158 episodes
The Vet Vault Dr. Hubert Hiemstra: Veterinarian, Relentless Questioner.
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Explore the art of building a fulfilling veterinary career with Dr. Hubert Hiemstra. Join in conversations about the topics that matter to you, like veterinary career development, work-life balance, and burnout prevention. Hubert is joined by inspiring veterinary professionals from around the globe who share insights and strategies to supercharge your passion for veterinary medicine and life and help find your ‘vet mojo’ with topics like veterinary practice management, mentoring to navigate your veterinary journey, or staying up to date with the latest advancements in veterinary medicine.
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#122: We're Fixing Mitral Valves Now?! Everything You Need To Know About the Transcatheter Edge-to-Edge Repair Procedure. With Dr Brad Gavaghan and Dr Fiona Meyers
You know that conversation that you have with your client when you first diagnose congestive heart failure in their mitral valve disease dog? The one where you say: 'This will be the thing that kills your pet.' Well, that conversation is changing. Veterinary cardiologists Dr Brad Gavaghan and Dr Fiona Meyers introduce us to TEER (Transcatheter Edge-to-Edge Repair), a minimally invasive procedure that can completely change the outcome for your mitral valve patients. In this episode they explain how it works, what the procedure involves, and what the risks are. They also guide us through selecting the right patients for this procedure so you don't miss the window of opportunity, and outline a new approach for screening and monitoring your newly diagnosed heart murmur patients now that the paradigm of care has shifted. We get into the practicalities of referring your patients, including setting expectations and cost of the procedure.
This episode is from our RACE approve clinical podcast series. Join our Vet Vault Nerds at vvn.supercast.com for more updates, refreshers, pro tips, and show note with over 450 episodes in Small Animal Medicine, Surgery and Emergency and Critical Care.
Serious surgeons, interns, residents and membership candidates should check out our new Advanced Surgery Podcast for a deep level of foundational surgery content.
Subscribe to our weekly newsletter here for Hubert's favourite clinical and non-clinical learnings from the week.
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#121: Weaving a Safety Net: Using Herd Immunity for Veterinary Suicide Prevention. With Dr Kat Williams and Dr Alena Gadoury
It’s the topic in veterinary science that we wish we didn’t have to talk about. Every time we hear about another veterinary suicide, we feel sad, angry, and frustratingly powerless. But in this conversation with Dr. Kat Williams and Dr. Alena Gadoury, you’ll be inspired to take back the power to act against this curse of our profession.
Drs. Kat and Alena are the founders of VetHerd, an industry-based suicide prevention program for the veterinary profession. VetHerd utilizes the collective power of our community to create a robust safety net to combat the alarming rates of veterinary suicide through collaboration, awareness, and education.
You’ll learn about 'Mates in Construction,' the inspiration for the program, the parallels between ‘herd immunity’ and mental health, why it’s essential for all of us to learn how to talk openly and bravely about suicide, and how to get better at it.
Register for VetHerd’s upcoming two-day ASIST suicide prevention workshop, sponsored by Flynn’s Walk, here, or contact Kat and Alena at kat@vetherd.com.au or alena@vetherd.com.au to find out how you can get involved.
Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at vvn.supercast.com.
Get help with your tricky cases in our Specialist Support Space.
Visit thevetvault.com for show notes and resources related to this episode.
Subscribe to our weekly newsletter here for Hubert's favourite clinical and non-clinical learnings from the week.
Episode Topics and Timestamps
00:00 Introducing VetHerd: A Vision for Community and Protection
06:19 Drawing Inspiration from Mates in Construction
08:32 Addressing the Mental Health Crisis in the Veterinary Industry
11:51 Exploring the Complex Causes of High Suicide Rates Among Veterinarians
20:44 The ASIST Model: A Framework for Suicide Prevention
28:41 Exploring the Model for Safety Planning
29:22 Community Involvement and Support
29:40 Addressing Responsibility and Training Needs
30:32 Practical Training and Its Importance
32:08 Overcoming the Fear of Discussing Suicide
33:46 The Power of Asking, and Community Support
34:48 Training Opportunities and Industry Support
42:37 Personal Insights and Podcast Recommendations
45:14 Funding Challenges and Industry Contributions
50:36 Final Thoughts and Encouragement
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#120: Rethink Diabetes: Why Basal Insulin is a Game-Changer In Feline Diabetes Management. With Dr Linda Fleeman.
What if I told you that your clients never have to worry about when they inject their diabetic cats with insulin, and still maintain beautiful glucose control? And timing insulin with meal times: forget about it!
Those are just some of the things you’ll learn about in this episode about using basal insulin in veterinary diabetic patients. We also discuss:
Why you don't need fancy diets for good glucose control.
How traditional glucose curves not necessary for monitoring diabetic cats on basal insulin.
Great tips for using continuous glucose monitoring devices.
Dr Linda Fleeman is an internationally renowned veterinary expert on the treatment of diabetes, and is regularly invited to write textbook chapters and speak on this topic at international forums. Linda has worked in both university referral practice and general small animal practice, with her primary focus for more than 20 years being all aspects of diabetes in dogs and cats. She completed a Residency in Small Animal Medicine, followed by a PhD on the clinical management of diabetes mellitus in dogs. She’s held positions as Lecturer in Small Animal Medicine at the University of Queensland and Senior Lecturer in Small Animal Medicine at the University of Sydney before deciding to return to private clinical practice back in 2010. She currently does her work through Animal Diabetes Australia, the only diabetes-specific veterinary clinical service in the world, where she and her team pioneer ground-breaking diabetes treatments and management strategies and help practitioners better manage their patients through her consulting service.
Join our Specialist Support Space for case support for your tricky from our team of specialists, including diabetes case help from Dr Linda.
Subscribe to our RACE approved clinical continuing education podcasts for the show notes for this episode, a follow up session on managing diabetic dogs with basal insulin, plus hours of diabetes content with veterinary endocrinology guru Prof David Church, and over 450 other episodes in Medicine, Surgery and Emergency and Critical Care.
Subscribe to our weekly newsletter here for Hubert's favourite clinical and non-clinical learnings from the week.
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#119: You’re Already a Forensic Vet - You Just Didn’t Know It: How to Get Better at It, and Why It Matters. With Dr Elizabeth Pearlman
You know when you see that case, usually some sort of traumatic injury , where something feels a bit 'off'. Maybe the story doesn't fit the injury, or it's the third time you've seen this patient in the last few months. Whatever it is - there are alarm bells...
In this episode forensic veterinarian Dr Elizabeth Pearlman tells us why it's so important that you listen to those alarm bells, how to get better at hearing them, while sharing a structured plan for what to do about it to help us bring a bit of light to the darker aspects of human-animal interactions, without compromising your own wellbeing.
Dr Elizabeth Pearlman is a forensic veterinarian for the ASPCA’s Veterinary Forensic Science Center in Gainesville FL. A childhood of watching Animal Cops on Animal Planet sent her on her path to veterinary science and eventually a Masters degree in Veterinary Forensic Science. She has practiced as a private practice emergency veterinarian and as a staff veterinarian for the Houston SPCA, and In 2018, she joined The ASPCA full-time as a forensic veterinarian. In her position, she assists law enforcement agencies nationwide with the identification, documentation, and collection of forensic evidence from crime scenes, live animals, and deceased animals. Additionally, she authors reports based on her findings and testifies in court as an expert witness.
In this episode Liz gives us a peek into the career of a forensic vet. She shares practical advice and resources on how to deal with cruelty and neglect cases, including evidence gathering, documentation, reporting, working with law enforcement and even how to get over your fear of being an expert witness in court. If you feel like this might be the job for you - Liz also lays out a few possible career pathways for us.
Topic List:
01:56 - The Reality of Forensic Veterinary Work
02:26 - Case of Suspected Chicken Abuse
03:42 - Abby's Case: A Deep Dive
07:43 - Impact of Forensic Work on Animal Welfare
08:14 - Veterinary Forensics Education and Reporting
11:07 - Another Case Study: Khaleesi
14:07 - Discussion on Non-Accidental Injuries
16:12 - Overview of a Forensic Vet's Role
18:53 - Forensic Veterinary Opportunities in the U.S. and Abroad
22:31 - Educational Resources and Career Paths in Forensic Veterinary Medicine
25:54 - Handling Suspicions of Animal Abuse in Practice
28:33 - Emotional Challenges in Forensic Veterinary Work
36:01 - Importance of Detailed Documentation in Suspected Abuse Cases
38:21 - Court Appearances and Testifying as a Forensic Vet
40:08 - Maintaining Emotional Health in Forensic Veterinary Roles
43:56 - Closing Thoughts and Stoic Philosophy in Veterinary Practice
Resources from Dr Pearlman:
Aspcapro.org
ASPCA One Pagers (PDFs are downloadable on this site)
Minimum Standards and Best Practices for the Clinical Veterinary Forensic Examination of the Suspected Abused Animal
Continuing Education Opportunities:
International Veterinary Forensic Sciences Association
Florida International University – Professional Science Master’s in Veterinary Forensics
VMX
VIN
Vets are welcome to visit Dr Pearlman and her team in their facility for case review/mock necropsy practice. If interested, email Dr Pearlman directly at Elizabeth.pearlman@aspca.org or submit a request.
Trial our clinical subscription for free at vvn.supercast.com to access the show notes for this episode and to listen to all 500+ of our clinical episodes.
Get help with your tricky cases in our Specialist Support Space.
Connect with us through our online Vet Vault Network for episode highlights, clinical resources, discussions, questions and support.
Subscribe to our weekly newsletter here for Hubert's favourite clinical and non-clinical le -
#118: 6 Steps To Solving Acute Respiratory Distress. With Dr Rob Webster.
You know that feeling when the ‘not breathing well’ patient gets rushed to your crash bench, and you stand there with your stethoscope trying to look like your planning, but actually, you’re just panicking... You have to do something, but what? Where do you begin?!
This is exactly why I loved this conversation with ECC specialist and Director of Animal Emergency Australia, Dr Rob Webster, about the 6 steps that will help you localise the problem in the respiratory distress patient. Because once you localise it, you have a DD list, and you have a plan.
Dr Rob guides us through the first minutes of assessing the respiratory distress veterinary patient and shows us how to quickly assess breathing patterns and sounds to help you pin-point and fix the problem.
Trail our clinical subscription for free at vvn.supercast.com to access the show notes for this episode and to listen to all 500+ of our clinical episodes.
Get help with your tricky cases in our Specialist Support Space.
Connect with us through our online Vet Vault Network for episode highlights, clinical resources, discussions, questions and support.
Subscribe to our weekly newsletter here for Hubert's favourite clinical and non-clinical learnings from the week.
Join us for a snow conference in Japan or in Wanaka with Vets On Tour: email vetsontour@gmail.com for details. (And tell Dave I sent you for your 10% discount!)
Topic list:
5:49 Step 1: Evaluate respiratory effort.
11:31 Step 2: Is the breathing noisy?
20:22 Step 3: Is the chest wall intact?
28:16 Step 4: Is the breathing fast and shallow?
36:27 Step 5: Fast and shallow, but with
nothing abnormal on lung imaging.
38:01 Step 6: Non-respiratory causes.
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Vet Vault Clinical Spanish Edition: Entendiendo la Relación Entre la Gravedad Específica de la Orina y la Azotemia. (Understanding the Link Between USG and Azotaemia). With Prof Jill Maddison
We're experimenting with something...
I found a software that magically translates your voice into any language of your choosing, and I'm dying to see if I can use it to get some Vet Vault vibes into the non-English speaking veterinary world.
So, as a trial run, we had this conversation about renal physiology and the many ways in which we, as vets, misunderstand and misinterpret the link between urine specific gravity and azotaemia translated into Spanish. Then we had a Spanish speaking vet cross-checked it and fix any mistakes, and here is the final product.
So, for our Spanish-speaking colleagues: I'd love to know - how did we do? How did the AI do? Is this useful/sensible? And mostly, would you like to get more of them?
Let us know what you think at info@thevetvault.com.
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