Why Your Well-Managed Otitis Patients Seem to Fall to Pieces After a Few Years
From Otitis 101, episode 173 on the Medicine Feed. With Dr Nellie Choi.
Have you noticed that? Your patient has the occasional manky ear that you are able to manage really effectively, but as they get older those infections seem to pick up momentum, and now you’re handing out drops and preds every 6 weeks. It’s not just you - dermatologist Dr Nellie Choi says it’s definitely a thing. And maybe there’s something we can do about it.
-
The frequency of ear infections will often increase as the patient gets older, especially if it has not been on a good maintenance regime and you're not addressing the primary diseases.
-
Possible reasons for this
-
Skin barrier issues from chronic inflammation.
-
Microbiome issues from all those meds.
-
-
Solution: Address the primary problem early and aggressively.
“I highly recommend owners to consider immunotherapy earlier on. I really do think it's the only thing we have to stop animals or dogs getting worse, without relying on drugs, because drugs ultimately won’t stop it. “
For more clinical pearls, sign up for our free weekly Newsletter , or get all of our content on the go with our Clinical Podcasts
Hubert Hiemstra
Hosted by Dr. Hubert Hiemstra, a veterinarian with over 20 years of experience and a passion for helping vets build happier, more fulfilling careers. Hubert brings warmth, curiosity, and a knack for asking the right questions to every conversation, creating a space where the best ideas in vet med come to life.
Steroids For Critical Illness
