scott@vtx-cpd.com
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Replying to sara h. 01/12/2023 - 16:06
Thank you for spotting this Sara!
We have fixed this now.
Scott π
Replying to Magda Upton 03/12/2023 - 01:05
I love a random case report!
I know it is just one case, but often highlights interesting points!
Scott π
Replying to Magda Upton 03/12/2023 - 01:03
Hey.
No problem! I do still see enrofloxacin creeping in to some treatment plans in cats, so thought it was worth sharing again.
I must admit I often reach for marbofloxacin, but that re mostly based with what else is readily on the shelf!
Scott π
Replying to Magda Upton 03/12/2023 - 01:00
It is such an important topic.
I love being able to make changes to how we practice based on good evidence, and feel confident in what we are recommending. 10 years ago, I gave metronidazole to almost every dog that presented with acute diarrhoea!
This is a really brilliant recent review of the evidence:
https://www.sciencedirect.com/science/article/pii/S1090023323001053?via%3Dihub
Scott π
Replying to Magda Upton 03/12/2023 - 00:57
Hello Magda!
Great question. I will pass this on and we will get back to you!
Scott π
Replying to Magda Upton 03/12/2023 - 00:55
Magda!
Honestly, what a joy to see you here! We really are so appreciative of your support!
Thank you for your kind words.
I really hope you enjoy the course.
Scott π
Replying to sara h. 01/12/2023 - 16:06
Hello Sara!
Thanks for the question. I hope you are well and enjoying the course.
I will pass this on and we will get back to you ASAP!
Scott π
Replying to Loren S. 30/11/2023 - 12:14
Hello Loren.
Totally agree. There is not a perfect situation! I think I would be more ‘accepting’ of hyperglycaemia in a cat. I worry that significant changes in PCV might effect decision making more? It is a tricky one!
Scott π
Replying to Ingrid T. 30/11/2023 - 11:29
This is really interesting Ingrid.
What is your decision making process with post procedure antibiotics?
Scott π
Replying to Loren S. 30/11/2023 - 12:17
I agree Lorna!
I am still very much in the not convinced camp!
Have a great weekend.
Scott
Replying to Siriol B. 26/11/2023 - 20:04
Hope it helps!
Let me know if you try it and how you get on.
I hope you are having a good week!
Scott π
Replying to Claire G. 28/11/2023 - 15:38
Hello Claire!
Hope you are having a good week. Great question. I will pass this on to Ingrid.
Speak soon.
Scott π
Replying to Laura Jones 25/11/2023 - 11:07
Hello.
Thanks for this Laura. I totally agree, and think that we probably underuse PICC lines generally.
Out patients would definitely benefit from them.
Scott π
Replying to Liz Bode 25/11/2023 - 20:08
Hey.
Totally agree, in some cases the NG tube is just much better as it avoids the GA.
I have just never considered them ‘suitable’ to be in place at home and was quite surprised when I saw this paper pop up!
Maybe we do have to reframe the way we think about them!
I am also very proud you placed a feeding tube. I know that is your favourite specialist out of hours cardiac related procedure!
Scott π
Replying to Nikki McLeod 19/11/2023 - 19:45
Hello.
Hope you are well. All good points! I thing the attachment instructions from this paper are helpful:
“FreeStyle Libre application. (a) The flash glucose monitoring system was placed using the device that is supplied by the manufacturer and as per the manufacturerβs instructions. (b) The site of application was clipped and cleaned with the supplied disinfecting tissues. (cβe) Four to six drops of cyanoacrylate tissue adhesive (3M Vetbond) were placed on the contact surface of the sensor prior to placement. (f,g) To facilitate sensor installation unit removal, forceps were used for fixation of the sensor unit at the adhesive edge. (h) Following placement, the device was scanned immediately to link it to the reader. (i) A 1βh automatic calibration period is required before data collection can be started”
I find the application of the tissue glue to be really helpful for securing the devices. Is this something you have tried?
You are absolutely right regarding hospital stays. If the sensor was linked to the carers phone, it would be tricky. If the carers had one of the sensors, that could be handed over. Honestly, if they are in the cattery, I avoid placing the devices if possible.
Scott π
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