Vet Voices On Air

Small animal vet and APBC registered behaviourist Sophie White (BVetMed MSc MRCVS) describes her perspective on the relationship between chronic pain and behaviour, giving some great tips to manage behavioural problems in a more simple way. In conversation with our very own Danny Chambers MP, they discuss this fascinating topic, and Danny reflects how this may relate to equine veterinary practice. Sophie describes how she combined her passion for working with dogs experiencing chronic pain with behavioural issues after encountering problems with her own rescue dog. This started her journey to better understand the relationship between the pain and behaviour. Now, years later in her capacity as referral behaviour specialist she reports around 50% of cases sent to her by vets are clinically unwell, with pain the untreated root cause of the behaviour issue. This includes gastrointestinal and musculoskeletal pain. We discuss why this may be, including discussions about how pain can often be masked in the consulting room.  We discuss the topic of euthanasia due to behaviour problems, and how a lot of guilt is often felt putting an otherwise healthy animal to sleep. We consider the animal welfare perspective, and how in order to put safe precautions in place for human safety animal welfare may be compromised, making euthanasia a better option for some animals.  Sophie discusses the benefit of a pain relief trial of there is even a tiny chance of pain being a factor, ideally before referral to her. Pain is a subjective personal experience and cannot be ruled out. Referral is still an important thing to do, particularly when dealing with aggressive animals for safeguarding purposes, but whilst waiting to see her, patients could be undergoing a pain relief trial so the behaviour issue can be dealt with more quickly. If referral isn’t an option within the context of this client/ patient then a pain relief trial or discussion with a veterinary behaviourist about medications such as fluoxetine, may also bring some comfort to the client that before euthanasia is considered, they have tried something for their animal.

***Trigger Warning*** It is important to note that this podcast discusses the sensitive subject of veterinary mental health and suicide. If you feel affected by any of this, please contact Vetlife Helpline on 0303 040 2551 or via email: https://helpline.vetlife.org.uk/ Rosie Allister and James Russell bring their wealth of experience alongside evidence-based information about how best to talk about suicide within the veterinary profession both broadly on social media and when engaging with vulnerable individuals. Robyn Lowe BSc(Hons), Dip AVN, Dip HE CVN, RVN talks to James Russell BVetMed FRCVS, president of Vetlife and Rosie Allister BSc(Hons) BVSc MSc PhD MRCVS. Rosie has extensive experience in veterinary mental health research and its implementation, including suicide prevention and postvention. She is also the Consulting Manager for Vetlife Helpline and has 20 years of experience working with Samaritans. We discuss the importance of talking to an individual who is experiencing mental distress about whether they want to end their life, and how by being caring and supportive in how we approach this, makes it a safe and positive thing to do. We also talk about the impact of posting comments involving suicide online, though unintentional it can be actively damaging and may be causal to additional subsequent suicidal behaviour. We explain the evidence base behind what is being shared online, and discuss how improving how and what is shared can be protective for veterinary mental health and suicide.   So, how can we talk about suicide safely? Because it is so important to talk about it! We need to be conscious of what language we use and be careful not to minimise the cause to one specific factor. Suicide is complex and nuanced. Oversimplifying it can be linked to deaths that would not otherwise have happened. We need to focus on where help can be found and that THERE IS HOPE.  Join us in this fascinating and educational podcast to learn how we can support and protect vulnerable individuals who may be affected by what we post online and by the media in ways that may not be easily foreseen.  For further support following this podcast, please see the following mental health support links: Vetlife: https://helpline.vetlife.org.uk/ [https://helpline.vetlife.org.uk/]  Samaritans: https://www.samaritans.org/how-we-can-help/contact-samaritan/gad_source=1&gclid=Cj0KCQjwq_G1BhCSARIsACc7NxqOIOLmy34y3B3NcHxrJ4ff8XnjKLSYF1NDaSPsvoHe-Aq1_GC7PZcaAitZEALw_wcB

Navaratnam Partheeban BVM&S BSc MRCVS OBE, (known as Theeb), co-founder British Veterinary Ethnicity and Diversity Society (BVEDS) brings a varied background of clinical farm practice and industry including research and pharmaceuticals and a wealth of knowledge and fascination with equality, diversity and inclusion (EDI) in the veterinary profession, alongside our very own Ami Sawran BVSc PgCertVPS CertAVP(CP) PhD FRCVS making this a must-listen podcast! Join us as we reflect on what EDI really means, and the importance of personal introspection to consider our individual privileges and barriers to then appreciate the privileges and barriers of those around us, and how they may affect equality, diversity and inclusivity of the veterinary profession. Though the veterinary profession and agricultural sector is improving, we are still a very un-diverse population, which needs to be recognised. We discuss simple inclusive language changes as well as easy ways to connect with clients, particularly on farm or in ambulatory practice, a technique that can help minimise the differences we may otherwise have. Sexism is still the most reported type of discrimination both across the board and in veterinary practice, despite the feminisation of the workforce. We talk about how this can be prevented through communication, self-education and allyship. Allyship can mean different things in different scenarios. It may not always be safe to speak out, but small changes with trusted peers and loved ones, conversations with clients and good leadership are some of them. Tune in to find out more! Want to know more? Check out the Agdiversity online awareness course for EDI by following this link: https://www.nuffieldscholar.org/agdiversity

Join good friends Danny Chambers and Gwen Rees BVSc(Hons) PhD MRCVS, chatting about her fascinating PhD into the sociology of what happens on farms after treatment plans and medications are dispensed, and the reasons compliance may not always be met. By understanding these factors and implementing change, might we improve compliance, animal welfare and antimicrobial stewardship? Gwen presents the evidence towards empathetic collaboration, how veering away from a paternalistic culture between both government and vet/ vet and farmer can provide a tailored treatment plan that fits the context of individual farms. Through jovial self-reflection we tackle the topic of ‘main character syndrome.’ Are we as vets more prone to this?! Could greater awareness of this improve client compliance across all veterinary sectors?

In this podcast we hear Carrie Kearns, a Pet Bereavement Councillor, passionately advocate for those experiencing pet bereavement. In conversation with Robyn Lowe and Danny Chambers, who bring their experiences of small animal and equine euthanasia’s, Carrie Kearns ACC Dip PBC, MHS provides compassionate insight into owner experience after pet loss giving useful tips and advice to support our clients through animal euthanasia, including making the decision, the actual procedure and coping afterwards. We discuss subjects such as disenfranchised grief, where society doesn’t allow us to validate our grief and how this can relate to losing our animals. We have a unique and special co-dependent relationship with our pets and part of ownership is a caregiving role, ensuring their needs are met, often bringing us closer together. We talk about approaching the decision to euthanise an animal, and how we as members of the veterinary team can support owners so they do not feel alone in this. We also cover simple tips like dressing a catheter can make a big difference to owner experience. Tune in to hear more! Carrie also highlights her role as a pet bereavement councillor, and how she may be able to assist both clients and veterinary staff. Carrie is a member of the newly launched Association of Pet Bereavement Councillors: a self-regulating body setup to acknowledge the relevance and value of pet bereavement councillors, who can provide niche client support. To become an accredited member, individuals must fulfil specific criteria, and they are listed with details of their location and credentials, so clients can pick a councillor tailored to their needs. Please follow the following link to view this: https://apbcounsellors.co.uk/find-a-counsellor