Get the show notes for this episode, plus a very neat treatment guide for hyperkalaemia, ⁠here.⁠

Join our community of Vet Vault Nerds to lift your clinical game and get your groove back with our up-to-date, easy-to-consume clinical episodes at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠vvn.supercast.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠.

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⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

You may have heard about a condition where greyhounds can become dangerously hyperkalaemic under anaesthesia, but did you know that this isn’t something that happens exclusively in greyhounds? And do you know what the risk factors are for this happening, what you can do to try and prevent it, or how to preempt it? If the answer to any of these is no, and you ever anaesthetise non-human species, then this is one of those “will probably save a patient’s life one day” episodes.

Our guest is Dr Stacey Jones, who was involved in publishing the first ⁠paper on anaesthesia-associated hyperkalaemia⁠ in greyhounds that brought this condition to the veterinary world’s attention. She joins the podcast to share what she learnt while conducting the research for this paper, as well as to provide an update on the work that has been done since that first publication. This update fleshes out our understanding of the condition, focusing on what you need to know about it in practice.

Episode Topics and Timestamps

04:06 Symptoms and Detection

07:27 The Greyhound Project: A Case Study

19:15 Hyperkalemia Beyond Greyhounds

22:05 Practical Takeaways

27:53 Conclusion and Additional Resources

Lift your clinical game with our RACE approved clinical podcasts at ⁠⁠vvn.supercast.com⁠⁠  for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠. 

Get case support from our team of specialists in our ⁠Specialist Support Space⁠.

⁠Subscribe to our weekly newsletter⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠here⁠⁠⁠⁠⁠⁠ ⁠for Hubert's favourite clinical and non-clinical learnings from the week.

“This is not a women's issue: this is a societal issue. We all have women in our lives that we love, that we work with, that we care for, and we MUST be putting these conversations on the table.”

If you’re listening to THIS podcast, chances are you’re a veterinarian. That means that statistically, there’s about a 70% chance you’re a woman. That makes an honest, in-depth conversation about menopause not just relevant, but essential. This is that conversation. 

And even if you’re not a woman, or menopause is still decades away for you, you almost certainly work with or live with someone for whom this topic is, or will be, very significant. You should absolutely care about it- and know about it.

In this question-and-answer conversation, recorded live at the Greencross Symposium 2024, we unpack the science, symptoms, and solutions with Dr. Nicole Avard, menopause specialist, and Georgie Drury, founder of Metluma, a digital health initiative that supports women through menopause.

From understanding the biology of menopause to tackling its impact on mental health, career, and workplace culture, this is the conversation you didn’t know you needed—but one that will make a difference in your life and practice. 

Topics and Timestamps

[00:04:00] Menopause 101

[00:06:00] Biological Changes During Menopause

[00:08:00] Symptoms of Menopause

[00:12:00] Mental Health and Menopause

[00:15:00] Challenges in Diagnosis and Treatment

[00:17:00] HRT Safety and Benefits

[00:22:00] Myths and Misinformation

[00:32:00] Organisational Responses to Menopause

[00:40:00] Menopause Q&A

[00:45:00] Advanced Questions on Treatment

Speaker bios:

Nicole Avard

Dr Nicole Avard is a dedicated Menopause Specialist GP with 18 years of experience as an Integrative GP. As the Medical Director and Co-founder of Metluma, she is passionate about guiding women through the complexities of menopause. Dr Nic has supported thousands of women on their menopausal journey, offering compassionate and individualized care. 

Georgia Drury

Georgie is an experienced entrepreneur and CEO, with a passion for health and technology. As founder and CEO of Springday, she built the business into a multi-million-dollar global organisation, operating across 13 countries in ASPAC before exiting and moving onto her next venture. With Hummingbird Innovations, Georgie advises, invests, and collaborates with boards and organisations. She is currently Co-founder and CEO of Metluma, an exciting and innovative digital health initiative aiming to support women by taking a proactive approach to menopause.

We love to hear from you. Leave a review here, or get in touch with questions or feedback at [email protected].

And if you like what you hear, please share the love by rating us on your podcast player and hitting that share button and sending a link to someone who you think should hear this. 

Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠vvn.supercast.com⁠⁠  for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠.  Get case support from our team of specialists in our ⁠Specialist Support Space⁠.

What if you asked the head of a famous business school for some veterinary business advice, but instead of telling you about a new system to increase productivity or some new marketing hack, he tells you to ‘focus less on the business side of veterinary practice’? 

"You have to stop imposing a managerial mindset on these types of businesses - a 'business mindset.' Managerialism has seeped into everything - into industries where it shouldn't be. "

An interview that started with the goal of helping vets get better at having difficult finance conversations quickly detoured into a discussion about:

- The philosophy of veterinary business,

- Why the managerialism  that works in some industries doesn’t always translate well into ours, and

- What true success could look like. 

(Don’t worry - we do also get insights on how to make those money conversations less stressful!) 

Dr Paul Harrison is the Director of the MBA program and Co-Director of the Better Consumption Lab at Deakin University's School of Business, and Adjunct Professor at Sacred Heart University in Milan.The MBA program that Paul designed for Deakin ranks 1st in the world for class experience. Paul is a renowned  international speaker on issues related to consumer behaviour, public health and well-being, governance, and marketing.  

Topics and Timestamps

Money Conversations: Challenges and Strategies 04:50

Balancing Business and Values in Veterinary Practice 07:29

Rethinking Success: Beyond Financial Growth 12:17

Exciting News: Clinical Podcast Updates 17:24

Embracing Uncertainty and Value 19:32

Controlling the Customer Experience 24:08

Philosophical Approaches in Business 24:29

Understanding Customer Needs 25:45

Money Conversations in Veterinary Practice 27:15

Human Decision-Making in Emergencies 34:05

Emotional Management in Emergencies 40:30

We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact form at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠.

And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this. 

Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠⁠vvn.supercast.com⁠⁠⁠  for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠⁠cutabove.supercast.com⁠⁠. 

Get case support from our team of specialists in our ⁠⁠Specialist Support Space⁠⁠.

If you scroll through any veterinary chat group you won’t have to scroll for long before you see a conversation along the lines of:  “My career as it is now isn’t really working for me, but I don’t know what my other options are.  I feel… stuck.”

So how do you become unstuck?

Dr Jess Moore Jones is a bit obsessed with what keeps vets engaged and fulfilled, and she helps individuals and teams figure out how to create resilient and thriving cultures and careers through  her business, ⁠Unleashed Coaching and Consulting⁠, and in this episode we unpack a few of the talks she presented at WVAC 2024: 

Jess shares her thoughts on where the line is between being a good team member and having healthy boundaries, why being selfish in the short term can be generous in the long run, and we talk about the ‘four doors’ available to you with every challenging situation. We discuss Jess' first steps to becoming ‘unstuck’ from your career rut, and we ask the big question: are the new generations of vets ‘soft’, or just wise?!

Join Dr Jess on 28 November 2024 for her online ⁠Women in Veterinary Leadership Summit. ⁠

Topics and Time Stamps

02:21 The Generational Debate: Are Younger Vets Soft?

03:43 Resilience in Veterinary Medicine: Good vs. Toxic

10:30 Balancing Boundaries: Soft vs. Hard

15:15 Long-term Resilience vs Short-Term People-Pleasing

20:02 Career Coaching: Moving from Stuck to Fulfilled

22:55 Challenging Traditional Work Structures

23:34 Discovering Your True Self

25:06 Overcoming Fear and Taking Action

26:22 Exploring New Opportunities

29:05 The Power of Choice in Your Career

34:27 Mindfulness and Self-Awareness

36:01 Choosing Your Perspective

40:31 Embracing Negative Emotions

We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact form at ⁠⁠thevetvault.com⁠⁠, or catch up with us on ⁠⁠Instagram⁠⁠.

And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this. 

If you work in emergency practice, or you're considering it, then this episode is for you. ⁠Dr Brooke Schampers ⁠and ⁠Dr Taleta Hompas ⁠are ECC veterinarians with more than two decades experience between them who create resources and coach others on how to thrive as an ECC shift worker through there ⁠EMV4Life⁠ program. In this episode they will tell you:

We discuss what there is to love about emergency vetting, what to consider if you are thinking of a career as an ECC vet, and what other challenges there are beyond sleep and shift work.

Contact us⁠ to find out about our Vet Vault/EMV4Life resource bundles to help you up skill and navigate life as an emergency vet.

Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠vvn.supercast.com⁠⁠  for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠. 

Get case support from our team at specialists in our ⁠Specialist Support Space⁠.

Topics, Time Stamps and Chapters

00:00 Intro

03:22 Why ECC? What’s to love about it? 

06:38 Are Certain Personalities Better Suited for ECC

15:39 The Impact of Shift Work on Health

22:21 Brooke’s Routine for Sustainable Night Shifts

32:51 Balancing ECC Work with Family Life

46:18 Setting Yourself Up for Long-Term ECC Careers

50:32 Rostering

54:17 Increased Productivity On Shift

01:06:17 Finding Your Joy in Veterinary Work

We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact from at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠.

And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this. 

Lift your clinical game with our RACE approved clinical podcasts. Get your first two weeks free at ⁠⁠vvn.supercast.com⁠⁠  for more clinical confidence and better patient outcomes, or check out our Advanced Surgery Podcast at ⁠cutabove.supercast.com⁠. 

Get case support from our team at specialists in our ⁠Specialist Support Space⁠.

Topics and Time Stamps

We love to hear from you. If you have a question for us or you’d like to give us some feedback please get in touch via our contact from at ⁠thevetvault.com⁠, or catch up with us on ⁠Instagram⁠.

And if you like what you hear, please share the love by clicking on the share button wherever you’re listening and sending a link to someone who you think should hear this. 

07:35 The Role of Compassion and Innovation12:08 Leadership and Management in Veterinary Practices17:55 Addressing Risks and Governance24:51 The Importance of Communication and Training43:23 Implementing Change in Veterinary Practices44:04 The Role of Coaching and Mentoring44:56 Different Models of External Support46:27 Cross-Industry Learning and Its Benefits56:06 Delegation and Managing Multiple Roles01:00:31 The Importance of Trusted Networks01:09:15 Balancing Client Relationships and Clinical Work01:17:13 Innovative Solutions for Veterinary Practices01:23:55 Conclusion and Final Thoughts

et access to our clinical podcast series with our ⁠⁠⁠30% off IVECCS Special.⁠⁠⁠

Get case support from our team at specialists in our ⁠⁠⁠⁠⁠Specialist Support Space⁠⁠⁠⁠⁠.

Hands up if you still remember much of the statistics you learned back in vet school… Some of us have looked at way more P nappies than p-values since our student days!

But this is veterinary SCIENCE after all, and part of science is reading the occasional paper. Reading papers—beyond just the abstract and the conclusions—and with at least a little bit of discernment, does involve some degree of understanding statistics, just to make sure you’re not being misled.

So, in this episode, we’re talking about statistics, and we have the best person for the job. (Don’t skip it because of that word—I promise it’s actually quite fun!)

Dr. Steven Epstein is a Professor of Clinical Small Animal Emergency and Critical Care at the University of California, Davis. His research interests include CPR, diagnostic testing in the emergency room, and antimicrobial resistance patterns, and he loves a bit of statistics.

Join us for an easy-to-understand, practical, and entertaining update on statistics, recorded live at IVECCS 2024. You’ll even learn a nifty tip to help you (finally!) remember the difference between sensitivity and specificity!

Sign up for our ⁠⁠⁠free weekly newsletter⁠⁠⁠ to hear about my favourite 3 lessons I learnt in that week from making the podcasts.

Get access to our clinical podcast series with our ⁠⁠30% off IVECCS Special.⁠⁠

Get case support from our team at specialists in our ⁠⁠⁠⁠Specialist Support Space⁠⁠⁠⁠.

Does anyone else feel a bit powerless in those acute diarrhoea consults since we’ve learned that we shouldn’t give metronidazole? Your client has come to you for a solution, and you want to help, but there’s nothing you can give them that will really help that much. Or is there?

Our bonus episode for day three of our IVECCS 2024 highlights series might give you that magic pill you’ve been looking for… poop!

Dr. James Oldeschulte is well-acquainted with treating acute diarrhoea as an experienced ER vet, and in this conversation, he shares some freshly published data that highlights the efficacy and clarifies the practicalities of using psyllium fibre and faecal transplants in the treatment of acute diarrhoea in veterinary patients.

Sign up for our ⁠⁠free weekly newsletter⁠⁠ to hear about my favourite 3 lessons I learnt in that week from making the podcasts.

Get access to our clinical podcast series with our ⁠⁠30% off IVECCS Special.⁠⁠

A bit of a taster plate with some key takeaways from 3 of my favourite sessions today:

1. Bad wounds mean lots of work, and big bills, right? But how often are you faced with those serious wounds and a client with limited funding? ECC Specialist ⁠Dr Jenny Groover ⁠has your back with some highly practical 'plan B' treatment options that might just help you save some lives.

2. You know how you were taught never to aspirate a gallbladder? Along with adrenal glands, for most of us gallbladders are on the list of 'no 'stab' organs, but diagnostic imaging specialist Dr Marc Seitz brings us the evidence, and the experience, that will make you completely rethink some of the dogma around 'risky' ultrasound guided FNA's.

3. Did you know that you can 'patch' a hole in a popped lung with your patients own blood? Critical Care Specialist ⁠Dr Andrew Linklater⁠ gives us the when, why, and how of pleurodesis for pneumothorax in this conversation.

Sign up for our ⁠⁠free weekly newsletter⁠⁠ to hear about my favourite 3 lessons I learnt in that week from making the podcasts.

Get case support from our team at specialists in our ⁠⁠⁠Specialist Support Space⁠⁠⁠.

Get access to our clinical podcast series with our ⁠30% off IVECCS Special.⁠

I have a love-hate relationship with in-house pleural effusion analysis. Love, because it’s really quite interesting, and the results can be tremendously useful for your very sick effusion patient. Hate because it can be REALLY challenging!

But not anymore... This episode highlights some key takeaways from a very informative IVECCS session on how to get maximum information from your in-house effusion analysis to help you make quick and logical treatment decisions, including a real McGyver hack for doing advanced diagnostics on the cheap.

⁠Dr Holly Brown⁠ is a board certified clinical pathologist who works in a bustling general, referral, and emergency practice where she sees a wide variety of diagnostic submissions and enjoys playing an important role at the interface of diagnostics and patient care. Dr. Brown has always been passionate about delivering continuing education to doctors and technicians around maximizing laboratory testing, and she serves an important role as Chief Veterinary Educator for Antech Diagnostics. 

⁠Jessica Wilson-Hess⁠ is a certified veterinary technician and veterinary technician specialist in small animal internal medicine who nerds out on all things clinical pathology, including teaching other techs and nurses how to get really good at it.

Sign up for our ⁠free weekly newsletter⁠ to hear about my favourite 3 lessons I learnt in that week from making the podcasts.

Get case support from our team at specialists in our ⁠⁠Specialist Support Space⁠⁠.

Topics and Time Stamps

02:18 Importance of In-House Analysis

02:48 Understanding Pleural Effusion in Cats and Dogs

05:20 Classifying Effusions: Transudate, Exudate, and More

09:59 Sample Handling and Common Mistakes12:09 Using Analyzers for Fluid Analysis

17:04 Cytology and Concentration Techniques

24:24 Understanding Centrifugation in Cytology

25:33 In-House CSF Analysis Techniques

26:59 DIY Cyto-centrifuge Using a Salad Spinner!

30:43 Manual Cell Counting Methods

33:14 Chemistry and Effusion Analysis

38:15 Identifying Neoplastic Cells

41:46 Empowering Technicians in Veterinary Practice