In the November episode of Chattering with ISFM, we’re diving into the complexities of feline pain management to help you feel more empowered and informed. Our episode highlights the Journal of Feline Medicine and Surgery (JFMS) Special Collection 2024 on pain and pain management in cats, bringing together some of the latest research, insights, and expert perspectives in the field.

To start, Yaiza Gomez-Mejias speaks with Sabrine Marangoni, who shares key findings from her award-winning study on pain behaviours in kittens undergoing ovariohysterectomy. They discuss the importance of recognizing subtle pain indicators in young cats, the effectiveness of multimodal analgesia approaches, and the broader implications of untreated pain.

In the second half, Kelly St. Denis sits down with Mark Epstein, Co-Chair of the AAHA/AAFP 2014 Pain Management Guidelines Task Force, to explore the progress made in feline pain management. They discuss how the field has evolved, the persistent challenges veterinarians face in assessing and managing pain in cats, and what the future holds in terms of new research and treatments.

For further reading material please visit:

2024 ISFM FELINE CONGRESS ABSTRACTS

Cat Pain Management: YouTube Channel

JFMS Special Collection 2024: Pain and Pain Management In Cats

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host: 

Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK 

Speakers:
Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Sabrine Marangoni, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Kelly St. Denis, MSc, DVM, DABVP (Feline), Co-editor of the Journal of Feline Medicine and Surgery and JFMS Open Reports, St Denis Veterinary Professional Corporation, Powassan, Ontario, Canada

Mark Epstein, DVM, DABVP, CVPP, Education Co-Chair at International Veterinary Academy of Pain Management, Co-Chair of the AAHA/AAFP 2014 Pain Management Guidelines Task Force

In the October episode of Chattering with ISFM, host Nathalie Dowgray presents two detailed discussions on important feline health topics - gastrointestinal and renal health.

First, Yaiza Gomez-Mejias interviews Sina Marsilio on feline chronic enteropathies, with a particular focus on gastrointestinal lymphoma and the diagnostic challenges of distinguishing small cell lymphoma from IBD. Marsilio discusses recent advances in the field, drawing from her recent work on the ACVIM consensus guidelines for ‘diagnosing and distinguishing low-grade neoplastic from inflammatory lymphocytic chronic enteropathies.’ 

Later, Kelly St. Denis speaks with Jonathan Stockman about his JFMS Clinical Spotlight article, ‘Dietary Phosphorus and its Impact on Renal Disease in Cats’. They examine phosphorus metabolism, the risks associated with high-phosphorus diets, and effective strategies for managing phosphorus levels to support feline kidney health.

 For further reading material please visit:

ACVIM consensus statement guidelines on diagnosing and distinguishing low-grade neoplastic from inflammatory lymphocytic chronic enteropathies in cats

Dietary Phosphorus and Renal Disease in cats: Where are we?

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host: 

Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK 

Speakers:

Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Sina Marsilio, Dr.med.vet., PhD, DACVIM (SAIM), DECVIM-CA, Assistant Professor of Medicine & Epidemiology at UC Davis.

Kelly St. Denis, MSc, DVM, DABVP (Feline), Co-editor of the Journal of Feline Medicine and Surgery and JFMS Open Reports, St Denis Veterinary Professional Corporation, Powassan, Ontario, Canada

Jonathan Stockman, DVM, DACVIM (Nutrition), Associate Professor in the Department of Clinical Veterinary Sciences & JFMS Author.

In this episode of Chattering with ISFM, Nathalie Dowgray interviews Dr Hugo Swanstein about his JFMS Clinical Spotlight article on Feline-Friendly Point of Care Ultrasound (POCUS). We also return to Dr Sarah Ellis and Dr Daniel Mills for Part Two of their conversation on the use of pheromones in cats.

Dr Ellis and Dr Mills delve into the methods of delivering pheromones in veterinary care, how to use them effectively, and the scepticism surrounding these products. They clarify the differences between pheromones and odour therapy, while touching on the industry's lack of regulation.

Later, Dr Dowgray and Dr Swanstein discuss the practical application of feline-friendly POCUS, with Dr Swanstein explaining its differences from formal ultrasound exams. He shares tips for integrating POCUS into daily practice, emphasising its value beyond emergency cases and how it can be mastered with brief, regular practice. He also addresses concerns about time and cost, highlighting POCUS's efficiency and affordability, and advocates for training the entire veterinary team, including technicians, in its use.

 For further reading material please visit:

Pheromonatherapy: Theory and applications

Stress and Pheromonatherapy in Small Animal Clinical Behaviour

JFMS Clinical Spotlight Article: Feline Friendly POCUS, How to implement it into your daily practice

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host: 

Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK 

Speakers:

 Sarah Ellis, BSc, PGDip, PhD, Head of Cat Wellbeing and Behaviour at International Cat Care, independent feline welfare educator, writer and consultant.

Daniel Mills, BVSc PhD CBiol FRSB FHEA CCAB Dip ECAWBM(BM) FRCVS, Professor of veterinary behavioural medicine & RCVS, European and ASAB recognised specialist in clinical animal behaviour

Hugo Swanstein, Cand Med Vet, Doctor of Veterinary Medicine & JFMS Published Author

Join us as we discuss the fascinating world of feline communication, exploring howcats use chemical signals to interact with their environment and each other. Additionally, we shall shed light on a rational approach to using gastroprotectants in cats, providing invaluable insights for veterinary practitioners.

In Part One of our discussion, Dr Sarah Ellis and Dr Daniel Mills talk about thecomplexities of pheromone use in cats, emphasising the differences between scents and pheromones and their impact on emotional processing. They also highlight the importance of understanding pheromones in assessing feline behaviour. Part Two of their discussion will be available in next month's episode, so make sure you're signed up to Chattering With ISFM on your preferred podcast platform if you don’t want to miss out!

Following this, Dr Kelly St. Denis and Dr Katie Tolbert discuss Dr Tolbert's JFMS Clinical Spotlight article on the rational use of gastroprotectants in cats. They cover the risks of using these medications, especially the differences in how cats and dogs metabolise drugs, and the potential benefits of soluble fibres in preventing GI ulceration. They also address the careful use of gastric acid suppressants and gastroprotectants in clinical practice, with a focus on patient comfort and proper administration.

For further reading material please visit:

Pheromonatherapy: Theory and applications

Stress and Pheromonatherapy in Small Animal Clinical Behaviour

JFMS Clinical Spotlight Article: A Rational Approach To The Use Of Gastroprotectants In Cats

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host:

Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK

Speakers:
Sarah Ellis, BSc, PGDip, PhD, Head of Cat Wellbeing and Behaviour at International Cat Care, independent feline welfare educator, writer and consultant.

Daniel Mills, BVSc PhD CBiol FRSB FHEA CCAB Dip ECAWBM(BM) FRCVS, Professor of veterinary behavioural medicine & RCVS, European and ASAB recognised specialist in clinical animal behaviour

Kelly St. Denis, MSc, DVM, DABVP (Feline), Co-editor of the Journal of Feline Medicine and Surgery and JFMS Open Reports, St Denis Veterinary Professional Corporation, Powassan, Ontario, Canada

Katie Tolbert, DVM, Ph.D., DACVIM (SAIM, SA nutrition), Clinical Associate Professor in Small Animal & Comparative Gastroenterology & JFMS Author.

This month is all about feline feng shui and how to defuse tension in multi-cat households. We will be discussing International Cat Cares' new carer guidelines on encouraging cats to drink and AAFP’s Inter-cat Tension Guidelines. Please see the links below to read these guidelines.

Dr. Yaiza Gomez Mejias sits down with the winner of the RCVS Inspiration Award, Alex Taylor, to address the issues surrounding feline hydration and offer practical tips for encouraging water intake in cats. 

Dr. Kelly St. Denis then speaks with Drs Ilona Rodan and Daniela Ramos about the AAFP's new guidelines on managing inter-cat tension, debunking common myths about feline behaviour and offering strategies to ensure a peaceful multi-cat household.

 For further reading material please visit:

Encouraging your cat to drink: A guide for caregivers

2024 American Association of Feline Practitioners Inter-cat Tension Guidelines, Recognition, Prevention, and Management 

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host: 

Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK 

Speakers:

Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Alex Taylor, RVN CertSAN ISFMDipFN & AdvCertFB, iCatCare Cat Wellbeing and Behaviour Advisor

Kelly St Denis, MSc, DVM, DABVP (Feline), Co-editor of the Journal of Feline Medicine and Surgery and JFMS Open Reports, St Denis Veterinary Professional Corporation, Powassan, Ontario, Canada

Ilona Rodan, DVM, DABVP (Feline),  2024 AAFP Inter-cat Tension Guidelines, Co-Chair, Cat Behavior Solutions, Cat Care Clinic, Madison, WI, USA

Daniela Ramos, MV MSc PhD Diplomate (CLEVE), 2024 AAFP Inter-cat Tension Guidelines, Co-Chair, Veterinary behaviourist, speaker and researcher

This month Nathalie Dowgray is joined by Clare Rusbridge for part two of their conversation about neuropathic pain in cats. We then join Kelly St Denis and Julien Guillaumen as they discuss recent advances in feline aortic thromboembolism.

Our episode begins with Professor Clare Rushbridge sharing her expertise on managing neuropathic pain in cats. We discuss the burdens that caregivers face as well as the various tools and medications that she has found to be helpful with her patients.

Dr Kelly St Denis is then joined by Dr Julien Guillaumen to discuss his latest JFMS article ‘Feline Aortic Thromboembolism: Recent Advances and Future Prospects’. Guillaumen provides a historical overview of FATE research, dating back to 1953, and they discuss the delicate balance required in clinical management of these cases, especially concerning hydration and heart failure.

For further reading material please visit:

Neuropathic pain in cats: Mechanisms and multimodal management

AAFP and ISFM Feline Environmental Needs Guidelines

Clare's Youtube Channel

Feline Aortic Thromboembolism: Recent Advances and Future Prospects

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host:
Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK

Speakers:
Clare Rusbridge, BVMS PhD DipECVN FRCVS, RCVS and European Specialist in Veterinary Neurology & JFMS Author

Kelly St Denis, MSc, DVM, DABVP (Feline), 2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines Co-Chair, St Denis Veterinary Professional Corporation, Powassan, Ontario, Canada

Julien Guillaumen, Doct Vet, DACVECC, DECVECC, Associate Professor of Emergency and Critical Care at Colorado State University and JFMS Author.

This month our focus is on recognising feline pain. Yaiza Gomez-Meijas is joined by Beatriz Monteiro to discuss the feline grimace scale. Clare Rusbridge then joins Nathalie Dowgray to discuss neuropathic pain in cats.

Our episode begins with Yaiza interviewing Beatriz about her findings from a large bilingual global survey assessing if cat caregivers reliably assess acute pain in cats using the Feline Grimace Scale, an innovation that led to Monteiro winning the JFMS Best Resident Paper Award. The method allows both veterinarians and cat caregivers to evaluate pain based on facial expressions, aiming to bridge the gap between professional
veterinary assessments and at-home care for felines.

Nathalie is then joined by Professor Clare Rusbridge who shares insights into her recent JFMS article on Neuropathic pain in cats: Mechanisms and multimodal management. She highlights the importance of distinguishing between nociception and pain perception and discusses diagnostic challenges and management strategies for conditions like osteoarthritis and feline hyperesthesia syndrome.

For further reading material please visit:

Can cat caregivers reliably assess acute pain in cats using the Feline Grimace Scale?

The Feline Grimace Scale Website

Neuropathic pain in cats: Mechanisms and multimodal management

AAFP and ISFM Feline Environmental Needs Guidelines

Clare's Youtube Channel

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host:
Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK

Speakers:
Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Beatriz Monteiro, DVM, PhD, ISFMAdvCertFB, PgDip, Chair of the World Small Animal Veterinary Association Global Pain Council and Winner of the 2024 JFMS Resident Best Paper Award

Clare Rusbridge, BVMS PhD DipECVN FRCVS, RCVS and European Specialist in Veterinary Neurology & JFMS Author

This month Yaiza Gomez-Meijas is joined by Cecilia Villaverde to discuss feline nutrition. We are then joined by Kelly St Denis who interviews some of the authors of the 2024 ISFM and AAFP consensus guidelines on the long-term use of NSAIDs in cats.

Our first conversation between Yaiza and Cecilia features a discussion on feline nutrition, specifically protein requirements in cat diets. The conversation highlights the importance of animal tissue in a cat's diet due to essential nutrients and compares raw, homemade, and commercial food options.

Our next conversation delves into the 2024 ISFM and AAFP consensus guidelines on the long-term use of nonsteroidal anti-inflammatory drugs (NSAIDs) in cats, highlighting considerations for chronic pain management and monitoring. Kelly St Denis is joined by Sam Taylor, Paulo Steagall, and Duncan Lascelles. The guidelines address identifying chronic pain, the use of NSAIDs in cats with comorbidities, and the importance of caregiver involvement in monitoring for side effects and signs of pain relief effectiveness.

For further reading material please visit:

https://wsava.org/wp-content/uploads/2020/01/Frequently-Asked-Questions-and-Myths.pdf

https://wsava.org/committees/global-nutrition-committee/

https://journals.sagepub.com/doi/epub/10.1177/1098612X241241951

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host:
Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK

Speakers:
Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Cecilia Villaverde, BVSc, PhD, DECVCN, DACVIM (Nutrition), Diplomate (Nutrition) of the ACVIM (Board-Certified Veterinary Nutritionist®), Diplomate ECVCN (EBVS® European Specialist in Veterinary and Comparative Nutrition)

Kelly St Denis, MSc, DVM, DABVP (Feline), 2022 ISFM/AAFP Cat Friendly Veterinary Environment Guidelines Co-Chair, St Denis Veterinary Professional Corporation, Powassan, Ontario, Canada

Samantha Taylor, BVetMed(Hons), CertSAM, DipECVIM-CA, MANCVS, FRCVS , ISFM Academy Lead and Specialist Veterinary Advisor to ISFM, European Veterinary Specialist in Internal Medicine and RCVS Recognised Specialist in Feline Medicine

Duncan Lascelles, BVSc, BSc, CertVA, PhD, DipECVS, DSAS(Soft Tissue), DipACVS, FRCVS, Professor in Small Animal Surgery and Pain Management, Director of the Comparative Pain Research and Education Centre (CPREC) and the Translational Research in Pain [TRiP] Program

Paulo Steagall, MV, MS, PhD, DipACVAA, Associate professor of Veterinary Anesthesiology and Pain Management, Member of the World Small Animal Veterinary Association (WSAVA) Global Pain Council, the WSAVA Dental Guidelines Committee and Chair of the WSAVA Therapeutic Guidelines Group

This month Yaiza Gomez-Meijas is joined by Dr Ryane Englar who has published two articles on 'Recasting the gold standard' that were published in the JFMS special collection on Accessible veterinary care. We also continue our discussion about the treatment of invasive fungal infections with Nathalie Dowgray and Prof. Vanessa Barrs.

Our first conversation between Yaiza and Ryane features a discussion on the continuum of care in veterinary medicine, emphasizing a shift from the gold standard approach to more tailored and patient-centred care. Additionally, it delves into strategies for initiating conversations with clients about healthcare options and case management decisions.

The conversation on contextualised care also continues into the discussion on the treatment of invasive fungal infections where Prof. Barrs discusses drug selection and how to best approach these discussions with owners where the treatment options are often prolonged. Make sure you check out part one of our interview with Prof. Barrs in our January episode (entitled: ‘FCoV-23: Is it driving the Cyprus FIP Outbreak?’) in which we discuss the diagnosis of invasive fungal infections.

For further reading material please visit:

https://journals.sagepub.com/doi/epub/10.1177/1098612X231209855

https://journals.sagepub.com/doi/epub/10.1177/1098612X231215639

https://journals.sagepub.com/doi/full/10.1177/1098612X231219696

https://journals.sagepub.com/doi/full/10.1177/1098612X231220047

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host:
Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK

Speakers:
Yaiza Gomez-Mejias, LdaVet MANZCVS (Medicine of Cats) CertAP (SAM-F) Acr AVEPA, ISFM Community Coordinator and Small Animal Clinician

Ryane Englar, DVM, DABVP (Canine and Feline Practice), Executive Director of Clinical and Professional Skills, Associate Professor of Practice, and member of the founding faculty at the University of Arizona College of Veterinary Medicine.

Vanessa Barrs, BVSc (Hons), PhD, MVetClinStud, FANZCVS (Feline Medicine), Registered specialist in Feline Medicine, Dean of Hong Kong Veterinary School and past president of the International Society of Companion Animal Infectious Diseases.

This month Nathalie Dowgray, Head of ISFM, talks with Vicky Halls from iCatCare about her work focusing on unowned cats and the new developments in the Cat Friendly Homing program. Later in the episode, Dr Chris Scudder is invited to discuss hypersomatotropism-induced diabetes in cats as part of our JFMS clinical spotlight series.

Vicky talks us through the work she has been leading on unowned cats over the past few years and they discuss the exciting Global Enablers Grant received from Battersea which will aid in the expansion of this program. Vicky's role as Head of Unowned Cats not only involves carrying the Cat Friendly Homing model forward, but also includes developing training courses, consulting about cat population management, and
resource creation.

Hypersomatotropism is becoming increasingly recognised as a comorbidity in cases of feline diabetes. Nathalie and Chris delve into the clinical signs, testing procedures, and management of this condition in feline patients.

For further reading material please visit:

https://icatcare.org/unowned-cats/

https://journals.sagepub.com/doi/epub/10.1177/1098612X241226690

For ISFM members, full recordings of each episode of the podcast is available for you to listen to at portal.icatcare.org. To become an ISFM member, or find out more about our Cat Friendly schemes, visit icatcare.org

Host:
Nathalie Dowgray, BVSc, MANZCVS, PgDip, MRCVS, PhD, Head of ISFM, International Society of Feline Medicine, International Cat Care, Tisbury, Wiltshire, UK

Speakers:
Vicky Halls, RVN Dip Couns, Head Of Unowned Cats for International Cat Care and published author

Chris Scudder, BVSc MVetMed PhD DACVIM-SAIM DECVIM-CA MRCVS, Senior Lecturer, Researcher and Mentor Liason at SAMSoc, JFMS Published Author