vtx logo

request clinical advice

vtx logo sticky

scott@vtx-cpd.com

Forum Replies Created

Viewing 15 posts - 1,231 through 1,245 (of 2,334 total)
1 2 3 … 82 83 84 … 154 155 156
  • Author
    Posts
  • scott@vtx-cpd.com
    Keymaster
    19:25 11/05/23

    Replying to Rosanna Vaughan 11/05/2023 - 15:00

    Hello!

    Great question. The dose for pre-visit anxiety/stress does seem to vary quite a bit.

    https://pubmed.ncbi.nlm.nih.gov/34727056/

    This study looks at 100mg/cat. I think lots of people are using this standard dose. So yes, it is often higher than the analgesia dose in the formulary.

    Is this a drug you have used a lot for this purpose?

    Hope that helps.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    10:21 11/05/23

    Replying to Magda Upton 10/05/2023 - 14:09

    Hey Magda.

    The FDA thing is interesting. It does seem that many drugs get approval without loads of evidence behind them. I get the feeling they just need to be relatively confident the drug is safe. The FDA stuff is not something I am so familar with either.

    In other news… Sybil is a very strong name!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    15:29 10/05/23

    Replying to Sarah Noponen 25/04/2023 - 19:17

    Hello Sarah!

    It is so lively to have you here. I appreciate your support. I started my career in the Newcastle area… I have lots of fond memories. I am glad the locum work is working well for you.
    Hi!

    I agree that these endocrinology can be super challenging especially if you are picking them up in the middle!

    The client’s expectation point is a brilliant one… there is no perfect test, that is how most of my client chats start!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    14:23 10/05/23

    Replying to Rosanna Vaughan 03/05/2023 - 10:48

    Hello Rosanna!

    Lovely to have you here. Thank you so much for joining the course and supporting vtx.

    I really hope the course helps to get you back to work with confidence!

    Please let me know if you have any questions.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    20:48 07/05/23

    Replying to Liz Bode 03/05/2023 - 21:28

    Thank you so much Liz.

    Really helpful!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    20:48 07/05/23

    Replying to Liz Bode 03/05/2023 - 21:28

    Thank you so much Liz.

    Really helpful!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    20:07 06/05/23

    Replying to Sophie Ponter 04/05/2023 - 17:09

    Sophie!

    It really is wonderful to have you here.

    It sounds like you are busy!!! What kind of referral practice are you working in at the moment? Very exciting that you are considering an ECC residency. Let me know if I can support in any way.

    Please let me know if you have ny questions. I really hope you enjoy the course.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    16:16 06/05/23

    Replying to Anya W. 03/05/2023 - 21:43

    Hello Anya!

    Lovely to have you on the course. I hope you are enjoying it so far! Very excited to hear you are doing a rotating internship. What are your plans after that? Would you consider a residency?

    Let me know if you have any questions at any time.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    15:37 06/05/23

    Replying to Sophie Ponter 04/05/2023 - 17:16

    Hello Sophie.

    I hope you are well and enjoying the course.

    It is a really good question! I delivered a variation of Lesson One with a focus on this exact question. I will make this available to the delegates on the liver course and hopefully, this will answer your questions!

    I agree that the first thing to do when liver enzyme increases are incidental is to show that they are repeatable. This is the first thing I would do. Assessment of concurrent disease is the other main thing as we know so many different things can cause liver enzyme increases.

    I will let you know when the other webinar is available.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    15:47 02/05/23

    Replying to Sarah Noponen 25/04/2023 - 19:30

    Thanks, Sarah.

    I agree, I think a lot of clients like to see how things go with the medication first!

    Many of them do very well and improve without the need for lots more testing.

    What medication do you reach for first in your hyperthyroid cats?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    15:25 02/05/23

    Replying to Ornella R. 26/04/2023 - 13:31

    I will let you know when I confirm with Purina!

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    15:19 02/05/23

    Replying to Ornella R. 26/04/2023 - 13:35

    Hey Ornella!

    Sorry about the delay. I would be confident in this case. The single dose of dexamethasone is not likely to have had a significant impact in this case. If the case was not so cut and dry I might consider an ACTH again in 7 days. However in this case I would be confident with the diagnosis.

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    14:46 02/05/23

    Replying to Emily Holmes 02/05/2023 - 10:55

    Emily!

    Good to see you here pal.

    Scott x

    scott@vtx-cpd.com
    Keymaster
    14:43 02/05/23

    Replying to Raquel M. 02/05/2023 - 11:38

    Hey.

    All really interesting! Thanks for sharing!

    I think I would avoid diluting if possible! I would try and get the Prevomax in if you can.

    Is it difficult to get certain drugs where you are?

    Scott 🙂

    scott@vtx-cpd.com
    Keymaster
    14:34 02/05/23

    Hello Veronika.

    Thank you so much for sharing this… really helpful!

    I must admit I have not completed this lesson yet, I hope to get around to it this week! I have many examples of this sort of clinical scenario that I find impossible to get out of my head at home.

    1. I spend a lot of time worrying about what clients think of me. Worrying that they come and see a specialist and are somehow disappointed by seeing me. These are mostly unfounded thoughts and narratives that I create in my head. I constantly have to remind myself that thoughts are not facts!

    2. I also find it useful to run through the scenario in my head and tell myself what I would tell others if it was happening to them and they were asking me for advice… why are we kind to others and not to ourselves!!!!

    I look forward to watching the lesson.

    Scott 🙂

  • Author
    Posts
Viewing 15 posts - 1,231 through 1,245 (of 2,334 total)
1 2 3 … 82 83 84 … 154 155 156