The Derm Vet Podcast - podcast cover

The Derm Vet Podcast

Ashley Bourgeois, DVM, Dip ACVDwww.thedermvet.com
Tune in to make veterinary dermatology more fun than frustrating! This podcast features Dr. Ashley Bourgeois, DVM, Dip ACVD sharing practical tips on dermatologic workups you can bring to clinical practice right away. Also, stories about navigating the messy (yet beautiful) journey of being a vet mom while building a career you love.
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Episodes

278. Vasculitis with Curtis Plowgian

Vasculitis can be a tricky disease. It can be more straightforward with tissue loss at the pinnal tips, but it isn't always that easy! Lesions can vary from claw loss to paw pad lesions to hair loss. Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana for another episode! Dr. Plowgian wanted to discuss this topic after having a weird presentation in a cat... definitely strange to have vasculitis in a cat! Learn more about some of our weird vascul...

Jun 26, 202524 minSeason 6Ep. 278

277. Mentoring and preparing the next generation with Curtis Plowgian

As you progress in your career in the veterinary field, how do you help prepare the next generation? Whether you are a specialist, general practitioner, technician, etc. there are always opportunities to mentor. Curtis Plowgian, DVM, DACVD joins the podcast from Animal Dermatology Clinic in Indianapolis, Indiana. He wanted to discuss the opportunities he has had to mentor including lecturing for students at Purdue University and training residents (including one from across the world). Listen as...

Jun 19, 202523 minSeason 6Ep. 277

276. Grab Bag: pesky pyoderma

I love hearing the information you want to know! This week... I answered questions you submitted on an Instagram question sticker about pyoderma. Why does it happen? Is cytology really that necessary (hint: YES!)? When to culture? Learn the answers to your pesky pyoderma questions on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 01:09 What is the cause of Pyoderma? 02:54 Why does the crust build up? 03:42 Is it necessary to collect cytology if you see pustules? 05:37 JAK in...

Jun 12, 202516 minSeason 6Ep. 276

275. Advice from a dermatopathologist

This episode of the podcast welcomes Dr. Kelly Keating, DACVP, DACVD. Dr. Keating sees clinical dermatology cases in Las Vegas and reviews dermatopathology. So, she has experience collecting the biopsy samples herself and reading them! Dr. Keating provides insight on how to maximize your histopathology findings and work with your dermatopathologist to get a diagnosis. Nobody wants to get back non-specific inflammation! You can go to https://www.animaldermatology.com/dermatopathology-services if ...

Jun 05, 202537 minSeason 6Ep. 265

274. Itch vs. Inflammation

Itch and inflammation are terms that are often used in allergies. However, it is important to consider how the various allergy medications affect each of these aspects of management. There are so many different presentations of allergies and no one-size-fits-all protocol. Knowing when you may need a drug more anti-inflammatory and not just anti-itch is important! Between Cytopoint, Apoquel, Zenrelia, cyclosporine and steroids... do you feel confident on when to select which medication? Check out...

May 29, 202513 minSeason 6Ep. 274

273. Grab Bag: Canine Atopy with Julia Miller

She's back! Based on the success of grab bag episodes... Dr. Julia Miller is back to discuss canine atopic dermatitis! It is one of the most common diseases managed in veterinary dermatology. When do you pick a particular allergy medication? Are there allergy supplements that really work? What about ear maintenance? We answer the questions you submitted on this week's episode of The Derm Vet podcast!

May 22, 202533 minSeason 6Ep. 273

272. Grab Bag: Food Allergy with Julia Miller

We asked, you answered! Food allergy can be complicated and there so many different opinions out there. So, I invited fellow dermatologist and frequent guest on the podcast Dr. Julia Miller to discuss! Dr. Miller is a boarded dermatologist practicing in Louisville, KY. Listen as we take a practical approach regarding when to do a diet trial, what diet to use and how to work WITH (rather than AGAINST) your clients when working up a food allergy on this week's episode of The Derm Vet podcast! 00:0...

May 15, 202530 minSeason 6Ep. 272

271. Yeast Hypersensitivity

Cutaneous Malassezia (yeast) hypersensitivity shows up as a marked inflammatory and pruritic response to relatively low numbers of yeast organisms, though some dogs may also have overt infection with many yeast organisms on cytology. There is no specific criteria of how to diagnose these dogs and maintain treatment. However, there are hints of how you can look at the clinical signs and history to heighten your suspicion. Find out more on this week's episode of The Derm Vet podcast! TIMESTAMPS 00...

May 08, 202514 minSeason 6Ep. 271

270. How to be proactive instead of reactive

Allergy management is a long-term game. So, how do clinicians educate clients and use their tools to practice a "proactive" approach rather than a "reactive" approach? Check out this week's episode of The Derm Vet podcast to alter how you manage these itchy pets! TIMESTAMPS 00:00 Intro 01:54 What's a proactive mindset? 06:44 Supplements with good research 08:42 Immunotherapy 12:43 The Flare Prep 14:46 Summary

May 01, 202516 minSeason 6Ep. 270

269. When to suspect pemphigus in dogs and cats

It can be difficult to differentiate pemphigus foliaceus (PF) in certain cases. If there is a lot of infection or inflammation, it can be difficult to tell if the case is autoimmune or allergic. However, there are a few hints between dogs and cats that can give you an indication you are dealing with PF. In dogs, honey colored adherent crusting, facial lesions, nasal planum involvement and crust paw pads can occur with PF. In cats, purulent debris at the claw folds, crusting/erythema around the n...

Apr 24, 202514 minSeason 6Ep. 269

268. Skin barrier: three ways to repair it

When we talk about the multimodal approach to allergy management, a large portion of that is repairing the skin barrier. As the skin is the largest organ in the body and external, it is important to keep it healthy and hydrated. Pets with atopy have genetic defects in their skin that allow allergens to penetrate easily. But, how can you restore the skin barrier? Learn about three different ways on this week's episode of The Derm Vet podcast! 1. Topicals 2. Nutrition 3. Supplements TIMESTAMPS 00:...

Apr 17, 202518 minSeason 6Ep. 268

267. I know you hate hearing this, but Google said...

It is the dreaded conversation in the exam room... when the owner brings up what they heard from a friend, the internet, a social media group, etc. You have to control the eye roll or being super defensive because you want to the the only trusted source for medical decisions for the pet. Over the years, this topic has not scared me in the exam room anymore. I have learned to be curious (might as well know what information is out there) and empathize with the owner with how many sources are out t...

Apr 10, 202511 minSeason 6Ep. 267

266. [REPLAY] Allergy Spiel: The Atopy Talk

This week's episode is a replay! We ran into some technical difficulties with a guest episode that was scheduled for this week (super excited about this guest) and will release at a later date. Stay tuned! So... you have ruled out flea and food allergy and now it is time for THE talk. The chronic, lifelong, multimodal therapy required atopic dermatitis talk? For such a common disease, how come this spiel can be so difficult? Check out this week's episode of The Derm Vet podcast for tips and tric...

Apr 03, 202515 minEp. 266

265. When that nasty ear doesn't respond...

We have all had those super difficult otitis cases... the debris, infection and discomfort never seem to fully respond to treatment. You keep switching topicals but nothing seems to be working. This episode of The Derm Vet podcast will go over four considerations when managing a nonresponsive otitis case. 1. Infection 2. Inflammation 3. Advanced imaging 4. Surgical intervention TIMESTAMPS 00:00 Intro 01:50 Where is our infection control sitting 04:50 Inflammation 08:11 Do we need other diagnosti...

Mar 27, 202516 minSeason 6Ep. 266

264. Cats... little derm aliens

Cat dermatology is always a bit tricky. They present their allergies in so many different ways that are unique to this species. Oral lesions and asthma are not as commonly seen in allergic dogs, but often seen in allergic cats. Also, the struggle of administering medications to cats which can be more difficult compared to dogs. I always think of cats as little derm aliens... BUT, just because their management is not as straightforward, doesn't mean we shouldn't provide relief. Learn more on this...

Mar 20, 202515 minSeason 6Ep. 264

263. When to suspect a hormonal disorder in your derm case

Hormonal disorders can be very difficult to recognize in dermatology cases, especially since many of these cases have been managed for other conditions like allergies earlier in their life. So, when do you suspect a hormonal disorder in your dog patient? Age of onset, alopecia, recurrent pyoderma and weight gain discussed on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 00:25 Thank you to everyone I met this past week 02:30 How do I know if things are hormonal? 03:49 Age 06...

Mar 13, 202517 minSeason 6Ep. 263

262. Skin issues in overweight pets

Obesity has been an increasing issue in dogs and cats over the years. This could be due to increased caloric intake, reduced physical activity, endocrinopathies, etc. There are many issues that occur with obese pets: cardiac issues, joint pain, organ dysfunction, etc. However, the skin can also be included in these issues. Elbow calluses, fold dermatitis and pododermatitis can all be worse as a patient gains weight. Learn more on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intr...

Mar 06, 202516 minSeason 6Ep. 262

261. Facial fold dermatitis- diagnose, treat and maintain

With brachycephalic breeds being a common allergic patient, facial fold dermatitis is a common occurrence. Clinical signs can include facial rubbing, scratching, odor, etc. Thought it occurs frequently in these patients, it can be easy to overlook this little pocket of tissue during an exam. This week's podcast episode will go over clinical signs, diagnostics, treatment options including maintenance therapy. TIMESTAMPS 00:00 Intro 00:25 How We Should Be Evaluating Facial Fold Dermatitis 02:43 Lo...

Feb 27, 202516 minSeason 6Ep. 261

260. Client Compliance: how do veterinarians improve this?

We can feel like we put together a great plan for a pet's allergies, but if it doesn't happen then it doesn't matter. Instead of being frustrated about client compliance, how can we make it better? We have to consider the financial, physical and mental burden pet owners are going through when their pet is diagnosed with a chronic dermatologic disease. However, we must ASK what is possible... and not ASSUME. Check out some tips and tricks on this week's episode of The Derm Vet podcast! TIMESTAMPS...

Feb 20, 202517 minSeason 6Ep. 260

259. Cyclosporine: the forgotten allergy medication

There have been so many wonderful tools added to our management of allergic dermatitis in dogs over the last decade. Apoquel, Cytopoint and Zenrelia have all been medications that provide quick itch relief with a more targeted approach. However, the use of cyclosporine as an option (except for cats where it is prescribed more frequently) has dwindled. Though these new tools have revolutionized our field, allergic dermatitis is complicated and there are still some cases that respond better to cyc...

Feb 13, 202520 minSeason 6Ep. 259

258. WHAT skin lesions to look for...

Viewing several skin cases day after day can make recognizing different types of skin lesions daunting... However, evaluating skin integrity, alopecia, skin thickness, etc. can help guide the differential list and fine tune the diagnostic approach. Learn more on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 00:25 What and where when it comes to lesions 01:54 Color change 06:09 Alopecia 07:41 Thickening of the skin 09:33 Scaling 10:56 Skin Integrity 13:07 Summary...

Feb 06, 202515 minSeason 6Ep. 258

257. What does "cytology everything" mean?

A common phrase around The Derm Vet is "cytology everything". But, what does that actually mean? Looks weird? Cytology. Itchy spot? Cytology. How long to treat an infection? Cytology. Things changed? Cytology. Cytology everything! Learn more on this week's episode of The Derm Vet podcast. TIMESTAMPS 00:00 Intro 00:25 My time at VMX 04:22 Cytology Everything 06:13 Where "Cytology Everything" comes from 10:30 Rechecks 12:39 Summary/Outro...

Jan 30, 202514 minSeason 6Ep. 257

256. When to send an ear case to derm vs. surgery

As a general practitioner with a bad ear case, where do you send them... Derm or Surgery? There are some clear cut reasons like severe calcification that can lead to case being best served by surgery. However, there are other things to consider like client expectations, finances, patient compliance, etc. that are not as straightforward. Check out this week's episode of The Derm Vet podcast to gain confidence on where to refer your next difficult ear case! TIMESTAMPS 00:00 Intro 00:25 Managing Ea...

Jan 23, 202514 minSeason 6Ep. 256

255. DIETS: hydrolyzed vs novel protein

Picking a food for a diet trial can be really tough. Do you choose hydrolyzed, novel protein, home-cooked, etc.? Is there just ONE perfect diet to rule in or out food allergy? Check out this week's episode of The Derm Vet podcast to learn the ins and outs of selecting a diet. TIMESTAMPS 00:00 Intro 00:25 Novel Protein vs Hydrolyzed 03:36 Changing the diet 07:11 Hydrolyzed Diets 11:13 Why would you choose novel protein? 12:41 Realize that every pet is an individual 14:20 Summary/Outro...

Jan 16, 202515 minSeason 6Ep. 255

254. Anal Sac issues and gut health: how Glandex can help

Our first interview of the New Year! I'm very excited to interview Dr. James Bascharon. Dr. Bascharon is a veterinarian and CEO & Founder of Vetnique. He is the inventor of Glandex®, a patented formulation and the first medication of its kind for pets with anal sac/gland problems. Anal sac issues are a frequent problem for our pets and can negatively affect the lives of the pet owners. Nobody wants to see their dog scooting or be surprised by that "fishy" smell. This episode goes over the ne...

Jan 09, 202537 min

253. New Year, New Derm

As we welcome in the year 2025... there are some ways we can change the practice of veterinary dermatology. Sure, we hope for continued new products, diagnostics, etc. However, there are simple changes that can make right now that will make your practice of dermatology more fun and impactful! Learn the 5 ways on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 00:25 New Year, New Derm! 02:10 Be Open 07:21 Understand Your Drugs 10:12 Innovate 12:58 Learn 16:02 Don't Get Stuck i...

Jan 02, 202523 minSeason 6Ep. 253

252. We need to calm down! Releasing the pressure of derm perfection

With the end of the year comes a lot of reflection... and stress. Working on chronic dermatology cases can provide frustration as many medications and differentials aren't always a slam dunk on the first exam. So, ending the year on a more positive note, learn how derm workups and medication selection aren't perfect for specialists either. Selection of diagnostics and drugs can be trial and error in certain patients... and that's okay.

Dec 26, 202411 minSeason 6Ep. 252

251. How cats and dogs are different with distribution

Cats and dogs are very different with their skin lesions and distribution is no different. If a dog presents with claw fold disease, the list of differentials is much better than a cat with claw fold skin disease. Throw in oral lesions and otitis... and we have to recognize how there are differences in how we create differential lists. Learn more on this week's episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 00:25 Distribution of lesions between cats and dogs 02:05 Claw Fold Disease 05:5...

Dec 19, 202414 minSeason 6Ep. 251

250. Ear disease- quick way to be complete

It can be hard in a busy practice to fully work up and treat recurrent otitis. I wanted to provide a quick and easy way to reimagine these cases when they walk into your door. When you see an ear case, I want you to think of two Is and two Ws. What are they? Infection Inflammation Wash Why Check out more on this quick and dirty episode of The Derm Vet podcast! TIMESTAMPS 00:00 Intro 00:25 Ear Disease: Two I's and Two W's 01:04 Infection 02:18 Inflammation 03:55 Wash 05:45 Why 07:14 Summary 08:00...

Dec 12, 20248 minSeason 1Ep. 250

249. What GPs wish derms knew about the cases they refer

I asked and you delivered!!!! I wanted to know what general practitioners wish dermatologists knew before they referred a case. You gave me lots of great points! A recurring theme in my responses... write it down! If an owner declines a diagnostic, medication, referral, flea prevention, etc. make sure you write it in the record. If it is there, then we will know the recommendation was made. We all want to be on the same team with these chronic derm cases! Check out this week's episode of The Der...

Dec 05, 202419 minEp. 249
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