,000 --> 00:35:55,280
Speaker 1: monoclonal anti body, so it just binds to a certain

682
00:35:55,320 --> 00:36:00,600
Speaker 1: receptor that tells them they're not itchy at a point.

683
00:36:01,120 --> 00:36:04,040
Speaker 1: Is great because it's an injection that will last a

684
00:36:04,160 --> 00:36:07,839
Speaker 1: minimum of a month. For some dogs it'll last eight

685
00:36:07,840 --> 00:36:11,719
Speaker 1: to twelve weeks or longer. And then you don't have

686
00:36:11,719 --> 00:36:12,640
Speaker 1: to give anything at home.

687
00:36:12,760 --> 00:36:14,960
Speaker 2: Yes, you just have really nice anything at home, but

688
00:36:15,000 --> 00:36:16,200
Speaker 2: it is a pain in the butt because you have

689
00:36:16,200 --> 00:36:16,720
Speaker 2: to come.

690
00:36:16,560 --> 00:36:17,440
Speaker 1: Back to the clinic.

691
00:36:17,680 --> 00:36:20,000
Speaker 2: Yes, I have some pets that come every four weeks

692
00:36:20,000 --> 00:36:22,239
Speaker 2: on the DOT to get their sidle point injection, and

693
00:36:22,280 --> 00:36:24,919
Speaker 2: then like monkey, we have some that can last eight weeks,

694
00:36:24,960 --> 00:36:25,640
Speaker 2: twelve weeks yea.

695
00:36:25,920 --> 00:36:28,120
Speaker 1: And sometimes it depends on the time of year too.

696
00:36:28,760 --> 00:36:32,200
Speaker 1: If it's the sea, you know, the spring and the fall,

697
00:36:32,640 --> 00:36:34,760
Speaker 1: you might have to be bringing your dog every month

698
00:36:34,800 --> 00:36:37,000
Speaker 1: on the DOT. But in the winter maybe if they

699
00:36:37,040 --> 00:36:39,239
Speaker 1: have something to grasses and pollens, you might not have

700
00:36:39,320 --> 00:36:40,560
Speaker 1: to bring them in so frequently.

701
00:36:41,400 --> 00:36:44,240
Speaker 2: And whether it's a food allergy or an environmental allergy,

702
00:36:44,239 --> 00:36:47,160
Speaker 2: they all tend to respond very well. I find definitely

703
00:36:47,320 --> 00:36:49,919
Speaker 2: these medications decide a point specifically.

704
00:36:49,360 --> 00:36:52,239
Speaker 1: Because again we're just targeting their itch right.

705
00:36:53,440 --> 00:36:55,920
Speaker 2: Definitely puts a little bit more onus on the owner

706
00:36:56,000 --> 00:36:58,759
Speaker 2: of having to keep an eye on your pet and

707
00:36:59,160 --> 00:37:01,640
Speaker 2: be really diligent about being compliant, like, oh, okay, I

708
00:37:01,680 --> 00:37:04,560
Speaker 2: can tell that Fluffy's having a flare up or just

709
00:37:04,640 --> 00:37:06,520
Speaker 2: a little bit more itchy today, I should get them

710
00:37:06,520 --> 00:37:07,279
Speaker 2: in for a side of point.

711
00:37:07,440 --> 00:37:11,279
Speaker 1: Yes, and one of the I would. I wouldn't say

712
00:37:11,280 --> 00:37:14,120
Speaker 1: it's a downside, but in comparison to aplequoil, it does

713
00:37:14,200 --> 00:37:17,359
Speaker 1: take probably like a day I agree to kick in,

714
00:37:19,120 --> 00:37:21,960
Speaker 1: so it's not gonna give us like I'm going to

715
00:37:22,000 --> 00:37:23,600
Speaker 1: give this shot and they're gonna feel better in the

716
00:37:23,640 --> 00:37:25,880
Speaker 1: next hour, but usually by next day I feel like

717
00:37:26,000 --> 00:37:29,520
Speaker 1: usually see next day, and to me, that is worth

718
00:37:29,560 --> 00:37:33,600
Speaker 1: it for long term use and how safe it is.

719
00:37:33,840 --> 00:37:34,520
Speaker 1: I agree with that.

720
00:37:34,560 --> 00:37:36,640
Speaker 2: The other big thing that I tell owners is after

721
00:37:36,680 --> 00:37:39,560
Speaker 2: the first shot, you may see some improvement, but you

722
00:37:39,600 --> 00:37:42,120
Speaker 2: may not see the full effects. It does take a

723
00:37:42,200 --> 00:37:44,440
Speaker 2: time or two, like after a couple of them, to

724
00:37:44,520 --> 00:37:46,320
Speaker 2: really see how well your pet's going to respond.

725
00:37:46,440 --> 00:37:50,919
Speaker 1: Yes, I recently learned from a dermatologist that it has

726
00:37:50,960 --> 00:37:56,479
Speaker 1: an additive effect, so up to three doses can make

727
00:37:56,520 --> 00:37:59,279
Speaker 1: their response even better. So don't knock it on the

728
00:37:59,280 --> 00:38:02,960
Speaker 1: first try if it didn't work one hundred percent. I

729
00:38:03,000 --> 00:38:04,480
Speaker 1: agree The.

730
00:38:04,440 --> 00:38:08,680
Speaker 2: Other option is apquel and this is a medication that

731
00:38:09,040 --> 00:38:11,720
Speaker 2: targets something called a jack.

732
00:38:12,040 --> 00:38:13,160
Speaker 1: It's a jack inhibitor.

733
00:38:13,800 --> 00:38:16,480
Speaker 2: And so again just kind of interrupting that it's cycle

734
00:38:16,520 --> 00:38:20,800
Speaker 2: in a different way than sido point. It's a great option.

735
00:38:21,000 --> 00:38:24,480
Speaker 2: It is a tablet, so it is a little bit

736
00:38:24,480 --> 00:38:28,600
Speaker 2: more labor intensive for owners at home where I've always

737
00:38:28,600 --> 00:38:30,800
Speaker 2: been taught. The first two weeks you give it twice daily,

738
00:38:31,080 --> 00:38:33,040
Speaker 2: that's called the loading dose, and then from there you

739
00:38:33,120 --> 00:38:36,120
Speaker 2: can drop to once daily. Sometimes that loading dose can

740
00:38:36,160 --> 00:38:39,560
Speaker 2: be a week or two weeks, and then from there

741
00:38:39,560 --> 00:38:42,440
Speaker 2: you drop to once a day long term as maintenance,

742
00:38:42,760 --> 00:38:47,360
Speaker 2: and it is a great option. I just find long

743
00:38:47,440 --> 00:38:49,759
Speaker 2: term safety wise, I think sido point has a little

744
00:38:49,760 --> 00:38:50,799
Speaker 2: bit less side effects.

745
00:38:50,840 --> 00:38:56,759
Speaker 1: Definitely. Apoquil, as opposed to side a point is an immunosuppressant.

746
00:38:56,840 --> 00:39:01,440
Speaker 1: Correct side a point really isn't so kind of similarly

747
00:39:01,560 --> 00:39:05,759
Speaker 1: to a steroid. It can suppress the immune system a

748
00:39:05,800 --> 00:39:10,640
Speaker 1: little bit long term, it's a weird side effect, but

749
00:39:10,640 --> 00:39:14,560
Speaker 1: they can actually be more prone to secondary infections. It's

750
00:39:14,600 --> 00:39:18,120
Speaker 1: not common, no it's not, but it's still it's still possible.

751
00:39:18,120 --> 00:39:19,839
Speaker 1: So if your pet responds great to side a point,

752
00:39:20,320 --> 00:39:22,239
Speaker 1: I would stick with that. But if your pet has

753
00:39:22,280 --> 00:39:23,880
Speaker 1: to get aboquil, that's fine.

754
00:39:23,960 --> 00:39:27,799
Speaker 2: Yes, I'd rather have them take abuquel, and it would

755
00:39:27,800 --> 00:39:29,640
Speaker 2: be unlikely for them to be the one out of

756
00:39:30,120 --> 00:39:32,960
Speaker 2: hundreds that has those side effects but also has a

757
00:39:32,960 --> 00:39:36,719
Speaker 2: great quality of life because they're not itching themselves to death. Definitely,

758
00:39:37,239 --> 00:39:39,120
Speaker 2: this is not to scare you away from apoquil by

759
00:39:39,200 --> 00:39:39,800
Speaker 2: any means.

760
00:39:39,880 --> 00:39:42,799
Speaker 1: No, And at what I love about apaquil is how

761
00:39:42,880 --> 00:39:47,120
Speaker 1: quickly it works. It starts working within four hours, and

762
00:39:47,400 --> 00:39:52,200
Speaker 1: I love it just for like little bursts of like

763
00:39:52,280 --> 00:39:54,080
Speaker 1: short term treatments, like I'm going to put you on

764
00:39:54,080 --> 00:39:56,920
Speaker 1: apa quoil for two weeks while we have this infection.

765
00:39:57,680 --> 00:39:59,719
Speaker 1: Once you stop it, I'll be curious to see if

766
00:39:59,760 --> 00:40:01,080
Speaker 1: you're noticing more itchiness.

767
00:40:01,080 --> 00:40:05,040
Speaker 2: Again, we do have those patients that have acute allergic

768
00:40:05,080 --> 00:40:07,719
Speaker 2: flare ups like and they don't I wouldn't put them

769
00:40:07,760 --> 00:40:12,000
Speaker 2: in the category of having allergies where for whatever reason,

770
00:40:12,160 --> 00:40:14,400
Speaker 2: maybe they got stung by something, or they rolled in

771
00:40:14,440 --> 00:40:18,480
Speaker 2: some grasses that they don't usually go in, where just

772
00:40:18,800 --> 00:40:21,439
Speaker 2: one week out of the year of their whole life

773
00:40:21,520 --> 00:40:23,920
Speaker 2: they've had an allergic flare up and apicquil works great for.

774
00:40:23,880 --> 00:40:28,960
Speaker 1: That right, I love it, But yeah, there's and I

775
00:40:29,000 --> 00:40:31,360
Speaker 1: also think, and we've talked about this before, there's just

776
00:40:31,400 --> 00:40:34,239
Speaker 1: certain patients who respond better to apicquoil than side A point.

777
00:40:34,640 --> 00:40:37,480
Speaker 1: I will never forget you told me. You just feel

778
00:40:37,520 --> 00:40:41,560
Speaker 1: like the like dooly poodly breeds do really well with

779
00:40:41,640 --> 00:40:44,880
Speaker 1: side A point, and then the like labs hid hip balls,

780
00:40:45,400 --> 00:40:46,120
Speaker 1: they are.

781
00:40:46,160 --> 00:40:50,680
Speaker 2: Not great and some some allergy cases are so severe

782
00:40:50,719 --> 00:40:51,880
Speaker 2: that we have to do both.

783
00:40:52,120 --> 00:40:58,120
Speaker 1: Right and ultimately to what's important to note is the

784
00:40:58,160 --> 00:41:02,080
Speaker 1: cost that it takes for a side point injection per

785
00:41:02,120 --> 00:41:07,839
Speaker 1: month is about equal it is the cost of apicquil

786
00:41:08,160 --> 00:41:10,839
Speaker 1: per month. Yeah, I was gonna say, cost wise, there's

787
00:41:10,880 --> 00:41:13,840
Speaker 1: not a huge difference, and they're not. Just to be

788
00:41:13,880 --> 00:41:18,640
Speaker 1: fully transparent, they are not inexpensive medications, but they are

789
00:41:19,080 --> 00:41:21,320
Speaker 1: far and away the most effective with the least amount

790
00:41:21,320 --> 00:41:24,040
Speaker 1: of side effects. So you know, going and getting a

791
00:41:24,040 --> 00:41:27,440
Speaker 1: steroid like predno zone will be will be cheaper for sure,

792
00:41:27,880 --> 00:41:31,000
Speaker 1: but long term is probably not the best solution for

793
00:41:31,040 --> 00:41:35,400
Speaker 1: your pet. Agreed sadly. Yeah.

794
00:41:35,480 --> 00:41:37,680
Speaker 2: So, one other thing I just want to touch on

795
00:41:37,680 --> 00:41:41,600
Speaker 2: before we jump to upawn order is we do have

796
00:41:41,680 --> 00:41:45,120
Speaker 2: over the counter anahistamines for our pets, they're what we

797
00:41:45,200 --> 00:41:47,719
Speaker 2: use as humans will recommend Benadryl or Zirtech. I know,

798
00:41:47,840 --> 00:41:50,240
Speaker 2: Doctor Isabella and I tend to lean more towards Zyrtech

799
00:41:50,680 --> 00:41:53,000
Speaker 2: because they don't make them as drowsy as benadrel does,

800
00:41:53,920 --> 00:41:57,520
Speaker 2: and I mean they be completely transparent and that I

801
00:41:57,520 --> 00:41:59,600
Speaker 2: don't think these work very well for the types of

802
00:41:59,640 --> 00:42:03,200
Speaker 2: allergy that dogs have. If it's like a really minor

803
00:42:03,280 --> 00:42:05,920
Speaker 2: issue and I sense that the owner doesn't want to

804
00:42:05,920 --> 00:42:07,560
Speaker 2: do side a point or apple quail, they're just like,

805
00:42:07,640 --> 00:42:09,799
Speaker 2: not really sure, then I'll say, hey, why not take

806
00:42:09,800 --> 00:42:11,520
Speaker 2: a zerotec a day, Let's see.

807
00:42:11,400 --> 00:42:11,960
Speaker 1: How it goes.

808
00:42:12,600 --> 00:42:14,959
Speaker 2: But I'm almost always going to see them back because

809
00:42:14,960 --> 00:42:15,919
Speaker 2: it doesn't work very well.

810
00:42:16,040 --> 00:42:19,719
Speaker 1: Yeah, and I can attest to this directly because I

811
00:42:19,840 --> 00:42:22,640
Speaker 1: did it with my dog. If you can't tell, she's

812
00:42:22,680 --> 00:42:28,759
Speaker 1: an allergic mess and it might have helped. I'm like,

813
00:42:28,880 --> 00:42:34,120
Speaker 1: is this just placebo effect? Probably, but it wasn't enough

814
00:42:34,520 --> 00:42:37,880
Speaker 1: to you know, make a few worth it. And depending

815
00:42:37,880 --> 00:42:40,080
Speaker 1: on the size of the pet, you might have to

816
00:42:40,200 --> 00:42:43,200
Speaker 1: give multiple tablets a day, Like for my dog it

817
00:42:43,280 --> 00:42:45,239
Speaker 1: was like three tablets once a day. I'm going to

818
00:42:45,400 --> 00:42:49,360
Speaker 1: run through that zerotech so fast for something that's not

819
00:42:49,440 --> 00:42:52,080
Speaker 1: even going to be as effective as side a point

820
00:42:52,160 --> 00:42:52,839
Speaker 1: right as well.

821
00:42:53,040 --> 00:42:55,000
Speaker 2: Yeah, you'll be two bottles of zertech later. You might

822
00:42:55,040 --> 00:42:56,359
Speaker 2: as well just one side a point right.

823
00:42:56,560 --> 00:42:58,960
Speaker 1: But I definitely think it's a good option, especially for

824
00:42:59,040 --> 00:43:02,240
Speaker 1: like my dog's sneezing a little bit more than usual,

825
00:43:02,800 --> 00:43:05,200
Speaker 1: and maybe it's just for this.

826
00:43:05,200 --> 00:43:08,880
Speaker 2: Like short little I agree with first of pollen, but

827
00:43:09,280 --> 00:43:12,680
Speaker 2: you're like really itchy dogs though that have recurrent allergies.

828
00:43:12,719 --> 00:43:14,680
Speaker 1: I'm like, throw it out the window. It's probably not

829
00:43:14,680 --> 00:43:17,080
Speaker 1: going to work. I wish it was. Yeah, I hate

830
00:43:17,080 --> 00:43:18,320
Speaker 1: to be the bearer of bad news.

831
00:43:18,640 --> 00:43:20,520
Speaker 2: And I've said this before and I'll say it again,

832
00:43:20,719 --> 00:43:23,080
Speaker 2: and I'm going to die on this hill, but do

833
00:43:23,239 --> 00:43:26,680
Speaker 2: not give your dogs or cats and a histamines with

834
00:43:26,719 --> 00:43:30,360
Speaker 2: the D ingredient in them so zir tech D vinadreal D,

835
00:43:30,480 --> 00:43:34,720
Speaker 2: a lagrid D. That d ingredient is incredibly toxic. And

836
00:43:36,280 --> 00:43:38,480
Speaker 2: I've had a patient who passed away because the owner

837
00:43:38,480 --> 00:43:42,879
Speaker 2: gave it a lagri d oh one dos. So that

838
00:43:43,080 --> 00:43:46,880
Speaker 2: is a really key point to take away. Yeah, I

839
00:43:46,920 --> 00:43:48,960
Speaker 2: guess really, So, I think we've kind of covered all

840
00:43:49,000 --> 00:43:49,400
Speaker 2: the things.

841
00:43:49,440 --> 00:43:51,280
Speaker 1: I hope this is helpful.

842
00:43:52,440 --> 00:43:56,799
Speaker 2: I would say the big key takeaways are rechecks are

843
00:43:56,800 --> 00:44:00,400
Speaker 2: super important, super important. Come back in that way we

844
00:44:00,400 --> 00:44:03,399
Speaker 2: can see how your pet is doing. Do we need

845
00:44:03,440 --> 00:44:06,760
Speaker 2: to change things, do we need to add in certain medications.

846
00:44:07,239 --> 00:44:09,719
Speaker 2: It's not a one size fits all, So rechecks are

847
00:44:09,760 --> 00:44:12,719
Speaker 2: super important. And then if I could do anything, it's

848
00:44:12,760 --> 00:44:16,120
Speaker 2: just setting expectations with owners that if your pet has allergies,

849
00:44:17,160 --> 00:44:19,120
Speaker 2: we will we will get through it. But it's going

850
00:44:19,200 --> 00:44:20,680
Speaker 2: to take a little bit of time, and it's going

851
00:44:20,719 --> 00:44:22,759
Speaker 2: to take time on our end to figure out what's

852
00:44:22,760 --> 00:44:25,080
Speaker 2: going on, and it's going to require compliance on your

853
00:44:25,200 --> 00:44:27,279
Speaker 2: end to keep bringing them back so we can get

854
00:44:27,320 --> 00:44:28,120
Speaker 2: to the bottom of it.

855
00:44:28,320 --> 00:44:31,080
Speaker 1: Yeah. I think setting that expectation right off the bat,

856
00:44:31,200 --> 00:44:36,160
Speaker 1: it just it makes everyone happier. Yeah, because it can

857
00:44:36,200 --> 00:44:39,479
Speaker 1: be a long road, sets us all up for success. Yes,

858
00:44:40,120 --> 00:44:42,080
Speaker 1: it's not like a hey, here's a bill, You're going

859
00:44:42,160 --> 00:44:44,000
Speaker 1: to be fine. You know, it's going to be a

860
00:44:44,000 --> 00:44:46,120
Speaker 1: bit of a journey, but not one that we can't do.

861
00:44:46,200 --> 00:44:48,000
Speaker 1: I mean we especially here in Nashville, I feel like

862
00:44:48,000 --> 00:44:50,840
Speaker 1: we're in the allergy capital of the country. Yeah, and

863
00:44:50,920 --> 00:44:53,120
Speaker 1: so so many of our patients have allergies and are

864
00:44:53,160 --> 00:44:55,880
Speaker 1: doing amazing. I know, we make it sound pretty daunting,

865
00:44:56,000 --> 00:44:59,319
Speaker 1: but we can get them comfortable and get them taken

866
00:44:59,360 --> 00:45:01,680
Speaker 1: care of and they will do great. Oh yeah, we

867
00:45:01,760 --> 00:45:04,279
Speaker 1: have our regulars who come in for just their tech

868
00:45:04,320 --> 00:45:07,600
Speaker 1: appointment side of point shots and they're cruising. They're great,

869
00:45:07,880 --> 00:45:11,160
Speaker 1: they're cruising. All right. Well, that concludes our allergy talk.

870
00:45:11,840 --> 00:45:14,719
Speaker 2: As always, if you have follow up questions, please let

871
00:45:14,760 --> 00:45:18,600
Speaker 2: me know. You can find me at doctor Josievett on Instagram.

872
00:45:19,080 --> 00:45:20,640
Speaker 2: And then we're gonna take a quick break and then

873
00:45:20,640 --> 00:45:38,479
Speaker 2: we'll be back with our paw and order. All right,

874
00:45:38,600 --> 00:45:40,799
Speaker 2: we are back with our paw and order for the

875
00:45:40,920 --> 00:45:45,400
Speaker 2: week number one on the list. I would never ever

876
00:45:45,920 --> 00:45:50,040
Speaker 2: do the saliva and blood testing when testing for allergies,

877
00:45:50,040 --> 00:45:51,280
Speaker 2: and my pets agreed.

878
00:45:51,920 --> 00:45:56,040
Speaker 1: I there are so many like over the counter, yes, blood,

879
00:45:56,080 --> 00:45:58,560
Speaker 1: you can buy them on the internet. Saliva, the hair,

880
00:45:59,080 --> 00:46:03,839
Speaker 1: yeah yeah, those tests and they're just we don't have

881
00:46:04,040 --> 00:46:08,920
Speaker 1: any evidence that those are accurate. And then ultimately it

882
00:46:09,040 --> 00:46:12,320
Speaker 1: just makes it more challenging for us trying to interpret

883
00:46:12,360 --> 00:46:15,360
Speaker 1: them when we don't know what's real and what's not.

884
00:46:15,880 --> 00:46:18,160
Speaker 2: I totally I think you're wasting your money. If you're

885
00:46:18,719 --> 00:46:20,520
Speaker 2: going to put your money towards something, I would not

886
00:46:20,560 --> 00:46:22,839
Speaker 2: put it towards that these are we don't even like

887
00:46:23,440 --> 00:46:26,000
Speaker 2: the people that are making them aren't like vetted. So

888
00:46:26,280 --> 00:46:28,480
Speaker 2: you're just buying something on the internet. You're getting caught

889
00:46:28,480 --> 00:46:30,880
Speaker 2: in an Instagram scam. Definitely, and I'm the queen of

890
00:46:30,880 --> 00:46:33,319
Speaker 2: that people. Yes, but this is one I would not

891
00:46:33,360 --> 00:46:33,799
Speaker 2: fall for.

892
00:46:34,040 --> 00:46:36,799
Speaker 1: Yeah, no, never, all right.

893
00:46:36,880 --> 00:46:39,360
Speaker 2: Number two, I would not put anything in my pet's

894
00:46:39,400 --> 00:46:41,839
Speaker 2: ears that is not veterinary recommended.

895
00:46:42,600 --> 00:46:46,279
Speaker 1: This one's very popular. Yes, we have clients coming in

896
00:46:46,320 --> 00:46:49,759
Speaker 1: all the time for with dogs with ear infections, and

897
00:46:50,400 --> 00:46:53,480
Speaker 1: we ask are you using anything for maintenance ear cleaning,

898
00:46:53,520 --> 00:46:56,040
Speaker 1: and they say, oh, yeah, yeah, I've been putting in

899
00:46:56,080 --> 00:46:56,880
Speaker 1: my vinegar.

900
00:46:57,760 --> 00:46:59,800
Speaker 2: And when I hear vinegar going in the ear, I

901
00:47:00,080 --> 00:47:01,440
Speaker 2: think I die a little inside.

902
00:47:01,560 --> 00:47:05,320
Speaker 1: Yeah, people have some weird concoctions. I'm sure it's on TikTok,

903
00:47:07,160 --> 00:47:13,200
Speaker 1: but on most slow is another thing. Coci. Yes, and

904
00:47:13,440 --> 00:47:16,919
Speaker 1: the ear is already hot, hot, dark, moist, so you're

905
00:47:17,000 --> 00:47:20,080
Speaker 1: just adding more moisture in there. It can be tearing

906
00:47:20,200 --> 00:47:21,520
Speaker 1: up the ear canal.

907
00:47:21,680 --> 00:47:25,920
Speaker 2: Yes, and that ear drum is so sensitive and if

908
00:47:25,920 --> 00:47:29,040
Speaker 2: there's a little tear this might be getting too scientific.

909
00:47:29,040 --> 00:47:30,759
Speaker 1: But if there's a little tear in your pet's.

910
00:47:30,520 --> 00:47:34,560
Speaker 2: Ear, drum that is a whole leading into the inside

911
00:47:34,560 --> 00:47:37,319
Speaker 2: of the pets, you know, ear canal and then it

912
00:47:37,320 --> 00:47:39,160
Speaker 2: can affect their brain. I mean, we have to be

913
00:47:39,239 --> 00:47:41,160
Speaker 2: really careful with what we put into the ears.

914
00:47:41,320 --> 00:47:47,200
Speaker 1: Yes, so don't use anything that isn't prescription or something

915
00:47:47,239 --> 00:47:51,960
Speaker 1: that your veterinarian is specifically recommending from Chewy or pet Smart. Yes,

916
00:47:52,040 --> 00:47:54,120
Speaker 1: I agree. There's one drop that I see a lot,

917
00:47:54,160 --> 00:47:56,040
Speaker 1: which is called ziemox. Yeah.

918
00:47:56,080 --> 00:47:59,000
Speaker 2: I feel like bad, like I'm calling out drug companies,

919
00:47:59,040 --> 00:48:01,160
Speaker 2: but I mean it's the true. If we see zymos

920
00:48:01,280 --> 00:48:03,960
Speaker 2: and people will use that like, oh, I've been trying this,

921
00:48:04,000 --> 00:48:04,960
Speaker 2: but it's not really working.

922
00:48:05,000 --> 00:48:07,000
Speaker 1: And that is just a steroid.

923
00:48:07,400 --> 00:48:10,200
Speaker 2: So it's gonna help bring down a little inflammation and

924
00:48:10,280 --> 00:48:12,279
Speaker 2: help with itchiness, but it will not work with an

925
00:48:12,280 --> 00:48:12,800
Speaker 2: ear infection.

926
00:48:13,080 --> 00:48:16,160
Speaker 1: It's not gonna treat the bacteria or the yeast. It's

927
00:48:16,200 --> 00:48:18,759
Speaker 1: just gonna help with some of the redness. But you

928
00:48:18,880 --> 00:48:22,560
Speaker 1: need antibacterials or anti fungals. Yeah, You're not ever treating

929
00:48:22,560 --> 00:48:26,319
Speaker 1: the underlying issue until you get that. So we're just

930
00:48:26,360 --> 00:48:28,960
Speaker 1: like the bearer of bad news on this episode. Yeah,

931
00:48:29,000 --> 00:48:32,440
Speaker 1: And unfortunately a lot of clients they always ask if

932
00:48:32,440 --> 00:48:35,600
Speaker 1: we can put them on an oral antibiotic or medication

933
00:48:35,680 --> 00:48:39,440
Speaker 1: for the ear infections. And it's the topicals. Eardrops are

934
00:48:39,440 --> 00:48:42,680
Speaker 1: like really the only things that are reaching enough of

935
00:48:42,719 --> 00:48:47,160
Speaker 1: a concentration to treat those penetrating that that thick ear wall.

936
00:48:48,120 --> 00:48:50,400
Speaker 2: Yeah, that's very true. It's different than in humans. Humans

937
00:48:50,400 --> 00:48:52,880
Speaker 2: can take oral antibiotics or ear infections, but in our

938
00:48:52,920 --> 00:48:53,680
Speaker 2: pets they cannot.

939
00:48:54,920 --> 00:48:56,160
Speaker 1: Okay, last, but not least.

940
00:48:56,239 --> 00:48:58,640
Speaker 2: I would not, and I'm pretty sure I've already said this,

941
00:48:58,719 --> 00:49:01,040
Speaker 2: I'm gonna say it again because we're own our allergy talk.

942
00:49:01,160 --> 00:49:05,080
Speaker 2: I would not continuously switch the proteins in my pets food.

943
00:49:05,120 --> 00:49:08,040
Speaker 2: I hear so many owners say, oh, my pet gets bored,

944
00:49:08,080 --> 00:49:09,440
Speaker 2: so now I have them on chicken. Now I have

945
00:49:09,480 --> 00:49:12,600
Speaker 2: them on salmon and beef and rabbit, an alligator and

946
00:49:12,640 --> 00:49:13,280
Speaker 2: all the things.

947
00:49:13,360 --> 00:49:16,000
Speaker 1: And if your pet is doing great on the protein

948
00:49:16,000 --> 00:49:19,640
Speaker 1: they're on, stick with it, yes, agreed. If for some reason,

949
00:49:19,719 --> 00:49:22,480
Speaker 1: I mean, this is just setting them up to develop

950
00:49:22,600 --> 00:49:26,360
Speaker 1: a food allergy correct and GI issues too if you

951
00:49:26,440 --> 00:49:30,920
Speaker 1: just keep switching it up. So stick with what they like,

952
00:49:31,160 --> 00:49:33,880
Speaker 1: stick with what you know, and if they do develop

953
00:49:33,880 --> 00:49:36,000
Speaker 1: a food allergy in the future, it will make it

954
00:49:36,080 --> 00:49:38,640
Speaker 1: much harder for us to try and figure out a

955
00:49:38,680 --> 00:49:41,520
Speaker 1: protein that works for them since they've been exposed to

956
00:49:41,560 --> 00:49:42,040
Speaker 1: so much.

957
00:49:42,280 --> 00:49:45,680
Speaker 2: Exactly, if it ain't broke, don't try and fix it. Definitely,

958
00:49:46,719 --> 00:49:49,520
Speaker 2: And that is the end of our pond order and

959
00:49:49,560 --> 00:49:50,680
Speaker 2: the end of our episode.

960
00:49:50,840 --> 00:49:53,160
Speaker 1: Thank you so much for coming back. Thank you. I'm

961
00:49:53,200 --> 00:49:55,279
Speaker 1: sure we'll be having you in season three. We've got

962
00:49:55,280 --> 00:49:56,920
Speaker 1: a lot more to cover.

963
00:49:57,520 --> 00:50:01,440
Speaker 2: And as always to the listener, if you have any questions,

964
00:50:01,920 --> 00:50:05,600
Speaker 2: please leave them on our voicemail app. You can get

965
00:50:05,600 --> 00:50:08,560
Speaker 2: that in the bio of my instagram. You can DM

966
00:50:08,640 --> 00:50:12,400
Speaker 2: me your questions. It's at doctor Josie Vett on Instagram.

967
00:50:12,960 --> 00:50:16,759
Speaker 2: And please rate, review and subscribe. Every single star accounts,

968
00:50:16,800 --> 00:50:19,839
Speaker 2: every review counts. We really appreciate it and we'll see

969
00:50:19,840 --> 00:50:42,200
Speaker 2: you next week.