Wow, what an amazingly honest discussion of these really real effects often seen in medicine. I got here through McCann dogs and am very impressed by your intellectual rigor. Also a good critique of social media effects. And Dunning Kruger effect. What a discussion!!! Very sophisticated. Looking forward to ongoing video from my subscription.
@OurPetsHealth
2 ай бұрын
I'm really pleased you enjoyed it. Unfortunately videos like this never really attract many people but they are important so I keep putting them out there! It's been a while since I collaborated with Ken and the team at McCann Dogs - they are wonderful people. Ken and I got to know each other when I had 1000 and he had 5000 subscribers I believe!
@SelenHirik
Ай бұрын
I needed to hear something like this video. My cat was diagnosed with FOSCC, her right lower jaw bone with the tumor in the cheek, and one lymph node in her throat was removed. As ı am in Turkey, we dont have palladia, or those fancy supplements esp. for pets. Just the operation and ı hope she will live 🙏🙏🙏
@OurPetsHealth
Ай бұрын
I'll keep my fingers crossed you ger your own miracle 🤞
@davidmckinney6577
Ай бұрын
Hi 👋 good buddy Dr Alex..well I adopted a senior beagle a couple of weeks ago .I named her Maggie lou she is a sweetheart 💕 dr alex she and Rosie Mae are biggest furiends..Maggie was found by our county Judge executive and he brought her to my veterinarian clinic and asked my veterinarian to do all she could to save her i went down the next day after she was brought in she had several lacerations and she was dehydrated and not eating my veterinarian had to put in iv fluids and she got her back on her feet and I would go everyday and I would sit with Maggie and talk to her and she took up with me super fast and I asked my veterinarian what was going to happen to her and she said that the judge paid for her extensive treatment and asked her if she could find her a home because she is approximately ten to twelve years old maybe a little older but anyway my vet already knew that I wanted her so I brought her home and Maggie taught Rosie how to rabbit hunt and every morning Maggie wakes me up wanting to go hunting and I let them out and they have a ball for sure..but the problem is Maggie lou has heartworms and I am taking her to the vet in the morning for blood work to check her organ and blood work but my vet said treatment for heartworms has to be done really slow and its dangerous..what do you think dr alex? Would you go ahead with treatment for heartworms or do you think she is too old and the risk is too high. My veterinarian thinks it can be done but i just don't know what to do..Maggie is so beautiful and so tiny Arnold was three times or more bigger than Maggie lou..
@OurPetsHealth
Ай бұрын
Hi David, the name Maggie Lou made me think of the Buddy Holly song Peggie Sue! I actually don't have any experience with heartworm as luckily it is not something that has been present anywhere I've ever practiced. I would really be guided by what your vet feels is best as while there is a risk with treatment there is also going to be issues without treatment. Love to hear that both dogs are getting on and by the sounds of things undoubtably living their best lives!!
@davidmckinney6577
Ай бұрын
@@OurPetsHealth oh OK 👍 thanks dr alex I figured heartworms was worldwide.. I was going to call her Maggie Sue but I have a aunt named Sue and I didn't want to be reminded of her lol..
17 күн бұрын
Are you saying that a scientific double blind study on a limited number of individuals on a very limited period of time has more values than thousands of real life experiences? If it what you are saying? What about pharmacovigilance? Is that not based on anecdotal experiences and vital as a phase 4 trial? I have been very curious since the passing of one of my dogs and receving his post-mortem report. I read lots of information on his revealed health conditions (not diagnosed by his vet who was incredibly surprised by said post-mortem results). I ended up also reading on the multiple prescribed medications. Not only the medication leaflets but also the trials descriptions and results as well as the pre-trial data (when I could find them). I also read a lot on off-label uses of some medications and the little evidence of their efficacy beside their uses by a large member of veterinarians, based on their experiences. Is it not a bias when you are told that they never encountered a side effects so they don't believe they exist. But as they are "scientist" they know better. I personally do not believe in medications or supplements or "alternative", nor "allopathic" medicine. I don't take anything unless it is a life or death situation or if I overreach my very high pain tolerance. Of course, it is different for my dogs. I will try them on medications, particularly if they are in pain. But reading all the available information on most use medications by the veterinary profession has made me question the "reality" of their efficacy. I am mostly questioning how a medication whose positive effects happen in less than 50% of the test subjects and more than in the placebo population can be deamed acceptable. It puzzles me.
@OurPetsHealth
16 күн бұрын
Good questions, especially about anecdote. An extreme example of thousands of positive real-life experiences is that it used to be very regular practice for people to be bled when they were unwell, a practice that went on for thousands of years. If people had felt it was not beneficial then they wouldn't have had it done. Clearly it is not a practice that has stuck around in the scientific age. I can think of veterinary treatments that were also thought to be effective but the reality is the patient was going to improve anyway, and these are no longer used. I will very regularly have animals brought to me for routine preventive care whose owners consider them to be in peak health yet on exam are clearly suffering from significant disease (heart failure, kidney disease, hormone disorders, cancer...you name it). No blame on the owner, it can just be very hard to know if an animal is sick until things are really bad. Anectode does have an important role (such as pharmacovigilance) in informing what questions should be investigated further to see if the link is real, to see if there is a causation of simply correlation (or neither). Let's say there are lots of reports of elderly cats being diagnosed with kidney disease in the 6 months after starting a particular medication (this is all theoretical, I'm not referring to any real reports or actual numbers). Just reading these reports you could then make the assumption that the treatment caused the disease. You could also dismiss it and say that old cats get kidney disease so they are unrelated. Both would just be conjecture. What you would need to do is a study that followed 2 groups of cats and compare the proportion that developed kidney disease in both groups. Now of course in Veterinary medicine especially we are often in a situation where we either do not have these studies or we are forced to extrapolate from the human world (and clearly dogs and cats are not humans) or we need to reach lower down the evidence hierarchy (here's one place to start - www.ncbi.nlm.nih.gov/pmc/articles/PMC3124652/). It's certainly not an ideal situation, but I would also hope that my miracle story highlights how easy it is to misattribute an action with a result - and yes I do include conventional treatments in this.
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