When a dog is scratching, chewing, rubbing, or licking a part of its body it is more likely than not an itchy and uncomfortable dog. Blaming these signs to a behavioral disorder, like an OCD or attention seeking problem is doing the pet a disservice. 

There are other more common reasons why a dog will be itchy, like bacterial or fungal infections, parasites like mites (mange), ectoparasites like fleas, allergies to food or pollens and many others. It is important to rule out these causes first before diagnosing a behavior disorder.

It makes me sad when I hear or see dogs that have been itchy for years and it was all blamed on a behavioral problem that just did not exist.

If you have an itchy dog, see a veterinarian or vet dermatologist. You can find a dermatologist near you at: www.acvd.org

Share this with someone you think needs to know this. 

#vetdermatology #petdermatology #itchydog #petowner #petownersofinstagram #miamivet #miamivetderm #gotitchypet #vetmedicine #dermatologiaveterinaria #itakecareofitchypets
It is a huge win when a client gets on board with flea prevention. 

My flea spiel…

You do not have to see a flea on a flea allergic pet to diagnose flea allergy.  The mere distribution (i.e. rear half of the body) and severity of the itchiness is enough for diagnosis.

I live in Florida, and Florida has the perfect climate for fleas. Fleas live here year round. 

Flea allergic pets, especially cats, are so itchy, and overgrooming or licking or chewing so much that they find the flea, eat it and evidence gone.

Fleas do still get on pets that are indoors.

Fleas can hitchhike a ride in our clothes and then get on a dog or cat that is indoors.

You will not see fleas on you because fleas prefer to live on animals.

Just because you are not getting flea bites does not mean that they are not on your pet.  Again, fleas prefer animals.

A flea allergic pet does not need 100 fleas to cause a problem it can only just be a few.

Fleas move fast and not easy to see, even in a white short coated pet.

And usually, the one that I think sometimes seals the deal... “I would rather give your pet an allergy that I can easily control, than diagnose it with environmental allergies which usually means life long allergy medications and a life of ups/downs with flare ups. You will be in my office quite frequently as we manage your dog’s allergies. So humor me and let’s start on flea prevention and let’s see how your pet does.”

 

#fleaprevention #fleas #fleaallergy #vetdermatology #petdermatology #petskinproblems #petowner #petownersofinstagram
This is a dog with bacterial folliculitis over its dorsal trunk. 

These lesions are often called hot spots, but they are not hot spots. Hot spots are singular moist erythematous acute lesions usually on the rear dorsum or side of the face.

These lesions are also confused with a ringworm infection because of the circular pattern, but it is not a ringworm infection. 

Bacterial folliculitis is secondary to an underlying cause like allergies or in middle aged  to older dogs can be due to endocrine disorders like Cushing’s or hypothyroidism. 

These lesions can be itchy, but I have seen this presentation not be itchy as well. 

These lesions are quite common in short, coated breeds, like Frenchies and English Bulldogs.

These lesions resolve with antibiotics, but then relapse within weeks to months because the underlying cause is not addressed.

I know you are seeing this in your practice, it is such a common presentation for a bacterial skin infection. What questions do you have about these cases?

Share this with someone who has a dog with these types of lesions.

 
#bacterialfolliculitis #vetdermatology #petdermatology #vetmedicine #dogskinproblems #petowners #petownersofinstagram #englishbulldogs #frenchbulldog #miamivet
Whose had one of those days when they get home from work? One of the worst smells, next to Pseudomonas ears is tail fold pyoderma. OMG the smell that comes out of these infected tails is atrocious.

How to manage these cases? These tails often need systemic antibiotics and/or antifungal medications to treat the secondary infection. Topical therapy, like medicated shampoos to clean the tail fold is also essential if the dog lets the pet owner even get near its tail. With that said, pain medication and even steroids are necessary. Then once you have the infection resolved, the dog will need constant maintenance cleaning of the tail with either shampoos or wipes. Steroid topicals like lotions, sprays or powders may also be helpful. If medical therapy does not work to keep the infection away, then tail amputation is necessary. I know it sounds awful to recommend this to a client, but it truly is the best thing for the pet for long term relief and comfort.

 

#whatsthatsmell #vetmedlife #tailfold #englishbulldogs #bulldogproblems #screwtail #vetdermatology #petdermatology #petowner #petownersofinstagram #miamivet
Little by little things are coming together with the new clinic.  My to-do- list is getting shorter. Phew! Preparing for a little open house party some time in March. Stay tuned! 

Showing off my new wave 🌊🌊colored @fableticsscrubs.  Comfortable and style in one pair of scrubs. 

#FableticsPartner #FableticsScrubs #ScrubsMadetoMove 
#vetclinic #miamivet #miamivetderm #vetmedicine #vetmed
The biggest myth about bathing dogs, especially allergic dogs, is that bathing will dry out the skin and cause the pet to be itchy.  Nothing could be farther from the truth. I mean this could happen with the wrong shampoo with ingredients that dry the skin. But with the right shampoo, this is unlikely to happen. 
 
WE NEED TO END THIS MYTH RIGHT NOW because there are many allergic dogs out there suffering with itchiness, who will get a lot of relief from getting a bath. The common feedback I get from clients who start the bathing regimen is that for 24-48 hours after the bath their allergic dog is minimally itchy. 
 
 
What ingredients in shampoos will dry out the skin? Watch for benzoyl peroxide, sulfur, salicylic acid, tar (not so common anymore)
 
What shampoo should I use? I recommend brands that do studies on their products like Virbac, Duoxo or Dechra. I might be missing a few others. Most of these shampoos have ingredients that also restore the skin barrier.
 
How often should I bathe my allergic dog? I recommend at least once a week. However, if a dog is infected with bacteria and/or yeast on its skin I recommend more baths like twice a week. If a dog is having an allergy flare up, I always recommend stepping up on the baths.
 
What if I cannot bathe my dog? This is a tough one because I do think baths are crucial in the maintenance care of an allergic dog. Spot treatment of the itchy areas may help. Can you get help from a neighbor or a high school student? How about the groomer? (ok, I know this can get expensive, but it might mean less vet visits).
 
Bathing does the allergic dog good. If you have not tried this for your allergic dog, try it for one month and let me know if it helps. Bathe, bathe, bathe.
 
Share this with a pet owner that has an allergic dog that needs a good bath.
 

What general questions do you have on baths and allergic dogs?
 
#vetdermatology #petdermatology #vetmed #dogshampoo #petsofinstagram #petowners #petownerproblems #dogbath #allergicdog #miamiveterinarian #miamivetderm #itchydog
Did you know that Apoquel can be used for short term and long-term control of allergic itchiness in dogs? 

Apoquel can be used for a few days for acute itchiness due to a hot spot lesion. It can be used for a few weeks to give relief to that itchy flea allergic dog. There are some atopic dogs that are seasonal and Apoquel can be used during the pet’s allergy season for a short period of time.

If a dog presents with nonseasonal itchiness that has been present for several months, Apoquel can be used while you are figuring out if the pet has a food allergy. Diet trials do not work immediately, and it is important to keep the pet comfortable at the beginning stages of the food trial. Of course, the Apoquel needs to eventually be discontinued so that you can observe if the food trial is working or not. 

Long term use of Apoquel is reserved for dogs with atopy or environmental allergies. Atopy is an allergy that cannot be easily controlled and dogs require lifelong allergy medications to stop them from being itchy and destroying their skin. A lot of atopic dogs are year-round itchy, so that does mean year-round use of Apoquel.

It is important before placing a dog on Apoquel long term that the patient is worked up to rule out flea allergy and food allergies. Flea allergy and food allergies are easily controlled with flea preventatives and the right food, respectively, so the dog does not require allergy medications indefinitely. 

It is important that if a dog patient needs lifelong Apoquel that it is done for the right disease, like atopy. 
 
#vetdermatology #petdermatology #gotitchypet #dogallergies #apoquel #petsofinstagram #petowners #petownersofinstagram #vetmedstudent #vetmedicine #dermatologiaveterinária
All pets with an ear infection need a cytology done of their ears to see if the infection is due to yeast or bacteria. 

Bacteria on cytology will either be cocci or rod shaped. 

Cocci shaped bacteria  is usually a Staphylococcus infection. However, rods on cytology can indicate a Pseudomonas infection. This bacteria can be difficult to treat due to their multi drug resistant genes.  Therefore, it’s important to culture an ear with rod bacteria to confirm if you are dealing with a Pseudomonas infection.  I suggest letting the lab know you suspect this bacteria. 

#dogearinfections #pseudomonas #earcytology #vetdermatology #petdermatology #miamivetderm #gotitchypet #vetmedicine  #petowners #petownersofinstagram
Dog foods at the pet store that say, “sensitive skin,” or “limited ingredient” are not formulated to evaluate pets for food allergy. The only reliable way to assess food allergy is through an elimination diet trial using a prescription novel protein or hydrolyzed protein diet or a home cooked novel protein diet. 

The concept of a diet trial is to feed the pet a food that has ingredients the pet’s body has not seen before. A pet cannot have an allergy to a food ingredient it has never eaten before. The dog eats the food strictly over a 3-month period and we watch to see if the allergy signs improve and resolve.

There is a lot of misinformation among pet owners and even with some veterinarians that PET STORE diets are adequate to test for food allergies. Unfortunately, they are not good enough. The biggest issue with the “sensitive skin” diets is that these do not have a novel protein source. The issue with the “limited ingredient” diets is that there can be cross contamination with other food ingredients that the food company makes. In addition, there is mislabeling of pet foods, where these pet store foods may contain ingredients not listed on the bag.

The ideal diet trial is a home cooked novel protein food because the pet owner has complete control of what is put into the food. Home cooking, however, is not convenient for many pet owners, and therefore we have prescription diets with novel protein or hydrolyzed protein diets available. 

Be wary of the “sensitive skin” and “limited ingredient” pet store diets to rule out food allergy in pets. Please talk to your vet to see if a diet trial with a prescription food is necessary for your itchy pet.

Share this with someone that suspects they have a pet with food allergies.

#vetdermatology #petdermatology #gotitchypet #miamivetderm #vetmedicine #dogfood #dogfoodallergies #foodallergyinpets #petowners #petownersofinstagram
I had a client today tell me that she applies left over Posatex into her dog’s ear when she sees it red. 

I cringed! And then I had a conversation about how applying left over ear medication is wrong, especially one with a fluoroquinolone antibiotic. 

Most ear medications for pets have three ingredients: an antibiotic, an antifungal and a steroid. 

Application of left over ear medication can lead to resistant bacterial infections in the ear because of the inappropriate use of the antibiotic in that ear medicine. 

No left over ear medicine should be applied into a pet’s ear unless a veterinarian examines the ear and does an ear cytology to confirm an infection is present.  The ear can appear red for many other reasons like say an allergy and require other topical or oral therapies to help with the inflammation.  For example, if I have a red ear with no infection I may use an ear wash or a topical ear medicine with just steroids to help reduce the inflammation. 

Share this with someone that has a dog with ear infections. 

#dogears #dogearinfection #dogmedicine #petowners #learnoninstagram #dontdothis #vetdermatology #petdermatology #vetmedicine #medicinaveterinaria #vet
This is a 12-year-old FS Yorkie that started to become pruritic last summer. She did not have any skin issues prior to the summer. Lesions were initially crusts throughout the trunk, which did not respond to antibiotics and allergy medications like Apoquel and Cytopoint. About 2-3 months ago, a growth started to appear on the side of the mouth. You can see on this video the lesion on her muzzle, but most importantly take note of the nodular to plaque lesions on the underside of her body. These lesions are not typical for allergies and taking into consideration the age of this patient, we were concerned with skin cancer. Biopsies of her skin confirmed the diagnosis of epitheliotropic lymphoma. This case is a reminder that not all itchy dogs have allergies, especially an older dog that never had skin problems before.

This skin cancer has a poor prognosis. Most cases are euthanized within 6 months because the lesions are unresponsive to therapies and these pets are just so uncomfortable with their itchiness and festering lesions.

For this patient we decided to try palliative therapies, because the owners were just not ready to let her go. We hope to see her back in a few weeks in a much more comfortable state.

#vetdermatology #petdermatology #vetmedicine #medicinaveterinaria #dermatologiaveterinaria #cancersucks #petswithcancer #skincancer #olddogsofinstagram #olddog #yorkiesofinstagram #yorkies #petowner
This is the paw of a dog with environmental allergies. 

It is not uncommon for me to see paws with this yucky looking material on the bottom of the feet or white greasy sticky material between the toes.  What is this? Is it dirt?  Yes, there could be some dirt.  Debris from the ground can combine with dead/sloughed skin cells and oils from the skin and make this gunk between the toes. The material can be odorous and irritating to the pet.  In a dog that is allergic, add on some saliva from excessive licking or chewing and it makes a nice moist environment for bacteria or yeast to grow on that paw. 

When bacteria and yeast infections develop it makes the skin even itchier.  For dogs with environmental allergies that lick their feet, I always advise pet owners to wash well between the toes and bottom of the feet.  Foot soaks are just not enough to remove the gunk that is on the paw. 

I recommend using a medicated shampoo. I have posted about good brands like Dechra, Duoxo and Virbac. 

#dogpawproblems #pododermatitis #paws #petowners #bulldog #vetdermatology #petdermatology #vetmedicine #dermatologiaveterinária #medicinaveterinaria
Hey! Quick update …
 
Finally got the permits and licenses needed to open my clinic! Yay!
 
Happy to have been able to start seeing appointments! Yay! 
 
Saw patients for 3 days, and then I got COVID. Ugh! 😩
 
So, I had to close the clinic to patients🤦🏽‍♀️. The rest of the family got COVID.  We were all stuck at home 🤦🏽‍♀️
 
But this week I am back at my new clinic. Good to get back into the normal groove of things. Yay again! 
 
Still so many little things coming up with the new place.  I hear this is normal once you have your own clinic, but it is still frustrating. Any advice?🙏🏻
 
Wanted to share a highlight of this clinic… this painting by @andeeaxetheartist that is in my lobby.  Love the colors and all the different doggies. Looking forward to putting up more original artwork in the weeks to come. 
 
Finally… I am wearing @fableticsscrubs, new onyx color. I know the jogger style scrub pants are so popular but this time I am wearing the ion scrub pants.  I really like the sleeker and form fitting look.  Like all fabletics scrubs, it feels soft and comfortable; and most importantly functional for vets like me that like to get on the floor to examine patients. You need to get this!
 
#fableticspartner #scrubsmadetomove #fableticsscrubs #vetdermatology #vetmedicine #businessowner #vetbusinessowner #womanbusinessowner #vetclinic
Happy Holidays! It has been a very hectic few weeks getting my new clinic ready to open. I knew this entire process was going to be hard but did not realize just how hard it would be. Like how many permits and documents does a municipality and county need to just exist as a business? Yikes!
I hope to be back at the beginning of the year with dermatology content but for now I will be taking a break until I get myself better situated.
Hope everyone is enjoying the holidays!
 
#vetdermatology #petdermatology #happyholidays2023 #merrychristmas #fableticsscrubs #fableticspartner #scrubsmadetomove
Here is my take on why you should be cautious with the use of oral corticosteroids on a patient with a pyoderma. Steroids are powerful. Steroids have strong anti-inflammatory properties that will quickly take away the itchiness, redness and reduce the size and eliminate the bumps associated with an infection. Most often the quick response you see when you combine a steroid and antibiotic for a pyoderma is not due to the antibiotic, but the steroid. This gives a false sense of improvement. It makes it look like the skin infection has resolved, only to find that once the medications finish the skin lesions relapse because the anti-inflammatory effects of the steroids are gone. It is hard to evaluate if an antibiotic is working for an infection when it’s combined with an oral steroid because of the steroid’s anti-inflammatory properties. 

I understand the need to jump to using steroids when the skin looks so inflamed and the patient is very itchy. If it must be done, I recommend a short 1–2-week tapering course of an oral steroid at an anti-inflammatory dose. But note, it is important to continue the antibiotics past the steroid discontinuation.

Steroids at high doses or with repeated use can impair the immune response to the infection and can lead to resistant bacterial infections. Combine this with improper use of antibiotics (i.e., improper dose and dosing), and it is common for me to see resistant bacterial infections in dogs with this type of treatment mode.

Other drugs to consider for reducing itchiness is Apoquel or Cytopoint. You may be surprised that just starting the patient on an antibiotic alone and doing good antibacterial baths is enough to take the itchiness and inflammation away. Doing this may be enough to make the pet comfortable without the need for steroids. 

And please, avoid the use of long-acting injectable steroids for pyoderma. No Depo Medrol please!

#dogskinproblems #corticosteroid #petowners #petownersofinstagram #petdermatology #vetdermatology #vetmedicine #dermatologiaveterinaria #learnoninstagram
This is a 13-year-old male dog that has had skin problems for the last 8 months.

I know one can be quick to jump to allergies as a cause when we see a dog itchy, but the signalment and the time the skin problem started mattered in this case.

This dog was diagnosed by its primary vet with hypothyroidism a year ago, but the owner had been having a tough time administering the thyroid medications properly and it didn’t appear that this dog was well regulated.

Hypothyroidism can make a dog prone to secondary bacterial and yeast skin infections. Skin infections can make a pet very itchy.

Besides doing cytology to look for infections, we skin scraped this dog, and found that he also had demodectic mange. It is not normal to see mange in an older dog and it is often a sign of immunosuppression, which may be due to the hypothyroidism.

When an older dog has skin problems, I recommend performing a full blood work panel: CBC/Chemistry and Thyroid panel (that includes Free T4, Total T4 and TSH) to look for signs of an endocrine disorder. 

 

#olderdogskinproblems #olddogskin #demodex #hypothyroiddog #petdermatology #vetdermatology #dermatologiaveterinaria #vetmedicine
Is this a lot of medication? Is this excessive? I do not think so.  Some allergic dogs need this amount of care to keep their allergies controlled. Environmental allergies or atopy is a condition that will never go away. It can only be managed. Once your pet is diagnosed with this allergy it will need constant care. It is no different than a dog with diabetes that needs insulin for the rest of its life, atopic pets need maintenance care for the rest of their lives so that they stay comfortable and minimally itchy. A weekly bath, a weekly ear cleaning, daily allergy medicine, +/- allergy vaccines (or immunotherapy) and +/- supplements. Keeping up with this care avoids visits to the vet’s office.

These are some of the brands of meds that I use, but there are so many others that are just as good! Please speak to your veterinarian about medications for your allergic pet.

Do you have an atopic dog? What are you doing for its maintenance care?

#atopicdogmeds #atopymeds #allergyindogs #petowner #petownersofinstagram #petdermatology #vetdermatology #dermatologiaveterinaria #vetmedicine
I asked my team what is the best part of working in dermatology.  I did not prompt them with the question.  I was surprised that my entire team had pretty much the same answer!!!
 
So …. It is not just me; it is my entire team that work together to help transform pet life’s. 
 
#igquestion #bestpartofmyjob #petdermatology #vetdermatology #vettech #vettechlife #prevetlife #vetstudent #vetmedicine
This was a tough case.  It took about 5 months to get this dog better. 

This 5 year old male neutered atopic bully dog was a self-referral case. 
 
He had been on and off antibiotics for some time. 
 
He had been on every allergy medicine (Apoquel, Cytopoint, Cyclosporine and steroids), even immunotherapy and still had these draining lesions on his legs and worse on his paws.
 
Why weren’t the allergy medicines working? Why was he still so itchy and painful? 
 
It’s because he had a deep skin infection that based on a tissue culture showed it was due to a resistant bacterium. The culture report showed that the commonly used antibiotics would not work on this infection. 
 
Getting him on the right antibiotic for the right length of time made the biggest difference. 
 
Clearing up the bacterial infection allowed his allergy to be managed better. 
 
Do you want to be good at dermatology? My advise to you: learn as much as you can on treating skin infections. 
 
 #dogskinproblems #dogskininfection #bullydogsofinstagram #bullydogproblems #bullydog #petowner #bullydogowner #petdermatology #vetdermatology #dermatologiaveterinaria #vetmedicine
A few months ago, I posted about my newly adopted dog Shadow. 

I adopted him already knowing he had heartworm disease. 

He went through his treatment and has been doing very well. 

I wanted to share about his follow up appointment with cardiologist Dr. Prosek @floridavetcardiology and once again make awareness on heartworm disease. 

Do not forget to put your dog on heartworm prevention. 

#heartwormsurvivor #heartwormprevention #heartwormdisease #pleaseadopt #vetcardiology #vetmedicine
On this day of thanksgiving… I am thankful for my family, my friends, an amazing work team and a career that brings me so much fulfillment. 

A special thanks to my IG followers whose support of my posts and the value they see in those posts keeps me going on this platform.  Happy thanksgiving to all 🧡🧡🧡🧡

#thanksgiving #thanksgiving2023 #thankful #lovemyfamily #lovemyjob #petdermatology #vetdermatology #dermatologiaveterinaria #vetmedicine
It is time to let the cat out of the bag. Lol.  And show you what’s been keeping me so busy. 

It is with excitement and in all honesty a lot of nervousness that I share this news with all my IG followers - my new dermatology clinic is scheduled to open January of 2024. 

#vetclinicmiami #miamiveterinarian #miamivet #businesswoman #businessowner #vetdermatology #petdermatology
There is no doubt that coming to see a dermatologist can be expensive for a pet owner. Depending on the severity and chronicity of the skin and/or ear problem the number of diagnostics needed to figure out what is causing the patient’s dermatological issues can be costly for pet owners. I am fully aware that pet owners have spent a lot with their primary vet already. And even though I do my best to work with a client’s financial means, it does help when I can do all the diagnostics necessary for the patient, we get to the bottom of things much faster.
 
#getpetinsurance #vetdermatology #petdermatology #petinsurance #dermatologiaveterinaria #petowner #petownersofinstagram #vetmedicine #dancingboy
There are conditions other than allergies that can cause skin problems.
 
Cushing’s disease is an endocrine or hormonal disorder that can make a dog prone to recurrent bacterial skin infections. These patients are not typically itchy to begin with but can become itchy if the infection gets extensive. A typical scenario is you treat the pyoderma, but shortly after antibiotics are finished the infection comes back. Cushing’s is a condition where the adrenal glands produce too much cortisol. Common signs seen with Cushing’s are excessive drinking, urination, appetite, and panting. This is a condition common in middle age to older dogs, particularly small breeds like Poodles, Dachshunds, Yorkie, and Maltese. Common medium to large dog breeds are Beagles, Cocker spaniels and Boxers. Besides recurrent skin infection, other dermatological signs of Cushing’s are thinning of the skin, comedones (blackheads), symmetrical hair loss or thinning of the coat over the trunk.
 
Another dermatological sign to watch out for in Cushing’s dogs is calcinosis cutis. This is a rare condition where the skin calcifies. The calcium deposits formed in the skin cause a lot of inflammation that will often lead to secondary bacterial infections. In my experience the skin infection is deep. The video shows a dog with this condition. It has taken weeks of antibiotics, medicated baths and a product called DMSO to dissolve the calcium in the skin. This patient still has a long way to go to be fully resolved of its calcinosis cutis condition. It is important for the Cushing’s to be properly controlled so that the calcinosis cutis condition does not continue to occur on the skin. This is a very frustrating condition to manage, which can leave a dog’s skin scarred.
 
#cushingsdisease #calcinosiscutis #deepskininfection #notallergies #petdermatology #vetdermatology #dermatologiaveterinaria #vetmedicine #learnoninstagram #poodlesofinstagram #dachshundsofinstagram #yorkiesofinstagram #malteseofinstagram
The pustular/papular lesions on this dog are due to an autoimmune skin condition called pemphigus foliaceus. I can see how these lesions could confuse a veterinarian to think this is a pyoderma. 

Cytology of the lesions may show bacteria if there is a secondary bacterial infection.  However, treatment with antibiotics does not completely resolve the lesions as you would expect in a pyoderma case.  Cytology may show acantholytic cells, which are round, darkly staining nucleated keratinocytes, but these cells do not always have to be present in pemphigus. And, if you are not comfortable with cytology you may miss the acantholytic cells. 

If you find yourself with a case like this consider a culture of the lesions to rule out a resistant bacteria, make sure your are not dealing with demodex mites or dermatophyte which can present clinically as pustule or papules, and if that’s been ruled out then biopsy. The best diagnostic to definitively diagnose pemphigus is a biopsy. 

I have two cases in the last few months of dogs being treated for a pyoderma that was just not going away. Patients were treated with allergy medications, but they were still not improving. Cultures of the skin did not grow resistant bacteria.  So why were there still lesions on these dogs?  It’s because both had autoimmune skin disease, pemphigus foliaceus.
 
#papule #pustulesontheskin #pemphigusfoliaceus #autoimmuneskindisease #notallergies #vetdermatology #petdermatology #dermatologiaveterinaria #vetmedicine #thinkingoutsidethebox
It is November, and in many cities across the United States the cool fall weather abounds. In Miami, Florida, November means warm (not blistering hot) weather with a slight breeze here and there. So, what fun to have these new Caribbean Blue scrubs from @FableticScrubs to enjoy the season in South Florida. This time I got a different scrub top than what I normally wear, and I love the style.

Another peek into my workday… another day of dogs bigger than me! Yikes, it is great that I have #scrubsthatmove.

Happy November!

Thank you to my vet tech, Kim and Kathy for helping with these videos. 
And tell me this is not one of the best eighties songs ever! LOL. 
 

#FableticsPartner #FableticsScrubs #workday #vetscrubs #petdermatology #vetdermatology #myworklife #vetmedicine #veterinarymedicine #dermatologiaveterinaria #ilovethissong
Sometimes it looks like a yeast infection, but cytology says otherwise.

These are two cases that when I was examining the pet I thought there had to be yeast on the skin. However, cytology showed only numerous cocci! In the Westie, the cocci ended up being a methicillin resistant staph infection. I cultured this Westie’s skin because his medical records showed several antibiotics had been prescribed over a period of a year that were not working to clear up the skin infection. The second case, a Labrador Retriever, had no recent history of antibiotic use and therefore I did not see the need for a skin culture at this time.

You hear us dermatologists say it so many times: cytology, cytology, cytology. Do not underestimate the value of cytology. Taking it a step further, if you are treating a skin infection with the appropriate antibiotic and the infection is not resolving, then it is time for skin culture.

#skincytology #bacterialskininfection #westie #westiesofinstagram #labradorretriever #petdermatology #vetdermatology #dermatologiaveterinaria #vetmedicine #veterinarymedicine
I was about 9-10 years old when I started thinking about veterinary medicine as a career. My teacher, Mr. Levine (yes! I remember his name) asked us to write an essay about “What we wanted to be when we grew up?”  I recall going to the library (no internet back then) and looking up different careers that involve animals. I was especially focused on a career where I could spend my entire life with animals, a career that would give me the skills to make a sick pet feel better, because I just couldn’t stand seeing a sick animal. Well, it was a no brainer- veterinary medicine was it and that is what I wrote my essay on. From that point, I stayed focused and made sure I did everything right to get into vet school. I told this story to kids today on Career Day at my daughter’s school. My nurse, Kim, and I had a great time talking to kids in first grade and third grade about what it is like to be a veterinarian, the different aspects of this profession and just some cool facts about dogs. We brought neat giveaways.  And the best part of it all was having Rosie so that we could show the kids how a physical exam is done on a dog.  Having the kids auscultate a dog’s heart was a hit.
So here I am 40 years later from when I first started thinking about vet med and now talking to kids about vet med. Wow! Full circle moment!  I hope I inspired some kids to consider this profession.

#careerday #careerdayatschool #dfefalcons #vetmedicine #medicinaveterinaria #vetdermatology #petdermatology #inspiringkids