scott@vtx-cpd.com
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Hello!
This is a brilliant question! I must admit that I am not routinely including SDMA in every patient that I am investigating for PUPD. It really does depend on the patient. I think there is really no point in running SDMA if the urea and creatinine are significantly increased. I would say that the majority of PUPD patients can be investigated without the inclusion of SDMA, but again, it has its place.
I think this recourse from IDEXX is helpful:
https://www.idexx.co.uk/en-gb/veterinary/reference-laboratories/sdma/interpreting-your-sdma-results/
SDMA is now included in the IRIS guidelines and can be helpful in staging early renal disease:
http://www.iris-kidney.com/pdf/2_IRIS_Staging_of_CKD_2023.pdf
If I was investigating a PUPD patient without another obvious cause, I would consider an SDMA.
Are you using SDMA a lot in practice?
I hope that helps.
Scott 🙂
Replying to Emma Middleton 05/09/2023 - 09:43
Welcome Emma!
Great to see you here and thank you so much for learning with us.
I really hope you find everything useful and we can help with the mojo a bit!
Let me know if you have any questions at anytime!
Scott 🙂
Replying to Loren S. 04/09/2023 - 10:23
Hello Loren and Arthur!
Life will look a lot different now I am sure! I hope you are enjoying the new challenges of parenthood!
Thank you so much for joining the course. I will try and post some feline and endocrine cases!
Let me know if you have any questions at any time.
Scott 🙂
Replying to Ariane N. 31/08/2023 - 14:35
Brilliant!
Thank you so much!
Scott 🙂
This is really interesting Liz.
Thank you for sharing.
Scott 🙂
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 🙂
Replying to Emma Whitaker 30/08/2023 - 17:35
Emma!
Welcome. Such a joy to have you here!
I really hope you enjoy the course. I hope you don’t mind me sharing with the group…
Emma and I went to vet school together and I am very grateful that we are still friends to this day!
Scott x
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-dryWe 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 30/08/2023 - 17:52
Interesting points, I did not realise there was such control regarding prescribing!
I must admit, I tend to send my owner to the internet for the Vivomixx!
Edinburgh are currently setting up a faecal bank. There are exploring frozen option etc… so your problem may be solved in the future!
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 Sarah Keir 29/08/2023 - 20:29
I was sorry to miss this meeting!
Really interesting topic. I am doing one this afternoon… not in a cat sadly.
What is your experience of using FMT?
Thanks again for sharing.
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 🙂
Replying to Liz Bode 29/08/2023 - 21:45
Amazing!
Thank you so much. Thank you again for sharing!
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 🙂
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 🙂
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