1 00:00:02,200 --> 00:00:45,600 Speaker 1: You were listening to Petlifradio dot com. 2 00:00:25,160 --> 00:00:27,399 Speaker 2: And welcome, welcome, and have me Sunday to all. 3 00:00:27,879 --> 00:00:29,879 Speaker 3: Good morning if you're out here in the west by 4 00:00:29,920 --> 00:00:33,119 me or good just break it that afternoon if you 5 00:00:33,159 --> 00:00:36,520 are in the east, and hope all is well with you. 6 00:00:36,640 --> 00:00:39,439 We are enjoying a nice, clear, beautiful day out here. 7 00:00:39,520 --> 00:00:42,039 Hope yours is the same. Very curious to know how 8 00:00:42,200 --> 00:00:44,759 how everybody did Halloween wise, you know, it's interesting here. 9 00:00:44,759 --> 00:00:46,399 I am promoting all the things you need to do 10 00:00:46,439 --> 00:00:47,640 and all the things you need to be careful of. 11 00:00:47,719 --> 00:00:49,079 Speaker 2: We talked about a lot last week. 12 00:00:49,200 --> 00:00:50,880 Speaker 3: So what I usually do for my office is I 13 00:00:50,920 --> 00:00:53,399 will bring some candy just for my clients. You know, 14 00:00:53,399 --> 00:00:55,119 we put them out on the counter in the front. 15 00:00:55,320 --> 00:00:57,920 So I had I had two bags. One was Nessi's crunch, 16 00:00:57,920 --> 00:00:59,640 one of mine. I always get my favorite that way. 17 00:01:00,119 --> 00:01:02,079 Don't eat him a least. I'm going to enjoy something 18 00:01:02,119 --> 00:01:04,920 that's left over. And snickers. Well, I had the bags 19 00:01:04,920 --> 00:01:08,159 here in my home office. Now, mind you, my dogs are, 20 00:01:08,319 --> 00:01:11,359 especially my labradors, are insane when it comes to getting 21 00:01:11,400 --> 00:01:14,959 into things. They are masters and I literally have to 22 00:01:15,200 --> 00:01:17,439 have baby locks on cabinets because they know how to 23 00:01:17,439 --> 00:01:21,079 get into cabinets, and I have to block the kitchen 24 00:01:21,120 --> 00:01:23,000 door so they don't get into the kitchen if they're 25 00:01:23,040 --> 00:01:24,239 in the house anyway. 26 00:01:24,280 --> 00:01:24,680 Speaker 2: So I had. 27 00:01:24,560 --> 00:01:27,239 Speaker 3: Totally didn't realize they were in my office. I forgot 28 00:01:27,239 --> 00:01:29,040 that's safe because they never go into my office. All 29 00:01:29,079 --> 00:01:31,159 of a sudden, I get a call. I forgot to 30 00:01:31,200 --> 00:01:33,879 bring the bags, and there's my lab, my old lab, 31 00:01:33,920 --> 00:01:35,640 thirteen and a half. Now, mind you, this guy can 32 00:01:35,640 --> 00:01:37,519 barely get upstairs, but he could jump on top of 33 00:01:37,519 --> 00:01:38,519 a counter for food. 34 00:01:38,640 --> 00:01:38,959 Speaker 2: Anyway. 35 00:01:39,000 --> 00:01:41,840 Speaker 3: He gets into about ten of those little teen nesties grunds. 36 00:01:41,879 --> 00:01:42,640 Speaker 2: He's eighty five pounds. 37 00:01:42,640 --> 00:01:45,159 Speaker 3: I'm not worried about the toxicity issue with milk, chocolate, 38 00:01:45,200 --> 00:01:47,719 et cetera, et cetera. But you know, he doesn't like 39 00:01:47,760 --> 00:01:49,400 to take things out of rappers. He thinks, you know, 40 00:01:49,480 --> 00:01:51,319 I'm gonna smell it right through the wrapper. I'm gonna 41 00:01:51,319 --> 00:01:53,159 eat the whole thing. So I knew this happened. I 42 00:01:53,200 --> 00:01:54,719 figured some of the stuff would come out of his poop. 43 00:01:54,760 --> 00:01:57,000 I wasn't too worried about it. Since then he ate 44 00:01:57,079 --> 00:01:59,359 like what. So that was Friday morning early, he ate, 45 00:01:59,400 --> 00:02:03,040 Friday evening, he ate Saturday, Saturday morning right ate all 46 00:02:03,040 --> 00:02:06,760 these meals, and late last night I hear him up chucking, 47 00:02:06,799 --> 00:02:09,280 and I hear that typical you know, that vomiting thing, 48 00:02:09,439 --> 00:02:12,680 and outcome that mind He's had normal meals and normal 49 00:02:12,719 --> 00:02:15,360 poops over this last day and a half, and all 50 00:02:15,400 --> 00:02:18,039 of the rappers in a bunch came up in his vomit. 51 00:02:18,080 --> 00:02:21,039 It's like, I'm thinking about, how does the food get 52 00:02:21,039 --> 00:02:23,520 by and go through the intestine and get digested. It 53 00:02:23,599 --> 00:02:26,639 all is fine and develop a nice verso and the rappers, 54 00:02:26,680 --> 00:02:30,520 the Nessie's Crunch Rappers are still there in their entirety. Anyway, 55 00:02:30,680 --> 00:02:32,639 I hope you guys had better luck than I did. 56 00:02:32,879 --> 00:02:34,719 As I used to say to my kids, do as 57 00:02:34,759 --> 00:02:38,919 I say, not as I do, because I'm the worst 58 00:02:39,000 --> 00:02:42,120 lesson to learn from when I do stupid things like that. Anyway, 59 00:02:42,280 --> 00:02:44,280 I'm glad you're here with me. I'm doctor Jeff Weerber, 60 00:02:44,319 --> 00:02:47,000 your host for today's Ask the Vets with Doctor Jeff 61 00:02:47,039 --> 00:02:51,120 here on the pet Life Radio and iHeart Radio station partner. 62 00:02:51,039 --> 00:02:53,680 Speaker 2: And we're here for you. In fact, it's easy to 63 00:02:53,680 --> 00:02:54,400 get ahold of us. 64 00:02:54,479 --> 00:02:56,879 Speaker 3: And last week we did get a call, well actually 65 00:02:56,879 --> 00:02:59,159 someone wrote in joined in in the conversation, which you 66 00:02:59,159 --> 00:03:01,879 could easily do. If you are shy and you don't 67 00:03:01,879 --> 00:03:03,639 want to call us at eight seven seven three eight 68 00:03:03,759 --> 00:03:06,680 five eight eight eight two, you can just go online 69 00:03:06,719 --> 00:03:09,479 to petlifradio dot com, click on Ask the Vets with 70 00:03:09,560 --> 00:03:12,479 Doctor Jeff tab and on that page you will see 71 00:03:12,520 --> 00:03:15,560 a little box that says join the conversation. Log into 72 00:03:15,639 --> 00:03:17,120 our live chat during the show. 73 00:03:17,240 --> 00:03:17,919 Speaker 2: Please do so. 74 00:03:18,240 --> 00:03:20,319 Speaker 3: Last week we didn't get someone who called in. 75 00:03:20,599 --> 00:03:21,759 Speaker 2: And also you can. 76 00:03:21,680 --> 00:03:24,680 Speaker 3: Email me to Dr Jeff. That's doctor Jeff at pet 77 00:03:24,680 --> 00:03:26,840 Life Radio. And you know, look, we want to make 78 00:03:26,840 --> 00:03:28,919 your lives easier. Just think about all the benefits the 79 00:03:28,960 --> 00:03:32,879 benefits of joining us either via phone or joining the 80 00:03:32,919 --> 00:03:35,919 conversation the following hopefully you're going to get some answers 81 00:03:35,919 --> 00:03:37,879 to your questions. And if I don't have the answers, 82 00:03:37,960 --> 00:03:40,520 I will get them. As a general practitioner, for this 83 00:03:40,560 --> 00:03:43,120 is my thirty first year, I kind of know a lot, 84 00:03:43,240 --> 00:03:45,199 but when it comes to really tough things, I have 85 00:03:45,240 --> 00:03:49,479 a great network of experts in pretty much every specific discipline, 86 00:03:49,560 --> 00:03:52,400 so I will get an answer. Secondly, it's free, doesn't 87 00:03:52,400 --> 00:03:54,840 cost you a time. My goal here is to help 88 00:03:54,879 --> 00:03:57,080 you and maybe even help you save a little money 89 00:03:57,080 --> 00:03:59,319 in the process, and of course we're here thanks to 90 00:03:59,360 --> 00:04:01,520 our sponsors, pro Tense Pet Products and cong As a 91 00:04:01,560 --> 00:04:04,319 matter of fact, when you call, not if, but when 92 00:04:04,479 --> 00:04:06,879 you call, when you join in on the conversation, we 93 00:04:06,919 --> 00:04:09,199 will send you out a pro Sense pet product as 94 00:04:09,240 --> 00:04:13,360 well as a free Kong toy. And contoys are great 95 00:04:13,400 --> 00:04:15,800 because they're therapeutic at the same time, So you have 96 00:04:15,800 --> 00:04:18,519 no excuse, no excuse not to join in. So first 97 00:04:18,560 --> 00:04:20,959 of all, I would love to hear about any Halloween stories, 98 00:04:21,040 --> 00:04:22,680 the good ones and the bad ones, if you had 99 00:04:22,680 --> 00:04:24,279 a problem, if you had a dog that got out, 100 00:04:24,279 --> 00:04:25,519 if you had a cat that got out, if you 101 00:04:25,560 --> 00:04:27,800 had dog that was growling at some of these kids, whatever, 102 00:04:28,000 --> 00:04:30,160 we want to know about it. So again eight seven 103 00:04:30,240 --> 00:04:32,759 seven three eight five eight eight eight two, you're just 104 00:04:32,800 --> 00:04:34,879 kind of joining in the conversation and we'd love to 105 00:04:34,879 --> 00:04:36,879 hear from you what I wanted to do. And we've 106 00:04:36,920 --> 00:04:40,519 been sort of going through and until you contact me 107 00:04:40,920 --> 00:04:43,759 to speak about a specific subject, which I'm happy to do. 108 00:04:44,079 --> 00:04:45,240 Speaker 2: I have a game plan. 109 00:04:45,360 --> 00:04:47,079 Speaker 3: My lesson plan, as you will, is if I were 110 00:04:47,120 --> 00:04:49,079 a teacher, and what we're going to do now is 111 00:04:49,120 --> 00:04:53,560 we're going to cover the very many endocrine diseases. These 112 00:04:53,560 --> 00:04:56,839 are diseases of the hormone system of the body that 113 00:04:56,959 --> 00:05:00,519 seem to go astray and ry at certain points. And 114 00:05:01,079 --> 00:05:05,240 most of these are fairly easy to diagnose. 115 00:05:05,480 --> 00:05:06,519 Speaker 2: Some are more difficult. 116 00:05:06,519 --> 00:05:08,439 Speaker 3: Some of the growth hormone problems could be very tough, 117 00:05:08,639 --> 00:05:11,600 but they're somewhat easy diagnosed, not always easy to treat. 118 00:05:11,959 --> 00:05:13,240 Speaker 2: Very fewer curable. 119 00:05:13,560 --> 00:05:17,639 Speaker 3: However, we can control them. There are great medications, great 120 00:05:18,040 --> 00:05:20,519 choices we have. Some, believe it or not, are pretty 121 00:05:20,560 --> 00:05:22,639 much curable. When you're done, you don't have to do 122 00:05:22,680 --> 00:05:24,600 a thing. But those are the rare ones. But we'll 123 00:05:24,600 --> 00:05:26,319 get to all of them. So what I wanted to 124 00:05:26,360 --> 00:05:28,959 do is, we have a land in our body called 125 00:05:28,959 --> 00:05:31,720 the adrenal gland. It is basically attached to the crania 126 00:05:31,759 --> 00:05:35,519 poles of our kidneys, and the adrenals have different zones 127 00:05:35,720 --> 00:05:39,839 within the gland and they're responsible for the sex hormones, 128 00:05:40,199 --> 00:05:44,480 for the mineralid corticoids. Those are the hormones if you will, 129 00:05:44,879 --> 00:05:48,319 that will control the mineralid corticoids, which are like our 130 00:05:48,360 --> 00:05:52,839 calcimine phosphorus balances, and so you know that's very important 131 00:05:52,839 --> 00:05:56,000 for the body. Sodium potassium also very important to the body, 132 00:05:56,439 --> 00:06:01,560 and also the glugle corticoids, which are the steroids that 133 00:06:01,639 --> 00:06:03,720 are body secretes. Basically, I'm sure you've heard of a 134 00:06:03,759 --> 00:06:06,319 drug pregna zone or any of the corticosteroids that are 135 00:06:06,399 --> 00:06:09,079 used to treat many conditions and pets in different dose 136 00:06:09,160 --> 00:06:12,319 ranges depending on whether we need an anti inflammatory component 137 00:06:12,399 --> 00:06:16,000 or whether we need to have an iminosuppressive component, So 138 00:06:16,240 --> 00:06:19,680 there's some different dose ranges. The adrenal plays a major function, 139 00:06:19,879 --> 00:06:23,040 and the signal for the adrenal to work usually comes 140 00:06:23,040 --> 00:06:25,600 from a gland in the brain called the pituitary gland, 141 00:06:25,839 --> 00:06:28,360 and there's a number of feedback mechanisms where the body 142 00:06:28,399 --> 00:06:31,680 is able to read what's already there and then with 143 00:06:31,800 --> 00:06:34,959 a healthy gland make necessary adjustments and whether it's going 144 00:06:35,000 --> 00:06:37,040 to make them on its own or make them as 145 00:06:37,120 --> 00:06:39,959 a result of secretion from the pituitary gland. So the 146 00:06:39,959 --> 00:06:43,800 petutary gland sort of is the master gland that dictates 147 00:06:44,079 --> 00:06:45,199 for the adrenal what to do. 148 00:06:45,560 --> 00:06:45,839 Speaker 2: Well. 149 00:06:46,120 --> 00:06:50,079 Speaker 3: There are two conditions that we frequently see and also 150 00:06:50,160 --> 00:06:53,560 the effects are a little bit different where concerning the 151 00:06:53,639 --> 00:06:57,120 adrenal gland. Where one is an over secretion of the 152 00:06:57,120 --> 00:07:00,120 adrenal gland, and the other one is an under secretion, 153 00:07:00,439 --> 00:07:02,639 and the one that we see more commonly is the 154 00:07:02,680 --> 00:07:06,079 over secretion, and we call this Cushings syndrome or cushions 155 00:07:06,199 --> 00:07:11,959 disease technically. And the Cushing's syndrome is actually where the 156 00:07:12,000 --> 00:07:15,680 problem is coming from the brain, the petuitary gland, and 157 00:07:15,720 --> 00:07:20,600 the petuitary land is overfiring, over signaling the adrenal gland 158 00:07:20,720 --> 00:07:25,000 to secrete it's glucocorticoids, not really listening to the rest 159 00:07:25,000 --> 00:07:27,279 of the body when the body says, hey, slow down. 160 00:07:27,519 --> 00:07:29,639 We got plenty of cortisol running around our blood. We 161 00:07:29,680 --> 00:07:32,639 don't need anymore. It just keeps on firing and signaling, 162 00:07:32,839 --> 00:07:35,680 and that is Cushing syndrome. Cushions disease is where the 163 00:07:35,720 --> 00:07:39,480 problem is actually coming from the gland. The adrenal gland itself. 164 00:07:39,639 --> 00:07:42,360 Ptuitary has nothing to do with it. It's all coming from 165 00:07:42,360 --> 00:07:46,959 the gland. There's a functional increase of secretion coming from 166 00:07:47,000 --> 00:07:49,519 the adrenal and that's Cushing disease. The reason why there 167 00:07:49,639 --> 00:07:51,560 is somewhat of a difference is that when it comes 168 00:07:51,560 --> 00:07:55,079 to treatment, when you can I clearly identify Cushion's disease, 169 00:07:55,560 --> 00:07:58,720 it might be easier, well not easy, but it can 170 00:07:58,800 --> 00:08:01,480 be treated by removing the adrenale. Obviously, that can require 171 00:08:01,519 --> 00:08:04,199 the hands of an excellent technical hands of a surgeon, 172 00:08:04,439 --> 00:08:07,319 but can be done. Whereas, obviously if the peturit arry 173 00:08:07,439 --> 00:08:10,720 is the problem, so it's really by definition Cushing's syndrome, 174 00:08:12,240 --> 00:08:13,600 you can't do that. So that's that we have to 175 00:08:13,639 --> 00:08:17,000 rely on medical therapy. So what are the symptoms? And 176 00:08:17,040 --> 00:08:19,000 this is what's so important because a lot of the 177 00:08:19,040 --> 00:08:22,000 symptoms that we see with some of these hormone diseases 178 00:08:22,360 --> 00:08:26,519 are very similar. For example, a dog comes in and 179 00:08:26,560 --> 00:08:29,959 it's classic cushings. I got a funny story about my 180 00:08:30,560 --> 00:08:33,759 early days in practice with this condition, and it is 181 00:08:33,799 --> 00:08:36,159 a dog that comes in and the complaint, the chief 182 00:08:36,159 --> 00:08:39,080 complaint from the owner is my dog is drinking water 183 00:08:39,279 --> 00:08:42,639 like crazy and peeing like crazy. Now there is another 184 00:08:42,639 --> 00:08:44,519 disease we're going to get to, not probably not this week, 185 00:08:44,559 --> 00:08:46,759 but maybe in a couple of weeks, and that's diabetes. 186 00:08:47,000 --> 00:08:50,000 Two types of diabetes, diabetes melodists and diabetes and simpetus. 187 00:08:50,200 --> 00:08:53,480 And guess what they too present with dogs that are 188 00:08:53,559 --> 00:08:56,679 drinking and being like crazy. So cushions disease typically we 189 00:08:56,759 --> 00:09:01,360 call it pupd polyuria that's excessive urinating, and polydipsia, which 190 00:09:01,399 --> 00:09:04,120 is excessive at drinking. Other things we see with cushings. 191 00:09:04,120 --> 00:09:06,480 We see kind of like the body is changing. The 192 00:09:06,519 --> 00:09:09,039 skin is getting kind of thin and oily. Sometimes we'll 193 00:09:09,080 --> 00:09:12,759 see hair loss that's not associated with scratching the skin, 194 00:09:13,080 --> 00:09:16,759 the belly looks bloated. Basically, a lot of the changes 195 00:09:16,759 --> 00:09:19,320 we see are the same changes we're going to see 196 00:09:19,320 --> 00:09:21,919 in a dog that we have to treat with an 197 00:09:22,080 --> 00:09:25,759 excessive amount of cortico steroids for whatever disease they may have. 198 00:09:26,080 --> 00:09:30,519 So when I'm sure you've seen people that had to 199 00:09:30,559 --> 00:09:33,840 be on steroids for a long time, it's similar type 200 00:09:33,879 --> 00:09:36,159 of changes take place in the body. So you get 201 00:09:36,200 --> 00:09:42,159 that thin, sometimes greasy looking skin, thinning hair, big, bloated belly, pup, 202 00:09:42,279 --> 00:09:45,159 the excessive drinking, excessive pin and you say to yourself, 203 00:09:45,240 --> 00:09:49,240 oh my god, this is classic cushings. Now, to this point, 204 00:09:49,279 --> 00:09:51,600 you still don't know whether it's cushions disease or a 205 00:09:51,600 --> 00:09:55,799 cushing syndrome, but it's cushings. So now the fun begins, 206 00:09:56,039 --> 00:09:58,120 and that fun is we need to start doing some 207 00:09:58,159 --> 00:10:01,840 tests to see where are problem is and to try 208 00:10:01,840 --> 00:10:06,480 to make a determination because the disease actually is not curable, 209 00:10:06,519 --> 00:10:09,559 but it is treatable, it is controllable, and we have 210 00:10:09,679 --> 00:10:12,720 many cases that dogs with cushings that are just doing 211 00:10:13,080 --> 00:10:16,559 just fine. There is actually a relatively new drug. When 212 00:10:16,559 --> 00:10:19,200 I say relatively in vetterney world, that means that it's 213 00:10:19,240 --> 00:10:22,159 not like yesterday, but it's been around for probably seven. 214 00:10:22,039 --> 00:10:22,840 Speaker 2: Or eight ten years. 215 00:10:22,919 --> 00:10:26,200 Speaker 3: Maybe it is a major improvement over the drug that 216 00:10:26,279 --> 00:10:28,120 we used to use back in the day when I 217 00:10:28,159 --> 00:10:30,799 started practicing. So there's some new things out there that 218 00:10:30,840 --> 00:10:33,399 are great. Also, testing, one of the tests that we 219 00:10:33,519 --> 00:10:36,519 used to use is still used often, but there's no 220 00:10:36,559 --> 00:10:38,159 other test of many of the experts like a little 221 00:10:38,200 --> 00:10:40,519 bit better, so we use that one too, And this 222 00:10:40,679 --> 00:10:43,039 other test, the one that's a little bit better, might 223 00:10:43,240 --> 00:10:47,759 actually help us determine the difference between cushion disease and 224 00:10:47,759 --> 00:10:51,360 cushing syndrome. And of course, with the advent of ultrasound 225 00:10:51,559 --> 00:10:55,360 in the hands of an amazing ultrascenographer, the adrenal gland 226 00:10:55,559 --> 00:10:58,799 sitting bite by that kidney is often visible and it 227 00:10:58,799 --> 00:11:01,879 can be measured, and a determination can be made merely 228 00:11:01,879 --> 00:11:05,039 an ultrasound whether we're dealing with the adrenal problem. 229 00:11:04,720 --> 00:11:06,360 Speaker 2: Or the pituitary problem. 230 00:11:06,720 --> 00:11:09,480 Speaker 3: So there's a lot to do, a lot to talk about, 231 00:11:09,679 --> 00:11:11,720 and we will as soon as we come back from 232 00:11:11,759 --> 00:11:14,879 our quick break, So stay tuned. We're learning about cushings 233 00:11:14,879 --> 00:11:18,559 disease in dogs predominantly, and we'll be back in just 234 00:11:18,600 --> 00:11:21,240 a few and we'll talk about testing and we'll talk 235 00:11:21,240 --> 00:11:23,039 about treatment, and we'd love to hear from you if 236 00:11:23,039 --> 00:11:25,519 you have any questions about your dog that may have 237 00:11:25,960 --> 00:11:29,320 or might your concern might have cushings or is currently 238 00:11:29,360 --> 00:11:32,000 being treated. We'd love to hear from you and get 239 00:11:32,039 --> 00:11:35,000 your input as well. Here at eight seven seven three 240 00:11:35,039 --> 00:11:37,879 eight five eight eight eight two. We'll be back in 241 00:11:37,919 --> 00:11:40,879 just a minute. 242 00:11:42,240 --> 00:11:45,399 Speaker 1: We'll be right back right after these messages. Stay tuned. 243 00:11:48,200 --> 00:11:50,440 Speaker 4: This is my tired of itching face. 244 00:11:50,799 --> 00:11:53,960 Speaker 3: Does your dog suffer from persistent itching and scratching? Allergies 245 00:11:54,000 --> 00:11:57,360 and skin irritation is caused by environment, including pollens, insects, 246 00:11:57,440 --> 00:12:01,480 especially please, food and common household allergens are common problems 247 00:12:01,480 --> 00:12:03,879 and dogs. It's easy to alleviate your dog's is comfort 248 00:12:03,919 --> 00:12:06,639 at home with pro Sense. Pro Sense its analogy products 249 00:12:06,639 --> 00:12:10,200 provide fast relief from symptoms like it's irritated skin, skin 250 00:12:10,200 --> 00:12:12,440 infections like hotspots and watery eyes. 251 00:12:12,559 --> 00:12:13,759 Speaker 2: Pro Sense products. 252 00:12:13,399 --> 00:12:16,720 Speaker 3: Are veteran formulated and recommended to ensure the very best 253 00:12:16,720 --> 00:12:19,440 for your pet. Try process today. Your dog will thank 254 00:12:19,480 --> 00:12:22,720 you for That's love Life. Love them back with pro Sens. 255 00:12:23,960 --> 00:12:26,039 Speaker 1: I'm not much of a reader, but I do wish 256 00:12:26,080 --> 00:12:28,720 I were more well read. There are so many great 257 00:12:28,720 --> 00:12:30,879 books coming out. I wish I could find a way. 258 00:12:30,720 --> 00:12:31,200 Speaker 2: To keep up. 259 00:12:31,360 --> 00:12:34,279 Speaker 5: Audible dot Com makes it easy to stay well informed 260 00:12:34,320 --> 00:12:38,080 and catch up on your reading. Simply by listening audiobooks 261 00:12:38,120 --> 00:12:41,679 from Audible, turn down time into uptime. You'll be more 262 00:12:41,720 --> 00:12:43,919 productive and become well read. 263 00:12:44,200 --> 00:12:45,960 Speaker 6: Now I'm able to catch up on all the great 264 00:12:45,960 --> 00:12:47,120 books I've been wanting to read. 265 00:12:47,720 --> 00:12:50,039 Speaker 1: With Audible, I feel smarter. 266 00:12:50,039 --> 00:12:53,559 Speaker 4: Peed Life Radio listeners. Try audible dot com now and 267 00:12:53,639 --> 00:12:56,919 get your first thirty days of Audible Listener Gold Membership 268 00:12:56,960 --> 00:13:01,000 plan free and get it free audiobook. Choose from over 269 00:13:01,080 --> 00:13:02,759 one hundred thousand titles. 270 00:13:02,840 --> 00:13:03,519 Speaker 2: To get this. 271 00:13:03,440 --> 00:13:09,159 Speaker 4: Great deal, go to audibledeals dot com. That's audibledeals dot com. 272 00:13:09,519 --> 00:13:12,279 Speaker 6: Pet Life Radio, the number one pet radio network on 273 00:13:12,320 --> 00:13:15,919 the planet, joins forces with iHeartRadio to put the power 274 00:13:15,960 --> 00:13:20,120 of your pets in your pocket. Download the iHeartRadio app 275 00:13:20,120 --> 00:13:22,799 and rockpet Life Radio on your phone, on your tablet, 276 00:13:22,840 --> 00:13:25,600 on your Xbox, in your car, Pet Talk, Pet Tunes 277 00:13:25,639 --> 00:13:32,679 and fun Pet Times, pet Life Radio and iHeartRadio positively possum. 278 00:13:32,759 --> 00:13:35,600 Speaker 7: Hey there, pet parents, this is Christy Vaughan post of 279 00:13:35,639 --> 00:13:38,279 The Doggie Dish. Do you love your furry companion? Do 280 00:13:38,320 --> 00:13:40,720 you love making him or her healthy treats but can't 281 00:13:40,720 --> 00:13:43,679 seem to find the time. Great news, The Doggy Dish 282 00:13:43,720 --> 00:13:46,679 is the perfect show for you. Every episode is chock 283 00:13:46,720 --> 00:13:49,679 full of healthy and easy recipes that are made with 284 00:13:49,879 --> 00:13:52,960 ingredients you most likely have on hand. Tune into The 285 00:13:53,000 --> 00:13:56,960 Doggy Dish for yummy and healthy recipes for your canine kids. 286 00:13:56,720 --> 00:14:04,080 Speaker 1: Every week only on Petlifradio dot com. Let's Talk past, 287 00:14:04,399 --> 00:14:07,360 Let's done, pet Talk about Life Radio, Hetline Radio. 288 00:14:07,600 --> 00:14:29,080 Speaker 8: At live radio dot com. 289 00:14:29,120 --> 00:14:31,200 Speaker 2: And welcome back and thanks for being here. 290 00:14:31,200 --> 00:14:34,039 Speaker 3: And you're here with doctor Jeff Werber, your host here 291 00:14:34,080 --> 00:14:35,840 on Ask the bect for doctor Jeff here on pet 292 00:14:35,840 --> 00:14:38,440 Live Radio. And before the break we were talking getting 293 00:14:38,440 --> 00:14:42,080 a little science here education about a disease we commonly 294 00:14:42,120 --> 00:14:45,120 see in dogs, I shouldn't say commonly with innive medicine 295 00:14:45,200 --> 00:14:47,440 or in medicine in general, we get to use the 296 00:14:47,840 --> 00:14:51,720 term it's not uncommon. Now usually if you look at 297 00:14:51,759 --> 00:14:54,159 it double negative. Well, if something is not uncommon, you'd 298 00:14:54,200 --> 00:14:56,679 say it is common. But common means it happens a lot. 299 00:14:57,080 --> 00:14:59,879 In medical ease, when we say it's not uncommon, it's 300 00:14:59,879 --> 00:15:02,480 just this means uncommon is something you rarely see. So 301 00:15:02,519 --> 00:15:04,519 if it's not uncommon, it's not that we don't We 302 00:15:04,919 --> 00:15:06,480 don't not rarely see it. 303 00:15:06,720 --> 00:15:07,519 Speaker 2: We don't see it a lot. 304 00:15:07,600 --> 00:15:09,799 Speaker 3: It's not common, so you kind of Yet, you have 305 00:15:09,840 --> 00:15:12,000 to be very careful in using the term. So when 306 00:15:12,000 --> 00:15:13,720 we see something it's not uncommon, I mean, yeah, we 307 00:15:13,759 --> 00:15:16,600 see it. We see it, you know, kind of frequently, 308 00:15:16,679 --> 00:15:19,200 but not not a ton. But it's not surprising. It's 309 00:15:19,200 --> 00:15:21,919 not like you know, my old expression I've shared with 310 00:15:21,960 --> 00:15:24,519 you before that you're running along the beach, and I'm 311 00:15:24,519 --> 00:15:27,080 gonna use Malibu because I'm here in southern California. Say 312 00:15:27,080 --> 00:15:29,240 you're running along the beach in Malibu and you hear 313 00:15:29,320 --> 00:15:32,799 hoof beats chasing you from behind. Are you thinking horses 314 00:15:32,879 --> 00:15:36,720 or zebras? So you're not thinking zebras, so you're thinking 315 00:15:36,759 --> 00:15:40,080 horses now. So therefore, when I say something is not uncommon. 316 00:15:40,159 --> 00:15:42,200 Speaker 2: It's not a zebra. It doesn't mean you're gonna see 317 00:15:42,200 --> 00:15:42,559 it every. 318 00:15:42,440 --> 00:15:44,720 Speaker 3: Day, but it's not something And oh my god, you know, 319 00:15:44,759 --> 00:15:46,759 I got to call a Guinness Book a World Records 320 00:15:46,759 --> 00:15:49,759 here because I got a case of cushings. So we 321 00:15:49,799 --> 00:15:52,080 are talking about the testing. First of all, you have 322 00:15:52,120 --> 00:15:54,559 the clinical disease, clinical disease. Once again, you have the 323 00:15:54,600 --> 00:15:58,720 dog typically that's drinking water like crazy, therefore peeing like crazy. 324 00:15:59,120 --> 00:16:02,039 Their skin is very thin. It's they have a bloated 325 00:16:02,039 --> 00:16:04,799 belly appearance, sometimes a sway back. They're losing a little 326 00:16:04,799 --> 00:16:07,559 bit of muscle tone, some hair loss, and we call 327 00:16:07,600 --> 00:16:10,639 it endocrine alopecian. The reason why we say endocrine is 328 00:16:10,639 --> 00:16:14,720 because usually the endocrine alopecies alopecia meaning hair loss, they 329 00:16:14,759 --> 00:16:18,720 are more symmetrical and they're not associated with scratching. So 330 00:16:19,240 --> 00:16:21,480 if you look at the skin itself, it's you don't 331 00:16:21,480 --> 00:16:23,840 see scabs and sores things like you would typically see 332 00:16:24,000 --> 00:16:25,440 with allergic condition. 333 00:16:26,039 --> 00:16:27,360 Speaker 2: And if you're sort of like. 334 00:16:27,399 --> 00:16:29,159 Speaker 3: You know, if you were to mentally don't do this 335 00:16:29,200 --> 00:16:30,919 at home, folks, But if you are mentally going to 336 00:16:31,000 --> 00:16:34,159 chop the body in half along the longitudinal access the 337 00:16:34,240 --> 00:16:36,320 right side will look almost exactly the left side like 338 00:16:36,320 --> 00:16:40,039 mirror image. That's what we call bilaterally symmetrical. And that's 339 00:16:40,200 --> 00:16:42,840 what we see with these kinds of alopeches with our 340 00:16:42,919 --> 00:16:46,840 endocrine diseases. If they are going to be endocrine and alopeches, 341 00:16:47,080 --> 00:16:49,759 so testing so we have a we get a good history. 342 00:16:49,840 --> 00:16:51,320 And the first thing, of course we're going to do 343 00:16:51,799 --> 00:16:53,879 is do a basic blood test. And one of the 344 00:16:53,919 --> 00:16:57,039 things that we pretty much often see when we do 345 00:16:57,080 --> 00:16:59,879 our basic blood tests is going to be an elevated 346 00:17:00,200 --> 00:17:03,919 alkaline phosphatase. Now, the ALKN phosphatase is one of the 347 00:17:03,960 --> 00:17:06,279 four major liver enzymes that we often look at, and 348 00:17:06,359 --> 00:17:09,559 we know that dogs that are on certain medications like 349 00:17:09,640 --> 00:17:13,880 corticosteroids also like phenobarbitol, but like steroids, when that dog 350 00:17:14,200 --> 00:17:17,240 is on chronic pregnosoon for some reason, or prenis alone 351 00:17:17,359 --> 00:17:19,960 or dexamethosone or you name it, they're going to have 352 00:17:20,039 --> 00:17:23,400 an elevated alkalin phosphatase. Well, when we have a dog 353 00:17:23,400 --> 00:17:26,799 with cushings, where in essence, the body is giving itself 354 00:17:26,839 --> 00:17:30,079 too much cortisome, we're going to see an elevated alkan phosphatase. 355 00:17:30,200 --> 00:17:32,599 Then I mean elevated like high normal is like one 356 00:17:32,640 --> 00:17:34,279 hundred to one hundred and thirty, depending on the lab 357 00:17:34,279 --> 00:17:37,720 you're gonna use. We're talking dogs that present with values 358 00:17:37,839 --> 00:17:40,599 over one thousand, eight hundred. I had a dog as 359 00:17:40,680 --> 00:17:42,799 high as twenty five hundred, I mean three thousand. 360 00:17:43,079 --> 00:17:44,799 Speaker 2: It's ridiculously high. 361 00:17:45,000 --> 00:17:48,920 Speaker 3: So given the presentation, the PUPD, the skin changes, those 362 00:17:48,960 --> 00:17:53,279 sway back, all that stuff, and an elevated alkalin phosphatase 363 00:17:53,599 --> 00:17:57,480 that is highly suggestive. Note that we did not say 364 00:17:57,519 --> 00:18:00,920 it's diagnostic. These are things that are highly suggested. And 365 00:18:01,000 --> 00:18:03,359 the reason I say that is we've had dogs that 366 00:18:03,519 --> 00:18:06,960 present a typically where they have all the PPD, the 367 00:18:07,039 --> 00:18:09,599 drinking and the peeing, they have their skin the body changes, 368 00:18:09,720 --> 00:18:12,200 but their alkaline phosphase is totally normal. Are you going 369 00:18:12,240 --> 00:18:14,160 to stop there and say no, it's not cushings, Of 370 00:18:14,160 --> 00:18:17,160 course not. It just means that one major test, that 371 00:18:17,240 --> 00:18:20,559 major clue isn't there. So that outcomes one of the 372 00:18:20,599 --> 00:18:23,160 real tests that we do to determine the drug ivan 373 00:18:23,240 --> 00:18:25,839 determine the disease, and that is called wether one of 374 00:18:25,839 --> 00:18:27,960 two back in the day, and it's still used. Nothing 375 00:18:27,960 --> 00:18:31,160 wrong with using it is called the a ctight response 376 00:18:31,200 --> 00:18:34,480 test the adreno cordicotropic hormone response test. 377 00:18:34,759 --> 00:18:37,240 Speaker 2: How does this work? Well, this is basically the following. 378 00:18:37,559 --> 00:18:41,559 Speaker 3: We know that a dog that is going to have 379 00:18:41,640 --> 00:18:44,599 a stimulation of the adrenal is going to have a 380 00:18:44,640 --> 00:18:49,839 normal increase in its output of the hormone. So basically, 381 00:18:49,960 --> 00:18:52,480 the ACTS typically comes from the pituitary gland in the 382 00:18:52,519 --> 00:18:56,000 brain signaling the adrenal gland to fire and it releases 383 00:18:56,119 --> 00:18:59,920 it's hormone, it's cortisol. But dogs with cushings, as I said, 384 00:19:00,279 --> 00:19:03,720 they don't look at your normal type of release of 385 00:19:03,759 --> 00:19:08,000 the cortisol from the adrenal gland. They go gangbusters. So 386 00:19:08,160 --> 00:19:10,279 we know what the normal dog does. So what the 387 00:19:10,279 --> 00:19:13,200 actate response test does is we give a certain measured 388 00:19:13,200 --> 00:19:16,319 amount of the corticotropic hormone and then depending on what 389 00:19:16,319 --> 00:19:18,200 we use in which technique we use, whether it's given 390 00:19:18,200 --> 00:19:20,119 IVY or I AM, but once to two hours later, 391 00:19:20,240 --> 00:19:23,039 we then go ahead and remeasure the cortisol level of 392 00:19:23,039 --> 00:19:25,720 the blood and if it is off the charts high, 393 00:19:25,960 --> 00:19:29,039 then we assume cushings. Another test that seems to be 394 00:19:29,039 --> 00:19:31,039 a little bit more in vogue now is called the 395 00:19:31,279 --> 00:19:35,880 low dose dexmethisone suppression test. As I also mentioned, typically 396 00:19:36,279 --> 00:19:39,920 dogs respond is like a feedback mechanism continually going on 397 00:19:40,160 --> 00:19:42,759 between the petutary land, the bloodstream, the amount of cordothol 398 00:19:42,799 --> 00:19:45,599 the blood stream, and the firing of the adrenal gland. 399 00:19:45,880 --> 00:19:49,319 So what happens is if we give the body a 400 00:19:49,440 --> 00:19:53,119 measured amount of cortisome in the form of dex methisome, 401 00:19:53,480 --> 00:19:57,440 then the normal dog, sensing and seeing the body has 402 00:19:57,559 --> 00:20:01,480 plenty of cortisol on board, will shut down and stop secreting, 403 00:20:01,680 --> 00:20:04,599 and therefore the adrenal gland will not secrete anymore of 404 00:20:04,599 --> 00:20:07,759 its own cortosol. Basically the pituitary and the adrenal combined, 405 00:20:07,799 --> 00:20:11,440 whichever whether it's your cushions disease crushing syndrome, is basically saying, hey, 406 00:20:11,680 --> 00:20:13,759 we got enough, we don't have to work, sit back 407 00:20:13,799 --> 00:20:16,440 and relax, but dogs with cushions don't. 408 00:20:16,880 --> 00:20:20,200 Speaker 2: So what we do is, even though we're suppressing. 409 00:20:20,000 --> 00:20:24,640 Speaker 3: With the decimethisoone, we are still seeing firing and based 410 00:20:24,680 --> 00:20:28,519 on some calculations and measurements, this test, it's a blood 411 00:20:28,519 --> 00:20:31,599 test taken. We inject the steroid, we take a follow 412 00:20:31,680 --> 00:20:34,039 up at four hours and at eight hours and then 413 00:20:34,319 --> 00:20:37,480 at eight hours they depending on the levels, you can 414 00:20:37,559 --> 00:20:40,039 determine that whether the problem is coming from the actual 415 00:20:40,200 --> 00:20:44,759 adrenal land meaning Cushing's disease or to the pituitary land 416 00:20:45,000 --> 00:20:47,759 meaning Cushing's syndrome. So that's why a lot of the 417 00:20:47,759 --> 00:20:49,759 internet is like it because it helps us. And then 418 00:20:49,799 --> 00:20:52,160 of course, if we really want to try to suppress, 419 00:20:52,400 --> 00:20:55,920 then you go in and do a high dose dexamethisone 420 00:20:55,920 --> 00:20:59,119 suppression test with a high dose basically of the normal. 421 00:20:59,240 --> 00:21:01,880 If it's a normal suitary problem, it's going to suppress 422 00:21:02,039 --> 00:21:04,440 and then we'll know if it's still not listening to us, 423 00:21:04,640 --> 00:21:08,519 most likely then we have a adrenal problem. So if 424 00:21:08,559 --> 00:21:12,559 those tests are abnormal, then we and have a suspicion. 425 00:21:12,920 --> 00:21:14,839 We can do the next step, and that is well 426 00:21:15,079 --> 00:21:18,680 to really confirm, let's go to the ultrasound machine. And 427 00:21:18,720 --> 00:21:20,640 with the ultrasam machine again in the hands, a lot 428 00:21:20,640 --> 00:21:23,440 of general practitioners may not have the skill or the 429 00:21:23,559 --> 00:21:26,920 quality of ultrasound machine to actually make this determination, but 430 00:21:27,039 --> 00:21:29,319 certainly the intern is do and that is let's go 431 00:21:29,400 --> 00:21:33,519 ahead and check out the adrenal gland at the kidney 432 00:21:33,680 --> 00:21:35,599 through the ultrasound and see doesn't look huge. 433 00:21:35,720 --> 00:21:36,680 Speaker 2: So if the. 434 00:21:36,680 --> 00:21:39,559 Speaker 3: Assumption is everything checks out that we have cushions disease, 435 00:21:39,839 --> 00:21:42,559 now it's time to treat, and the treatment options are 436 00:21:42,839 --> 00:21:44,680 quite a few. There is a drug that we all 437 00:21:44,759 --> 00:21:47,640 used to use years ago called lycodron. The chemical name 438 00:21:47,720 --> 00:21:50,359 was either might attain or OPDDD, and that was a 439 00:21:50,480 --> 00:21:54,839 drug that would actually suppress the adrenal gland. It would 440 00:21:54,839 --> 00:21:58,599 actually eat the adrenal gland up, and in fact one treatment. 441 00:21:58,640 --> 00:21:59,960 In Europe, what they do is they used to give 442 00:22:00,119 --> 00:22:02,960 the opdd so much that they used to obliterate the 443 00:22:03,119 --> 00:22:06,400 entire gland and then treat the dog as an Addisonian, 444 00:22:06,440 --> 00:22:08,400 which is the disease we're going to talk about next week, 445 00:22:08,440 --> 00:22:12,079 which is an under secretion of the adrenal gland. That's 446 00:22:12,079 --> 00:22:15,880 Addison's disease, and Addison's disease. Dogs are pretty are actually 447 00:22:16,000 --> 00:22:18,480 much easier to treat. So in some places in Europe, 448 00:22:18,480 --> 00:22:20,920 I think in Sweden, their treatment of bushings is to 449 00:22:21,240 --> 00:22:23,039 let's make them into an Adisonian and treat We. 450 00:22:23,119 --> 00:22:23,720 Speaker 2: Never did that here. 451 00:22:23,759 --> 00:22:27,079 Speaker 3: We tried to tighter exactly tight trade I should say 452 00:22:27,319 --> 00:22:28,119 how much. 453 00:22:28,000 --> 00:22:29,279 Speaker 2: OPDDD could be given. 454 00:22:29,400 --> 00:22:32,960 Speaker 3: There's a newer drug called Trilastain was first used in 455 00:22:33,000 --> 00:22:36,200 Canada a lot now under the trade name Veteral that 456 00:22:36,319 --> 00:22:38,920 most of us are using, and that is again measured 457 00:22:38,920 --> 00:22:43,359 by weight, and its goal is to again decrease the 458 00:22:43,400 --> 00:22:47,440 amount of output put out by the adrenal gland and 459 00:22:47,799 --> 00:22:50,720 thus monitor these dogs via the actate response test. So 460 00:22:50,880 --> 00:22:53,880 even if we made the diagnosis originally using the low 461 00:22:53,920 --> 00:22:58,359 dose dex methosone suppression test, we monitor our success on 462 00:22:58,400 --> 00:23:02,400 the veteral using the act response tests, and that drug 463 00:23:02,559 --> 00:23:03,240 is very safe. 464 00:23:03,319 --> 00:23:04,720 Speaker 2: Dogs do very well on it. 465 00:23:05,039 --> 00:23:08,759 Speaker 3: And of course if we have confirmation via our testing 466 00:23:08,880 --> 00:23:11,799 and our ultrasound that our problem is most likely the 467 00:23:11,839 --> 00:23:15,079 adrenal tumor itself, then of course in the hands of 468 00:23:15,119 --> 00:23:18,319 a qualified surgeon, that adrenal gland or the adrenal glands 469 00:23:18,480 --> 00:23:20,960 can be removed. And then again we're going to have 470 00:23:21,000 --> 00:23:24,039 an Adisonian and then we treat accordingly as we would 471 00:23:24,119 --> 00:23:27,079 in Addison's which we're going to cover next week. So 472 00:23:27,319 --> 00:23:31,319 the options are many. These dogs can live somewhat normally. 473 00:23:31,400 --> 00:23:34,119 We do see some complications, however, in that many of 474 00:23:34,119 --> 00:23:36,920 these not many. Some dogs that have it cushions might 475 00:23:36,920 --> 00:23:39,480 also have diabetes going on at the same time, it's 476 00:23:39,480 --> 00:23:41,599 a disease we're going to cover in a few weeks 477 00:23:41,920 --> 00:23:45,160 that diabetes melodis. Now we get complicated because it's almost 478 00:23:45,160 --> 00:23:48,759 like the treatments are opposing each other because the anti 479 00:23:48,799 --> 00:23:52,440 insulin effect of high dose steroids. And then we really said, 480 00:23:52,440 --> 00:23:54,279 now we're giving you know, we have a disease that 481 00:23:54,440 --> 00:23:57,480 is secreting too much steroid. We get this anti insulin 482 00:23:57,480 --> 00:23:59,519 effect because of the steroid. That's where it gets very, 483 00:23:59,599 --> 00:24:02,599 very comp and these dogs are a lot more difficult 484 00:24:02,799 --> 00:24:05,400 to adjust, but it can be done. I'm in the 485 00:24:05,400 --> 00:24:07,440 midst of treating one right now. We've been you know, 486 00:24:07,519 --> 00:24:09,559 kind of going on for a while ago Lucy who 487 00:24:09,559 --> 00:24:13,880 has both diabetes and cushings just to throw us a 488 00:24:13,920 --> 00:24:16,119 hell of a curve when it comes to treating these 489 00:24:16,200 --> 00:24:20,960 endocrine disorders. So again, to recap cushing disease, it's a 490 00:24:21,000 --> 00:24:24,119 drenal and or pituitary problem. It's an over secretion and 491 00:24:24,160 --> 00:24:26,920 the body is presenting too much cortisol. The changes in 492 00:24:26,960 --> 00:24:30,319 the blood will usually dictate that. Behavior changes will dictate 493 00:24:30,359 --> 00:24:32,759 that the skin how these dogs present and look, we'll 494 00:24:32,799 --> 00:24:37,000 dictate that. And so our job is to minimize that 495 00:24:37,039 --> 00:24:40,200 secretion to regulate it as best we can. We have 496 00:24:40,240 --> 00:24:42,720 a number of drugs or surgery available to us, but 497 00:24:43,079 --> 00:24:46,400 don't fret because it is a condition that we can 498 00:24:46,720 --> 00:24:50,279 and often do, work with. So if you have any 499 00:24:50,400 --> 00:24:54,039 questions about Cushing's disease, Cushing syndrome, if you have a 500 00:24:54,079 --> 00:24:56,920 dog who's being treated or has been treated, or you've 501 00:24:56,920 --> 00:24:58,759 had a dog in the past, we would love to 502 00:24:58,759 --> 00:25:00,720 hear from you, find out how how it went. Get 503 00:25:00,759 --> 00:25:04,960 your input because other listeners are going to learn from you, 504 00:25:05,440 --> 00:25:07,400 just like taking learn from me, because you've been there, 505 00:25:07,480 --> 00:25:09,640 done that. Here, I am been treating this for years. 506 00:25:09,680 --> 00:25:12,640 I've never, in all my years of being a pet 507 00:25:12,720 --> 00:25:16,200 dad a dog dad, have had a dog with Cushion's 508 00:25:16,200 --> 00:25:19,000 disease or diabetes. For that fact, I shouldn't jinx myself. 509 00:25:19,039 --> 00:25:21,720 But so we want to hear from you to see 510 00:25:21,759 --> 00:25:24,319 how things are going for you. How is it working out, 511 00:25:24,480 --> 00:25:27,000 Are you happy that you're treating? Do you have any 512 00:25:27,000 --> 00:25:29,039 doubts that maybe you shouldn't have? This is what we 513 00:25:29,079 --> 00:25:30,359 want to know. So I want you to give us 514 00:25:30,359 --> 00:25:32,240 a call next week or send me an email and 515 00:25:32,279 --> 00:25:34,880 I'll share it on air. To Drgeff at Petlife Radio 516 00:25:34,960 --> 00:25:36,880 dot com or you can give us a call next week. 517 00:25:36,920 --> 00:25:38,160 We'd love to hear from you as we're going to 518 00:25:38,160 --> 00:25:41,359 be talking about Addison's disease, which is the opposite the 519 00:25:41,480 --> 00:25:45,240 under secretion of the adreno gland. And you can give 520 00:25:45,319 --> 00:25:47,480 us a call at eight seven seven three eight five 521 00:25:47,680 --> 00:25:50,200 eight eight eight two. Thanks for joining us here. I'm 522 00:25:50,200 --> 00:25:52,799 your host, doctor Jeff Werber. Thanks again to our sponsors 523 00:25:52,799 --> 00:25:55,440 Pro Sense and Kong, and we will see you here 524 00:25:55,759 --> 00:25:56,480 next Sunday. 525 00:25:56,880 --> 00:26:01,440 Speaker 1: Let's Talk Pets every week on demand only on petlight 526 00:26:01,599 --> 00:26:16,880 radio dot com.