205. The most annoying dermatologist answer ever... "It depends."

Here it is... I have questions. You have questions. We all have questions about the new canine allergy medication: Zenrelia. I was able to have Tom Lewis, DVM, DACVD on the podcast who was involved with the initial studies and has prescribed it in over 40 dogs! We jump into many of your commonly asked questions about how this medication works, implementing it in your clinical practice, warnings, etc. Take a listen about this new medication in the canine allergy toolkit!TIMESTAMPS00:00 Intro00:25 Zenrelia Is Finally Out01:51 Why We Need More of This Type of Medicine for Dogs06:25 The Difference of Selectivity for These Medications09:28 What is Unique About Zenrelia Compared to Other Meds15:26 Tom Lewis' Involvement in Zenrelia Studies24:18 How Cases Are Selected 31:06 Box Warning for Zenrelia37:38 Final Thoughts42:01 Outro

No doubt that bacteria keep getting smarter and smarter... recently, I had a culture come back from a superficial pyoderma with NO ANTIBIOTIC OPTIONS! So we have to pivot and consider options such as dilute bleach rinses.What terminology is being used for this type of resistance? How can we prevent it from worsening? Find out some tips on this week's episode of The Derm Vet podcast!TIMESTAMPSIntro 00:00Terminology For Resistant Bacteria 01:20Recommendations For Managing Pyoderma 03:34Why Do Antibiotics Sometimes Fail? 05:40Outro 11:52

Allergies add up! Is it really that important to perform ear cytology when most of commercial products have combination ingredients? What do you do if an ear is not responding?Learn why it is crucial to justify the cost of repeated ear cytology to your cases. Many of these products have potent ingredients so we want to assure we are using them appropriately!

Phovia is an innovative form of photobiomodulation that is easy to use in a veterinary clinical practice and can have several benefits (antibacterial, wound healing, etc.).  It is easy to use and fast!But, what kind of cases could benefit from this technology? Would it be common to use on a daily basis in general practice? Check out how common Phovia can be used in a general practice. From acral licks, post-surgical incision and deep pyoderma, the common opportunities are endless!This episode is sponsored by Vetoquinol.TIMESTAMPSIntro 00:00Explaining Photobiomodulation (PBM) 01:22When Veterinarians Would Use Phovia 05:14How Phovia Is Helpful 12:18Outro 14:02

Skin barrier might not sound that exciting, but it is really important to consider in managing allergic dogs and cats. How do you do it?We know topicals are important! But there are other ways you can help the skin barrier through nutrition, supplements, even collars! Learn all about the ways that skin barrier can be enhanced in this week's episode of The Derm Vet podcast!TIMESTAMPSIntro 00:00The Layers Of Atopic Dermatitis 01:06How To Restore The Skin Barrier In Pets 04:02Outro 12:34

I welcome back Dr. Galia Scheinberg on the podcast this week! Dr. Scheinberg has a lot of experience using the Vetbiotek products which contains MicroSilver. How is this ingredient compared to other silver containing products?Microsilver has a larger surface area, allowing for more positive ions to be released and for longer periods of time. Also, microsilver clings to the fur and skin, for prolonged contact without any systemic absorption.Learn all about the Vetbiotek line which contains MicroSilver and Ceramide III. You can check out all of the options at https://nextmune.shop/.TIMESTAMPSIntro 00:00The Importance Of Topical Therapy 01:52Starting With Flares 05:10Maintenance Therapy 09:44Why Microsilver Is Different 15:38Dr. Sheinberg's Take On BioCom 23:02Touching On BioSeb Shampoo 25:34Outro 31:22

Otitis media is a middle ear infection and can occur due to many different primary diseases. Ideally, these cases receive advanced imaging with CT or MRI, undergo video-otoscopy with myringotomy, submit a C/S and receive several weeks of appropriate antimicrobial systemic treatment. But, what if an owner can't afford referral? How else can we help these cases? Check out this week's episode of the podcast regarding clinical signs, causes, diagnostics and treatment options for otitis media.TIMESTAMPSIntro 00:00A Quick Refresher On Otitis Media 01:08The Differences In Clinical Signs 03:52What To Do If A Dog Or Cat Has Otitis Media 08:12Treatment For Otitis Media 11:08Outro 16:38

Welcome back, Dr Rachel Venable, DVM, MS, DACVIM (oncology) to the podcast! This week we discuss mast cell tumors!I don't know about you... but I always get confused about current guidelines with MCT. They can be anything from low-grade removal and no sweat... to multiple high-grade panic! How much margin do you really need? When is Stelfonta an option? Check out all this great conversation all about MCTs and how to approach them from a boarded oncologist!TIMESTAMPSIntro 00:00Predispositions To Mast Cell Tumors 01:08Single Mast Cell Tumors 02:25Multiple Mast Cell Tumors 08:30Are Subcutaneous Mast Cell Tumors More Of A Concern? 13:54Staging Mast Cell Tumors 15:18An Overview Of Stelfonta 17:36Outro 20:10

Cutaneous lymphoma can be a tricky disease. It is red, flaky and itchy just like allergies can be. If you see an older dog with these lesions, it should be a differential. But, what do you do if you get back a biopsy of cutaneous lymphoma? What if you can't refer the case to an oncologist?Today's post welcomes Rachel Venable, DVM, MS, DACVIM (oncology) to discuss this disease and what you can do to manage them. She is the founder of Pet Cancer Care Consulting which is a teleconsulting service. Dr. Venable talks about diagnosis, prognosis and various treatment protocols regarding cutaneous lymphoma.TIMESTAMPSIntro 00:00What Oncologists See With Epitheliotropic Lymphoma 02:00The Prognosis Of Epitheliotropic Lymphoma 05:45Does Dr. Venable Do Staging? 09:50The Difference Between B-Cell And T-Cell Lymphoma 11:28Walking Through Different Scenarios 12:58The Concern Of Apoquel Neoplasia 19:00Outro 21:44

How can you take your exam and history and "think like a dermatologist"? How can you elevate your game in derm when working up these skin cases?Check out how we pick up on distribution, species variations and history cues to start our skin workup in dogs and cats on this week's episode of The Derm Vet podcast!TIMESTAMPSIntro 00:00The Purpose Of Collecting A History 02:02The Examination 08:36Outro 16:46