The Cairn Podcast: Marking the Trail for Veterinarians

Join Dr. Corinne Goldman and Dr. Dan Hall as they meet at the rounds table, reviewing recent literature from the Journal of Veterinary Internal Medicine regarding the role of alimentary disease in the development, progression, and persistence of respiratory disease in dogs. Well beyond a discussion of brachycephalic obstructive airway syndrome, this podcast delves into the recent One Health review of aerodigestive disease in dogs, and other related articles, that describe a number of additional syndromes, diagnostic tests, and clinical conditions related to the gastrointestinal tract’s impacts on the airways.

References:

Grobman M, Reinero C. A One Health review of aerodigestive disease in dogs. J Vet Intern Med. 2023 May-Jun;37(3):817-834. doi: 10.1111/jvim.16661. Epub 2023 Mar 28. PMID: 36987535; PMCID: PMC10229372.

Grobman ME, Maitz CA, Reinero CR. Detection of silent reflux events by nuclear scintigraphy in healthy dogs. J Vet Intern Med. 2020 Jul;34(4):1432-1439. doi: 10.1111/jvim.15798. Epub 2020 Jun 13. PMID: 32533759; PMCID: PMC7379020.

Howard J, Grobman M, Lever T, Reinero CR. Videofluoroscopic swallow study abnormalities identify aerodigestive disorders in dogs with respiratory disease versus healthy controls. J Vet Intern Med. 2023 May-Jun;37(3):1166-1178. doi: 10.1111/jvim.16685. Epub 2023 Mar 23. PMID: 36951400; PMCID: PMC10229363.

Join Dr. Laura Smallwood as we move beyond the foundations of mindfulness practice and into practical applications, and explore mindfulness of stress. Mindfulness of stress involves understanding our differing stress responses to various circumstances or environmental triggers. We discuss "good" vs. "bad" types of stress, polyvagal theory, acute vs. chronic stress, the  importance of rest vs. deep rest, and the four states of mind as described by Elissa Epel: Red Mind, Yellow Mind, Green Mind and Blue Mind. Most of us spend too much time in a state of 'Yellow Mind', resulting from poor coping strategies, multi-tasking, and chronic hyperarousal from too much screen time or media consumption.

This episode is an invaluable resource for any veterinarian or other professional that wants to experience a more meaningful and joyful work experience, while reducing the risk of burnout.

Episode Resources:

The Stress Prescription: 7 Days to More Joy and Ease by Elissa Epel, PhD

The Upside of Stress: Why Stress is Good for You and How to Get Good at It by Kelly McGonical, PhD

Anchored: How to Befriend Your Nervous System Using Polyvagal Theory by Deb Dana

Join us for Part 2 as we finish our diabetes discussion with Dr. Patty Lathan, including practical use of Bexacat™ the new SGLT2 inhibitor for use in feline diabetes mellitus management. Dr Lathan is a co-author on the 2018 AAHA Small Animal Diabetes Mellitus Management Guidelines as well as the 2022 consensus statement on Agreeing Language in Veterinary Endocrinology (ALIVE): Diabetes mellitus in the Veterinary Journal, among numerous other studies and articles on thyroidal and adrenal disease. Dr. Lathan lectures nationally and internationally and is a past president of the Society for Comparative Endocrinology (SCE).

Resources and references:

International Society of Feline Medicine

Feeding Your Cat (catinfo.org)

American Animal Hospital Association

Please see Part 1 episode notes for list of references

Join us for Part 1 of this epic diabetes discussion as we we sit down with our dear friend, classmate, and colleague Dr. Patty Lathan, VMD, MS, DACVIM (SAIM), Small Animal Internist and endocrinologist, and associate professor of small animal internal medicine at Mississippi State University to discuss Bexacat™ the new SGLT2 inhibitor for use in feline diabetes mellitus management. Listen in as Dr. Lathan presents her practical approach to diabetes diagnosis and management strategies, with sensitivity to the patient and the owner’s needs. Dr Lathan is a co-author on the 2018 AAHA Small Animal Diabetes Mellitus Management Guidelines as well as the 2022 consensus statement on Agreeing Language in Veterinary Endocrinology (ALIVE): Diabetes mellitus in the Veterinary Journal, among numerous other studies and articles on thyroidal and adrenal disease. Dr. Lathan lectures nationally and internationally and is a past president of the Society for Comparative Endocrinology (SCE).

Resources and references:

International Society of Feline Medicine

Feeding Your Cat (catinfo.org)

American Animal Hospital Association

Behrend E, Holford A, Lathan P, Rucinsky R, Schulman R. 2018 AAHA Diabetes Management Guidelines for Dogs and Cats. J Am Anim Hosp Assoc. 2018 Jan/Feb;54(1):1-21. 

Benedict SL, Mahony OM, McKee TS, Bergman PJ. Evaluation of bexagliflozin in
cats with poorly regulated diabetes mellitus. Can J Vet Res. 2022 Jan;86(1):52-
58. Erratum in: Can J Vet Res. 2023 Apr;87(2):152.

Bugbee A, Rucinsky R, Cazabon S, Kvitko-White H, Lathan P, Nichelason A, Rudolph L. 2023 AAHA Selected Endocrinopathies of Dogs and Cats Guidelines. J Am Anim Hosp Assoc. 2023 May 1;59(3):113-135.

Hilgenfeld R, Seipke G, Berchtold H, Owens DR. The evolution of insulin glargine
and its continuing contribution to diabetes care. Drugs. 2014 Jun;74(8):911-27.

Niessen SJM, Bjornvad C, Church DB, Davison L, Esteban-Saltiveri D, Fleeman LM, Forcada Y, Fracassi F, Gilor C, Hanson J, Herrtage M, Lathan P, Leal RO, Loste A, Reusch C, Schermerhorn T, Stengel C, Thoresen S, Thuroczy J; ESVE/SCE membership. Agreeing Language in Veterinary Endocrinology (ALIVE): Diabetes mellitus - a modified Delphi-method-based system to create consensus disease definitions. Vet J. 2022 Sep 29;289:105910.

Sparkes, Andrew; Cannon, Martha; Church, David; Harvey, Andrea; Hoenig, Margarethe; Peterson, Mark; Reusch, Claudia; Rosenberg, Dan. ISFM Consensus Guidelines on the Practical Management of Diabetes Mellitus in Cats. Journal of Feline Medicine & Surgery. 2015;17(3):235-250

Youssef ME, Yahya G, Popoviciu MS, Cavalu S, Abd-Eldayem MA, Saber S. Unlocking the Full Potential of SGLT2 Inhibitors: Expanding Applications beyond Glycemic Control. International Journal of Molecular Sciences. 2023; 24(7):6039. 

Join Dr. Laura Smallwood as we explore the fourth and final foundation of mindfulness. Mindfulness of mental phenomena involves learning from what we notice during our meditation practice as well as our lives, including what leads to more stress, suffering or well being. Or as Dr. Smallwood hilariously puts it: Mindfulness of "How's That Going For Ya?"

We discuss the five universal challenges, any or all of which may arise at any given moment during meditation or life: Desire, Anger, Sloth, Restlessness and Doubt. As we become more aware of these five emotions they have less power of us over time, which improves our ability to be present even during difficult periods.

Dr. Smallwood has also provided a link for the World Wide Sit, available for free every Thursday from 12:15 to 12:45 pm.

Join us for Part 2 of this wonderful episode, as we finish our discussion with Dr. Melinda McCall to discuss her career as a large animal veterinarian. Melinda recounts how she became involved with local and state boards, animal rescue (of all shapes and sizes), and how giving back to her community has been so rewarding for her. We also discuss challenges ahead for farmers, shortages of large animal veterinarians, and having the courage to follow a calling. Don't forget that Melinda is also an author, and her first book is being released August 8, 2023:

Driving Home Naked: And Other Misadventures of a Country Veterinarian

Join us for Part 1 of this insightful, hilarious, and heartwarming episode, as we welcome Dr. Melinda McCall to discuss her career as a large animal veterinarian. Melinda discusses how her early childhood experiences on a farm encouraged her to pursue her dreams despite some discouragement from friends and family. We also discuss her experiences as a younger veterinarian, including one of the craziest veterinary stories we have ever heard! Melinda is also an author, and her first book is being released August 8, 2023:

Driving Home Naked: And Other Misadventures of a Country Veterinarian

Join Dr. Laura Smallwood as we explore mindfulness of thinking and the phenomenon of meta awareness, a characteristic unique to humans (as far as we know!). Mindfulness of thinking is the 3rd foundation of mindfulness practice, and involves observing our thoughts in a nonjudgmental way, without added analysis. We continue our journey in building upon skills learned from mindfulness of the breath, body and feeling tones.

Dr. Smallwood has also provided a guided meditation on mindfulness of thinking:   Mindfulness of Thinking Guided Meditation

Join us as we conclude our entrepreneurship discussion with Dr. Tim Loonam. We discuss soft skills to improve staff enthusiasm, tips for networking, following your values, and how to build mutually beneficial relationships with local vendors, rescue organizations, veterinary specialists, and primary veterinarians.

See Part 1 for episode resources.

Join us for Part 1 of another fantastic discussion with Dr. Tim Loonam. We discuss changes to the veterinary profession catalyzed by the KPMG and Brakke Megastudy of 1999. We then go on to discuss the current landscape for veterinary practice start-up and ownership - it's easier than you think! Veterinary specific lenders such as Provide understand our profession better than typical banks, and are more flexible with loan options while requiring less down payment. Additionally, we discuss the importance of leadership, mentorship, and the 4 C's of lending: Credit, Collateral, Condition and Character.

Episode resources:

The E-Myth Veterinarian

MentorVet

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