scott@vtx-cpd.com

Replying to Liz Bode 01/09/2023 - 20:28

Thanks Liz.

I was chatting to Poppy at DWR and she was saying that the other main centre for surgery/repair/bypass is Japan. She was saying that they have incredible case numbers and she has been over to visit them a few times.

All very interesting!!!

Scott 🙂

Hello again.

Here is the reply I got back from my Hills contact today:

“Yes, unfortunately we have been struggling with the raw materials at our quality standards. Our z/d cat tinned has been particularly affected and we are anticipating a return to full stocking there in December/January.
However the dry is fully available. Hope this helps!”

I was unaware of the shortage currently, we must have a secret store at my practice! 🙂

I also asked her regarding possible Hills alternatives and got the following reply:

“We do have the d/d single protein duck, however this is also only available in a dry for cats. But it would be a decent alternative if they needed a limited ingredient diet and just didn’t like the z/d but were ok with dry food in general.
https://www.hillsvet.co.uk/products/cat-food/pd-dd-feline-duck-and-green-pea-dry

We also find that about half of cats with IBD do well on the Gastrointestinal Biome rather than on a hydrolysed diet, so that’s worth trying and there is a dry, a stew tin and a pouch available.
https://www.hillsvet.co.uk/products/cat-food/pd-gastrointestinal-biome-feline-chicken-and-vegetable-stew-canned”

I hope that helps!

Scott 🙂

Replying to Sarah Keir 29/08/2023 - 20:26

Hey.

I seem to have been lucky and avoided these supply issues! I have emailed my contacts at Hills and Purina regarding current supply. Will let you know what they say!

Hope you are having a lovely week.

Scott 🙂

Replying to Liz Bode 29/08/2023 - 21:43

Thanks.

I was hoping for pyrexia or something! I will let other comment on the echocardiography loops… beyond my abilities I am afraid!

Scott 🙂

Hello Liz.

This is so interesting. Are you offering the left atrial decompression procedure at the moment?

What would be your preference if all procedures were freely available and cost was no barrier?

Are you sending many dogs for bypass and surgery? I was doing a locum at DWR where they offer surgery recently and most of their clients seem to be traveling to the UK for the procedure from the USA.

Thanks again for sharing.

Scott 🙂

Hey Sarah.

Some brilliant points! I will share my thoughts, but I am sure Steph will have more to add.

The lack of response to treatment is very frustrating in some cases. As you say, this can be challenging to predict. I must admit that I will mention the possible lack of response to treatment early on now. In my own experience, a complete lack of response does not happen that often, but is SUPER frustrating when it does. I think faecal transplantation is an interesting discussion here and I think we are using this more and more often. I know that the team at Edinburgh university are using it earlier in the disease course in dogs, but experience in cats is more limited. I am also using more Vivomixx in cats. Again, the evidence for this is limited at best. I would love to hear Steph’s thoughts. Would love to hear your thoughts too Sarah.

The medication concern is a challenging one too. I am not aware of any alternative formulation of chlorambucil.

The biopsy question is a great one too! What is your experience with GI biopsies in cats Sarah? Is this something you offer? I must admit that many of the owners I see are looking for a more definitive diagnosis, but I take your point regarding the treatment options. In some of the feline cases I am considering taking biopsies of more than just the GI tract (liver and pancreas), so do end up taking surgical biopsies.

Can the client live with the cat and its disease? I agree! This is always a tricky one to navigate and at the end of the day we are dealing with a manageable but not completely curable condition.

Thank you for sharing the consensus statement. Really helpful.

Scott 🙂