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Client communication can make or break even the best dermatology treatment plan...

In this episode of The Derm Vet Podcast, I answer a listener's question about improving cytology skills in veterinary practice before diving into one of the most valuable communication frameworks I've found for challenging client interactions: The 5 E's.

Whether you're discussing chronic allergies, recurrent skin infections, or complex treatment plans, frustrated clients are inevitable. The key is knowing how to navigate those conversations with confidence!

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
01:14 Itch Inquiry
03:10 The 5 E's in Dealing with Frustrated Clients
03:40 Empathize with the Client
05:47 Expectations
07:08 Expense
08:14 Effort
10:23 Encouragement
12:18 Summary/Outro

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In this episode, I tackle some of the most common (and challenging) questions surrounding the diagnosis, treatment, and long-term management of canine otitis externa. From maintenance therapy protocols and cleaning strategies to biofilm management, chronic stenosis, ear cultures, and the role of AI-powered cytology, I share practical insights you can apply in everyday practice.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
01:25 Itch Inquiry: For maintenance therapy, do you suggest using a combination product weekly as maintenance?
04:30 What is your favorite product as a cleanser when the patient has biofilm?
06:51 How do tackle chronic stenosis?
09:12 What is your favorite maintenance cleaning product?
10:31 When dogs have recurrent otitis, how often do you suggest maintenance cleaning?
12:37 What do you think of the various AI cytology machines?
14:27 What is the usefulness of an ear culture for otitis externa?
16:15 What do you consider for broad spectrum treatment for otitis?
17:40 Besides ear flushing, what other treatments do you use for maintenance?
18:18 Outro

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Can cats safely take Apoquel or Zenrelia? In this episode, we take a deep dive into the use of JAK inhibitors in feline dermatology, exploring the science behind atopic disease, practical treatment considerations, and the realities of off-label medication use in cats.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
01:31 Itch Inquiry: Atopic Dogs and the pathophysiology
04:22 JAK Inhibitors and Cats
05:58 Using Apoquel with a Cat
08:58 Using Zenrelia with a Cat
10:53 Dosing These Medications in Cats
12:35 Lab Work Monitoring the Cats
14:02 The Risk
14:25 The Duration
15:40 Discussion of Off Label Use with Owners
16:58 Outro

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Skin barrier is having a moment... and for good reason. In this episode, I break down why restoring the skin barrier is a non-negotiable piece of the multimodal approach to managing atopic dermatitis in dogs and cats, and more importantly, how to actually do it when your clients can't keep up with a bathing schedule.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
00:45 Itch Inquiry: Recurrent Yeast Otitis
01:37 Antifungal Resistance in Malassezia
03:54 Underlying Allergies and Immunotherapy
06:29 Paronychia
07:19 Toothpick vs. Tape Methods
09:30 Treatment for Yeast
15:35 Summary/Outro

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A new JAK inhibitor has officially entered the veterinary market but where does it fit into managing allergic dogs?

In this episode of The Derm Vet Podcast, I sit down with boarded veterinary dermatologist Dr. Christine McKinney from Merck Animal Health to discuss Numelvi, the newest JAK inhibitor approved in the United States for canine allergic dermatitis. We break down what makes this medication unique, how it compares to other allergy therapies, and why having multiple treatment options matters when managing complicated allergic patients.

We also dive into practical approaches for itch control, infection management, and building confidence when treating chronic allergy cases in practice. If you manage itchy dogs regularly and want to stay up to date on the latest dermatology treatments, this episode is packed with valuable clinical insights.

Watch The Episode: https://www.youtube.com/@thedermvet3932
Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/
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Timestamps and references:

7:26: At the recommended treatment dose, Numelvi is at least 10X more selective for JAK1 over the other JAK enzymes in in vitro assays. Reference: Kowalski T, Schuette S. The second-generation Janus kinase inhibitor atinvicitinib is a potent and highly selective inhibitor of JAK1. Vet Dermatol. 2026;37(2):179.

8:03: At the recommended treatment dose, Numelvi is at least 10X more selective for JAK1 over the other JAK enzymes in in vitro assays. Reference: Kowalski T, Schuette S. The second-generation Janus kinase inhibitor atinvicitinib is a potent and highly selective inhibitor of JAK1. Vet Dermatol. 2026;37(2):179.

8:07: JAK1 is the primary driver of itch and inflammation. Reference: Huang I, Chung W, Wu P, Chen C. JAK-STAT signaling pathway in the pathogenesis of atopic dermatitis: an updated review. Front Immunol. 2022;13:1068260

10:36: At the recommended treatment dose, Numelvi is at least 10X more selective for JAK1 over the other JAK enzymes in in vitro assays. Reference: Kowalski T, Schuette S. The second-generation Janus kinase inhibitor atinvicitinib is a potent and highly selective inhibitor of JAK1. Vet Dermatol. 2026;37(2):179.

21:52: Numelvi, starts reducing itch within 2-4 hours in a canine interleukin-31 (cIL-31)-induced pruritus model Reference: Kowalski T, Prohaczik A, Locke K, Samson C, Hope K. The second-generation Janus kinase inhibitor atinvicitinib significantly reduces pruritus 2-4 hours after dosing dogs in a canine interleukin-31 model. Vet Dermatol. 2026;37(2):179-180.

23:13: Numelvi, starts reducing itch within 2-4 hours in a canine interleukin-31 (cIL-31)-induced pruritus model Reference: Kowalski T, Prohaczik A, Locke K, Samson C, Hope K. The second-generation Janus kinase inhibitor atinvicitinib significantly reduces pruritus 2-4 hours after dosing dogs in a canine interleukin-31 model. Vet Dermatol. 2026;37(2):179-180.

Timestamps
00:00 Intro
02:29 The Complexity of Canine Allergic Dermatitis
06:44 What is Numelvi and How Does it Work?
13:50 Dosing Guidelines and Tablet Specifications
16:57 Candidate Selection and Infection Control
21:37 Onset of Action and Efficacy Timeline
24:08 Final Thoughts

This episode is sponsored by Merck Animal Health

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Skin barrier therapy has become one of the hottest topics in veterinary dermatology but with so many sprays, spot-ons, mousses, collars, and topical products available, it can be difficult to know what actually works and when to use them.

In this week’s episode of The Derm Vet Podcast, we dive into the concept of skin barrier support and why managing allergic skin disease goes far beyond simply treating itch. I break down different categories of topical therapies, including AtopiVet products, spot-on formulations, mousse therapies, and skin care collars, while discussing how these products can fit into a multimodal dermatology plan.

Watch The Episode: https://www.youtube.com/@thedermvet3932
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Timestamps
00:00 Intro
01:40 The Itch Inquiry: Skin Barrier and Beyond Topicals
04:48 AtopiVet Products
08:04 Spot-On Products
09:23 Mousse Products
10:19 Skin Care Collar
12:44 Outro

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In this episode, I dive into the diagnostic approach and long-term management of sterile nodular panniculitis in veterinary patients. We discuss everything from sampling claw folds and interpreting flaky cytology samples to biopsy techniques, infectious disease rule-outs, and when to consider JAK inhibitors as part of a treatment plan.

If you’ve ever struggled with diagnosing challenging nodular cases or navigating long-term management decisions, this episode is packed with practical clinical insights you can apply in practice.

Did you know you can submit a question or voicemail to the show by using the link at the top of the show notes? Send me any and all questions to be featured on an episode!

Watch The Episode: https://www.youtube.com/@thedermvet3932
Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/
Follow Me: https://www.instagram.com/thedermvet/

Timestamps
00:00 Intro
01:14 Itch Inquiry: Sampling Claw Folds and Flaky Samples
06:00 Identifying Sterile Nodular Panniculitis
08:54 Diagnostic Approaches and Biopsy Techniques
09:56 Ruling Out Infectious Causes
12:53 Use of JAK Inhibitors
16:19 Long-term Management
19:49 Outro

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In this episode, I tackle one of the most important — and often most challenging — conversations in veterinary dermatology: the diet trial discussion. We break down common client concerns, why compliance can be difficult, and how veterinarians can better communicate the value of diet trials in diagnosing food allergy cases.

Did you know you can submit a question or voicemail to the show by using the link at the top of the show notes? Send me any and all questions to be featured on an episode!

Watch The Episode: https://www.youtube.com/@thedermvet3932

Follow The Derm Vet Podcast: https://www.instagram.com/thedermvetpod/

Follow Me: https://www.instagram.com/thedermvet/

Timestamps
00:00 Intro
01:04 Itch Inquiry
07:20 The Diet Trial Conversation
09:45 Tip #1: Explain the "Why"
11:06 Tip #2: Treat it as a Diagnostic Test
14:26 Tip #3: Short-Term Pain for Long-Term Gain
15:37 Tip #4: Challenging the Diet to Get Answers
18:54 Summary
20:38 Outro