Published by Dr. Molly Brinkmann
Hey friends! I’m Dr. Molly Brinkmann (@drmollysays), a small animal veterinarian, lifelong animal lover, and your go-to source for all things pet health. Welcome to The Dr. Molly Says Podcast ! I’m probably already obsessed with your pet, and I want to help you understand veterinary medicine in a way that’s fun, relatable, and actually makes sense. Each week, I’ll break down important pet care topics, debunk common myths, and give you a behind-the-scenes look at life as a vet. Because let’s be real—life is hard, but dogs help… and so does knowing how to take the best care of them. Grab your coffee (or tea), snuggle your pup (or cat, I guess), and join me every Wednesday at 9 AM EST on all platforms (and YouTube)!
Listen on Apple Podcasts41 min
This week on Doctor Molly Says, it's just me, and we're finally tackling a topic so many of you have been asking me about for a long time: kidney disease! We start with kidney disease 101: what your dog or cat's kidneys are actually doing back there (hint: way more than you'd think), and why these little bean-shaped organs are so vital to basically every system in the body. Then we get into the two big categories: acute kidney injury and chronic kidney disease. For acute kidney injury, I'm walking you through all the surprising culprits; lilies, antifreeze, grapes and raisins, NSAIDs like ibuprofen, too much vitamin D, certain mushrooms, dehydration, heat stroke, anesthesia risk, heart disease, urinary obstructions, and one I get on my soapbox about: leptospirosis. I really want more of you to understand what "lepto" is and why vaccinating for it matters, especially if your dog has ever had unexplained kidney failure. Then we dig into chronic kidney disease: why it's so common in cats, why symptoms can be sneaky and subtle until it's fairly advanced, and all the bloodwork markers your vet is actually looking at (creatinine, BUN, SDMA, phosphorus, potassium, urine specific gravity, and protein) when they tell you your pet's kidney values. I also break down IRIS staging, which helps guide how often we monitor and treat. Finally, we talk treatment because while we can't "cure" chronic kidney disease, there is SO much we can do to slow it down and keep pets feeling good for a long time: prescription kidney diets (and why they're not the internet villain people think they are), hydration strategies, subcutaneous fluids, blood pressure management, and more. If you've ever gotten "the kidney talk" from your vet and left confused, or you just want to understand your pet's aging kidneys a little better, this episode is for you. LOVE YOU GUYS 💛 Timestamps: 00:00:00 Welcome back + We're finally talking kidney disease! 00:05:02 Acute kidney injury: toxins that cause it (lilies, antifreeze, grapes & more) 00:10:15 Leptospirosis: the soapbox on vaccination & missed diagnoses 00:15:17 From acute injury to chronic kidney disease 00:20:21 Decoding kidney bloodwork: creatinine, BUN & SDMA 00:25:14 Kidney disease in cats 00:30:15 IRIS staging: how vets grade kidney disease 00:35:12 How do we treat kidney disease 00:40:00 Thanks for listening!!! --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
29 min
This week on Dr. Molly Says, we're back with another dog breed deep dive!!! You guys loved the last breed episode so much that we had to do it again, and this time it's extra personal: we're talking about the Yorkshire Terrier, in honor of my patient (and honorary muse) Sophia, who bosses everyone around and 100% deserves her own bow collection. 💅 But first, a quick PSA/clarification on the clinic front: after all the love (and questions!) on the open-concept ER clips from Veg Emergency Group, I wanted to walk you through exactly how it's laid out so you know it's not just one big room where everyone's staring at each other lol. More clinic footage coming soon!!! OK let's get into Yorkies: did you know they were NOT bred to be fancy lap dogs?! Scottish textile workers brought them into Yorkshire to hunt rats and mice in mills and coal mines — literal blue collar pest control that somehow became Victorian royalty's favorite accessory. We get into breed standard (under 7 lbs, no such thing as an official "teacup" or "micro" Yorkie, sorry), temperament (bold, smart, opinionated, shockingly athletic, and yes big barkers), and the grooming commitment that comes with that gorgeous coat (daily brushing please!!). We also talk nutrition and then the big one: health issues to know before you bring one home. Dental disease and retained baby teeth, patellar luxation, tracheal collapse, liver shunts, Legg-Calve-Perthes disease, pancreatitis, mitral valve disease, cataracts. It's a lot, but knowledge is power, and it's exactly why ethical breeding and health testing matter so much. Plus: are Yorkies actually good family dogs? (Yes, with the right training and expectations!) What to look for (and avoid!) in a breeder, and why Sophia may be a princess but could probably also thrive as a farm girl. LOVE YOU GUYS 🐾 Timestamps: 0:00 – Welcome back to Dr. Molly Says! + new Figs scrubs drop 3:06 – Yorkshire Terrier episode: meet Sophia + breed history 7:57 – Breed standard, appearance & temperament 12:52 – Grooming & nutrition 18:00 – Yorkie health issues: dental disease, patella, tracheal collapse 22:19 – More health issues: liver shunts, Perthes disease, heart & eyes 26:15 – Are Yorkies good family dogs? + breeder tips + Sophia's send-off --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
22 min
Hi friends! This week's episode is a quick one because by the time you're watching this, I'll be in Jamaica! But before I left - I recorded an episode about something a lot of you have been asking about: my new veterinary practice! I know I've mentioned it here and there, but I've never actually sat down and told you the whole story — how it came to be, what it's going to look like, and why I'm doing this instead of just... not (spoiler: there was a corporate buyout involved, and honestly, that was my sign 😅). I give you all the details about some special features in the new practice: Why our exam rooms have their OWN exterior doors (hint: anxious dogs and achy senior dogs will thank us) The comfort room - a private space with its own entrance specifically for euthanasia appointments, so families don't have to walk back through the lobby afterward "The vet bar" - basically a nurse's station meets open pharmacy window, so you can actually SEE the care happening as you walk through Then we finish off chatting about the real timeline (soft opening tentatively September 1st, grand opening party September 19th — mark your calendars!), hiring updates, and why I believe so strongly in private practice vet med. If you've ever wondered what actually goes into opening a vet clinic — or you just want to nose around the design decisions with me — this episode is for you!!!! If you want to see visuals of everything I'm describing, come find me on socials; I'm @drmollysays and the clinic is @thelocalvets. And if you've got questions about the practice, please send them in! I'd love to do a Q&A episode as we get closer to opening. LOVE YOU GUYS! Timestamps: 00:00:00 Welcome back + why today's episode is just me 00:04:27 The building, the layout & what our clinic will look like 00:09:57 Design details — porches, the comfort room & full transparency 00:15:32 Opening timeline, hiring updates & the mystery new vet 00:20:52 Private practice vs. corporate vet med (and how you can help) 00:22:00 LOVE YOU GUYS 💛 --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
39 min
This week on Dr. Molly Says , it’s just me… and we’re talking about one of the most important diseases in veterinary medicine that somehow still manages to be one of the most misunderstood: heartworm disease . I know, I know… heartworms aren't exactly the sexiest podcast topic BUT if you've ever wondered, "Does my indoor dog really need heartworm prevention?" or "Is heartworm prevention actually safe?" or "Can't I just skip it during the winter?" … we're answering all of it. We start with Heartworm 101 (don't worry, I'll make parasites as fun as they can possibly be 🤝). We talk about how dogs actually get heartworms, why mosquitoes are the real villains here, and how these parasites somehow manage to make their way from one tiny mosquito bite all the way into your dog's heart and lungs. (Nature is... honestly kind of terrifying.) Then we get into the questions I hear every single day in practice. How heartworm disease actually develops Why your dog can have heartworms for MONTHS before showing any symptoms The scary complications veterinarians worry about (including caval syndrome) What heartworm treatment actually looks like... and why we'd all rather prevent it than treat it How heartworm preventatives actually work (because they don't work the way most people think they do) Whether indoor dogs really need heartworm medication (spoiler: yes 😅) If you've ever had questions about heartworm prevention (or you've seen one too many TikToks trying to convince you it's more dangerous than heartworm itself) this episode is for you. LOVE YOU GUYS 💛 Timestamps: 00:00 Welcome back! Why we're talking about heartworm disease 01:20 What heartworm actually is 03:58 How mosquitoes transmit heartworm 07:18 The heartworm life cycle explained 11:10 What heartworms do inside the body 15:57 Early signs of heartworm disease 17:34 Right-sided heart failure & caval syndrome 20:13 Wolbachia bacteria & why it matters for treatment 22:30 How veterinarians diagnose heartworm disease 25:45 Heartworm treatment explained 30:39 Why treatment is expensive (and dangerous) 31:39 Heartworm prevention myths debunked 32:28 How heartworm preventatives actually work 34:24 Ivermectin, resistance & prevention options 36:30 Why year-round prevention matters 37:43 Why your vet recommends annual heartworm testing 38:31 Indoor dogs still need prevention 39:20 LOVE YOU GUYS 💛 --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
1 hr 7 min
This week on The Dr. Molly Says Podcast , I’m joined by neurosurgeon, dog mom, and one of my favorite internet friendships to come out of veterinary medicine… Dr. Betsy Grunch. We talk about everything from spinal cord injuries and pet vs human medicine, to the wild story of how we actually became friends (spoiler: it involved a dog, a scary medical situation, and a social media DM 😅). Dr. Grunch shares her incredible journey into medicine after her mother suffered a life-changing spinal cord injury when Betsy was a teenager, how becoming a caregiver shaped her career, and what it's been like opening her own independent neurosurgery practice in her hometown. Then we get into the dog story that brought us together. We ALSO get into: The surprising similarities between human and veterinary medicine Why getting a second opinion can save lives Cushing’s disease, Addisonian crises & diagnostic challenges Navigating cancer diagnoses in beloved pets Veterinary specialists, referral medicine & advocating for your animals The emotional reality of caring for pets with complex medical conditions PLUS: Vizsla chaos, private investigator dog stories, rescue dog moms, Napoleon Dynamite references, dog bed mysteries, fast cars, parasocial friendships, and a very important discussion about what dog breed Betsy would be. 😂 LOVE YOU GUYS 💛 Timestamps 00:00 Welcome back! Meet Dr. Betsy Grunch 02:00 Why Betsy became a neurosurgeon 05:20 Her mother's spinal cord injury changed everything 08:33 Opening her own neurosurgery practice 12:00 Human medicine vs veterinary medicine 17:24 How Molly & Betsy became friends 17:45 The chicken-stealing dog story 19:21 Cushing's disease diagnosis & Addisonian crisis 20:20 The social media post that caught Molly's attention 21:30 Why getting a second opinion mattered 22:53 Finding liver cancer & life-saving surgery 30:00 Navigating cancer treatment as a pet owner 39:29 When the second dog had a medical emergency too 49:04 Talking dogs, breeding & pet ownership 50:06 Meet Bobo, the legendary private investigator dog 52:02 Vizsla stories & littermate updates 53:17 What dog breed would Betsy be? 01:06:50 LOVE YOU GUYS 💛 --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
28 min
This week on The Dr. Molly Says Podcast , we're diving deep into everything you need to know about Dachsunds! We get into where Dachshunds came from, what they were originally bred to do (spoiler: they were literally bred to hunt badgers underground 😳), why they've become one of the most popular dog breeds in the country, and what makes them such a unique mix of hilarious, stubborn, loyal, opinionated little dogs. But of course, we're not just talking about their personalities. We're also talking about the medical stuff every current or future Dachshund owner should know. We get into: The different types of Dachshunds (smooth, long-haired & wire-haired) Standard vs. miniature Dachshunds Why these dogs have SUCH big personalities Prey drive, barking, training challenges & "selective hearing" 😅 The truth about IVDD (intervertebral disc disease) and why Dachshunds are so prone to it Signs of back pain and when it's a veterinary emergency Whether stairs, jumping and exercise actually increase IVDD risk Why maintaining a lean body weight is one of the most important things you can do for your Dachshund Pet insurance and why I'm a huge advocate for it in this breed Dental disease, anesthesia myths & why small dogs need dental care earlier than most owners realize Heart disease, patellar luxation and other common health concerns What to look for in a responsible Dachshund breeder The major red flags everyone should know about before buying a puppy Whether you already have a Dachshund, you're thinking about getting one, or you just love learning about dogs, this episode is your complete veterinarian's guide to one of the most iconic breeds out there. LOVE YOU GUYS 💛 Timestamps 00:00 Welcome back + life updates 00:00:52 Building The Local Vet & rabbit medicine updates 🏥🐰 00:02:06 Meet the Dachshund: history, origins & why they're so popular 00:03:32 Standard vs. Miniature Dachshunds 00:04:22 Smooth, Long-Haired & Wire-Haired Dachshunds 00:06:08 Common Dachshund colors & the dangers of Double Dapple breeding 00:08:05 Dachshund personality: stubborn, loyal & VERY opinionated 00:10:22 Why Dachshunds love to bark, chase & ignore your commands 😅 00:12:03 The #1 health issue in Dachshunds: IVDD explained 00:14:42 Signs of IVDD & when it's an emergency 00:16:25 Preventing back problems: exercise, weight & muscle mass 00:18:15 Why every Dachshund owner should consider pet insurance 00:18:55 Dental disease: the health problem nobody talks about 00:20:18 Why brushing your Dachshund's teeth matters so much 00:22:00 Heart disease & mitral valve disease in Dachshunds 00:23:15 Patellar luxation, arthritis & mobility concerns 00:24:42 Allergies, cancer risks & mammary tumors 00:26:08 Finding an ethical Dachshund breeder: what to look for 00:27:08 Red flags, coat colors & breeding practices to avoid 🚩 00:28:05 Are Dachshunds right for your family? Final thoughts 00:28:55 LOVE YOU GUYS 💛 --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
1 hr 15 min
This week on Dr. Molly Says, I’m joined by one of my real-life friends (and current work buddy 😅), Dr. Kristen Frevert VMD! Kristen is a veterinarian here in Franklin, TN who recently added a HUGE new credential to her résumé: she officially became a Certified Canine Rehabilitation Practitioner (CCRP) through the University of Tennessee, aka the birthplace of canine rehab. We start with Kristen’s journey from traditional general practice into integrative medicine, how she became certified in medical acupuncture during COVID, and why she felt called to develop skills that could help pets in ways many owners don’t even realize exist. We also settle the very important question: if Kristen were a dog breed, would she actually be a Border Collie? (Spoiler: absolutely.) Then we get into Kristen’s HOT TAKE: age is NOT a disease. Just because your dog is slowing down doesn’t mean it’s “just getting old.” We talk about chronic pain, arthritis, muscle loss, why limping always matters, and the subtle signs pet owners often miss in senior dogs and cats. From there, we dive into the world of veterinary rehab—underwater treadmills, laser therapy, shockwave therapy, regenerative medicine, post-surgery recovery, and all the ways these tools are helping pets stay active and comfortable longer. We also tackle acupuncture myths, what it actually does (hint: it's not just for pain), and some of the surprising conditions it can help treat. If you have a senior pet, a dog recovering from surgery, or you've ever wondered whether acupuncture and rehab are actually worth considering, this episode is packed with practical information you can start using right away. LOVE YOU GUYS! 💛 Timestamps: 00:00:00 Welcome + introducing Dr. Kristen Frevert 00:07:14 Why Kristen pursued acupuncture & integrative medicine 00:11:23 If Kristen were a dog breed… 🐾 00:13:11 Hot Take: Age Is NOT a Disease 00:16:32 What is an integrative veterinarian? 00:17:23 What does a Certified Canine Rehabilitation Practitioner actually do? 00:23:00 Which pets are the best candidates for rehab? 00:27:00 What a rehab treatment plan looks like 00:28:00 Underwater treadmills: why they're so effective 00:30:58 Shockwave therapy, lasers, PRP & regenerative medicine 00:34:32 Cost, insurance coverage & barriers to rehab 00:43:07 Acupuncture Explained: The science behind the needles 00:47:58 Surprising conditions acupuncture can help treat 00:52:05 How often should pets receive acupuncture? 00:55:55 When should pet owners consider rehab or acupuncture? 00:57:30 The most underrated rehab tool 01:01:08 Tennessee's chiropractic legislation & why veterinarians are concerned 01:12:46 Weight, muscle mass & protecting your pet's future 01:13:58 Final thoughts + where to find Dr. Frevert 01:15:02 See you next week! 🐶🐱 --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod --------------------------------------------------------------- Keywords: dog arthritis, senior dog health, dog pain symptoms, signs your dog is in pain, canine rehabilitation, veterinary rehabilitation, dog acupuncture, acupuncture for dogs, pet mobility, aging dogs, senior dog care, dog limping, arthritis in dogs, integrative veterinary medicine, regenerative medicine for dogs, underwater treadmill for dogs, laser therapy for dogs, pet wellness, veterinary podcast, dog health podcast, pet health, canine health
57 min
This week on The Dr. Molly Says Podcast, it’s just me… and we are getting into one of the biggest conversations happening in pet health online right now: flea & tick prevention misinformation. But first… life update because YES, I’m building a veterinary clinic!!! I give you a sneak peakreal behind-the-scenes update on buying a building, construction chaos, leaving my previous role, and what it’s actually been like creating the practice I’ve dreamed about for years. (We also do a quick follow-up on last week’s cat scruffing discourse because apparently veterinary restraint debates are thriving on the interne!!) THEN… we get into the big one. We talk flea & tick preventatives, internet fear-mongering, “natural” wellness marketing, and the class of medications everyone seems to be panicking about right now: isoxazolines. We get into: Why fleas & ticks are WAY more than just annoying bugs The diseases veterinarians are actually trying to protect pets from (Lyme disease, ehrlichia, flea allergy dermatitis, bobcat fever & more) How flea & tick preventatives really work (yes… including the “neurotoxin” conversation) The truth about oral preventatives, tick transmission, and the “they poison your dog’s blood” myth FDA label updates, seizures, neurologic side effects & what we actually know about risk Correlation vs causation, medication safety studies & how these products are tested “Natural” preventatives, essential oils, detox protocols & the business of pet wellness misinformation PLUS: hot takes on internet grifters, why “natural” doesn’t automatically mean safer, pharmaceutical nuance, veterinary transparency, and a very honest conversation about how confusing all of this can be for pet owners just trying to do right by their animals. LOVE YOU GUYS 💛 Timestamps: 00:00 Welcome back! Real life updates + recording in the future vet clinic 👀 00:00:52 Follow-up on the cat scruffing debate (because the internet had thoughts…) 00:05:22 I’M BUILDING A VETERINARY CLINIC?! Behind-the-scenes update 00:08:24 Flea & tick prevention misinformation is EVERYWHERE right now 00:12:05 Why vets take fleas & ticks so seriously 00:13:02 Fleas: allergies, anemia, tapeworms & yes… plague 00:16:28 Tick-borne diseases explained: Lyme, ehrlichia, bobcat fever & more 00:23:17 How flea & tick medications actually work 00:24:23 “They’re neurotoxins?!” — let’s talk about that 00:31:36 The “they poison your dog’s blood” myth 00:34:18 How flea & tick meds are safety tested before approval 00:37:21 Isoxazolines, seizures & the FDA warning conversation 00:39:28 Correlation vs causation: are these medications actually causing problems? 00:43:40 Which dogs may be more sensitive to these preventatives? 00:47:08 Risk vs benefit: how veterinarians actually think about prevention 00:49:52 “Vets push meds for money” — myth vs reality 00:51:04 Are flea meds causing cancer in dogs?! 00:52:15 Natural preventatives, essential oils & pet wellness influencers 00:56:14 Final thoughts: nuance, integrative medicine & protecting your pets 00:57:06 LOVE YOU GUYS 💛 --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
1 hr 9 min
This week on Dr. Molly Says , I’m joined by veterinarian, feline medicine enthusiast, industry leader, and fellow “we have a lot of opinions about vet med” human… Dr. Jason Epstein . We get into everything from cat-only hospitals, corporate veterinary medicine, the future of feline care, and one of the biggest debates happening in veterinary medicine right now. Dr. Epstein shares his journey through general practice, leadership roles, startups, vaccine clinics, and why he’s now building cat-focused veterinary hospitals, because according to him… cats don’t belong in dog hospitals. (Yes, he said it.) We also get into: Why feline medicine deserves its own approach The surprising problem with traditional mixed animal hospitals Corporate vet med, leadership, and what happens when practices collapse overnight Accessibility, affordability, and the realities of modern veterinary care The future of veterinary technicians and why they deserve WAY more support The controversial Veterinary Professional Associate (VPA) conversation happening in the U.S. Whether mid-level veterinary providers could help… or create bigger problems PLUS: hot takes, conference friend lore, cat behavior misunderstandings, “spicy cats” vs moody monarchs 👑, and a surprisingly passionate discussion about veterinary education, legislation, and who should actually be writing healthcare policy. LOVE YOU GUYS 💛 Timestamps: 00:00:00 Welcome + meet Dr. Jason Epstein 00:01:00 Marching band, clarinet discourse & veterinary origin story 00:05:00 Early career, GP life & leadership transitions 00:06:30 Corporate veterinary medicine + what happened with My Pets Wellness 00:08:50 Affordable care, vaccine clinics & community medicine 00:10:20 Why Dr. Epstein is building cat-only hospitals 00:11:30 HOT TAKE: “Cats don’t belong in dog hospitals” 00:13:00 Species-specific veterinary care: future or fantasy? 00:15:00 What cats actually experience at the vet (and why it matters) 00:20:00 Feline medicine gaps in veterinary education 00:30:00 Cat-friendly care, environment & understanding feline behavior 00:40:00 “Spicy cats” aren’t spicy… they’re cats 00:41:30 The VPA conversation explained (without assuming you’ve been living on vet internet) 00:44:00 Colorado, legislation & why this debate got very real, very fast 00:50:00 Education pathways, supervision rules & big concerns about implementation 00:57:00 Access to care vs quality of care — can both exist? 01:00:00 Vet tech utilization, title protection & workforce challenges 01:05:00 Where veterinary medicine might be headed next 01:07:00 Final thoughts + why this is definitely not the last conversation we’re having about this --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
44 min
This week on Dr. Molly Says… it’s just us!!! New season, new podcast setup, new vet clinic building (!!)… and an uncomfortable conversation we probably need to have about pet obesity. Because… statistically? A LOT of our dogs and cats are overweight. And before you get defensive — hear me out. This isn’t about aesthetics. We’re talking about real health consequences, chronic disease, arthritis, diabetes, mobility loss, and yes… shorter lifespans. We’re breaking down how veterinarians actually evaluate weight (hello body condition score), why so many pets gain weight without owners realizing it, and some hot takes about treats, free feeding, “active lifestyles,” and why your dog maybe doesn’t need a snack every time they pee. We also get into: How to tell if your dog or cat is actually overweight Why body condition score matters more than the number on the scale The surprising diseases linked to obesity in dogs and cats Why labs, beagles, and indoor cats can be especially prone to weight gain Free feeding vs meal feeding (yes… we’re doing this debate) Why treat calories count WAY more than you think How spay/neuter changes metabolism The real math behind feeding recommendations Weight loss strategies that actually work in real life PLUS: we discuss Solo cup measurements pretending to be “one cup,” chunky cat culture, why your veterinarian is not trying to offend you, and my slightly controversial opinion about potty treats. LOVE YOU GUYS 💛 Timestamps: 00:00:00 Welcome back! Season 2, podcast updates & the new clinic build 00:02:45 Why pet obesity is uncomfortable to talk about 00:04:00 Hot take: your dog doesn’t need a potty treat forever 00:05:00 The shocking number of overweight pets in the U.S. 00:06:00 Why weight matters beyond “looking chunky” 00:07:00 Body Condition Score explained (4–5/9 is the goal) 00:09:00 How to actually tell if your pet is overweight 00:13:00 Diseases linked to obesity in cats 00:15:00 Arthritis, mobility & obesity in dogs 00:17:00 How pets become overweight in the first place 00:18:00 Labs, beagles & genetics of appetite 00:19:00 Why your pet probably isn’t as “active” as you think 00:20:00 Feeding guides vs actual calorie calculations 00:21:00 Free feeding vs meal feeding debate 00:23:00 Treat calories add up FAST 00:26:00 Spay/neuter, hormones & metabolism changes 00:28:00 Helping pets lose weight realistically 00:30:00 Measuring food correctly (the Solo cup problem 💀) 00:32:00 Treat rules, exercise & muscle mass 00:34:00 When weight loss isn’t working: thyroid & medical causes 00:35:00 Multi-pet household struggles 00:36:00 Exercise ideas for indoor cats 00:38:00 Why vets keep bringing up weight (even when owners hate hearing it) 00:39:00 Fresh food, calorie density & marketing myths 00:42:00 Weight loss diets, supplements & final thoughts 00:43:00 Outro --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod
47 min
This week on Dr. Molly Says (and on round 2 of my world tour LOL), we’re coming to you LIVE from Vegas with veterinary nurse and chaos coordinator extraordinaire, Ashley Farmer (aka @ashleythevetnurse 💛). Ashley and I are diving into the world of veterinary technicians, emergency medicine, and what actually happens behind the scenes at your vet clinic… because trust me, it’s a LOT more than people realize. We talk about how Ashley went from dreaming of working with animals to feeding sharks at the Pittsburgh Zoo, becoming a licensed veterinary technician, working emergency medicine, and eventually helping run hospital operations at VEG (Veterinary Emergency Group). We also get into: What veterinary technicians/nurses actually do all day (spoiler: basically everything) The difference between vet techs, assistants, and veterinary nurses Why the “vet nurse vs vet tech” debate is way more complicated than people think How emergency vet hospitals really work behind the scenes Why open-concept ERs are changing veterinary medicine The relationship between pet owners, vets, and veterinary nurses during emergencies Why efficiency and teamwork matter so much in emergency medicine The emotional reality of caring for hospitalized pets How veterinary assistants can grow into long-term careers in vet med PLUS: Ashley shares her hottest takes in veterinary medicine (including owners helping restrain pets 👀), we discuss the absolute chaos of emergency rooms, favorite and least favorite dog breeds in the ER, and why veterinary nurses are truly the backbone of every hospital. And of course… we end with important conversations about Pomeranians, doodles, Great Danes pooping everywhere, and what dog breed Ashley would be if she had to choose. LOVE YOU GUYS 💛 Timestamps: 00:00:00 Welcome from Vegas + why we’re recording from a hotel room 00:01:00 Ashley’s journey into veterinary medicine 00:03:00 Working at the Pittsburgh Zoo + feeding sharks 00:05:00 What it takes to become a licensed veterinary technician 00:07:00 Vet tech vs veterinary nurse explained 00:11:00 Why people don’t realize how advanced vet med really is 00:12:00 Inside VEG emergency hospitals + open-concept ERs 00:17:00 Why collaboration between ERs and general practice matters 00:19:00 Dr. Molly’s new “open-ish” hospital concept 00:20:00 Hot take: should owners help restrain pets? 00:22:00 What veterinary nurses actually do during ER shifts 00:26:00 Surgery techs, inpatient care & emergency teamwork 00:28:00 Why Ashley moved into operations & leadership 00:30:00 Veterinary technician specialists (VTS) explained 00:34:00 The complicated relationship between vet assistants & licensed techs 00:38:00 Advice for assistants considering tech school 00:39:00 Favorite pets, breeds & ER patients 00:42:00 Emergency cases Ashley actually loves treating 00:44:00 The adrenaline of emergency medicine 00:45:00 Meet Ashley’s pets: Miss Kitty Meow Meow & Linda 00:46:00 Outro --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod
59 min
This week on Dr. Molly Says , we’re coming to you LIVE(ish) from a very not-fancy hotel room in Orlando… I’m joined by my friend and internal medicine specialist, Dr. Nicole Fein, and we’re diving into everything from what internists actually do to the reality of specialty vet care (plus a few unhinged tangents… obviously). We break down how someone becomes a board-certified veterinary internist (spoiler: years of chaos + 16-hour exams), the types of cases they see all the time (yes… so much poop), and a hot take you might not expect: more diagnostics ≠ better medicine. We also get into: When it’s actually time to see a specialist The relationship between pet owners, general practitioner veterinarians, and specialists (it’s a throuple , not a love triangle) Why some cases should be referred sooner (and what can go wrong when they’re not) The real cost conversations that need to happen in vet med Why internal medicine is basically the “everything that doesn’t make sense” specialty PLUS: Dr. Nicole explains her viral “baby talking patients” videos (yes, including “mouth meat” 💀), we discuss cuteness aggression, and share what really happens behind the scenes at the vet. And of course… we end with Global Pet Expo chaos: piglet parades (aka Frenchies in wagons), influencer pets, and why veterinarians are just trying their best out here. LOVE YOU GUYS 💛 Timestamps: 00:00:00 Welcome + recording from a hotel bed 00:02:00 What is Global Pet Expo? 00:03:00 Meet Dr. Nicole Fine (internal medicine specialist) 00:07:00 How you become a veterinary internist (aka years of torture) 00:14:55 What cases internal medicine actually sees 00:18:30 Favorite cases (Addison’s, immune disease & emergencies) 00:21:00 What a typical day looks like (and why it’s so communication-heavy) 00:23:00 When should you ask for a specialist referral? 00:26:00 GP vs specialist dynamics (the “throuple” conversation) 00:33:50 Cases that should be referred sooner 00:37:00 Cost conversations & setting expectations 00:39:00 Making specialty care more accessible 00:42:30 Trends in cases + city vs rural vet med 00:46:00 IVDD, surgery vs medical management 00:49:00 Viral baby talk videos explained (yes… really) 00:55:00 Global Pet Expo chaos (piglet parade, influencer pets) 00:59:00 Outro --------------------------------------------------------------- Listen to the pod on YouTube/Spotify/Apple: https://www.youtube.com/@drmollysayspod https://open.spotify.com/show/7xmKqrXGPJXpsbDbtCMgfe?si=17148ddc74604cb1 https://podcasts.apple.com/us/podcast/the-dr-molly-says-podcast/id1800302028 --------------------------------------------------------------- Follow Dr. Molly: Instagram | https://www.instagram.com/drmollysays TikTok | https://www.tiktok.com/@drmollysays Follow the podcast: Instagram | https://www.instagram.com/drmollysayspod/ TikTok | https://www.tiktok.com/@drmollysayspod ---------------------------------------------------------------
31 min
Text me your question or inquiry here! Hey friends! This week on the pod, I'm answering YOUR questions... prescription food for allergies, treatment for lipid deposits, tick fever management in dogs, and so much more. Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 03:35 Prescription Food for Allergies 11:00 Treatment for Lipid Deposits 14:07 Tick Fever Management in Dogs 18:42 How to Know if a Supplement is Working Properly 24:13 When Will My Puppy Be Fully Grown 26:37 Tips for Finding a Holistic Vet 31:04 Outro
1 hr 17 min
Text me your question or inquiry here! Hey friends! This week on the pod, we’re digging into one of the most important — and often overlooked — areas of veterinary medicine: dentistry. From why dental care still makes so many vets hesitant, to what actually happens during a COHAT, to everyday things like brushing, chews, and dental wipes, we’re breaking it all down in clear, practical, real-world language. We’re joined by Dr. Thomson, who shares insights from her residency, mobile practice experience, and years in veterinary dentistry. Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 01:20 Dr. Thomson 04:25 Hot Take 04:53 Dr. Thomson’s Residency 09:30 Why Vets Are Hesitant Of Dentistry 11:53 Dr. Thomson’s Current Practice 14:18 Mobile Practice 20:10 Why Veterinary Dentists Are Needed For 23:10 Endodontics in Pets 25:55 Fourth Premolar Tooth 29:02 What Are Good Things for Dogs to Chew On 32:18 Brushing Your Pets’ Teeth 42:09 Using Dental Wipes 43:49 COHAT Basics 52:06 When Should COHAT Start 58:05 COHAT in Cats 1:01:55 Dentistry and Orthopedics 1:03:46 Rapid Fire Questions 1:11:27 Dr. Thomson’s Biggest Advice 1:15:53 Outro
34 min
Text me your question or inquiry here! Hey friends! This week on the pod, we're diving deeper into everything you need to know surrounding EHV-1 and Parvovirus in pets; outbreaks, symptoms, treatment, prevention, and so much more! Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 01:50 Equine Herpesvirus Basics 04:00 How Does EHV-1 Affect A Horse 05:55 Clinical Signs of EHV-1 07:16 How Transmission Happens 09:03 How Equine Hospitals Operate 11:22 Prevention Options for EHV-1 12:00 How Horse Shows Contribute To The Spread 14:04 The Current Outbreak Situation 16:03 Parvovirus Basics 18:45 How Parvovirus Spreads Within the Body 19:50 Impact of Parvovirus on the Body 20:23 What Dogs That Have Parvo Look Like 21:50 Treatment Options 23:43 Survival Rates 24:30 A Huge Update in Parvo Treatment 27:05 Parvo Outrbreaks 32:23 Importance of Vaccination 33:47 Outro
38 min
Text me your question or inquiry here! Hey friends! This week on the pod, we're discussing everything and anything you need to know about Labrador Retrievers; their history, obesity, common diseases, breed coloring, and more! Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 01:50 Hot Take: Rabies Vaccines 07:23 How MRNA Vaccines Work 10:40 Some Other Vaccine Must-Knows 14:20 Dr. Molly’s Labrador Retrievers 17:42 Labrador Retriever History 18:28 Labrador Retriever Basics 19:53 Cooper’s Personality 21:27 Crate Training 22:30 The Science Behind Food-Driven Behavior 24:40 Obesity in Labs 25:52 Common Diseases 27:57 Importance of Exercise 28:40 Breed Colors 31:08 Buying Labs from a Breeder 34:50 Other Things To Keep In Mind 37:51 Outro
46 min
Text me your question or inquiry here! This week on the pod, we’re diving deep into a topic every pet owner and veterinary professional needs to understand — anesthesia. From what actually happens when your pet “goes under,” to how vets monitor, manage, and minimize risk every step of the way, we’re breaking it all down in simple, real-world terms. Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 02:00 Hot Take 3:54 Anesthesia 6:21 Sedation vs. Anesthesia 8:54 The Physiology of Anesthesia 12:12 Side-effects of Anesthesia 15:30 The Timeline of Anesthesia Application 22:55 Monitoring for Anesthesia 26:50 What Changes To Expect 29:03 Nuances About Allergic Reactions 30:53 Post-Op and Recovery 33:21 Potential Risks 36:26 Different Factors That Can Increase Risk 40:55 Medical Issues That Can Affect Risk 43:56 Outro
33 min
Text me your question or inquiry here! Hey friends! This week on the pod, we’re diving into one of the most common — and most misunderstood — issues our feline friends face: urinary problems. From tricky day-to-day symptoms to full-blown emergencies, we’re breaking down what every cat owner and veterinary professional needs to know in clear, real-world language. If you’ve ever cared for a cat with urinary trouble — or want to be prepared before it happens — this is a must-listen. Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 – Intro 1:20 – Hot Take 7:20 – Urinary Problems in Cats 10:26 – What is FIC? 15:16 – Common Occurrences in FIC Cases 16:57 – How to Diagnose FIC? 20:15 – Urinary Obstruction in Cats 23:58 – Long-Term Management for FIC 28:15 – Medication for FIC 32:47 – Outro
1 hr 13 min
Text me your question or inquiry here! Hey friends! This week on the pod, we’re taking you inside one of the most inspiring and eye-opening veterinary journeys out there — and trust me, you’re going to walk away with a whole new appreciation for the heart, grit, and community behind vet med. We’re joined by the incredible Dr. Ranetta Perkins, a Nashville veterinarian who has done it all — from lab animal medicine and exotics to building her own small-animal practice right in the heart of downtown. We dive into what it’s really like to run an independently owned clinic in a big city, care for pets from all walks of life, and support pet parents who may be struggling, including those experiencing homelessness. Whether you're a pet parent, vet professional, or just someone who loves stories of resilience and purpose, this episode has something for you. Grab your tea, settle in, and get ready to fall in love with Little Urban Animal Hospital and the powerhouse leading it. Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 01:23 Dr. Ranetta Perkins Intro 04:15 Lab Animal Medicine 07:00 Exotic Animal Practice 10:27 Dr. Perkins’ Small Animal Practice 16:20 Operating during COVID 20:23 Dr. Perkins’ Staff 25:06 What’s It Like Being in Downtown Nashville 26:40 What Makes Little Urban Unique 28:23 Pet Care for the Unhoused 34:30 Private Practice Costs 39:50 Knowing When to Adjust Prices 41:08 Distributors Charging Fees On Products 44:00 Ordering Goods as a Small Clinic 46:00 People Getting Priced Out of Owning Pets 49:10 Feeling Judged For Pet Care Costs 50:30 Working in the Service Industry 52:41 Corporate Owned Vs. Private Practice 55:57 How To Compete as a Private Practice Owner 1:00:03 Message for Pet Owners 1:02:35 Increase in Women Practice Owners 1:06 01 Social Media 1:07:20 What Breed Would Dr. Perkins Be 1:09:20 Vet Student Mentality 1:12:03 Outro
28 min
Text me your question or inquiry here! Hey friends! This week on the pod, we’re tackling a big topic every pet parent should know about — mast cell tumors and melanoma. From what they are and how they’re diagnosed, to treatment options, medications, and what to expect after removal, we’re breaking it all down in simple, easy-to-understand terms. Do you have a question or inquiry for me? Send me a text from the link above, ask me on any social media platform, or email drmollysayspod@gmail.com! Episodes of The Dr. Molly Says Podcast are on all podcast services along with video form on YouTube! Instagram: https://tinyurl.com/5d574928 TikTok: https://tinyurl.com/2p9kjd9d YouTube: https://tinyurl.com/mr3jradc TIMESTAMPS 00:00 Intro 02:46 What Are Mast Cell Tumors? 09:48 Removal Options for Tumors 14:06 Medications for Mast Cell Tumors 15:45 Mast Cell Tumors in Cats 18:27 What is Melanoma? 20:33 Melanoma and Mast Cell Tumors Differences 22:07 Removal Options for Melanoma 24:01 Prognosis for Cancer Tumors 26:20 Key Takeaways 27:45 Outro
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