New Sales Force
Please look at http://www.dermapet.com to see our many updates, Protocols including the popular TrizEDTA Bacterial Otitis Protocol (Step 6 in the SEVEN Steps to Treating Ears as described in detail in this Newsletter), the Pruritic Clinical Trial, previous Newsletters and articles. THE NEW BROCHURE IS ON LINE.
We are proud to announce that Gary Bouge, formerly of IVD is our Vice President, Sales, effective May 1. We are equally pleased to add Jack White, formerly Sales Manager for DVM, as a consultant and territory manager in Texas and some neighboring states.
Please go to http://www.dermapet.com or call 800-755-4738 for DIRECT sales. We also sell via select distributors such as Burns, Columbus Serum, NLS, MWI, Penn Vet, PVP, Merritt, Premier, R. Weinstein (Hawaii), TW Vet Supply, Vet Med Supply and Vetpo. We now can provide you a dominant distributor anywhere you may be in the USA (including Alaska and Hawaii). We are also available in Japan, Thailand, Taiwan, Korea, Hong Kong, Central America and soon in Europe.
We hope to see you at the ACVIM meeting in Denver.
YADA, YADA, YADA
Philadelphia
Allsion Abramson and Jessica Melman (Penn '03) were members of a SCAVMA committee that ran the "From School to Success" meeting in Philadelphia on March 30-31. The Predients of numerous organizations were there along with numerous leaders of industry in veterinary medicine...and they also invited me. After several well attended large sessions there were break out meetings. I was in "The Entrepreneur" meeting where I heard a Wharton teacher lecture on the qualities of an Entrepreneur. After all these years I finally know what I am!
Norfolk, AAVD/ACVD meetings
The Otology seminar was chaired by Lynn Schieitzel (Tenn) and was well attended. Jimmy Noxon (ISU), Craig Griffin (San Diego), Lou Gotthelf (Montgomery, AL), Rod Rosychuck (CSU), Ken Kwochka (OSU) Carol Foil (LSU) and Marsha Murphy (NCSU) and "a surgeon" all talked on various aspects of otology.
Of course, DermaPet and MedRx had our Wine Social attended by enough that it appears that DermaPet may have grown out of the dog house. That realization to this writer is like the dog actually catching the car. The meeting was attended by the usual derm all-stars-including Richard Haliwell, Peter Ihrke, John MacDonald and Bob Dunstan.
MedRx is offering CE doing their EAR Seminars on the road next in PHOENIX on April 22, TAMPA on April 29, SAN FRANCISCO on May 13 and Minneapolis on May 20. . Be there to hear LOU GOTTHELF teach you the latest, state of the art otology. Ears represent the #1 complaint of pet owners to vets (VPI insurance claims, 2000). Call Kenny Keith at 888-392-1234 to register or find out when one is coming near you.
Malassezia and Bacterial Otitis PROTOCOLS
While it is true that the acetic/boric acid products have efficacy against Pseudomonas, they are actually FIRST LINE topical treatment while the TrizEDTA (Step 6) remains the best protocol for treatment after the acetic/boric acid is used using Step 3b or Step 4 (See the Seven Steps to Treating Ears under Protocols at http://www.dermapet.com). BOTH OF THESE PRODUCTS CAN BE USED IF THERE IS A RUPTURED TYMPANUM.
For more details on this look at previous (12/00, 1/01 &2/01) Newsletters. We will be focusing on Bacterial Otitis and Step 6 in this Newsletter. The entire text for the Seven Steps to Treat Ears is available at http://www.dermapet.com.
RECENT RESEARCH by Dr. Louis GOTTHELF and SULIMAN GBADAMOSI (Tusk, Micro Dept) indicate that there is no need to wait 15 minutes after instilling TrizEDTA to use antibiotics. In fact, when testing samples that were previously reported as resistant to flouroquinolones (using MICs), eight dilutions of our stock TrizEDTA were required to not inhibit growth. This indicates that the TrizEDTA is bactericidal by itself.
Step 6.
1.Orbafloxin (Dicural/Ft Dodge) Marbofloxin (Xenoquin/Pfizer) or Baytril (Bayer) systemically for at least 21-60 days.
>From Lou Gotthelf
For those of you wanting to know how much Baytril to give a patient orally, you need to know the MIC of the organism. The rule of thumb is that you want a tissue level of Baytril to be 8 times the MIC. You can find tissue levels in the package insert for Baytril. Based on the tissue level, you can figure out how many mg/kg you will need to administer to your patient. Are you OK with 5mg/kg or do you need to use 20mg/kg?
Most labs do not give you this information, only if it is sensitive, intermediate, or resistant. If you want to know the endpoint MIC for your intermediate or resistant Pseudomonas, please send the specimen and a check for $12.00 to Dr. Sulaiman Gbadamosi, Tuskegee University, School of Veterinary Medicine, Tuskegee, Alabama 36088. He will do the endpoint MIC for you.
2.Clean with TrizEDTA twice daily.
3.Approximately 15 minutes after each cleaning, instill Baytril in either a TrizEDTA GEMISH (12 ml of TrizEDTA and 50-200 mg of Baytril injectable) or diluted with saline. Some people use aminoglycosides even though they are ototoxic.
4. For the first 14 days, I would use systemic prednisone at 1 mg/kg IF OM is diagnosed. The rationale is to decrease the inflammation, mucous secretion from the mucoperiosteum, pain and viscosity of the exudate in the tympanic cavity.
5.If OM is diagnosed, I would anesthetize and, with visualization, flush the ear with TrizEDTA and directly instill Baytril and NaDex phosphate into the tympanic bulla. If th tympanum is present and OM is suspected then I would do a myringotomy. The location of the myringotomy should be ventral. Maintenance therapy would include biweekly TrizEDTA cleansing longterm. Some people recommend our acetic/boric acid Ear/Skin Cleanser instead since it has activity against Pseudomonas as well as Malassezia.
Remember: Do NOT be misled by various forms of misinformation as to why certain companies do not use boric acid with acetic acid. The reality is that DermaPet holds a patent on this combination.
SPECIALS
NEW *** BUY THREE cases of DentAcetic and Receive ONE case FREE.
BUY ANY FIVE 16 ounce bottles and/or the NEW CLINIC Size MalAcetic Wet Wipes , NEW 16 ounce MalAcetic Shampoo and Conditioner, or TrizEDTA and get the 6th FREE**** (not including the Ear/Skin Cleanser)
Buy 10 new Laser Wipes and get 2 FREE
Mix and match any of our gallons - Buy 3 get 1 FREE -
Plus Buy 3 cases of any 2 Products and receive a FREE Book, Skin Diseases of Dogs and Cats.
Buy 5 cases of anything and receive the FREE book (one time only) and a FREE Gallon of MalAcetic Shampoo.
JOB OPPORTUNITY
If you are looking to be our rep in Texas (Southwest) or California (West Coast) and do not work for one of our distributors then please contact us.
DermaPet IS the largest veterinary dermatologic company in virtual reality and the fastest growing. Our Newsletter list, now approaching 12,000 is the largest in the industry with another 7,000 posted indirectly and countless more that read it reposted in newsgroups or lists. Those who receive this newsletter and wish to pass it along to colleagues, please do.
And from out good friends at VIN:
"Don't forget to look for DermaPet as a Featured Company on VIN's Industry Partners Site, an electronic exhibit hall providing 6,000 plus VIN members and all online veterinarians, access to current information from over 900 companies, manufacturers and distributors of the products and services they use daily.
| Steven Melman VMD DermaPet Animal Dermatology and Behavior Clinics Potomac, MD 20854 |
dermapet@aol.com http://www.dermapet.com 800-755-4738 fax 301-365-0191 |
8909 Iverleigh Court 
Potomac, Maryland 20854
301-983-8387 800-755-4738 Fax 301-365-0191
E-mail dermapet@aol.com