Cattitude - Episode 297 The 30-Breath Test That Could Save Your Cat’s Life

<v Speaker 1>Love Babe.
<v Speaker 2>This is pet Life Radio.
<v Speaker 3>Let's Talk pets.
<v Speaker 1>Hello, cat lovers, Welcome to catatun I'm your show host
<v Speaker 1>Michelle Burne and I have a great show be today
<v Speaker 1>because it deals with the health of our cats, and
<v Speaker 1>what's more important than that. So stay tuned and we'll
<v Speaker 1>be right back.
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<v Speaker 4>Let's talk pets on Petlifradio dot com.
<v Speaker 1>Welcome back everyone. I'd like to welcome doctor Heather Davis.
<v Speaker 1>She is a DVM and she is the director of
<v Speaker 1>Clinical Affairs and Veterinary Services for Pegasus. And Pegasus is
<v Speaker 1>a company that is under PBI Gordon which they're the
<v Speaker 1>maker of lots of wonderful medications for your cats. So
<v Speaker 1>welcome doctor Heather to the show.
<v Speaker 3>Thank you, Michelle for such a warm welcome. I'm looking
<v Speaker 3>forward to talking with you today.
<v Speaker 1>So we talked about a bit about your company, but
<v Speaker 1>we're really going to focus on something that is pretty common,
<v Speaker 1>more common than you would think, in cats, and that's
<v Speaker 1>HCM hypertrophic cardiomipathy.
<v Speaker 3>Yeah, very good, hypert it's a mouthful, I know. Hypertrophic cardiomyopathy. Unfortunately,
<v Speaker 3>you're right, affects a lot of cats. About one in
<v Speaker 3>seven cats has the disease. And what's really been kind
<v Speaker 3>of said and frustrating for veterinarians is this disease is
<v Speaker 3>known as the silent killer in you know, our feline patients,
<v Speaker 3>and it's because the cats don't present with anything wrong
<v Speaker 3>with them until the disease is so far progressed that
<v Speaker 3>the cats are actually having pretty serious side effects and
<v Speaker 3>so getting the cat seen and looked at early on
<v Speaker 3>is so important.
<v Speaker 1>Okay, what would you say as to why this is
<v Speaker 1>so common in cats, more common than we would imagine.
<v Speaker 3>So that's a and there's a couple of different factors
<v Speaker 3>the disease process. In some of the breeds like rag
<v Speaker 3>dolls and sphinx and main coon. We know that there
<v Speaker 3>is a genetic link to the disease process. But we
<v Speaker 3>also know that there's other populations of our feline kitties
<v Speaker 3>that something is wrong with their heart muscle, and so
<v Speaker 3>that heart muscle tends to just start working in a
<v Speaker 3>really kind of abnormal way. It works too hard, actually,
<v Speaker 3>and the muscle itself gets pretty stiff and enlarges. And
<v Speaker 3>when it does that, it causes the left side of
<v Speaker 3>the heart, the muscle to get thicker. And then when
<v Speaker 3>it gets thicker, it takes up space in the left ventricle,
<v Speaker 3>and so it decreases the heart's ability to fill and
<v Speaker 3>then ultimately pump blood out to the rest of the
<v Speaker 3>cat's body.
<v Speaker 1>Okay, and of course it's heart disease for people. You
<v Speaker 1>think of heart disease, and yes, there's certain physical, you know,
<v Speaker 1>features to your body and genetics, but stress and I
<v Speaker 1>wouldn't associate heart disease with cats because I mean, they're
<v Speaker 1>the most chill creatures around, right, They sleep like eighteen
<v Speaker 1>hours a day and they're pretty mallow. So you think
<v Speaker 1>of heart disease and go, whoa, But it's genetic, So
<v Speaker 1>would you say it's more genetic than not?
<v Speaker 3>We do know right now, as you know, medicine is
<v Speaker 3>always evolving, right, and so what we've been able to
<v Speaker 3>tell in those specific breeds there's a genetic component to it,
<v Speaker 3>and we're in the process of identifying it better so
<v Speaker 3>that we can diagnose it in these cats as far
<v Speaker 3>as that genetic component a little bit easier and faster,
<v Speaker 3>But in the rest of the population it can be
<v Speaker 3>an abnormality of this the heart muscle itself. And you're
<v Speaker 3>right is the fact is that because you know kitties,
<v Speaker 3>they sleep all day, or they're more relaxed, or they
<v Speaker 3>hide away, and it's harder for them, the pet parents
<v Speaker 3>to detect if there is something wrong with their kitties,
<v Speaker 3>which makes it even more complicated with this disease process.
<v Speaker 1>Okay, thanks, and you hit on something else and we
<v Speaker 1>talk about this. I've talked about this pretty frequently on Catitude,
<v Speaker 1>but it's it's one of those things you can not
<v Speaker 1>tell cat parents enough. Cats are stoic creatures. I experienced
<v Speaker 1>this with Dennis when he had crystals in his urine,
<v Speaker 1>very different to what we're talking about here, but I
<v Speaker 1>didn't know how bad off he was until he started
<v Speaker 1>to make this like a like an owl like sound,
<v Speaker 1>like not like a meal, Like, how can I like
<v Speaker 1>blown around? It was a weird sound. So he rained,
<v Speaker 1>but one place wanted to put him down and I said, no,
<v Speaker 1>we're not doing that, and so I went to the vet.
<v Speaker 1>It was like Saturday after or Sunday afternoon or something,
<v Speaker 1>and so then I went to the vet Monday and
<v Speaker 1>he had to have surgery this whole thing, but I
<v Speaker 1>wasn't even aware. So what is your view on that?
<v Speaker 1>Because it's really hard to tell when our cats aren't
<v Speaker 1>doing well. So what do you use as to pet
<v Speaker 1>parents Because a lot of times you're like, yeah, they're fine,
<v Speaker 1>they don't nip to go the doctor. You know, it's
<v Speaker 1>a seed to that.
<v Speaker 3>So one of the easiest things that a pet parent
<v Speaker 3>can do is well their kitty is sleeping, is to
<v Speaker 3>count the number of breasts that their kitty is taking
<v Speaker 3>and to time it. And what we're looking for is
<v Speaker 3>a normal a cat should breathe while they're sleeping thirty times.
<v Speaker 3>Let anything less than thirty is a normal resting breath rate.
<v Speaker 3>And if they do that, then they can kind of
<v Speaker 3>track whether or not it's abnormal. So if you're a
<v Speaker 3>kitty is sleeping and you count the number of breasts
<v Speaker 3>they take in a minute, and if it's greater than thirty,
<v Speaker 3>then they should definitely take their kiddy into the vat
<v Speaker 3>and get it looked at. That's something that we have
<v Speaker 3>learned over the last few years is HCM has become
<v Speaker 3>more popular as far as getting the genetic tests and
<v Speaker 3>finding what diagnostics will help confirm the disease. But what
<v Speaker 3>the pet parent really can do is count the breasts
<v Speaker 3>while they're sleeping and keep track of it, because those
<v Speaker 3>are good indications that there might be something going on.
<v Speaker 1>That is fantastic stick information. I've never heard that a
<v Speaker 1>bread test to check their heart. So do you find
<v Speaker 1>in your experience that there's challenges out there because there's
<v Speaker 1>so much information with the Internet, and then there's talimed,
<v Speaker 1>which this is nothing against talamed, but there's so many
<v Speaker 1>opportunities for pet parents to get wrong information.
<v Speaker 3>So do you do?
<v Speaker 1>Yeah? Do you see these all the time? I would
<v Speaker 1>find it if I was a veterinarian pretty discouraging, just
<v Speaker 1>because people would come in and self Like people self
<v Speaker 1>diagnose themselves. They're probably doing that for their cats.
<v Speaker 3>Right, So sometimes I feel like my work associate is
<v Speaker 3>doctor Google, and I think that that we have to
<v Speaker 3>be very careful with that and with this particular disease.
<v Speaker 3>If a pet parent were to say, notice that their
<v Speaker 3>cat was breathing greater than thirty breasts per minute, the
<v Speaker 3>best thing they can do is go into the veterinary
<v Speaker 3>And we can't stress that enough because that veterinarian. One
<v Speaker 3>of the other steps that the veterinarian needs to take
<v Speaker 3>in or to be able to diagnose it, is to
<v Speaker 3>listen to the kitty's heart. Kitties, like you said, you know,
<v Speaker 3>are they're very stoic and they're quiet. They're also very
<v Speaker 3>variable when they go places as far as what kind
<v Speaker 3>of physical exam findings that they will have, and so
<v Speaker 3>you really want to get them into the clinic to
<v Speaker 3>allow that veterinarian to do a couple of things. Number One,
<v Speaker 3>listen to their heart, and they're going to listen to
<v Speaker 3>see if there's a heart murmur. This particular disease has
<v Speaker 3>a particular murmur that's very very common that a veterinarian
<v Speaker 3>can hear, and so you want to be able to
<v Speaker 3>hear it. But also the veterinarian needs to get some
<v Speaker 3>blood work, and that way, there's a lot of things
<v Speaker 3>that can be checked off the list. I'm sure when
<v Speaker 3>your kitty was sick they ran blood work on it
<v Speaker 3>as well, just to double check it. And so getting
<v Speaker 3>into the clinic to allow a veterinarian to really do
<v Speaker 3>a very thorough physical exam, to be able to you know,
<v Speaker 3>start working through some of the diagnostics is important.
<v Speaker 1>Yeah, so it seems so. So what happens to you know,
<v Speaker 1>what can the parent expect if they did the bread test,
<v Speaker 1>they took their pat too the terinarian and they unfortunately
<v Speaker 1>get the diagnosis that their cat has HCM. Is it treatable? Livable?
<v Speaker 1>Is it like, oh, it's It's not the end of
<v Speaker 1>the world, right, Hopefully their cat can be treated. Do
<v Speaker 1>they need surgery?
<v Speaker 3>So I think right now it is so important, especially
<v Speaker 3>with the breath tests, knowing about it and advocating for it.
<v Speaker 3>Is getting the cats into the veterinarian as early as
<v Speaker 3>possible in this disease process. That way, when the veterinarian
<v Speaker 3>the cat cut does come in, they can start, you know,
<v Speaker 3>they can get blood work and evaluate the overall body
<v Speaker 3>system of the cat. This particular diagnosis sometimes is not
<v Speaker 3>super straightforward, and so they have to Veterinarians will have
<v Speaker 3>to rule out other causes that can you know, almost
<v Speaker 3>act like this disease, and so working through those different diagnostics,
<v Speaker 3>you know, getting the blood work, taking a chest X ray. Ultimately,
<v Speaker 3>you know, depending on how it is presenting, getting an echocardiogram,
<v Speaker 3>which is an ultrasound to the heart is the definitive
<v Speaker 3>way to be able to diagnose it. And if you've
<v Speaker 3>diagnosed it early, then it allows the veterinarian to make
<v Speaker 3>choices as far as medications that can help the cat
<v Speaker 3>and hopefully you know, facilitate prolonging the disease process and
<v Speaker 3>intervening there earlier. Unfortunately, you know, because the cats are
<v Speaker 3>stoic and they're not going to probably relay those clinical
<v Speaker 3>signs that there is a problem. What's been an issue
<v Speaker 3>in veterinary medicine is that a pet parent will leave
<v Speaker 3>for work one day and then when they come home,
<v Speaker 3>then the kitty is really really sick and they don't
<v Speaker 3>know why. So really getting in and having those screening
<v Speaker 3>veterinary appointments where the doctor can get a baseline and
<v Speaker 3>to get an idea and intervene early as key.
<v Speaker 1>Okay, good to Now we're going to take a short
<v Speaker 1>break and we'll be right.
<v Speaker 3>Back, real people, real stories.
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<v Speaker 1>Welcome back everyone. We're talking to doctor Heather about HCM,
<v Speaker 1>which is hypertrophic cardiomyopathy in cats, which is more common
<v Speaker 1>than you would think, so doctor Heather, So let's say
<v Speaker 1>we took our cat to that did the testing and
<v Speaker 1>found out unfortunately the cat has HCM and it was
<v Speaker 1>caught early enough. What should the pet parent expect to do?
<v Speaker 1>Is it just treat with medicine. You usually got a
<v Speaker 1>diagnosis about heart disease and it's shocking.
<v Speaker 3>So you're right, it is shocking. And up until recently,
<v Speaker 3>there wasn't a treatment option for these kiddies. What was
<v Speaker 3>available for treatment and were products that treated in the
<v Speaker 3>kitties when they got more sick and the heart disease
<v Speaker 3>became more aggressive and the kitties were more compromised. And
<v Speaker 3>recently in the last few months that a product has
<v Speaker 3>been improved that allows them a veterinarian an opportunity to
<v Speaker 3>intervene earlier to be able to actually treat it or
<v Speaker 3>manage the disease process. So that is, veterinary medicine is progressing.
<v Speaker 3>But again, getting them in there to be screened early
<v Speaker 3>on allows that opportunity for a product that is designed
<v Speaker 3>to help manage the disease to have at time to
<v Speaker 3>be active and not just rely on the disease progression
<v Speaker 3>and then maintaining the animal's quality of life due to
<v Speaker 3>a really sad disease.
<v Speaker 1>Okay, thank you. Let's talk a little about how medication
<v Speaker 1>is progressing inveterinary medicine. You mentioned that there was a
<v Speaker 1>newer medication approved for HCM. You know, for people, there's
<v Speaker 1>a lot of clinical testing trials and all of it.
<v Speaker 1>How are clinical childs set up for cats? Just kind
<v Speaker 1>of a basic because I'm curious.
<v Speaker 3>Sure, So, I think the first thing that pet parents
<v Speaker 3>should know is that when a drug product says on
<v Speaker 3>a carton or on a bottle that it's been approved
<v Speaker 3>by the FDA, it means that that manufacturer has gone
<v Speaker 3>through the same rigorous standards to prove both safety and
<v Speaker 3>efficacy as a human drug does in order to get
<v Speaker 3>FDA approval. And so some people think that, oh, I
<v Speaker 3>bet you, animal drugs aren't held to the same standard
<v Speaker 3>as say, big pharmaceutical or human pharmaceutical companies are held
<v Speaker 3>to in order to make drugs for humans, and that's
<v Speaker 3>not true. It's the same rigorous standards, and so companies
<v Speaker 3>like the company I work for, we're held accountable to
<v Speaker 3>buy the agency to make sure that the product that
<v Speaker 3>we develop is not only going to work in the pets,
<v Speaker 3>but it's going to be absorbed how as support to
<v Speaker 3>be in order to treat and manage a disease, but
<v Speaker 3>it's also going to be safe for use. And I
<v Speaker 3>think that's very, very important for pet parents that when
<v Speaker 3>you do have a sick animal like kitties that have
<v Speaker 3>hypertrophic cardiomyopathy, and you're going to medicate them, you want
<v Speaker 3>them to be on a product that you know is
<v Speaker 3>going to be safe and will help them.
<v Speaker 1>Of course, what are your thoughts on alternative medicine for cats?
<v Speaker 3>So I think that alternative medicine you mean as far
<v Speaker 3>as like laser therapy or acupuncture. Is that what you're asking?
<v Speaker 1>Yes, And I've had all kinds of things, herbs, smelling herbs,
<v Speaker 1>even chocolate therapy for cats.
<v Speaker 5>Right.
<v Speaker 3>I think it's a great question. And I think multimodal
<v Speaker 3>therapy is always something as practitioners we should consider because
<v Speaker 3>I say, kitties are very complex animals. There's a lot
<v Speaker 3>of different things that you know, bringing all aspects of
<v Speaker 3>treatment I think is important. What I do think though,
<v Speaker 3>we have to keep in mind is sometimes those herbs
<v Speaker 3>can interact with traditional medicine. And so if your pet
<v Speaker 3>parent is administering an herb to a kitty for treatment,
<v Speaker 3>for that multimodal therapy, it's so important to let your
<v Speaker 3>veterinarian know that you are administering that because they can
<v Speaker 3>do a search and make sure that there's not going
<v Speaker 3>to be any interactions because even if it is an herb,
<v Speaker 3>sometimes they can alter how other products are absorbed. And
<v Speaker 3>so just letting them know, hey, this is part of
<v Speaker 3>my at home treatment plan, so that the vets can
<v Speaker 3>double check that it's not going to negatively impact a
<v Speaker 3>traditional medicine.
<v Speaker 1>That's a great answer. And I was thinking of something
<v Speaker 1>that's very popular these days is CBD oil for pets.
<v Speaker 3>Yeah, and I think with CBD oil, as with anything,
<v Speaker 3>we always have to be really careful because if products
<v Speaker 3>that are not manufactured in facilities or that are compounded,
<v Speaker 3>they're not held to the same standard as products that
<v Speaker 3>are regulated by the FDA. You know drug companies like
<v Speaker 3>the company I work for, Human drug for companies or
<v Speaker 3>people that manufacture out of facilities that are regulated by
<v Speaker 3>an agency. It means that that agency comes in and
<v Speaker 3>regularly and they checked your work. They make sure that
<v Speaker 3>there's nothing harmful that's in your product, that you have
<v Speaker 3>tests that are in place that make sure that nothing
<v Speaker 3>harmful is getting into the products that are being administered
<v Speaker 3>to any of the animals. But also to make sure
<v Speaker 3>that when you pick up a tablet or you pick
<v Speaker 3>up an oil, that when you look at the label
<v Speaker 3>and it says in each drop of oil or in
<v Speaker 3>each tablet, there's this much product, be it a drug
<v Speaker 3>or an oil, that there is actually that much product available.
<v Speaker 3>Because you know, when your animal is sick, you want
<v Speaker 3>to make sure that the medication, be it herbal supplements
<v Speaker 3>or if it's a drugs, that it is that you
<v Speaker 3>are administering the amount that is supposed to be there
<v Speaker 3>and without being held to standards. It's just it's hard
<v Speaker 3>for hard to say that that's that's true. And when
<v Speaker 3>your pet is as a bad disease such as HCM,
<v Speaker 3>you don't want to take that chance.
<v Speaker 1>Right misdiagnosed or miss calculating dosage. Yeah, exactly so with
<v Speaker 1>the HCM. So let's say you know your cat's diagnosed.
<v Speaker 1>It's not the end of the world. It was caught early,
<v Speaker 1>your cat can go on medication. What is the life
<v Speaker 1>of the cat after the diagnosis? I'm treated? So how
<v Speaker 1>does the life change?
<v Speaker 3>I wish I had a better answer for you. Each
<v Speaker 3>cat is dependent on itself as far as number one,
<v Speaker 3>when in its disease process was it diagnosed. The earlier
<v Speaker 3>you can catch it and intervene, the better, But that
<v Speaker 3>how aggressively that disease progresses is each cat's own journey.
<v Speaker 3>And unfortunately, now that we know what to look for
<v Speaker 3>and we know what to be on on guard for
<v Speaker 3>and what to evaluate, it will help us, as it
<v Speaker 3>veterinary medicine, to be able to give you a better answer.
<v Speaker 3>But unfortunately, right now all we can say is that
<v Speaker 3>early intervention, early screening is one of the best things
<v Speaker 3>that you can do as far as to hopefully slow
<v Speaker 3>that progress. But that cat's own body is going to
<v Speaker 3>determine the rate in which that disease gets.
<v Speaker 1>Worse, right, And no, two cats are like no.
<v Speaker 3>Two cats are like no.
<v Speaker 1>Okay, So, doctor Heather, what would you tell our listening
<v Speaker 1>audience as far as how they should be proactive and
<v Speaker 1>taking care of their cats, help and watching medications and
<v Speaker 1>so forth.
<v Speaker 3>So I think in reference to hypertrophic cardiomyopathy, what I
<v Speaker 3>would recommend her listeners would be the next time your
<v Speaker 3>kiddies asleep on your lap, is set a timer. Check
<v Speaker 3>it's a sleeping breath rate, and what you want to
<v Speaker 3>see is anything less than thirty. If it's over thirty.
<v Speaker 3>The next morning is ring your veterinarian, give them a call,
<v Speaker 3>let them know that you want to get them into
<v Speaker 3>the office and have them screened and have a good
<v Speaker 3>physical exam going on. And I think the other thing
<v Speaker 3>that I would say is when your kiddies are sick
<v Speaker 3>and if there is a problem, if it's heart disease
<v Speaker 3>or not, is so important to be aware as far
<v Speaker 3>as what you're giving them. Communicate with you or veterinarian.
<v Speaker 3>If you're using multimodel therapy. But when you're buying products
<v Speaker 3>and you're using it using products that are FDA approved
<v Speaker 3>and come from manufacturers that are held to the standards
<v Speaker 3>that are required in order to get drugs approved, is
<v Speaker 3>really very very important for the safety and efficacy of
<v Speaker 3>the product and your animal doctor.
<v Speaker 1>Heather, thank you so much. You've given us some great
<v Speaker 1>information on HCM. So here's something I'd like to ask,
<v Speaker 1>as you know you're practicing veterinarian, what are some of
<v Speaker 1>your peeves when you are in the office. This is
<v Speaker 1>your chance to vent that drive you crazy that pet
<v Speaker 1>parents do.
<v Speaker 3>I guess the doctor google thing is probably I think
<v Speaker 3>most veterinarians would probably answer that because we always brace
<v Speaker 3>for impact when pet parents say that, but we know
<v Speaker 3>it's the reality. Right. We live in a digital age
<v Speaker 3>where everybody is googling, and I guess what I would
<v Speaker 3>always say is, you know, if you're googling something and
<v Speaker 3>you're trying to diagnose something on your own, you know
<v Speaker 3>you want to make sure it's a reliable source, but
<v Speaker 3>just don't go with the first thing that comes up
<v Speaker 3>on that engine search. And if you have questions, take
<v Speaker 3>them to your veterinarians. Yes, that we might cringe a
<v Speaker 3>little bit when you say that, but I would much
<v Speaker 3>rather you ask me the question then, or go on
<v Speaker 3>your own and we can work through a problem together.
<v Speaker 3>And I think across the board, most veterinarians would say
<v Speaker 3>that is I'd rather you ask, but I do cringe
<v Speaker 3>a little bit because it means that you've done probably
<v Speaker 3>a lot of hard investigative work and I'm going to
<v Speaker 3>have to probably change that narrative a little bit potentially.
<v Speaker 3>But then there's other ones that come in with great sources.
<v Speaker 3>So that's probably my biggest pet peeve is.
<v Speaker 1>That, okay, anything in particular other than that that pet
<v Speaker 1>parents do that you're just like, oh geez, Because I
<v Speaker 1>wonder from the veterinary point of view, if you ever
<v Speaker 1>go and you know, see new patient or someone's coming
<v Speaker 1>in and you're like, oh, I cannot believe this.
<v Speaker 3>So this is gonna sound funny. And this is probably
<v Speaker 3>more relevant for dog owners because I don't think most
<v Speaker 3>cat owners probably do this, but giving your dog a
<v Speaker 3>bath and bringing it into the clinic wet and because
<v Speaker 3>then I smell like your wet dog the rest of
<v Speaker 3>the day, and so I know that's, like I said,
<v Speaker 3>that's probably not relevant to your listening audience, but it's okay.
<v Speaker 3>If your puppy is dirty and they've been playing, that
<v Speaker 3>means that they're living a full life. And I would
<v Speaker 3>much rather, you know, dust off some hair than be
<v Speaker 3>wet and sticky and things like that. So that, like said,
<v Speaker 3>that's probably not relevant to you.
<v Speaker 1>It's true, but it's kind of like you know, yes,
<v Speaker 1>you want to take your shower yourself before you go
<v Speaker 1>to the doctor because you're probably gonna wearing a paper nightgown.
<v Speaker 1>Not the same for your doggie, so or just let
<v Speaker 1>them be all right, but dog the Heather, I want
<v Speaker 1>to thank you so much for coming on catching I'm
<v Speaker 1>telling us about HCM.
<v Speaker 3>Thank you so much Michelle for having me. I very
<v Speaker 3>much enjoyed this.
<v Speaker 1>Need too, and I learned a lot. I hope you
<v Speaker 1>all enjoyed the show. I sure did. I want to
<v Speaker 1>thank doctor Heather Davis for giving us such great information
<v Speaker 1>about feline HCM. I'd also like to thank the listeners
<v Speaker 1>of Catitude. Thank you so much for your loyalty all
<v Speaker 1>these years. I greatly appreciate it. Thanks to my cat crew,
<v Speaker 1>who I will be listening to your breath while you're
<v Speaker 1>sleeping now to try the breath test. So thank you guys, Dennis,
<v Speaker 1>Charlotte and Mollie for me in the great counts you are.
<v Speaker 1>And of course thank you to my amazing producer for
<v Speaker 1>doing such a great job. And making all the shows,
<v Speaker 1>especially mine, so wonderful. Thank you Mark. You guys have
<v Speaker 1>no idea what a great editor he is. He's fabulous,
<v Speaker 1>so thank you so much for all your work. Mark,
<v Speaker 1>and hey, remember lose the attitude, have tatitude.
<v Speaker 4>Let's talk pets every week on demand only on Petlifradio
<v Speaker 4>dot com.
<v Speaker 3>Don't know
<v Speaker 6>A