The 2AM Consult

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  Seizures with Dr. Ryan Gibson 18.08.2026 1sa 5dk

  Episode DescriptionSeizures are one of the most common neurologic emergencies encountered in general practice and the ER—but they're also one of the most misunderstood. In this episode of 2 A.M. Consult, Dr. Deer is joined by board-certified veterinary neurologist Dr. Ryan Gibson to break down a practical, evidence-based approach to seizure patients.Together they discuss how to distinguish seizures from other collapse events, the diagnostic workup for first-time seizures, when MRI and CSF analysis are (and aren't) indicated, and how to build confidence diagnosing idiopathic epilepsy. They also cover when to start anti-seizure medications, choosing between phenobarbital, levetiracetam, zonisamide, and potassium bromide, monitoring recommendations, rescue medications for cluster seizures, and what current evidence says about supplements, diets, and CBD.Whether you're a GP veterinarian, emergency clinician, or veterinary student, this episode is packed with practical clinical pearls you can apply to your very next seizure case.
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  The 2AM Consult Podcast 16.07.2026 1dk

  Welcome to the 2AM Consult Podcast! On this podcast I interview experts in the veterinary field about topics they wish they could share far and wide. You'll learn about diseases, procedures and so much more from those closest to the material.Launching August 4th, new episodes every other Tuesday!
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  Glaucoma with Dr. Sigmund TheVetEyeGuy 04.08.2026 44dk

  Can a patient lose vision in just a few hours? With glaucoma, the answer is yes.In this episode of The 2 AM Consult, Dr. Deer sits down with board-certified veterinary ophthalmologist Dr. Alex Sigmund (The Vet Eye Guy) to discuss one of the most time-sensitive ophthalmic emergencies encountered in general practice and the ER.Together they cover:What glaucoma actually is—and why it's a true emergencyPrimary vs. secondary glaucomaBreed predispositions and clinical signsTonometry tips and common diagnostic mistakesEmergency treatment protocols, including when to use dorzolamide, latanoprost, mannitol, and aqueocentesisPain management and long-term monitoringWhen to refer to ophthalmologySurgical options and when enucleation is the best choiceWhether you're a GP veterinarian, ER clinician, intern, or student, this episode is packed with practical, evidence-based pearls you can apply the very next time a painful red eye walks through the door.Guest: Dr. Alex Sigmund, DVM, DACVOBoard-Certified Veterinary Ophthalmologist | Co-founder of The Veterinary Eye Team | @TheVetEyeGuyCHAPTERS00:00 Introduction to Dr. Sigmund and Episode Overview00:36 What is Glaucoma in Veterinary Medicine?01:30 Causes of Glaucoma: Primary and Secondary02:32 Breed Predispositions and Screening Methods04:13 Clinical Signs of Glaucoma in Pets07:04 Diagnostic Approach and Criteria for Glaucoma13:59 Medical Management and Emergency Protocols19:59 Surgical and End-Stage Treatment Options44:33 Key Takeaways and Final Advice from Dr. Sigmund