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scott@vtx-cpd.com

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Viewing 15 posts - 541 through 555 (of 2,369 total)
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  • scott@vtx-cpd.com
    Keymaster

    Replying to Laura Jones 16/10/2024 - 14:00

    Thanks pal!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Louise L. 15/10/2024 - 15:37

    Hello Louise.

    Thank you so much for joining the course!

    I wrote an article about triaditis in cats a few years back with Danielle Gunn-Moore. Was a bit of a fan girl moment for me! I have popped the link here if you are interested. A bit of bedtime reading!

    https://journals.sagepub.com/doi/full/10.1177/1098612X20965831

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Hannah B. 14/10/2024 - 23:01

    Hi Hannah,

    Thank you for contributing to the discussion. It’s encouraging to hear how follow-up emails are enhancing client engagement by reinforcing information discussed in consultations. Providing a written summary indeed fosters trust and helps clients better understand the rationale behind diagnostic tests and treatments.

    Your approach of including an email footer with availability details and reminders about contacting reception is an excellent strategy for managing expectations. It’s a professional way to establish boundaries and guide clients on communication channels.

    I use a dictation software called Talkatoo, which allows me to dictate directly onto the computer using a microphone. It has been a valuable tool for transcribing conversations and maintaining accurate records. I also often dictate into ChatGPT to help refine and clarify my thoughts—especially when they’re a bit scattered!

    Thank you again for sharing your insights.

    Best regards,

    Scott

    scott@vtx-cpd.com
    Keymaster

    Replying to Rachel R. 20/09/2024 - 17:11

    Hey Rachel.

    What has been your experience with the Libre devices?

    Good generally?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Hey Laura!

    What an interesting case! Thank you for sharing. I think this highlights all the places they can bleed, including those that we don’t often see initially. Did you consider tranexamic acid use in this case?

    I used to use tranexamic acid in urinary bleeding cases, but there is some discussion in human medicine that this could possibly cause clots to form in the ureters and cause obstruction. Not sure how much we have to worry about that!

    Thanks again for sharing!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ariane N. 06/10/2024 - 12:29

    Really interesting!

    Is this something that clients can do at home if they do it in the correct way?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ariane N. 06/10/2024 - 15:39

    Brilliant!

    Thank you!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ariane N. 06/10/2024 - 15:41

    A ‘once in a career’ case I think!

    They can be quite tricky to manage, so I would be happy not to see another!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ariane N. 06/10/2024 - 15:46

    Thank you again for delivering such a brilliant course!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ariane N. 06/10/2024 - 15:49

    I think that is a great point!

    Clients will often prefer one method of communication over another… and we have to be flexible in this day and age when there are many more ways we can communicate!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Ariane N. 06/10/2024 - 15:51

    Of the 100’s of animals I have given truck loads of steroid to… this is the first time I have ever seen that!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Kerida Shook 30/09/2024 - 09:22

    Hi Keri,

    I’m so glad to hear the positive progress with this little guy! It’s amazing how rapidly these cats can respond to the antiviral treatment—truly game-changing for FIP. And yes, I’m right there with you on the naming issue with GS-441524! 😆

    The fact that his weight has stabilized and his pyrexia resolved so quickly is very encouraging, and it sounds like the treatment plan is working beautifully. It’s such a huge shift from the days when we had no viable options and FIP was almost always a heartbreaking diagnosis. Like you, I’m in awe of how far we’ve come in being able to offer hope to these cases.

    I’ll be keeping fingers crossed for continued improvement, and I’d love to hear how his recheck goes. Always happy to help where I can, so keep me posted as things move forward.

    Take care and speak soon,

    Scott

    scott@vtx-cpd.com
    Keymaster

    FYI

    Production of FB water

    The water containing high-density FB was prepared using the FB shower head (ReFa FINE BUBBLE S MTG Co.; Figure 1) The device uses air supplied to tap water to produce FB with bubble sizes ≥100 μm.

    scott@vtx-cpd.com
    Keymaster

    FYI:

    Production of FB water

    The water containing high-density FB was prepared using the FB shower head (ReFa FINE BUBBLE S MTG Co.; Figure 1) The device uses air supplied to tap water to produce FB with bubble sizes ≥100 μm.

    scott@vtx-cpd.com
    Keymaster

    Replying to Natalie Niven 09/09/2024 - 22:52

    Hi Natalie,

    Yes, hypophysectomy is the surgical removal of the pituitary gland. It’s a less common treatment option but can be considered in cases of pituitary-dependent hyperadrenocorticism, especially if the owner is looking for a more definitive treatment compared to long-term medical management. By removing the source of excess ACTH production, it eliminates the need for lifelong medication like trilostane.

    You’re right, though—there are significant considerations with this surgery. Removing the pituitary gland can lead to deficiencies in other hormones, particularly those regulated by the anterior pituitary, such as thyroid-stimulating hormone (TSH) and growth hormone. Patients would often require lifelong hormone replacement therapy, like levothyroxine and desmopressin, for these other deficiencies. That’s definitely a big downside compared to the relatively simpler trilostane treatment we use in dogs.

    The main advantage over trilostane is that surgery offers the possibility of a “cure” for hyperadrenocorticism, which can be appealing in cases where the cat has concurrent issues, like Norman’s diabetes. Stabilizing the Cushing’s syndrome could improve his insulin sensitivity and overall diabetic control, possibly reducing the need for complex insulin management.

    Of course, it’s a highly specialized surgery with significant risks and is usually only performed in certain centers with the expertise, which is why it’s less common. But for the right case, it can be a good option to consider. I think the RVC are the only ones doing it in the UK currently… but I might be wrong on that!

    Scott 🙂

Viewing 15 posts - 541 through 555 (of 2,369 total)