{"version":"1.0.0","segments":[{"speaker":"Nathalie Dowgray","startTime":2.61,"endTime":4.53,"body":"Hello, welcome"},{"speaker":"Nathalie Dowgray","startTime":2.61,"endTime":4.53,"body":"to the third episode of"},{"speaker":"Nathalie Dowgray","startTime":4.53,"endTime":8.31,"body":"Chattering With ISFM. This month"},{"speaker":"Nathalie Dowgray","startTime":4.53,"endTime":8.31,"body":"we have the second of our two"},{"speaker":"Nathalie Dowgray","startTime":8.31,"endTime":12.96,"body":"episodes on feline infectious"},{"speaker":"Nathalie Dowgray","startTime":8.31,"endTime":12.96,"body":"peritonitis from ISFMs own Sam"},{"speaker":"Nathalie Dowgray","startTime":12.96,"endTime":16.05,"body":"Taylor, joining professors"},{"speaker":"Nathalie Dowgray","startTime":12.96,"endTime":16.05,"body":"Danièlle Gunn-Moore and Séverine"},{"speaker":"Nathalie Dowgray","startTime":16.05,"endTime":19.47,"body":"Tasker in discussing the latest"},{"speaker":"Nathalie Dowgray","startTime":16.05,"endTime":19.47,"body":"developments in the diagnosis"},{"speaker":"Nathalie Dowgray","startTime":19.47,"endTime":22.98,"body":"and treatment of FIP. We hope"},{"speaker":"Nathalie Dowgray","startTime":19.47,"endTime":22.98,"body":"you enjoy the second part of"},{"speaker":"Nathalie Dowgray","startTime":22.98,"endTime":23.79,"body":"their discussion."},{"speaker":"Sam Taylor","startTime":27.9,"endTime":29.85,"body":"You've been involved"},{"speaker":"Sam Taylor","startTime":27.9,"endTime":29.85,"body":"in it, you know, sort of from"},{"speaker":"Sam Taylor","startTime":29.85,"endTime":31.86,"body":"the beginning, do you think you"},{"speaker":"Sam Taylor","startTime":29.85,"endTime":31.86,"body":"could just tell us a little bit"},{"speaker":"Sam Taylor","startTime":31.86,"endTime":34.11,"body":"about those treatments? I"},{"speaker":"Sam Taylor","startTime":31.86,"endTime":34.11,"body":"suppose the Australians had it"},{"speaker":"Sam Taylor","startTime":34.11,"endTime":37.65,"body":"before us. What did we hear from"},{"speaker":"Sam Taylor","startTime":34.11,"endTime":37.65,"body":"them that made us excited that"},{"speaker":"Sam Taylor","startTime":37.65,"endTime":38.79,"body":"we wanted to get the drug?"},{"speaker":"Danièlle Gunn-Moore","startTime":38.84,"endTime":40.61,"body":"Well, I"},{"speaker":"Danièlle Gunn-Moore","startTime":38.84,"endTime":40.61,"body":"guess, take a little bit further"},{"speaker":"Danièlle Gunn-Moore","startTime":40.64,"endTime":44.15,"body":"back. Because we've got both of"},{"speaker":"Danièlle Gunn-Moore","startTime":40.64,"endTime":44.15,"body":"the cat world's professors,"},{"speaker":"Danièlle Gunn-Moore","startTime":44.18,"endTime":47.6,"body":"we've got the majority of the"},{"speaker":"Danièlle Gunn-Moore","startTime":44.18,"endTime":47.6,"body":"world's cat specialists, we"},{"speaker":"Danièlle Gunn-Moore","startTime":47.63,"endTime":51.95,"body":"really, really targeted Gilead"},{"speaker":"Danièlle Gunn-Moore","startTime":47.63,"endTime":51.95,"body":"who make remdesivir and we were"},{"speaker":"Danièlle Gunn-Moore","startTime":51.95,"endTime":56.0,"body":"the only country where they"},{"speaker":"Danièlle Gunn-Moore","startTime":51.95,"endTime":56.0,"body":"allowed us to use their"},{"speaker":"Danièlle Gunn-Moore","startTime":56.03,"endTime":62.0,"body":"remdesivir in cats. And then we"},{"speaker":"Danièlle Gunn-Moore","startTime":56.03,"endTime":62.0,"body":"targeted Nick Bova, and he has"},{"speaker":"Danièlle Gunn-Moore","startTime":62.0,"endTime":65.6,"body":"this specials company. So we all"},{"speaker":"Danièlle Gunn-Moore","startTime":62.0,"endTime":65.6,"body":"targeted him saying look please,"},{"speaker":"Danièlle Gunn-Moore","startTime":65.9,"endTime":70.01,"body":"we really, really need these"},{"speaker":"Danièlle Gunn-Moore","startTime":65.9,"endTime":70.01,"body":"drugs. And his company works in"},{"speaker":"Danièlle Gunn-Moore","startTime":70.01,"endTime":73.22,"body":"Australia and here. The rules"},{"speaker":"Danièlle Gunn-Moore","startTime":70.01,"endTime":73.22,"body":"for the veterinary medicines"},{"speaker":"Danièlle Gunn-Moore","startTime":73.22,"endTime":76.94,"body":"directorate are much tougher in"},{"speaker":"Danièlle Gunn-Moore","startTime":73.22,"endTime":76.94,"body":"Britain, a little bit easier in"},{"speaker":"Danièlle Gunn-Moore","startTime":76.94,"endTime":81.11,"body":"Australia. So he managed to get"},{"speaker":"Danièlle Gunn-Moore","startTime":76.94,"endTime":81.11,"body":"remdesivir. And then the GS, got"},{"speaker":"Danièlle Gunn-Moore","startTime":81.11,"endTime":86.42,"body":"me doing it now, 44 15 24, into"},{"speaker":"Danièlle Gunn-Moore","startTime":81.11,"endTime":86.42,"body":"Australia first, we got it"},{"speaker":"Danièlle Gunn-Moore","startTime":86.42,"endTime":90.5,"body":"second. So that was all started,"},{"speaker":"Danièlle Gunn-Moore","startTime":86.42,"endTime":90.5,"body":"year and a bit ago something"},{"speaker":"Danièlle Gunn-Moore","startTime":90.5,"endTime":94.49,"body":"like that. The take up has been"},{"speaker":"Danièlle Gunn-Moore","startTime":90.5,"endTime":94.49,"body":"much more in Britain, which I"},{"speaker":"Danièlle Gunn-Moore","startTime":94.52,"endTime":96.62,"body":"thinks interesting because"},{"speaker":"Danièlle Gunn-Moore","startTime":94.52,"endTime":96.62,"body":"they've had them for a year"},{"speaker":"Danièlle Gunn-Moore","startTime":96.62,"endTime":99.38,"body":"longer. And yet we're about neck"},{"speaker":"Danièlle Gunn-Moore","startTime":96.62,"endTime":99.38,"body":"and neck in number of cases,"},{"speaker":"Danièlle Gunn-Moore","startTime":99.38,"endTime":103.67,"body":"we're 700 cases, as far as I"},{"speaker":"Danièlle Gunn-Moore","startTime":99.38,"endTime":103.67,"body":"know, in each. So it's, we've"},{"speaker":"Danièlle Gunn-Moore","startTime":103.67,"endTime":106.88,"body":"got a lot more in GS 44 than"},{"speaker":"Danièlle Gunn-Moore","startTime":103.67,"endTime":106.88,"body":"we've got on remdesivir. They're"},{"speaker":"Danièlle Gunn-Moore","startTime":106.91,"endTime":110.33,"body":"much more gung ho than we are."},{"speaker":"Danièlle Gunn-Moore","startTime":106.91,"endTime":110.33,"body":"They go with bigger doses"},{"speaker":"Danièlle Gunn-Moore","startTime":110.36,"endTime":113.0,"body":"earlier. And they've taught us a"},{"speaker":"Danièlle Gunn-Moore","startTime":110.36,"endTime":113.0,"body":"lot. There's certainly"},{"speaker":"Danièlle Gunn-Moore","startTime":113.0,"endTime":116.69,"body":"differences between the doses of"},{"speaker":"Danièlle Gunn-Moore","startTime":113.0,"endTime":116.69,"body":"the original papers. And what"},{"speaker":"Danièlle Gunn-Moore","startTime":116.69,"endTime":120.68,"body":"we're now finding really you"},{"speaker":"Danièlle Gunn-Moore","startTime":116.69,"endTime":120.68,"body":"need, which is, this is typical"},{"speaker":"Danièlle Gunn-Moore","startTime":120.68,"endTime":123.92,"body":"of most studies. So the lowest"},{"speaker":"Danièlle Gunn-Moore","startTime":120.68,"endTime":123.92,"body":"doses are just standard wet"},{"speaker":"Danièlle Gunn-Moore","startTime":123.92,"endTime":128.3,"body":"form, then up a bit for dry"},{"speaker":"Danièlle Gunn-Moore","startTime":123.92,"endTime":128.3,"body":"form, up a bit more for eyes, up"},{"speaker":"Danièlle Gunn-Moore","startTime":128.3,"endTime":130.88,"body":"a bit more for brains. And when"},{"speaker":"Danièlle Gunn-Moore","startTime":128.3,"endTime":130.88,"body":"you're getting up to those high"},{"speaker":"Danièlle Gunn-Moore","startTime":130.88,"endTime":133.85,"body":"doses, you need to give it,"},{"speaker":"Danièlle Gunn-Moore","startTime":130.88,"endTime":133.85,"body":"divide the dose because"},{"speaker":"Danièlle Gunn-Moore","startTime":133.85,"endTime":137.42,"body":"otherwise you just don't get"},{"speaker":"Danièlle Gunn-Moore","startTime":133.85,"endTime":137.42,"body":"enough absorbed. We're finding"},{"speaker":"Danièlle Gunn-Moore","startTime":137.42,"endTime":139.88,"body":"side effects. Do you want me to,"},{"speaker":"Danièlle Gunn-Moore","startTime":137.42,"endTime":139.88,"body":"shall I bounce that one too?"},{"speaker":"Sam Taylor","startTime":139.92,"endTime":141.63,"body":"Yeah. Bounce that"},{"speaker":"Sam Taylor","startTime":139.92,"endTime":141.63,"body":"one back."},{"speaker":"Séverine Tasker","startTime":141.9,"endTime":144.18,"body":"Yeah, side"},{"speaker":"Séverine Tasker","startTime":141.9,"endTime":144.18,"body":"effects that we've seen. Yeah. I"},{"speaker":"Séverine Tasker","startTime":144.18,"endTime":147.78,"body":"mean, generally, they're doing"},{"speaker":"Séverine Tasker","startTime":144.18,"endTime":147.78,"body":"okay, aren't they? I mean, from"},{"speaker":"Séverine Tasker","startTime":147.78,"endTime":151.44,"body":"the point of view of injectable,"},{"speaker":"Séverine Tasker","startTime":147.78,"endTime":151.44,"body":"the remdesivir, the injections"},{"speaker":"Séverine Tasker","startTime":151.44,"endTime":155.82,"body":"are painful. So we sometimes"},{"speaker":"Séverine Tasker","startTime":151.44,"endTime":155.82,"body":"need to sort of help with that"},{"speaker":"Séverine Tasker","startTime":155.82,"endTime":158.43,"body":"side of things, it can be given"},{"speaker":"Séverine Tasker","startTime":155.82,"endTime":158.43,"body":"subcutaneously as well as"},{"speaker":"Séverine Tasker","startTime":158.43,"endTime":163.11,"body":"intravenously. So there's things"},{"speaker":"Séverine Tasker","startTime":158.43,"endTime":163.11,"body":"like using Gabapentin and new"},{"speaker":"Séverine Tasker","startTime":163.11,"endTime":166.47,"body":"needles, there's lots of things."},{"speaker":"Séverine Tasker","startTime":163.11,"endTime":166.47,"body":"And again, we've got a guide for"},{"speaker":"Séverine Tasker","startTime":166.47,"endTime":169.68,"body":"treatment, haven't we, that I'm"},{"speaker":"Séverine Tasker","startTime":166.47,"endTime":169.68,"body":"sure we can link to this podcast"},{"speaker":"Séverine Tasker","startTime":169.68,"endTime":172.68,"body":"as well, so that you've got all"},{"speaker":"Séverine Tasker","startTime":169.68,"endTime":172.68,"body":"of that information. In terms of"},{"speaker":"Séverine Tasker","startTime":172.68,"endTime":175.08,"body":"monitoring, these things that"},{"speaker":"Séverine Tasker","startTime":172.68,"endTime":175.08,"body":"we're talking about are coming"},{"speaker":"Séverine Tasker","startTime":175.08,"endTime":177.36,"body":"up because they're being"},{"speaker":"Séverine Tasker","startTime":175.08,"endTime":177.36,"body":"monitored. And obviously, it's"},{"speaker":"Séverine Tasker","startTime":177.36,"endTime":180.99,"body":"really nice. We want to see the"},{"speaker":"Séverine Tasker","startTime":177.36,"endTime":180.99,"body":"globulins come down, we want see"},{"speaker":"Séverine Tasker","startTime":180.99,"endTime":184.83,"body":"the AG ratio better. But don't"},{"speaker":"Séverine Tasker","startTime":180.99,"endTime":184.83,"body":"forget to weigh the cat. They're"},{"speaker":"Séverine Tasker","startTime":184.83,"endTime":187.83,"body":"young cats, they're often"},{"speaker":"Séverine Tasker","startTime":184.83,"endTime":187.83,"body":"growing. The fact that they're"},{"speaker":"Séverine Tasker","startTime":187.83,"endTime":190.35,"body":"putting on weight is fabulous."},{"speaker":"Séverine Tasker","startTime":187.83,"endTime":190.35,"body":"So, that's brilliant. And it's"},{"speaker":"Séverine Tasker","startTime":190.35,"endTime":193.98,"body":"very cheap to weigh the cat as"},{"speaker":"Séverine Tasker","startTime":190.35,"endTime":193.98,"body":"well. But also just remember"},{"speaker":"Séverine Tasker","startTime":193.98,"endTime":197.61,"body":"about adjusting the amount, the"},{"speaker":"Séverine Tasker","startTime":193.98,"endTime":197.61,"body":"dose that you are giving to"},{"speaker":"Séverine Tasker","startTime":197.61,"endTime":201.3,"body":"preserve the dosage that you've"},{"speaker":"Séverine Tasker","startTime":197.61,"endTime":201.3,"body":"prescribed for that cat. Yeah."},{"speaker":"Sam Taylor","startTime":201.48,"endTime":203.94,"body":"So how do you"},{"speaker":"Sam Taylor","startTime":201.48,"endTime":203.94,"body":"monitor them? What would, what"},{"speaker":"Sam Taylor","startTime":203.94,"endTime":206.31,"body":"advice do you give about"},{"speaker":"Sam Taylor","startTime":203.94,"endTime":206.31,"body":"monitoring? Are there, depends"},{"speaker":"Sam Taylor","startTime":206.31,"endTime":208.89,"body":"how sick they are, of course,"},{"speaker":"Sam Taylor","startTime":206.31,"endTime":208.89,"body":"but are there any points that"},{"speaker":"Sam Taylor","startTime":208.89,"endTime":211.44,"body":"you would want to have them in"},{"speaker":"Sam Taylor","startTime":208.89,"endTime":211.44,"body":"and do bloods? Or?"},{"speaker":"Danièlle Gunn-Moore","startTime":212.31,"endTime":215.82,"body":"I'm not"},{"speaker":"Danièlle Gunn-Moore","startTime":212.31,"endTime":215.82,"body":"sure we've got any gold rules."},{"speaker":"Danièlle Gunn-Moore","startTime":215.82,"endTime":218.91,"body":"It does depend a lot, some of"},{"speaker":"Danièlle Gunn-Moore","startTime":215.82,"endTime":218.91,"body":"them really aren't that bad to"},{"speaker":"Danièlle Gunn-Moore","startTime":218.91,"endTime":222.15,"body":"start with, you start the GS and"},{"speaker":"Danièlle Gunn-Moore","startTime":218.91,"endTime":222.15,"body":"they go in brilliantly, and you"},{"speaker":"Danièlle Gunn-Moore","startTime":222.15,"endTime":226.41,"body":"just go okay, fine. Particularly"},{"speaker":"Danièlle Gunn-Moore","startTime":222.15,"endTime":226.41,"body":"if money's limited. If I could,"},{"speaker":"Danièlle Gunn-Moore","startTime":226.44,"endTime":230.88,"body":"I would like to have them when"},{"speaker":"Danièlle Gunn-Moore","startTime":226.44,"endTime":230.88,"body":"they go home, after two weeks, a"},{"speaker":"Danièlle Gunn-Moore","startTime":230.88,"endTime":234.09,"body":"month. And then ideally, I'd"},{"speaker":"Danièlle Gunn-Moore","startTime":230.88,"endTime":234.09,"body":"love every month, but they've"},{"speaker":"Danièlle Gunn-Moore","startTime":234.09,"endTime":237.12,"body":"got to have good insurance or a"},{"speaker":"Danièlle Gunn-Moore","startTime":234.09,"endTime":237.12,"body":"lot of money for that. Yeah. But"},{"speaker":"Danièlle Gunn-Moore","startTime":237.12,"endTime":240.03,"body":"it means I can really monitor"},{"speaker":"Danièlle Gunn-Moore","startTime":237.12,"endTime":240.03,"body":"them. And you can then,"},{"speaker":"Danièlle Gunn-Moore","startTime":240.12,"endTime":242.97,"body":"particularly as you're coming up"},{"speaker":"Danièlle Gunn-Moore","startTime":240.12,"endTime":242.97,"body":"to the 12 weeks, you want to"},{"speaker":"Danièlle Gunn-Moore","startTime":242.97,"endTime":246.84,"body":"know everything's normal, other"},{"speaker":"Danièlle Gunn-Moore","startTime":242.97,"endTime":246.84,"body":"than the ALT. I'll accept that"},{"speaker":"Danièlle Gunn-Moore","startTime":246.87,"endTime":250.65,"body":"the ALTs still being up. But I"},{"speaker":"Danièlle Gunn-Moore","startTime":246.87,"endTime":250.65,"body":"want to know that particularly"},{"speaker":"Danièlle Gunn-Moore","startTime":250.65,"endTime":253.83,"body":"the AGP, so the acute phase"},{"speaker":"Danièlle Gunn-Moore","startTime":250.65,"endTime":253.83,"body":"protein, I want to see that"},{"speaker":"Danièlle Gunn-Moore","startTime":253.83,"endTime":258.12,"body":"normalised. And the AG ratio, I"},{"speaker":"Danièlle Gunn-Moore","startTime":253.83,"endTime":258.12,"body":"want that normal and I want the"},{"speaker":"Danièlle Gunn-Moore","startTime":258.12,"endTime":259.05,"body":"anaemia gone."},{"speaker":"Séverine Tasker","startTime":259.56,"endTime":262.38,"body":"Yeah. And I"},{"speaker":"Séverine Tasker","startTime":259.56,"endTime":262.38,"body":"agree. And I think you know, if"},{"speaker":"Séverine Tasker","startTime":262.38,"endTime":266.4,"body":"money is an issue, preserving it"},{"speaker":"Séverine Tasker","startTime":262.38,"endTime":266.4,"body":"for towards the end treatment,"},{"speaker":"Séverine Tasker","startTime":266.4,"endTime":270.3,"body":"because you want to be as"},{"speaker":"Séverine Tasker","startTime":266.4,"endTime":270.3,"body":"confident as you can be taking"},{"speaker":"Séverine Tasker","startTime":270.3,"endTime":273.39,"body":"them off, because there are"},{"speaker":"Séverine Tasker","startTime":270.3,"endTime":273.39,"body":"cases that do need longer, and"},{"speaker":"Séverine Tasker","startTime":273.39,"endTime":275.55,"body":"that, those are the really"},{"speaker":"Séverine Tasker","startTime":273.39,"endTime":275.55,"body":"important ones. If they're doing"},{"speaker":"Séverine Tasker","startTime":275.55,"endTime":280.29,"body":"clinically brilliantly, then try"},{"speaker":"Séverine Tasker","startTime":275.55,"endTime":280.29,"body":"and preserve that cost for the"},{"speaker":"Séverine Tasker","startTime":280.29,"endTime":282.33,"body":"proteins towards the end."},{"speaker":"Danièlle Gunn-Moore","startTime":282.6,"endTime":284.4,"body":"Therapeutic"},{"speaker":"Danièlle Gunn-Moore","startTime":282.6,"endTime":284.4,"body":"drug monitoring may be a good"},{"speaker":"Danièlle Gunn-Moore","startTime":284.4,"endTime":288.33,"body":"way to go. But then it's other"},{"speaker":"Danièlle Gunn-Moore","startTime":284.4,"endTime":288.33,"body":"drugs that you can either add in"},{"speaker":"Danièlle Gunn-Moore","startTime":288.36,"endTime":292.23,"body":"or switch to. At the moment, we"},{"speaker":"Danièlle Gunn-Moore","startTime":288.36,"endTime":292.23,"body":"tending to add in aren’t we,"},{"speaker":"Danièlle Gunn-Moore","startTime":292.23,"endTime":296.16,"body":"either Mefloquine and or"},{"speaker":"Danièlle Gunn-Moore","startTime":292.23,"endTime":296.16,"body":"Polyprenyl Immunostimulant."},{"speaker":"Danièlle Gunn-Moore","startTime":296.46,"endTime":299.37,"body":"There's certainly a good"},{"speaker":"Danièlle Gunn-Moore","startTime":296.46,"endTime":299.37,"body":"argument for, if you've got one"},{"speaker":"Danièlle Gunn-Moore","startTime":299.37,"endTime":302.25,"body":"that's just swithering, it's not"},{"speaker":"Danièlle Gunn-Moore","startTime":299.37,"endTime":302.25,"body":"doing as well as you'd like."},{"speaker":"Danièlle Gunn-Moore","startTime":302.67,"endTime":307.68,"body":"Then add in either Polyprenyl"},{"speaker":"Danièlle Gunn-Moore","startTime":302.67,"endTime":307.68,"body":"Immunostimulant, or"},{"speaker":"Danièlle Gunn-Moore","startTime":308.04,"endTime":310.83,"body":"Interferon-omega, because they"},{"speaker":"Danièlle Gunn-Moore","startTime":308.04,"endTime":310.83,"body":"would both be an immune"},{"speaker":"Danièlle Gunn-Moore","startTime":310.86,"endTime":314.16,"body":"modulator, which that makes"},{"speaker":"Danièlle Gunn-Moore","startTime":310.86,"endTime":314.16,"body":"sense, an antiviral with an"},{"speaker":"Danièlle Gunn-Moore","startTime":314.16,"endTime":320.01,"body":"immune modulator. If the"},{"speaker":"Danièlle Gunn-Moore","startTime":314.16,"endTime":320.01,"body":"antivirals really not working,"},{"speaker":"Danièlle Gunn-Moore","startTime":320.25,"endTime":323.13,"body":"then mefloquine is where we're"},{"speaker":"Danièlle Gunn-Moore","startTime":320.25,"endTime":323.13,"body":"going, although sometimes we're"},{"speaker":"Danièlle Gunn-Moore","startTime":323.13,"endTime":325.86,"body":"using those two together, aren't"},{"speaker":"Danièlle Gunn-Moore","startTime":323.13,"endTime":325.86,"body":"we? Trying to look for a"},{"speaker":"Danièlle Gunn-Moore","startTime":325.86,"endTime":327.15,"body":"synergistic effect?"},{"speaker":"Séverine Tasker","startTime":327.18,"endTime":327.66,"body":"Yeah,"},{"speaker":"Sam Taylor","startTime":327.69,"endTime":330.15,"body":"We can treat them"},{"speaker":"Sam Taylor","startTime":327.69,"endTime":330.15,"body":"just orally"},{"speaker":"Danièlle Gunn-Moore","startTime":330.15,"endTime":330.24,"body":"Yes."},{"speaker":"Sam Taylor","startTime":330.27,"endTime":331.83,"body":"Because thats"},{"speaker":"Sam Taylor","startTime":330.27,"endTime":331.83,"body":"another question we get asked."},{"speaker":"Séverine Tasker","startTime":332.01,"endTime":332.67,"body":"Absolutely,"},{"speaker":"Danièlle Gunn-Moore","startTime":332.67,"endTime":333.15,"body":"absolutely."},{"speaker":"Séverine Tasker","startTime":333.15,"endTime":335.55,"body":"Yeah,"},{"speaker":"Séverine Tasker","startTime":333.15,"endTime":335.55,"body":"absolutely. I mean, we, you"},{"speaker":"Séverine Tasker","startTime":335.55,"endTime":338.04,"body":"know, we've gone for the"},{"speaker":"Séverine Tasker","startTime":335.55,"endTime":338.04,"body":"remdesivir to start with,"},{"speaker":"Séverine Tasker","startTime":338.04,"endTime":340.95,"body":"because we've learned so much"},{"speaker":"Séverine Tasker","startTime":338.04,"endTime":340.95,"body":"from the Australians, but there"},{"speaker":"Séverine Tasker","startTime":340.95,"endTime":343.68,"body":"are quite a lot of publications"},{"speaker":"Séverine Tasker","startTime":340.95,"endTime":343.68,"body":"out there with just oral"},{"speaker":"Séverine Tasker","startTime":343.68,"endTime":346.98,"body":"treatment with the oral GS, and"},{"speaker":"Séverine Tasker","startTime":343.68,"endTime":346.98,"body":"that is cheaper."},{"speaker":"Danièlle Gunn-Moore","startTime":347.34,"endTime":350.19,"body":"If they"},{"speaker":"Danièlle Gunn-Moore","startTime":347.34,"endTime":350.19,"body":"weren't neuro or opso cases,"},{"speaker":"Danièlle Gunn-Moore","startTime":350.34,"endTime":353.1,"body":"then I think that's very"},{"speaker":"Danièlle Gunn-Moore","startTime":350.34,"endTime":353.1,"body":"appropriate. Yeah."},{"speaker":"Sam Taylor","startTime":353.22,"endTime":354.93,"body":"Because I guess we"},{"speaker":"Sam Taylor","startTime":353.22,"endTime":354.93,"body":"don't know, we don't have the"},{"speaker":"Sam Taylor","startTime":354.93,"endTime":358.77,"body":"data to say that there's a"},{"speaker":"Sam Taylor","startTime":354.93,"endTime":358.77,"body":"benefit of using two weeks of"},{"speaker":"Sam Taylor","startTime":358.77,"endTime":359.31,"body":"remdesivir"},{"speaker":"Séverine Tasker","startTime":359.31,"endTime":360.24,"body":"No, no, no,"},{"speaker":"Séverine Tasker","startTime":360.24,"endTime":366.75,"body":"no, no, no, there's no publish,"},{"speaker":"Séverine Tasker","startTime":360.24,"endTime":366.75,"body":"to compare oral GS with, you"},{"speaker":"Séverine Tasker","startTime":366.75,"endTime":369.09,"body":"know, I think sometimes when"},{"speaker":"Séverine Tasker","startTime":366.75,"endTime":369.09,"body":"they're really sick and"},{"speaker":"Séverine Tasker","startTime":369.09,"endTime":372.0,"body":"hospitalised, you know, the"},{"speaker":"Séverine Tasker","startTime":369.09,"endTime":372.0,"body":"injectable to start with"},{"speaker":"Danièlle Gunn-Moore","startTime":372.0,"endTime":373.65,"body":"Because"},{"speaker":"Danièlle Gunn-Moore","startTime":372.0,"endTime":373.65,"body":"they're too poor to swallow."},{"speaker":"Danièlle Gunn-Moore","startTime":374.1,"endTime":378.33,"body":"Also, there is the concept, you"},{"speaker":"Danièlle Gunn-Moore","startTime":374.1,"endTime":378.33,"body":"know, that remdesivir, because"},{"speaker":"Danièlle Gunn-Moore","startTime":378.33,"endTime":382.65,"body":"of how different it is, only a"},{"speaker":"Danièlle Gunn-Moore","startTime":378.33,"endTime":382.65,"body":"little bit, but it is more"},{"speaker":"Danièlle Gunn-Moore","startTime":382.71,"endTime":386.76,"body":"bioavailable to cells. So it"},{"speaker":"Danièlle Gunn-Moore","startTime":382.71,"endTime":386.76,"body":"gets into cells better, isn't"},{"speaker":"Danièlle Gunn-Moore","startTime":386.76,"endTime":391.23,"body":"it? So on that reasoning, it's"},{"speaker":"Danièlle Gunn-Moore","startTime":386.76,"endTime":391.23,"body":"more side effects, but more"},{"speaker":"Danièlle Gunn-Moore","startTime":391.44,"endTime":394.68,"body":"potency. So therefore, when"},{"speaker":"Danièlle Gunn-Moore","startTime":391.44,"endTime":394.68,"body":"you're trying to get into"},{"speaker":"Danièlle Gunn-Moore","startTime":394.71,"endTime":398.13,"body":"difficult places, then let's go"},{"speaker":"Danièlle Gunn-Moore","startTime":394.71,"endTime":398.13,"body":"as potent as we can."},{"speaker":"Séverine Tasker","startTime":399.09,"endTime":402.57,"body":"But if finances"},{"speaker":"Séverine Tasker","startTime":399.09,"endTime":402.57,"body":"are an issue, then I think the"},{"speaker":"Séverine Tasker","startTime":402.57,"endTime":406.83,"body":"oral GS straight off is"},{"speaker":"Séverine Tasker","startTime":402.57,"endTime":406.83,"body":"definitely a valid way to go."},{"speaker":"Sam Taylor","startTime":407.19,"endTime":409.17,"body":"And I've also found"},{"speaker":"Sam Taylor","startTime":407.19,"endTime":409.17,"body":"that sometimes people, they’re"},{"speaker":"Sam Taylor","startTime":409.2,"endTime":411.3,"body":"very anxious about giving"},{"speaker":"Sam Taylor","startTime":409.2,"endTime":411.3,"body":"tablets."},{"speaker":"Séverine Tasker","startTime":411.3,"endTime":411.51,"body":"Yeah"},{"speaker":"Sam Taylor","startTime":411.51,"endTime":412.5,"body":"i know it's really,"},{"speaker":"Sam Taylor","startTime":411.51,"endTime":412.5,"body":"really hard."},{"speaker":"Danièlle Gunn-Moore","startTime":412.65,"endTime":414.57,"body":"If they're"},{"speaker":"Danièlle Gunn-Moore","startTime":412.65,"endTime":414.57,"body":"really not sure I’ve said,"},{"speaker":"Danièlle Gunn-Moore","startTime":415.35,"endTime":418.59,"body":"‘let's try it, let's see where"},{"speaker":"Danièlle Gunn-Moore","startTime":415.35,"endTime":418.59,"body":"we are in three days’, you know,"},{"speaker":"Danièlle Gunn-Moore","startTime":418.59,"endTime":422.46,"body":"you're not saying ‘this awful,"},{"speaker":"Danièlle Gunn-Moore","startTime":418.59,"endTime":422.46,"body":"sick, poorly cat has got to have"},{"speaker":"Danièlle Gunn-Moore","startTime":422.58,"endTime":424.98,"body":"12 weeks of treatment’. And"},{"speaker":"Danièlle Gunn-Moore","startTime":422.58,"endTime":424.98,"body":"they're just going ‘oh, he"},{"speaker":"Danièlle Gunn-Moore","startTime":424.98,"endTime":428.01,"body":"couldn't take it’. Your going"},{"speaker":"Danièlle Gunn-Moore","startTime":424.98,"endTime":428.01,"body":"‘Look let's just see, just give"},{"speaker":"Danièlle Gunn-Moore","startTime":428.01,"endTime":430.62,"body":"me three days.’ And you go"},{"speaker":"Danièlle Gunn-Moore","startTime":428.01,"endTime":430.62,"body":"‘well, let's just get to the end"},{"speaker":"Danièlle Gunn-Moore","startTime":430.62,"endTime":433.92,"body":"of the week’, and then they can"},{"speaker":"Danièlle Gunn-Moore","startTime":430.62,"endTime":433.92,"body":"go actually 12 weeks won't be"},{"speaker":"Danièlle Gunn-Moore","startTime":433.92,"endTime":434.88,"body":"too much trouble."},{"speaker":"Séverine Tasker","startTime":435.36,"endTime":437.64,"body":"And I think"},{"speaker":"Séverine Tasker","startTime":435.36,"endTime":437.64,"body":"just one last thing, just about"},{"speaker":"Séverine Tasker","startTime":437.67,"endTime":440.88,"body":"a client without too much money"},{"speaker":"Séverine Tasker","startTime":437.67,"endTime":440.88,"body":"is just remembering that you,"},{"speaker":"Séverine Tasker","startTime":440.91,"endTime":443.34,"body":"like you said, you’ve just got"},{"speaker":"Séverine Tasker","startTime":440.91,"endTime":443.34,"body":"to make sure you've documented"},{"speaker":"Séverine Tasker","startTime":443.34,"endTime":445.59,"body":"in the notes, your conversations"},{"speaker":"Séverine Tasker","startTime":443.34,"endTime":445.59,"body":"because"},{"speaker":"Sam Taylor","startTime":445.83,"endTime":448.92,"body":"Actually around all"},{"speaker":"Sam Taylor","startTime":445.83,"endTime":448.92,"body":"of this treatment because it's"},{"speaker":"Sam Taylor","startTime":448.92,"endTime":451.95,"body":"not guaranteed. And yes, it's"},{"speaker":"Sam Taylor","startTime":448.92,"endTime":451.95,"body":"really successful. And we've"},{"speaker":"Sam Taylor","startTime":451.95,"endTime":455.85,"body":"seen great success, but not"},{"speaker":"Sam Taylor","startTime":451.95,"endTime":455.85,"body":"every cat. I would, I'd hate"},{"speaker":"Sam Taylor","startTime":455.85,"endTime":458.76,"body":"owners have the impression this"},{"speaker":"Sam Taylor","startTime":455.85,"endTime":458.76,"body":"is guaranteeing you a cure"},{"speaker":"Danièlle Gunn-Moore","startTime":458.79,"endTime":461.19,"body":"We have had"},{"speaker":"Danièlle Gunn-Moore","startTime":458.79,"endTime":461.19,"body":"some that have presumed that"},{"speaker":"Sam Taylor","startTime":461.22,"endTime":463.92,"body":"You spend 6000"},{"speaker":"Sam Taylor","startTime":461.22,"endTime":463.92,"body":"pounds, and you're going to have"},{"speaker":"Sam Taylor","startTime":463.92,"endTime":466.02,"body":"your kitten back, just like it"},{"speaker":"Sam Taylor","startTime":463.92,"endTime":466.02,"body":"doesn't work with any other"},{"speaker":"Sam Taylor","startTime":466.02,"endTime":467.91,"body":"disease really. But I think in"},{"speaker":"Sam Taylor","startTime":466.02,"endTime":467.91,"body":"this one it’s, you’ve got to"},{"speaker":"Sam Taylor","startTime":467.91,"endTime":468.57,"body":"write it down"},{"speaker":"Sam Taylor","startTime":468.57,"endTime":468.96,"body":"Absolutely"},{"speaker":"Sam Taylor","startTime":468.96,"endTime":473.85,"body":"So they understand the"},{"speaker":"Sam Taylor","startTime":468.96,"endTime":473.85,"body":"limitations of the treatments."},{"speaker":"Séverine Tasker","startTime":474.03,"endTime":476.16,"body":"It's not a"},{"speaker":"Séverine Tasker","startTime":474.03,"endTime":476.16,"body":"guarantee. But we're doing our"},{"speaker":"Séverine Tasker","startTime":476.16,"endTime":480.06,"body":"best, especially when we can't"},{"speaker":"Séverine Tasker","startTime":476.16,"endTime":480.06,"body":"do the full course. Yeah,"},{"speaker":"Sam Taylor","startTime":480.24,"endTime":482.4,"body":"We don't want to shy"},{"speaker":"Sam Taylor","startTime":480.24,"endTime":482.4,"body":"away from it. You can buy these"},{"speaker":"Sam Taylor","startTime":482.4,"endTime":486.3,"body":"drugs on the internet. And we"},{"speaker":"Sam Taylor","startTime":482.4,"endTime":486.3,"body":"know that they have widely been"},{"speaker":"Sam Taylor","startTime":486.3,"endTime":490.2,"body":"used from internet sources. And"},{"speaker":"Sam Taylor","startTime":486.3,"endTime":490.2,"body":"we'll have people watching from"},{"speaker":"Sam Taylor","startTime":490.2,"endTime":494.19,"body":"all around the world. How do you"},{"speaker":"Sam Taylor","startTime":490.2,"endTime":494.19,"body":"handle that situation? Or how do"},{"speaker":"Sam Taylor","startTime":494.19,"endTime":495.09,"body":"we advise vets?"},{"speaker":"Séverine Tasker","startTime":495.12,"endTime":497.49,"body":"Yeah, I mean,"},{"speaker":"Séverine Tasker","startTime":495.12,"endTime":497.49,"body":"it's really hard, isn't it? And"},{"speaker":"Séverine Tasker","startTime":497.49,"endTime":500.34,"body":"I know we've got a global"},{"speaker":"Séverine Tasker","startTime":497.49,"endTime":500.34,"body":"audience, I think, I think it's"},{"speaker":"Séverine Tasker","startTime":500.34,"endTime":503.25,"body":"a matter of, you know, reaching"},{"speaker":"Séverine Tasker","startTime":500.34,"endTime":503.25,"body":"out and finding out what the"},{"speaker":"Séverine Tasker","startTime":503.25,"endTime":506.7,"body":"regulations are in your country,"},{"speaker":"Séverine Tasker","startTime":503.25,"endTime":506.7,"body":"what is available, what is, if"},{"speaker":"Séverine Tasker","startTime":506.7,"endTime":509.31,"body":"there is anything legal to use,"},{"speaker":"Séverine Tasker","startTime":506.7,"endTime":509.31,"body":"you know, there's been"},{"speaker":"Séverine Tasker","startTime":509.31,"endTime":512.7,"body":"publications out there with"},{"speaker":"Séverine Tasker","startTime":509.31,"endTime":512.7,"body":"those black market drugs. So we"},{"speaker":"Séverine Tasker","startTime":512.7,"endTime":516.87,"body":"know that they work, the problem"},{"speaker":"Séverine Tasker","startTime":512.7,"endTime":516.87,"body":"is that we have no data on"},{"speaker":"Séverine Tasker","startTime":516.87,"endTime":520.02,"body":"what's in them, the amount"},{"speaker":"Séverine Tasker","startTime":516.87,"endTime":520.02,"body":"that's in them, people aren't"},{"speaker":"Séverine Tasker","startTime":520.02,"endTime":522.51,"body":"allowed to buy them because"},{"speaker":"Séverine Tasker","startTime":520.02,"endTime":522.51,"body":"they're importing them as a"},{"speaker":"Séverine Tasker","startTime":522.51,"endTime":526.65,"body":"medicine and that is illegal,"},{"speaker":"Séverine Tasker","startTime":522.51,"endTime":526.65,"body":"and where we can't prescribe or"},{"speaker":"Séverine Tasker","startTime":526.65,"endTime":530.1,"body":"use them ourselves. So that is"},{"speaker":"Séverine Tasker","startTime":526.65,"endTime":530.1,"body":"pretty clear in terms of the"},{"speaker":"Séverine Tasker","startTime":530.1,"endTime":531.24,"body":"legalities of it."},{"speaker":"Danièlle Gunn-Moore","startTime":531.45,"endTime":533.7,"body":"It's not"},{"speaker":"Danièlle Gunn-Moore","startTime":531.45,"endTime":533.7,"body":"just we, it's all British vets."},{"speaker":"Séverine Tasker","startTime":533.73,"endTime":533.97,"body":"Yeah,"},{"speaker":"Danièlle Gunn-Moore","startTime":534.0,"endTime":537.39,"body":"We can't"},{"speaker":"Danièlle Gunn-Moore","startTime":534.0,"endTime":537.39,"body":"touch it, we can lose our MRCVS,"},{"speaker":"Danièlle Gunn-Moore","startTime":537.39,"endTime":538.26,"body":"it's that serious."},{"speaker":"Séverine Tasker","startTime":538.26,"endTime":541.41,"body":"So I think the"},{"speaker":"Séverine Tasker","startTime":538.26,"endTime":541.41,"body":"thing is that if somebody does"},{"speaker":"Séverine Tasker","startTime":541.41,"endTime":544.77,"body":"come across, I mean it depends"},{"speaker":"Séverine Tasker","startTime":541.41,"endTime":544.77,"body":"where you are, but I mean in the"},{"speaker":"Séverine Tasker","startTime":544.77,"endTime":548.37,"body":"UK, we have got some, we are"},{"speaker":"Séverine Tasker","startTime":544.77,"endTime":548.37,"body":"very lucky that we've got access"},{"speaker":"Séverine Tasker","startTime":548.37,"endTime":551.67,"body":"to legally available products"},{"speaker":"Séverine Tasker","startTime":548.37,"endTime":551.67,"body":"now and that is absolutely the"},{"speaker":"Séverine Tasker","startTime":551.67,"endTime":555.3,"body":"route that we should go down. If"},{"speaker":"Séverine Tasker","startTime":551.67,"endTime":555.3,"body":"you are a vet that is dealing"},{"speaker":"Séverine Tasker","startTime":555.3,"endTime":559.98,"body":"with a client that is, off their"},{"speaker":"Séverine Tasker","startTime":555.3,"endTime":559.98,"body":"own back, ordered them online,"},{"speaker":"Séverine Tasker","startTime":559.98,"endTime":563.31,"body":"have got the drug, you know"},{"speaker":"Séverine Tasker","startTime":559.98,"endTime":563.31,"body":"there is an argument for you"},{"speaker":"Séverine Tasker","startTime":563.31,"endTime":566.76,"body":"being able to monitor and help"},{"speaker":"Séverine Tasker","startTime":563.31,"endTime":566.76,"body":"with the welfare of that cat"},{"speaker":"Séverine Tasker","startTime":566.76,"endTime":569.97,"body":"because I think pushing it to"},{"speaker":"Séverine Tasker","startTime":566.76,"endTime":569.97,"body":"the back, even when you've"},{"speaker":"Séverine Tasker","startTime":569.97,"endTime":572.94,"body":"talked to the owner in that way,"},{"speaker":"Séverine Tasker","startTime":569.97,"endTime":572.94,"body":"and they don't get any"},{"speaker":"Séverine Tasker","startTime":572.94,"endTime":576.27,"body":"veterinary care is almost worse,"},{"speaker":"Séverine Tasker","startTime":572.94,"endTime":576.27,"body":"you know."},{"speaker":"Nathalie Dowgray","startTime":582.15,"endTime":583.65,"body":"Thank you for"},{"speaker":"Nathalie Dowgray","startTime":582.15,"endTime":583.65,"body":"listening to Chattering with"},{"speaker":"Nathalie Dowgray","startTime":583.68,"endTime":586.8,"body":"ISFM. The full version of this"},{"speaker":"Nathalie Dowgray","startTime":583.68,"endTime":586.8,"body":"roundtable discussion is"},{"speaker":"Nathalie Dowgray","startTime":586.8,"endTime":589.62,"body":"available to ISFM veterinary"},{"speaker":"Nathalie Dowgray","startTime":586.8,"endTime":589.62,"body":"members, along with an"},{"speaker":"Nathalie Dowgray","startTime":589.62,"endTime":593.37,"body":"additional interview from Dr."},{"speaker":"Nathalie Dowgray","startTime":589.62,"endTime":593.37,"body":"Dottie Laflamme. To access that"},{"speaker":"Nathalie Dowgray","startTime":593.4,"endTime":596.76,"body":"and all other ISFM member"},{"speaker":"Nathalie Dowgray","startTime":593.4,"endTime":596.76,"body":"benefits, including recordings"},{"speaker":"Nathalie Dowgray","startTime":596.76,"endTime":599.58,"body":"from Congress's, monthly"},{"speaker":"Nathalie Dowgray","startTime":596.76,"endTime":599.58,"body":"webinars, the discussion forum"},{"speaker":"Nathalie Dowgray","startTime":599.61,"endTime":604.11,"body":"and much more, do login to"},{"speaker":"Nathalie Dowgray","startTime":599.61,"endTime":604.11,"body":"portal.icatcare.org. If you're"},{"speaker":"Nathalie Dowgray","startTime":604.11,"endTime":607.86,"body":"not an ISFM member, then please"},{"speaker":"Nathalie Dowgray","startTime":604.11,"endTime":607.86,"body":"do visit icatcare.org to learn"},{"speaker":"Nathalie Dowgray","startTime":607.86,"endTime":611.37,"body":"more. Tune in next month for the"},{"speaker":"Nathalie Dowgray","startTime":607.86,"endTime":611.37,"body":"first of our JFMS Clinical"},{"speaker":"Nathalie Dowgray","startTime":611.37,"endTime":614.04,"body":"Spotlight Interviews and an"},{"speaker":"Nathalie Dowgray","startTime":611.37,"endTime":614.04,"body":"interview with Dr. Jessica"},{"speaker":"Nathalie Dowgray","startTime":614.04,"endTime":614.49,"body":"Quimby."}]}