While advanced imaging technologies like MRI, CT, and nuclear scintigraphy provide powerful diagnostic tools, they are only as effective as the context surrounding them. A clear, accurate patient history helps veterinarians and radiologists interpret images correctly, choose the right imaging modality, and ultimately arrive at a more accurate diagnosis.

Through real clinical cases – from nerve sheath tumors and congenital urinary abnormalities to thyroid disease and anesthesia complications – Dr. Armentrout and Dr. Hays illustrate how incomplete or misleading histories can delay answers, complicate procedures, or even lead to imaging the wrong anatomical region.

They also discuss how trends in bloodwork, subtle behavioral changes, and long-term medical records can reveal patterns that a single snapshot cannot. Whether it’s a limping dog, a weight-losing cat, or a horse with mysterious lameness, the story behind the patient often holds the key to solving the diagnostic puzzle.

The episode closes with practical advice for veterinarians and pet owners alike: better histories lead to better diagnoses, safer procedures, and better outcomes for animals.

Time Stamps:

00:00 - Introduction to Diagnostic Tales podcast and the importance of veterinary imaging

01:02 - Why accurate patient history is crucial for radiologists in referral practices

02:22 - How to provide helpful medical records without overwhelming information

03:43 - The importance of including previous diagnostic images with referrals

07:02 - Case example: How detailed palpation findings improve MRI interpretations

07:42 - Brachial plexus tumors: Easy to miss in early stages of lameness

10:13 - Why age and timeline information matters for diagnostic accuracy

13:20 - Case study: French Bulldog with chronic urinary issues and ectopic ureter

16:33 - Anesthesia complications: Critical history that almost got missed

18:58 - Metal implants and MRI limitations you need to know about

24:17 - Stress-related complications during I-131 thyroid treatment

27:42 - Communication breakdown: When everyone confirms the wrong imaging location

Key Takeaways

1. Imaging Alone Doesn’t Tell the Whole Story

Diagnostic imaging is powerful, but interpretation relies heavily on clinical context. A clear patient history helps radiologists understand what they are looking for.

2. Clear, Concise Histories Are Essential for Referral Cases

Referral imaging centers often meet a patient for the first time on the day of the procedure. The referral notes and records may be the only clinical history available.

3. Too Little Information Can Be as Problematic as Too Much

Clinicians frequently see two extremes: minimal information or hundreds of pages of records. The ideal history is focused, chronological, and relevant to the case.

4. Trends Over Time Reveal Critical Patterns

Serial bloodwork and longitudinal records help veterinarians identify disease progression. A single lab value is a snapshot—but multiple data points reveal the trajectory of disease.

5. Age and Onset Matter in Diagnosing Disease

Knowing whether a condition appeared suddenly, gradually, or since birth can help differentiate congenital conditions, degenerative diseases, or acute injuries.

6. Missing History Can Complicate Anesthesia or Imaging

Undisclosed medical events—such as previous anesthetic complications or implanted metal—can significantly impact imaging plans and patient safety.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

Using real clinical cases, they explain when radiographs fall short, how to choose between CT, MRI, and nuclear scintigraphy, and why advanced diagnostics often lead to faster answers, clearer treatment plans, and better patient outcomes.

This episode is designed for general practitioners managing challenging lameness, neurologic, and internal medicine cases, and for anyone who wants to better understand how modern veterinary imaging supports accurate diagnosis without unnecessary delays.

You’ll learn:

1. When to escalate from radiographs to CT or MRI
2. How bone scans help localize elusive lameness
3. Why MRI is ideal for neurologic and soft tissue disease
4. When CT is faster, more efficient, and cost-effective
5. Common misconceptions around cost, anesthesia, and accessibility
6. How advanced imaging supports — not replaces — the referring veterinarian
7. Why annual bloodwork and trend tracking improve long-term diagnostics

Whether you’re managing an unresolved limp, intermittent neurologic signs, or vague GI disease, this episode reinforces one core idea: advanced imaging is an extension of your practice — and a powerful diagnostic ally.

Time Stamps:

00:00 – Welcome to Diagnostic Tails

00:45 – The goal of the episode: using advanced imaging in everyday practice

01:15 – When radiographs don’t give answers: the limping Labrador scenario

02:00 – Bone scans as a localization tool before CT or MRI

02:40 – Case study: bilateral forelimb lameness and the “wrong problem” trap

04:15 – How bone scan + CT led to a definitive elbow dysplasia diagnosis

05:00 – Why advanced imaging improves treatment planning

06:00 – Why general practitioners underutilize advanced imaging

06:45 – Animal Imaging as an extension of the referring veterinarian

07:30 – Turnaround times and what reports include

08:15 – Host introductions and clinical backgrounds

09:30 – MRI misconceptions: “above my pay grade” and referral myths

10:45 – How MRI works (in practical, real-world terms)

12:30 – Why MRI studies take time — and why size matters

15:00 – CT vs MRI: choosing the right modality

18:15 – Case example: bicipital bursitis diagnosed via MRI

20:00 – Neurologic cases where MRI truly shines

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging

Drawing on decades of real-world clinical experience, the doctors unpack the true drivers behind rising veterinary costs, including medical inflation, shared supply chains with human medicine, staffing realities, and the crushing burden of veterinary education debt. They explain why comparisons to human healthcare costs are often misleading, how private equity can both help and harm depending on structure, and why veterinarians are leaving the profession at alarming rates.

The episode also explores telemedicine limitations, the misunderstood value of hands-on physical exams, the emotional toll placed on veterinarians by public misinformation, and the danger of narratives that suggest veterinarians are “in it for the money.” The conversation closes with practical, preventative guidance for pet owners and a call for empathy, realism, and partnership in modern veterinary care.

Key Takeaways

1. Rising Veterinary Costs Reflect Medical Inflation

1. Veterinary medicine relies on the same drugs, equipment, and suppliers as human healthcare.
2. Costs have risen approximately 42% since 2019, largely due to supply chain inflation and limited buying power for independent clinics.

2. Veterinarians Are Not Overcompensated

1. The average veterinarian salary (~$125,000) must be weighed against $185,000–$250,000+ in student debt.
2. Veterinarians earn significantly less than physicians with comparable training length and responsibility.

3. Burnout Is Driving the Veterinary Shortage

1. The shortage is caused largely by attrition, not lack of graduates.
2. Long hours, emotional strain, online harassment, and financial pressure are forcing veterinarians out of the field.
3. Veterinarians have one of the highest suicide rates of any profession.

4. Telemedicine Has Real Limits in Veterinary Care

1. Veterinary medicine is deeply tactile and observational—touch, smell, sound, and movement matter.
2. Telemedicine is most effective within an existing veterinarian-client-patient relationship, not as a replacement for exams.

5. Private Equity Is Complex, Not Inherently Harmful

1. While not without flaws, responsible private equity can improve benefits, staffing stability, and access to advanced care.
2. Many veterinarians no longer want to own practices, and PE can provide sustainable transition options.

6. Preventative Care Extends Life and Improves Quality

1. Dental health and weight management are two of the most impactful factors in pet longevity.
2. Advances in diagnostics, anesthesia, and preventative medicine mean pets are living significantly longer today.

7. Veterinarians Care—Deeply

1. Most veterinarians sacrifice family time, holidays, and personal well-being to care for animals.
2. Claims that veterinarians are “killing pets for profit” are false, harmful, and demoralizing.

Tail End Tips

Dr. Lon Hays:

If you only take away two things—keep your pet at a healthy weight and keep their teeth clean. Those two habits alone can dramatically improve both quality and length of life.

Dr. Amy Armentrout:

Create a veterinary emergency fund. Preventative care and preparation are always less costly—financially and emotionally—than crisis care.

Episode Timestamps

00:00 – Veterinarians and the “money myth”

01:12 – Welcome to Diagnostic Tails and episode context

02:00 – Introductions: Dr. Amy Armentrout & Dr. Lon Hays

03:15 – Reaction to the media interview

04:45 – Rising costs in veterinary vs human medicine

07:00 – Supplier pricing, overhead, and clinic realities

09:15 – Veterinary income vs education debt

11:15 – Burnout and the veterinary workforce crisis

13:15 – Social media backlash and emotional toll

15:00 – Humanization of pets and expectations of care

17:00 – Advanced imaging and centralized diagnostics

20:00 – Private equity: nuance and reality

23:30 – Telemedicine myths vs clinical reality

26:00 – Why physical exams still matter

29:00 – Why veterinary care feels more expensive

31:00 – The danger of inflammatory narratives

34:00 – “Vets are bad at business” myth

37:00 – Veterinary technicians and staffing challenges

39:00 – Dental care, longevity, and quality of life

41:00 – Tail End Tips

42:45 – Closing reflections and call for compassion

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

Through real stories, humor, and hard-earned insight, the team explains how a people-first workplace directly supports better diagnostics, stronger clinical decision-making, and improved patient outcomes. From technician-led case ownership and cross-training across modalities to tackling high-risk imaging cases others turn away, this conversation highlights how trust, education, and psychological safety elevate veterinary medicine.

They also address the emotional weight of referral-level imaging, the realities of high-stakes anesthesia, and why fun, boundaries, and shared values are not “extras” but essential tools for longevity in veterinary medicine. The result is a candid, thoughtful look at how intentional culture fuels excellence in advanced veterinary imaging.

Episode Timestamps

00:00 – 01:15

Welcome

01:15 – 03:00

Purpose, mission, and why employees come first at Animal Imaging

03:00 – 05:00

Technician autonomy, case ownership, and shared leadership on the floor

05:00 – 07:30

Trust, teamwork, and running multiple imaging modalities under pressure

07:30 – 09:45

Cross-training, education, and building a resilient, highly skilled team

09:45 – 12:30

Low turnover, hiring for values, and why culture is treated as a business model

12:30 – 15:30

Referral-level medicine: complex anesthesia, unstable patients, and high-risk imaging

15:30 – 17:45

Taking on cases others won’t—and why answers matter more than comfort

17:45 – 20:30

Social media, humor, and giving the team creative ownership beyond the clinic

20:30 – 23:45

Mental health in veterinary medicine and the role of levity and boundaries

23:45 – 26:30

Advice for leaders: education, trust, and avoiding micromanagement

26:30 – 29:30

Retention, growth paths, and supporting team members as they advance

29:30 – 32:55

Tail-end tips: revisiting core values, communication styles, and leading with care

Key Takeaways

Culture drives clinical outcomes

• When technicians are trusted, educated, and supported, decision-making improves—and so does patient care.

Technician autonomy matters

• Allowing techs to lead cases, manage modalities, and make real-time decisions builds confidence and excellence.

Hire for values, train for skills

• Technical skills can be taught; integrity, curiosity, and teamwork cannot.

Advanced imaging requires trust

• High-risk anesthesia and unstable patients demand strong communication and shared responsibility.

Education fuels retention

• Investing in CE and implementing what staff bring back keeps teams engaged and growing.

Fun is not frivolous

• Appropriate humor and connection are essential coping tools in a field that regularly delivers hard news.

Leadership is about letting go

• Micromanagement erodes culture; trust and accountability sustain it.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging

From scheduling a CT or thyroid scan to managing urgent same-day cases, the Animal Imaging team explains how they act as an extension of general practice, supporting veterinarians with timely diagnostics while protecting client relationships. You’ll learn what makes a complete referral form, how to avoid common stumbling blocks, and why a simple phone call can save valuable time for pets, owners, and practitioners alike.

Blending humor, relatable stories, and practical guidance, this conversation reveals the often-unseen systems that keep advanced veterinary imaging running smoothly.

Timestamps & Highlights

[00:00:00] Welcome to Diagnostic Tails – introducing the focus on real-world imaging stories and advanced technologies.

[00:01:00] Meet the hosts and guest Hannah; quick background on Animal Imaging’s role as a referral-only diagnostic center.

[00:02:45] Dr. Hays’ journey from small-animal practice owner to imaging expert.

[00:04:00] Why Animal Imaging only accepts cases through veterinarian referrals and how that protects continuity of care.

[00:05:00] Step-by-step: how to submit a referral through the online portal or by phone/fax for equine and small-animal cases.

[00:06:30] The technician’s role in reviewing records, verifying lab work, and prepping for approval.

[00:09:00] Common issues: missing lab work, unclear case details, and how better info speeds up scheduling.

[00:11:00] Importance of clear communication when patients are under anesthesia—why rapid doctor-to-doctor contact matters.

[00:13:00] The challenge of reaching busy general practitioners and tips for training front-desk staff to route calls.

[00:15:30] How to streamline medical records—send only relevant, recent information to prevent delays.

[00:17:30] Notable red flags: heart murmurs, kidney disease, and behavioral notes that affect anesthesia plans.

[00:19:30] Time-sensitive procedures like thyroid scans—why punctuality is critical when handling nuclear medicine.

[00:21:00] The balance between client education and respecting the referring veterinarian’s relationship.

[00:22:30] Handling urgent cases and same-day scheduling—how direct communication ensures fast care.

[00:24:00] Funny and “lost in translation” moments from referral forms—when “spicy” cats, “tummies,” and “grumpy old ladies” show up on submissions.

[00:26:00] Why temperament and owner notes help create safer, smoother imaging days.

[00:28:00] Emergency examples—how picking up the phone leads to faster solutions.

[00:31:00] Encouraging veterinarians to understand all imaging options—from MRIs to bone scans.

[00:32:00] The importance of recent bloodwork and chest x-rays before anesthesia—and what happens when results reveal surprises.

[00:33:30] Balancing affordability with advanced care—why Animal Imaging works to keep costs competitive.

[00:36:00] Storytime: unexpected foreign bodies and the “miracle dog” Darby’s imaging surprise.

[00:37:20] Closing invitation: students, technicians, and veterinarians are welcome to tour the facility and learn about imaging careers.

Key Takeaways

• Referrals Protect Patients & Practices Animal Imaging is referral-only to maintain continuity of care, ensuring diagnostics support—not replace—primary veterinarians.
• Communication Is Critical When time matters, a quick phone call between doctors can mean same-day answers instead of costly delays.
• Efficiency Through Collaboration Clear instructions, pre-visit sedation plans (for spicy cats!), and timely arrival are key for successful procedures, especially with nuclear medicine.
• Smart Record Sharing Send concise, relevant notes—no grooming histories or decades of visit logs. Highlight murmurs, chronic disease, and temperament notes upfront.
• Safety & Quality First Anesthesia protocols are customized based on health status, breed, and current diagnostics. Recent chest films and lab results prevent complications.
• Continuous Learning Animal Imaging welcomes students and professionals to observe, train, and understand how imaging supports modern veterinary medicine.

Resources & Mentions

• Animal Imaging – Referral-only diagnostic facility in Irving, TX offering MRI, CT, nuclear scintigraphy, fluoroscopy, ultrasound, and hyperthyroid therapy.
• 👉 animalimaging.net
• Safety Tips for Referring Clinics:
• Provide 30-day-old or newer lab results.
• Send three-view chest radiographs before anesthesia.
• Use accurate temperament notes for safer handling.
• Contact via phone for urgent or complex cases.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

The conversation moves through real cases including Sancho’s hidden metastatic disease, a CT-guided lung mass aspirate, a young dog with a vascular anomaly, and an inventive urethral stricture study - illustrating how CT changes outcomes, improves surgical planning, and saves patients from unnecessary procedures. They wrap with a practical comparison of CT vs. MRI and clear guidance on choosing the right modality for the right case.  

EPISODE HIGHLIGHTS:

00:00–01:00 — Intro to thoracic CT & why it’s a go-to modality.  

01:00–02:30 — CT advantages: speed, clarity, and value over radiographs.  

03:30–05:15 — Sedation vs. anesthesia, contrast use, and why breath-holds matter.  

05:15–06:30 — Fan-beam vs. cone-beam CT: what’s the difference?  

07:00–09:15 — Case 1: Sancho - clean X-rays, but CT reveals multiple pulmonary nodules.  

10:12–11:25 — Case 2: Snickers - CT-guided lung mass aspirate and why ultrasound can’t reach it.  

11:58–12:35 — Case 3: Persistent Right Aortic Arch - diagnosing a congenital vascular anomaly.  

15:00–15:57 — Case 4: Urethral stricture - creative retrograde contrast CT for surgical planning.  

16:15–17:40 — Why thoracic CT should accompany most soft-tissue studies.  

18:00–18:45 — Big-dog abdomen workups: when CT beats ultrasound.  

19:20–22:10 — CT vs. MRI: which modality to choose and when.  

23:26–24:30 — Final takeaways + call for clinicians to consult the imaging team.  

KEY TAKEAWAYS:

• CT provides far greater detail than radiographs, especially for pulmonary, abdominal, and oncologic cases. 
• Small nodules and subtle abnormalities are frequently invisible on X-ray but obvious on CT. 
• Cone-beam CT has its place (dentistry/skull) but cannot replace fan-beam CT for thorax or abdomen. 
• CT-guided aspirates offer precise, safe sampling for challenging masses surrounded by air. 
• 3D reconstructions and vascular studies improve surgical planning and owner decision-making. 
• For elbows, carpi, and below-stifle issues → CT excels; for shoulders, hips, and neuro → MRI is preferred. 
• Adding a thoracic CT when evaluating masses is cost-effective and often case-changing. 

Animal Imaging Veterinary Radiology Specialists: https://animalimaging.net/ 

(972) 869-2180 info@animalimaging.net 

Facebook: https://www.facebook.com/AnimalImaging/ 

Linked In: https://www.linkedin.com/company/animalimaging 

Instagram: https://www.instagram.com/animalimaging/?hl=en 

Timestamps & Episode Highlights

0:00 – Introduction

Overview of the podcast’s mission and today’s focus on veterinary technicians.

1:12 – Meet the Technicians

Hannah and Mia introduce themselves and their backgrounds in small animal and equine medicine.

2:04 – Pathways into Veterinary Medicine

The technicians share their unique journeys into the field.

3:05 – Rewards & Challenges

Insights into what makes the job rewarding and the emotional highs and lows.

4:16 – Core Technician Skills

Discussion of essential skills: blood draws, catheter placement, emergency response.

7:00 – What Sets This Team Apart

The value of diverse backgrounds and technician-led case management.

10:00 – Advanced Imaging’s Impact

How working with advanced imaging has changed their approach to diagnostics.

13:00 – Memorable Cases

Stories of critical interventions and life-saving moments.

16:00 – Coping with Stress

Strategies for handling the emotional demands of veterinary medicine.

19:00 – Misconceptions About Technicians

Debunking myths and highlighting the complexity of the technician’s role.

22:00 – Diagnostic Tools Spotlight

The benefits of I-131 for hyperthyroid cats and the power of CT imaging.

25:00 – Final Thoughts & Appreciation

Advice for aspiring technicians, the importance of recognition, and a shout-out to the team’s TikTok channel.

Thanks for listening! Don’t forget to check out our TikTok channel for behind-the-scenes fun, and stay tuned for more stories from the world of animal imaging.

https://www.tiktok.com/@animalimaging

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

Key Takeaways

• Unexpected Findings:
• Metal objects like bullets or plates can render MRIs useless, requiring a switch to CT.
• Microchips can interfere with imaging or migrate to unexpected locations—scan broadly when searching.
• Collaboration Matters:
• Real-time sharing of images with neurologists, surgeons, and specialists helps guide diagnostics.
• Quick communication with referring veterinarians ensures timely decisions while patients are under anesthesia.
• Anesthesia & Patient Safety:
• Sedation/anesthesia is necessary for clear, diagnostic images—wiggling patients lead to unusable results.
• Protocols are tailored to patient age, breed, and health conditions to minimize risk.
• Pediatric and very small patients can pose unique anesthetic and imaging challenges.
• Exotic & Memorable Cases:
• Beyond dogs, cats, and horses, Animal Imaging has imaged hedgehogs, guinea pigs, cheetahs, zebra sharks, stingrays, and soon—a camel named Wednesday.
• Diagnostic Lessons:
• Where possible take in-house x-rays first—they may reveal conditions (e.g., osteosarcoma, foreign bodies) before advanced imaging.
• Don’t overlook ultrasound practice; frequent scanning improves.

Resources Mentioned

• Southwest Veterinary Symposium – Meet Dr. Lon Hays and the Animal Imaging team (last weekend of September).
• Animal Imaging Services – Advanced imaging for equine, small animal, and exotic cases, including MRI, CT, scintigraphy, and ultrasound.
• Veterinary Safety Tips – Use proper PPE (lead aprons, thyroid shields) during radiographs; collimation improves image quality and reduces exposure.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

Together, they explore how diagnostics, treatments, and practice culture have evolved over the years. Dr. Hays shares candid stories from “the dark ages” of flea and tick dips and daily heartworm prevention, to the modern tools transforming general practice — like long-acting injectables, CT-guided aspirates, and bone scans.

Whether you're a new grad wrestling with imposter syndrome, a seasoned practitioner navigating today's veterinary landscape, or a student wondering about specialization, this episode delivers practical wisdom, heartfelt honesty, and career-long lessons in how to keep learning, leading, and loving the job.

📚 Resources & Takeaways:

👥 Career Thoughts:

• New Grads: You’re not alone. Ask, collaborate, and learn by doing
• Mid-Career Vets: If you’re burning out, try something new—it’s never too late to pivot
• Aspiring Owners: Start early, trust your staff, and run your clinic like a team
• General Practitioners: You can practice high-end medicine without being boarded—your curiosity is your credential

📞 Referring Veterinarian Tips:

• Unsure which imaging modality fits? Call us—Dr. Hays and the team are here to help
• We partner with you—we don’t “take the case,” we help solve it
• Bone scans, CT-guided aspirates, and nuclear imaging can dramatically speed up diagnoses

🎓 Upcoming Event:

• Neurology CE Series (Fall) – Stay tuned for details
• Don’t miss Dr. Rich’s practical approach to neurology for general practitioners

Connect with Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagam https://www.instagram.com/animalimaging

Dr. Rich shares invaluable tips for performing neurologic exams, choosing the right imaging modality, and determining when a spinal tap or MRI is truly necessary. Through real-life cases, including a Cavalier with overlapping diagnoses and a cat with a massive meningioma, listeners gain a deeper understanding of how to think critically about neurologic cases. Plus, Dr. Rich emphasizes that neurology, when broken down into practical steps, is not only manageable—but fun.

⏱️ Timestamps & Topics

00:00 - Introduction to Diagnostic Tails & Dr. Jennifer Rich

02:00 - Why Dr. Rich started a teleconsultation neurology service

04:00 - Keeping an open mind in vet school and choosing neurology

05:30 - The “big picture” breakdown of neurologic exams

08:00 - Deciding when and what to image: localization tips

10:30 - A Cavalier case: When the MRI doesn't match the clinical picture

14:00 - Degenerative myelopathy: Not just a German Shepherd problem

16:30 - The role of CSF taps and when to use them

18:30 - Most rewarding case: Meningitis with a literal “luge” of pus

21:00 - Least favorite: A tough case of discospondylitis

23:00 - Neurologic emergencies: When a seizure is serious

25:30 - Most common neuro cases by breed: Frenchies, Border Collies, and Dachshunds

28:00 - Old dog vestibular disease vs. seizure: How to tell the difference

32:30 - Steroids: When and how to use them in neurologic cases

34:30 - Feline neurology: Meningiomas, seizures, and carts for paralyzed cats

37:30 - Final takeaway: Neurology doesn’t have to be scary—follow the breadcrumbs

Notable Quotes

“Neurology is fun—it just presents itself if you listen to the clues.”

“An MRI tells us a lot, but the patient tells us everything.”

Resources & Takeaways

Quick Localization Framework (Dr. Rich’s Simplified Approach):

• Forebrain: Personality changes, circling, contralateral deficits
• Brainstem (hindbrain): Cranial nerve deficits
• Spinal Cord: Normal brain, weakness, proprioceptive deficits
• Spinal Nerves: Reflex deficits, flaccid paresis

Practical Tools for General Practitioners:

• Always get a thorough history + home videos when possible
• Use bloodwork + physical exam to assess imaging risk
• Don’t default to full-body imaging—localize first
• CSF tap = only after imaging and with safety confirmed
• Be cautious with steroids

📆 Upcoming CE Event

🧠 Neurology CE Day with Dr. Jennifer Rich – July 12th

Start the day with tech-focused positioning training and finish with practical neuro pearls from Dr. Rich herself.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagam https://www.instagram.com/animalimaging/?hl=en

Timestamps

00:00 – Intro: Welcome to Diagnostic Tails & introduction of Dr. Michelle Broadhurst

01:10 – Dr. Broadhurst’s background: From human chiropractic to equine and small animal rehab

03:00 – What is veterinary rehab?: Beyond recovery—addressing compensation and full-body healing

05:00 – Common cases: Paralysis, post-surgical care, aging pets, and arthritis

06:15 – Prehab and strengthening before surgery

07:10 – Importance of client compliance and home exercises

08:00 – Environmental adaptations: Traction, nail trims, yoga mats & more

09:00 – Modalities used in rehab: Laser, water treadmill, shockwave, EMTT, Teca system, manual therapy

12:30 – Favorite tools: Hands, shockwave, EMTT

13:00 – Case study: 17-year-old hound regains mobility after paralysis

15:00 – Ideal patient personalities and how treatment is tailored

16:00 – Future of rehab: Standard of care, post-surgical protocols, and integrative teams

17:30 – Custom rehab plans vs. one-size-fits-all approaches

19:00 – Addressing soft tissue complications post-surgery

20:00 – Imaging in rehab: MRI, ultrasound, and diagnostics as cornerstones

22:30 – Final thoughts: Importance of diagnostics and access to Dr. Broadhurst’s clinic

Notable Quotes

“Rehab isn’t just about recovery—it’s about restoring function and preventing future breakdown.” – Dr. Michelle Broadhurst

“In rehab, your hands are your best tool—but shockwave and EMTT have absolutely transformed how we treat neurological cases.” – Dr. Michelle Broadhurst

“Diagnostics are the cornerstone of any good potential outcome. The more we know, the better we can treat.” – Dr. Michelle Broadhurst

“We used to have these cookie-cutter rehab plans. Now, we’re understanding how dynamic recovery truly is—every case needs a tailored approach.” – Dr. Amy Armentrout

Valuable Takeaways & Resources

Key Concepts:

• Functional rehab is essential after injury or surgery to prevent compensatory issues.
• Prehab (rehab before surgery) helps shorten recovery times and improve outcomes.
• Neurological plasticity means animals can regain function even a year or more post-injury.
• Client education and compliance are vital for long-term success.
• Environmental modifications—grippy surfaces, trimmed nails, ramps—can make or break a recovery.

Modalities Highlighted:

• Shockwave Therapy: For tendons, ligaments, and arthritis
• EMTT (Extracorporeal Magnetic Transduction Therapy): Game-changer for neuro rehab
• Underwater treadmill: Reduces weight-bearing, retrains gait
• Manual therapy & chiropractic: Crucial hands-on components
• Laser & Teca Therapy: Reduce inflammation and promote tissue healing

Case Highlight:

A 17-year-old daschund with paralysis regained mobility, continence, and quality of life through a comprehensive rehab plan and committed owner involvement.

Tail End Tip:

Always image both sides. The “unaffected” side may surprise you. If you’ve got them on the table, take the extra shot.

Connect with Dr. Broadhurst

🔗 rehab4pets.com

📱 Instagram / TikTok / Facebook: @rehab4pets

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

IG https://www.instagram.com/animalimaging/?hl=en

Timestamps:

[00:00] Intro to the podcast and guest, Dr. Mikaela Maldonado

[01:00] Dr. Maldonado’s background and fellowship role

[02:45] Case 1: Meli the French Bulldog – CT contrast reveals ectopic ureter

[06:00] Importance of contrast in urinary diagnostics

[07:00] Case 2: Bear the Rottweiler – Chronic lameness uncovers lung disease

[10:00] Reflections on diagnostic tiers and uncovering the unexpected

[11:00] Case 3: Finn the Labrador – MRI reveals spinal lesions and suspected cancer

[15:30] Role of MRI, CSF tap, and fluoroscopy in spinal diagnostics

[18:00] Case 4: Chopper the Dachshund – Fluoroscopy uncovers rare esophageal dysfunction

[23:00] Phases of swallowing and real-time imaging insights

[26:00] Big-picture takeaways on imaging, finances, and client communication

[28:00] Tail End Tip: MRI safety and referral best practices

Notable Quotes:

• “If you don’t look, you’re not going to see.”
• “Different modalities shine in different ways—and sometimes, the best answer comes from using more than one.”

Resources & Takeaways:

Imaging Modalities Discussed:

• CT with contrast: Key for mapping urinary tract abnormalities (Meli)
• MRI: Essential in assessing spinal cord involvement (Finn)
• Fluoroscopy/Esophagram: Captures dynamic swallowing issues in real-time (Chopper)
• Radiographs & CSF Taps: Complement imaging findings for deeper diagnostic clarity

Veterinary Practice Pearls:

• Educate clients on how one imaging result informs the next step.
• Think in layers: physical exam → radiographs → advanced imaging → fluid analysis.
• Don't underestimate the power of imaging to shift or affirm a diagnosis.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

Timestamps

[00:00:00] – Introduction

Welcome to Diagnostic Tales, outlining the focus on real-life diagnostic stories in veterinary imaging.

[00:01:00] – Guest Introductions

Dr. Lon Hayes and Dr. Christian Weder join the discussion. Dr. Weder introduces his background and experience in veterinary cardiology and telemedicine.

[00:02:00] – What is an Echocardiogram?

Explanation of echocardiography in simple terms and its role in pinpointing heart conditions.

[00:03:00] – Human vs. Veterinary Echocardiography

Discussion on the similarities between human and veterinary echo procedures, including the use of advanced imaging technology.

[00:04:00] – Indications for an Echocardiogram

How primary veterinarians decide when to refer patients for an echo, including considerations of heart murmurs and clinical signs.

[00:05:00] – Establishing Baselines and Diagnostic Accuracy

The importance of baseline imaging and the sensitivity of echocardiograms in detecting heart disease.

[00:07:00] – Breed Predispositions

Screening recommendations for breeds at risk for cardiomyopathy and mitral valve disease.

[00:08:00] – Echocardiography in Cats

Unique challenges in diagnosing feline heart conditions, including stress-induced murmurs and systemic illnesses.

[00:10:00] – Monitoring Disease Progression

How recheck echoes (typically every 6–12 months) help track disease progression and inform treatment decisions.

[00:11:00] – The Cough Conundrum

Clarifying misconceptions around coughing in dogs and the risk of attributing all coughs to heart disease.

[00:12:00] – Sedation and Imaging Techniques

Discussion on patient management during echocardiograms, including when sedation is used.

[00:16:00] – Case Study: Effusion and Emergency Imaging

A case where an echo helped rule out heart failure in a dog with both chest and abdominal effusions.

[00:18:00] – Case Study 1

[00:20:00] – Case Study 2

[00:22:00] – Tail End Tip for Practitioners

Final advice for primary practitioners on using fundamentals of cardiology to build diagnostic confidence.

[00:23:00] – Closing Remarks

A wrap-up of the episode and acknowledgment of the collaborative efforts that improve patient outcomes.

Notable Quote

"Try not to get intimidated as a primary practitioner. Use your stethoscope well and remember the fundamentals of cardiology—you can do a lot with a good physical exam and a thorough auscultation." Dr Weder.

Animal Imaging Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

Key Takeaways

• Osteoarthritis is a progressive, degenerative joint condition with no cure, but multiple management options
• Synovetin OA is a radioactive medical device injected directly into affected joints
• Treatment can last up to 12 months with minimal side effects
• Early intervention leads to better outcomes
• The treatment can be used in various joints and different sized animals
• Synovetin stays localized in the treated joint and doesn't affect other body systems
• Success stories include both working dogs and pets with severe mobility issues

Time Stamps

[00:00:00] - Introduction to Diagnostic Tales podcast

[00:01:00] - Disclaimer and introduction to osteoarthritis topic

[00:02:00] - Dr. Armentrout explains osteoarthritis basics

[00:05:00] - Introduction of first case: Axel the police dog [

00:07:00] - Explanation of Synovetin treatment

[00:15:00] - Discussion of side effects and contraindications

[00:20:00] - Interview with Vern's family begins

[00:26:00] - Veterinary practice tips and tricks

[00:28:00] – This episode is brought to you by Synovetin OA

Notable Quotes

"The sooner we can start treatment, just like with anything, the better those patients are going to respond long term." - Dr. Lon Hays

Connect with Lonestar Bulldog Club Rescue

Facebook: https://www.facebook.com/lsbcr

Web: https://dfwbulldogrescue.org/  

Connect with Animal Imaging - Veterinary Radiology Specialists

https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

Instagram https://www.instagram.com/animalimaging/?hl=en

00:00 Introduction to Diagnostic Tails

00:38 Meet the Experts: Dr. Amy Armentrout and Dr. Lon Hayes

02:14 Roles and Responsibilities at Animal Imaging

03:38 Overview of Animal Imaging Services

05:37 Case Study: Hyperthyroid Cat - Elvis

11:25 Case Study: Hyperthyroid Cat - Pocket

16:30 Case Study: Bone Scan for a Boxer - Maxwell

18:34 Quick Tips: X-Ray Positioning

19:45 Conclusion and Contact Information

Connect with us!

Animal Imaging: https://animalimaging.net/feline-hyperthyroidism-treatment/

Veterinary Radiology Specialists https://animalimaging.net/

(972) 869-2180

info@animalimaging.net

Facebook https://www.facebook.com/AnimalImaging/

Linked In https://www.linkedin.com/company/animalimaging

IG https://www.instagram.com/animalimaging/?hl=en

Each episode offers insights into the world of veterinary imaging, sharing stories, breakthroughs and advancements, and imaging techniques.

Presented by Dr. Lon Hays and Dr. Amy Armentrout

Learn more: https://animalimaging.net/

info@animalimaging.net