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Speaker 1: I'm Doc Hitchie, Doctor Keith Ilok, i've veterinary allergist, and.

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Speaker 2: I'm doctor Stephen Miller, a doctor of Nursing Practice and

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a cute care nurse practitioner.

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Speaker 1: We're here to discuss the most current medical treatments, in

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health trends, and what is both right and wrong.

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Speaker 2: Because being itchy is bitchy and the system sucks.

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Speaker 1: What we discuss here is content only. We love you,

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but we're not your doctors. Please consult someone who actually

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knows your medical history. This segment is that clinic crawl,

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so craziest, wackiest's, most interesting, happiest, saddest things that happened

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to us this week.

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Speaker 3: Are you ready, Doc Miller? Yeah, all right.

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Speaker 1: So at my clinics, I'm a veterinary allergist dermatologist, and

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one of the big things that we do is we

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have a system for allergic dogs and cat to come

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in and we start with tier one, Tier two, tier three,

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and over all the systems about ninety five percent successful. Right, Yeah, Okay,

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So cats are not dogs, totally different. System can be

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much easier, can be much harder. So we're talking about

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kittie cat that came in and so our tier one

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level therapy for allergic cats. They come in, they have

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hair loss, they're itchy, scratchy, they have swollen these easyenophilic plaques,

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ear infections, all of these allergic symptoms, and so we

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make sure they don't have herpes virus, infections, loops, all

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of that kind of stuff, so we know the cat's allergic.

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Tier one is to put them on an isock's a xylane,

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very safe, very all inclusive insect parasite prevention therapy. And

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a lot of owners have inside only cats. So if

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you had an inside only cat and I told you

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to put it on flea control, what would you think

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about that?

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Speaker 3: Would you be happy? You'd probably think I'm crazy.

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Speaker 2: Well, that would be challenging, and I'm just glad I'm

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not a cat owner.

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Speaker 3: Well that's another thing.

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Speaker 1: So a lot of cat owners don't want to give

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their cats medicines or poisons, and these are very safe products.

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Speaker 3: That's another story.

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Speaker 1: But anyway, so it turns out that even cats that

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never go outside, like at cats in Arizona, New Mexico,

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if they go outside they get eaten by a coyote.

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We put them on one of these products. My favorite

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product is Revolution plus. The plus part is Sora Lanner.

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It's an is socks as eiling that prevents all biting insects,

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transfer of spits or saliva, which is what the animal is.

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Speaker 3: Actually allergic to.

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Speaker 1: So Revolution plus and seventy percent of these cats that

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never go outside improve with allergies. So we know that

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something's biting them. Maybe mosquitoes or midges or noseums, but

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some kind of biting insect, and they improve with once

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a month very safe insect prevention. So these products are

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labeled maybe for flea and tick, but they cover a

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bunch of other things.

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Speaker 3: Right, you got this? Yeah, okay, so we're going with

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the system.

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Speaker 1: So this kitty cat didn't really like the idea, and

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we sent home a sample of this, and it turns

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out that they chose not to administer it. So even

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though it's our step one topical once a month very safe,

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they chose not to do it. So they a few

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months later they call in in a panic because their

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kitty cat has vomited worms. So these round looking worms

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came up in the cat's vomit.

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Speaker 3: That's gross.

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Speaker 1: Yeah, Well, so it turns out humans don't have a

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lot of parasite. Did you have a lot of parasitology

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courses in your medical nursing school, So a lot of

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veterinary medicine is about parasites. So it turns out that

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these intestinal worms part of their larval processes that they

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have these little larva that migrate through tissues before it

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goes to the intestine and forms worms, which this cat

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peeked up and the cat came in. One of the

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primary symptoms for this cat was coughing, and it turns

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out that these worms have a larval stage that migrate

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through the lung tissue.

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Speaker 2: That's really gross.

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Speaker 3: That's really gross.

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Speaker 1: But so this coughing cat came in, we recommended parasite control.

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That the owner declined and they call in a panic

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because the cat threw up what parasites. So if we

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had simply administered our really safe, all inclusive, once a

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month parasite prevention, we could have treated the cough that

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may likely be caused by the larval migrants of the

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roundworms in the intestine.

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Speaker 2: So you're speaking to compliance, Yes, recommend it, and just

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crazy gross that like this allergic cat comes in coughing

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and it's not allergic at all.

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Speaker 3: It just has parasites.

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Speaker 1: But our level one strategy of giving an anti parasitic

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makes sense because if they gave it, it would have

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stopped coughing because we would have killed the parasites. So

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crazy vomiting worm allergy symptom. That's not allergy story. That's

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my story that happened to me this week. Oh okay,

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what you.

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Speaker 3: Got people don't.

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Speaker 2: And cardiovascular disease is the number one leading cause of

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death in the United States, and so sometimes you get

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called into a situation where you have to do CPR.

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The problem is that only about eighteen percent of the

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US population are currently up to date on CPR, and

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the renewal annually is about two to three percent. So

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I think I would only say, because of the need

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for being updated on CPR, that people definitely contact the

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American Red Cross and get into a CPR class because

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I see this every day and my job is to

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try to help empower families to save lives, and especially

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if you're living with a family member who is at risk,

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and so just get in touch with American Red Cross

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or American Heart Association and get your CPR certification.

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Speaker 1: Get certified. So I'm not certified, Yeah, Yeah, that's not good.

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Bad on the well, I'm.

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Speaker 2: In your husband works in cardiology.

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Speaker 1: I'm a provider, a doctor. I'm a doctor. I think

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that what I learned in ventary medicine can apply to humans,

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and I could do CPR on a human.

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Speaker 2: What do you think everybody can do CPR? I can

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smash on someone's chest, everyone can do CPR, and everyone

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can be trained with proper training, and the classes are

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not lengthy and not costly and readily available in almost

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every city, And so I would just encourage every person

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to seek CPR classes, and I.

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Speaker 1: Would at the point of my question was that I'm

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medically trained very extensively, and dogs are not people, and

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I can do CPR on a dog, but that does

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not mean I know exactly how to do CPR.

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Speaker 2: Oh, absolutely no. Getting a proper class is important.

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Speaker 1: And watching it on youtubeer TikTok is also not the

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way to do it now, and that's not certification.

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Speaker 3: So doctor TikTok is not a thing.

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Speaker 2: American Red Cross or American Heart Association offers really inexpensive

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and great classes for the general public.

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Speaker 1: Yeah, and you probably have grandparents that are in that age,

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so you need to go get certified. All right, We'll

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see you next time. The Itchy and Bitchy podcast is

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