{"version":"1.0.0","segments":[{"speaker":"Sarah Wright","startTime":0.57,"endTime":3.6,"body":"You're listening"},{"speaker":"Sarah Wright","startTime":0.57,"endTime":3.6,"body":"to veterinary Vertex. A podcast"},{"speaker":"Sarah Wright","startTime":3.6,"endTime":6.84,"body":"the AVMA journals. In this"},{"speaker":"Sarah Wright","startTime":3.6,"endTime":6.84,"body":"episode, we chat about the"},{"speaker":"Sarah Wright","startTime":6.84,"endTime":10.56,"body":"benefits and challenges of"},{"speaker":"Sarah Wright","startTime":6.84,"endTime":10.56,"body":"creating Veterinary antibiograms"},{"speaker":"Sarah Wright","startTime":10.74,"endTime":13.65,"body":"with our guests, Edie Marshall"},{"speaker":"Sarah Wright","startTime":10.74,"endTime":13.65,"body":"and Claire Burbick."},{"speaker":"Lisa Fortier","startTime":19.98,"endTime":21.75,"body":"Welcome to"},{"speaker":"Lisa Fortier","startTime":19.98,"endTime":21.75,"body":"Veterinary Vertex. I'm"},{"speaker":"Lisa Fortier","startTime":21.75,"endTime":25.23,"body":"Editor-in-Chief Lisa Fortier and"},{"speaker":"Lisa Fortier","startTime":21.75,"endTime":25.23,"body":"I'm joined by Associate Editor"},{"speaker":"Lisa Fortier","startTime":25.23,"endTime":29.31,"body":"Sarah Wright. Today we have Edie"},{"speaker":"Lisa Fortier","startTime":25.23,"endTime":29.31,"body":"and Claire joining us. Edie and"},{"speaker":"Lisa Fortier","startTime":29.31,"endTime":31.71,"body":"Claire, thank you so much for"},{"speaker":"Lisa Fortier","startTime":29.31,"endTime":31.71,"body":"taking time out of your very"},{"speaker":"Lisa Fortier","startTime":31.71,"endTime":35.4,"body":"busy schedules in the very end"},{"speaker":"Lisa Fortier","startTime":31.71,"endTime":35.4,"body":"of summer, when nobody wants to"},{"speaker":"Lisa Fortier","startTime":35.4,"endTime":37.77,"body":"be working, everybody wants to"},{"speaker":"Lisa Fortier","startTime":35.4,"endTime":37.77,"body":"be on vacation and getting ready"},{"speaker":"Lisa Fortier","startTime":37.77,"endTime":40.62,"body":"to send their kids off to"},{"speaker":"Lisa Fortier","startTime":37.77,"endTime":40.62,"body":"school. And thank you so much"},{"speaker":"Lisa Fortier","startTime":40.62,"endTime":42.45,"body":"for taking the time to be here"},{"speaker":"Lisa Fortier","startTime":40.62,"endTime":42.45,"body":"with us today."},{"speaker":"Claire Burbick","startTime":44.25,"endTime":46.32,"body":"It's a pleasure"},{"speaker":"Claire Burbick","startTime":44.25,"endTime":46.32,"body":"to be here. I'm really excited."},{"speaker":"Edie Marshall","startTime":47.13,"endTime":49.38,"body":"Yeah, thank you"},{"speaker":"Edie Marshall","startTime":47.13,"endTime":49.38,"body":"for doing this. I'm excited as"},{"speaker":"Edie Marshall","startTime":49.38,"endTime":49.71,"body":"well."},{"speaker":"Sarah Wright","startTime":52.09,"endTime":53.59,"body":"Edie, your"},{"speaker":"Sarah Wright","startTime":52.09,"endTime":53.59,"body":"Currents in One Health"},{"speaker":"Sarah Wright","startTime":53.59,"endTime":57.34,"body":"manuscript in AJVR discusses the"},{"speaker":"Sarah Wright","startTime":53.59,"endTime":57.34,"body":"benefits and challenges of"},{"speaker":"Sarah Wright","startTime":57.34,"endTime":60.7,"body":"creating veterinary"},{"speaker":"Sarah Wright","startTime":57.34,"endTime":60.7,"body":"antibiograms. Can you explain to"},{"speaker":"Sarah Wright","startTime":60.7,"endTime":62.62,"body":"our listeners what antibiograms"},{"speaker":"Sarah Wright","startTime":60.7,"endTime":62.62,"body":"are?"},{"speaker":"Edie Marshall","startTime":63.77,"endTime":67.16,"body":"So antibiograms"},{"speaker":"Edie Marshall","startTime":63.77,"endTime":67.16,"body":"summarize cumulative"},{"speaker":"Edie Marshall","startTime":67.22,"endTime":71.21,"body":"antimicrobial susceptibility"},{"speaker":"Edie Marshall","startTime":67.22,"endTime":71.21,"body":"testing data, which, for some of"},{"speaker":"Edie Marshall","startTime":71.21,"endTime":75.62,"body":"our listeners, that's just a lot"},{"speaker":"Edie Marshall","startTime":71.21,"endTime":75.62,"body":"of syllables. Essentially, when"},{"speaker":"Edie Marshall","startTime":75.62,"endTime":79.88,"body":"a veterinarian collapses sample"},{"speaker":"Edie Marshall","startTime":75.62,"endTime":79.88,"body":"from an individual animal and"},{"speaker":"Edie Marshall","startTime":79.88,"endTime":84.17,"body":"runs the culture and"},{"speaker":"Edie Marshall","startTime":79.88,"endTime":84.17,"body":"susceptibility testing, then"},{"speaker":"Edie Marshall","startTime":84.17,"endTime":87.83,"body":"that is a result for that"},{"speaker":"Edie Marshall","startTime":84.17,"endTime":87.83,"body":"individual animal. And what the"},{"speaker":"Edie Marshall","startTime":87.83,"endTime":91.82,"body":"antibody programs do is take a"},{"speaker":"Edie Marshall","startTime":87.83,"endTime":91.82,"body":"whole bunch of those test"},{"speaker":"Edie Marshall","startTime":91.82,"endTime":96.2,"body":"results from multiple animals"},{"speaker":"Edie Marshall","startTime":91.82,"endTime":96.2,"body":"over a defined period of time."},{"speaker":"Edie Marshall","startTime":96.44,"endTime":101.0,"body":"And for a specific pathogen, and"},{"speaker":"Edie Marshall","startTime":96.44,"endTime":101.0,"body":"summarize that like combine all"},{"speaker":"Edie Marshall","startTime":101.0,"endTime":104.93,"body":"the data together, so that"},{"speaker":"Edie Marshall","startTime":101.0,"endTime":104.93,"body":"veterinarians can see sort of"},{"speaker":"Edie Marshall","startTime":104.93,"endTime":110.93,"body":"trends in resistance. And they"},{"speaker":"Edie Marshall","startTime":104.93,"endTime":110.93,"body":"may be able to use that"},{"speaker":"Edie Marshall","startTime":110.93,"endTime":115.34,"body":"information when selecting an"},{"speaker":"Edie Marshall","startTime":110.93,"endTime":115.34,"body":"antibiotic early in therapy,"},{"speaker":"Edie Marshall","startTime":115.64,"endTime":119.39,"body":"before their own test results"},{"speaker":"Edie Marshall","startTime":115.64,"endTime":119.39,"body":"for that individual animal have"},{"speaker":"Edie Marshall","startTime":119.39,"endTime":123.5,"body":"come back from the lab or if"},{"speaker":"Edie Marshall","startTime":119.39,"endTime":123.5,"body":"they're not going to be able to"},{"speaker":"Edie Marshall","startTime":123.53,"endTime":125.21,"body":"run those test results."},{"speaker":"Sarah Wright","startTime":127.46,"endTime":130.19,"body":"Thank you. And"},{"speaker":"Sarah Wright","startTime":127.46,"endTime":130.19,"body":"Claire, what are some important"},{"speaker":"Sarah Wright","startTime":130.19,"endTime":131.48,"body":"findings from this study?"},{"speaker":"Claire Burbick","startTime":133.49,"endTime":135.65,"body":"I really"},{"speaker":"Claire Burbick","startTime":133.49,"endTime":135.65,"body":"struggled to kind of pick out"},{"speaker":"Claire Burbick","startTime":135.65,"endTime":140.45,"body":"sort of a small list, I think"},{"speaker":"Claire Burbick","startTime":135.65,"endTime":140.45,"body":"the most important findings to"},{"speaker":"Claire Burbick","startTime":140.45,"endTime":148.79,"body":"me, really are sort of refining"},{"speaker":"Claire Burbick","startTime":140.45,"endTime":148.79,"body":"some of the gray area regarding"},{"speaker":"Claire Burbick","startTime":148.82,"endTime":153.02,"body":"an individual antimicrobial"},{"speaker":"Claire Burbick","startTime":148.82,"endTime":153.02,"body":"susceptibility testing, because"},{"speaker":"Claire Burbick","startTime":153.02,"endTime":156.8,"body":"I think there's some nuance"},{"speaker":"Claire Burbick","startTime":153.02,"endTime":156.8,"body":"there and in the data in regards"},{"speaker":"Claire Burbick","startTime":156.8,"endTime":160.58,"body":"to what's an MIC versus what's a"},{"speaker":"Claire Burbick","startTime":156.8,"endTime":160.58,"body":"breakpoint, which I think are"},{"speaker":"Claire Burbick","startTime":160.58,"endTime":165.02,"body":"super important concepts for"},{"speaker":"Claire Burbick","startTime":160.58,"endTime":165.02,"body":"veterinarians to understand. And"},{"speaker":"Claire Burbick","startTime":165.02,"endTime":169.13,"body":"then also that the individual"},{"speaker":"Claire Burbick","startTime":165.02,"endTime":169.13,"body":"susceptibility test data can"},{"speaker":"Claire Burbick","startTime":169.13,"endTime":174.32,"body":"actually be used again, which is"},{"speaker":"Claire Burbick","startTime":169.13,"endTime":174.32,"body":"kind of amazing, to be able to"},{"speaker":"Claire Burbick","startTime":174.32,"endTime":177.95,"body":"really help guide empiric"},{"speaker":"Claire Burbick","startTime":174.32,"endTime":177.95,"body":"therapy, which I think is"},{"speaker":"Claire Burbick","startTime":177.95,"endTime":182.66,"body":"always, you know, something that"},{"speaker":"Claire Burbick","startTime":177.95,"endTime":182.66,"body":"literally every veterinarian is"},{"speaker":"Claire Burbick","startTime":182.66,"endTime":186.5,"body":"doing every day and to have the"},{"speaker":"Claire Burbick","startTime":182.66,"endTime":186.5,"body":"confidence that the drug that"},{"speaker":"Claire Burbick","startTime":186.5,"endTime":190.73,"body":"you reach for, for urinary tract"},{"speaker":"Claire Burbick","startTime":186.5,"endTime":190.73,"body":"infection, you know, kind of the"},{"speaker":"Claire Burbick","startTime":190.73,"endTime":193.25,"body":"common things that are treated"},{"speaker":"Claire Burbick","startTime":190.73,"endTime":193.25,"body":"with antimicrobials. You can"},{"speaker":"Claire Burbick","startTime":193.25,"endTime":197.21,"body":"feel that kind of extra level of"},{"speaker":"Claire Burbick","startTime":193.25,"endTime":197.21,"body":"confidence to say, I know, the"},{"speaker":"Claire Burbick","startTime":197.21,"endTime":202.4,"body":"pattern within my population is"},{"speaker":"Claire Burbick","startTime":197.21,"endTime":202.4,"body":"x, y, and z. And so my choice of"},{"speaker":"Claire Burbick","startTime":202.4,"endTime":207.56,"body":"this therapy is going to be how"},{"speaker":"Claire Burbick","startTime":202.4,"endTime":207.56,"body":"I will have the most confidence"},{"speaker":"Claire Burbick","startTime":207.56,"endTime":210.47,"body":"and the efficacy, you know,"},{"speaker":"Claire Burbick","startTime":207.56,"endTime":210.47,"body":"based on this pattern, so it"},{"speaker":"Claire Burbick","startTime":210.47,"endTime":216.11,"body":"just gives us kind of that"},{"speaker":"Claire Burbick","startTime":210.47,"endTime":216.11,"body":"additional layer of usefulness,"},{"speaker":"Claire Burbick","startTime":216.32,"endTime":220.58,"body":"within, you know, antimicrobial"},{"speaker":"Claire Burbick","startTime":216.32,"endTime":220.58,"body":"use and stewardship, which I"},{"speaker":"Claire Burbick","startTime":220.58,"endTime":225.5,"body":"think just has, you know, so"},{"speaker":"Claire Burbick","startTime":220.58,"endTime":225.5,"body":"many benefits for the practicing"},{"speaker":"Claire Burbick","startTime":225.5,"endTime":229.28,"body":"veterinarian to make those good"},{"speaker":"Claire Burbick","startTime":225.5,"endTime":229.28,"body":"choices. And so I think that's"},{"speaker":"Claire Burbick","startTime":229.28,"endTime":232.52,"body":"on the one side, I think the"},{"speaker":"Claire Burbick","startTime":229.28,"endTime":232.52,"body":"other side, is that really, you"},{"speaker":"Claire Burbick","startTime":232.52,"endTime":235.52,"body":"know, we have a lot of"},{"speaker":"Claire Burbick","startTime":232.52,"endTime":235.52,"body":"challenges. And I think, you"},{"speaker":"Claire Burbick","startTime":235.52,"endTime":240.17,"body":"know, half the paper is really"},{"speaker":"Claire Burbick","startTime":235.52,"endTime":240.17,"body":"addressing a lot of the gaps and"},{"speaker":"Claire Burbick","startTime":240.17,"endTime":243.44,"body":"challenges and limitations we"},{"speaker":"Claire Burbick","startTime":240.17,"endTime":243.44,"body":"have, which, you know, I"},{"speaker":"Claire Burbick","startTime":243.44,"endTime":246.8,"body":"struggle when I talk about this,"},{"speaker":"Claire Burbick","startTime":243.44,"endTime":246.8,"body":"because I'm like, I'm just a"},{"speaker":"Claire Burbick","startTime":246.8,"endTime":249.26,"body":"really negative Nancy person,"},{"speaker":"Claire Burbick","startTime":246.8,"endTime":249.26,"body":"and we have all these"},{"speaker":"Claire Burbick","startTime":249.26,"endTime":252.44,"body":"challenges. But, you know, I"},{"speaker":"Claire Burbick","startTime":249.26,"endTime":252.44,"body":"don't know that, you know, this"},{"speaker":"Claire Burbick","startTime":252.44,"endTime":256.34,"body":"is really well known within the"},{"speaker":"Claire Burbick","startTime":252.44,"endTime":256.34,"body":"veterinary practicing community"},{"speaker":"Claire Burbick","startTime":256.34,"endTime":260.18,"body":"that we do have gaps in"},{"speaker":"Claire Burbick","startTime":256.34,"endTime":260.18,"body":"breakpoints, and that really"},{"speaker":"Claire Burbick","startTime":260.18,"endTime":263.9,"body":"limits our ability to, you know,"},{"speaker":"Claire Burbick","startTime":260.18,"endTime":263.9,"body":"accurately predict clinical"},{"speaker":"Claire Burbick","startTime":263.9,"endTime":268.61,"body":"outcomes, like we think we have,"},{"speaker":"Claire Burbick","startTime":263.9,"endTime":268.61,"body":"that the data is is pretty"},{"speaker":"Claire Burbick","startTime":268.61,"endTime":271.91,"body":"complicated. And you do you have"},{"speaker":"Claire Burbick","startTime":268.61,"endTime":271.91,"body":"to have kind of some background"},{"speaker":"Claire Burbick","startTime":271.91,"endTime":275.69,"body":"and what that means. And that"},{"speaker":"Claire Burbick","startTime":271.91,"endTime":275.69,"body":"also, you know, we kind of have"},{"speaker":"Claire Burbick","startTime":275.69,"endTime":281.57,"body":"some structural lacks within our"},{"speaker":"Claire Burbick","startTime":275.69,"endTime":281.57,"body":"profession, which aren't as big"},{"speaker":"Claire Burbick","startTime":281.57,"endTime":285.5,"body":"of a problem on the human side."},{"speaker":"Claire Burbick","startTime":281.57,"endTime":285.5,"body":"So they have funding that's tied"},{"speaker":"Claire Burbick","startTime":285.5,"endTime":290.39,"body":"to doing antimicrobial"},{"speaker":"Claire Burbick","startTime":285.5,"endTime":290.39,"body":"stewardship work like funding,"},{"speaker":"Claire Burbick","startTime":290.39,"endTime":294.77,"body":"you know, we have insurance we"},{"speaker":"Claire Burbick","startTime":290.39,"endTime":294.77,"body":"have government regulations that"},{"speaker":"Claire Burbick","startTime":294.77,"endTime":300.89,"body":"really support doing this type"},{"speaker":"Claire Burbick","startTime":294.77,"endTime":300.89,"body":"of testing, compilation of data,"},{"speaker":"Claire Burbick","startTime":302.24,"endTime":305.45,"body":"you know, educational outreach,"},{"speaker":"Claire Burbick","startTime":302.24,"endTime":305.45,"body":"all of those things on the human"},{"speaker":"Claire Burbick","startTime":305.45,"endTime":308.84,"body":"side that we really don't on the"},{"speaker":"Claire Burbick","startTime":305.45,"endTime":308.84,"body":"vet side. And so, you know, I"},{"speaker":"Claire Burbick","startTime":308.84,"endTime":314.36,"body":"think there's a lot of things"},{"speaker":"Claire Burbick","startTime":308.84,"endTime":314.36,"body":"that need to be addressed to be"},{"speaker":"Claire Burbick","startTime":314.36,"endTime":320.72,"body":"able to really have the level of"},{"speaker":"Claire Burbick","startTime":314.36,"endTime":320.72,"body":"of antimicrobial use comfort and"},{"speaker":"Claire Burbick","startTime":320.72,"endTime":323.57,"body":"stewardship that we would really"},{"speaker":"Claire Burbick","startTime":320.72,"endTime":323.57,"body":"like to have, and that maybe"},{"speaker":"Claire Burbick","startTime":323.57,"endTime":327.68,"body":"people don't quite know. And I"},{"speaker":"Claire Burbick","startTime":323.57,"endTime":327.68,"body":"think so, breakpoints is a big"},{"speaker":"Claire Burbick","startTime":327.68,"endTime":332.87,"body":"one, the lack of specialists"},{"speaker":"Claire Burbick","startTime":327.68,"endTime":332.87,"body":"that are trained in this area"},{"speaker":"Claire Burbick","startTime":332.9,"endTime":338.6,"body":"might in microbiology, also in"},{"speaker":"Claire Burbick","startTime":332.9,"endTime":338.6,"body":"pharmacology, and, you know, the"},{"speaker":"Claire Burbick","startTime":338.6,"endTime":342.59,"body":"infrastructure, along with the"},{"speaker":"Claire Burbick","startTime":338.6,"endTime":342.59,"body":"finance and financial support"},{"speaker":"Claire Burbick","startTime":342.59,"endTime":345.59,"body":"there, I think one of the things"},{"speaker":"Claire Burbick","startTime":342.59,"endTime":345.59,"body":"that's important to remember is"},{"speaker":"Claire Burbick","startTime":345.59,"endTime":349.4,"body":"we're relying on animal owners"},{"speaker":"Claire Burbick","startTime":345.59,"endTime":349.4,"body":"or producers to provide this"},{"speaker":"Claire Burbick","startTime":349.4,"endTime":353.45,"body":"data for us. And so it can be"},{"speaker":"Claire Burbick","startTime":349.4,"endTime":353.45,"body":"very complicated to even get"},{"speaker":"Claire Burbick","startTime":353.45,"endTime":358.16,"body":"susceptibility test data to put"},{"speaker":"Claire Burbick","startTime":353.45,"endTime":358.16,"body":"into these antibiograms. For us,"},{"speaker":"Claire Burbick","startTime":358.16,"endTime":361.46,"body":"because we're relying on, you"},{"speaker":"Claire Burbick","startTime":358.16,"endTime":361.46,"body":"know, the, the farmer, we're"},{"speaker":"Claire Burbick","startTime":361.46,"endTime":364.43,"body":"relying on the, you know, the"},{"speaker":"Claire Burbick","startTime":361.46,"endTime":364.43,"body":"cat owner to make this data"},{"speaker":"Claire Burbick","startTime":364.43,"endTime":368.15,"body":"available to us. And so, you"},{"speaker":"Claire Burbick","startTime":364.43,"endTime":368.15,"body":"know, those are some challenges."},{"speaker":"Claire Burbick","startTime":368.78,"endTime":373.91,"body":"And then, you know, as we are in"},{"speaker":"Claire Burbick","startTime":368.78,"endTime":373.91,"body":"such an IT society, and we're"},{"speaker":"Claire Burbick","startTime":373.91,"endTime":378.14,"body":"looking at these big data sets,"},{"speaker":"Claire Burbick","startTime":373.91,"endTime":378.14,"body":"we really also need support in"},{"speaker":"Claire Burbick","startTime":379.46,"endTime":383.48,"body":"managing the data, getting"},{"speaker":"Claire Burbick","startTime":379.46,"endTime":383.48,"body":"access to the data, you know, I"},{"speaker":"Claire Burbick","startTime":383.48,"endTime":387.23,"body":"work in a diagnostic lab, and"},{"speaker":"Claire Burbick","startTime":383.48,"endTime":387.23,"body":"it's not actually that easy to"},{"speaker":"Claire Burbick","startTime":387.23,"endTime":391.85,"body":"pull data out of our systems."},{"speaker":"Claire Burbick","startTime":387.23,"endTime":391.85,"body":"And so there's just a lot of"},{"speaker":"Claire Burbick","startTime":392.6,"endTime":395.84,"body":"kind of, like, sort of the"},{"speaker":"Claire Burbick","startTime":392.6,"endTime":395.84,"body":"boring details that that we"},{"speaker":"Claire Burbick","startTime":395.84,"endTime":398.69,"body":"just, you know, kind of take for"},{"speaker":"Claire Burbick","startTime":395.84,"endTime":398.69,"body":"granted on the human side that"},{"speaker":"Claire Burbick","startTime":398.69,"endTime":401.99,"body":"we really, you know, are"},{"speaker":"Claire Burbick","startTime":398.69,"endTime":401.99,"body":"challenged by on that side, and"},{"speaker":"Claire Burbick","startTime":402.23,"endTime":405.59,"body":"so even though it is a bit of a"},{"speaker":"Claire Burbick","startTime":402.23,"endTime":405.59,"body":"laundry list, I think, you know,"},{"speaker":"Claire Burbick","startTime":405.59,"endTime":407.93,"body":"these are important things to"},{"speaker":"Claire Burbick","startTime":405.59,"endTime":407.93,"body":"kind of get out into the"},{"speaker":"Claire Burbick","startTime":407.93,"endTime":410.87,"body":"discussion of how do we want to"},{"speaker":"Claire Burbick","startTime":407.93,"endTime":410.87,"body":"do stewardship? What do we need"},{"speaker":"Claire Burbick","startTime":410.87,"endTime":415.25,"body":"to support that? You know, how"},{"speaker":"Claire Burbick","startTime":410.87,"endTime":415.25,"body":"do we get data to either treat"},{"speaker":"Claire Burbick","startTime":415.25,"endTime":420.41,"body":"individual animals effectively,"},{"speaker":"Claire Burbick","startTime":415.25,"endTime":420.41,"body":"or, you know, regions or, you"},{"speaker":"Claire Burbick","startTime":420.41,"endTime":423.65,"body":"know, areas of practice? How do"},{"speaker":"Claire Burbick","startTime":420.41,"endTime":423.65,"body":"they get antibiogram data to"},{"speaker":"Claire Burbick","startTime":423.65,"endTime":428.03,"body":"really help with this process."},{"speaker":"Claire Burbick","startTime":423.65,"endTime":428.03,"body":"And so,I like it, because I feel"},{"speaker":"Claire Burbick","startTime":428.03,"endTime":431.21,"body":"like it's a soap box of, you"},{"speaker":"Claire Burbick","startTime":428.03,"endTime":431.21,"body":"know, all the things that"},{"speaker":"Claire Burbick","startTime":431.21,"endTime":435.14,"body":"microbiologist and the"},{"speaker":"Claire Burbick","startTime":431.21,"endTime":435.14,"body":"pharmacologist worry about. And"},{"speaker":"Claire Burbick","startTime":435.14,"endTime":438.47,"body":"so, you know, kind of, you know,"},{"speaker":"Claire Burbick","startTime":435.14,"endTime":438.47,"body":"what we could do with this"},{"speaker":"Claire Burbick","startTime":438.47,"endTime":441.29,"body":"magical data. And then also, you"},{"speaker":"Claire Burbick","startTime":438.47,"endTime":441.29,"body":"know, some of the challenges in"},{"speaker":"Claire Burbick","startTime":441.29,"endTime":442.7,"body":"getting some of that data."},{"speaker":"Lisa Fortier","startTime":444.4,"endTime":446.02,"body":"Yeah, for sure."},{"speaker":"Lisa Fortier","startTime":444.4,"endTime":446.02,"body":"I've been, you know, I was at"},{"speaker":"Lisa Fortier","startTime":446.02,"endTime":450.01,"body":"Cornell for 32 plus years, and"},{"speaker":"Lisa Fortier","startTime":446.02,"endTime":450.01,"body":"super spoiled to be able to call"},{"speaker":"Lisa Fortier","startTime":450.01,"endTime":452.08,"body":"people like you all the time"},{"speaker":"Lisa Fortier","startTime":450.01,"endTime":452.08,"body":"when we're in the diagnostic"},{"speaker":"Lisa Fortier","startTime":452.08,"endTime":454.54,"body":"lab, or even on Saturday morning"},{"speaker":"Lisa Fortier","startTime":452.08,"endTime":454.54,"body":"and be like, what do you have"},{"speaker":"Lisa Fortier","startTime":454.54,"endTime":459.55,"body":"for me? You know, and if some of"},{"speaker":"Lisa Fortier","startTime":454.54,"endTime":459.55,"body":"the listeners are my age, it was"},{"speaker":"Lisa Fortier","startTime":459.97,"endTime":465.25,"body":"antibiotic sensitivity. Right."},{"speaker":"Lisa Fortier","startTime":459.97,"endTime":465.25,"body":"Now, antimicrobial"},{"speaker":"Lisa Fortier","startTime":465.25,"endTime":469.06,"body":"susceptibility. And so there's"},{"speaker":"Lisa Fortier","startTime":465.25,"endTime":469.06,"body":"some different ways of thinking."},{"speaker":"Lisa Fortier","startTime":469.09,"endTime":473.32,"body":"And Claire, you mentioned that"},{"speaker":"Lisa Fortier","startTime":469.09,"endTime":473.32,"body":"breakpoint and MIC are super"},{"speaker":"Lisa Fortier","startTime":473.32,"endTime":475.93,"body":"important that I think, if you"},{"speaker":"Lisa Fortier","startTime":473.32,"endTime":475.93,"body":"wouldn't mind reminding"},{"speaker":"Lisa Fortier","startTime":476.53,"endTime":479.65,"body":"listeners, what those what the"},{"speaker":"Lisa Fortier","startTime":476.53,"endTime":479.65,"body":"differences are."},{"speaker":"Claire Burbick","startTime":479.63,"endTime":483.71,"body":"Sure. So I think"},{"speaker":"Claire Burbick","startTime":479.63,"endTime":483.71,"body":"MIC and the breakpoints"},{"speaker":"Claire Burbick","startTime":483.71,"endTime":489.98,"body":"sometimes get sort of combined,"},{"speaker":"Claire Burbick","startTime":483.71,"endTime":489.98,"body":"but they're very unique things."},{"speaker":"Claire Burbick","startTime":489.98,"endTime":493.73,"body":"So the MIC is really the value"},{"speaker":"Claire Burbick","startTime":489.98,"endTime":493.73,"body":"that we're producing in the lab."},{"speaker":"Claire Burbick","startTime":493.73,"endTime":498.05,"body":"So we have the bacteria that we"},{"speaker":"Claire Burbick","startTime":493.73,"endTime":498.05,"body":"isolated from whatever, you"},{"speaker":"Claire Burbick","startTime":498.05,"endTime":502.61,"body":"know, what if it's your own, or"},{"speaker":"Claire Burbick","startTime":498.05,"endTime":502.61,"body":"pus or whatever, that we have"},{"speaker":"Claire Burbick","startTime":502.61,"endTime":507.47,"body":"considered significant for the"},{"speaker":"Claire Burbick","startTime":502.61,"endTime":507.47,"body":"case. And so we do this in vitro"},{"speaker":"Claire Burbick","startTime":507.47,"endTime":511.49,"body":"testing. So it could be a broth"},{"speaker":"Claire Burbick","startTime":507.47,"endTime":511.49,"body":"microdilution, where we get that"},{"speaker":"Claire Burbick","startTime":511.55,"endTime":515.51,"body":"MIC. It also could be just a"},{"speaker":"Claire Burbick","startTime":511.55,"endTime":515.51,"body":"fusion, which was mentioned in"},{"speaker":"Claire Burbick","startTime":515.51,"endTime":519.83,"body":"the paper, which is an Agar"},{"speaker":"Claire Burbick","startTime":515.51,"endTime":519.83,"body":"based, Kirby Bauer, kind of the"},{"speaker":"Claire Burbick","startTime":519.83,"endTime":523.49,"body":"older school method that I think"},{"speaker":"Claire Burbick","startTime":519.83,"endTime":523.49,"body":"that's are probably learned in"},{"speaker":"Claire Burbick","startTime":523.49,"endTime":528.74,"body":"vet school back in the day. And"},{"speaker":"Claire Burbick","startTime":523.49,"endTime":528.74,"body":"so we're producing in vitro"},{"speaker":"Claire Burbick","startTime":528.74,"endTime":533.27,"body":"data. So we put a drug in"},{"speaker":"Claire Burbick","startTime":528.74,"endTime":533.27,"body":"contact with the bacteria. What"},{"speaker":"Claire Burbick","startTime":533.27,"endTime":537.14,"body":"happens? So does this level"},{"speaker":"Claire Burbick","startTime":533.27,"endTime":537.14,"body":"inhibited? Does this level"},{"speaker":"Claire Burbick","startTime":537.14,"endTime":540.5,"body":"inhibit it? And so we're just"},{"speaker":"Claire Burbick","startTime":537.14,"endTime":540.5,"body":"trying to measure what drug is"},{"speaker":"Claire Burbick","startTime":540.5,"endTime":545.33,"body":"going to be impacting our"},{"speaker":"Claire Burbick","startTime":540.5,"endTime":545.33,"body":"bacteria within either testing"},{"speaker":"Claire Burbick","startTime":545.33,"endTime":549.14,"body":"modality. And so when we're"},{"speaker":"Claire Burbick","startTime":545.33,"endTime":549.14,"body":"doing broth microdilution, we"},{"speaker":"Claire Burbick","startTime":549.14,"endTime":553.16,"body":"have these dilutions of drug"},{"speaker":"Claire Burbick","startTime":549.14,"endTime":553.16,"body":"that we grow our bacteria in,"},{"speaker":"Claire Burbick","startTime":553.16,"endTime":557.75,"body":"and then the MIC are the minimum"},{"speaker":"Claire Burbick","startTime":553.16,"endTime":557.75,"body":"inhibitory concentration is"},{"speaker":"Claire Burbick","startTime":557.75,"endTime":563.36,"body":"where we visibly see no growth"},{"speaker":"Claire Burbick","startTime":557.75,"endTime":563.36,"body":"in the well. And so that's what"},{"speaker":"Claire Burbick","startTime":563.36,"endTime":566.78,"body":"we call our minimum inhibitory"},{"speaker":"Claire Burbick","startTime":563.36,"endTime":566.78,"body":"concentration. And so we get"},{"speaker":"Claire Burbick","startTime":566.78,"endTime":573.26,"body":"this value. And then we have to"},{"speaker":"Claire Burbick","startTime":566.78,"endTime":573.26,"body":"go to the big document that is"},{"speaker":"Claire Burbick","startTime":573.29,"endTime":578.36,"body":"produced by the Clinical and"},{"speaker":"Claire Burbick","startTime":573.29,"endTime":578.36,"body":"Laboratory Standards Institute,"},{"speaker":"Claire Burbick","startTime":578.69,"endTime":581.96,"body":"which sets breakpoints for"},{"speaker":"Claire Burbick","startTime":578.69,"endTime":581.96,"body":"veterinary medicine in the"},{"speaker":"Claire Burbick","startTime":581.96,"endTime":585.38,"body":"United States. And so the"},{"speaker":"Claire Burbick","startTime":581.96,"endTime":585.38,"body":"breakpoint is actually a"},{"speaker":"Claire Burbick","startTime":585.38,"endTime":592.01,"body":"combination of properties of the"},{"speaker":"Claire Burbick","startTime":585.38,"endTime":592.01,"body":"bacteria, properties of the drug"},{"speaker":"Claire Burbick","startTime":592.07,"endTime":596.0,"body":"itself, is it time or"},{"speaker":"Claire Burbick","startTime":592.07,"endTime":596.0,"body":"concentration dependent, and"},{"speaker":"Claire Burbick","startTime":596.0,"endTime":600.65,"body":"then, also the pharmacokinetics"},{"speaker":"Claire Burbick","startTime":596.0,"endTime":600.65,"body":"and the animal species. So it's"},{"speaker":"Claire Burbick","startTime":600.65,"endTime":604.94,"body":"really combining a lot of"},{"speaker":"Claire Burbick","startTime":600.65,"endTime":604.94,"body":"different types of data to"},{"speaker":"Claire Burbick","startTime":604.94,"endTime":609.17,"body":"predict that, yes, we can"},{"speaker":"Claire Burbick","startTime":604.94,"endTime":609.17,"body":"achieve this level of the drug"},{"speaker":"Claire Burbick","startTime":609.17,"endTime":613.46,"body":"in our patient and at that"},{"speaker":"Claire Burbick","startTime":609.17,"endTime":613.46,"body":"level. We believe, through our"},{"speaker":"Claire Burbick","startTime":613.46,"endTime":616.73,"body":"modeling and all of the"},{"speaker":"Claire Burbick","startTime":613.46,"endTime":616.73,"body":"calculations and studies that"},{"speaker":"Claire Burbick","startTime":616.73,"endTime":620.87,"body":"are done would be able to"},{"speaker":"Claire Burbick","startTime":616.73,"endTime":620.87,"body":"effectively treat this specific"},{"speaker":"Claire Burbick","startTime":620.87,"endTime":625.16,"body":"bacteria with this specific dose"},{"speaker":"Claire Burbick","startTime":620.87,"endTime":625.16,"body":"route and frequency of"},{"speaker":"Claire Burbick","startTime":625.16,"endTime":629.0,"body":"administration of that drug. And"},{"speaker":"Claire Burbick","startTime":625.16,"endTime":629.0,"body":"so it's really not just like,"},{"speaker":"Claire Burbick","startTime":629.03,"endTime":634.7,"body":"oh, bug drug, it's bug drug, you"},{"speaker":"Claire Burbick","startTime":629.03,"endTime":634.7,"body":"know, it's drug in the animal."},{"speaker":"Claire Burbick","startTime":634.7,"endTime":637.64,"body":"It's all the calculations and"},{"speaker":"Claire Burbick","startTime":634.7,"endTime":637.64,"body":"math, which makes my brain hurt"},{"speaker":"Claire Burbick","startTime":637.64,"endTime":641.63,"body":"really bad. But it gives you"},{"speaker":"Claire Burbick","startTime":637.64,"endTime":641.63,"body":"that clinical prediction. And so"},{"speaker":"Claire Burbick","startTime":641.63,"endTime":645.95,"body":"that's why the breakpoint is so"},{"speaker":"Claire Burbick","startTime":641.63,"endTime":645.95,"body":"absolutely critical, is that it"},{"speaker":"Claire Burbick","startTime":645.95,"endTime":650.78,"body":"gives you a clinical prediction."},{"speaker":"Claire Burbick","startTime":645.95,"endTime":650.78,"body":"So the MIC does not in and of"},{"speaker":"Claire Burbick","startTime":650.78,"endTime":655.97,"body":"itself, give you that, but it"},{"speaker":"Claire Burbick","startTime":650.78,"endTime":655.97,"body":"gives you a placeholder to then"},{"speaker":"Claire Burbick","startTime":656.27,"endTime":661.16,"body":"assign an S, I, and R, which has"},{"speaker":"Claire Burbick","startTime":656.27,"endTime":661.16,"body":"been determined from all of this"},{"speaker":"Claire Burbick","startTime":663.29,"endTime":667.67,"body":"data. And so that's why when I"},{"speaker":"Claire Burbick","startTime":663.29,"endTime":667.67,"body":"think veterinarians look at it,"},{"speaker":"Claire Burbick","startTime":667.67,"endTime":671.75,"body":"and they say, Oh, I have an MIC"},{"speaker":"Claire Burbick","startTime":667.67,"endTime":671.75,"body":"you know, that should give me"},{"speaker":"Claire Burbick","startTime":671.75,"endTime":674.36,"body":"the information I need. But"},{"speaker":"Claire Burbick","startTime":671.75,"endTime":674.36,"body":"really, we have to have all of"},{"speaker":"Claire Burbick","startTime":674.36,"endTime":678.23,"body":"this background data in order to"},{"speaker":"Claire Burbick","startTime":674.36,"endTime":678.23,"body":"contextualize that MIC. And so,"},{"speaker":"Claire Burbick","startTime":678.56,"endTime":681.98,"body":"what we need are breakpoints,"},{"speaker":"Claire Burbick","startTime":678.56,"endTime":681.98,"body":"but they're kind of hard to do,"},{"speaker":"Claire Burbick","startTime":681.98,"endTime":684.83,"body":"because you know, we have to"},{"speaker":"Claire Burbick","startTime":681.98,"endTime":684.83,"body":"have all of the studies, we have"},{"speaker":"Claire Burbick","startTime":684.83,"endTime":688.67,"body":"to do all of the analysis. And"},{"speaker":"Claire Burbick","startTime":684.83,"endTime":688.67,"body":"when you think about, you know,"},{"speaker":"Claire Burbick","startTime":688.67,"endTime":693.29,"body":"if you have E Coli in a rabbit,"},{"speaker":"Claire Burbick","startTime":688.67,"endTime":693.29,"body":"you know, that's a whole"},{"speaker":"Claire Burbick","startTime":693.29,"endTime":698.6,"body":"different analysis versus E."},{"speaker":"Claire Burbick","startTime":693.29,"endTime":698.6,"body":"coli, in a horse versus E. Coli"},{"speaker":"Claire Burbick","startTime":698.6,"endTime":703.04,"body":"in a dog. And so all of these"},{"speaker":"Claire Burbick","startTime":698.6,"endTime":703.04,"body":"kind of species specific"},{"speaker":"Claire Burbick","startTime":703.04,"endTime":707.33,"body":"parameters are baked in to that"},{"speaker":"Claire Burbick","startTime":703.04,"endTime":707.33,"body":"breakpoint. And so it gets to be"},{"speaker":"Claire Burbick","startTime":707.63,"endTime":713.21,"body":"on the vet side, very, very"},{"speaker":"Claire Burbick","startTime":707.63,"endTime":713.21,"body":"overwhelming. On the human side,"},{"speaker":"Claire Burbick","startTime":713.21,"endTime":717.17,"body":"you know, you have E Coli in a"},{"speaker":"Claire Burbick","startTime":713.21,"endTime":717.17,"body":"person, boom, you're done. On"},{"speaker":"Claire Burbick","startTime":717.17,"endTime":721.55,"body":"the vet side, it's like, well,"},{"speaker":"Claire Burbick","startTime":717.17,"endTime":721.55,"body":"what about reptiles? What about,"},{"speaker":"Claire Burbick","startTime":721.73,"endTime":725.69,"body":"you know, rodents? What about,"},{"speaker":"Claire Burbick","startTime":721.73,"endTime":725.69,"body":"you know, birds? All of that"},{"speaker":"Claire Burbick","startTime":725.69,"endTime":729.02,"body":"it's very different. So that's"},{"speaker":"Claire Burbick","startTime":725.69,"endTime":729.02,"body":"why, you know, having people"},{"speaker":"Claire Burbick","startTime":729.02,"endTime":733.31,"body":"understand the breakpoint"},{"speaker":"Claire Burbick","startTime":729.02,"endTime":733.31,"body":"concepts and the complexities of"},{"speaker":"Claire Burbick","startTime":733.31,"endTime":736.82,"body":"it and our lack of breakpoints"},{"speaker":"Claire Burbick","startTime":733.31,"endTime":736.82,"body":"for for most things, I would"},{"speaker":"Claire Burbick","startTime":736.82,"endTime":741.53,"body":"say, it's kind of important to"},{"speaker":"Claire Burbick","startTime":736.82,"endTime":741.53,"body":"get some advocacy out there to"},{"speaker":"Claire Burbick","startTime":741.53,"endTime":743.15,"body":"support getting more of those."},{"speaker":"Lisa Fortier","startTime":743.63,"endTime":745.85,"body":"Yeah, well, no"},{"speaker":"Lisa Fortier","startTime":743.63,"endTime":745.85,"body":"shortage of future research"},{"speaker":"Lisa Fortier","startTime":745.85,"endTime":749.0,"body":"projects for anybody in the"},{"speaker":"Lisa Fortier","startTime":745.85,"endTime":749.0,"body":"diagnostic laboratories. The"},{"speaker":"Lisa Fortier","startTime":749.0,"endTime":751.82,"body":"other thing you talked about"},{"speaker":"Lisa Fortier","startTime":749.0,"endTime":751.82,"body":"was, you know, it's difficult to"},{"speaker":"Lisa Fortier","startTime":751.82,"endTime":754.46,"body":"get your information out of any"},{"speaker":"Lisa Fortier","startTime":751.82,"endTime":754.46,"body":"system. When you're doing a"},{"speaker":"Lisa Fortier","startTime":754.46,"endTime":757.91,"body":"retrospective, and in equine"},{"speaker":"Lisa Fortier","startTime":754.46,"endTime":757.91,"body":"surgeries, I would do that but"},{"speaker":"Lisa Fortier","startTime":758.06,"endTime":761.18,"body":"then your hospital changes"},{"speaker":"Lisa Fortier","startTime":758.06,"endTime":761.18,"body":"systems. And then you're like,"},{"speaker":"Lisa Fortier","startTime":761.21,"endTime":766.13,"body":"wait, what? And I can that can"},{"speaker":"Lisa Fortier","startTime":761.21,"endTime":766.13,"body":"really set you back. But Claire,"},{"speaker":"Lisa Fortier","startTime":766.13,"endTime":769.37,"body":"what sparked your research"},{"speaker":"Lisa Fortier","startTime":766.13,"endTime":769.37,"body":"interest in antibiograms?"},{"speaker":"Claire Burbick","startTime":771.64,"endTime":776.65,"body":"So it's a little"},{"speaker":"Claire Burbick","startTime":771.64,"endTime":776.65,"body":"bit I think it was born from"},{"speaker":"Claire Burbick","startTime":776.65,"endTime":781.33,"body":"frustration. So which is kind"},{"speaker":"Claire Burbick","startTime":776.65,"endTime":781.33,"body":"of, again, try not to be like a"},{"speaker":"Claire Burbick","startTime":781.33,"endTime":784.96,"body":"negative Nancy here. But so in"},{"speaker":"Claire Burbick","startTime":781.33,"endTime":784.96,"body":"Washington, which is where I'm"},{"speaker":"Claire Burbick","startTime":784.96,"endTime":789.91,"body":"located, we have a lot of people"},{"speaker":"Claire Burbick","startTime":784.96,"endTime":789.91,"body":"in the universities here,"},{"speaker":"Claire Burbick","startTime":789.91,"endTime":794.89,"body":"University of Washington, WSU"},{"speaker":"Claire Burbick","startTime":789.91,"endTime":794.89,"body":"Department of Health, that are"},{"speaker":"Claire Burbick","startTime":794.89,"endTime":799.36,"body":"really, really interested in"},{"speaker":"Claire Burbick","startTime":794.89,"endTime":799.36,"body":"that one health concept. And"},{"speaker":"Claire Burbick","startTime":799.48,"endTime":802.72,"body":"part of that one health concept"},{"speaker":"Claire Burbick","startTime":799.48,"endTime":802.72,"body":"was focused on antimicrobial"},{"speaker":"Claire Burbick","startTime":802.72,"endTime":808.33,"body":"stewardship, and monitoring of"},{"speaker":"Claire Burbick","startTime":802.72,"endTime":808.33,"body":"resistance. And so we had this"},{"speaker":"Claire Burbick","startTime":808.33,"endTime":813.25,"body":"really beautiful plan to combine"},{"speaker":"Claire Burbick","startTime":808.33,"endTime":813.25,"body":"datasets, so we'd have human"},{"speaker":"Claire Burbick","startTime":813.28,"endTime":816.28,"body":"clinical data, we'd have that"},{"speaker":"Claire Burbick","startTime":813.28,"endTime":816.28,"body":"clinical data, we'd have data"},{"speaker":"Claire Burbick","startTime":816.28,"endTime":819.49,"body":"from the environment, because we"},{"speaker":"Claire Burbick","startTime":816.28,"endTime":819.49,"body":"can't ignore that part either."},{"speaker":"Claire Burbick","startTime":819.85,"endTime":823.87,"body":"And then we would have these"},{"speaker":"Claire Burbick","startTime":819.85,"endTime":823.87,"body":"kind of antibiograms that would"},{"speaker":"Claire Burbick","startTime":823.87,"endTime":827.95,"body":"be, you know, allow us to really"},{"speaker":"Claire Burbick","startTime":823.87,"endTime":827.95,"body":"look holistically in the kind of"},{"speaker":"Claire Burbick","startTime":827.95,"endTime":832.54,"body":"a One Health approach to looking"},{"speaker":"Claire Burbick","startTime":827.95,"endTime":832.54,"body":"at this data. And so great,"},{"speaker":"Claire Burbick","startTime":832.54,"endTime":835.36,"body":"wonderful, we're compiling all"},{"speaker":"Claire Burbick","startTime":832.54,"endTime":835.36,"body":"this data, and then we're"},{"speaker":"Claire Burbick","startTime":835.36,"endTime":839.26,"body":"looking at it. And we're like,"},{"speaker":"Claire Burbick","startTime":835.36,"endTime":839.26,"body":"how do we do this? This is like,"},{"speaker":"Claire Burbick","startTime":839.26,"endTime":842.95,"body":"actually quite complex, because"},{"speaker":"Claire Burbick","startTime":839.26,"endTime":842.95,"body":"do we look, you know, are we"},{"speaker":"Claire Burbick","startTime":842.95,"endTime":846.85,"body":"looking at it for through the"},{"speaker":"Claire Burbick","startTime":842.95,"endTime":846.85,"body":"human lens? Are we looking at it"},{"speaker":"Claire Burbick","startTime":846.85,"endTime":850.15,"body":"through the veterinary lens,"},{"speaker":"Claire Burbick","startTime":846.85,"endTime":850.15,"body":"like which breakpoints do we"},{"speaker":"Claire Burbick","startTime":850.15,"endTime":854.14,"body":"use? Because if we're looking at"},{"speaker":"Claire Burbick","startTime":850.15,"endTime":854.14,"body":"it, you know, resistance"},{"speaker":"Claire Burbick","startTime":854.14,"endTime":858.22,"body":"impacting human health, then"},{"speaker":"Claire Burbick","startTime":854.14,"endTime":858.22,"body":"using vet breakpoints don't make"},{"speaker":"Claire Burbick","startTime":858.22,"endTime":862.48,"body":"a lot of sense. We also have"},{"speaker":"Claire Burbick","startTime":858.22,"endTime":862.48,"body":"breakpoints that are formulated"},{"speaker":"Claire Burbick","startTime":862.48,"endTime":865.06,"body":"a little bit different on the"},{"speaker":"Claire Burbick","startTime":862.48,"endTime":865.06,"body":"vet side, which might make"},{"speaker":"Claire Burbick","startTime":865.06,"endTime":868.42,"body":"things look a little bit more"},{"speaker":"Claire Burbick","startTime":865.06,"endTime":868.42,"body":"resistant than they actually"},{"speaker":"Claire Burbick","startTime":868.42,"endTime":873.85,"body":"are. And so it got to be very,"},{"speaker":"Claire Burbick","startTime":868.42,"endTime":873.85,"body":"very complicated. And actually,"},{"speaker":"Claire Burbick","startTime":873.85,"endTime":878.38,"body":"we had kind of a lot of angst"},{"speaker":"Claire Burbick","startTime":873.85,"endTime":878.38,"body":"over how to really do one health"},{"speaker":"Claire Burbick","startTime":878.44,"endTime":883.09,"body":"antibiograms, which I think is"},{"speaker":"Claire Burbick","startTime":878.44,"endTime":883.09,"body":"still a very, very worthwhile"},{"speaker":"Claire Burbick","startTime":883.09,"endTime":887.14,"body":"thing to pursue, but it really,"},{"speaker":"Claire Burbick","startTime":883.09,"endTime":887.14,"body":"and I think when you read the"},{"speaker":"Claire Burbick","startTime":887.14,"endTime":891.97,"body":"paper and you see, you know, you"},{"speaker":"Claire Burbick","startTime":887.14,"endTime":891.97,"body":"can't just use, you know, the"},{"speaker":"Claire Burbick","startTime":891.97,"endTime":897.76,"body":"state level data to really look"},{"speaker":"Claire Burbick","startTime":891.97,"endTime":897.76,"body":"at your individual practice. And"},{"speaker":"Claire Burbick","startTime":897.76,"endTime":900.85,"body":"so you're trying to figure out"},{"speaker":"Claire Burbick","startTime":897.76,"endTime":900.85,"body":"what population Are we talking"},{"speaker":"Claire Burbick","startTime":900.85,"endTime":904.78,"body":"about, you know, how does this"},{"speaker":"Claire Burbick","startTime":900.85,"endTime":904.78,"body":"impact my practice when we're"},{"speaker":"Claire Burbick","startTime":904.78,"endTime":909.55,"body":"looking at maybe tertiary care"},{"speaker":"Claire Burbick","startTime":904.78,"endTime":909.55,"body":"data, that's going to have a lot"},{"speaker":"Claire Burbick","startTime":909.55,"endTime":915.01,"body":"more potential resistant"},{"speaker":"Claire Burbick","startTime":909.55,"endTime":915.01,"body":"bacteria in the data set. And so"},{"speaker":"Claire Burbick","startTime":915.01,"endTime":918.25,"body":"it kind of that was sort of the"},{"speaker":"Claire Burbick","startTime":915.01,"endTime":918.25,"body":"genesis of being like, we really"},{"speaker":"Claire Burbick","startTime":918.25,"endTime":923.14,"body":"have to be very, very careful"},{"speaker":"Claire Burbick","startTime":918.25,"endTime":923.14,"body":"and transparent about what data"},{"speaker":"Claire Burbick","startTime":923.14,"endTime":927.1,"body":"is populating these"},{"speaker":"Claire Burbick","startTime":923.14,"endTime":927.1,"body":"antibiograms, how we're applying"},{"speaker":"Claire Burbick","startTime":927.1,"endTime":931.78,"body":"breakpoints appropriately, is"},{"speaker":"Claire Burbick","startTime":927.1,"endTime":931.78,"body":"it? You know, how are we using"},{"speaker":"Claire Burbick","startTime":931.78,"endTime":934.78,"body":"it? So we really have to have a"},{"speaker":"Claire Burbick","startTime":931.78,"endTime":934.78,"body":"very clear fit for purpose for"},{"speaker":"Claire Burbick","startTime":934.78,"endTime":937.99,"body":"how we do it, where the data is"},{"speaker":"Claire Burbick","startTime":934.78,"endTime":937.99,"body":"coming from, what breakpoints"},{"speaker":"Claire Burbick","startTime":937.99,"endTime":943.42,"body":"are appropriate for that"},{"speaker":"Claire Burbick","startTime":937.99,"endTime":943.42,"body":"particular situation. And so"},{"speaker":"Claire Burbick","startTime":943.42,"endTime":946.78,"body":"that was really kind of the"},{"speaker":"Claire Burbick","startTime":943.42,"endTime":946.78,"body":"start to, you know, trying to"},{"speaker":"Claire Burbick","startTime":946.78,"endTime":950.11,"body":"wrestle with, how do we do"},{"speaker":"Claire Burbick","startTime":946.78,"endTime":950.11,"body":"antibiograms in veterinary"},{"speaker":"Claire Burbick","startTime":950.11,"endTime":954.61,"body":"medicine that makes sense for"},{"speaker":"Claire Burbick","startTime":950.11,"endTime":954.61,"body":"people to actually use? Because"},{"speaker":"Claire Burbick","startTime":954.61,"endTime":958.75,"body":"I think that's really what we we"},{"speaker":"Claire Burbick","startTime":954.61,"endTime":958.75,"body":"would like to have is them"},{"speaker":"Claire Burbick","startTime":958.75,"endTime":963.67,"body":"provide that, you know, either"},{"speaker":"Claire Burbick","startTime":958.75,"endTime":963.67,"body":"clinic, or local or regional,"},{"speaker":"Claire Burbick","startTime":964.24,"endTime":967.54,"body":"you know, data that can really"},{"speaker":"Claire Burbick","startTime":964.24,"endTime":967.54,"body":"be used in practice, because,"},{"speaker":"Claire Burbick","startTime":967.78,"endTime":970.0,"body":"you know, as I've talked with"},{"speaker":"Claire Burbick","startTime":967.78,"endTime":970.0,"body":"veterinarians, especially"},{"speaker":"Claire Burbick","startTime":970.0,"endTime":973.21,"body":"recently, you know, they're"},{"speaker":"Claire Burbick","startTime":970.0,"endTime":973.21,"body":"they're very much, you know,"},{"speaker":"Claire Burbick","startTime":973.21,"endTime":976.9,"body":"have stewardship in mind, but"},{"speaker":"Claire Burbick","startTime":973.21,"endTime":976.9,"body":"they need it to be very applied,"},{"speaker":"Claire Burbick","startTime":976.93,"endTime":980.62,"body":"like they don't need to have,"},{"speaker":"Claire Burbick","startTime":976.93,"endTime":980.62,"body":"oh, yes, I mean, they know, it's"},{"speaker":"Claire Burbick","startTime":980.62,"endTime":983.68,"body":"a big problem, but they also are"},{"speaker":"Claire Burbick","startTime":980.62,"endTime":983.68,"body":"like, I need to actually treat a"},{"speaker":"Claire Burbick","startTime":983.68,"endTime":987.79,"body":"patient like I can't, that's"},{"speaker":"Claire Burbick","startTime":983.68,"endTime":987.79,"body":"really where my priority is. And"},{"speaker":"Claire Burbick","startTime":987.79,"endTime":991.78,"body":"so, you know, I think that's,"},{"speaker":"Claire Burbick","startTime":987.79,"endTime":991.78,"body":"that's where you go down the"},{"speaker":"Claire Burbick","startTime":991.78,"endTime":994.99,"body":"rabbit hole of trying to figure"},{"speaker":"Claire Burbick","startTime":991.78,"endTime":994.99,"body":"out, you know, how do we make"},{"speaker":"Claire Burbick","startTime":994.99,"endTime":999.61,"body":"this very relevant and useful."},{"speaker":"Claire Burbick","startTime":994.99,"endTime":999.61,"body":"And we actually have to be very,"},{"speaker":"Claire Burbick","startTime":999.61,"endTime":1003.12,"body":"very careful with how we put"},{"speaker":"Claire Burbick","startTime":999.61,"endTime":1003.12,"body":"these together so that people"},{"speaker":"Claire Burbick","startTime":1003.12,"endTime":1005.97,"body":"can can really utilize them"},{"speaker":"Claire Burbick","startTime":1003.12,"endTime":1005.97,"body":"appropriately."},{"speaker":"Lisa Fortier","startTime":1007.01,"endTime":1010.79,"body":"That's pretty"},{"speaker":"Lisa Fortier","startTime":1007.01,"endTime":1010.79,"body":"complex, at over there awful"},{"speaker":"Lisa Fortier","startTime":1010.79,"endTime":1014.93,"body":"quiet. What inspired you to get"},{"speaker":"Lisa Fortier","startTime":1010.79,"endTime":1014.93,"body":"involved in the veterinary side"},{"speaker":"Lisa Fortier","startTime":1014.93,"endTime":1017.93,"body":"of antibiograms and to write"},{"speaker":"Lisa Fortier","startTime":1014.93,"endTime":1017.93,"body":"this manuscript?"},{"speaker":"Edie Marshall","startTime":1019.46,"endTime":1024.32,"body":"My program in"},{"speaker":"Edie Marshall","startTime":1019.46,"endTime":1024.32,"body":"California, has looked at trying"},{"speaker":"Edie Marshall","startTime":1024.32,"endTime":1029.93,"body":"to produce more tools for"},{"speaker":"Edie Marshall","startTime":1024.32,"endTime":1029.93,"body":"veterinarians in antimicrobial"},{"speaker":"Edie Marshall","startTime":1029.93,"endTime":1034.13,"body":"stewardship, you know, we became"},{"speaker":"Edie Marshall","startTime":1029.93,"endTime":1034.13,"body":"aware that on the human side,"},{"speaker":"Edie Marshall","startTime":1034.37,"endTime":1037.85,"body":"they use antibiograms, and"},{"speaker":"Edie Marshall","startTime":1034.37,"endTime":1037.85,"body":"they're often done maybe at a"},{"speaker":"Edie Marshall","startTime":1037.85,"endTime":1041.75,"body":"hospital level, or sometimes"},{"speaker":"Edie Marshall","startTime":1037.85,"endTime":1041.75,"body":"even in a department, like the"},{"speaker":"Edie Marshall","startTime":1041.75,"endTime":1047.75,"body":"ER, within a hospital. And how"},{"speaker":"Edie Marshall","startTime":1041.75,"endTime":1047.75,"body":"could we, as a state level"},{"speaker":"Edie Marshall","startTime":1047.75,"endTime":1052.34,"body":"programs start to try to move"},{"speaker":"Edie Marshall","startTime":1047.75,"endTime":1052.34,"body":"things in that direction. And we"},{"speaker":"Edie Marshall","startTime":1052.34,"endTime":1056.45,"body":"kind of talked about that in our"},{"speaker":"Edie Marshall","startTime":1052.34,"endTime":1056.45,"body":"the sister article that we have"},{"speaker":"Edie Marshall","startTime":1056.45,"endTime":1059.69,"body":"in JAVMA, and it'll be covered"},{"speaker":"Edie Marshall","startTime":1056.45,"endTime":1059.69,"body":"in a different podcast episode."},{"speaker":"Edie Marshall","startTime":1060.14,"endTime":1063.92,"body":"But through our explorations of"},{"speaker":"Edie Marshall","startTime":1060.14,"endTime":1063.92,"body":"antibiograms in a one health"},{"speaker":"Edie Marshall","startTime":1063.92,"endTime":1068.9,"body":"context, we became familiar with"},{"speaker":"Edie Marshall","startTime":1063.92,"endTime":1068.9,"body":"all of the things that Claire"},{"speaker":"Edie Marshall","startTime":1068.9,"endTime":1073.55,"body":"has talked about just these"},{"speaker":"Edie Marshall","startTime":1068.9,"endTime":1073.55,"body":"complexities, the gaps, the need"},{"speaker":"Edie Marshall","startTime":1073.55,"endTime":1076.7,"body":"for additional information and"},{"speaker":"Edie Marshall","startTime":1073.55,"endTime":1076.7,"body":"resources to develop this"},{"speaker":"Edie Marshall","startTime":1076.7,"endTime":1081.71,"body":"information. And so in chatting"},{"speaker":"Edie Marshall","startTime":1076.7,"endTime":1081.71,"body":"with you, Lisa, about, you know,"},{"speaker":"Edie Marshall","startTime":1081.71,"endTime":1085.07,"body":"potentially publishing on our"},{"speaker":"Edie Marshall","startTime":1081.71,"endTime":1085.07,"body":"experience, the antibiograms,"},{"speaker":"Edie Marshall","startTime":1085.79,"endTime":1089.33,"body":"you had the idea to, you know,"},{"speaker":"Edie Marshall","startTime":1085.79,"endTime":1089.33,"body":"to make it a Currents in One"},{"speaker":"Edie Marshall","startTime":1089.33,"endTime":1094.37,"body":"Health article, and I really saw"},{"speaker":"Edie Marshall","startTime":1089.33,"endTime":1094.37,"body":"the opportunity to give people"},{"speaker":"Edie Marshall","startTime":1094.37,"endTime":1099.8,"body":"like Claire, who really in the"},{"speaker":"Edie Marshall","startTime":1094.37,"endTime":1099.8,"body":"depths of of these nuances, this"},{"speaker":"Edie Marshall","startTime":1099.8,"endTime":1103.97,"body":"opportunity, and as I think"},{"speaker":"Edie Marshall","startTime":1099.8,"endTime":1103.97,"body":"Claire said, a soapbox for kind"},{"speaker":"Edie Marshall","startTime":1103.97,"endTime":1108.59,"body":"of airing and bringing up all of"},{"speaker":"Edie Marshall","startTime":1103.97,"endTime":1108.59,"body":"these issues and discussion, so"},{"speaker":"Edie Marshall","startTime":1108.59,"endTime":1111.92,"body":"that it is transparent, so that"},{"speaker":"Edie Marshall","startTime":1108.59,"endTime":1111.92,"body":"we are aware of the pluses and"},{"speaker":"Edie Marshall","startTime":1111.92,"endTime":1116.66,"body":"minuses there. And what else is"},{"speaker":"Edie Marshall","startTime":1111.92,"endTime":1116.66,"body":"needed to really make these"},{"speaker":"Edie Marshall","startTime":1116.75,"endTime":1120.05,"body":"antibody programs and effective"},{"speaker":"Edie Marshall","startTime":1116.75,"endTime":1120.05,"body":"tool for veterinary"},{"speaker":"Edie Marshall","startTime":1120.05,"endTime":1121.34,"body":"antimicrobial stewardship."},{"speaker":"Lisa Fortier","startTime":1122.9,"endTime":1125.87,"body":"That's fantastic."},{"speaker":"Lisa Fortier","startTime":1122.9,"endTime":1125.87,"body":"soapbox or not, it's all"},{"speaker":"Lisa Fortier","startTime":1125.93,"endTime":1129.23,"body":"incredibly important"},{"speaker":"Lisa Fortier","startTime":1125.93,"endTime":1129.23,"body":"information. Edie, what do you"},{"speaker":"Lisa Fortier","startTime":1129.23,"endTime":1132.38,"body":"think is the most surprising"},{"speaker":"Lisa Fortier","startTime":1129.23,"endTime":1132.38,"body":"finding from your manuscript, it"},{"speaker":"Lisa Fortier","startTime":1132.38,"endTime":1134.75,"body":"might not be the biggest take"},{"speaker":"Lisa Fortier","startTime":1132.38,"endTime":1134.75,"body":"home message, but what do you"},{"speaker":"Lisa Fortier","startTime":1134.75,"endTime":1136.04,"body":"think was the most surprising?"},{"speaker":"Edie Marshall","startTime":1138.82,"endTime":1142.93,"body":"I think the"},{"speaker":"Edie Marshall","startTime":1138.82,"endTime":1142.93,"body":"surprising thing was how much we"},{"speaker":"Edie Marshall","startTime":1142.93,"endTime":1147.13,"body":"rely, to be honest on"},{"speaker":"Edie Marshall","startTime":1142.93,"endTime":1147.13,"body":"antimicrobial susceptibility"},{"speaker":"Edie Marshall","startTime":1147.13,"endTime":1152.44,"body":"test results. Without"},{"speaker":"Edie Marshall","startTime":1147.13,"endTime":1152.44,"body":"necessarily all of as Claire has"},{"speaker":"Edie Marshall","startTime":1152.44,"endTime":1157.48,"body":"also mentioned, the information"},{"speaker":"Edie Marshall","startTime":1152.44,"endTime":1157.48,"body":"we'd like to have to make those"},{"speaker":"Edie Marshall","startTime":1157.48,"endTime":1162.22,"body":"as fully useful as we want. So"},{"speaker":"Edie Marshall","startTime":1157.48,"endTime":1162.22,"body":"the realization that where an"},{"speaker":"Edie Marshall","startTime":1162.22,"endTime":1165.85,"body":"interpretation is provided that"},{"speaker":"Edie Marshall","startTime":1162.22,"endTime":1165.85,"body":"something is resistant, but"},{"speaker":"Edie Marshall","startTime":1165.85,"endTime":1169.96,"body":"actually that interpretation is"},{"speaker":"Edie Marshall","startTime":1165.85,"endTime":1169.96,"body":"based on human data, or data"},{"speaker":"Edie Marshall","startTime":1169.96,"endTime":1173.2,"body":"from another animal species. I"},{"speaker":"Edie Marshall","startTime":1169.96,"endTime":1173.2,"body":"think that's been really eye"},{"speaker":"Edie Marshall","startTime":1173.2,"endTime":1177.46,"body":"opening. For me, as a"},{"speaker":"Edie Marshall","startTime":1173.2,"endTime":1177.46,"body":"veterinarian throughout all of"},{"speaker":"Edie Marshall","startTime":1177.46,"endTime":1182.5,"body":"this and having been unaware of"},{"speaker":"Edie Marshall","startTime":1177.46,"endTime":1182.5,"body":"those kinds of things when I was"},{"speaker":"Edie Marshall","startTime":1182.5,"endTime":1189.28,"body":"in practice, and and using this"},{"speaker":"Edie Marshall","startTime":1182.5,"endTime":1189.28,"body":"susceptibility test data on a"},{"speaker":"Edie Marshall","startTime":1189.28,"endTime":1191.95,"body":"daily basis, and just not"},{"speaker":"Edie Marshall","startTime":1189.28,"endTime":1191.95,"body":"knowing necessarily what the"},{"speaker":"Edie Marshall","startTime":1191.95,"endTime":1197.44,"body":"limitations were. So I think,"},{"speaker":"Edie Marshall","startTime":1191.95,"endTime":1197.44,"body":"looking at that bigger picture"},{"speaker":"Edie Marshall","startTime":1197.44,"endTime":1201.01,"body":"and the complexities of it sort"},{"speaker":"Edie Marshall","startTime":1197.44,"endTime":1201.01,"body":"of like you can see where, you"},{"speaker":"Edie Marshall","startTime":1201.01,"endTime":1204.85,"body":"know, it becomes challenging and"},{"speaker":"Edie Marshall","startTime":1201.01,"endTime":1204.85,"body":"potentially a little frustrating"},{"speaker":"Edie Marshall","startTime":1205.03,"endTime":1207.97,"body":"to know where to go with that."},{"speaker":"Edie Marshall","startTime":1205.03,"endTime":1207.97,"body":"And that's why we need to"},{"speaker":"Edie Marshall","startTime":1207.97,"endTime":1210.76,"body":"elevate this conversation so"},{"speaker":"Edie Marshall","startTime":1207.97,"endTime":1210.76,"body":"that we can start to fill those"},{"speaker":"Edie Marshall","startTime":1210.76,"endTime":1211.39,"body":"gaps."},{"speaker":"Sarah Wright","startTime":1213.16,"endTime":1215.68,"body":"Talking about MICs"},{"speaker":"Sarah Wright","startTime":1213.16,"endTime":1215.68,"body":"and breakpoints really brings me"},{"speaker":"Sarah Wright","startTime":1215.68,"endTime":1217.93,"body":"back to second year vet school."},{"speaker":"Sarah Wright","startTime":1215.68,"endTime":1217.93,"body":"Those words are almost like"},{"speaker":"Sarah Wright","startTime":1217.93,"endTime":1221.59,"body":"trigger words right now. My"},{"speaker":"Sarah Wright","startTime":1217.93,"endTime":1221.59,"body":"background is in zoo and aquatic"},{"speaker":"Sarah Wright","startTime":1221.59,"endTime":1223.96,"body":"medicine that was so I"},{"speaker":"Sarah Wright","startTime":1221.59,"endTime":1223.96,"body":"definitely appreciate you guys"},{"speaker":"Sarah Wright","startTime":1223.96,"endTime":1226.57,"body":"bring up the species nuances"},{"speaker":"Sarah Wright","startTime":1223.96,"endTime":1226.57,"body":"like you would, I guess, start"},{"speaker":"Sarah Wright","startTime":1226.57,"endTime":1228.61,"body":"my morning getting"},{"speaker":"Sarah Wright","startTime":1226.57,"endTime":1228.61,"body":"susceptibility results back from"},{"speaker":"Sarah Wright","startTime":1228.61,"endTime":1231.58,"body":"a bottlenose dolphin, and then a"},{"speaker":"Sarah Wright","startTime":1228.61,"endTime":1231.58,"body":"female Anaconda in the afternoon"},{"speaker":"Sarah Wright","startTime":1231.58,"endTime":1234.64,"body":"and then you have to have the"},{"speaker":"Sarah Wright","startTime":1231.58,"endTime":1234.64,"body":"data etc. So appreciate all the"},{"speaker":"Sarah Wright","startTime":1234.64,"endTime":1239.2,"body":"hard work that you're doing"},{"speaker":"Sarah Wright","startTime":1234.64,"endTime":1239.2,"body":"really means a lot. So Claire,"},{"speaker":"Sarah Wright","startTime":1239.23,"endTime":1241.57,"body":"how did your advanced training"},{"speaker":"Sarah Wright","startTime":1239.23,"endTime":1241.57,"body":"prepare you to write this"},{"speaker":"Sarah Wright","startTime":1241.57,"endTime":1242.47,"body":"manuscripts?"},{"speaker":"Claire Burbick","startTime":1246.82,"endTime":1249.13,"body":"I was thinking"},{"speaker":"Claire Burbick","startTime":1246.82,"endTime":1249.13,"body":"about this one a lot. Because I"},{"speaker":"Claire Burbick","startTime":1249.13,"endTime":1255.25,"body":"think, in a way, I mean, I think"},{"speaker":"Claire Burbick","startTime":1249.13,"endTime":1255.25,"body":"in general, one of the things"},{"speaker":"Claire Burbick","startTime":1255.25,"endTime":1259.06,"body":"that I realized as I did, you"},{"speaker":"Claire Burbick","startTime":1255.25,"endTime":1259.06,"body":"know, go through my residency"},{"speaker":"Claire Burbick","startTime":1259.06,"endTime":1264.85,"body":"and clinical microbiology and,"},{"speaker":"Claire Burbick","startTime":1259.06,"endTime":1264.85,"body":"and kind of all the nuance that"},{"speaker":"Claire Burbick","startTime":1264.85,"endTime":1270.04,"body":"you start to appreciate, in"},{"speaker":"Claire Burbick","startTime":1264.85,"endTime":1270.04,"body":"diagnostic testing. You know, I"},{"speaker":"Claire Burbick","startTime":1270.04,"endTime":1276.04,"body":"think a lot of times, we don't"},{"speaker":"Claire Burbick","startTime":1270.04,"endTime":1276.04,"body":"maybe remember the statistics"},{"speaker":"Claire Burbick","startTime":1276.04,"endTime":1279.67,"body":"that are behind things, the gray"},{"speaker":"Claire Burbick","startTime":1276.04,"endTime":1279.67,"body":"areas that are behind things,"},{"speaker":"Claire Burbick","startTime":1280.09,"endTime":1284.14,"body":"maybe we don't have the level of"},{"speaker":"Claire Burbick","startTime":1280.09,"endTime":1284.14,"body":"confidence and information and"},{"speaker":"Claire Burbick","startTime":1284.14,"endTime":1287.5,"body":"research for certain things that"},{"speaker":"Claire Burbick","startTime":1284.14,"endTime":1287.5,"body":"we think we should. And so I"},{"speaker":"Claire Burbick","startTime":1287.5,"endTime":1290.29,"body":"think, as I moved through my"},{"speaker":"Claire Burbick","startTime":1287.5,"endTime":1290.29,"body":"residency, and I'm like, oh,"},{"speaker":"Claire Burbick","startTime":1290.29,"endTime":1293.2,"body":"clearly, we know all the things"},{"speaker":"Claire Burbick","startTime":1290.29,"endTime":1293.2,"body":"about, you know, this pathogen,"},{"speaker":"Claire Burbick","startTime":1293.2,"endTime":1296.8,"body":"and we know all the things about"},{"speaker":"Claire Burbick","startTime":1293.2,"endTime":1296.8,"body":"that, and realizing, you know,"},{"speaker":"Claire Burbick","startTime":1296.8,"endTime":1301.27,"body":"as I kind of get into the weeds,"},{"speaker":"Claire Burbick","startTime":1296.8,"endTime":1301.27,"body":"that we don't have as much data,"},{"speaker":"Claire Burbick","startTime":1301.27,"endTime":1305.62,"body":"we don't have as much research."},{"speaker":"Claire Burbick","startTime":1301.27,"endTime":1305.62,"body":"And so I think that, you know,"},{"speaker":"Claire Burbick","startTime":1305.62,"endTime":1310.6,"body":"kind of lit a fire, especially"},{"speaker":"Claire Burbick","startTime":1305.62,"endTime":1310.6,"body":"as I started wrestling with the"},{"speaker":"Claire Burbick","startTime":1310.6,"endTime":1314.62,"body":"susceptibility test data, what's"},{"speaker":"Claire Burbick","startTime":1310.6,"endTime":1314.62,"body":"there, what's not there? What"},{"speaker":"Claire Burbick","startTime":1314.62,"endTime":1318.16,"body":"does it actually mean? How"},{"speaker":"Claire Burbick","startTime":1314.62,"endTime":1318.16,"body":"confident are we in these"},{"speaker":"Claire Burbick","startTime":1318.16,"endTime":1323.44,"body":"predictions that are being made,"},{"speaker":"Claire Burbick","startTime":1318.16,"endTime":1323.44,"body":"that that's really, you know,"},{"speaker":"Claire Burbick","startTime":1323.44,"endTime":1328.96,"body":"kind of been the part that's"},{"speaker":"Claire Burbick","startTime":1323.44,"endTime":1328.96,"body":"allowed me to sort of, you know,"},{"speaker":"Claire Burbick","startTime":1329.26,"endTime":1334.6,"body":"go down the rabbit holes of this"},{"speaker":"Claire Burbick","startTime":1329.26,"endTime":1334.6,"body":"as, as I do, and realize that,"},{"speaker":"Claire Burbick","startTime":1335.14,"endTime":1340.63,"body":"you know, I'm in a unique"},{"speaker":"Claire Burbick","startTime":1335.14,"endTime":1340.63,"body":"position  to do that, and then"},{"speaker":"Claire Burbick","startTime":1340.63,"endTime":1344.44,"body":"try and translate it so that"},{"speaker":"Claire Burbick","startTime":1340.63,"endTime":1344.44,"body":"other people don't have to do"},{"speaker":"Claire Burbick","startTime":1344.44,"endTime":1348.43,"body":"that, because it's, it's not"},{"speaker":"Claire Burbick","startTime":1344.44,"endTime":1348.43,"body":"something that I want"},{"speaker":"Claire Burbick","startTime":1348.46,"endTime":1351.7,"body":"veterinarians to have to do,"},{"speaker":"Claire Burbick","startTime":1348.46,"endTime":1351.7,"body":"because they have so many other"},{"speaker":"Claire Burbick","startTime":1351.7,"endTime":1354.73,"body":"things that are important. And"},{"speaker":"Claire Burbick","startTime":1351.7,"endTime":1354.73,"body":"so, you know, I think, how do"},{"speaker":"Claire Burbick","startTime":1354.73,"endTime":1359.17,"body":"we, you know, as specialists in"},{"speaker":"Claire Burbick","startTime":1354.73,"endTime":1359.17,"body":"these areas, try and become that"},{"speaker":"Claire Burbick","startTime":1359.35,"endTime":1362.29,"body":"translator so that the"},{"speaker":"Claire Burbick","startTime":1359.35,"endTime":1362.29,"body":"veterinarians can actually"},{"speaker":"Claire Burbick","startTime":1362.29,"endTime":1365.74,"body":"understand very concisely, like,"},{"speaker":"Claire Burbick","startTime":1362.29,"endTime":1365.74,"body":"what is the susceptibility test"},{"speaker":"Claire Burbick","startTime":1365.74,"endTime":1369.19,"body":"report mean, or not, you know,"},{"speaker":"Claire Burbick","startTime":1365.74,"endTime":1369.19,"body":"what, our breakpoint origins or"},{"speaker":"Claire Burbick","startTime":1369.19,"endTime":1373.6,"body":"not, you know, how do we, you"},{"speaker":"Claire Burbick","startTime":1369.19,"endTime":1373.6,"body":"know, make it more accessible"},{"speaker":"Claire Burbick","startTime":1373.6,"endTime":1377.83,"body":"and understandable to people"},{"speaker":"Claire Burbick","startTime":1373.6,"endTime":1377.83,"body":"that are actually utilizing the"},{"speaker":"Claire Burbick","startTime":1377.83,"endTime":1382.66,"body":"data. And so I think it, it's,"},{"speaker":"Claire Burbick","startTime":1377.83,"endTime":1382.66,"body":"you know, I didn't actually get"},{"speaker":"Claire Burbick","startTime":1382.66,"endTime":1385.96,"body":"very formal training in"},{"speaker":"Claire Burbick","startTime":1382.66,"endTime":1385.96,"body":"antimicrobial susceptibility"},{"speaker":"Claire Burbick","startTime":1385.96,"endTime":1390.82,"body":"testing. It's, I think, for us,"},{"speaker":"Claire Burbick","startTime":1385.96,"endTime":1390.82,"body":"as a profession, we don't, I"},{"speaker":"Claire Burbick","startTime":1390.82,"endTime":1393.97,"body":"think we're getting more people"},{"speaker":"Claire Burbick","startTime":1390.82,"endTime":1393.97,"body":"that are able to pass on this"},{"speaker":"Claire Burbick","startTime":1393.97,"endTime":1397.57,"body":"information, but, but I think we"},{"speaker":"Claire Burbick","startTime":1393.97,"endTime":1397.57,"body":"really are still kind of self"},{"speaker":"Claire Burbick","startTime":1397.57,"endTime":1401.26,"body":"taught in a lot of ways. I'm not"},{"speaker":"Claire Burbick","startTime":1397.57,"endTime":1401.26,"body":"sure I answered the question,"},{"speaker":"Claire Burbick","startTime":1401.26,"endTime":1404.11,"body":"great, but but I think it's, you"},{"speaker":"Claire Burbick","startTime":1401.26,"endTime":1404.11,"body":"know, it's more just being"},{"speaker":"Claire Burbick","startTime":1404.11,"endTime":1407.32,"body":"willing to go down those rabbit"},{"speaker":"Claire Burbick","startTime":1404.11,"endTime":1407.32,"body":"holes, and then try and"},{"speaker":"Claire Burbick","startTime":1407.32,"endTime":1411.82,"body":"translate that for, you know,"},{"speaker":"Claire Burbick","startTime":1407.32,"endTime":1411.82,"body":"people who aren't getting"},{"speaker":"Claire Burbick","startTime":1411.85,"endTime":1415.9,"body":"specialized training in clinical"},{"speaker":"Claire Burbick","startTime":1411.85,"endTime":1415.9,"body":"microbiology and what not."},{"speaker":"Sarah Wright","startTime":1416.92,"endTime":1418.69,"body":"Being more on the"},{"speaker":"Sarah Wright","startTime":1416.92,"endTime":1418.69,"body":"clinical side of things, I can"},{"speaker":"Sarah Wright","startTime":1418.69,"endTime":1421.42,"body":"say, I appreciate you doing the"},{"speaker":"Sarah Wright","startTime":1418.69,"endTime":1421.42,"body":"translation and helping to"},{"speaker":"Sarah Wright","startTime":1421.42,"endTime":1423.91,"body":"understand what that means."},{"speaker":"Sarah Wright","startTime":1421.42,"endTime":1423.91,"body":"Because, you know, you get"},{"speaker":"Sarah Wright","startTime":1423.91,"endTime":1426.4,"body":"reports back and and so many"},{"speaker":"Sarah Wright","startTime":1423.91,"endTime":1426.4,"body":"numbers, you're trying to figure"},{"speaker":"Sarah Wright","startTime":1426.4,"endTime":1427.96,"body":"out what's the best choice for"},{"speaker":"Sarah Wright","startTime":1426.4,"endTime":1427.96,"body":"my patients?"},{"speaker":"Claire Burbick","startTime":1427.0,"endTime":1431.53,"body":"It's like, you"},{"speaker":"Claire Burbick","startTime":1427.0,"endTime":1431.53,"body":"know, even just saying, like, to"},{"speaker":"Claire Burbick","startTime":1431.53,"endTime":1434.8,"body":"the best students, like, does"},{"speaker":"Claire Burbick","startTime":1431.53,"endTime":1434.8,"body":"this, you know, if a number"},{"speaker":"Claire Burbick","startTime":1434.83,"endTime":1437.98,"body":"eight is, you know, bigger than"},{"speaker":"Claire Burbick","startTime":1434.83,"endTime":1437.98,"body":"a less than or equal to point"},{"speaker":"Claire Burbick","startTime":1437.98,"endTime":1440.74,"body":"two, five, does that make you"},{"speaker":"Claire Burbick","startTime":1437.98,"endTime":1440.74,"body":"change? What drug you would"},{"speaker":"Claire Burbick","startTime":1440.74,"endTime":1444.07,"body":"choose? And they're like, yes."},{"speaker":"Claire Burbick","startTime":1440.74,"endTime":1444.07,"body":"And I'm like, No, you don't, the"},{"speaker":"Claire Burbick","startTime":1444.07,"endTime":1449.74,"body":"numbers do not work that way."},{"speaker":"Claire Burbick","startTime":1444.07,"endTime":1449.74,"body":"And so even just saying, what"},{"speaker":"Claire Burbick","startTime":1449.74,"endTime":1452.86,"body":"does an MIC mean? Do you have,"},{"speaker":"Claire Burbick","startTime":1449.74,"endTime":1452.86,"body":"you know, does that use, is it"},{"speaker":"Claire Burbick","startTime":1452.86,"endTime":1456.61,"body":"useful in, you know, making a"},{"speaker":"Claire Burbick","startTime":1452.86,"endTime":1456.61,"body":"clinical decision? And so, you"},{"speaker":"Claire Burbick","startTime":1456.61,"endTime":1460.24,"body":"know, it's like that kind of"},{"speaker":"Claire Burbick","startTime":1456.61,"endTime":1460.24,"body":"just very simple explaining the"},{"speaker":"Claire Burbick","startTime":1460.24,"endTime":1462.88,"body":"numbers, what are the"},{"speaker":"Claire Burbick","startTime":1460.24,"endTime":1462.88,"body":"definitions of S, I, and R?"},{"speaker":"Claire Burbick","startTime":1462.88,"endTime":1466.54,"body":"Because that's not totally,"},{"speaker":"Claire Burbick","startTime":1462.88,"endTime":1466.54,"body":"really clear. I think for some"},{"speaker":"Claire Burbick","startTime":1466.54,"endTime":1470.5,"body":"people, they might have some,"},{"speaker":"Claire Burbick","startTime":1466.54,"endTime":1470.5,"body":"some assumptions there, too. So,"},{"speaker":"Claire Burbick","startTime":1470.74,"endTime":1473.29,"body":"you know, I think there's just,"},{"speaker":"Claire Burbick","startTime":1470.74,"endTime":1473.29,"body":"you know, do I want them to,"},{"speaker":"Claire Burbick","startTime":1473.29,"endTime":1476.11,"body":"like go through and understand"},{"speaker":"Claire Burbick","startTime":1473.29,"endTime":1476.11,"body":"how breakpoints are, you know,"},{"speaker":"Claire Burbick","startTime":1476.11,"endTime":1479.23,"body":"generated and be able to do it"},{"speaker":"Claire Burbick","startTime":1476.11,"endTime":1479.23,"body":"themselves? Absolutely not. Do I"},{"speaker":"Claire Burbick","startTime":1479.23,"endTime":1481.81,"body":"want them to understand that"},{"speaker":"Claire Burbick","startTime":1479.23,"endTime":1481.81,"body":"there's, you know, all these"},{"speaker":"Claire Burbick","startTime":1482.35,"endTime":1485.14,"body":"different components that go"},{"speaker":"Claire Burbick","startTime":1482.35,"endTime":1485.14,"body":"into that? Yes, I think that is"},{"speaker":"Claire Burbick","startTime":1485.14,"endTime":1489.67,"body":"important. But so yeah, I think"},{"speaker":"Claire Burbick","startTime":1485.14,"endTime":1489.67,"body":"it's just trying to, to be able"},{"speaker":"Claire Burbick","startTime":1489.67,"endTime":1493.63,"body":"to provide as much of a resource"},{"speaker":"Claire Burbick","startTime":1489.67,"endTime":1493.63,"body":"for vets as possible for sure."},{"speaker":"Sarah Wright","startTime":1495.52,"endTime":1497.35,"body":"And then this is a"},{"speaker":"Sarah Wright","startTime":1495.52,"endTime":1497.35,"body":"very important question if our"},{"speaker":"Sarah Wright","startTime":1497.35,"endTime":1501.52,"body":"listeners. Edie, what is one use"},{"speaker":"Sarah Wright","startTime":1497.35,"endTime":1501.52,"body":"information the veterinarian"},{"speaker":"Sarah Wright","startTime":1501.52,"endTime":1504.43,"body":"should know before discussing"},{"speaker":"Sarah Wright","startTime":1501.52,"endTime":1504.43,"body":"this topic with a client?"},{"speaker":"Edie Marshall","startTime":1504.43,"endTime":1507.52,"body":"I think it's"},{"speaker":"Edie Marshall","startTime":1504.43,"endTime":1507.52,"body":"really important for"},{"speaker":"Edie Marshall","startTime":1507.52,"endTime":1511.75,"body":"veterinarians to know that"},{"speaker":"Edie Marshall","startTime":1507.52,"endTime":1511.75,"body":"antibiograms are not meant to"},{"speaker":"Edie Marshall","startTime":1511.75,"endTime":1517.57,"body":"replace individual and microbial"},{"speaker":"Edie Marshall","startTime":1511.75,"endTime":1517.57,"body":"susceptibility testing, they are"},{"speaker":"Edie Marshall","startTime":1517.57,"endTime":1520.93,"body":"an adjunct, they are meant to"},{"speaker":"Edie Marshall","startTime":1517.57,"endTime":1520.93,"body":"kind of be another piece of"},{"speaker":"Edie Marshall","startTime":1520.93,"endTime":1525.22,"body":"information that a veterinarian"},{"speaker":"Edie Marshall","startTime":1520.93,"endTime":1525.22,"body":"might weigh, when they're making"},{"speaker":"Edie Marshall","startTime":1525.25,"endTime":1530.62,"body":"that therapeutic decision for an"},{"speaker":"Edie Marshall","startTime":1525.25,"endTime":1530.62,"body":"individual patient. Without"},{"speaker":"Edie Marshall","startTime":1530.62,"endTime":1533.92,"body":"doing that individuals"},{"speaker":"Edie Marshall","startTime":1530.62,"endTime":1533.92,"body":"susceptibility testing, then we"},{"speaker":"Edie Marshall","startTime":1533.92,"endTime":1538.93,"body":"don't have data to make antibody"},{"speaker":"Edie Marshall","startTime":1533.92,"endTime":1538.93,"body":"programs. So having antibiograms"},{"speaker":"Edie Marshall","startTime":1538.93,"endTime":1543.34,"body":"doesn't mean that you stop doing"},{"speaker":"Edie Marshall","startTime":1538.93,"endTime":1543.34,"body":"individual testing. In fact, you"},{"speaker":"Edie Marshall","startTime":1543.34,"endTime":1547.39,"body":"won't have antibiograms, or"},{"speaker":"Edie Marshall","startTime":1543.34,"endTime":1547.39,"body":"you'll have bad antibiograms if"},{"speaker":"Edie Marshall","startTime":1547.39,"endTime":1550.93,"body":"people don't continue to do"},{"speaker":"Edie Marshall","startTime":1547.39,"endTime":1550.93,"body":"individual testing. So it's"},{"speaker":"Edie Marshall","startTime":1550.93,"endTime":1554.89,"body":"important to keep doing that"},{"speaker":"Edie Marshall","startTime":1550.93,"endTime":1554.89,"body":"individual testing as much as"},{"speaker":"Edie Marshall","startTime":1554.89,"endTime":1559.06,"body":"possible and to help the clients"},{"speaker":"Edie Marshall","startTime":1554.89,"endTime":1559.06,"body":"really see the value. And then"},{"speaker":"Edie Marshall","startTime":1559.09,"endTime":1565.33,"body":"were available, using applicable"},{"speaker":"Edie Marshall","startTime":1559.09,"endTime":1565.33,"body":"antibiograms for your population"},{"speaker":"Edie Marshall","startTime":1565.33,"endTime":1569.35,"body":"to maybe help start that empiric"},{"speaker":"Edie Marshall","startTime":1565.33,"endTime":1569.35,"body":"therapy, just another tool in"},{"speaker":"Edie Marshall","startTime":1569.35,"endTime":1572.89,"body":"the toolbox, but not meant to"},{"speaker":"Edie Marshall","startTime":1569.35,"endTime":1572.89,"body":"replace individual animal"},{"speaker":"Edie Marshall","startTime":1572.89,"endTime":1573.49,"body":"testing."},{"speaker":"Sarah Wright","startTime":1575.23,"endTime":1578.08,"body":"As veterinarians,"},{"speaker":"Sarah Wright","startTime":1575.23,"endTime":1578.08,"body":"we sure do love our toolboxes."},{"speaker":"Sarah Wright","startTime":1578.41,"endTime":1581.35,"body":"And then from the other side of"},{"speaker":"Sarah Wright","startTime":1578.41,"endTime":1581.35,"body":"the relationship, what is one"},{"speaker":"Sarah Wright","startTime":1581.35,"endTime":1584.26,"body":"piece of information the client"},{"speaker":"Sarah Wright","startTime":1581.35,"endTime":1584.26,"body":"should know about this topic?"},{"speaker":"Edie Marshall","startTime":1586.87,"endTime":1590.86,"body":"I think clients"},{"speaker":"Edie Marshall","startTime":1586.87,"endTime":1590.86,"body":"have some awareness of"},{"speaker":"Edie Marshall","startTime":1590.86,"endTime":1594.22,"body":"resistance, I'll get on my own"},{"speaker":"Edie Marshall","startTime":1590.86,"endTime":1594.22,"body":"little soapbox here for a"},{"speaker":"Edie Marshall","startTime":1594.22,"endTime":1598.0,"body":"second. And when it comes to"},{"speaker":"Edie Marshall","startTime":1594.22,"endTime":1598.0,"body":"food animals and the food"},{"speaker":"Edie Marshall","startTime":1598.0,"endTime":1601.93,"body":"system, I think people do not"},{"speaker":"Edie Marshall","startTime":1598.0,"endTime":1601.93,"body":"understand the difference"},{"speaker":"Edie Marshall","startTime":1601.93,"endTime":1607.06,"body":"between residues and resistance."},{"speaker":"Edie Marshall","startTime":1601.93,"endTime":1607.06,"body":"But I will now step off that,"},{"speaker":"Edie Marshall","startTime":1607.18,"endTime":1612.07,"body":"that soap box. So I think there"},{"speaker":"Edie Marshall","startTime":1607.18,"endTime":1612.07,"body":"is a little bit of an awareness"},{"speaker":"Edie Marshall","startTime":1612.07,"endTime":1616.09,"body":"out there. And I think it's"},{"speaker":"Edie Marshall","startTime":1612.07,"endTime":1616.09,"body":"worth veterinarians taking the"},{"speaker":"Edie Marshall","startTime":1616.09,"endTime":1622.75,"body":"time to explain to clients why"},{"speaker":"Edie Marshall","startTime":1616.09,"endTime":1622.75,"body":"resistance is important. And why"},{"speaker":"Edie Marshall","startTime":1622.78,"endTime":1627.19,"body":"doing this testing, then helps"},{"speaker":"Edie Marshall","startTime":1622.78,"endTime":1627.19,"body":"the veterinarian make a drug"},{"speaker":"Edie Marshall","startTime":1627.19,"endTime":1631.45,"body":"choice that will be best for the"},{"speaker":"Edie Marshall","startTime":1627.19,"endTime":1631.45,"body":"patient, but also for the"},{"speaker":"Edie Marshall","startTime":1631.45,"endTime":1636.22,"body":"population as a whole. Because"},{"speaker":"Edie Marshall","startTime":1631.45,"endTime":1636.22,"body":"if you pick a big gun in this"},{"speaker":"Edie Marshall","startTime":1636.22,"endTime":1640.45,"body":"animal, a big gun antibiotic for"},{"speaker":"Edie Marshall","startTime":1636.22,"endTime":1640.45,"body":"this patient, and it might work"},{"speaker":"Edie Marshall","startTime":1640.45,"endTime":1644.14,"body":"this time, but by using that"},{"speaker":"Edie Marshall","startTime":1640.45,"endTime":1644.14,"body":"more and more, it might not work"},{"speaker":"Edie Marshall","startTime":1644.14,"endTime":1647.71,"body":"in the future, and that's not"},{"speaker":"Edie Marshall","startTime":1644.14,"endTime":1647.71,"body":"going to come back, once you've"},{"speaker":"Edie Marshall","startTime":1647.8,"endTime":1651.16,"body":"got a lot of resistance, it's"},{"speaker":"Edie Marshall","startTime":1647.8,"endTime":1651.16,"body":"hard to get that to come back."},{"speaker":"Edie Marshall","startTime":1651.55,"endTime":1655.87,"body":"So I think for clients is really"},{"speaker":"Edie Marshall","startTime":1651.55,"endTime":1655.87,"body":"important to recognize that"},{"speaker":"Edie Marshall","startTime":1656.17,"endTime":1660.58,"body":"there is antibiotic resistance"},{"speaker":"Edie Marshall","startTime":1656.17,"endTime":1660.58,"body":"out there, it is a real deal in"},{"speaker":"Edie Marshall","startTime":1660.58,"endTime":1665.05,"body":"individual animals and within"},{"speaker":"Edie Marshall","startTime":1660.58,"endTime":1665.05,"body":"households. And so doing this"},{"speaker":"Edie Marshall","startTime":1665.53,"endTime":1668.74,"body":"antimicrobial susceptibility"},{"speaker":"Edie Marshall","startTime":1665.53,"endTime":1668.74,"body":"testing, when recommended by the"},{"speaker":"Edie Marshall","startTime":1668.74,"endTime":1673.03,"body":"veterinarian can really help to"},{"speaker":"Edie Marshall","startTime":1668.74,"endTime":1673.03,"body":"tailor the treatment"},{"speaker":"Edie Marshall","startTime":1673.03,"endTime":1678.28,"body":"specifically, in ways that"},{"speaker":"Edie Marshall","startTime":1673.03,"endTime":1678.28,"body":"hopefully will help to try to"},{"speaker":"Edie Marshall","startTime":1678.28,"endTime":1681.28,"body":"prevent the development of"},{"speaker":"Edie Marshall","startTime":1678.28,"endTime":1681.28,"body":"resistance to those jobs."},{"speaker":"Lisa Fortier","startTime":1682.53,"endTime":1685.44,"body":"Yeah, thank you"},{"speaker":"Lisa Fortier","startTime":1682.53,"endTime":1685.44,"body":"both very much. We'd like to"},{"speaker":"Lisa Fortier","startTime":1685.47,"endTime":1687.69,"body":"give our listeners a little"},{"speaker":"Lisa Fortier","startTime":1685.47,"endTime":1687.69,"body":"flavor. And we like to learn a"},{"speaker":"Lisa Fortier","startTime":1687.69,"endTime":1689.79,"body":"little bit more about the"},{"speaker":"Lisa Fortier","startTime":1687.69,"endTime":1689.79,"body":"personal side. So we'll go back"},{"speaker":"Lisa Fortier","startTime":1689.79,"endTime":1693.84,"body":"to Claire for a moment and say,"},{"speaker":"Lisa Fortier","startTime":1689.79,"endTime":1693.84,"body":"you can clearly hear and feel"},{"speaker":"Lisa Fortier","startTime":1693.84,"endTime":1696.81,"body":"your passion for your work,"},{"speaker":"Lisa Fortier","startTime":1693.84,"endTime":1696.81,"body":"Claire, and you're obviously"},{"speaker":"Lisa Fortier","startTime":1696.81,"endTime":1699.63,"body":"very accomplished Where did your"},{"speaker":"Lisa Fortier","startTime":1696.81,"endTime":1699.63,"body":"resilience come from?"},{"speaker":"Claire Burbick","startTime":1702.15,"endTime":1704.67,"body":"So honestly, I"},{"speaker":"Claire Burbick","startTime":1702.15,"endTime":1704.67,"body":"think it's really just been kind"},{"speaker":"Claire Burbick","startTime":1704.67,"endTime":1710.28,"body":"of that intellectual engagement"},{"speaker":"Claire Burbick","startTime":1704.67,"endTime":1710.28,"body":"that has been has really driven"},{"speaker":"Claire Burbick","startTime":1710.28,"endTime":1715.89,"body":"me and I think also sort of the"},{"speaker":"Claire Burbick","startTime":1710.28,"endTime":1715.89,"body":"in I don't know that I called it"},{"speaker":"Claire Burbick","startTime":1715.89,"endTime":1719.22,"body":"one health, but the reason why I"},{"speaker":"Claire Burbick","startTime":1715.89,"endTime":1719.22,"body":"went to vet school is really"},{"speaker":"Claire Burbick","startTime":1719.22,"endTime":1726.15,"body":"because I felt like I could be"},{"speaker":"Claire Burbick","startTime":1719.22,"endTime":1726.15,"body":"more effective in medicine if I"},{"speaker":"Claire Burbick","startTime":1726.15,"endTime":1731.19,"body":"worked with animals, because I"},{"speaker":"Claire Burbick","startTime":1726.15,"endTime":1731.19,"body":"felt like there was so much"},{"speaker":"Claire Burbick","startTime":1731.19,"endTime":1737.01,"body":"interconnection between human"},{"speaker":"Claire Burbick","startTime":1731.19,"endTime":1737.01,"body":"and animals and disease that I"},{"speaker":"Claire Burbick","startTime":1737.01,"endTime":1742.14,"body":"just felt like I could be I"},{"speaker":"Claire Burbick","startTime":1737.01,"endTime":1742.14,"body":"don't know, I guess, more useful"},{"speaker":"Claire Burbick","startTime":1742.14,"endTime":1744.66,"body":"on the veterinary side than"},{"speaker":"Claire Burbick","startTime":1742.14,"endTime":1744.66,"body":"going into the human medical"},{"speaker":"Claire Burbick","startTime":1744.66,"endTime":1748.56,"body":"side. It just felt like I could"},{"speaker":"Claire Burbick","startTime":1744.66,"endTime":1748.56,"body":"accomplish a lot more diverse"},{"speaker":"Claire Burbick","startTime":1748.56,"endTime":1753.27,"body":"stuff and impact a lot more more"},{"speaker":"Claire Burbick","startTime":1748.56,"endTime":1753.27,"body":"in the world of infectious"},{"speaker":"Claire Burbick","startTime":1753.27,"endTime":1758.37,"body":"disease working on the animal"},{"speaker":"Claire Burbick","startTime":1753.27,"endTime":1758.37,"body":"side. And so I think I'm"},{"speaker":"Claire Burbick","startTime":1758.37,"endTime":1763.05,"body":"actually a horrible introvert,"},{"speaker":"Claire Burbick","startTime":1758.37,"endTime":1763.05,"body":"horrible social anxiety, so many"},{"speaker":"Claire Burbick","startTime":1763.05,"endTime":1765.81,"body":"of those things, but I think"},{"speaker":"Claire Burbick","startTime":1763.05,"endTime":1765.81,"body":"what's really, you know, kind of"},{"speaker":"Claire Burbick","startTime":1765.81,"endTime":1769.56,"body":"driven me to, to get out there"},{"speaker":"Claire Burbick","startTime":1765.81,"endTime":1769.56,"body":"and do this is it's just so"},{"speaker":"Claire Burbick","startTime":1769.56,"endTime":1773.52,"body":"interesting, it's so"},{"speaker":"Claire Burbick","startTime":1769.56,"endTime":1773.52,"body":"complicated. It's so impactful"},{"speaker":"Claire Burbick","startTime":1773.55,"endTime":1778.26,"body":"of an area for really being able"},{"speaker":"Claire Burbick","startTime":1773.55,"endTime":1778.26,"body":"to continue the level of you"},{"speaker":"Claire Burbick","startTime":1778.26,"endTime":1781.77,"body":"know, medicine and care that we"},{"speaker":"Claire Burbick","startTime":1778.26,"endTime":1781.77,"body":"provide and human and veterinary"},{"speaker":"Claire Burbick","startTime":1781.77,"endTime":1786.99,"body":"medicine. And so, to me it that"},{"speaker":"Claire Burbick","startTime":1781.77,"endTime":1786.99,"body":"kind of overcomes my own shyness"},{"speaker":"Claire Burbick","startTime":1786.99,"endTime":1789.54,"body":"and whatnot to just say, you"},{"speaker":"Claire Burbick","startTime":1786.99,"endTime":1789.54,"body":"know, this is so important, and"},{"speaker":"Claire Burbick","startTime":1789.54,"endTime":1792.78,"body":"we need so many people to be,"},{"speaker":"Claire Burbick","startTime":1789.54,"endTime":1792.78,"body":"you know, passionate and working"},{"speaker":"Claire Burbick","startTime":1792.78,"endTime":1796.32,"body":"in this area, and I do want to"},{"speaker":"Claire Burbick","startTime":1792.78,"endTime":1796.32,"body":"participate in all those"},{"speaker":"Claire Burbick","startTime":1796.32,"endTime":1800.07,"body":"efforts. And so I think that's"},{"speaker":"Claire Burbick","startTime":1796.32,"endTime":1800.07,"body":"really sort of tipped me towards"},{"speaker":"Claire Burbick","startTime":1800.07,"endTime":1804.36,"body":"It's, you know, really, you"},{"speaker":"Claire Burbick","startTime":1800.07,"endTime":1804.36,"body":"know, continuing to try and do"},{"speaker":"Claire Burbick","startTime":1804.69,"endTime":1808.14,"body":"you know what I can in this"},{"speaker":"Claire Burbick","startTime":1804.69,"endTime":1808.14,"body":"area. And thankfully there's,"},{"speaker":"Claire Burbick","startTime":1808.14,"endTime":1811.14,"body":"you know, more and more people"},{"speaker":"Claire Burbick","startTime":1808.14,"endTime":1811.14,"body":"to partner with and this and I"},{"speaker":"Claire Burbick","startTime":1811.14,"endTime":1815.61,"body":"really want to give a huge shout"},{"speaker":"Claire Burbick","startTime":1811.14,"endTime":1815.61,"body":"out to California for for really"},{"speaker":"Claire Burbick","startTime":1815.61,"endTime":1820.44,"body":"supporting this in a more"},{"speaker":"Claire Burbick","startTime":1815.61,"endTime":1820.44,"body":"structural way for the state."},{"speaker":"Claire Burbick","startTime":1821.01,"endTime":1823.95,"body":"Because I think they've, they've"},{"speaker":"Claire Burbick","startTime":1821.01,"endTime":1823.95,"body":"been able to do a lot of work"},{"speaker":"Claire Burbick","startTime":1823.95,"endTime":1827.37,"body":"that a lot of states aren't are"},{"speaker":"Claire Burbick","startTime":1823.95,"endTime":1827.37,"body":"not able to do in this area. And"},{"speaker":"Claire Burbick","startTime":1827.37,"endTime":1830.13,"body":"so I really appreciate that"},{"speaker":"Claire Burbick","startTime":1827.37,"endTime":1830.13,"body":"they've brought in a lot of"},{"speaker":"Claire Burbick","startTime":1830.13,"endTime":1833.7,"body":"other folks into the, you know,"},{"speaker":"Claire Burbick","startTime":1830.13,"endTime":1833.7,"body":"working with them, it's been"},{"speaker":"Claire Burbick","startTime":1834.36,"endTime":1838.14,"body":"really great. And yeah, just"},{"speaker":"Claire Burbick","startTime":1834.36,"endTime":1838.14,"body":"having more partners is super"},{"speaker":"Claire Burbick","startTime":1838.14,"endTime":1841.23,"body":"critical. But yeah, so I think"},{"speaker":"Claire Burbick","startTime":1838.14,"endTime":1841.23,"body":"it's just more just like, oh,"},{"speaker":"Claire Burbick","startTime":1841.23,"endTime":1844.17,"body":"this is so interesting and"},{"speaker":"Claire Burbick","startTime":1841.23,"endTime":1844.17,"body":"exciting. The people working in"},{"speaker":"Claire Burbick","startTime":1844.17,"endTime":1848.1,"body":"this area are so passionate, and"},{"speaker":"Claire Burbick","startTime":1844.17,"endTime":1848.1,"body":"it's just been, you know, a"},{"speaker":"Claire Burbick","startTime":1848.1,"endTime":1850.95,"body":"really, really great area to"},{"speaker":"Claire Burbick","startTime":1848.1,"endTime":1850.95,"body":"work in."},{"speaker":"Lisa Fortier","startTime":1851.66,"endTime":1853.7,"body":"Oh, thank you, as"},{"speaker":"Lisa Fortier","startTime":1851.66,"endTime":1853.7,"body":"I said earlier, like, there's no"},{"speaker":"Lisa Fortier","startTime":1853.7,"endTime":1857.27,"body":"shortage of items for you guys"},{"speaker":"Lisa Fortier","startTime":1853.7,"endTime":1857.27,"body":"to solve, especially in"},{"speaker":"Lisa Fortier","startTime":1857.27,"endTime":1860.84,"body":"veterinary medicine, eating the"},{"speaker":"Lisa Fortier","startTime":1857.27,"endTime":1860.84,"body":"other one that our listeners"},{"speaker":"Lisa Fortier","startTime":1860.84,"endTime":1863.42,"body":"love to listen to. And Sarah,"},{"speaker":"Lisa Fortier","startTime":1860.84,"endTime":1863.42,"body":"and I always love to hear the"},{"speaker":"Lisa Fortier","startTime":1863.42,"endTime":1866.78,"body":"answer to this to what is the"},{"speaker":"Lisa Fortier","startTime":1863.42,"endTime":1866.78,"body":"oldest of the most interesting"},{"speaker":"Lisa Fortier","startTime":1866.78,"endTime":1869.87,"body":"thing either in your desk drawer"},{"speaker":"Lisa Fortier","startTime":1866.78,"endTime":1869.87,"body":"on top of your desk?"},{"speaker":"Edie Marshall","startTime":1870.83,"endTime":1875.27,"body":"So back when I"},{"speaker":"Edie Marshall","startTime":1870.83,"endTime":1875.27,"body":"was in practice, I would have"},{"speaker":"Edie Marshall","startTime":1875.27,"endTime":1880.64,"body":"clients say, Well, geez, Doc,"},{"speaker":"Edie Marshall","startTime":1875.27,"endTime":1880.64,"body":"can't you just, you know,"},{"speaker":"Edie Marshall","startTime":1880.64,"endTime":1883.85,"body":"prescribe something? Do you"},{"speaker":"Edie Marshall","startTime":1880.64,"endTime":1883.85,"body":"really have to do all those"},{"speaker":"Edie Marshall","startTime":1883.85,"endTime":1888.17,"body":"tests? And I would say, Well,"},{"speaker":"Edie Marshall","startTime":1883.85,"endTime":1888.17,"body":"you know, I wouldn't have to do"},{"speaker":"Edie Marshall","startTime":1888.17,"endTime":1892.16,"body":"those tests if I had a crystal"},{"speaker":"Edie Marshall","startTime":1888.17,"endTime":1892.16,"body":"ball. But I don't have a crystal"},{"speaker":"Edie Marshall","startTime":1892.16,"endTime":1896.78,"body":"ball. So now we need to do the"},{"speaker":"Edie Marshall","startTime":1892.16,"endTime":1896.78,"body":"tests. But I did wind up one day"},{"speaker":"Edie Marshall","startTime":1896.81,"endTime":1902.06,"body":"with a crystal ball, I'll be a"},{"speaker":"Edie Marshall","startTime":1896.81,"endTime":1902.06,"body":"small one. And actually along,"},{"speaker":"Edie Marshall","startTime":1902.09,"endTime":1906.26,"body":"it is now on top of my desk, but"},{"speaker":"Edie Marshall","startTime":1902.09,"endTime":1906.26,"body":"within my desk drawers is a"},{"speaker":"Edie Marshall","startTime":1906.26,"endTime":1911.48,"body":"magic wand. So for for those who"},{"speaker":"Edie Marshall","startTime":1906.26,"endTime":1911.48,"body":"don't want to go the science"},{"speaker":"Edie Marshall","startTime":1911.48,"endTime":1915.41,"body":"route, then we could bust out"},{"speaker":"Edie Marshall","startTime":1911.48,"endTime":1915.41,"body":"the crystal ball and the magic"},{"speaker":"Edie Marshall","startTime":1915.41,"endTime":1919.58,"body":"wand and hope that you know"},{"speaker":"Edie Marshall","startTime":1915.41,"endTime":1919.58,"body":"something magic will happen."},{"speaker":"Edie Marshall","startTime":1919.97,"endTime":1923.93,"body":"Unfortunately, those things"},{"speaker":"Edie Marshall","startTime":1919.97,"endTime":1923.93,"body":"still don't serve me as well as"},{"speaker":"Edie Marshall","startTime":1923.93,"endTime":1926.78,"body":"I would have liked back when I"},{"speaker":"Edie Marshall","startTime":1923.93,"endTime":1926.78,"body":"was in practice."},{"speaker":"Sarah Wright","startTime":1926.0,"endTime":1930.38,"body":"That's an awesome"},{"speaker":"Sarah Wright","startTime":1926.0,"endTime":1930.38,"body":"answer. We have not heard that"},{"speaker":"Sarah Wright","startTime":1930.38,"endTime":1933.05,"body":"before. That is a first and we"},{"speaker":"Sarah Wright","startTime":1930.38,"endTime":1933.05,"body":"have a lot of episodes right"},{"speaker":"Sarah Wright","startTime":1933.05,"endTime":1937.16,"body":"now. I think we have over 70. So"},{"speaker":"Sarah Wright","startTime":1933.05,"endTime":1937.16,"body":"kudos for you. That's That's"},{"speaker":"Sarah Wright","startTime":1937.16,"endTime":1940.94,"body":"excellent. Thank you very much."},{"speaker":"Sarah Wright","startTime":1937.16,"endTime":1940.94,"body":"Claire and Edie, thank you again"},{"speaker":"Sarah Wright","startTime":1940.94,"endTime":1943.4,"body":"for joining us today and sharing"},{"speaker":"Sarah Wright","startTime":1940.94,"endTime":1943.4,"body":"your knowledge with our"},{"speaker":"Sarah Wright","startTime":1943.4,"endTime":1946.25,"body":"listeners and for sharing your"},{"speaker":"Sarah Wright","startTime":1943.4,"endTime":1946.25,"body":"manuscripts with AJVR."},{"speaker":"Edie Marshall","startTime":1946.25,"endTime":1951.38,"body":"Our pleasure."},{"speaker":"Edie Marshall","startTime":1946.25,"endTime":1951.38,"body":"Thanks for giving us this, you"},{"speaker":"Edie Marshall","startTime":1951.38,"endTime":1953.84,"body":"know platform not just with the"},{"speaker":"Edie Marshall","startTime":1951.38,"endTime":1953.84,"body":"podcast, but with the"},{"speaker":"Edie Marshall","startTime":1953.84,"endTime":1958.76,"body":"publications because I'm really"},{"speaker":"Edie Marshall","startTime":1953.84,"endTime":1958.76,"body":"excited by the opportunity to"},{"speaker":"Edie Marshall","startTime":1958.76,"endTime":1962.45,"body":"elevate into the conversation"},{"speaker":"Edie Marshall","startTime":1958.76,"endTime":1962.45,"body":"around antibiograms. And to been"},{"speaker":"Edie Marshall","startTime":1962.45,"endTime":1967.55,"body":"able to bring in experts like"},{"speaker":"Edie Marshall","startTime":1962.45,"endTime":1967.55,"body":"Claire to really help kind of"},{"speaker":"Edie Marshall","startTime":1968.09,"endTime":1971.12,"body":"make this more transparent and"},{"speaker":"Edie Marshall","startTime":1968.09,"endTime":1971.12,"body":"put it out in front of the"},{"speaker":"Edie Marshall","startTime":1971.12,"endTime":1973.16,"body":"veterinary community for further"},{"speaker":"Edie Marshall","startTime":1971.12,"endTime":1973.16,"body":"discussion."},{"speaker":"Claire Burbick","startTime":1974.39,"endTime":1976.61,"body":"Yeah, thank you"},{"speaker":"Claire Burbick","startTime":1974.39,"endTime":1976.61,"body":"so much. This is this has been"},{"speaker":"Claire Burbick","startTime":1976.61,"endTime":1977.18,"body":"really great."},{"speaker":"Sarah Wright","startTime":1978.98,"endTime":1981.29,"body":"And to our"},{"speaker":"Sarah Wright","startTime":1978.98,"endTime":1981.29,"body":"listeners, you can read Edie and"},{"speaker":"Sarah Wright","startTime":1981.29,"endTime":1984.47,"body":"Claire's manuscript on our"},{"speaker":"Sarah Wright","startTime":1981.29,"endTime":1984.47,"body":"journals website. I'm Sarah"},{"speaker":"Sarah Wright","startTime":1984.47,"endTime":1987.35,"body":"Wright with Dr. Lisa Fortier. We"},{"speaker":"Sarah Wright","startTime":1984.47,"endTime":1987.35,"body":"want to thank each of you for"},{"speaker":"Sarah Wright","startTime":1987.35,"endTime":1990.89,"body":"joining us on this episode of"},{"speaker":"Sarah Wright","startTime":1987.35,"endTime":1990.89,"body":"the veterinary vertex podcast."},{"speaker":"Sarah Wright","startTime":1991.07,"endTime":1994.04,"body":"We love sharing cutting edge"},{"speaker":"Sarah Wright","startTime":1991.07,"endTime":1994.04,"body":"Veterinary Research with you and"},{"speaker":"Sarah Wright","startTime":1994.04,"endTime":1996.62,"body":"we want to hear from you. Be"},{"speaker":"Sarah Wright","startTime":1994.04,"endTime":1996.62,"body":"sure to leave us a rating and"},{"speaker":"Sarah Wright","startTime":1996.62,"endTime":1999.2,"body":"review on Apple podcasts or"},{"speaker":"Sarah Wright","startTime":1996.62,"endTime":1999.2,"body":"whatever platform you listen to."}]}