Episode Transcript
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Speaker 1 (00:02):
This is pet Life Radio. Let's talk pets. And here
(00:23):
we are. We are live live here on topl like
radio and ask them us to talk to Jeff and
Instagram live. And I'm here from live from the American
Veteran Medical Association meeting ABMA in Washington, d C. So
I am now on the Eastern time zone, so I'm
where many of you are. So anyway, I just want
to request to join. We have to. I got to
(00:44):
be very careful with those, so I'm waving, I'm waving,
I'm waving. I want good questions my sister who's not
on yet, and I will trust me, I will make
sure she joined us at some point. So anyway, here
for you, here for your pets. You know the drill.
Any questions you have asked us, go ahead and ask away.
We love your question because with your questions, it gives
us great stuff to talk about on the show. EI.
(01:05):
There are a lot of new things going on here,
you know. I noticed at the trade show a couple
of things that I'm noticing. Heroes talk about the show
at one point. So first of all, this is it's
more of a lot of academia. It is the association
itself not nearly as big as the MX in Orlando,
not nearly as big as Western Veterinary Conference WVC in Vegas.
But I mean it's well attended. It's in DC because
(01:27):
of it being the American Veteran Medical Association meeting. They
usually jump from city to city. Just happens to be
in DC where those of you who are if you're
on the East coast, you know it is hot, it
is humid, and sometimes it is so moist you get drizzles.
And I mean even when you go out at night,
it's like, I think yesterday was eighty eight degrees and
at night it came down to seventy six. At least
(01:50):
in LA where it is at eighty during the day
or eighty five during the day, at night it's sixty
sixty five. So it makes a huge difference. So anyway,
from cat snippers, the cat we believe with real failure
isn't proving good, but he has severe congestions, we start
liquid doxy. Absolutely, if we have congestion, we should at
some point take an X ray anyway, just to make
sure that all it is is a UURI a par
(02:10):
respiratory infection. But for sure we definitely to be safe,
we should go ahead and start something as an antibiotic.
I like doxy psychin for cats. It's pretty easy to administer.
And the other one we could try if not doxy
is cloud liquid. I think they do well on that
as well. And cats. I know a lot of dogs.
I mean a cloud box I love, but it seems
(02:31):
to make some dogs nauseous or for some reason. Cats
if they like the taste, they seem to do a
little bit better. So what's new here in vetering medicine? So,
first of all, you would think with all the big
corporate entities taking over veteran medicine, it would probably reach
a point of saturation. No, there are so many aggregators.
(02:53):
And I see this and knowing what it was like
to when I got into bed if you will, with VCA,
how it did not turn out well. In fact, I
just talked to another colleague of mine who is at
one of the big aggregators, and not to mention names,
but anyway, he was at one of the big ones
and he still is. But most of the people for
the last ten or fifteen years, as one aggregator gets
(03:15):
bought out by another or merge with another, he says,
most of the people that he started with are now gone.
And guess what, it keeps in touch with them. They
are happier where they are. And that's kind of what
I found where I left the big Boss. I am
much better off. So because of these aggregators are usually
backed by private equity, by VC venture capital their businesses.
(03:40):
And what you know about businesses is businesses really look
at one thing more than anything, and that's profitability. They're
not getting into this to lose money. They want to
make money. And let's put at this list. But there
are a number, only a few ways to make money, okay,
in any business. Number one is increase your fees. Number
two in your services and take advantage of them, okay.
(04:03):
And you can also then to increase volume. So I've
always been the volume guy. And you know saying that
you know people today and in certain industries that if
you sell to the masses, you will eat with the classes.
But if you sell to the classes, you will eat
with the masses. Now, I think what's happening is and
this is not me saying that this is others within
(04:25):
the industry working with some of these large companies, that
is that they're raising prices so high that people just
can't afford care, Well, then what's the point. Who loses out?
You lose out, Your pest, definitely lose out. So I
am so I'm disenchanted really about what's going on, and
I think the profession is hurting because of it, and
(04:46):
that means that the profession hurts you, guys heard. So
my recommendation is you need to find a good hold
on Marcus will be a kind of vet, someone who
who is in it for the passion and if for
the love makes it happen. If they have to, you know,
do a payment plan or if they have to do
something to do the treatment, then they do it. And
(05:07):
if this is the price, this is what we do.
There is no if center butts. And on top of that,
I'm going to require fifty percent of of my estimate upfront.
It's unbelievable how disenheartening it is for me to see
this and not the kind of VET that I grew
up being, or not the kind of industry that it
was forty years ago when I started practicing. It is crazy,
(05:28):
how do I feel about stem cell procedures for pets?
So I am interestingly hearing more and more about stem cell.
In fact, I just spoke to somebody about it about
two days ago, three days ago Friday, And there are
a lot of benefits to stem cell. There's a lot
of research being done. I would never say never. I
think it's very viable to do it. There are certain
(05:49):
companies out there that do it. I don't have anybody
at my practice. We don't do it. I for a
while did PRP played at rich plasma, which in a
sense is kind of related to stem cell and the
way that it takes the plasma platelet rich, and it
does help. We do it for joints. I was injecting
the PRP into joints. We take blood sample a lot
(06:11):
of blood. Unfortunately, take the blood, spin it down, doing
a bunch of stuff. There's a special machine. It spins
the blood down super super fast, and then we pour
off and we spin it again. I mean it's a process,
but I mean from twenty five or so ccs of blood,
you may end up with two CC's of platelet rich
class bound. But it's really cool stuff. So yes, I
(06:33):
am a fact, I would one hundred percent say yes,
go for it. I paralyzed French bulldog who has done
her pread but still a difficulty walking. She walks like
a penguin and drags your back leg still, So again
we don't know what the problem is. Yes, the PREAD
will help with inflammation, but unless you do an MRI
or CTMRI preferably, then you really don't know. Was this
(06:56):
something or should this be something surgical? Is there something
that is truly truly putting pressure on the spinal cord?
Where is it? How extensive is it? Would surgery be helpful?
So it is Without having those tests, it's really difficult
for me to give you a direction. So I would
(07:16):
say if the PREAD now, pread is great for anti inflammatory,
not something you want to use long term, definitely should
be on at this point some sort of alternate day therapy.
But if the problem is still there despite that, then
I think the next step is to get some better answers,
so you know, when there is still movement, when there
is sensation and it's just pain, then we're looking at
(07:39):
what we call a type two disc. I would one
hundred percent offer the PREAD as an alternative without having
to go through the much more extensive testing. But if
it's not painful anymore and it's just a mechanical and
the pred hasn't helped, then it's time to get more information.
So I would recommend ct or and rye. All right.
Next question from mac tou meix year a Persian cat
(08:00):
that has been going to the bathroom with trash looking
for plastic. At true, I can discourage her, but I
do need to concern about the pike up. Yes, you
do need to be concerned. Cats for some reason love
that crunch of the plastic. Don't know why. My cats
are the same way. If you like, you know, like
some bottles have a little clear cell of fane plastic
around that you take it off, they attack it. They
(08:22):
want to chew on it, they want to play with it.
I don't know why, but they do it, and for
whatever reason, they seem to get a lot of joy
and satisfaction out of those pieces of plastic. So my
recommendation because you don't want them swallowing it. If it's
a very small piece, it'll probably pass, but otherwise you
do not want them eating all that stuff. It's not toxic.
(08:45):
It is more of an irritant, a gastro or intestinal irritant.
It could cause depending on the size, it could cause
some blockage or partial blockage, So why wait to see
If it was to be a problem, I would say, no,
just remove it, don't let them have it. But it
is very very common. Next up red light therapy. So
(09:07):
again this is something where I don't have that much. Look,
sometimes they refer to red light therapy. Is cold laser.
I do believe in that, And in fact I had
a problem with my knee and someone said to me said, well,
you know a cold laser machine. You aren't you to
eat cold laser? And I said, you know, I never
even thought about it. Of course I should do it.
So I'm gonna do some cold laser on my knee.
(09:28):
But it has benefit. Is it something that's going to
help in every case? Absolutely not. There is nothing that's
gonna help in every case unless the major risk of
doing something drastic or dramatic. But no, you want to try,
whether it's acupuncture, whether it's laser therapy, red light laser,
whether it is the drugs, whether it's PRP, whether it's
(09:49):
whether you know it's stem cell, whatever it is, you're
not going to get across the board success rate. I
remember when I was thinking about laser therapy, I went
to one of my my colleagues, friends Maven's and pain
fat You is I think one of the first veterinarians
to be admitted to the American Academy of Pain Management.
(10:09):
It was a human academy, not veterinary, but she is
a veterinarian and now there are a number of them
that have sort of joined and become admitted into this academy.
So she had those little letters next to her name,
and I asked her, by the way, she's a certified
and acupuncture And that's important because when I asked her
about laser and it was just coming out in the market,
and I said, tell me, what do you know about
this laser? Is it any good? We wasted our time?
(10:31):
She goes, Jeff, let me tell you. I am certified acupuncture.
I've had cases where acupuncture just didn't do great. It
helped a little, but not great. And I went to
cold laser and it was dramatic, and that's all I
needed to hear. So if I knew then what I
know now, So I one hundred percent recommended and I
(10:52):
use it. I can't tell you so going to help
in every case, it's not. But when you have options,
is you would explore any options that are not super expensive,
that are relatively easy to use. Why not do it?
It's on downside, and you know again, so I've had
cases where they made tremendous difference, and I have cases
where it didn't help that much, but I still try it.
(11:15):
Bethany is here now. I threaten them, Bethany that I
was going to talk about what you and I talked
about this week. So it's my sister beth Here we go.
So my IBD cat is I'm medathtinied every other day.
When I go to every two days, she gets severe
reaction diarrhea. Suggestions. Well, well, first of all, cats tolerate
steroids better than dogs long term. But I would still
like to see every other day. What you might do is,
(11:38):
instead of going every second day, on the other cut
it down to a half, So go hole every other
day than half, then whole than half, and then when
you get down to that, then go every third day,
meaning skip two days in between. Go back to a hole.
See if that helps the sort of easing off. If
that doesn't work, then you just stay every other day.
(12:00):
Of course, monitor your cat, make sure you have a
blood test done, make sure that the liver values all
the values are fine. As they say, cats tolerate the
steroids a little bit better than dogs. So if all
is good and the cat is doing well, then stay
with every other day and just go for it. Maybe
stay every other day and do three corners of adults
every other day instead of trying to get to every
(12:22):
third day. But whatever, there are some ways you can
sort of slowly go down and see, okay, any other
good questions? So what else? AI seeing a lot of
either artificial intelligence They don't It seems like that phrase
they don't like determin that machine learning. Maybe that There
are a number of groups. I'm here for example with
(12:42):
scribble vet and Scrible Vet is one of the companies
I work with, and we are doing AI artificial intelligence
scribes meaning no taking any office. And as many of
you know that have come to me, you see me
talking to my computer as I'm talking to you, and
I'm making sure the computer is picking up everything you say,
as far as the history, all the questions you have,
(13:03):
my answers, and it all goes into the medical record.
It's amazing. So there are a number of companies out
now doing this scribe technology. There are some other companies
I'm working with next sitting next to me in a
booth is a great company, okay. And it is basically
a device that attaches to your stethoscope, which gives me
a lot more information than just hearing the lung sounds
(13:26):
and hearing the heart sounds, and it is much more accurate.
So I'm loving this. So I'm taking one of these
things home with me. Those of you who see me,
you're going to see and it also gives reports. It
is fascinating, So I like that as well. So there's
another company that also takes a lot of history and
(13:47):
data from a pests exam and then puts it all
together that with the problems that this pet may be having.
Now it's age, it's breed, it's all these things go
in and they are now with some decent accuracy. Of course,
it's going to get better predicting what conditions that we
may have to deal with in the future and what
(14:08):
we can do to stop them. That's really cool as well.
Talk about preventer medicine, but prevented medicine not based on generalities,
but based on specifics. For this pen love it anyway,
those of you here on pell Life Radio, we are
going to break for our commercial. Those of you here
on Instagram stay with me and we'll answer some more questions.
(14:29):
Don't go away.
Speaker 2 (14:35):
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(14:58):
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Speaker 3 (15:13):
Let's talk past about radio Headline radio atline radio dot com.
Speaker 1 (15:29):
So we are back here live. I'm unreuting myself back
on pet life Radio. We're back talking about copper pegi
and dogs that eating poop, sometimes their own poop, somebody
other dogs poop on a walk. Why they do it again,
I don't know. So if you have an answer, a
legitimate answer that has been substantiated and tested, let me
(15:50):
know because I want to know. Because the dogs I ask,
they never tell me. They refuse to tell me why
they do it. So one of the things we can
do is if a dog's only eating its own poop
or her own poop, you can put something in her food.
There's a powder. It's called Forbid. It's a hydrolyzed protein
powder that apparently imparts some taste to the stool, that
(16:10):
makes it taste like stool should and they stop. If
you have a dog gets eating the other dog's poop
as well, you have to put the Forbid in all
of their poops. There's another thing that I've been told
to try. I have not tried it. Of course I've
been lucky. I don't get many of my dogs have cautrophagia.
But you make a mixture, a super hot mixture of
cayenne and with sabi and hot sauce and all those things,
(16:34):
and put it in a sprayer and spray it on
the poops before your dog gets a tamps to eat it,
spray on poops outside when you walk. Then here's the
tricky part, and this is the part that's important. You
can't just leave it on the poop. You've gotta spray
their tongue full strength. They have to know what it
tastes like full strength, because if you put a spray
(16:55):
on the poop, it's gonna dilute over time, it's gonna aerate,
it's gonna lose some of his potency. But if they
sprayed on them full strength to the point where they're
good and they're salivating, can that taste they A they'll
smell it. They know what smell to a void. B
they'll taste it. So if they go near another dog's
poop or poop that had been pre sprayed with his stuff,
(17:15):
they hopefully will act as deterrent and they want don't
want to do it. So that is a suggestion. Is
it going to work one hundred percent? I don't know,
but try it all right? Should you put a dog
to sleep? If it's very hard but still eating and
walking a little I assume very old but still eating.
She's still walking a very little bit alert, she's a
senior dog. Look, it's your dog. The criteria that we've
(17:39):
talked about are many. The decision is yours. Do I
think the dog is suffering? No? If it's still eating
and it's walking around a little bit and it's very old,
then it's just getting old. I mean, how many people
see walking around of the cane or a little walker
you to put them to sleep? So I mean, as
long as they're still have it here, as long as
they still eat, as long as they're still excited to
(18:00):
see you, as long as there's still something about their
day that excites them, then I don't think they're ready.
So one of my criteria, this is not my answer
to do it or not do it. These are the
things that I want you to consider to think about
when faced with the decision should we or shouldn't we wait?
And that is do they seem happy? Is there anything
(18:20):
in their day that excites them? Do they get excited
when you come up from work or food time? Are
they still eating? Are they in such extreme pain that
they're crying in pain when you touch them, they're screaming? Okay?
Are they living or they just existing? They're there, they're breathing,
but they don't move all day long. They're sitting in
one position, all right. They're getting stuck in corners because
(18:42):
of the dementia. I mean, if there's nothing they look
forward to. When you look at your dog, do you
feel sorry for them? If you start feeling sorry for
your dog, then maybe And they have other these criteria too.
There's nothing that excites them anymore, nothing that makes them
happen anymore, they're not really eating, then watch the life.
So these are the things that you want to consider.
(19:02):
I will tell you this from a friend of mine
who is actually a co founder of Lap of Love,
and that's a service that does house called euthanasia and
hospice care. And she said to me, and it's so true.
She says, you can never make a mistake by saying
goodbye a little bit too early, but you can make
a terrible mistake by waiting too long. We don't want
to wait long. We don't want them to suffer. That
(19:22):
is in our hands. And when you feel that, you
want the dog to go or cat to go peacefully
at home on their own, that may be cool, it
may happen. But if it's going to happen and they're
suffering until that happens, trust me, is not worth it.
Please don't all right? How stopping? You're my dogs? Fat
for organic yogurt daily once SMEs daily mucheaper than providities
(19:45):
your thoughts. I think that's fine. Yogurt is full of probiotics,
fat free, the organic. I mean that's great. But look,
dairy is not poisonous? Okay, now, could it be irritative.
Could too much dairy caused diarrhea our most dogs once
they ween become laccos intolerant, yes, but poisonous No, it's
(20:07):
volume related. My dogs love cheese, and when I used
to use grapes for it, whereas now I find out
as no, no, no no, I never ever had a dog
that had grape toxicity ever, But it does happen. It's
a reality. So we got to be careful. So now
instead of grapes, I give a little piece of cheese.
So are they eating a block of cheddar every day? No,
(20:28):
not even close. But a little dairy is fine. How
about even eating of the ice cream? Am I the
only one that likes ice cream? No? Dogs love ice
cream too, So again a little bit is fine. So
all of you here, Okay, Now, Bethany, she's on. Let's
talk about what we talked about the other day, and
that is she and her husband Steve called me and
(20:50):
they wanted to know what's the truth about kibble? Does
kibble actually reduce tartar build up in the mouth? All right?
Because their dogs have tartar and they eat kibble. So
here's the answer. Here's my answer. My answer is it
doesn't make a difference. And here's my theory why I
(21:11):
don't think it's really an issue canned food, soft food,
semi mois whatever. First of all, a couple of questions.
Many of you, I'm sure by now have had your
dogs to see me or some veterinarian for dental cleaning.
Which teeth seemed to be the teeth that accumulate the
most tartar? Okay, simple, the bac teeth, the premolars and molars.
(21:36):
That's a fact that you got to kind of put
in the back of your head. That's a fact. So
when they're chewing, regardless of what they're chewing, they're crunching
or bushing with those back teeth. Now, let's talk about
film plaque plack. Okay, that film is what remains on
the tooth after we eat, and it's therefore logic we
(21:58):
say which teeth, chances are, would accumulate the most plaque
These teeth here the insizes and the things. The canines
aren't really used that much freezing, if at all, or
the premolars and molars, which are used all the time.
And the answer, of course the premolars and molars. Ah,
so they're the ones that, regardless of what the consistency
(22:20):
of the food is they get the most. So now
what happens to the film to plaque? Ah? So if
I tell you that plaque if not removed by brushing
within three days probably max. Four, it starts to hard
It starts to become tartar. How the oral bacteria and
(22:41):
the saliva mix work on that plaque, that film that
you didn't move from brushing, and now it becomes tartar
or calculus. It hardens. Now brushing is not going to
get it off. Ah. So where do the salivary ducts
emper into the mouth? Well, well, wouldn't you know it
(23:01):
right over in the back of the mouth, right over
those premolars and molars. So now you look at the equation.
You have the most plaque film, you have the most saliva,
you have the bacteria everywhere. So that's why those teeth
are getting the most tarder. I had nothing to do
with the consistency of the food. So regardless of the
(23:23):
crunchyt in there, they eat. And is it removing the plaque?
Apparently not the only way to remove the plaque. And
you cant have shoe bows, you got have chew toys.
Speaker 2 (23:31):
Yeah, I like I.
Speaker 1 (23:31):
Tell people it's not a waste, it's not good for nothing.
But no, the only way to remove that plaque on
a consistent basis is through brushing. You've seen me, I know,
we've talked about the tricks that I have to get
that you know your dog's teeth brushed, But that is
the only way. In fact, so many people I've told
this to my the other day when I was talking
to them, is that you climb will come in six
(23:53):
months after dental cleaning. And I look at the teeth
full of flat full of tartar, and I say, well,
I mean you have to do that. Just what tistry
we just did like four months ago. I look at
the record, it was six months ago. But that's okay.
Everyone's memory is a little different. But six months ago,
I already know the answer. I already know the answer.
But tell me how often a you're brushing your pets teeth?
(24:14):
I guess never, but tell me an answer, and I
say no, no, I do it like once a week,
once a week. Say what, that's your little home study?
Is that I want you not six months worth of this,
not two months or month, four weeks, that's it. I
want you to brush your teeth only once a week
for the next four weeks. Let's see what your teeth
look like after a month, let alone six months. And
(24:34):
when you put it like that, they know, yes, you
gotta brush the pets teeth and otherwise you're gonna even Look,
how many of us go in brush our teeth at
least twice a day for but three four minutes twice
a day at least, and still have to go in
in my case, every four months, three times a year
for cleaning. Maybe it's a half a year, every twice
a year, maybe it's a once a year. Whatever, you're
(24:56):
still going it despite the fact that we're brushing and
we're on the schedule, and we're flossy, and we still
got to go in. So why is it so unusual
to fix that your pet shouldn't go in at least
once every quarter, once every six months. So anyway, all right,
excess amounts of allergies year, Hopscotches justly chewing inside back
lays and face. You know, it's hard to tell. First
(25:16):
of all, Hopscotch's phenomenal, love that dog, So you know
what it broils down to, allergens the seasons. How many
pollens in the air, what might be around the house.
Usually when a dog is going in the inner size
on the abdomen, it is atopy atopic dermatitis is inhaled allergens,
And it all depends on really environment. Is there a
(25:38):
lot of grass, Is he hanging on grass, moovers? He
going to a dog park? Are there trees? I mean
spring and summer. There's always an increase in the allergens
during spring and summer. It just it is what it is.
So again, there are many new medications we can do.
We have injectables, we have pills. There's good old fashioned
steroids which I still try to avoid, but sometimes we
(26:00):
need to. Sometimes we need to do a pill version
and an injection both together. It all depends on the
dog and a lot of times, remember, once these dogs
start scratching, they create a secondary infection called secondary pyoderna
that of itself is really itchy as well. So if
we don't put these dogs on antibotics in addition to
whatever we're doing for allergy, they are then going to
(26:23):
continue to scratch. So that's why again, lots of trees,
lots of grass, these are all components that contribute to
our dog's allergies. If there's liver going on there. This
is for a access petwash. Yes, we need to monitor that,
continue to monitor. You can also put on a liver
supplement that may help. But again, unless the dog is
(26:43):
really sick because of the liver values, I wouldn't stop
giving some of the medication. But it just doesn't soundllite. Really.
There are other things we can do for pain. Okay,
there's that new librella shot. We have to talk about that.
That'll be one of my subjects for next week, by
the way. So I've picked up a lot of good
stuff here at the show about that. And there is gabapentin.
There are some other medications that could be used, both
(27:03):
as anti inflammatories. Again, you can't use a nonstroy lant
inflammatory along with the steroid lantine inflammatory. So but if
you haven't tried at least a nonstroidal, try that. Gabapentin
good for pain, babe. The librella injection cold laser also
works very well. Acupuncture works very well. So I would
not say goodbye to this dog yet until more things
(27:25):
have been explored and see how he or she does.
And you hear some kids yelling and screaming in the
background because it's summertime and this is a show that
a lot of people bring their families for good or
for bad. Call it it's like, but I mean, look,
it's really cool to be here in DC. I've been
here before, so I've seen a lot of the sites.
Plus I'm pretty busy, right I think we've gotten to everybody.
(27:50):
So anyway, thank you for joining me. If you have
any questions during the week, can always reach out to me.
If you can reach me on Doctor Jeff, Petlife Radio
dot com, here on Instagram words underscore DVM. Just put
in Jeff Werber. By the way, for those of you
who have friends that are not following me, I'm going
to be so bold as to say call them up
and say you got to follow the Doctor Jeff. Okay,
(28:10):
it's important. I want people to have access to this
kind of dialogue to learn from me for whatever knowledge
I still have left in this brain, the shrinking brain
of mind. So it's very important to let them know
to come join us live on Sundays here on pet
Life Radio or here on Instagram Live. So again, the
more I can do to help you with your pets,
(28:32):
the more successful I feel as an individual. As a
veterinarian and that's the sense of satisfaction I'm going after
helping people with their puts. So on that note, we'll
see you next week. Saying Bad Time, Saying Bad channel
here on Instagram, here on Petlife Radio, and have a
great week everybody, and we'll see next week.
Speaker 3 (28:49):
Let's talk pets every week on demand only on Petlife
Radio dot com, State att