In this podcast, we talk to Tom Cardy, staff clinician in neurology and neurosurgery here at the RVC about the ‘Rule of Six’, or the ‘Six Finger Rule’ (which has no bearing on Count Rugen or indeed Inigo Montoya). It is a clever process used to teach clinical reasoning in canine spinal disease, in six steps.

Signalment
Onset
Deterioration
Pain
Asymmetry
Neuroanatomical localisation

Here is the link to the paper published in the Veterinary Record in 2015 http://veterinaryrecord.bmj.com/content/early/2015/07/21/vr.102988
Tools and mnemonics that make our day to day life easier are always warmly welcomed!
If you have any comments about this podcast, please get in touch (email dbarfield@rvc.ac.uk; tweet @dombarfield or @RoyalVetCollege using #rvcpod; or use the RVC facebook page). We would greatly appreciate your time to rate us on iTunes and write a review.

37 Rule of Six

Welcome to the RVC veterinary clinical podcast. In these shows, Dominic Barfield, with the technical help of Brian Cox talks to a variety of different faculty/specialists/clinicians from the RVC about clinical relevant material to everyone in practice, if you are just about to start your veterinary career or you are a seasoned professional we aim to provide something for everyone. Whether you’re listening whilst you are cooking dinner, driving home, walking the dog or even at the gym, we want to give you some practical tips and advice that you won’t necessarily find in the text books or journal articles that we hope makes a difference to your patients. Find the show notes on https://goo.gl/ECRxGh you can follow me on twitter @dombarfield or email any suggestions/comments to dbarfield@rvc.ac.uk.

Science & Medicine

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Joining Brian and myself in our virtual studio we are joined by the fantastic Richard Sparrow, Staff Clinician in Internal Medicine here at the RVC. Richard recently published a paper looking at relapse rates in immune mediated diseases (immune mediated haemolytic anaemia, immune mediated thrombocytopenia and immune mediated polyarthritis) in dogs and we thought to use this as a sounding board for a conversation about this topic, how to treat and taper immunosuppressive drugs and what do we do about ongoing preventative healthcare, such as vaccination. We hope that you enjoy.  
Reference: 
https://onlinelibrary.wiley.com/doi/full/10.1111/jvim.17004
To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 142 Relapse of dogs with immune mediated disease with Richard Sparrow. Published on May 17 2024
If you have any comments about this podcast, please get in touch: emailpodcast@rvc.ac.uk or follow us on instagram@rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

142 Relapse of dogs with immune mediated disease

Joining Brian and myself in our studio (three times a charm) we are delighted to speak to Nicola Ho, Lecturer in Anaesthesia and Analgesia here at the RVC. Nicola, with her anaesthesia colleagues, sent out a questionnaire to those anaesthesia vets, nurses and technicians to find out how sleep and fatigue affected them. It is an interesting and pertinent topic when most of us have roles in which we need to work shift work and/or be on call and how that might affect us, and the patients we look after. It might not have answers though a space to start or continue the conversation to think about what you can do to make it better where you are for you and your team. We hope that you enjoy.
Some references:
https://pubmed.ncbi.nlm.nih.gov/37142463/
To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 141 Sleep, fatigue and mental health with Nicola Ho. Published on Dec 22 2023   If you have any comments about this podcast, please get in touch: email podcast@rvc.ac.uk or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

141 Sleep, fatigue and mental health

Joining Brian and myself in our studio (again, that is two in a row) we delighted to speak to Chris Scudder, Senior Lecturer in Internal Medicine and Co-Head of the Internal Medicine Team here at the RVC. There has been a couple of new drugs on the market one in the USA (bexagliflozin) and one in the UK (velagliflozin) both SGLT-2 inhibitors, oral hypoglycaemic agents to be used in newly diagnosed diabetic cats. We thought we’d chat to Chris about the information that is out there about these agents, how they can be used and what questions we have about their use. He recently spoke to our ECC team about euglycaemic diabetic ketoacidosis (eDKA) and I was intrigued. We hope that you enjoy.
Some references: 
https://pubmed.ncbi.nlm.nih.gov/37148170/ 
https://pubmed.ncbi.nlm.nih.gov/34975223/ 
There is an abstract on page 2512 here https://onlinelibrary.wiley.com/doi/10.1111/jvim.16559
To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 140 Oral hypoglycaemic drugs for diabetic cats with Chris Scudder. Published on Dec 15 2023 
If you have any comments about this podcast, please get in touch: email podcast@rvc.ac.uk or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

140 Oral hypoglycaemic drugs for diabetic cat

Joining Brian and myself in our studio (yes that is right we are back) we are delighted to speak to Lynda Rutherford, Senior Lecturer in Soft Tissue Surgery and Head of Soft Tissue Surgery here at the RVC. I thought we’d continue the theme of the last podcast on feline urethral obstruction and speak to a surgeon about this subject, really what you can do if you can’t place a urethral catheter (is there a stone that you can’t hydro-pulse, unlikely) but maybe there is a urethral tear (traumatic or iatrogenic). Lynda kindly spoke to us about BOAS previously and it is always good to catch up.  Lynda gave a talk to the hospital about on this topic and thought it would be good to share with a wider audience, we hope that you enjoy.  
Some references: 
https://pubmed.ncbi.nlm.nih.gov/21515222/ 
https://pubmed.ncbi.nlm.nih.gov/35363097/ 
https://pubmed.ncbi.nlm.nih.gov/17501659/ 
To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 139 Lower urinary tract surgerywith Lynda Rutherford. Published on Dec 8 2023 
If you have any comments about this podcast, please get in touch: email podcast@rvc.ac.uk or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

139 Lower Urinary Tract Surgery

Joining Brian and myself in our virtual studio we are delighted to speak to Professor Edward Cooper, Section Head of Small Animal Emergency and Critical Care at The Ohio State University. I thought we’d continue the theme of the last podcast on feline urethral obstruction and speak to an international authority on the subject, who has been trying to answer some fundamental questions about this topic. He kindly returned my email and spoke to us, despite technical issues he was incredibly patient. Prof Cooper is clearly passionate about this topic and it was great to talk, we hope that you enjoy.
Link to Prof Cooper’s bio: https://vet.osu.edu/cooper-edward 
Some references:
https://pubmed.ncbi.nlm.nih.gov/21118011/
https://pubmed.ncbi.nlm.nih.gov/31250535/
https://pubmed.ncbi.nlm.nih.gov/31840942/
https://pubmed.ncbi.nlm.nih.gov/36779411/
https://pubmed.ncbi.nlm.nih.gov/33620246/
To Cite this podcast as: Dom Barfield. RVC Clinical Podcast 138 Feline Urethral Obstruction with Edward Cooper. Published on April 28 2023
If you have any comments about this podcast, please get in touch: email dbarfield@rvc.ac.uk; or follow us on instagram @rvcclinicalpodcast. We would greatly appreciate your time to rate us on Apple podcast, podbean or Acast and kindly write us a review.

37 Rule of Six

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