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scott@vtx-cpd.com

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Viewing 15 posts - 811 through 825 (of 2,144 total)
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  • scott@vtx-cpd.com
    Keymaster

    Replying to Nadia C. 10/09/2023 - 23:06

    Hey Nadia.

    It is a great question. I think we are probably only really scraping the surface regarding what we know about probiotics. As with lots of things, the evidence is limited in our small animal patients. There is one paper regarding ProKolin specifically:

    https://pubmed.ncbi.nlm.nih.gov/30882953/

    There are a couple of studies looking at FortiFlora:

    https://pubmed.ncbi.nlm.nih.gov/29291771/

    I had a funny feeling that our very own Steph did a study in cats with Tritrichomonas foetus and FortiFlora… but I can’t find it. I will get Steph to comment.

    In summary, I think FortiFlora and ProKolin are fine! Both very safe! I just think we don’t have loads of evidence for them specifically.

    Hope that helps.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Hannah N. 02/10/2023 - 10:40

    Hello Hannah!

    Rugby sounds lots more fun than CPD! 🙂

    I hope you had a lovely time. Thank you for joining the course.

    Let me know if you have any questions.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Rebecca P. 28/09/2023 - 14:21

    Great points Rebecca.

    We know there is a poorer prognosis with many liner foreign bodies, so I would be scared to leave too! I have seen a few where the thread has become stuck under the tongue. One where I had to go in to theatre mid operation and cut it in the mouth for the surgeon. I had missed it on initial examination.

    Oops!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Lesley m. 19/09/2023 - 22:46

    I would love to do the asparagus study!

    If you have a link to any of these discussions it would be great if you could share. They talk about canned asparagus as far as I can remember?! Not something I have ever tried.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Rebecca P. 28/09/2023 - 12:48

    Hello Becca!

    Never late, I would say just on time! 🙂

    Change is scare, I can relate with that! I really hope the course if helpful.

    Let me know if there is anything I can do to help.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Siriol B. 15/09/2023 - 10:29

    Any thoughts on next steps?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Siriol B. 15/09/2023 - 10:29

    Here is the full radiography report:

    Skeleton:
    There are no skeletal abnormalities

    Thorax:
    There is a an alveolar pattern with air bronchograms affecting predominently the right middle lung lobe. The other lung lobes are unremarkable.
    The cardiac silhouette is within normal limits. There are no abnormalities in the cranial mediastinum, the oesophagus is mildly dilated with air on the left lateral view. The diaphragmatic line is clear on the right lateral view but obscured on the left lateral view.

    Abdomen:
    There is moderate ingesta and a small structure of bone opacity in the stomach. There is mild gas in the colon as expected. The remaining abdominal organs are unremarkable

    DDx aspiration pneumonia, bronchopneumonia, haemorrhage, less likely oedema, torsion or neoplastic infiltrate

    scott@vtx-cpd.com
    Keymaster

    Replying to Siriol B. 14/09/2023 - 22:15

    Absolutely!

    Air bronchograms indeed! Nice work!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Natalie Niven 14/09/2023 - 11:16

    HAHAHAHA!

    I am sure Grey’s must be CPD!!!! Andy and I were talking about starting from the beginning again, I will be logging it!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Laura Jones 01/10/2023 - 15:36

    HAHAHA!

    Full agreement from me!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Welcome Lisa!

    So lovely of you to join the course.

    Please let us know if you have any questions. Have a lovely weekend.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Steph Sorrell 26/09/2023 - 17:27

    The other thing would be the significant cost involved in monitoring with all of this!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Steph Sorrell 23/09/2023 - 18:53

    Hey pal.

    I am doing neither at the minute! The biggest issue with the actual anti-Xa monitoring is availability, as far as I am aware. There are some studies in dogs, but I am not aware of it being widely commercially available:

    https://pubmed.ncbi.nlm.nih.gov/25154357/

    It seems to be offered commercially at Cornell?

    https://www.vet.cornell.edu/animal-health-diagnostic-center/testing/protocols-and-interpretations/apixaban-anticoagulant#:~:text=The%20apixaban%20assay%20measures%20drug%20levels%20based%20on,bleeding%2C%20or%20no%20anticoagulant%20action%20and%20inadequate%20therapy.

    There was a study looking at using PT as a surrogate marker for anti-Xa monitoring:

    https://pubmed.ncbi.nlm.nih.gov/30859645/

    But there was another study suggesting it was not well correlated with dosage:

    https://onlinelibrary.wiley.com/doi/10.1111/vec.13199

    So, in short… a mixed bag as far as the evidence and added expense that I am not sure we can justify!?

    Would love to hear other thoughts.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Really interesting.

    Thank you so much for sharing Sarah.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster

    Replying to Nicola Scott 22/09/2023 - 18:55

    Nicola.

    Welcome to the course. Thank you for learning with us.

    Laura is amazing and I am sure you will learn loads.

    Let me know if you have any questions.

    Scott 🙂

Viewing 15 posts - 811 through 825 (of 2,144 total)