The Vet Vault Dr. Hubert Hiemstra: Veterinarian, Relentless Questioner.

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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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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'Resilience' can be a very loaded word: where is the line between 'toxic resilience' that relies mostly on stubborn grit and self-sacrifice, and a deep sustainable resilience that stems from a much deeper place?

Dr Geoff Wilson is intimately familiar with resilience: veterinarian down to the core, Dr Geoff lives a vast and varied life split between being a family man, veterinarian, practice owner, entrepreneur, and expeditionist. Highlights from Geoff’s adventurer career include completing the longest solo, unsupported polar journey in human history, the fastest solo, unsupported crossing of Antarctica, the first to cross the Torres Strait by kiteboard, the first and only wind-assisted crossing of the Sahara Desert (2009), and the first wind-powered crossing of the Simpson Desert in Australia. Geoff’s newest adventure, Project Zero, is a net-zero docu-series documenting a voyage that explores some of the world’s most isolated and vulnerable environments and the visible impact of global warming on these landscapes, and engaging with the world’s leading climate scientists, advocates and initiatives.

You'd think that for someone like this, the challenges of working in veterinary science would be insignificant, but that's not the case. In this conversation Geoff takes us on a journey through the peaks and troughs of his own experiences in vet life, and beyond, shedding light on the dangers of pushing ourselves too far and the pitfalls of 'toxic resilience', vs utilising passion, purpose, and persistence to help shape true resilience. Geoff helps us explore how vulnerability, optimism and a service mindset support resilience, and he opens up about a unique program at his group of practices, VetLove, that is designed to cultivate 'unicorns' – exceptional vets who thrive under the weight of demanding expectations, and how they are trying to find that delicate balance of nurturing growth without breaking spirits.

Topic list:

03:29 From Polar Expeditions to Veterinary Practice: Jeff's Unique Journey

04:27 Cultivating True Resilience in the Veterinary Field

13:21 The Vet Love Resilience Program: Shaping Exceptional Veterinarians

35:49 Addressing the Challenges of Modern Veterinary Practice

35:49 The Importance of Support and Community in Veterinary Medicine

43:58 Navigating Difficult Clients: Zero Tolerance

45:38 Transforming Customer Service

46:55 Building a Positive Work Environment Amidst Challenges

51:44 Redefining Veterinary Education and Practice for Future Generations

54:20 The Power of Positivity

01:05:23 Balancing Passion with Personal Well-being

01:24:17 Final Thoughts: Embracing the Veterinary Profession with Optimism and Resilience



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.⁠⁠⁠⁠⁠⁠⁠

Join us in Japan or in Wanaka with Vets On Tour: email vetsontour@gmail.com for details. (And tell Dave we sent you for your 10% discount!)

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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.


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If you find surgery even remotely appealing, then chances are a good old intestinal foreign body removal ranks high on your list of favourites. But GI surgery can be a lot less fun when faced with a linear foreign body, and patient outcomes can be potentially be much worse.

This episode with specialist surgeon Dr. Bronwyn Fullagar is packed with invaluable insights to make your linear foreign body surgeries smoother, less scary, and increase your chances of success.

Dr. Bronwyn Fullagar is an Australian specialist surgeon based in the US. Her passion lies in sharing knowledge to elevate our skills as surgeons and promote our overall well-being. She does her teaching through speaking engagements, publications, through her role as Director of Surgical Education for the Veterinary Emergency Group, and with frequent appearances on the Vet Vault Clinical podcasts.

For more surgery with Dr Bron, plus access to 450+ more episodes in Small Animal Medicine, Surgery, and Emergency and Critical Care and our library of show notes, including this episode, go to vvn.supercast.com.

Get help with your tricky cases in our ⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠

Join us 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!)

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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.


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You know you want to do it, but you don't know where to start. It's a daunting task for sure - veterinary practice is not known for being soft on the environment, so the thought of acting to reduce the impact of your veterinary workplace can seem paralysingly complex. So where DO we begin? Well, you can begin with this podcast.

Dr Jeremy Watson is a veterinarian and practice owner. His desire to take action on climate change was put into motion in 2011 when a practice rebuild commenced, marking the beginning of his journey towards establishing a vet business with environmental sustainability as one of its core values.

In 2020, Jeremy joined Vets for Climate Action, driven by a passion to highlight the vital role of veterinary teams in inspiring urgent action on climate change. Following on from his sustainability-focussed clinic rebuild over ten years ago, Jeremy's clinic has recently snagged accreditation as Australia's very first certified carbon-neutral veterinary practice, and Jeremy now works tirelessly to get other vets on board with the same eco-friendly approach.

In this conversation, Jeremy talks us through what his experience looked like, what he learned from it, and what the 'levers' are that can be pulled to have the greatest impact in the right direction.

Jeremy also introduces us to Vets for Climate Action's Climate Care Program, a program that aims to overcome that paralysis of knowing it's a problem, but not knowing where to start. He discusses what that process looks like, what the most common stumbling blocks are, and what the short-term wins are, beyond it simply being the right thing to do.



Topic list:

04:02 - Bad Decisions and Good Stories


05:11 - The Human Nature of Climate Inaction


07:09 - Resistance to Change and Climate Paralysis


09:10 - The Climate Care Program for Vet Practices


11:40 - Surprising Environmental Impacts in Vet Practices


13:01 - Business Case for Environmental Sustainability


17:31 - The Process of Becoming Carbon Neutral


19:04 - The Importance of Reducing Anaesthetic Gas Usage


20:10 - Financial Benefits of Sustainable Practices


24:22 - The Climate Care Program's Support and Structure


28:03 - The Unexpected Impact of Bedding on the Environment

29:05 - Alternatives to Traditional Pet Cremation


32:10 - The Benefits of Going Paperless


33:01 - Joining the Climate Care Program


35:07 - UN Definition of Sustainability


36:09 - The Role of Vets for Climate Action


37:37 - The No-Brainer of Solar Panels for Vet Practices


38:41 - Importance of Collaboration in Climate Action


40:08 - Impacts of Some of Our Practices on the Environment


47:15 - The Climate Care Program's Role in Vets for Climate Action

48:03 - Global Collaboration for Veterinary Sustainability



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 cases in our ⁠⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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.


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The puppy that ate the box of NSAIDs, the lab who found the bag of sultanas, cats and lilies - you know what to do: whack them on twice maintenance fluids for a few days to flush out the toxin and protect the kidneys, right? But wait. Have you ever stopped to think about HOW IV fluids increase toxin excretion? What if we told you that it DOESN'T?!

In this episode critical care specialists Dr Leonel Londoño and Dr Corrin Boyd explain why the standard approach of fluid therapy for nephrotoxin ingestion in veterinary patients not only doesn't make any sense, but can actually be harmful. We recap renal physiology and discuss a better plan than having a healthy bouncy patient on fluids in your hospital for 2 days.

Dr Corrin Boyd is  a registered veterinary specialist in emergency medicine and critical care who works and teaches  at Murdoch University in Perth, Western Australia, and Dr Leonel Londoño is clinical assistant professor of emergency and critical care and director of the hemodialysis unit at University of Florida. His research interests include renal and non-renal applications of extracorporeal purification techniques, endothelial and glycocalyx pathophysiology in the critically ill, and hospital-acquired acute kidney injury. 



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 cases in our ⁠⁠⁠⁠⁠⁠Specialist Support Space.⁠⁠⁠⁠⁠⁠

V⁠⁠isit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠thevetvault.com⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠for show notes and resources related to this episode.

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.


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Send in a voice message: https://podcasters.spotify.com/pod/show/vet-vault/message