scott@vtx-cpd.com
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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 🙂
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 🙂
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 🙂
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 🙂
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 manufacturer’s instructions. (b) The site of application was clipped and cleaned with the supplied disinfecting tissues. (c–e) 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 1 h 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 🙂
Hey Bethan!
Thanks for the question. I will forward to Laura.
Looking forward to hearing her thoughts. I hope you are enjoying the course.
Have a lovely weekend.
Scott 🙂
Replying to Laura Jones 19/11/2023 - 15:36
Thanks for this.
Really helpful. I will keep them in mind for future cases.
Scott 🙂
Replying to Laura Jones 10/11/2023 - 12:54
Thank you for sharing!
So helpful!
Scott x
Hello Amanda.
I hope you are safe and well. I am so sorry to hear about your poor Dad, sending my best wishes. This is a super interesting question and one that I think is really relevant in veterinary medicine.
Overall, we are often too aggressive in our renal patients when it comes to fluid therapy and often we end up fluid overloading them. A more conservative fluid approach is much more appropriate in most cases. There is literature to support this… let me look for that and I will share.
I have also forwarded this to Liz (cardiology) and Kerry (ECC) who are much smarter than me and will have some gems to share I am sure.
Scott 🙂
Replying to Lucy B. 26/10/2023 - 12:44
Hey Lucy.
Great question. This is a really interesting drug, thank you for sharing. I am hoping to organise a panel discussion about this new medication very soon… watch this space!
I have no direct experience of using it, but is certainly an interesting addition to our tool kit in the right patients. There is more information regarding this medication on the drug company website:
https://bi-animalhealth.com/pets/feline/products/therapeutics/senvelgo
I always like to take a balanced approach. Overall, the published data on the drug is more limited:
https://pubmed.ncbi.nlm.nih.gov/29139146/
A lot of the ‘data’ that has been discussed is unpublished data from the drug company. I attended a round table discussion regarding this drug at ECVIM Congress recently. The opinion was mixed. Some people have some positive experience of using the drug. Others feel very strongly that there is not a place for it and the side effects are rather undesirable. I suppose the other side of the discussion is the owners perception of treatment and the euthanasia of some DM patients:
https://pubmed.ncbi.nlm.nih.gov/29139146/
The argument being that some patients would not be euthanised if there were alternatives to insulin injection. I am in no way suggesting that this is an alternative to insulin treatment, but may be another option in the tool kit for some patients.
As with most things endocrinology based, there is very rarely a right or wrong answer, just a lot of different (often very strong) opinions! In this particular case I would probably still have reached for the insulin.
Would be interested to hear what others think. I think in the right cases it has a place!
Have a great weekend.
Scott 🙂
This is a really interesting drug Laura, thank you for sharing.
I have no direct experience of using it, but is certainly an interesting addition to our tool kit in the right patients. There is more information regarding this medication on the drug company website:
https://bi-animalhealth.com/pets/feline/products/therapeutics/senvelgo
I always like to take a balanced approach. Overall, the published data on the drug is more limited:
https://pubmed.ncbi.nlm.nih.gov/29139146/
A lot of the ‘data’ that has been discussed is unpublished data from the drug company. I attended a round table discussion regarding this drug at ECVIM Congress recently. The opinion was mixed. Some people have some positive experience of using the drug. Others feel very strongly that there is not a place for it and the side effects are rather undesirable. I suppose the other side of the discussion is the owners perception of treatment and the euthanasia of some DM patients:
https://pubmed.ncbi.nlm.nih.gov/29139146/
The argument being that some patients would not be euthanised if there were alternatives to insulin injection. I am in no way suggesting that this is an alternative to insulin treatment, but may be another option in the tool kit for some patients.
As with most things endocrinology based, there is very rarely a right or wrong answer, just a lot of different (often very strong) opinions!
Would be interested to hear what others think. I think in the right cases it has a place!
Have a great weekend.
Scott 🙂
Replying to Laura Jones 15/11/2023 - 17:47
Game changer!
This is brilliant to know! Thank you so much for sharing!
Scott 🙂
Replying to Laura Jones 15/11/2023 - 17:52
Massive thank you to Laura for the brilliant Q&A session!
Remember this session was recorded, so will be available for you all to watch back!
Scott 🙂
Thank you so much for sharing!!!
I presume these are a human product? Can you get them quite easily?
How have you found using these? Are they well tolerated? Do they sick to the animals skin? I would worry that these sorts of things would stick too much or too little?!
Scott 🙂
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