WEBVTT - So Your Pet Has Allergies. Now What?

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

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<v Speaker 1>Welcome back to in the Vets Office everyone.

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<v Speaker 2>I am your host, Doctor Josie, and this is an

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<v Speaker 2>amazing week because we are joined once again by doctor Isabella.

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<v Speaker 1>Hello. Hi.

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<v Speaker 2>We had such great feedback on our previous episode that

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<v Speaker 2>I figured we had to get you back into the

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<v Speaker 2>Vets Office to do another episode.

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<v Speaker 1>Yeah. I had a blast, so when you asked me

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<v Speaker 1>to come back, I was ready to go. Really excited.

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

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<v Speaker 2>basement because the iHeart Studio is moving right now, and

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<v Speaker 2>so we're really leaning into the podcast from home. Moment

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<v Speaker 2>we are in I'm in my slippers and pretty much

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

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<v Speaker 2>on her a little best next to me, and I

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<v Speaker 2>don't know if I'll ever go back to podcasting from

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<v Speaker 2>the studio after this. Just kidding, Morgan, our poor producer

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<v Speaker 2>had to set up this whole thing, so we will

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<v Speaker 2>in fact be going back to the studio, But until then,

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

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<v Speaker 2>start our episode as always with with our case of

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<v Speaker 2>the week, Doctor Isabella and I were putting our heads

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<v Speaker 2>together thinking about some interesting cases we have seen, and

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<v Speaker 2>we kept coming back to this one thing that we

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

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

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<v Speaker 2>it all the time, all the time, and it really

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<v Speaker 2>makes my day. And we have found that when we

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<v Speaker 2>walk into exam rooms, we are addressing the pets and

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<v Speaker 2>speaking to them directly, and then the owners will respond

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<v Speaker 2>as though they are the pet in like very silly voices.

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

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<v Speaker 1>every vet does this, but doctor Josie and I both

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<v Speaker 1>agree like we are in there asking the pet, how

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<v Speaker 1>are you? You look beautiful today? How's it going? And

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<v Speaker 1>the owner inevitably will respond in some weird, high pitched voice,

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<v Speaker 1>you said you have some like I do, certain accents.

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<v Speaker 2>I had an older lady that was convinced her shit

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<v Speaker 2>so you had a lisp, so she'd like, doctor Josie.

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<v Speaker 1>I'm not feeling so well today. I'm telling me hers,

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<v Speaker 1>I'm feeling thick.

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<v Speaker 2>Like she would talk to me as though she was

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<v Speaker 2>her dog with a lip and it was amazing, doesn't

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<v Speaker 2>You're a brother in law.

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<v Speaker 1>Yes, and we keep bringing up poor Ryan on these podcasts.

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<v Speaker 1>But Ryan, he's an attractive guy, yes, and he is

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<v Speaker 1>always the one who brings the cats into their vat.

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<v Speaker 1>My sister said she gets embarrassed every time because they'll

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<v Speaker 1>ask how their cat is doing, and Ryan will inevitably say, oh,

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<v Speaker 1>you know, he's doing okay, just throwing up sometimes, but

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<v Speaker 1>other than that, I'm good not throwing up. Throwing throwing up.

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<v Speaker 2>People really lean into it, oh, because I narrate my

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<v Speaker 2>animals at home, like they teach you, have their own

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<v Speaker 2>voices all the time.

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<v Speaker 1>And I just think that people.

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<v Speaker 2>Don't like they don't do that out in public often,

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<v Speaker 2>but we get to see that side of them.

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

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<v Speaker 1>with a tiny little Yorky or you know, some like

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<v Speaker 1>young attractive person and it's just fun to watch people

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<v Speaker 1>let their guards down and be funny.

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<v Speaker 2>I do have an older gentleman who brings in his

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<v Speaker 2>Persian cat. And Persian cats, for those of you that

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<v Speaker 2>don't know, have those like smushed faces and they're like

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<v Speaker 2>have a permanent frown on their face and he speaks,

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<v Speaker 2>He narrates her as though she's.

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<v Speaker 1>An an old British lady. Nick Hello, doctor Josie, I ate.

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<v Speaker 2>Three kibble this week, like he talks to me the

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<v Speaker 2>whole time as though he's the cat, but in a

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<v Speaker 2>in a British accent. It's amazing, And I respond. I

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

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<v Speaker 1>Back and forth.

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<v Speaker 2>I always say, our job is very weird, sometimes very

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<v Speaker 2>some funny thing.

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

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<v Speaker 2>You've got to let your freak flag fly and that

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<v Speaker 2>med you know, and I tell people it's a judge

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<v Speaker 2>free zonees.

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<v Speaker 1>Yes, so you whatever, you be vulnerable. You talk to

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<v Speaker 1>your pets. However, you need to show us pictures of

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

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<v Speaker 2>All, yes, exactly. All right, Well we'll dive into our

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<v Speaker 2>listener questions. First up, at.

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<v Speaker 1>What point in a dog's life do you transition them

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<v Speaker 1>from regular food to senior food.

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

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<v Speaker 2>tell you what you do. So I don't know that

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<v Speaker 2>there is an exact time where it's like you need

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<v Speaker 2>to get off adult food and onto senior food. But

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<v Speaker 2>I do sort of have like a time frame where

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<v Speaker 2>I think dogs and cats move from regular adulthood into

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<v Speaker 2>senior hood. Dogs, I would say a rough age of seven.

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<v Speaker 1>To eight years old.

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<v Speaker 2>Yeah, And you were saying if they're really small, we

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<v Speaker 2>probably can push that back a little.

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<v Speaker 1>Bit, right. It totally depends on the size of the

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<v Speaker 1>pet times. The small breed dogs a little Yorkis toy poodles,

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<v Speaker 1>they can live easily until sixteen seventeen years old, So

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<v Speaker 1>senior for them is going to look a little bit

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<v Speaker 1>different than senior for the great Dane like you had,

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<v Speaker 1>who Senior for them is probably five five six. Yeah,

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<v Speaker 1>i'd say like.

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<v Speaker 2>As an overall general rule, though like most dogs, we

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<v Speaker 2>start to look at them as I hate to say senior.

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<v Speaker 2>I feel like there's such a when owners here a

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<v Speaker 2>senior you can just see it in their eyes. Yes,

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<v Speaker 2>But I guess we'll say senior hood into their older

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<v Speaker 2>years really like around seven or eight. And that's important

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<v Speaker 2>because that's when we as vaterinarians really start recommending screening

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<v Speaker 2>lab work. We recommend it before then, but we really

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<v Speaker 2>put an emphasis on it once they get a little

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<v Speaker 2>bit older, so screening lab work and then touching their

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<v Speaker 2>food as well.

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<v Speaker 1>Yeah, and once they get to that, like true senior age,

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<v Speaker 1>I mean, before them, we're recommending annual adult blood work

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<v Speaker 1>to monitor and get a baseline. But once we get

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<v Speaker 1>to the senior it's like we might want to be

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<v Speaker 1>checking things twice a year. So things change in terms

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<v Speaker 1>of what our recommendations are at that point too. Yes,

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<v Speaker 1>and not to leave out cats. Cats, cats are pretty standard.

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<v Speaker 1>They like, you know, our stats have similar lifespans.

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<v Speaker 2>Yeah, it's not like our tiny dogs versus our big dogs.

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<v Speaker 2>So I would say ten years of age is usually

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<v Speaker 2>when I deem them moving into their senior years.

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<v Speaker 1>I agree. And cats we have to be extra cautious

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<v Speaker 1>with because oftentimes we'll see kittens and then we don't

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<v Speaker 1>see them again until they're seniors because they're fine. Owners

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<v Speaker 1>don't bring them in and then we see them when

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<v Speaker 1>you know kidney changes are happening.

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<v Speaker 2>Part of my French. But when shit hits the fan

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<v Speaker 2>is when we see them. Yeah, a lot of time.

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<v Speaker 1>Yeah, and cats can hide things until it is not

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<v Speaker 1>okay right, so things can be brewing, and that's why

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<v Speaker 1>we recommend even for cats, checking bloodwork to monitor kidney values,

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

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<v Speaker 2>At least do a really good physical exam on them

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<v Speaker 2>once a year. Yes, absolutely, I agree. I hope that

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<v Speaker 2>answers the question. And to be fair, I do think

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<v Speaker 2>it's important to get them from adult to senior food.

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

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<v Speaker 2>and onto adult food. But if your older pet is

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

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<v Speaker 1>Yeah, totally agree. And sometimes we get to the point

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<v Speaker 1>where seniors are really picky and I'm like, honestly, I

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<v Speaker 1>just want them to eat, so we find that. I

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<v Speaker 1>totally agree. All right, let's do question number two.

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<v Speaker 3>Hello, my question is I have an aggressive mixed dog.

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<v Speaker 3>I do not know why she's aggressive. I've had her

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<v Speaker 3>since she was a puppy. We do live out kind

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<v Speaker 3>of far and don't get a lot of visitors, so

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<v Speaker 3>and she hasn't had a lot of interaction with people,

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

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<v Speaker 3>nails trimmed, and I'm afraid to do it because sometimes

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<v Speaker 3>she gets this look in her eye like she would

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<v Speaker 3>bite me. She has not bitten me, but I'm just

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<v Speaker 3>I get afraid, so I want to take her to

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<v Speaker 3>the VET to get them clipped. But in order for

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<v Speaker 3>her to go to the VET, she has to be tranquilized,

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<v Speaker 3>and I have to start to tranquilize her probably I

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<v Speaker 3>think two days before she goes to the VET, so

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<v Speaker 3>she's super drunk, and I'm just worried that I have

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<v Speaker 3>to do that. Anytime she goes to the VET for

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<v Speaker 3>a heartworm test, for anything, I have to tranquilize her.

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<v Speaker 3>And I'm worried about doing it for her nail trimmings.

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<v Speaker 3>I mean, can that be bad for her? Or should

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<v Speaker 3>I just let them grow until they're so long that

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<v Speaker 3>we can't stand it and then do it. I just

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

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<v Speaker 3>would be great. Thank you so much, and thank you

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<v Speaker 3>for what you do.

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<v Speaker 2>Another great question. This owner is using the word tranquilize.

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<v Speaker 2>I think what she is intending to say as the

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<v Speaker 2>veterinarian wants to give some oral sedation prior to her

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<v Speaker 2>dog's VET visits.

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<v Speaker 1>There are some dogs.

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<v Speaker 2>Out there that are extremely fractious, and we do have

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<v Speaker 2>to give them injectable sedation at the vet hospital. But

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<v Speaker 2>I think more commonly, and I think what she's saying is, hey,

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<v Speaker 2>I have to give my dogs oral medication prior to

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<v Speaker 2>every vet visit. And I understand, especially not knowing, like

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<v Speaker 2>is that safe for my dog? I just want to

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<v Speaker 2>get a nail trim on her? Do I really need

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<v Speaker 2>to give her these medications? And I understand where owners

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<v Speaker 2>are coming from. With that being on the other side

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<v Speaker 2>of the coin, I would say it is very safe

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<v Speaker 2>and helps us times a million get our job done.

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<v Speaker 1>Oh yeah, And I honestly feel awful seeing a pet

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<v Speaker 1>come into the clinic who is terrified scared, you know,

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<v Speaker 1>and the way that dogs and are stressed, they can

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<v Speaker 1>manifest that in different ways. Some cats are going to

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<v Speaker 1>rip our face off. Other pets are hiding in the corner,

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<v Speaker 1>and in either of those scenarios, that's not an enjoyable

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<v Speaker 1>visit for them exactly and us and we use it

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<v Speaker 1>very very commonly now, the oral sedatives just to take

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<v Speaker 1>the edge off. It's not going to knock them on

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<v Speaker 1>their butt, but it will help us get done what

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

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<v Speaker 1>I feel like I try to tell owners just because

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<v Speaker 1>I'm recommending this to you does not mean, you have

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

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<v Speaker 1>And quite frankly, when I go to the dentist, I'm like,

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<v Speaker 1>can I have like happy gas or laughing gas? I

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<v Speaker 1>want a good experience. So I just think of it

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<v Speaker 1>kind of in that way.

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<v Speaker 2>I totally agree, and I think there's been a huge

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<v Speaker 2>shift in our field. I started working in vet med

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<v Speaker 2>in a vet hospital. I was fifteen, which was almost

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<v Speaker 2>twenty years ago. Wait was that twenty years ago? Twenty

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<v Speaker 2>my very yeah, wow, oh my gosh, I'm getting old.

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<v Speaker 2>And I realized, you know, back then, we didn't use

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<v Speaker 2>medications to help take the edge off prior to pets

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<v Speaker 2>coming in, and so it was a lot of physical

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<v Speaker 2>getting physical with them and having to like hold them

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<v Speaker 2>down and have like a big guy sit on top

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<v Speaker 2>of them so that we could get done what we

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<v Speaker 2>needed to get done. And the days of doing.

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<v Speaker 1>That are over.

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<v Speaker 2>We're really in the majority of modern animal hospitals are

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<v Speaker 2>not using that kind of restraint anymore. We're really taking

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<v Speaker 2>into consideration like our pets fear levels and stress levels

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<v Speaker 2>and trying to mitigate those. And so if I have

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<v Speaker 2>to give my pet a little something to take the

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<v Speaker 2>edge off, and that means that they don't have a

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<v Speaker 2>horrible traumatizing experience at the vet.

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<v Speaker 1>I'm okay with that absolutely. I give it to my

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<v Speaker 1>own dog, And it's also something to bring up to

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<v Speaker 1>your veterinarian if your dog gets anxious at the groomers

0:11:58.960 --> 0:12:02.200
<v Speaker 1>or for travel perpose, we can use these oral sedatives

0:12:02.200 --> 0:12:08.080
<v Speaker 1>for all those instances. And yeah, I think if a

0:12:08.120 --> 0:12:10.600
<v Speaker 1>dog comes in and we are body slamming them to

0:12:10.640 --> 0:12:13.000
<v Speaker 1>the ground to get their nail trim done, the next

0:12:13.120 --> 0:12:15.400
<v Speaker 1>visit is not going to be pleasant. It's going to

0:12:15.440 --> 0:12:18.199
<v Speaker 1>be even worse. So we just got to set them

0:12:18.240 --> 0:12:18.960
<v Speaker 1>up for success.

0:12:19.360 --> 0:12:21.959
<v Speaker 2>And then just to reiterate, the safety profile on these

0:12:22.000 --> 0:12:26.199
<v Speaker 2>medications is huge. I mean, these medications are so safe,

0:12:26.200 --> 0:12:29.400
<v Speaker 2>They're tried and true, they're used in human medicine all

0:12:29.400 --> 0:12:32.600
<v Speaker 2>the time. I can honestly say, I don't think I've

0:12:32.600 --> 0:12:38.199
<v Speaker 2>ever seen an adverse reaction to them. So I understand, like,

0:12:38.240 --> 0:12:41.360
<v Speaker 2>oh gosh, I'll have to give them multiple times, you know,

0:12:41.400 --> 0:12:42.400
<v Speaker 2>for multiple visits.

0:12:42.440 --> 0:12:46.079
<v Speaker 1>But there is no, no, nothing wrong with that. Yeah no,

0:12:46.360 --> 0:12:48.840
<v Speaker 1>I do it for monkey. Yeah me too. I do

0:12:48.880 --> 0:12:51.760
<v Speaker 1>it for my dogs when it's thunderstorming outside and they

0:12:51.800 --> 0:12:54.920
<v Speaker 1>are so much happier. Assuming Bigie needs something, then he

0:12:54.960 --> 0:12:58.320
<v Speaker 1>goes to the vent. Yes, big he needs the whole

0:12:58.320 --> 0:13:01.920
<v Speaker 1>shit inject the whole shabang. He is a bad boy.

0:13:03.080 --> 0:13:04.679
<v Speaker 1>All right. Well, those are great questions.

0:13:05.000 --> 0:13:07.080
<v Speaker 2>When we come back, we are going to dive into

0:13:07.120 --> 0:13:10.360
<v Speaker 2>our main topic of the day, which is allergies. A

0:13:10.400 --> 0:13:12.280
<v Speaker 2>lot of you have been asking about it, and so

0:13:13.160 --> 0:13:16.000
<v Speaker 2>this is a huge topic in veterinary medicine and something

0:13:16.040 --> 0:13:19.600
<v Speaker 2>that really requires a sit down conversation like this. So

0:13:19.800 --> 0:13:21.600
<v Speaker 2>we'll be right back and we'll dive into it.

0:13:22.000 --> 0:13:22.480
<v Speaker 1>Awesome.

0:13:33.440 --> 0:13:35.800
<v Speaker 2>All right, you guys have asked and we have heard.

0:13:35.880 --> 0:13:38.880
<v Speaker 2>We are going to do the whole shabbang allergy talk.

0:13:39.040 --> 0:13:42.360
<v Speaker 2>And I posted on my Instagram that I was really

0:13:42.480 --> 0:13:45.720
<v Speaker 2>dreading this episode because the allergy talk is so.

0:13:47.720 --> 0:13:48.920
<v Speaker 1>I don't know what the right word is.

0:13:49.000 --> 0:13:52.040
<v Speaker 2>It can just be complex and it can be really

0:13:52.040 --> 0:13:54.319
<v Speaker 2>frustrating for owners. And I said I might need to

0:13:54.320 --> 0:13:56.640
<v Speaker 2>bring a bottle of wine to this episode, and I have,

0:13:56.720 --> 0:14:00.280
<v Speaker 2>in fact brought a bottle of wine. So without further

0:14:00.320 --> 0:14:03.200
<v Speaker 2>a deal, we're just gonna pop this for this talk.

0:14:03.240 --> 0:14:04.080
<v Speaker 2>I'm trying to pop it.

0:14:04.640 --> 0:14:08.840
<v Speaker 1>Woo. All right, let's get a crack in I wish

0:14:08.880 --> 0:14:10.679
<v Speaker 1>we could have this in our exam room.

0:14:10.920 --> 0:14:12.560
<v Speaker 2>I know, right, what if we brought a bottle of

0:14:12.559 --> 0:14:14.960
<v Speaker 2>wine into the exam room. I feel like owners would

0:14:14.960 --> 0:14:15.240
<v Speaker 2>love it.

0:14:15.720 --> 0:14:17.360
<v Speaker 1>Oh yeah, oh yeah, definitely.

0:14:18.360 --> 0:14:21.880
<v Speaker 2>Okay, So here, Morgan, would you like to drink out

0:14:21.880 --> 0:14:22.320
<v Speaker 2>of the bottle?

0:14:24.640 --> 0:14:24.960
<v Speaker 1>Okay.

0:14:25.000 --> 0:14:27.240
<v Speaker 2>So when I sit down with an owner, and Isabelle

0:14:27.280 --> 0:14:28.720
<v Speaker 2>and I were talking about this, when you have a

0:14:28.720 --> 0:14:31.680
<v Speaker 2>pet come in and you're like, this pet has allergies,

0:14:31.720 --> 0:14:34.080
<v Speaker 2>it usually looks like you say.

0:14:33.960 --> 0:14:35.760
<v Speaker 1>Because you brought up a really good point. The pet

0:14:35.760 --> 0:14:38.280
<v Speaker 1>that comes in with multiple ear infections, Oh oh yeah.

0:14:38.280 --> 0:14:43.120
<v Speaker 1>This is like the classic established care new client, new patient.

0:14:43.440 --> 0:14:47.200
<v Speaker 1>They're coming in for a second opinion on there were

0:14:47.200 --> 0:14:52.440
<v Speaker 1>current ear infections, and they've been giving drops yep all

0:14:52.480 --> 0:14:56.080
<v Speaker 1>the time to no avail, And now they're coming in

0:14:56.160 --> 0:14:58.640
<v Speaker 1>to figure out why I keep having to do this

0:14:58.680 --> 0:14:59.600
<v Speaker 1>over and over again.

0:15:00.680 --> 0:15:04.120
<v Speaker 2>And when I sit down with them, I say, I

0:15:04.160 --> 0:15:07.240
<v Speaker 2>think your pet has allergies. I think that's the underlying

0:15:07.240 --> 0:15:09.200
<v Speaker 2>issue here. And I just want you to know as

0:15:09.200 --> 0:15:13.280
<v Speaker 2>an owner, this sucks. This is far and away the

0:15:13.360 --> 0:15:16.080
<v Speaker 2>worst thing to work up. It takes time. There is

0:15:16.120 --> 0:15:18.760
<v Speaker 2>no easy fix. We can't just slap a band aid

0:15:18.800 --> 0:15:20.240
<v Speaker 2>on it. We're going to have to do some trial

0:15:20.280 --> 0:15:23.880
<v Speaker 2>and error, so like just you know, buckle up because

0:15:23.880 --> 0:15:25.080
<v Speaker 2>we're kind of in for the long haul.

0:15:25.200 --> 0:15:27.640
<v Speaker 1>Yeah, And oftentimes when we see these people for that

0:15:27.720 --> 0:15:30.800
<v Speaker 1>first appointment, can't we don't even have the time to

0:15:30.880 --> 0:15:34.520
<v Speaker 1>go into the full detail that we will on this episode.

0:15:34.960 --> 0:15:38.880
<v Speaker 1>So we have to focus on treating their secondary infections

0:15:38.880 --> 0:15:43.600
<v Speaker 1>that they come in for first, and then ultimately rechecking

0:15:43.680 --> 0:15:47.520
<v Speaker 1>the skin and the ear infections are going to be

0:15:47.800 --> 0:15:51.240
<v Speaker 1>so so so important because then we can get them

0:15:51.280 --> 0:15:54.640
<v Speaker 1>back to ground zero and transition to like addressing their

0:15:54.720 --> 0:15:56.200
<v Speaker 1>underlying cause exactly.

0:15:56.640 --> 0:15:58.120
<v Speaker 2>And that brings me to a great point, which I

0:15:58.160 --> 0:16:01.720
<v Speaker 2>think the first thing is what do allergies? And also

0:16:01.760 --> 0:16:03.200
<v Speaker 2>I just want to say I'm really sorry for all

0:16:03.200 --> 0:16:06.760
<v Speaker 2>our cat owners out there. This is primarily for dogs

0:16:07.040 --> 0:16:09.240
<v Speaker 2>out meat can't touch a little bit. Cats do suffer

0:16:09.240 --> 0:16:11.280
<v Speaker 2>from allergies, but I'd say dogs tend to be our

0:16:11.320 --> 0:16:14.960
<v Speaker 2>most common offender. We can well bring up cats as needed. Definitely,

0:16:16.040 --> 0:16:19.680
<v Speaker 2>the big thing for me is how do they How

0:16:19.720 --> 0:16:22.720
<v Speaker 2>are we typically seeing allergies present in our pets? And

0:16:22.800 --> 0:16:25.920
<v Speaker 2>I think for us it's sort of unusual because when

0:16:25.960 --> 0:16:27.960
<v Speaker 2>we have allergies. We have a sniffy nose, we have

0:16:28.080 --> 0:16:31.280
<v Speaker 2>runny eyes, we might have a claw or a sneeze,

0:16:31.400 --> 0:16:34.160
<v Speaker 2>And that's not typically the way that it can but

0:16:34.200 --> 0:16:36.800
<v Speaker 2>not typically the way the allergies present in our pets.

0:16:36.720 --> 0:16:40.840
<v Speaker 1>Right more more commonly, I mean most of the time

0:16:40.960 --> 0:16:44.160
<v Speaker 1>we don't even notice until we see the secondary infections

0:16:44.240 --> 0:16:47.960
<v Speaker 1>or they smell like yeast and they're scratching. But predominantly

0:16:48.320 --> 0:16:51.520
<v Speaker 1>we're going to see chewing and looking at the paws,

0:16:51.640 --> 0:16:56.560
<v Speaker 1>which super itchy. That is like slam dunk allergies. My

0:16:56.600 --> 0:16:58.920
<v Speaker 1>own dog, when I come home and our foot is soaked,

0:16:59.000 --> 0:17:00.760
<v Speaker 1>I'm like, I know, you've had your foot in your

0:17:00.760 --> 0:17:02.960
<v Speaker 1>mouth all day, chewing it like a corn cobs, chewing

0:17:03.040 --> 0:17:06.240
<v Speaker 1>it like a corn cob, licking their feet, scratching their ears,

0:17:06.480 --> 0:17:10.760
<v Speaker 1>scratching their armpits, scratching everywhere. I feel like those are

0:17:10.760 --> 0:17:14.600
<v Speaker 1>the most common ear infections or current ear infections. And

0:17:14.760 --> 0:17:19.600
<v Speaker 1>one other weird one is recurrent anal gland issues. Yes,

0:17:20.880 --> 0:17:24.119
<v Speaker 1>I feel like we don't focus on that as much,

0:17:24.200 --> 0:17:27.320
<v Speaker 1>but a lot of dogs with underlying allergies will need

0:17:27.359 --> 0:17:30.920
<v Speaker 1>their anal glands addressed more often than more often ones

0:17:30.920 --> 0:17:31.359
<v Speaker 1>that don't.

0:17:31.600 --> 0:17:35.320
<v Speaker 2>I agree with that, and then from there, once we've

0:17:35.400 --> 0:17:39.200
<v Speaker 2>kind of established okay, this pet has the signs of allergies,

0:17:39.440 --> 0:17:42.280
<v Speaker 2>the next the next question is, well, what is causing

0:17:42.280 --> 0:17:45.120
<v Speaker 2>allergies in our pets? And there's really three big things

0:17:45.160 --> 0:17:47.640
<v Speaker 2>that cause allergies in our pets. Number one is fleas,

0:17:48.359 --> 0:17:51.080
<v Speaker 2>number two is something in their food, and number three

0:17:51.160 --> 0:17:54.480
<v Speaker 2>is something in the environment. Environment can be anything from

0:17:54.480 --> 0:17:58.640
<v Speaker 2>like something seasonal like grasses, trees, pollens, to something that's

0:17:58.920 --> 0:18:02.639
<v Speaker 2>there all year round like dust, mites, mold spores and

0:18:02.680 --> 0:18:03.600
<v Speaker 2>those kinds of things.

0:18:03.680 --> 0:18:06.440
<v Speaker 1>Yeah, and I think that's a good point to bring

0:18:06.520 --> 0:18:08.760
<v Speaker 1>in our cat population because a lot of cats are

0:18:08.840 --> 0:18:13.560
<v Speaker 1>indoor only, they can still have environmental allergies to things

0:18:13.600 --> 0:18:14.960
<v Speaker 1>that are going on in the house.

0:18:15.160 --> 0:18:20.320
<v Speaker 2>Absolutely, or even like if it is high grass season

0:18:20.440 --> 0:18:23.520
<v Speaker 2>and trees and pollens. We're bringing that in on our

0:18:23.560 --> 0:18:25.920
<v Speaker 2>clothes and our shoes, and so it definitely can affect

0:18:25.960 --> 0:18:28.600
<v Speaker 2>our kitties as well, for sure. And we see a

0:18:28.600 --> 0:18:31.679
<v Speaker 2>lot of kiddies get fleas, Yes, I feel like they

0:18:31.760 --> 0:18:35.160
<v Speaker 2>get fleas more often than our dogs do. Yes, And

0:18:35.440 --> 0:18:38.560
<v Speaker 2>they absolutely have food allergies. So this applies to cats

0:18:38.840 --> 0:18:42.600
<v Speaker 2>for sure, definitely. So we know as muginarians. Okay, your

0:18:42.600 --> 0:18:45.800
<v Speaker 2>pet comes in, it's itching. It's one of these three things.

0:18:46.080 --> 0:18:49.080
<v Speaker 2>Where do we start with trying to figure out what

0:18:49.240 --> 0:18:51.280
<v Speaker 2>the underlying issue is? And this is where it gets

0:18:51.760 --> 0:18:55.320
<v Speaker 2>a little bit more complicated. The first thing is we

0:18:55.359 --> 0:18:57.520
<v Speaker 2>do a really good physical exam and we take a

0:18:57.560 --> 0:19:00.400
<v Speaker 2>really good history from the owner. And it's quite doing

0:19:00.400 --> 0:19:03.080
<v Speaker 2>a physical to rule in or out fleas. Right, if

0:19:03.080 --> 0:19:04.679
<v Speaker 2>you don't have fleas on yet, you probably don't have

0:19:04.680 --> 0:19:05.680
<v Speaker 2>the flea issue right.

0:19:06.040 --> 0:19:11.200
<v Speaker 1>Less likely for sure. I do really really focus on

0:19:11.240 --> 0:19:14.080
<v Speaker 1>their history with these pets, and if they are not

0:19:14.240 --> 0:19:18.800
<v Speaker 1>on flee in tick prevention, I tell those owners like, theoretically,

0:19:19.000 --> 0:19:22.600
<v Speaker 1>even if we don't see a flee today, it's still possible.

0:19:23.119 --> 0:19:25.920
<v Speaker 1>So we can't rule out flea allergy in pets who

0:19:25.920 --> 0:19:27.680
<v Speaker 1>are on prevention. I agree with that.

0:19:27.720 --> 0:19:29.560
<v Speaker 2>And they can get bit by a flea and then

0:19:29.640 --> 0:19:33.680
<v Speaker 2>have this long lasting allergic reaction just from one flea bite.

0:19:33.880 --> 0:19:37.760
<v Speaker 1>Yes, And what people don't realize is that dogs and

0:19:37.800 --> 0:19:41.120
<v Speaker 1>cats are actually allergic to the saliva from the flea.

0:19:41.200 --> 0:19:44.720
<v Speaker 1>So a flea can jump on the pet, leave some

0:19:44.840 --> 0:19:48.719
<v Speaker 1>saliba kiss ye, leave some saliva behind, jump off. We

0:19:48.760 --> 0:19:52.120
<v Speaker 1>see no fleas but they're presenting for a flea allergy.

0:19:52.320 --> 0:19:55.199
<v Speaker 2>I agree it can be obscure because if they're not

0:19:55.240 --> 0:19:57.200
<v Speaker 2>on prevention and we don't see fleas on them, then

0:19:57.200 --> 0:19:59.679
<v Speaker 2>we just have to treat them as though maybe this

0:19:59.760 --> 0:20:00.560
<v Speaker 2>is a allergy.

0:20:00.600 --> 0:20:02.960
<v Speaker 1>But it also could not be right. And I tell

0:20:03.000 --> 0:20:07.440
<v Speaker 1>owners like, honestly, you we don't want like our fleas

0:20:07.440 --> 0:20:10.840
<v Speaker 1>in our environment, but a diagnosis of a flea allergy

0:20:10.920 --> 0:20:13.560
<v Speaker 1>is kind of a good thing. Slam dunk. Yeah, we

0:20:13.560 --> 0:20:16.840
<v Speaker 1>can treat them. We can. Hopefully this is a one off,

0:20:16.960 --> 0:20:20.439
<v Speaker 1>and it's significantly less expensive than going down a diagnostic

0:20:20.560 --> 0:20:23.000
<v Speaker 1>rabbit hole. I agree with that for the other causes.

0:20:23.200 --> 0:20:25.520
<v Speaker 2>Sadly though, I feel like that is one out of

0:20:25.520 --> 0:20:28.480
<v Speaker 2>every ten allergy cases, maybe even less than that.

0:20:28.560 --> 0:20:30.880
<v Speaker 1>We see, Yeah, and our pets coming into the hospital,

0:20:30.960 --> 0:20:36.719
<v Speaker 1>I agree those pets do present with a very specific

0:20:37.520 --> 0:20:41.439
<v Speaker 1>physical exam. Though, yes, I'm sure we probably learned the

0:20:41.440 --> 0:20:45.760
<v Speaker 1>same way invet school that these pets are itchy, they

0:20:45.760 --> 0:20:48.959
<v Speaker 1>have scabs, they can have live fleas predominantly in what

0:20:49.000 --> 0:20:51.480
<v Speaker 1>we call the pants region. Yes, did you learn it

0:20:51.560 --> 0:20:54.480
<v Speaker 1>less where they would put their pull their jeans up. Yep,

0:20:54.560 --> 0:20:58.760
<v Speaker 1>So imagine a dog wearing pants or cat and basically

0:20:59.200 --> 0:21:02.560
<v Speaker 1>near their butt based of their tails. The tail, Yes,

0:21:02.600 --> 0:21:05.479
<v Speaker 1>that is where we predominantly see the symptoms. So if

0:21:05.520 --> 0:21:08.320
<v Speaker 1>a dog comes in, even if they don't have fleas,

0:21:08.520 --> 0:21:12.480
<v Speaker 1>but they're not on prevention and their pants region is angry,

0:21:12.640 --> 0:21:14.800
<v Speaker 1>then I'm like, Okay, this is probably flee we got

0:21:14.800 --> 0:21:15.160
<v Speaker 1>a problem.

0:21:15.200 --> 0:21:18.760
<v Speaker 2>We're like Sherlock Holmes, Yes, so that that kind of

0:21:19.720 --> 0:21:22.359
<v Speaker 2>explains fleas. And like I said, that's I don't do

0:21:22.400 --> 0:21:24.160
<v Speaker 2>you think one out of ten? Do you think I'm

0:21:24.320 --> 0:21:26.480
<v Speaker 2>over guestimating that over?

0:21:27.960 --> 0:21:30.280
<v Speaker 1>I think it's more common than we think it is,

0:21:31.040 --> 0:21:37.119
<v Speaker 1>especially because like again cats specifically, yeah, and cats, we

0:21:37.200 --> 0:21:39.199
<v Speaker 1>have a lot of people who live in apartments. Your

0:21:39.240 --> 0:21:42.679
<v Speaker 1>cat could be indoor only they go outside, but the

0:21:42.760 --> 0:21:45.040
<v Speaker 1>dog in the apartment next door could have fleas and

0:21:45.960 --> 0:21:48.920
<v Speaker 1>they can get that just from living in the apartment.

0:21:49.080 --> 0:21:52.600
<v Speaker 1>So we don't talk about this as much, but keeping

0:21:52.680 --> 0:21:56.720
<v Speaker 1>even cats on flea intent prevention year round is gold standard.

0:21:57.000 --> 0:21:59.080
<v Speaker 1>I agree.

0:21:59.359 --> 0:22:03.159
<v Speaker 2>So if we do the exam, we don't, you know,

0:22:03.200 --> 0:22:05.800
<v Speaker 2>and take a history and we don't think that fleas

0:22:05.840 --> 0:22:08.880
<v Speaker 2>are involved, the next place that we start is thinking

0:22:08.960 --> 0:22:13.159
<v Speaker 2>about a food allergy ninety nine point nine nine nine

0:22:13.200 --> 0:22:15.560
<v Speaker 2>nine nine percent of the time. If a pet is

0:22:15.560 --> 0:22:17.560
<v Speaker 2>allergic to something in their food, it's going to be

0:22:17.600 --> 0:22:22.399
<v Speaker 2>the protein. Two of the really big things that I

0:22:22.440 --> 0:22:24.879
<v Speaker 2>hear owners say that don't really apply to a food

0:22:24.880 --> 0:22:28.680
<v Speaker 2>allergy are number one, Fluffy's been eating the same food

0:22:28.680 --> 0:22:31.000
<v Speaker 2>for years and years and years, so it couldn't possibly

0:22:31.040 --> 0:22:34.680
<v Speaker 2>be a food allergy. Into that, I say, sadly, that's

0:22:34.720 --> 0:22:36.760
<v Speaker 2>not true. They can develop a food allergy really at

0:22:36.760 --> 0:22:38.919
<v Speaker 2>any point in their life. It's kind of like my

0:22:39.000 --> 0:22:41.720
<v Speaker 2>twenty five year old cousin who never had an allergy

0:22:41.720 --> 0:22:43.280
<v Speaker 2>and then woke up one day and Ada Carrott and

0:22:43.320 --> 0:22:47.040
<v Speaker 2>her lips blew up. The humans also develop allergies later

0:22:47.040 --> 0:22:50.320
<v Speaker 2>in life, definitely. And then number two, the other one

0:22:50.640 --> 0:22:53.760
<v Speaker 2>is well, I've tried switching up the food multiple times

0:22:53.760 --> 0:22:55.720
<v Speaker 2>and I haven't seen any improvement, So I don't think

0:22:55.720 --> 0:22:57.919
<v Speaker 2>it's a food allergy. Both of those things I hear them,

0:22:58.000 --> 0:23:01.280
<v Speaker 2>and well, it's great to know. They doesn't really sway

0:23:01.280 --> 0:23:02.040
<v Speaker 2>me one way or another.

0:23:02.160 --> 0:23:05.120
<v Speaker 1>Definitely agreed if it's a food, they have the right

0:23:05.160 --> 0:23:08.560
<v Speaker 1>thought process do, but they just need a little little

0:23:08.600 --> 0:23:09.800
<v Speaker 1>extra help exactly.

0:23:11.040 --> 0:23:15.280
<v Speaker 2>And so what we tell owners is could this be environmental? Yes,

0:23:15.400 --> 0:23:17.879
<v Speaker 2>could this be food? Yes, we don't really know until

0:23:17.920 --> 0:23:20.840
<v Speaker 2>we do additional testing. And so the first place to

0:23:20.880 --> 0:23:24.720
<v Speaker 2>start is to rule out or potentially rule in a

0:23:24.760 --> 0:23:27.280
<v Speaker 2>food allergy. And the only way to do that is

0:23:27.359 --> 0:23:28.639
<v Speaker 2>by doing a diet trial.

0:23:29.000 --> 0:23:34.280
<v Speaker 1>Yes, and diet trials are not fun. They're not They're

0:23:34.400 --> 0:23:36.919
<v Speaker 1>definitely harder on the owner than the pet. I agree

0:23:36.920 --> 0:23:40.639
<v Speaker 1>with that, But environmental allergies, unless you're going to the

0:23:40.720 --> 0:23:45.640
<v Speaker 1>veterinary dermatologist and getting testing, it's a diagnosis of exclusion,

0:23:45.840 --> 0:23:48.720
<v Speaker 1>which means we have to rule out every other possible

0:23:48.760 --> 0:23:51.719
<v Speaker 1>cause before just being confident and saying your dog has

0:23:51.800 --> 0:23:56.000
<v Speaker 1>environmental allergies exactly. And again, wouldn't it be nice if

0:23:56.040 --> 0:23:58.199
<v Speaker 1>it was as easy as switching up the food and

0:23:58.240 --> 0:24:00.159
<v Speaker 1>putting them on a different diet and you don't have

0:24:00.160 --> 0:24:04.439
<v Speaker 1>to worry about their allergies over again exactly? So the

0:24:04.480 --> 0:24:09.280
<v Speaker 1>diet trial is very strict. We have to feed them

0:24:09.280 --> 0:24:12.000
<v Speaker 1>a very specific type of food. There's kind of two

0:24:12.080 --> 0:24:17.000
<v Speaker 1>different options. What I most commonly recommend is a diet

0:24:17.520 --> 0:24:21.200
<v Speaker 1>called a hydrolyzed protein diet. That is where the protein's

0:24:21.240 --> 0:24:23.760
<v Speaker 1>broken down super small so the body should not react

0:24:23.840 --> 0:24:27.000
<v Speaker 1>to it as foreign and they have to be on

0:24:27.160 --> 0:24:30.400
<v Speaker 1>a strict hydrolyzed protein diet, which you could talk about

0:24:30.440 --> 0:24:34.440
<v Speaker 1>the other option, for a minimum of eight to twelve weeks.

0:24:35.240 --> 0:24:38.280
<v Speaker 1>No other food should go in that dog's mouth.

0:24:38.520 --> 0:24:41.760
<v Speaker 2>Nothing flavored at all. None, no treats, no bones, no

0:24:41.840 --> 0:24:45.440
<v Speaker 2>flavored medications. And this is why doctor Isabella says, Hey,

0:24:45.480 --> 0:24:48.040
<v Speaker 2>this is really hard because you have to get everyone

0:24:48.040 --> 0:24:50.360
<v Speaker 2>in your family on board. If you have a toddler

0:24:50.440 --> 0:24:53.280
<v Speaker 2>throwing things over the high chair, that can ruin the

0:24:53.320 --> 0:24:55.359
<v Speaker 2>diet trial and your back at square one starting all

0:24:55.400 --> 0:24:55.879
<v Speaker 2>over again.

0:24:55.960 --> 0:24:58.720
<v Speaker 1>Yes, and this is exactly what we do for cats

0:24:58.760 --> 0:25:01.440
<v Speaker 1>to for everyone who has cats. Yes, we do diet

0:25:01.480 --> 0:25:03.560
<v Speaker 1>trials for cats. Sac same and you said it's for

0:25:03.600 --> 0:25:07.960
<v Speaker 1>eight full weeks. Eight full weeks, and then by that

0:25:08.080 --> 0:25:11.000
<v Speaker 1>point we kind of go in one of two directions.

0:25:11.200 --> 0:25:16.119
<v Speaker 1>If their symptoms have resolved, then we can do what

0:25:16.160 --> 0:25:22.000
<v Speaker 1>we call challenges, where we reintroduce certain ingredients or foods

0:25:22.080 --> 0:25:25.160
<v Speaker 1>back into their diet, and if they are itchy again

0:25:25.280 --> 0:25:28.040
<v Speaker 1>within a week or two, then we know, okay, we

0:25:28.040 --> 0:25:30.280
<v Speaker 1>can't be feeding them that, and we just kind of

0:25:30.320 --> 0:25:32.040
<v Speaker 1>do a trial and error until we get to the

0:25:32.119 --> 0:25:35.280
<v Speaker 1>right I really want to emphasize too that the food

0:25:35.359 --> 0:25:39.520
<v Speaker 1>that we are using in diet trials are prescription based.

0:25:40.040 --> 0:25:43.080
<v Speaker 2>There are other food brands out there that will label

0:25:43.080 --> 0:25:48.800
<v Speaker 2>foods hypoallergenic, but they're not truly that hydrolyzed, very very

0:25:48.800 --> 0:25:52.720
<v Speaker 2>small protein based veterinary food that really can only be

0:25:52.800 --> 0:25:53.800
<v Speaker 2>used in a diet trial.

0:25:53.920 --> 0:25:56.800
<v Speaker 1>So that's a really a big thing.

0:25:57.000 --> 0:25:59.760
<v Speaker 2>And four weeks into the diet trial, I tell my owners,

0:25:59.800 --> 0:26:02.560
<v Speaker 2>you not be seeing any improvement at all. There's still

0:26:03.160 --> 0:26:05.760
<v Speaker 2>there's still some leftover protein from the food they were

0:26:05.800 --> 0:26:10.600
<v Speaker 2>eating before that may be causing that residual allergy flare up.

0:26:10.600 --> 0:26:12.480
<v Speaker 2>And so you really can't deem whether or not it's

0:26:12.520 --> 0:26:14.200
<v Speaker 2>working until you hit week eight.

0:26:14.600 --> 0:26:17.440
<v Speaker 1>Definitely, they have to be in it for the long run,

0:26:17.480 --> 0:26:20.119
<v Speaker 1>and I'm like, let's just like put our all into

0:26:20.160 --> 0:26:23.800
<v Speaker 1>this for two months, and then after that, let's say

0:26:23.840 --> 0:26:26.880
<v Speaker 1>they're itching, just continues, then we know, okay, you can

0:26:26.880 --> 0:26:30.160
<v Speaker 1>eat whatever he want, it's probably not the food, right,

0:26:30.880 --> 0:26:32.120
<v Speaker 1>And then you brought up challenging.

0:26:32.200 --> 0:26:34.639
<v Speaker 2>I am sort of of the mindset where I feel

0:26:34.680 --> 0:26:36.560
<v Speaker 2>like I think owners are like, oh my gosh, I

0:26:36.560 --> 0:26:39.520
<v Speaker 2>don't want to just feed them this hydrolyzed protein food.

0:26:39.600 --> 0:26:42.359
<v Speaker 2>But if it was my dog, I would just keep them.

0:26:42.440 --> 0:26:45.199
<v Speaker 2>I usually say, just keep them on the hydrolyzed protein

0:26:45.240 --> 0:26:49.000
<v Speaker 2>food because a it's healthy, it's well balanced, They're going

0:26:49.040 --> 0:26:51.280
<v Speaker 2>to do great for the entirety of their lives on it.

0:26:52.320 --> 0:26:55.040
<v Speaker 2>And if you want to like start adding maybe a

0:26:55.200 --> 0:26:57.280
<v Speaker 2>treat in. But as far as like changing up their

0:26:57.320 --> 0:26:59.800
<v Speaker 2>diet and going back to something over the counter, that

0:26:59.800 --> 0:27:01.440
<v Speaker 2>will makes me very taken a risk.

0:27:02.200 --> 0:27:06.000
<v Speaker 1>My personal my dog Monkey is on a hydrolyzed protein diet.

0:27:06.160 --> 0:27:08.920
<v Speaker 1>She's been on it since she was like a year

0:27:08.920 --> 0:27:13.480
<v Speaker 1>old and now she's four. She loves it, so yeah,

0:27:13.520 --> 0:27:16.480
<v Speaker 1>I've kept her on that long term. It is prescription,

0:27:16.680 --> 0:27:19.000
<v Speaker 1>so it's going to be a little bit more pricey.

0:27:19.400 --> 0:27:21.720
<v Speaker 1>So if I have owners who are, you know, trying

0:27:21.720 --> 0:27:25.359
<v Speaker 1>to be a little bit more financially conscious, then we

0:27:25.400 --> 0:27:29.800
<v Speaker 1>can talk about other options. But even for example, the

0:27:29.880 --> 0:27:32.320
<v Speaker 1>sensitive skin and stomach diets that are over the counter,

0:27:33.280 --> 0:27:38.760
<v Speaker 1>those can be contaminated in the factory, so with other proteins,

0:27:38.760 --> 0:27:43.919
<v Speaker 1>with yes, with other producterior or anything. So we cannot

0:27:45.160 --> 0:27:47.680
<v Speaker 1>assume since our dog's been on a sensitive skin and

0:27:47.680 --> 0:27:52.400
<v Speaker 1>stomach diet and nothing's helping, we can't assume that right.

0:27:52.880 --> 0:27:54.520
<v Speaker 1>The other thing, too, is if you think about it.

0:27:54.560 --> 0:27:57.720
<v Speaker 2>If yes, prescription food is going to be a little

0:27:57.720 --> 0:27:59.680
<v Speaker 2>bit more than your regular run of the mill food,

0:28:00.240 --> 0:28:02.800
<v Speaker 2>but if they respond really well to it, ultimately you're

0:28:02.920 --> 0:28:04.879
<v Speaker 2>probably going to save money because you're going into the

0:28:04.960 --> 0:28:07.920
<v Speaker 2>vet less to or check ups and skin rashes and

0:28:07.960 --> 0:28:13.679
<v Speaker 2>infections and ear infections. So that's one one factor. So

0:28:14.720 --> 0:28:17.040
<v Speaker 2>if we do the diet trial, or even if we

0:28:17.040 --> 0:28:18.840
<v Speaker 2>don't do the diet trial, we'll say, then the other

0:28:19.240 --> 0:28:22.680
<v Speaker 2>thought that we have is it could be environmental and

0:28:22.800 --> 0:28:26.879
<v Speaker 2>like doctor Isabella said, that primarily is a diagnosis of

0:28:26.960 --> 0:28:29.760
<v Speaker 2>exclusion ideally gold standard. We would love to do the

0:28:29.800 --> 0:28:33.000
<v Speaker 2>eight week diet trial. Your pet is still itching, then

0:28:33.040 --> 0:28:35.359
<v Speaker 2>we say, okay, we've ruled out fleas, we've ruled out

0:28:35.359 --> 0:28:39.920
<v Speaker 2>a food allergy. It probably has environmental allergies. And that can,

0:28:40.320 --> 0:28:42.320
<v Speaker 2>like I said, manifest in a lot of different ways.

0:28:42.320 --> 0:28:44.480
<v Speaker 2>It can be all year round. If they're allergic to

0:28:44.520 --> 0:28:47.280
<v Speaker 2>something like dust mites, it can be really bad in

0:28:47.320 --> 0:28:53.000
<v Speaker 2>the spring and fall when it's hey season. So it's

0:28:53.000 --> 0:28:55.280
<v Speaker 2>not like a one size fits all by any means. Oh,

0:28:55.480 --> 0:28:56.120
<v Speaker 2>definitely not.

0:28:57.360 --> 0:29:01.560
<v Speaker 1>And there is a way to definitively diagnose environmental allergies. Yes,

0:29:02.040 --> 0:29:06.240
<v Speaker 1>and that requires consultation with a veterinary dermatologist.

0:29:06.320 --> 0:29:08.720
<v Speaker 2>Yes, if we're going gold standard, we refer you to

0:29:08.760 --> 0:29:12.720
<v Speaker 2>the dermatologists and they do intradermal testing where they take

0:29:13.520 --> 0:29:16.160
<v Speaker 2>these tiny little needles and they poke the dogs with

0:29:16.240 --> 0:29:18.760
<v Speaker 2>all the different allergens, just like they do in humans

0:29:19.120 --> 0:29:21.560
<v Speaker 2>and see how they react, and depending on what they

0:29:21.600 --> 0:29:26.360
<v Speaker 2>react to, they will formulate allergy injections like a protocol,

0:29:26.400 --> 0:29:28.640
<v Speaker 2>and they also have drops that go underneath the tongue

0:29:29.640 --> 0:29:35.600
<v Speaker 2>and from there we help them lessen their allergies with

0:29:35.760 --> 0:29:38.800
<v Speaker 2>these these special formulations based on what they're allergic to.

0:29:39.000 --> 0:29:42.040
<v Speaker 1>Yeah, it's truly just like if you were to go

0:29:42.120 --> 0:29:44.800
<v Speaker 1>to the allergy doctor and they were to formulate an

0:29:44.840 --> 0:29:50.520
<v Speaker 1>allergy shop for you. Yeah, identical. But that's a big commitment.

0:29:50.880 --> 0:29:54.440
<v Speaker 2>H It's not inexpensive you're looking at It depends on

0:29:54.440 --> 0:29:58.120
<v Speaker 2>where you live, but probably thousands of dollars, right, I see, Like,

0:29:58.320 --> 0:30:01.400
<v Speaker 2>I don't know three thousand dollars, but you can probably

0:30:01.800 --> 0:30:03.520
<v Speaker 2>around there also we need to ask.

0:30:03.640 --> 0:30:08.600
<v Speaker 1>But yeah, yeah, so it's a big commitment, and you're

0:30:08.640 --> 0:30:11.520
<v Speaker 1>also going to have to do multiple rechecks with the

0:30:11.560 --> 0:30:13.280
<v Speaker 1>dermatologists throughout the process.

0:30:13.640 --> 0:30:15.680
<v Speaker 2>We're not saying that's wrong, Like, if you want to

0:30:15.720 --> 0:30:17.560
<v Speaker 2>get to the bottom of it, I love that, Like

0:30:17.680 --> 0:30:20.680
<v Speaker 2>we support you, Yeah, definitely, but just understanding that it's

0:30:20.720 --> 0:30:22.840
<v Speaker 2>not going to be the most inexpensive route.

0:30:22.920 --> 0:30:26.120
<v Speaker 1>And if you can't do that or don't want to

0:30:26.360 --> 0:30:30.080
<v Speaker 1>for whatever reason, like we've got other options, So you

0:30:30.120 --> 0:30:32.560
<v Speaker 1>should feel bad for not being able to take your

0:30:32.560 --> 0:30:34.520
<v Speaker 1>dog to the dermatologists. I agree with that.

0:30:34.920 --> 0:30:38.400
<v Speaker 2>I'd say the majority of owners don't. Oh yeah dermatologists, No,

0:30:38.520 --> 0:30:41.520
<v Speaker 2>not unless it's very severe. But I agree just like

0:30:41.960 --> 0:30:45.440
<v Speaker 2>regular run of the mill seasonal allergies, No, they're not

0:30:45.520 --> 0:30:48.160
<v Speaker 2>doing that. I agree with that. So that really brings

0:30:48.240 --> 0:30:49.920
<v Speaker 2>us to it. I feel like then we end up

0:30:49.960 --> 0:30:52.440
<v Speaker 2>with a set of clients that fall into a bucket

0:30:52.480 --> 0:30:56.400
<v Speaker 2>of Okay, my family can't possibly do a food trial.

0:30:56.480 --> 0:31:00.280
<v Speaker 2>I've got seven kids, We're going to fail it. It's

0:31:00.320 --> 0:31:01.680
<v Speaker 2>going to be a waste of my money to do

0:31:01.720 --> 0:31:03.920
<v Speaker 2>a diet trial, or I just simply don't want to

0:31:03.960 --> 0:31:04.239
<v Speaker 2>do that.

0:31:04.720 --> 0:31:06.400
<v Speaker 1>And then we've also got the bucket.

0:31:06.080 --> 0:31:09.960
<v Speaker 2>Of my pet we are pretty sure has environmental allergies,

0:31:10.000 --> 0:31:11.880
<v Speaker 2>but I, for whatever reason, don't want to go to

0:31:11.880 --> 0:31:14.880
<v Speaker 2>the dermatologist. And then that leaves us with Okay, we

0:31:14.960 --> 0:31:17.720
<v Speaker 2>know your pet has allergies. We're not entirely sure which

0:31:17.840 --> 0:31:21.440
<v Speaker 2>kind of allergy, but we're going to we have options

0:31:21.480 --> 0:31:23.800
<v Speaker 2>as far as treating it and keeping them comfortable.

0:31:23.480 --> 0:31:28.520
<v Speaker 1>Right, And our goal from the general practitioners standpoint in

0:31:28.560 --> 0:31:32.960
<v Speaker 1>those situations is basically just to manage their symptoms so

0:31:33.000 --> 0:31:36.400
<v Speaker 1>that they don't end up with those secondary ear infections,

0:31:36.440 --> 0:31:39.120
<v Speaker 1>skin infections, anal gland issues exactly.

0:31:39.160 --> 0:31:42.720
<v Speaker 2>And I think that's like the big takeaway point for

0:31:42.840 --> 0:31:47.360
<v Speaker 2>me as a general practitioner is I know your pet

0:31:47.400 --> 0:31:50.360
<v Speaker 2>has allergies, but we are not treating the underlying cause.

0:31:50.400 --> 0:31:52.080
<v Speaker 2>If we haven't done a diet trial, we haven't done

0:31:52.080 --> 0:31:56.680
<v Speaker 2>the intradermal testing. We are simply keeping your pet's itchiness

0:31:56.720 --> 0:31:59.760
<v Speaker 2>at bay, trying our best to prevent those infections. But

0:31:59.800 --> 0:32:03.520
<v Speaker 2>they will be times when those infections break through, and

0:32:03.560 --> 0:32:05.600
<v Speaker 2>there are going to be times when hey, you couldn't

0:32:05.600 --> 0:32:08.360
<v Speaker 2>get here on time for it's side A point, which

0:32:08.400 --> 0:32:10.320
<v Speaker 2>we'll talk about it's side A point injection. And so

0:32:10.520 --> 0:32:14.000
<v Speaker 2>it's going to be a constant battle of doing our

0:32:14.040 --> 0:32:16.520
<v Speaker 2>best to manage the symptoms. It's not going to be

0:32:16.600 --> 0:32:20.040
<v Speaker 2>a cure though, right exactly. I wish it was.

0:32:20.200 --> 0:32:22.720
<v Speaker 1>Yeah, me too. I mean, it's kind of like with people.

0:32:23.200 --> 0:32:26.000
<v Speaker 1>A lot of times we don't figure out exactly what

0:32:26.000 --> 0:32:28.640
<v Speaker 1>we're allergic to. I don't know what I'm allergic to outside,

0:32:28.640 --> 0:32:31.280
<v Speaker 1>but it's something, yeah, and I take an antihistamine. Yeah,

0:32:31.320 --> 0:32:34.160
<v Speaker 1>exactly basically what we're doing with the pets. I agree.

0:32:34.400 --> 0:32:36.400
<v Speaker 2>So first things first, we treat if your pet comes

0:32:36.440 --> 0:32:40.320
<v Speaker 2>to us and looking like it's having an allergic flare up,

0:32:40.360 --> 0:32:42.880
<v Speaker 2>we treat the underlying infection. Like doctor Isabella said, We're

0:32:42.880 --> 0:32:44.840
<v Speaker 2>going to treat that your infection. We're going to treat

0:32:44.840 --> 0:32:46.680
<v Speaker 2>that skin rash. A lot of times, that's going to

0:32:46.720 --> 0:32:51.360
<v Speaker 2>include an antibiotic and potentially like something that treats east

0:32:51.760 --> 0:32:54.800
<v Speaker 2>whether that is like a shampoo or a moose or

0:32:54.840 --> 0:32:57.680
<v Speaker 2>an oral medication. We're going to really target whatever is

0:32:58.800 --> 0:33:00.360
<v Speaker 2>causing the infection on your pets skin.

0:33:00.680 --> 0:33:03.880
<v Speaker 1>Yes, so yeah, that's what we want to do first

0:33:03.920 --> 0:33:09.160
<v Speaker 1>and foremost, but ultimately and depending on how severe their

0:33:09.200 --> 0:33:12.719
<v Speaker 1>problems are when they come in, we are not going

0:33:12.800 --> 0:33:17.640
<v Speaker 1>to get rid of these secondary infections without treating an

0:33:17.680 --> 0:33:22.320
<v Speaker 1>underlying itch exactly because it's when they itch themselves, lick

0:33:22.400 --> 0:33:25.960
<v Speaker 1>themselves to themselves raw that they get those secondary bacterial

0:33:26.200 --> 0:33:27.440
<v Speaker 1>or yeast infections.

0:33:27.520 --> 0:33:30.240
<v Speaker 2>So I think that's a really good point to make,

0:33:30.400 --> 0:33:33.200
<v Speaker 2>is I think people are always like, well, why is

0:33:33.240 --> 0:33:35.280
<v Speaker 2>my dog my dog has allergies? Why is it getting

0:33:35.280 --> 0:33:37.680
<v Speaker 2>an infection? And so much of it is because they're

0:33:37.760 --> 0:33:41.960
<v Speaker 2>so they're traumatizing their own skin, which is already angry

0:33:42.160 --> 0:33:45.640
<v Speaker 2>right that it's just making it so susceptible to bacteria

0:33:45.680 --> 0:33:47.840
<v Speaker 2>and yeast coming in and causing infections.

0:33:48.040 --> 0:33:50.800
<v Speaker 1>They hone in on that. I mean, I have a

0:33:50.800 --> 0:33:53.560
<v Speaker 1>dog who licks her paws, So I'm sure there are

0:33:53.600 --> 0:33:55.760
<v Speaker 1>pet owners out there who can agree with me that

0:33:55.840 --> 0:33:57.800
<v Speaker 1>in the middle of the night, when you're trying to

0:33:57.800 --> 0:34:00.400
<v Speaker 1>sleep in all you hear, is there anything worse that

0:34:00.480 --> 0:34:07.600
<v Speaker 1>licking sound? It is the worst. So yeah, that ultimately

0:34:07.760 --> 0:34:11.640
<v Speaker 1>their mouth is full of bacteria, and they just focus

0:34:11.680 --> 0:34:13.560
<v Speaker 1>in on one point. They get into a frenzy, and

0:34:13.600 --> 0:34:15.560
<v Speaker 1>that's when we get those infections.

0:34:16.960 --> 0:34:19.719
<v Speaker 2>Yeah, So treating that infection first and foremost, and then

0:34:19.960 --> 0:34:22.160
<v Speaker 2>from there we really have to think about interrupting that

0:34:22.239 --> 0:34:26.440
<v Speaker 2>itch cycle. And I say, we have two main medications

0:34:26.520 --> 0:34:29.040
<v Speaker 2>on the market currently. It used to be we didn't

0:34:29.080 --> 0:34:32.240
<v Speaker 2>have them really when I first came out of at school.

0:34:32.320 --> 0:34:34.680
<v Speaker 2>The first medication came out which is called apoquel. But

0:34:34.719 --> 0:34:37.880
<v Speaker 2>prior to that, everyone was using steroids. Yes, and not

0:34:37.920 --> 0:34:39.760
<v Speaker 2>to say that steroids are wrong, and in really severe

0:34:39.840 --> 0:34:43.520
<v Speaker 2>cases we do use them, but nowadays we tend to

0:34:43.560 --> 0:34:46.640
<v Speaker 2>steer a little bit away from steroids right at the

0:34:47.000 --> 0:34:49.520
<v Speaker 2>start of treatment. And so the two main options are

0:34:49.560 --> 0:34:55.359
<v Speaker 2>Apoquell and side a point. Yes, and they both are

0:34:55.560 --> 0:34:59.880
<v Speaker 2>different medications, but they both similarly try to interrupt the

0:35:00.120 --> 0:35:04.120
<v Speaker 2>itch cycle. They turn off different receptors that are associated

0:35:04.160 --> 0:35:06.800
<v Speaker 2>with itch and our pets. And I know it sounds crazy,

0:35:06.840 --> 0:35:08.759
<v Speaker 2>like just sitting here being like, how does that work?

0:35:08.800 --> 0:35:11.960
<v Speaker 2>But they are amazing and that pets can get pretty

0:35:12.800 --> 0:35:15.239
<v Speaker 2>immediate relief when starting these medications.

0:35:15.440 --> 0:35:19.080
<v Speaker 1>Yeah, and both side a point and apple quil they

0:35:19.160 --> 0:35:22.080
<v Speaker 1>have their own individual pros and cons, So we can

0:35:22.200 --> 0:35:25.400
<v Speaker 1>kind of talk about both of those. I think we

0:35:25.560 --> 0:35:30.640
<v Speaker 1>both agree that our general first line, if we're going

0:35:30.680 --> 0:35:32.879
<v Speaker 1>to recommend one of those, is going to be side

0:35:32.880 --> 0:35:35.760
<v Speaker 1>a point. Absolutely, It's what I give to my own dog.

0:35:36.600 --> 0:35:42.080
<v Speaker 1>It just has a higher long term safety profile. So

0:35:42.560 --> 0:35:47.120
<v Speaker 1>side a point is a injection that goes under the

0:35:47.120 --> 0:35:50.799
<v Speaker 1>pet skin. What Jack doctor Josie was explaining, it's a

0:35:51.000 --> 0:35:55.280
<v Speaker 1>monoclonal anti body, so it just binds to a certain

0:35:55.320 --> 0:36:00.600
<v Speaker 1>receptor that tells them they're not itchy at a point.

0:36:01.120 --> 0:36:04.040
<v Speaker 1>Is great because it's an injection that will last a

0:36:04.160 --> 0:36:07.839
<v Speaker 1>minimum of a month. For some dogs it'll last eight

0:36:07.840 --> 0:36:11.719
<v Speaker 1>to twelve weeks or longer. And then you don't have

0:36:11.719 --> 0:36:12.640
<v Speaker 1>to give anything at home.

0:36:12.760 --> 0:36:14.960
<v Speaker 2>Yes, you just have really nice anything at home, but

0:36:15.000 --> 0:36:16.200
<v Speaker 2>it is a pain in the butt because you have

0:36:16.200 --> 0:36:16.720
<v Speaker 2>to come.

0:36:16.560 --> 0:36:17.440
<v Speaker 1>Back to the clinic.

0:36:17.680 --> 0:36:20.000
<v Speaker 2>Yes, I have some pets that come every four weeks

0:36:20.000 --> 0:36:22.239
<v Speaker 2>on the DOT to get their sidle point injection, and

0:36:22.280 --> 0:36:24.919
<v Speaker 2>then like monkey, we have some that can last eight weeks,

0:36:24.960 --> 0:36:25.640
<v Speaker 2>twelve weeks yea.

0:36:25.920 --> 0:36:28.120
<v Speaker 1>And sometimes it depends on the time of year too.

0:36:28.760 --> 0:36:32.200
<v Speaker 1>If it's the sea, you know, the spring and the fall,

0:36:32.640 --> 0:36:34.760
<v Speaker 1>you might have to be bringing your dog every month

0:36:34.800 --> 0:36:37.000
<v Speaker 1>on the DOT. But in the winter maybe if they

0:36:37.040 --> 0:36:39.239
<v Speaker 1>have something to grasses and pollens, you might not have

0:36:39.320 --> 0:36:40.560
<v Speaker 1>to bring them in so frequently.

0:36:41.400 --> 0:36:44.240
<v Speaker 2>And whether it's a food allergy or an environmental allergy,

0:36:44.239 --> 0:36:47.160
<v Speaker 2>they all tend to respond very well. I find definitely

0:36:47.320 --> 0:36:49.919
<v Speaker 2>these medications decide a point specifically.

0:36:49.360 --> 0:36:52.239
<v Speaker 1>Because again we're just targeting their itch right.

0:36:53.440 --> 0:36:55.920
<v Speaker 2>Definitely puts a little bit more onus on the owner

0:36:56.000 --> 0:36:58.759
<v Speaker 2>of having to keep an eye on your pet and

0:36:59.160 --> 0:37:01.640
<v Speaker 2>be really diligent about being compliant, like, oh, okay, I

0:37:01.680 --> 0:37:04.560
<v Speaker 2>can tell that Fluffy's having a flare up or just

0:37:04.640 --> 0:37:06.520
<v Speaker 2>a little bit more itchy today, I should get them

0:37:06.520 --> 0:37:07.279
<v Speaker 2>in for a side of point.

0:37:07.440 --> 0:37:11.279
<v Speaker 1>Yes, and one of the I would. I wouldn't say

0:37:11.280 --> 0:37:14.120
<v Speaker 1>it's a downside, but in comparison to aplequoil, it does

0:37:14.200 --> 0:37:17.359
<v Speaker 1>take probably like a day I agree to kick in,

0:37:19.120 --> 0:37:21.960
<v Speaker 1>so it's not gonna give us like I'm going to

0:37:22.000 --> 0:37:23.600
<v Speaker 1>give this shot and they're gonna feel better in the

0:37:23.640 --> 0:37:25.880
<v Speaker 1>next hour, but usually by next day I feel like

0:37:26.000 --> 0:37:29.520
<v Speaker 1>usually see next day, and to me, that is worth

0:37:29.560 --> 0:37:33.600
<v Speaker 1>it for long term use and how safe it is.

0:37:33.840 --> 0:37:34.520
<v Speaker 1>I agree with that.

0:37:34.560 --> 0:37:36.640
<v Speaker 2>The other big thing that I tell owners is after

0:37:36.680 --> 0:37:39.560
<v Speaker 2>the first shot, you may see some improvement, but you

0:37:39.600 --> 0:37:42.120
<v Speaker 2>may not see the full effects. It does take a

0:37:42.200 --> 0:37:44.440
<v Speaker 2>time or two, like after a couple of them, to

0:37:44.520 --> 0:37:46.320
<v Speaker 2>really see how well your pet's going to respond.

0:37:46.440 --> 0:37:50.919
<v Speaker 1>Yes, I recently learned from a dermatologist that it has

0:37:50.960 --> 0:37:56.479
<v Speaker 1>an additive effect, so up to three doses can make

0:37:56.520 --> 0:37:59.279
<v Speaker 1>their response even better. So don't knock it on the

0:37:59.280 --> 0:38:02.960
<v Speaker 1>first try if it didn't work one hundred percent. I

0:38:03.000 --> 0:38:04.480
<v Speaker 1>agree The.

0:38:04.440 --> 0:38:08.680
<v Speaker 2>Other option is apquel and this is a medication that

0:38:09.040 --> 0:38:11.720
<v Speaker 2>targets something called a jack.

0:38:12.040 --> 0:38:13.160
<v Speaker 1>It's a jack inhibitor.

0:38:13.800 --> 0:38:16.480
<v Speaker 2>And so again just kind of interrupting that it's cycle

0:38:16.520 --> 0:38:20.800
<v Speaker 2>in a different way than sido point. It's a great option.

0:38:21.000 --> 0:38:24.480
<v Speaker 2>It is a tablet, so it is a little bit

0:38:24.480 --> 0:38:28.600
<v Speaker 2>more labor intensive for owners at home where I've always

0:38:28.600 --> 0:38:30.800
<v Speaker 2>been taught. The first two weeks you give it twice daily,

0:38:31.080 --> 0:38:33.040
<v Speaker 2>that's called the loading dose, and then from there you

0:38:33.120 --> 0:38:36.120
<v Speaker 2>can drop to once daily. Sometimes that loading dose can

0:38:36.160 --> 0:38:39.560
<v Speaker 2>be a week or two weeks, and then from there

0:38:39.560 --> 0:38:42.440
<v Speaker 2>you drop to once a day long term as maintenance,

0:38:42.760 --> 0:38:47.360
<v Speaker 2>and it is a great option. I just find long

0:38:47.440 --> 0:38:49.759
<v Speaker 2>term safety wise, I think sido point has a little

0:38:49.760 --> 0:38:50.799
<v Speaker 2>bit less side effects.

0:38:50.840 --> 0:38:56.759
<v Speaker 1>Definitely. Apoquil, as opposed to side a point is an immunosuppressant.

0:38:56.840 --> 0:39:01.440
<v Speaker 1>Correct side a point really isn't so kind of similarly

0:39:01.560 --> 0:39:05.759
<v Speaker 1>to a steroid. It can suppress the immune system a

0:39:05.800 --> 0:39:10.640
<v Speaker 1>little bit long term, it's a weird side effect, but

0:39:10.640 --> 0:39:14.560
<v Speaker 1>they can actually be more prone to secondary infections. It's

0:39:14.600 --> 0:39:18.120
<v Speaker 1>not common, no it's not, but it's still it's still possible.

0:39:18.120 --> 0:39:19.839
<v Speaker 1>So if your pet responds great to side a point,

0:39:20.320 --> 0:39:22.239
<v Speaker 1>I would stick with that. But if your pet has

0:39:22.280 --> 0:39:23.880
<v Speaker 1>to get aboquil, that's fine.

0:39:23.960 --> 0:39:27.799
<v Speaker 2>Yes, I'd rather have them take abuquel, and it would

0:39:27.800 --> 0:39:29.640
<v Speaker 2>be unlikely for them to be the one out of

0:39:30.120 --> 0:39:32.960
<v Speaker 2>hundreds that has those side effects but also has a

0:39:32.960 --> 0:39:36.719
<v Speaker 2>great quality of life because they're not itching themselves to death. Definitely,

0:39:37.239 --> 0:39:39.120
<v Speaker 2>this is not to scare you away from apoquil by

0:39:39.200 --> 0:39:39.800
<v Speaker 2>any means.

0:39:39.880 --> 0:39:42.799
<v Speaker 1>No, And at what I love about apaquil is how

0:39:42.880 --> 0:39:47.120
<v Speaker 1>quickly it works. It starts working within four hours, and

0:39:47.400 --> 0:39:52.200
<v Speaker 1>I love it just for like little bursts of like

0:39:52.280 --> 0:39:54.080
<v Speaker 1>short term treatments, like I'm going to put you on

0:39:54.080 --> 0:39:56.920
<v Speaker 1>apa quoil for two weeks while we have this infection.

0:39:57.680 --> 0:39:59.719
<v Speaker 1>Once you stop it, I'll be curious to see if

0:39:59.760 --> 0:40:01.080
<v Speaker 1>you're noticing more itchiness.

0:40:01.080 --> 0:40:05.040
<v Speaker 2>Again, we do have those patients that have acute allergic

0:40:05.080 --> 0:40:07.719
<v Speaker 2>flare ups like and they don't I wouldn't put them

0:40:07.760 --> 0:40:12.000
<v Speaker 2>in the category of having allergies where for whatever reason,

0:40:12.160 --> 0:40:14.400
<v Speaker 2>maybe they got stung by something, or they rolled in

0:40:14.440 --> 0:40:18.480
<v Speaker 2>some grasses that they don't usually go in, where just

0:40:18.800 --> 0:40:21.439
<v Speaker 2>one week out of the year of their whole life

0:40:21.520 --> 0:40:23.920
<v Speaker 2>they've had an allergic flare up and apicquil works great for.

0:40:23.880 --> 0:40:28.960
<v Speaker 1>That right, I love it, But yeah, there's and I

0:40:29.000 --> 0:40:31.360
<v Speaker 1>also think, and we've talked about this before, there's just

0:40:31.400 --> 0:40:34.239
<v Speaker 1>certain patients who respond better to apicquoil than side A point.

0:40:34.640 --> 0:40:37.480
<v Speaker 1>I will never forget you told me. You just feel

0:40:37.520 --> 0:40:41.560
<v Speaker 1>like the like dooly poodly breeds do really well with

0:40:41.640 --> 0:40:44.880
<v Speaker 1>side A point, and then the like labs hid hip balls,

0:40:45.400 --> 0:40:46.120
<v Speaker 1>they are.

0:40:46.160 --> 0:40:50.680
<v Speaker 2>Not great and some some allergy cases are so severe

0:40:50.719 --> 0:40:51.880
<v Speaker 2>that we have to do both.

0:40:52.120 --> 0:40:58.120
<v Speaker 1>Right and ultimately to what's important to note is the

0:40:58.160 --> 0:41:02.080
<v Speaker 1>cost that it takes for a side point injection per

0:41:02.120 --> 0:41:07.839
<v Speaker 1>month is about equal it is the cost of apicquil

0:41:08.160 --> 0:41:10.839
<v Speaker 1>per month. Yeah, I was gonna say, cost wise, there's

0:41:10.880 --> 0:41:13.840
<v Speaker 1>not a huge difference, and they're not. Just to be

0:41:13.880 --> 0:41:18.640
<v Speaker 1>fully transparent, they are not inexpensive medications, but they are

0:41:19.080 --> 0:41:21.320
<v Speaker 1>far and away the most effective with the least amount

0:41:21.320 --> 0:41:24.040
<v Speaker 1>of side effects. So you know, going and getting a

0:41:24.040 --> 0:41:27.440
<v Speaker 1>steroid like predno zone will be will be cheaper for sure,

0:41:27.880 --> 0:41:31.000
<v Speaker 1>but long term is probably not the best solution for

0:41:31.040 --> 0:41:35.400
<v Speaker 1>your pet. Agreed sadly. Yeah.

0:41:35.480 --> 0:41:37.680
<v Speaker 2>So, one other thing I just want to touch on

0:41:37.680 --> 0:41:41.600
<v Speaker 2>before we jump to upawn order is we do have

0:41:41.680 --> 0:41:45.120
<v Speaker 2>over the counter anahistamines for our pets, they're what we

0:41:45.200 --> 0:41:47.719
<v Speaker 2>use as humans will recommend Benadryl or Zirtech. I know,

0:41:47.840 --> 0:41:50.240
<v Speaker 2>Doctor Isabella and I tend to lean more towards Zyrtech

0:41:50.680 --> 0:41:53.000
<v Speaker 2>because they don't make them as drowsy as benadrel does,

0:41:53.920 --> 0:41:57.520
<v Speaker 2>and I mean they be completely transparent and that I

0:41:57.520 --> 0:41:59.600
<v Speaker 2>don't think these work very well for the types of

0:41:59.640 --> 0:42:03.200
<v Speaker 2>allergy that dogs have. If it's like a really minor

0:42:03.280 --> 0:42:05.920
<v Speaker 2>issue and I sense that the owner doesn't want to

0:42:05.920 --> 0:42:07.560
<v Speaker 2>do side a point or apple quail, they're just like,

0:42:07.640 --> 0:42:09.799
<v Speaker 2>not really sure, then I'll say, hey, why not take

0:42:09.800 --> 0:42:11.520
<v Speaker 2>a zerotec a day, Let's see.

0:42:11.400 --> 0:42:11.960
<v Speaker 1>How it goes.

0:42:12.600 --> 0:42:14.959
<v Speaker 2>But I'm almost always going to see them back because

0:42:14.960 --> 0:42:15.919
<v Speaker 2>it doesn't work very well.

0:42:16.040 --> 0:42:19.719
<v Speaker 1>Yeah, and I can attest to this directly because I

0:42:19.840 --> 0:42:22.640
<v Speaker 1>did it with my dog. If you can't tell, she's

0:42:22.680 --> 0:42:28.759
<v Speaker 1>an allergic mess and it might have helped. I'm like,

0:42:28.880 --> 0:42:34.120
<v Speaker 1>is this just placebo effect? Probably, but it wasn't enough

0:42:34.520 --> 0:42:37.880
<v Speaker 1>to you know, make a few worth it. And depending

0:42:37.880 --> 0:42:40.080
<v Speaker 1>on the size of the pet, you might have to

0:42:40.200 --> 0:42:43.200
<v Speaker 1>give multiple tablets a day, Like for my dog it

0:42:43.280 --> 0:42:45.239
<v Speaker 1>was like three tablets once a day. I'm going to

0:42:45.400 --> 0:42:49.360
<v Speaker 1>run through that zerotech so fast for something that's not

0:42:49.440 --> 0:42:52.080
<v Speaker 1>even going to be as effective as side a point

0:42:52.160 --> 0:42:52.839
<v Speaker 1>right as well.

0:42:53.040 --> 0:42:55.000
<v Speaker 2>Yeah, you'll be two bottles of zertech later. You might

0:42:55.040 --> 0:42:56.359
<v Speaker 2>as well just one side a point right.

0:42:56.560 --> 0:42:58.960
<v Speaker 1>But I definitely think it's a good option, especially for

0:42:59.040 --> 0:43:02.240
<v Speaker 1>like my dog's sneezing a little bit more than usual,

0:43:02.800 --> 0:43:05.200
<v Speaker 1>and maybe it's just for this.

0:43:05.200 --> 0:43:08.880
<v Speaker 2>Like short little I agree with first of pollen, but

0:43:09.280 --> 0:43:12.680
<v Speaker 2>you're like really itchy dogs though that have recurrent allergies.

0:43:12.719 --> 0:43:14.680
<v Speaker 1>I'm like, throw it out the window. It's probably not

0:43:14.680 --> 0:43:17.080
<v Speaker 1>going to work. I wish it was. Yeah, I hate

0:43:17.080 --> 0:43:18.320
<v Speaker 1>to be the bearer of bad news.

0:43:18.640 --> 0:43:20.520
<v Speaker 2>And I've said this before and I'll say it again,

0:43:20.719 --> 0:43:23.080
<v Speaker 2>and I'm going to die on this hill, but do

0:43:23.239 --> 0:43:26.680
<v Speaker 2>not give your dogs or cats and a histamines with

0:43:26.719 --> 0:43:30.360
<v Speaker 2>the D ingredient in them so zir tech D vinadreal D,

0:43:30.480 --> 0:43:34.720
<v Speaker 2>a lagrid D. That d ingredient is incredibly toxic. And

0:43:36.280 --> 0:43:38.480
<v Speaker 2>I've had a patient who passed away because the owner

0:43:38.480 --> 0:43:42.879
<v Speaker 2>gave it a lagri d oh one dos. So that

0:43:43.080 --> 0:43:46.880
<v Speaker 2>is a really key point to take away. Yeah, I

0:43:46.920 --> 0:43:48.960
<v Speaker 2>guess really, So, I think we've kind of covered all

0:43:49.000 --> 0:43:49.400
<v Speaker 2>the things.

0:43:49.440 --> 0:43:51.280
<v Speaker 1>I hope this is helpful.

0:43:52.440 --> 0:43:56.799
<v Speaker 2>I would say the big key takeaways are rechecks are

0:43:56.800 --> 0:44:00.400
<v Speaker 2>super important, super important. Come back in that way we

0:44:00.400 --> 0:44:03.399
<v Speaker 2>can see how your pet is doing. Do we need

0:44:03.440 --> 0:44:06.760
<v Speaker 2>to change things, do we need to add in certain medications.

0:44:07.239 --> 0:44:09.719
<v Speaker 2>It's not a one size fits all, So rechecks are

0:44:09.760 --> 0:44:12.719
<v Speaker 2>super important. And then if I could do anything, it's

0:44:12.760 --> 0:44:16.120
<v Speaker 2>just setting expectations with owners that if your pet has allergies,

0:44:17.160 --> 0:44:19.120
<v Speaker 2>we will we will get through it. But it's going

0:44:19.200 --> 0:44:20.680
<v Speaker 2>to take a little bit of time, and it's going

0:44:20.719 --> 0:44:22.759
<v Speaker 2>to take time on our end to figure out what's

0:44:22.760 --> 0:44:25.080
<v Speaker 2>going on, and it's going to require compliance on your

0:44:25.200 --> 0:44:27.279
<v Speaker 2>end to keep bringing them back so we can get

0:44:27.320 --> 0:44:28.120
<v Speaker 2>to the bottom of it.

0:44:28.320 --> 0:44:31.080
<v Speaker 1>Yeah. I think setting that expectation right off the bat,

0:44:31.200 --> 0:44:36.160
<v Speaker 1>it just it makes everyone happier. Yeah, because it can

0:44:36.200 --> 0:44:39.479
<v Speaker 1>be a long road, sets us all up for success. Yes,

0:44:40.120 --> 0:44:42.080
<v Speaker 1>it's not like a hey, here's a bill, You're going

0:44:42.160 --> 0:44:44.000
<v Speaker 1>to be fine. You know, it's going to be a

0:44:44.000 --> 0:44:46.120
<v Speaker 1>bit of a journey, but not one that we can't do.

0:44:46.200 --> 0:44:48.000
<v Speaker 1>I mean we especially here in Nashville, I feel like

0:44:48.000 --> 0:44:50.840
<v Speaker 1>we're in the allergy capital of the country. Yeah, and

0:44:50.920 --> 0:44:53.120
<v Speaker 1>so so many of our patients have allergies and are

0:44:53.160 --> 0:44:55.880
<v Speaker 1>doing amazing. I know, we make it sound pretty daunting,

0:44:56.000 --> 0:44:59.319
<v Speaker 1>but we can get them comfortable and get them taken

0:44:59.360 --> 0:45:01.680
<v Speaker 1>care of and they will do great. Oh yeah, we

0:45:01.760 --> 0:45:04.279
<v Speaker 1>have our regulars who come in for just their tech

0:45:04.320 --> 0:45:07.600
<v Speaker 1>appointment side of point shots and they're cruising. They're great,

0:45:07.880 --> 0:45:11.160
<v Speaker 1>they're cruising. All right. Well, that concludes our allergy talk.

0:45:11.840 --> 0:45:14.719
<v Speaker 2>As always, if you have follow up questions, please let

0:45:14.760 --> 0:45:18.600
<v Speaker 2>me know. You can find me at doctor Josievett on Instagram.

0:45:19.080 --> 0:45:20.640
<v Speaker 2>And then we're gonna take a quick break and then

0:45:20.640 --> 0:45:38.479
<v Speaker 2>we'll be back with our paw and order. All right,

0:45:38.600 --> 0:45:40.799
<v Speaker 2>we are back with our paw and order for the

0:45:40.920 --> 0:45:45.400
<v Speaker 2>week number one on the list. I would never ever

0:45:45.920 --> 0:45:50.040
<v Speaker 2>do the saliva and blood testing when testing for allergies,

0:45:50.040 --> 0:45:51.280
<v Speaker 2>and my pets agreed.

0:45:51.920 --> 0:45:56.040
<v Speaker 1>I there are so many like over the counter, yes, blood,

0:45:56.080 --> 0:45:58.560
<v Speaker 1>you can buy them on the internet. Saliva, the hair,

0:45:59.080 --> 0:46:03.839
<v Speaker 1>yeah yeah, those tests and they're just we don't have

0:46:04.040 --> 0:46:08.920
<v Speaker 1>any evidence that those are accurate. And then ultimately it

0:46:09.040 --> 0:46:12.320
<v Speaker 1>just makes it more challenging for us trying to interpret

0:46:12.360 --> 0:46:15.360
<v Speaker 1>them when we don't know what's real and what's not.

0:46:15.880 --> 0:46:18.160
<v Speaker 2>I totally I think you're wasting your money. If you're

0:46:18.719 --> 0:46:20.520
<v Speaker 2>going to put your money towards something, I would not

0:46:20.560 --> 0:46:22.839
<v Speaker 2>put it towards that these are we don't even like

0:46:23.440 --> 0:46:26.000
<v Speaker 2>the people that are making them aren't like vetted. So

0:46:26.280 --> 0:46:28.480
<v Speaker 2>you're just buying something on the internet. You're getting caught

0:46:28.480 --> 0:46:30.880
<v Speaker 2>in an Instagram scam. Definitely, and I'm the queen of

0:46:30.880 --> 0:46:33.319
<v Speaker 2>that people. Yes, but this is one I would not

0:46:33.360 --> 0:46:33.799
<v Speaker 2>fall for.

0:46:34.040 --> 0:46:36.799
<v Speaker 1>Yeah, no, never, all right.

0:46:36.880 --> 0:46:39.360
<v Speaker 2>Number two, I would not put anything in my pet's

0:46:39.400 --> 0:46:41.839
<v Speaker 2>ears that is not veterinary recommended.

0:46:42.600 --> 0:46:46.279
<v Speaker 1>This one's very popular. Yes, we have clients coming in

0:46:46.320 --> 0:46:49.759
<v Speaker 1>all the time for with dogs with ear infections, and

0:46:50.400 --> 0:46:53.480
<v Speaker 1>we ask are you using anything for maintenance ear cleaning,

0:46:53.520 --> 0:46:56.040
<v Speaker 1>and they say, oh, yeah, yeah, I've been putting in

0:46:56.080 --> 0:46:56.880
<v Speaker 1>my vinegar.

0:46:57.760 --> 0:46:59.800
<v Speaker 2>And when I hear vinegar going in the ear, I

0:47:00.080 --> 0:47:01.440
<v Speaker 2>think I die a little inside.

0:47:01.560 --> 0:47:05.320
<v Speaker 1>Yeah, people have some weird concoctions. I'm sure it's on TikTok,

0:47:07.160 --> 0:47:13.200
<v Speaker 1>but on most slow is another thing. Coci. Yes, and

0:47:13.440 --> 0:47:16.919
<v Speaker 1>the ear is already hot, hot, dark, moist, so you're

0:47:17.000 --> 0:47:20.080
<v Speaker 1>just adding more moisture in there. It can be tearing

0:47:20.200 --> 0:47:21.520
<v Speaker 1>up the ear canal.

0:47:21.680 --> 0:47:25.920
<v Speaker 2>Yes, and that ear drum is so sensitive and if

0:47:25.920 --> 0:47:29.040
<v Speaker 2>there's a little tear this might be getting too scientific.

0:47:29.040 --> 0:47:30.759
<v Speaker 1>But if there's a little tear in your pet's.

0:47:30.520 --> 0:47:34.560
<v Speaker 2>Ear, drum that is a whole leading into the inside

0:47:34.560 --> 0:47:37.319
<v Speaker 2>of the pets, you know, ear canal and then it

0:47:37.320 --> 0:47:39.160
<v Speaker 2>can affect their brain. I mean, we have to be

0:47:39.239 --> 0:47:41.160
<v Speaker 2>really careful with what we put into the ears.

0:47:41.320 --> 0:47:47.200
<v Speaker 1>Yes, so don't use anything that isn't prescription or something

0:47:47.239 --> 0:47:51.960
<v Speaker 1>that your veterinarian is specifically recommending from Chewy or pet Smart. Yes,

0:47:52.040 --> 0:47:54.120
<v Speaker 1>I agree. There's one drop that I see a lot,

0:47:54.160 --> 0:47:56.040
<v Speaker 1>which is called ziemox. Yeah.

0:47:56.080 --> 0:47:59.000
<v Speaker 2>I feel like bad, like I'm calling out drug companies,

0:47:59.040 --> 0:48:01.160
<v Speaker 2>but I mean it's the true. If we see zymos

0:48:01.280 --> 0:48:03.960
<v Speaker 2>and people will use that like, oh, I've been trying this,

0:48:04.000 --> 0:48:04.960
<v Speaker 2>but it's not really working.

0:48:05.000 --> 0:48:07.000
<v Speaker 1>And that is just a steroid.

0:48:07.400 --> 0:48:10.200
<v Speaker 2>So it's gonna help bring down a little inflammation and

0:48:10.280 --> 0:48:12.279
<v Speaker 2>help with itchiness, but it will not work with an

0:48:12.280 --> 0:48:12.800
<v Speaker 2>ear infection.

0:48:13.080 --> 0:48:16.160
<v Speaker 1>It's not gonna treat the bacteria or the yeast. It's

0:48:16.200 --> 0:48:18.759
<v Speaker 1>just gonna help with some of the redness. But you

0:48:18.880 --> 0:48:22.560
<v Speaker 1>need antibacterials or anti fungals. Yeah, You're not ever treating

0:48:22.560 --> 0:48:26.319
<v Speaker 1>the underlying issue until you get that. So we're just

0:48:26.360 --> 0:48:28.960
<v Speaker 1>like the bearer of bad news on this episode. Yeah,

0:48:29.000 --> 0:48:32.440
<v Speaker 1>And unfortunately a lot of clients they always ask if

0:48:32.440 --> 0:48:35.600
<v Speaker 1>we can put them on an oral antibiotic or medication

0:48:35.680 --> 0:48:39.440
<v Speaker 1>for the ear infections. And it's the topicals. Eardrops are

0:48:39.440 --> 0:48:42.680
<v Speaker 1>like really the only things that are reaching enough of

0:48:42.719 --> 0:48:47.160
<v Speaker 1>a concentration to treat those penetrating that that thick ear wall.

0:48:48.120 --> 0:48:50.400
<v Speaker 2>Yeah, that's very true. It's different than in humans. Humans

0:48:50.400 --> 0:48:52.880
<v Speaker 2>can take oral antibiotics or ear infections, but in our

0:48:52.920 --> 0:48:53.680
<v Speaker 2>pets they cannot.

0:48:54.920 --> 0:48:56.160
<v Speaker 1>Okay, last, but not least.

0:48:56.239 --> 0:48:58.640
<v Speaker 2>I would not, and I'm pretty sure I've already said this,

0:48:58.719 --> 0:49:01.040
<v Speaker 2>I'm gonna say it again because we're own our allergy talk.

0:49:01.160 --> 0:49:05.080
<v Speaker 2>I would not continuously switch the proteins in my pets food.

0:49:05.120 --> 0:49:08.040
<v Speaker 2>I hear so many owners say, oh, my pet gets bored,

0:49:08.080 --> 0:49:09.440
<v Speaker 2>so now I have them on chicken. Now I have

0:49:09.480 --> 0:49:12.600
<v Speaker 2>them on salmon and beef and rabbit, an alligator and

0:49:12.640 --> 0:49:13.280
<v Speaker 2>all the things.

0:49:13.360 --> 0:49:16.000
<v Speaker 1>And if your pet is doing great on the protein

0:49:16.000 --> 0:49:19.640
<v Speaker 1>they're on, stick with it, yes, agreed. If for some reason,

0:49:19.719 --> 0:49:22.480
<v Speaker 1>I mean, this is just setting them up to develop

0:49:22.600 --> 0:49:26.360
<v Speaker 1>a food allergy correct and GI issues too if you

0:49:26.440 --> 0:49:30.920
<v Speaker 1>just keep switching it up. So stick with what they like,

0:49:31.160 --> 0:49:33.880
<v Speaker 1>stick with what you know, and if they do develop

0:49:33.880 --> 0:49:36.000
<v Speaker 1>a food allergy in the future, it will make it

0:49:36.080 --> 0:49:38.640
<v Speaker 1>much harder for us to try and figure out a

0:49:38.680 --> 0:49:41.520
<v Speaker 1>protein that works for them since they've been exposed to

0:49:41.560 --> 0:49:42.040
<v Speaker 1>so much.

0:49:42.280 --> 0:49:45.680
<v Speaker 2>Exactly, if it ain't broke, don't try and fix it. Definitely,

0:49:46.719 --> 0:49:49.520
<v Speaker 2>And that is the end of our pond order and

0:49:49.560 --> 0:49:50.680
<v Speaker 2>the end of our episode.

0:49:50.840 --> 0:49:53.160
<v Speaker 1>Thank you so much for coming back. Thank you. I'm

0:49:53.200 --> 0:49:55.279
<v Speaker 1>sure we'll be having you in season three. We've got

0:49:55.280 --> 0:49:56.920
<v Speaker 1>a lot more to cover.

0:49:57.520 --> 0:50:01.440
<v Speaker 2>And as always to the listener, if you have any questions,

0:50:01.920 --> 0:50:05.600
<v Speaker 2>please leave them on our voicemail app. You can get

0:50:05.600 --> 0:50:08.560
<v Speaker 2>that in the bio of my instagram. You can DM

0:50:08.640 --> 0:50:12.400
<v Speaker 2>me your questions. It's at doctor Josie Vett on Instagram.

0:50:12.960 --> 0:50:16.759
<v Speaker 2>And please rate, review and subscribe. Every single star accounts,

0:50:16.800 --> 0:50:19.839
<v Speaker 2>every review counts. We really appreciate it and we'll see

0:50:19.840 --> 0:50:42.200
<v Speaker 2>you next week.