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Chronic laminitis forces every equine clinician into the same hard question: when comfort keeps slipping and radiographs keep worsening, what can truly change the mechanics of the foot and the horse’s day-to-day life? We sit down with Dr. Jim Orsini to talk about deep digital flexor (DDF) tenotomy, a procedure many people still treat as “last resort,” and why the data argue it may deserve earlier consideration in the right chronic rotational laminitis cases.
We dig into what the surgery is actually trying to accomplish: reducing the pull of the deep digital flexor tendon on the coffin bone (third phalanx) so the foot can realign to the ground surface. Jim walks us through the patient selection details that matter, including the rotation versus sinking distinction, and why great farriery is not optional. We also discuss the practical, clinic-friendly ways to judge success, from owner-observed comfort and stable pain-medication needs to radiographic progression like lysis, sole penetration, and hoof wall separation.
Then we get into the findings that made us pause, including the striking improvement signal at three to six months and the nuance around age, underlying causes like equine metabolic syndrome, and why chronic cases can be recognized late. We close with the real-world conversation every veterinarian has to have: cost, expectations, and the truth that chronic laminitis care is a long-term commitment, not a one-and-done fix.
Subscribe for more equine veterinary surgery and lameness insights, share this with a colleague or farrier you trust, and leave a rating and review so more listeners can find Veterinary Vertex.JAVMA article: https://doi.org/10.2460/javma.25.12.0839
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A veterinary “clinic” doesn’t always look like stainless steel tables and a wall of equipment. Sometimes it’s a town pavilion, a park, an old hotel lobby, or a host’s living room and that shift changes what students learn, what they notice, and who they become as clinicians. We’re joined by Dr. Paul Maza to talk about international veterinary service learning and why it deserves more recognition in veterinary education, not as a feel-good add-on, but as rigorous training that builds adaptability, confidence, and cultural humility.
We dig into the on-the-ground reality of providing animal care in low-resource settings: how teams adjust anesthesia protocols when the usual machines aren’t available, how students learn to problem-solve with different supplies and medications, and how interpreters often translate cultural context as much as language. Paul also shares what he’s observed after training hundreds of students over the years, including how the “clinical work” can become the backdrop for deeper learning about community, partnership, and the global nature of veterinary medicine and animal welfare.
Then we get personal with the stories that stick: setting up a clinic at a Buddhist monastery in Thailand and realizing a single monk was the essential partner for safely handling the dogs, and walking the streets of La Paz, Bolivia, only to find street dogs wearing child-sized puffy coats because people wanted them warm. If you’ve ever wondered what global veterinary service, externships, and community-based care can teach that a hospital rotation can’t, this conversation is for you. Subscribe, share this with a friend in veterinary medicine, and leave a rating and review wherever you listen.JAVMA article: https://doi.org/10.2460/javma.26.04.0275
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A glow under blue light might be the difference between guessing and knowing where cancer has spread. We sit down with Drs. Elizabeth Maxwell and Veronica Perez to unpack a practical, low-cost approach to sentinel lymph node mapping in dogs using fluorescein sodium, a compound many veterinarians already recognize from everyday clinical use. Our focus stays on one big goal: expanding access to accurate cancer staging in veterinary oncology without requiring advanced imaging, specialized near-infrared camera systems, or a referral-only workflow.
We walk through the real surgical details: intradermal injections around the tumor, quick massage for lymphatic uptake, then watching the lymphatic channels appear in real time with handheld lights and blue light filtering glasses. Elizabeth and Veronica share why simplicity matters for adoption in general practice, what they learned about black light versus blue light clarity, and why “I can see it with my eyes” can reduce friction in the operating room.
Then we get into the stakes. In their pilot study of six client-owned dogs, the team identified at least one sentinel lymph node in every case, with rapid visualization after injection. Histopathology underscores the clinical value: metastatic mast cell disease showed up in sentinel nodes, including early nodal metastasis that palpation alone could miss, and even deeper second-tier nodes in some dogs. We also cover key limitations, including small sample size, qualitative assessment, and the need for head-to-head trials against standards like indocyanine green near-infrared fluorescence to define sensitivity, specificity, and false negative rates.
If you care about affordable veterinary cancer care, better surgical decision making, and practical tools that can move beyond specialty centers, this conversation is for you. Subscribe, share with a colleague, and leave a rating or review on Apple Podcasts or wherever you listen, then tell us what would help you adopt sentinel lymph node mapping in your own clinic.JAVMA article: https://doi.org/10.2460/javma.25.11.0735
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Pet food advice is everywhere, but the hardest part is what happens when an owner walks into the exam room already convinced they’ve found the “right” answer. We sit down with repeat guest Drs. Janice O’Brien to dig into what veterinarians say actually blocks effective pet nutrition communication during small animal appointments and what helps break through without shaming clients.
Janice shares insights from a large survey of 500+ veterinarians across the US and Canada, including why the top barrier often isn’t time, it’s owner preconceived notions. We talk behavior change and the pre-contemplation stage, why nuance is tough when people want certainty, and why veterinarians often feel like the last voice in a long chain of breeders, shelters, pet store conversations, online searches, ads, and influencers.
We also get highly practical: when handouts work and when they end up in the trash, how to start weight and obesity conversations with an invitation, and what “direct yet compassionate” sounds like in real life. We cover shared decision making, building trust in short visits, writing specific nutrition and calorie recommendations owners can follow, and how cost and prescription diets can affect adherence. We close with the growing impact of social media misinformation and why a whole veterinary team approach including technicians, nurses, assistants, and client service staff may be key to better outcomes.
Subscribe for more evidence-based veterinary communication conversations, share this with a colleague, and leave a review on Apple Podcasts or wherever you listen.JAVMA article: https://doi.org/10.2460/javma.26.01.0077
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A splenic mass shows up on ultrasound and the question hits like a brick: benign or malignant? We go straight at the uncomfortable truth behind canine splenic cytology. Even when splenic FNA feels like the “do something now” step, the match between cytology and histopathology is only moderate, and that has consequences for how we advise families, schedule rechecks, and decide when splenectomy is the safest path.
We talk with Drs. Janet Grimes and Matthew Aluisio about what their data means in the exam room: why a neoplastic cytology result tends to be more predictive than a non-neoplastic one, and why a benign aspirate does not rule out cancer. We unpack the spleen’s built-in complexity, including extramedullary hematopoiesis, mixed cell populations, and the sampling problem of trying to summarize a large, heterogeneous lesion from a tiny needle sample. We also get specific about the diagnoses no one wants to miss, including hemangiosarcoma and lymphoma, and how tumor exfoliation and overlap with reactive processes can blur the picture.
From there, we shift into action: when cytology is most useful, when serial ultrasound monitoring is a reasonable strategy for smaller, non-ruptured nodules, and when size and rupture risk should move the conversation toward surgery and definitive histopathology. We also dig into the “possibly neoplastic” gray zone and why calling your pathologist can be one of the most practical diagnostic tools you have.
If you work up splenic masses in dogs and want clearer owner conversations, better monitoring plans, and fewer false reassurances, this one is for you. Subscribe, share with a colleague, and leave a rating and review so more clinicians can find the show.JAVMA article: https://doi.org/10.2460/javma.26.01.0006
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Routine stifle exploration during canine cranial cruciate ligament surgery sounds like common sense, until you ask the uncomfortable question: what if “doing more” doesn’t reliably improve long-term function for most dogs? We sit down with Dr. Dan Low to unpack long-term outcomes after high tibial osteotomy procedures (TPLO and CCWO) performed without routine arthroscopy or arthrotomy and without proactive meniscal evaluation, a real-world approach many clinicians use but rarely see studied in depth.
We break down what high tibial osteotomy actually changes in the cruciate-deficient stifle, then get practical about evidence. Dan explains why this large case series matters, how uncommon events become easier to estimate with bigger numbers, and why validated owner-reported tools like LOAD (Liverpool Osteoarthritis in Dogs) and the Canine Orthopedic Index give us a more standardized view of recovery than vague “good” or “excellent” labels. We also discuss one of the most debated points in veterinary orthopedics: late meniscectomy. When a meniscal sparing strategy produces a low late-intervention rate that looks similar to rates reported in explored joints, it raises a bigger issue about which meniscal lesions are truly clinically meaningful.
We don’t pretend one study settles the debate. You’ll hear the strongest criticisms of this design, the patient groups where exploration still makes sense (uncertain diagnosis, revision cases), and the unanswered research questions that could reshape how we balance morbidity, time, and cost in dog knee surgery. If you treat CCL disease, refer cruciate cases, or counsel owners through surgical options, this conversation will sharpen how you explain risk-benefit decisions without defaulting to habit.
Subscribe for more evidence-focused veterinary conversations, share this episode with a colleague, and leave a rating or review wherever you listen.JAVMA article: https://doi.org/10.2460/javma.25.11.0736
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Rehabilitation isn’t a luxury line item at the end of a case anymore. It’s becoming the difference between “we fixed the lesion” and “this patient truly returns to function.” We’re joined by Drs. Heidi Reesink, Denise Marcellin-Little, and David Levine to unpack a first-of-its-kind JAVMA rehabilitation Technical Tutorial Video supplemental issue and what it signals about where veterinary rehabilitation and physical therapy are headed.
We talk honestly about what makes rehabilitation challenging and exciting in real clinical practice: plans that look totally different for dogs, cats, and horses; chronic cases like osteoarthritis that demand long-term strategy; and the reality that owner goals, time, and cost shape what care can actually happen. You’ll hear why a multidisciplinary rehab team matters, how technicians and assistants help deliver consistent protocols, and why listening to the patient over time can be just as important as any single test.
From there we get practical and tech-forward. We dig into objective gait analysis using wearable sensors and motion capture, the stubborn underuse of goniometry despite validation, and how ultrasound-guided injections and arthroscopy support both diagnosis and treatment while enabling longitudinal monitoring. We also explore major modalities clinicians ask about every day, including shockwave therapy and underwater treadmill aquatic therapy, plus what we still need to learn to tighten protocols. Finally, we tackle orthobiologics and regenerative medicine evidence, why big studies are so hard in veterinary patients, and how video tutorials can bridge the gap between research and day-to-day rehabilitation outcomes.
If you care about better mobility, clearer measurements, and more predictable recoveries, listen now, share it with a colleague, and subscribe so you don’t miss what’s next. After you listen, leave us a rating and review and tell us: which rehabilitation tool has changed your practice most?JAVMA editorial: https://doi.org/10.2460/javma.264.s1.s3
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We sit down with Dr. Lynn Pezzanite to explore a promising angle on aging-related equine osteoarthritis (OA): cellular senescence, the pro-inflammatory state where cells release a senescence-associated secretory phenotype (SASP) that can amplify damage inside tissues over time.
We walk through why horses are such a valuable One Health model for osteoarthritis research and why this team compared synovial fluid cells from the joint with peripheral blood mononuclear cells from circulation. Using single-cell RNA sequencing, the study teases apart immune and cellular heterogeneity that bulk methods can blur. One of the most striking takeaways is the compartment split: senescence-associated pathways can be down in peripheral blood yet up in synovial cells, suggesting the joint environment may create a more intense, specialized senescent phenotype.
We also dig into the immune cell story, including why dendritic cells and gamma delta T cells keep showing up as important across both chronic natural OA and early post-traumatic OA work. Then we shift to what this could mean clinically: the promise and cautions around senescence-targeted therapies and the practical case for local intra-articular delivery. Finally, we talk translational hurdles like equine-specific dosing and safety, plus the next research steps to connect senescence burden with OA pain and treatment response.
If you care about equine lameness, osteoarthritis biomarkers, and the future of disease-modifying OA therapy, subscribe, share this with a colleague, and leave us a rating and review wherever you listen.AJVR article: https://doi.org/10.2460/ajvr.25.09.0343
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Botox for the equine hoof sounds like a punchline until you learn the science behind it. We sit down with Dr. Kali Slavik and repeat guest Dr. Andrew van Eps to explore a simple but high-stakes question in equine biomechanics: what happens when you inject botulinum toxin into the deep digital flexor (DDF) muscle, the muscle-tendon unit that helps control the rotational forces acting on the horse’s foot and distal phalanx (P3)?
We walk through the anatomy in plain terms and then get into the study design, using healthy horses with one treated limb and one control limb to reduce variability. Kali explains how they used wireless pressure sensor membranes to quantify ground reaction forces at different hoof regions and track center of pressure during stance and at the walk, a powerful alternative to traditional pressure plates when you want more real-world movement data. Andrew shares what he expected to see and what surprised him once the numbers came in.
Then we dig into the findings that matter most for equine laminitis: reduced toe force during breakover and a meaningful palmar shift in center of pressure, including changes seen even when the horse is just standing still. We also cover the practical realities, including the short-lived effect (about two weeks), who this may best help (think acute onset laminitis tied to SIRS or hyperinsulinemia), why it is less suited to chronic or support-limb cases, and the big barriers of cost and technical ultrasound-guided injections. We close with study limitations and the next research step: a blinded placebo-controlled trial that also looks at P3 rotation outcomes.
If you care about laminitis treatment options, hoof biomechanics, and how veterinary research turns measurements into better decisions, listen now and share this with an equine colleague. Subscribe, leave a rating and review, and tell us what question you want answered next.AJVR article: https://doi.org/10.2460/ajvr.25.12.0452
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Zero re-obstructions sounds almost too good to be true, so we wanted to understand exactly how the data got there and what it means for everyday feline practice. We are joined by study author Dr. Kelly Tart to talk about a prospective, double-blinded, placebo-controlled trial evaluating lorazepam for recurrence prevention after feline urethral obstruction in male cats, one of the most common and life-threatening urinary emergencies we treat.
We start with the “why”: feline urethral obstruction can rapidly cause azotemia, hyperkalemia, acidosis, and fatal arrhythmias, and recurrence often hits within the first couple of weeks after discharge. Kelly explains the key anatomic detail that drives the whole hypothesis: the male feline penile urethra contains both smooth and skeletal muscle, and plugs often lodge distally where skeletal muscle dominates. Many past pharmacologic approaches have focused on smooth muscle pathways, which may help explain inconsistent results in recurrence studies. Lorazepam, a benzodiazepine with skeletal muscle relaxant effects, offers a mechanism that better matches where the problem happens.
We also dig into what strong evidence looks like in veterinary medicine and why prospective enrollment, standardized care, placebo control, and double blinding matter when owners and clinicians are judging outcomes in nonverbal patients. You will hear practical discharge details including timing, dosing approach, a 30-day course to cover the highest-risk window, approximate cost, and what adverse effects to monitor such as sedation and ataxia. We close with the clinical “so what”: how this could change post-obstruction management, which cats we would avoid based on prior benzodiazepine sensitivity, and the research questions this opens for lower urinary tract signs beyond true obstruction.
If you found this helpful, subscribe, share the episode with a colleague, and leave us a rating and review on Apple Podcasts or wherever you listen.JAVMA article: https://doi.org/10.2460/javma.26.01.0045
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What if the IV catheter your hospitalized dog already has could spare them multiple needle sticks a day without sacrificing lab accuracy? We sit down with Dr. Bryan Welch to challenge a common assumption in small animal emergency and ICU care: that venipuncture is the only reliable way to get serial bloodwork. We talk through a validated push-pull blood sampling technique that uses a peripheral IV catheter to collect repeat samples while aiming to reduce stress, preserve veins, and lower the risk of oversampling and hospital-acquired anemia.
Bryan breaks down the method step by step: flushing with sterile saline, drawing blood back, returning it to the patient, and repeating to clear dead space and reduce dilution. Then we dig into the results that matter to practicing veterinary teams, including how peripheral IV catheter samples compare with venipuncture right after placement and after at least 24 hours of continuous IV fluids and medications. We also clarify a point that trips up a lot of clinicians, statistically significant versus clinically relevant differences, using real examples of when a number changes but your treatment plan should not.
We also cover the practical concerns that drive hesitation, hemolysis, clot formation, turbidity, and smear changes, plus what the study did and did not evaluate. Bryan shares where he would be cautious, including interpreting sodium potassium ratios for suspected hypoadrenocorticism, and offers simple implementation tips for teams trying the technique for the first time. If you want evidence-based ways to improve patient comfort and streamline hospitalized dog bloodwork, hit play, then subscribe, share with your ICU team, and leave a rating and review.JAVMA article: https://doi.org/10.2460/javma.25.09.0635
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A dog with chronic diarrhea or vomiting might also be telling you something else. That’s the core thread we pull on as we explore the gut-brain axis in dogs and why chronic enteropathy (CE) can’t be fully understood through GI signs alone.
We’re joined by Drs. Ulrika Ludvigsson and Sarah Heath to unpack how chronic enteropathy is defined (GI signs lasting more than three weeks) and why emotional health has historically been sidelined in veterinary care. Then we get concrete about measurement. Sarah explains how a validated canine PANAS tool can capture emotional bias. We also dig into displacement behaviors like yawning, lip smacking, and shaking off in odd moments, using the Heath model “sink” analogy to show how high arousal can overflow into visible behavior.
The conversation turns to what their findings suggest: dogs with CE show higher protective bias and more frequent high-arousal signals than healthy dogs, even when GI disease activity seems well controlled. We talk about what that means for clinical decision-making, when to consider referral to a veterinary behavioral medicine specialist, and how co-management can support welfare. You’ll also hear practical owner steps that connect canine gut health and emotional stability, from fiber-forward diets and microbiome-friendly habits to sleep quality (yes, many adult dogs need 14 to 18 hours daily), environmental adjustments, nutraceuticals, pheromones, and medication when appropriate.
If you care about chronic GI disease, canine emotional health, and better outcomes through whole-dog treatment, this one is for you. Subscribe, share this episode with a veterinarian or dog-loving friend, and leave us a rating and review wherever you listen.JAVMA article: https://doi.org/10.2460/javma.25.09.0623
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Metronidazole has been the reflex prescription for canine acute diarrhea for years and that habit is hard to break. We sit down with Dr. Erin Frey to unpack what the data actually says about outcomes in mild to moderate acute diarrhea, including cases with bloody stool, and why supportive care often matches antibiotics for speed of recovery. Along the way, we get honest about the real reasons “we know better” doesn’t always translate into “we do it” when a worried client is sitting in front of us.
We walk through what uncomplicated acute diarrhea looks like in practice and what supportive care really means: hydration plans, a highly digestible diet, smart fiber use, and when probiotics may fit. Erin also explains why the gut microbiome is now central to the conversation, and how antibiotic-associated dysbiosis can linger for weeks to months, with special concern for puppies and kittens. If you’ve ever prescribed “just in case” because you feared missing something, this conversation gives you a clearer risk-benefit frame grounded in randomized controlled trials and day-to-day clinical reality.
Then we zoom out to the culture of prescribing. Peer expectations inside a hospital, mixed standards between clinics, client demand for instant gratification, and the challenges faced by newer grads or relief doctors all shape decisions. Erin shares practical tools for behavior change, including practice-wide talking points, team alignment from front desk to exam room, and a concrete starting point using the AVMA antimicrobial stewardship checklist.
If you want a clearer, evidence-based approach to treating canine acute diarrhea without unnecessary antibiotics, listen now, share this with a colleague, and leave us a rating and review on Apple Podcasts or wherever you listen.JAVMA article: https://doi.org/10.2460/javma.25.10.0686
AVMA veterinary checklist for antimicrobial stewardship: Veterinary-Checklist-Antimicrobial-Stewardship.pdf
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Guinea pigs don’t read the dog-and-cat neurology textbook and that’s exactly where clinicians get into trouble. We sit down with Dr. Vishal Murthy to unpack what a truly species-specific neurologic examination looks like for guinea pigs, why so many “standard” tests can be misleading, and how prey-species stress can flatten reflexes and hide both normal function and real disease. If you’ve ever felt unsure interpreting postural reactions or reflex testing in small mammals, this conversation gives you a clearer baseline for what normal actually is.
We dig into the practical realities that make exotic pet neurology hard in the exam room: freezing, shutdown behaviors, and the ways restraint and stress can change responses. Vishal shares the most surprising findings from their work, including why a gag reflex attempt can quickly become a chewing response, and what that means for brain and spinal cord lesion localization. We also talk about differences between client-owned and research guinea pigs, and why handling style may explain pelvic limb tactile placing changes.
To make this useful at 2 a.m. in ER as well as in specialty practice, we walk through a guinea pig specific checklist designed to emphasize feasible, more reliable exam elements and reduce unnecessary handling. The goal is better diagnostic accuracy, faster decision-making, and improved welfare for a prey species that experiences exams differently than cats and dogs. Subscribe for more veterinary neurology conversations, share this with your zoological companion animal colleagues, and leave a rating and review wherever you listen.JAVMA article: https://doi.org/10.2460/javma.25.12.0823
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Antimicrobial resistance (AMR) can feel like an abstract, far-away crisis until you realize how easily it travels through connected systems and how quietly it can persist when we only watch the “end product.” We talk with Dr. Pankaj Gaonkar about antimicrobial resistance in the U.S. poultry industry, starting with a clear definition of AMR and why it is a pressing global health and economic threat. From there, we dig into the uncomfortable reality that resistance can still be detected even as antimicrobial use declines, and why that “disconnect” matters for veterinarians, producers, and anyone who cares about food systems.
A big theme is scale and structure. Modern poultry production is often vertically integrated, moving birds through a coordinated chain from breeder farms and hatcheries to broiler grow-out and processing. That efficiency has a downside: if antimicrobial resistant bacteria emerge at one point, they can move through the system. We also unpack how disease pressure in high-density environments can influence therapeutic decisions, and how older antimicrobial exposure can leave behind residues and resistant organisms that continue to shape selection pressure over time.
The heart of our conversation is environmental surveillance and the One Health approach. Monitoring litter, soil, water, and air around poultry houses helps reveal where resistance is maintained and how it moves between “inside” and “outside” the farm. Pankaj explains key tools like metagenomics, qPCR, and culture-based methods, along with the real challenges around cost, standardization, and interpreting results in complex microbial communities. We close with practical roles for veterinarians and producers, and what smarter policy could look like to strengthen AMR monitoring without creating unnecessary burden.
If you found this valuable, subscribe for more Veterinary Vertex conversations, share the episode with a colleague, and leave a rating and review on Apple Podcasts or wherever you listen.JAVMA article: https://doi.org/10.2460/javma.25.07.0488
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A citation can be polished, specific, and completely fake and that’s the scary part. We sit down with Morna Conway, PhD, Scholarly Journal Consultant and JAVMA and AJVR Copy Editor Vic Schultz to unpack how generative AI tools like ChatGPT can hallucinate references, remixing real author names, familiar journal titles, and plausible article wording into sources that simply do not exist. If you write, review, edit, or read scientific articles in veterinary medicine, this conversation is a practical guide to protecting research integrity in the age of AI-assisted writing.
We walk through how these fabricated citations get discovered, from peer reviewers who know the field well enough to spot a suspicious claim to copy editors who notice missing DOIs, dead Crossref links, absent PMIDs, or volume and page details that don’t add up. Dr. Lisa Fortier shares how editorial workflows shape when problems are caught and why JAVMA and AJVR take a hard line: if hallucinated references are found, the editorial team can reject the manuscript even after acceptance because accuracy is non-negotiable for credible scientific publishing.
We also get specific about responsible AI use in scientific writing: disclose how you used AI, describe the workflow, and personally verify every output before submission. The best advice sounds old-school because it works: proofread, slow down, and click every DOI. If you found this helpful, subscribe, share the episode with a colleague, and leave a rating and review to help more researchers find it.JAVMA editorial: https://doi.org/10.2460/javma.264.4.382
Scientific Reports article: Fabrication and errors in the bibliographic citations generated by ChatGPT | Scientific Reports
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A splenic mass is one of those findings that can flip a normal day into a crisis. You may have an older Labrador or Golden Retriever, an ultrasound that shows a splenic tumor, and an owner asking the question you cannot fully answer yet: “Is it cancer?” We sit down with Dr. Janet Grimes to unpack why that gap between suspicion and certainty is so hard in canine medicine and why better preoperative diagnostics for splenic masses could change everything from emergency decisions to long-term screening.
We walk through what veterinarians currently juggle when counseling clients, including the role of hemoabdomen, the wide spread in prognosis between benign lesions and canine hemangiosarcoma, and how rules of thumb like the double two-thirds rule fit (or do not fit) in different clinical scenarios. Then we zoom in on the science of microRNAs: tiny non-coding RNA molecules that regulate gene expression and can be detected in circulation, making them promising minimally invasive biomarkers for veterinary oncology.
Dr. Grimes explains how a multi-marker microRNA panel is built from blood samples and measured with quantitative RT-PCR, why panels can be more specific than single markers, and what it could look like to use this as a send-out test today with the longer-term goal of a cage-side diagnostic. We also discuss the real-world barriers: differentiating hemangiosarcoma from other splenic malignancies, avoiding misleading results in sick dogs, and integrating any new test as an adjunct to physical exam, imaging, and standard lab work.
If you care about earlier cancer detection in dogs, smarter decision-making around splenectomy, and the future of blood-based cancer diagnostics, listen through to the end and share this with a colleague. Subscribe, leave a rating and review, and tell us what question you most want a pre-op splenic mass test to answer.AJVR articles: https://doi.org/10.2460/ajvr.25.07.0258 and https://doi.org/10.2460/ajvr.25.07.0250
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Cloudy eyes in a kitten can be a warning sign for feline infectious peritonitis (FIP). What happens when the eyes look like FIP and then… the kitten gets better? That clinical tension sits at the heart of our conversation with Hikaru Shiraishi and Drs. Karen Vernau and David Maggs. Their JAVMA article describes “undifferentiated resolving uveitis” in young cats, a syndrome that can mimic FIP associated uveitis at first glance yet improves with symptomatic treatment and careful follow up.
We walk through what uveitis actually is, why it matters so much in kittens, and how a set of real hospital cases pushed the team to look back systematically. You’ll hear how terminology changed the thinking: “idiopathic” implies an exhaustive workup, while “undifferentiated” reflects what clinicians often face in rescue, shelter, and budget limited situations. We also dig into the practical details that can help on the clinic floor, including which ophthalmic signs overlapped between groups and which findings leaned more toward FIP, such as fundic abnormalities and rubeosis iridis.
We also address the realities that make this topic so high stakes: the limits of coronavirus serology, the role of clinical pathology like globulins and bilirubin, and the weight of decisions that can lead to expensive antivirals or even euthanasia. Our biggest takeaway is a clinical mindset shift: FIP diagnosis is a weighted balance of evidence, and a thorough fundic exam plus a willingness to reassess over time can keep you from making a knee jerk call when a kitten might simply need a chance.
If you found this helpful, subscribe for more author behind the scenes conversations, share the episode with a colleague who sees urgent eye cases, and leave us a rating and review. What’s the hardest part of getting a good fundic exam in your practice?JAVMA article: https://doi.org/10.2460/javma.25.07.0469
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Worried pet parent meets phone tree is a stress spiral no one needs—so we put it to the test. We sat down with health services researcher Dr. Simon Haeder to unpack a large secret shopper study that mimicked real owners calling nearby clinics to book first-visit puppy care. Across six diverse states, the results upend common assumptions: two-thirds of callers landed an appointment, average waits hovered around six days, and typical drives were about 13 minutes. Even better, directory inaccuracies were rare.
But averages aren’t the whole story. A meaningful slice of callers never reached a human or bailed after long holds, and rural clients paid a bigger time tax with longer waits and drives. We zero in on the most fixable barriers—phones and scheduling—and outline practical steps clinics can take right now: enable online booking for routine visits, add an answering service or AI-assisted intake to capture messages reliably, and set clear callback expectations. These low-friction changes reduce abandonment, calm anxious owners, and free front-desk teams to focus on in-clinic care.
We also zoom out to the big questions shaping veterinary access. How different are wait times for dentistry, oncology, and other specialties, especially outside metro hubs and away from teaching hospitals? What happens as pet insurance grows? And how do cats, horses, and rural communities fit into an access map still being drawn? You’ll come away with data you can use, a checklist to improve client communication, and smart planning tips if you’re welcoming a new pet.
If this conversation helps you see veterinary access more clearly, subscribe, share with a fellow pet lover, and leave a quick review so others can find the show.JAVMA article: https://doi.org/10.2460/javma.25.05.0311
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What if the case notes from your clinic could forecast tomorrow’s outbreak? We sit down with epidemiologist Dr. Lauren Grant to unpack a One Health vision that connects veterinary, human, and environmental data so we can spot risks sooner, act faster, and guide smarter decisions in practice.
We start by clarifying what “integrated companion animal health surveillance” really means and why Canada needs it. Today’s networks rely on selective reporting and expert panels, which are invaluable but miss the power of routine primary care records at scale. Lauren explains how systems like the UK’s VETCOMPASS and SAVSNET turn everyday consultations into population-level insight, building baselines and detecting anomalies that trigger timely investigation. The payoff is concrete: regional trend context to refine differentials, better testing choices, targeted client advice, and earlier alerts for zoonotic and reverse zoonotic threats.
The conversation gets real about barriers to data sharing: policy constraints, privacy, commercial concerns, and a cultural gap where clinicians don’t always see their notes as public health assets. We explore practical solutions—clear governance, de-identified pipelines, minimal viable data fields, and feedback loops that return value to contributing practices through dashboards and timely briefs. Lauren walks through a compelling example from the UK where an unusual spike in canine vomiting was picked up, investigated, and traced to a canine enteric coronavirus, illustrating how strong baselines and near real-time data can change outcomes.
If you’re a veterinarian, public health professional, or data-minded pet owner, this is a roadmap for making companion animals true sentinels of community health. Learn how a Canadian system could start with dogs and cats, build interoperability and trust, and ultimately help both pets and people. Enjoy the episode, share it with a colleague, and if it resonates, subscribe and leave a review so more listeners can find conversations like this.JAVMA article: https://doi.org/10.2460/javma.25.09.0575
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