Our Approach To Diagnosing Our Own Pets

Welcome to another episode of The Veterinary Roundtable! In this episode, the ladies rate Usher's Super Bowl performance, try a new case-centric segment, answer a very relatable question from a soon-to-be veterinarian, and more!

Do you have a question for The Veterinary Roundtable? Ask us on any social media platform or email harrison@kingmediamarketing.com!

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TIMESTAMPS
Intro 00:00
Devyn's Sugar Rush 00:23
We Need More Reviews 01:01
Dr. Duckwall's Treadmill Session During Work 01:51
The Roundtable's Thoughts On The Super Bowl Halftime Show 03:03
Case Break 07:23
Case Collections 13:26
Devyn's Case 13:39
Dr. Duckwall's Case 15:15
Courtney's Case 17:46
Listener Question (@katiewalsh67) 21:00
Outro 28:56

Transcript

0:00

(upbeat music)- Hello everyone.- Hello everyone, and welcome to another episode of The Veterinary Roundtable, the podcast where we answer your veterinary related questions while having some fun along the way. If you enjoyed today's episode, be sure to leave us a review on your podcast, the writer of choice. And if you have any feedback to offer to improve The Veterinary Roundtable, please let us know.- Happy Valentine's Day.- Happy Valentine's Day.- Have a happy Valentine's Day.- Have a happy Valentine's Day.- Have a happy Valentine's Day.- I've had immense amount of sugar today, and I'm not feeling the best.- Devin was just saying her heart rate's 110, and she's sweating over here.- And her teeth are--- Yeah, and her teeth are--- I had a bit of a bob.- Yeah, they're very sensitive. I had, hold up the bag. I had, it was probably like to hear all in one sitting of puppy chow.- It was so good.- And that's the only thing I've eaten today.- Was your blow pop?- Yes.- Do you have coffee?- With a side of a coffee.- Oh my gosh.- With a coffee?- Oh my gosh.- She's got a version of this. And I don't know, duck while I just keep her, like you know, pull one of those like when the car comes to a stop and you're like, she pulls forward.- She needs to see belt for the rest of the day.- You know what?(laughing)- Oh my gosh.- Scott's been on you.- Love you, mom.- You have your water.- Yes, I do have my water.- All right, don't forget, write us, review us.- We had, it's been nine since last time.- What?- It was so weak.- It was so strong.- No, it's true. One week ago, this was--- Oh, it was, oh, it was--- And the week before that it was 42, we haven't gotten any reviews.- No, it was 40 before that.- Are you sure?- Yeah, positive.- 100%.- Like the episode last week of "Smoke."- That was 42.- This was an oldie before?- Yeah, I thought it was 42.- Okay, so here's the deal. We could make, yes. We could make Dev and eat like a gallon of puppy chow if we get to other--- Don't look at her, she's suffering.- I already ate the dog food. I'm stuck on that one now.- You're stuck on the dog food?- I wanted to eat it.- Okay, I could eat a gallon of--- I really think it's gonna be a long time.- Before we even--- You blow up.- Hit in there.- If I have some other food in my stomach, I'm just gonna say I'm disappointed in our listeners for not helping us.- Oh, don't go there.- Don't go there.(laughing)- We quit.(laughing)- If you're not gonna get to get more reviews, you get no more episodes until we get reviews.- Oh, God.- Oh, that doesn't help anyone.- That's for you.- If they want our podcast back, they'll give us reviews.- I will say this is the last podcast in this super fancy setup of the gym.- Can I have a wait? I could just really do it some curls.- Yeah.- I know.- You're hidden in the 50.- Last week, we had no rooms, and we literally had no idea what to do with ourselves, and so she walked in the treadmill.- She did.- We all walked past--- We all walked past--- Ducball.- She literally was walking--- What was in you of it?- Or walk past, she just chilling out treadmill, just walking in the--- I was really excited to have the wait room down.- She did it for like, let's go in and--- I read some CE and then I was like,"All right, I'm gonna get my blood pumping,"cause I'm tired now,"so I'm gonna walk down the treadmill."- You all had a pow-own here in here, so I was like, "Yeah, she started on the treadmill," and it was like, it was at a slant, like one side of it was sitting on like that guy. I think there's something, so she's walking and it just falls.(laughing)- It was super good.- My 80 year old treadmill.- Yeah, I'm getting--- It's really funny.- It's great option. That was from my dad had that, the house, gosh, I mean, is probably 23, 4, 5.- We should pan to the treadmill.- It still works.- It still works.- Yeah.- And so we should have treadmill.- Got my heart rate up.- Got my back hurting.- Oh, the next day her back hurts.- It's about to come down the yoga ball.(laughing)- Yeah, so it was utilized once.- Play 60.- Moral the story, please give us reviews.- Yes.(laughing)- Okay, we're struggling. All right, I'm Dr. King, Emily King.- Oh.- We gotta introduce ourselves.- I'm Courtney Allen.- Seven Fortune.- Ashland.qual, and I have a question. I wanna survey the group.- Who is the closest runner?- Okay, so Sunday was Super Bowl Sunday.- Oh, it was everybody watch it?- Yes.- It was a time show.- Yes.- Okay, because we're all different ages here.- Yes.- I'm super curious to hear,'cause I have a thought on how everyone thought the Super Bowl Usher concert was. They have time show.- I thought it was Usher for sure. Okay, but I only recognize like three of the songs.- Okay.- Yeah.- Oh god.- Yeah. Sorry, I know that you asked me why she's doing this. No, that's truly, I'm curious.- Yeah, okay.- I thought it was amazing.- Okay, I really liked it. I thought it was good.- I thought it was entertaining, for sure.- I thought the ladies with the feathers was a little weird.- The friend?- They're Vegas, but that's fair.- That's why I assumed why they were there.- And someone said that's because ludicrous was there, but I was waiting for Justin Bieber to pop up on stage.- Don't talk about it.- And I know you were too.- And I wanna talk about it.- I may have cried. I'm not even kidding, because there was rumors going around.- I know.- That Justin Bieber was gonna come out.- Save a song?- And apparently, there is an article going around. I don't know how true it is, 'cause it's on social media. But apparently, Usher asked Justin Bieber and he said he wasn't feeling it.- I saw that too.- Oh, okay.- But he was at Justin Bieber.- I can't even.- And I saw something saying that Justin's choreographer was there too.- For real?- I don't wanna be on the podcast with you anymore.- Courtney's a big Evan.- I have so much hope.- Yeah, I did too, but yeah. I just, I mean, I knew every song that he sang,'cause I love Usher, but I wasn't super impressed by it. And his moment with Alicia Keys, I think made everybody uncomfortable.- Yeah.'Cause she's married.- 'Cause he went and got married after the show.- Before the show.- Oh, yeah.- It was before it.- It was before it.- But like, I just thought.- No, it wasn't him and who.- Him and his wife.- Not Alicia Keys.- Yeah.- Alicia's married to like,- Sneezey, something.- What is he?- He never sees anything.- Swizz beats.- Sneeze.- I don't know.- What?- Oh my god.- Okay, so what is this?- She's, I think, the whisked cheese?- Swizzed.- Swizzed.- Be, swizzed.- Swizzed.- I think, she's whizzed.- I think when he pulled that move on stage, everybody and their mother and their cousins,- Yeah.- Is Alicia Keys more like round-round?- Yeah.- Or are they interrelationship?- Yeah.- Because that was like,- It's about performing.- Yes.- It's about the show.- Yeah.- Like, that's what they do, but I was like,"Woo, yeah." Everybody, I heard a whole bunch of people say that they,"I think Usher did drugs," and then just, I know what you're doing.- Oh my gosh.- You okay?- Just all over the world.- I thought it was great.- And he was, and I was good.- I think it's so cool.- I was wondering if it was like an age thing,'cause I knew every song.- I was, I did too.- I was pump it, like I was signing.- Oh, I was singing.- And the long don't get me wrong.- Yeah.- I just, I was wondering,'cause I remember you said you didn't really like it, so then I was like,"I wonder if it's because maybe she didn't know as many songs in the song."- Oh no, I knew every song.- Definitely new many songs. - Okay, but where was it?- So I had the two, three years before.- Yeah, but Usher was like, I was a hard core, like, I still love him.- Yeah.- But I also think the bar was set really, really, really high with Rihanna last year. I really liked her performance. Like I thoroughly enjoyed hers. So I feel like that one was hard to be.- I think they said it was like the most watched as part of the Taylor Swift.- Oh, for sure.- For sure.- She should have been on the way.- Why didn't they have her do that time, shall we?- I know.- Because she, yeah, she didn't wanna steal her, the moment from Travis' problem.- I think my favorite was Snoop Dogg and Dr. Dre. There's a good one a few years ago.- Oh, it was like Snoop Dogg wasn't there?- No, a few years ago.- Yeah.- Yeah, that was a good one.- I think, I don't remember ever watching it, but apparently Princess was the best of all time.- Princess was great, yeah. That's what I've heard from.- And then he was often died.- Yeah, she's.- Screw him.- Am I right?- He's a new girl, we're rewatching new girl right now, the show.- Such a great show.- She left it out earlier, but that's what she was watching while she was walking on the treadmill.(laughing)- Okay, well, I was just curious on everyone's thoughts and if there was a generational impact.- It was also very overstimulating. I couldn't look at everything all at once.- Yeah, it was a lot.- There was a lot.- There was so many things.- But I was coming out.- Did you read the part?- Did you read the part?- Okay, so when he, okay, one more side note, when Usher was coming down the stage like the long part, do you see the pole dancers on the side?- Yeah.- Or they were not pole dancers, but they were like swinging, one of the girls fell. Did you see that?- No.- And then I found her, she made a tick talk like the girl who was there, and she apparently applied for this job, and on her resume, she puts every talent is the one of her special talents, because that's what you do in that industry, and usually have time to learn the talent and whatnot. And she had like no time before this and she fell, and I mean, her eye is like black, she, her lip is all bruised up.- Oh my gosh.- She's like, yeah, and the girl that fell.- But like, she fell right off the pole, like right off the stage.- We should go sign up.- I mean, YouTube, I thought he was gonna bifit on his skates.- Yes.- I thought he did, and he fell a little bit out.- He recovered well.- Yeah.- It's like the one time with Katie Perry during the show, and they're the two shark dancers, and one of them was like way off.(laughs)- The same thing, the pole girl just fell.- Yeah.- Yeah, she fell right off.- Time. That's a good intro.- Wow. - Good question.- That was a great question.- I was very, I thought about it, falling asleep last night.- Yeah.- Oh yeah, good question.- I was a stressful game.- It was.- Well, let's not talk about it.- So now let's not.- Let's not.- Yeah, I just came and boy.- It's not about Taylor Swift, it's not a game.- Yeah, it's fine.- It's about football.(laughs)- Okay, all right, we're onto a new segment that we are calling Case Break.- Mm-hmm.- Okay, so what we're gonna do in this segment is, I'm gonna give you guys parts of a case, and we will talk through it, and you can basically, you know, work your way through the case.- Okay.- And then whatever, with Chad Bet the case.- Thanks, great.- All right, Chad Bet the.- Here's the signal, this cat, is that sound good, Harrison? He only gave me a little shot, so I guess that was okay.- Sure.- Okay. This was a case I saw last week. A female spade 16 year old cat that has previously been diagnosed as hyperthyroid. Came in because she's ADR. For all you newbies out there, ADR means, Devane, doing right.- Ain't doing right, that's right.- Comes with the accent.- So that was her complaint, which came in. She just wasn't herself. And on physical exam, well let me tell you more, she's on methamazole currently. Per my notes, she was supposed to be taking five milligrams transdermally twice a day. Her thyroid originally was like 13. Nice elevated thyroid. On physical exam, she looked a little dumpy, her skin tint was positive a little bit. She was, had dropped just a little bit away, but actually had gone up from when she came in. It was diagnosed hyperthyroid. She actually was a pound heavier than when that happened, but her the owner was thinking that she had lost weight again. She had been drinking more than what she normally had once we started the methamazole. She did not come back in for her reach-eck.- After starting medication?- After starting medication.- How come?- I think cost travel, it's a cat.- Gotcha.- She started her on meds and she never came back.- But she was still giving them--- When was this?- This was like in month or weekend, it was in August, the end of August.- And this is the first time he saw her since then?- Yeah.- Her temperature was 102 and so we said, okay, you know what? What do you want me to ask them now? Okay.- Just, okay, so what do you think were the next steps that we did?- T4.- Okay.- Full blood work panel.- Okay, full blood work?- Okay, so yes, we did a full blood work panel. And a T4, we did all of it. I did it in-house because the owner was worried about cost, like sending it out, but then also knowing like right then.- Yeah.- But what's funny about this story actually is the owner, with this owner, I have to pick and choose things. So I have to do a lot of guessing when I'm working on this owner's patient. So I have to say, okay, which one of these things do I really want to know? Do I really think that it is? So I guess I wanted to check the T4, and I wanted to check the chem lights. And I was gonna leave the CBC alone because the CBC was normal in August and I'm like, she looks pretty good right now. I mean, you know, like what? Okay, so they drew blood. They ran the CBC anyway, even though I said not to run it, they just must have run it. So I got that piece of evidence.- Can I have a check if we saw it together?- Yes, okay. So we got the--- Well, I know the answers.- We got the CBC back as well as the chem and the T4. So we did do those tests. So you want to know the results? Okay, so the T4 was now three. Oh, I also forgot to mention that she also decided somewhere around January, the cat was doing better and she thought that she could lower them a thymazole. So she had lowered it by like, I don't remember, like a small amount. Ended up being that the cat now was getting like 3.75 milligrams twice a day when I figured it out. So that currently is what the cat is on. The T4 was 3.4 or something like that. The chemistry was completely normal.- Passating.- And the CBC was plainly normal.- No, no, it was abnormal. And she was significantly anemic with a hematocrit of 24 or something like that. She was normally in August, she was 42 and historically has been in the 40s.- Okay.- Regenerative.- Non-regenerative anemia. Now what do I do? You can either go searching more diagnostics or you trial and error and you do antibiotic that would cover infectious. Can you reach that?- Yep.- Definitely, what do you think?- I'm gonna go with that.- Okay.- Okay. - Cerny.- I mean, yeah, just further diagnostics and maybe in ultrasound?- Yes. So yeah, I did what Ducal said because again, this owner, I had to guess.- Yeah.- Now my two differentials based on the anemia being a non-regenerative anemia was the methamizol. So is the methamizol causing, is she having a side effect of the methamizol? Which does not happen very often at all. We don't see it, but I've had it happen one time. And it was actually in a cat that they were taking oral methamizol tablets. But I've never seen it since then, but it was always been sitting in the back of my head. This cat now is anemic and it's on methamizol and I was like, oh, crud. You know, it can't stay hyperthyroid. She's not gonna go do radioactive iodine. It could be the methamizol. Okay, so that was one. And then infectious, like Ducal was saying was my other differential. So I said, 'cause I had to guess, and I didn't wanna take the cat completely off methamizol. So I said, let's give it doxy and see what happens because the most common differential would be, like, you know, a red blood cell parasite, you know, that I could kill with doxy. So I was gonna treat what I could treat and lead the cat on methamizol. So then what do you think happened? Oh no. Why are you laughing? No, because I think this is so funny. Well, I don't know, did you recheck her? I recheck her via texting. And she got better? She's better. Okay, great. It's like, you know. I have no idea because I said, the owner texted me and is like, she is so much better. This is why I trust you and I want you to see her and done it. I was like, I do not believe it until I actually see the number that she is actually better, 'cause cats are so funny. They can live with an email. So I suffer for months. You can have a cat with like 14% of the meal. We gotta cat come in with 11. Yeah. And they're fine. Was that the one? Uh, I think I know who you're talking about. Peyton. Yes. Peyton. He was told to go like, emergently like ASAP, to an ER facility to get a blood transfusion, to be hospitalized. They went and then they ended up taking him home and he lived for like two months. Or yeah. Yeah, it's crazy. They can live with it. With it's a year. So I said, oh no, no. Don't believe me. I don't even believe myself until we recheck the CBC. So she was like, do you think I should, I was like, yeah, if you want to know if you actually fixed it or not fixed it or not. Yeah, she hasn't come back in, yeah. So she probably well when she's not doing well. And then I'll have to guess again. Yeah. Yeah. That's kind of how it goes. There it goes. That's my case break for the week. Okay. Did you enjoy it? I did. I think, yeah, I think you really enjoyed it too. Okay. We walked through it all together. That was a journey. Exactly. It was a great first time. A journey of guessing. What happens sometimes? Okay. All right. Speaking of cases. Speaking of cases. All right. For official case collections, where we all just share a case. Yes. But no guessing. No guessing. We'll just give you the answers up front. Let's go first. I can go first. Okay. Pretty short and simple. So we had a four year old domestic short hair cat come in yesterday because the owner had seen it eat like a foot long strand of ribbon like in front of them. Like direction that does the like spaghetti with the two dogs. It was a pester. The first thing is the owner or whoever said they tried to grab it out of them. Yeah. You just imagined it. Oh my gosh. Yeah. So the cat came in and we tried to induce vomiting. We gave it dextamotor and spun it actually. They did a few different techniques to try to make the cat dizzy and vomit. They also used a comb and like did the like when you run your finger across the comb because it makes one of our in house or one of our clinic cats gag. They tried that, didn't work. Ended up doing an endoscopy and pulled the strand out and we checked in today and he's doing great. Oh my gosh. That's awesome. Yeah. That's lucky that they saw it. Yeah. Eat so much. So if I saw my cat do that, I would I don't even know what I would do. I would do what they did run and try to grab it and yeah. And then I would do nothing. And then it gets lodged up here and then down here. Down here. So the cat starts vomiting. Oh my gosh. It is so hard to make a cat vomit. Oh yeah. I don't think people realize it's not like dogs where you can make a dog vomit. But you're pretty easily. Right. Cats will not vomit. They're like horses, right? I mean basically like they don't vomit. Yeah. They said that like they were holding the cat on a spinny chair and someone was just spinning them. Yeah. Oh my gosh. They used the eggs. That's what you do. Yeah. Everyone you can try is zyla'sine but we don't have that here. We don't use it. We usually use the horses. Yeah. So yeah. So yeah. There's that. Great though. The scope, not invasive. Yep. Yeah. Just a little more fish. Yeah. That's fine. Yeah. Okay. Good case. No, he ate breakfast this morning and no more vomiting or no vomiting I guess. Yeah. That's awesome. Go buddy. Good job. Great. Those are great ones. I love it. I'll go real quick. Mine's interesting. It's a little beagle mix. I forget how old she is. How old Ellie is but we'll say middle aged. Yeah. Because history of just allergies, skin stuff that we've been controlling and but she had come in one time and she had a pretty significant yeast infection on her paw skin between her toes. So we started treatment with an oral antifungal called cluconazole. Usually that's kind of our best go to you worry about GI side effects as far as a reaction but that's really it that I live or may maybe but it's very rare. So anyway we started her on it and also did some wipes but she's really sensitive with her paws so we tried not to do that as much and I think it was a couple days later or there was like a timeline of a day the owner noticed a small, small bump on the top of her nose and then a couple days later there was more there. So she said a picture and because she described it as hives and so I had this kind of visual of what hives would look like but usually if we have an allergic reaction we might seem throughout the body or elsewhere on the body or like facial swelling or something and it didn't just it didn't look like normal hives on her muzzle just right above her nose. So I had her swing in and I actually sampled or poked one of the, it was like a postural because there was a little bit of drainage coming from the bump and under the microscope there was just two numerous account yeast in a phills which is yeah a cell that is the first responder in allergic reactions so could be just simple allergies it could be got bit by something the other thing too is a fungal like it responds to fungus so like ringworm and ringworm will show up on the top of the nose. So I really didn't know because I never see it with puconazole like was this a drug reaction or was this something different and it was quencinental so we ended up just pulling her off of the drug we started Benadryl and she did it every day for seven days we sent out a ringworm PCR and then I switched her for the pa infection to basically antifungal wipes instead and she was able to do it on her dog the ringworm came back negative and she the the bumps responded to Benadryl only I did not have to pull a steroid the reason why I didn't do the steroid at first is because it could have made the ringworm worse so yeah it was very interesting and it made timeline wise most sense to be the drug but it just was not a typical reaction to the drug that's so weird but she did well and we'll just know like yeah for some reason she's sensitive to it so yeah and her pause cleared up with wipes now we know too we can avoid oral if we have to know that's that's helpful yeah that's it skin it's coming because allergies and it's coming I feel like it never stopped February I know wow yeah it's not so they're still running rampant that's true okay well my case is a dog he is like a shepherd husky I don't even husky mix maybe um he's also middle aged he came in for um sedation and this is kind of a routine thing for him because he's not the biggest fan of us or the clinic so we typically have to use full injectable sedation to do anything on him and so he comes in routinely for nail trims because owners also can't touch his feet at home um so the owner came to drop him off in the morning for his sedated nail trim and she had mentioned to me that he was bothered by one of his front paws um so he had been licking at it chewing at it he didn't really want them to look at it um so I was like okay we'll probably take a look at that under sedation so I got him sedated started doing his nails I finally got to that paw and I noticed some discoloration around the nail bed um and so I was like okay that's probably saliva staining from him looking at his paw um so then I further investigated and actually between his like between his toes like pretty kind of deep in there um to where you couldn't really see it from the surface as much he had a bump um so I went ahead and shaved it because I couldn't tell if it was maybe hair or if it was swollen um so I went ahead and shaved it and it did feel like a mass almost and so I had um Dr. Duck walk on back and she looked at it um and she actually ended up sampling it um and then we asked the owners they wanted us to look at it under the microscope because we wouldn't have been able to sample it after he was awake um just due to his temperament so we took some um final aspects of the bump and she looked at it under the microscope and it did show cancer cells concern forums yeah there were there was just round cells everywhere um and you worry about that on a mass on the show um it wasn't was it mass cell which is a type of tumor we can classify just from under the microscope um but I was actually concerned with some of the characteristics for it being more of a sarcoma so um so um we did that and then um just because he's so bothered by it we sent home an anti inflammatory with the owners to see if that would help um and then I actually texted them today to check in I haven't checked to see if they were they've responded um but we kept slides as well to see if they wanted us to send those out to be reviewed by a pathologist um because then once we get a confirmation of what it is we may or may not pursue surgery to remove the toe um because you can't really just take off a mass on the toe typically you remove the whole digit I don't know I did not know that happened yeah look at you being thorough I just got a head start on that uh especially with those kind of dogs you have to uh yeah you have to be very thorough because like I said you can't like once he's awake or reversed from sedation you can't just be like oh yeah oh yeah yeah he is very mean yeah he is does not like us at all yeah as soon as he starts waking up he's like oh yeah like even under sedation he's on the business oh gosh yeah I speak I talked about toe masses before on the podcast but it's just like what Courtney said you kind of have to get an idea of what it is by sending out the fnas to the path characteristics because you can't just go be like ah we'll just take it off or oh we'll just buy up see it because it's the toe it's the tip of the toe yeah so it's really there's no wiggle room if it's cancerous or you're concerned or it's growing you just got you have to take the whole time and it wasn't a weight bearing it was it was a weight bearing tail okay those three I think I don't know it was weight bearing I think on him or four I don't remember it was three or four so we'll see yeah we'll see if they want to send those out because I kept them for them to see let them decide see if they want to do that so I'll let Janelle yeah because I got a check to see if they answered me so okay that's all we got more to come good variety that was a good right good hopery of cases if you will okay kook kook kook bing bing bing listen to our questions hey y'all love the last few episodes and y'all's podcast is my go to listen in the car that's awesome I'm currently in my second semester of at school and I was wondering how y'all avoid trying to diagnose your own game was all the time especially in vet school we learn the worst of the worst so how do I curb the desire to come home and constantly check my dog for the new disease I learned also if y'all decide to answer this shout out to t-a-m-u class of 27 in Sarah we love your podcast thanks in advance at k katee wall sh 67 the first thing I have to say is who says we don't who says we don't do it yeah I know oh yeah I've worked at in a clinic for almost eight years and I went to tech school and I still do it yeah I'm so sorry that's probably not helpful whatsoever to your question I think it's a it's a fine line because knowledge is power but also knowledge can cause misery detrimental I mean I think for me personally like it was interesting to be able to apply it to my own animals but over time you just kind of become I don't know catalyst cat not cow is I was just gonna say like I'm just kidding I'm serious I'm serious I'm maybe a little cow is there but you just kind of become used to you just become used to diseases and seeing them and what they look like so then like you would know notice without even thinking if something was off with your animal you don't have to like consciously be like are you okay my missing something you just like pick up on it without even realizing it if that makes sense yeah so it'll become second nature you don't have to like stress about it yeah yeah I agree with that yeah I think that there's also over time you develop like these boxes that you check in your head you know for things so like that you then that can allow you to dismiss like this is an irrational this is rational thinking yes or this is rational thinking so like you know if you're looking at your three-year-old dog and you know and you're you learned about cushing's disease I mean you can very quickly say okay my dog's not thinking drinking a lot it's not thinking either probably but oh it's not drinking a lot no it's not having accents in the house no oh look it doesn't have a pop belly no like you can check boxes and then be like okay yeah and then call yourself down yeah that's irrational thinking like I don't have to worry about that yeah you know um and I think trends to also help people know whether or not they should be worried yeah yeah so it's like yeah they were trending they were drinking more last you know month right now it's even more now it's even more you know yeah yeah so I think you start to develop those tools as you I don't know work around the diseases and yeah you know see people manage them I think when you have that emotional blinder on to it does become difficult to kind of like not have your mind go into the spiral of this deep dark hole of oh my gosh my animal has this in this so it's okay to ask someone else in the field for them to just objectively look at your animal we do it here all the time I have when I bring my animals in I'll have one of the other doctors look at them or listen to them and get their opinion and make sure like it's probably almost every time they come in for something sick because it's okay to get second third opinions on something you care about it's yeah yeah you're just not you don't have the same outlook on it as someone else who doesn't have any emotional tie to them or not as much I should say yeah yeah I was gonna touch on that because I don't know about anybody else but I like to say that when there's something wrong with miles who is my dog I literally become like dumb yeah all of my veterinary lung knowledge goes out the window yeah like I just I I mean yeah you panic for a second maybe but then I mean you're like okay it's fine like it's really not that deep or like I've called her at like 10 p.m. at night yeah like because he vomits blood or like you know like that happened a few weeks ago I'm like oh my god I have to go to the I have to go to the PCI like and then she's like okay this one have like okay yeah you're right it's fine but like I mean yeah yeah you're gonna freak out probably had a few things but like you said once you're like okay really think this through yeah it's really not that bad but yeah you see scary stuff at work and then you're gonna freak out and yeah so yeah every animal is better yeah and yeah the second opinion having somebody else look or talk to it about or whatever I do think it's really helpful having an animal at home when you're going through school yeah because it does allow you to like work at things like especially like physiology and anatomy things yeah yeah yeah how many times I felt Jeffries veins yeah on a daily basis I would get home from school and everything I learned that day I would practice on Jeffery I would look at the whatever on him and you have to know what's normal and then recognize what's out yeah yep so and so that may be the best thing that you could be doing is living at your animal you know what I mean and so and then learning what's normal so you know and don't feel pressure that when you're out of school that you have to like do every little medical thing on them like literally my dog is here today getting a dental by one of my colleagues like I just have this rule where if it's something that I'm comfortable doing on my own animal I'll do it um and it gets it gets better as time goes on and you're in the field where you're like oh yeah I could do that whatever but there are just some things where I'm like I don't like dentistry I don't want to do it on my own animal I want someone else who knows how to do it really well to do it and then I don't have to worry about it yeah and you trust your colleagues you so yeah yeah so don't feel pressure it's okay it's all good taking strides it's all good yeah so uh yeah shout out to Katie and Sarah class tm a u which is texas right am you texas I don't know I didn't look at I don't think you don't think it is erotic text tm right tm you texas a and m university we were supposed to make a sign did it give him a shout out I know my sign I'm here's our verbal sign I'm I've tried to wear maroonish colors but it didn't it's not very maroon do you think he's looking at yeah he was ignoring us oh no he did I know I looked at it's text saying him yeah universal which 27 by the way we love because yeah we said we see so many things all of the Durham cases yes to patta texas a nam so thank you shout out to you guys yeah yeah absolutely and uh yeah class of 27 coming through the ranks baby yep that's right learning also should we tell her just because she's in the field she's probably gonna have an animal some pointless uh he's fair you will never have a normal dog and or cat or any other animal for the rest of your life we'll have some kind of problem I'm so sorry to break it you yeah yeah that's probably true like you get the broken ones because no one else I mean everybody else once I'm not saying nobody else wants them but you'll take care of them the best you absolutely can yep and they choose you they're always good because they know you'll love them and take care of them the way they're supposed to that's right and you get good discounts yes I for me at least it's not as much diagnosing but I have all these tools at my fingertips so I do do all the diagnostics yeah yeah yeah utilize all the tools you can yeah absolutely nothing wrong with that um before we leave oh I do have something oh one moment oh is it another stack is it another bag it's a mystery you two it's a bot it's a mystery guys it's what happened to the back the bags were been retired spread or placed by a box Valentine's Day yes it is oh my gosh Devon please don't go pick don't go don't go don't go she's crazy I'm getting the peak she picked oh my gosh okay well everyone gets a little box of Starburst Heart oh I love these they've got more sugar what you need Devon I yeah I'm not gonna these are just a new or the fourth one here's my right hand oh good look at that wow that was impressive blood with my right hand earlier okay I need to switch hands and then a lindore oh thank you oh we love you Devon and then one more thing I wrote everyone a card okay you started tingly everyone can color tingly I love it thank you I'm gonna redo too also I I still have Courtney and Devon's Christmas gifts sitting on my counter at home I love your Christmas gifts at home and you're like are you gonna give it to them and I was like yeah I keep forgetting you know it's funny Lauren just got her Christmas gift last night from Jones yeah she did so now Jones has beat you in the Chris oh that's a bear that's a bear's yeah that's your contact name with the funny buddy wants to know my envelope says it says court q a r t or but it has like the little emoji of the court of like rice or whatever you do thank you this is here isn't gonna know oh that's very nice well what are you gonna say thank you for being good guys like duckball mentioned this is the last episode in the space and we're moving to a new space that was you okay Devon you guys know the same side over there we're all the same we're all one the same person indeed what did you say it starts to the D D yeah I'm left out and start with the C hey you know what C D E oh wow yeah that's pretty impressive also something I've told them before but I think it's pretty spectacular it's like our team or her initials are a CD yes a CD oh yeah wow I've never been in our pretty I'm getting all right we've had a lot of sugar a lot of pubic y'all okay all right thank you so much for tuning into another episode of the veterinary round table remember sending those questions and leave us a review this episode for previous episode we'll see you on a few weeks for the next episode of the veterinary round table now all of us seeing a song by usher at the same time go yeah yeah these are my confession just one that's that we saw I know okay we'll see you at 810 you guys are just following me I started thinking some questions in the back yeah I couldn't even think of that[Music]