RANT HERE thread

[emacc]

So the military moved us somewhere we weren't "authorized" to move. So now we have to move again. Before our stuff is even here. But we can't reroute it. And I may just go ahead and move to school and my husband move into barracks. If they'll let us. Yay.

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[Teepster87]

So the military moved us somewhere we weren't "authorized" to move. So now we have to move again. Before our stuff is even here. But we can't reroute it. And I may just go ahead and move to school and my husband move into barracks. If they'll let us. Yay.

Sorry to hear you're getting the run around from the military (is it Navy? cant remember branch).

 

[pinkpuppy9]

Do you have a key fob with an unlock button? A few years ago someone stole the change out of my car but it wasn't broken into so I suspect something in my purse hit the fob once and unlocked the driver side door. There are people who just go around checking doors to see if they're unlocked.

I do, and half the time it doesn't work for all my doors so it's also possible that I heard some of the doors lock but my driver door decided to malfunction. Usually it's one of my backdoors that won't lock/unlock. I think you're probably right that they were trying to get lucky, but it's just really weird that they left the change but took the door opener that wasn't in plain sight.

 

[emacc]

Sorry to hear you're getting the run around from the military (is it Navy? cant remember branch).

Thanks. Yeah it is. This is the first major issue we've had and it's just bizarre because his orders went through so many people and we asked so many questions because they seemed weird but here we are. It may work out better for us in the end because we may not have to support two apartments but it's getting to that that's going to be rough.


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[LadyOtheFarm]

Bad things. Just sigh.

Hubby is getting to that point where he just cannot imagine trying to explain our last few weeks, or months, or years to somebody and having them believe it. Too much bad crap.

I have had this going on my whole life and just assumed bad luck (or something). Hubby was sooooo lucky before me. He was the guy that won at least some prize for every raffle he entered, people saw blond hair and blue eyes and just treated him well, and everybody loves him when they meet him (especially little old ladies). I have always had to work 5 times harder than anybody around me, anticipate something would break or go wrong part way through, I would need to MacGyvor crap together at least 3 times, and just make it through the other side by the skin of my teeth, and only a select few would know what I had to do and be speechless at the end and almost always say something like, "I have never seen someone have to fight so hard! It was amazing how much went wrong and you still overcame! I bet that was the toughest event/day/week/month/year... of your life!"

Sometimes, I feel bad for the guy. Most of the time, I'm just glad I have someone to share it with (and who now believes all my crazy stories). Poor dude.

 

[PrincessButterCup]

Hugs LOTF

 

[WildZoo]

Hugs, lady. You know we're all here for you anytime you need to talk.

 

[Coopah]

I hope tomorrow is like this @LadyOtheFarm !

 

[pinkpuppy9]

So not looking forward to moving. I'm tempted to just stay where I'm at now, even though my car just got broken into. One roommate is displeased with everything and expects a luxury home for less than $1500 a month, the other isn't even participating in the search...

I mean we live in a college town. The neighborhoods are very old. Very few houses within our budget are going to be well maintained and look nice. And then when you factor in the part where we need a landlord who has no pet limit...that gives us homes that are very 'lived in.'

 

[Karabiner13]

Took a bugs and drugs exam this morning and just now we got an email telling us due to an administrative error 8 questions didn't appear on the exam. As our professor wants us to be adequately assessed on the material we have to take those 8 questions this Friday. My whole class is in an uproar. I thought I was done studying until April

 

[Karabiner13]

Well, we were just given the option to take the 8 questions after our last class today. I might do that so I don't have this following me all the way until Friday. (Time to re-study while in class)

Also found out the decision on how this is handled rests with the professor and no empathy has been shown from him. I think this is what is the most frustrating part of this.

 

[Coopah]

Well, we were just given the option to take the 8 questions after our last class today. I might do that so I don't have this following me all the way until Friday. (Time to re-study while in class)

Also found out the decision on how this is handled rests with the professor and no empathy has been shown from him. I think this is what is the most frustrating part of this.

 

[DVMDream]

Well, we were just given the option to take the 8 questions after our last class today. I might do that so I don't have this following me all the way until Friday. (Time to re-study while in class)

Also found out the decision on how this is handled rests with the professor and no empathy has been shown from him. I think this is what is the most frustrating part of this.

I say just take it and get it over with. It's only 8 questions then you can be free for a bit.

 

[supershorty]

I need to get better at saying no when I'm asked to take on more research work. Feeling a little over my head with the amount of stuff I'm trying to do in addition to classes.

 

[Karabiner13]

I say just take it and get it over with. It's only 8 questions then you can be free for a bit.

Even though it was only 8 questions it was 22% of the exam. So I can understand him wanting us to still take them.

But he just decided to put some or all of the questions into our cumulative final and let this exam stand as is And our PPS office just gave us double stuffed oreos

 

[Skimble]

This guy!!!
Vaccines aren't dose dependent. This is true in vet med and human med. Please share this research you have because I would LOVE to see it. I'm super conservative when it comes to vaccines, but if I see one more person share this video on social media like it's truth, I'm going to lose it. Yes, I think all vets would love for there to be more research on vaccine frequency but the funding just doesn't exist. That has nothing to do with dose though.

 

[DVMDream]

This guy!!!
Vaccines aren't dose dependent. This is true in vet med and human med. Please share this research you have because I would LOVE to see it. I'm super conservative when it comes to vaccines, but if I see one more person share this video on social media like it's truth, I'm going to lose it. Yes, I think all vets would love for there to be more research on vaccine frequency but the funding just doesn't exist. That has nothing to do with dose though.

I had a client ask if I gave her dog a smaller dose of the vaccine so it "wouldn't hurt her dog". Had to explain to her that if a dog is going to react the dose won't matter, similar to a kid allergic to peanuts... 1 peanut or 10 peanuts doesn't make a difference. Not sure she got it.

 

[Momokeen]

My dog was just diagnosed with lymphoma

 

[PrincessButterCup]

My dog was just diagnosed with lymphoma

Oh, I'm so sorry. Internet hugs coming your way!

 

[LadyOtheFarm]

My dog was just diagnosed with lymphoma

I'm sorry

 

[deleted498041]

My dog is so itchy all the time. She used to give herself whopping skin infections, and I'm still convinced she had some reaction to whatever they sprayed on the grass outside, so I guess it's better now that I don't come home to a dog smelling like a skin infection every day... She's been on an anallergenic diet for a couple years, with limited ingredient treats introduced with no reaction. I'm sure she has some kind of environmental allergies... Does it make me bad if I don't want to do a skin workup and just want to get the cadi injection? She has no lesions, she's just itchy all over and I feel so bad for her

 

[deleted498041]

My dog was just diagnosed with lymphoma

So sorry

 

[that redhead]

My dog is so itchy all the time. She used to give herself whopping skin infections, and I'm still convinced she had some reaction to whatever they sprayed on the grass outside, so I guess it's better now that I don't come home to a dog smelling like a skin infection every day... She's been on an anallergenic diet for a couple years, with limited ingredient treats introduced with no reaction. I'm sure she has some kind of environmental allergies... Does it make me bad if I don't want to do a skin workup and just want to get the cadi injection? She has no lesions, she's just itchy all over and I feel so bad for her

I'd try Apoquel first, personally. (Not medical advice, of course...)

 

[LetItSnow]

I'd try Apoquel first, personally. (Not medical advice, of course...)

I'd kinda like to hear from you GP-ish types a Cytopoint vs Apoquel read-out.

 

[deleted498041]

I'd try Apoquel first, personally. (Not medical advice, of course...)

I'd kinda like to hear from you GP-ish types a Cytopoint vs Apoquel read-out.

Me too! Especially since I should out the vet she has an appointment with tomorrow doesn't carry Cytopoint. For my personal situation, owner compliance is not a problem My dog loves getting pilled because I spent so much time teaching her that pills = yummy yummy treats.
I feel confused on when to recommend Apoquel vs Cytopoint and the few people I've asked say they do Apoquel for seven days and a Cytopoint injection on day one...

 

[Trilt]

Only had cadi for a couple months, but to be honest I've mostly used it for clients who I suspect (or know) are poorly compliant or who were previously "trained" to expect a methylpred shot. Then in a couple cases where the dog did just ~okay~ on apoquel and people wanted to try something else. Have had very good feedback thus far.

With our pricing it is significantly more expensive than once a day apoquel for a month for most dogs or I'd prob use it more.

 

[LetItSnow]

Only had cadi for a couple months, but to be honest I've mostly used it for clients who I suspect (or know) are poorly compliant or who were previously "trained" to expect a methylpred shot. Then in a couple cases where the dog did just ~okay~ on apoquel and people wanted to try something else. Have had very good feedback thus far.

With our pricing it is significantly more expensive than once a day apoquel for a month for most dogs or I'd prob use it more.

When you say "your pricing" are you implying that it doesn't <have> to be that way? What I've heard in CE and whatnot is that the price points can be pretty comparable (but that because of the need to use a full vial at a time it can be a bit of a steep investment for a clinic).

Thx for the info!

 

[WildZoo]

Can I rant about whatever the hell is going on with the forums today because it's making my life very difficult

 

[Trilt]

When you say "your pricing" are you implying that it doesn't <have> to be that way? What I've heard in CE and whatnot is that the price points can be pretty comparable (but that because of the need to use a full vial at a time it can be a bit of a steep investment for a clinic).

Thx for the info!

Honestly not sure. I think ours is done as the cost of the vials + a set markup, but I'd need to look it up to be sure. I know the med itself is fairly expensive so there was definitely was some investment to stock our fridge...

 

[Coopah]

Can I rant about whatever the hell is going on with the forums today because it's making my life very difficult

It's all better!

 

[Skimble]

It's all better!

So glad to have blue back!!!!

 

[Doctor-S]

My dog was just diagnosed with lymphoma

Very sorry to hear about your dog!

 

[Doctor-S]

Can I rant about whatever the hell is going on with the forums today because it's making my life very difficult

@WildZoo, your new spinning wee beastie avatar is not only adorable, it brings a happy smile to my face!

 

[allygator13]

So about a month before I adopted my dog a little over two years ago he had a perineal hernia, and the rescue organization I got him from had it repaired when he was neutered before I got him at their regular GP that does all the vet work for the rescue because he gives them a discount. A few months ago he started having booty issues again but the two GP doctors my mom took him to (he's back home with her) weren't sure what they were feeling and whether or not it was an anal gland mass or something else. Today he went to see the surgeon I used to work for since it is likely he will need his anal gland removed. She said she thinks it's more likely to be a complication from his perineal hernia repair, maybe a foreign body reaction or something. She asked to see the surgical report/notes from the previous vet because she has no idea what they did and would like to see if that would help her figure it out. So I messaged the rescue lady to see if she could call them and have them faxed over. Later on I get an email from the surgeon saying all they sent over was basically an invoice saying yes, they did the surgery. So she herself called that practice asking for the actual surgical notes/report... There is none

 

[orca2011]

Me too! Especially since I should out the vet she has an appointment with tomorrow doesn't carry Cytopoint. For my personal situation, owner compliance is not a problem My dog loves getting pilled because I spent so much time teaching her that pills = yummy yummy treats.
I feel confused on when to recommend Apoquel vs Cytopoint and the few people I've asked say they do Apoquel for seven days and a Cytopoint injection on day one...

At school, we tended to reach for CADI in those dogs who no longer seemed to respond as well to oral apoquel or for owner compliance/convience. Dont think we really had a strong reason for one ovrer the other. I briefly thought about it for my guy as he has needed Apoquel in the past for a month or two when he's in his worse months. Didn't feel like he need apoquel this year so I think his immunotherapy shots have helped.


And it's not wrong to not do the allergy workup especially if it's only a few months out of the year.

 

[wallydo]

My dog had a pantarsal arthrodesis years ago. She developed a MRSS infection and was plated 3 separate times (with external fixation in there somewhere + plate removals) before she finally healed. Her final surgery was 3.5 years ago. She just developed an abscess over her plate so she's currently hospitalized in isolation awaiting plate removal. There's a chance her tibia could fracture during and a soft tissue surgeon will step in to amputate. Just feeling so heartbroken that she has to go through more pain/another long recovery after all she's been through.

 

[wallydo]

My dog was just diagnosed with lymphoma

Oh I am so very sorry. Thinking of you and your pup.

 

[LetItSnow]

Honestly not sure. I think ours is done as the cost of the vials + a set markup, but I'd need to look it up to be sure. I know the med itself is fairly expensive so there was definitely was some investment to stock our fridge...

I think it's the way it's sold, right? Aren't you required to buy a set of 10/20/30/40mg vials?

At school, we tended to reach for CADI in those dogs who no longer seemed to respond as well to oral apoquel or for owner compliance/convience. Dont think we really had a strong reason for one of the other.

The only dermatologist I've heard talk about it liked it because it gets the owner away from pilling (so long as the owner was good about coming in regularly for the injection), but she felt like it wasn't really "more" or "less" effective than Apoquel. Her take was kinda "some dogs do well on one, some do well on the other, some do well on either, and some don't do well no matter what you do." Didn't seem to have any actual data comparing the two.

But I always like hearing what the GPs think..... I'm always a little suspicious of the info from the specialists because of their bias of seeing the more 'difficult' patients that the GP couldn't manage. I love the specialists, but I think it's inherently hard for them to see the big picture sometimes. (Not a slam on specialists at all - it's just the nature of the beast.)

 

[cowgirla]

I think it's the way it's sold, right? Aren't you required to buy a set of 10/20/30/40mg vials?



The only dermatologist I've heard talk about it liked it because it gets the owner away from pilling (so long as the owner was good about coming in regularly for the injection), but she felt like it wasn't really "more" or "less" effective than Apoquel. Her take was kinda "some dogs do well on one, some do well on the other, some do well on either, and some don't do well no matter what you do." Didn't seem to have any actual data comparing the two.

But I always like hearing what the GPs think..... I'm always a little suspicious of the info from the specialists because of their bias of seeing the more 'difficult' patients that the GP couldn't manage. I love the specialists, but I think it's inherently hard for them to see the big picture sometimes. (Not a slam on specialists at all - it's just the nature of the beast.)

We've been able to order single boxes, so just 2 vials of a size at a time. No idea what our markup is but it's an expensive drug, that's for sure, especially the ones that need it q3-4 weeks rather than q6-8.
I've been ordering it as I need it for an apoquel failure patient. More expensive, but the first round of apoquel caused a tumor to massively grow, and the second round after tumor removal did nothing for the atopy. He's been happy with it so far although we are still trying to get some lingering infections under control. Haven't used it other than that, although I have recommended it to a few. (Cost has been prohibitive for some).

ETA: I have one dog likely starting it soon. He does beautifully on BID apoquel, relapses on SID. CADI cheaper than off label BID apoquel so likely giving it a try.

 

[deleted498041]

At school, we tended to reach for CADI in those dogs who no longer seemed to respond as well to oral apoquel or for owner compliance/convience. Dont think we really had a strong reason for one of the other. I briefly thought about it for my guy as he has needed Apoquel in the past for a month or two when he's in his worse months. Didn't feel like he need apoquel this year so I think his shots have helped.


And it's not wrong to not do the allergy workup especially if it's only a few months out of the year.

Thanks for making me feel better about skipping the allergy workup So far, she only seems to get really bad in California and Florida, so maybe moving to Mass will resolve this for us.

This is all really interesting. The place I just finished up at had their cytopoint costing less than a comparable amount of apoquel -- but they were using apoquel and cytopoint at the same time. I guess maybe I'll give the apoquel a shot (haha, get it?) first since pilling her isn't a problem and I'm a pretty compliant owner in general. I probably won't see a lot of patients that I'll have a need to recommend either drug for, next year, but this is all really useful info for me moving forward

 

[psilovethomas]

Advantages of Cytopoint over Apoquel:
Can be given to dogs <1 year of age.
Can be used regardless of liver/renal function, considering it is virtually not metabolized at all.
Do not need to monitor bloodwork because of above and below
Can be used when the animal is immunologically compromised since it is very specific and only binds to IL-31, as opposed to Apoquel which works intracellularly to block the JAK pathway and therefore is more immunosuppressive since it is less specific.


Side note- Never give Cytopoint to a cat.

 

[Devastating]

This guy!!!
Vaccines aren't dose dependent. This is true in vet med and human med. Please share this research you have because I would LOVE to see it. I'm super conservative when it comes to vaccines, but if I see one more person share this video on social media like it's truth, I'm going to lose it. Yes, I think all vets would love for there to be more research on vaccine frequency but the funding just doesn't exist. That has nothing to do with dose though.

My mom sent me this on FB, and I immediately thought I should come here to see people's thoughts, since I've never heard anything regarding dosage before. The behavioral things they pointed out from the crowd did sadden/frustrate me, but that of course has nothing to do with the validity of the point in question.

I guess the one thing I really hate about this being shared is...boy, we sure needed another trigger for all the "vaccines/hw prevention are just money-grabbing scams" and "I stopped going to the vet and started feeding organic, now my dogs never get sick" totally helping vets feel more heard/respected. The vid itself didn't seem to implicate veterinary professionals so much as the gov. regulations, but when presented in this way to an audience already undereducated and/or hostile towards the subject of vaccination, that's what they're gonna get out of it.

 

[orca2011]

I think it's the way it's sold, right? Aren't you required to buy a set of 10/20/30/40mg vials?



The only dermatologist I've heard talk about it liked it because it gets the owner away from pilling (so long as the owner was good about coming in regularly for the injection), but she felt like it wasn't really "more" or "less" effective than Apoquel. Her take was kinda "some dogs do well on one, some do well on the other, some do well on either, and some don't do well no matter what you do." Didn't seem to have any actual data comparing the two.

But I always like hearing what the GPs think..... I'm always a little suspicious of the info from the specialists because of their bias of seeing the more 'difficult' patients that the GP couldn't manage. I love the specialists, but I think it's inherently hard for them to see the big picture sometimes. (Not a slam on specialists at all - it's just the nature of the beast.)

That was basically the take I got from my dog's dermatologist at school. Some do better with the injection than the pills and vice versa. I really only think my guy sees benefit when he's on the initial higer dosing and as soon as you taper he gets a bit itchy again. They seemed to play around a lot with the dosing and frequency. Theyd often have owners give like half a dose in the evening if they felt their pet was starting to show signs again.


And I honestly should have just freaking applied for a derm residency. I'm not quite up to date on things cause intern life has me focused more on ER, but I am always happy to talk about it and have gone into really detailed convos witb owners on ER...

 

[orca2011]

Advantages of Cytopoint over Apoquel:
Can be given to dogs <1 year of age.
Can be used regardless of liver/renal function, considering it is virtually not metabolized at all.
Do not need to monitor bloodwork because of above and below
Can be used when the animal is immunologically compromised since it is very specific and only binds to IL-31, as opposed to Apoquel which works intracellularly to block the JAK pathway and therefore is more immunosuppressive since it is less specific.


Side note- Never give Cytopoint to a cat.

Are more people noticing elevated LEs with Apoquel now? I learned about it as a possibility in derm and they would do routine monitoring, but haven't found a paper really saying it's a thing (at leaSt not when i checked back in lIke July). But since I think Penn played a part in some of the studies Ive trusted them in regards to what they say about Apoquel and CADI.

 

[DVMDream]

We've just recently started using cytopoint. I'll actually price it out in comparison with apoquel for owners. For some dogs, cytopoint is cheaper, for some apoquel is, it really depends on weight. Even in the dogs where cytopoint is more expensive it has never been more than $5-20 more. I'm still holding off on stating if I like cytopoint or not. I have given maybe 5 cytopoint injections now. So I haven't had enough of a sample size to decide.

 

[Doctor-S]

My dog had a pantarsal arthrodesis years ago. She developed a MRSS infection and was plated 3 separate times (with external fixation in there somewhere + plate removals) before she finally healed. Her final surgery was 3.5 years ago. She just developed an abscess over her plate so she's currently hospitalized in isolation awaiting plate removal. There's a chance her tibia could fracture during and a soft tissue surgeon will step in to amputate. Just feeling so heartbroken that she has to go through more pain/another long recovery after all she's been through.

Sending you and your dog lots of kind and caring thoughts. Hope everything goes well. Please let us know how she's doing, okay?

 

[wallydo]

Sending you and your dog lots of kind and caring thoughts. Hope everything goes well. Please let us know how she's doing, okay?

Thank you, Dr. S! I'll certainly update. Her surgery will be tomorrow afternoon. The LVTs and assistants know she is my dog and have been spoiling her extra, sending some photo updates, all making tonight a little easier. I know she tends to become more stressed if I visit while she is hospitalized so I called out for tomorrow - my supervisor was extremely understanding which was much appreciated. Plus, I wanted to install a baby gate at the bottom of the steps and have all her kennels ready. She will need to restricted for quite some time.

 

[PippyPony]

I work for a dermatologist. She uses the CADI injection a lot, and for some dogs, it ends up being cheaper than Apoquel because they can stretch out the duration between shots so that it's cost effective. But, it seems to be very individualized -- some dogs do better with the CADI, some do better on various daily meds + traditional allergy shots, some are on apoquel and CADI shots.

 

[Trilt]

Are more people noticing elevated LEs with Apoquel now? I learned about it as a possibility in derm and they would do routine monitoring, but haven't found a paper really saying it's a thing (at leaSt not when i checked back in lIke July). But since I think Penn played a part in some of the studies Ive trusted them in regards to what they say about Apoquel and CADI.

Was a post on the front page of VIN just a couple days ago with elevated liver enzymes that rose then fell once off apoquel... we monitor every 6-12m our long-term apoquel patients and I can't say I've seen it yet.

 

[cali_bear]

Random post, but I appreciate you guys talking about Apoquel and CADI. Jasper (brindle floof in profile pic) has terrible allergies (would get the scabs/flakes on back, the lesions on his abdomen and groin, and bad ear infections), and Apoquel has been the only treatment to touch all of his issues and give him a chance to be a normal dog. My veterinarian just bought CADI so I have been looking into it, and we have been discussing the pros/cons of each recently. It helped the clinic dog that I have been fostering tremendously! He is less than a year old so it is awesome seeing him get relief since he wasn't a candidate for Apoquel. My dog is around 65lbs so unfortunately he'd need two vials so it'd be more expensive than his daily 16 mg Apoquel . My vet doesn't have Cytopoint, and I will be looking into it!