
Hosted by Miller-Hnilica · EN

(00:00:00) 218: Itchy and Bitchy ClinicCrawl - Give the medicine, Respect the worms; Vomiting LungWorms (00:00:06) Welcome to Itchy and Bitchy (00:00:10) The Itchy and Bitchy Podcast Introduction (00:00:40) Introducing the Hosts and Disclaimer (00:00:52) Clinic Crawl: The Wormy Cat (00:04:58) Dock Itchy Nutrisugical Supplements for Pets (00:05:24) CPR Training for Cardiac Emergencies (00:07:48) Closing Remarks and Sign-off You skipped the medicine… and now the parasite apocalypse has entered your life.In this absolutely disgusting, can’t-look-away episode of Itchy & Bitchy, we crawl straight into the nightmare fuel of cats vomiting lungworms; yes, actual lung parasites because somebody decided prevention was optional. What starts as a little cough, a weird gag, or “my cat just seems off” can turn into a full-blown respiratory horror show starring worms, mucus, inflammation, and one very betrayed veterinarian.Doc Itchy and Dr. Stephen Miller break down how lungworms invade and why skipping parasite medication is a setup for chaos. Expect sarcasm, science, gag-worthy parasite talk, and a brutal reminder that “indoor cat” does not always mean “immune from creepy biology.”Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

(00:00:00) 217: Healthcare Is a Dumpster Fire with Better Branding but the System Still Sucks! (00:00:03) Welcome to Itchy and Bitchy (00:00:19) Meet the Doctors (00:00:42) Doc Itchy Medical Pets Supplements (00:01:05) DocItchy.com Sponsor (00:03:40) The System is Broken (00:06:49) Provider Burnout and Workload (00:10:34) Break Announcement (00:10:50) The EMR Dilemma (00:19:00) Break Announcement (00:19:20) The Social Media Dilemma (00:25:02) Insurance think they are the Doctor In this brutally honest relaunch episode of the Itchy & Bitchy Podcast with 2 new hosts. The new hosts say the quiet part out loud: the medical system is broken, abusive, exhausting, wildly expensive, and often designed to make patients and pet owners feel stupid for needing help in the first place.Doc Itchy and Dr. Stephen Miller, DNP, ACNP rip into the bureaucracy, burnout, corporate medicine, insurance games, rushed appointments, garbage communication, and “follow the protocol and shut up” culture that has turned healthcare into a customer-service nightmare with needles.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen marks a major transition for Itchy and Bitchy as future hosts Stephen Miller and Dr. Keith Hnilica turn the tables and interview her about major life changes. Together, they reflect on significant transitions in life—from parenthood and changing careers to the handoff of the podcast itself.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen is joined by future Itchy and Bitchy hosts Stephen Miller, an acute care nurse practitioner specializing in cardiovascular disease, and Dr. Keith Hnilica, a veterinary dermatologist, for a wide-ranging conversation about estradiol and hormone replacement therapy. They discuss the recent removal of the FDA black box warning from most menopausal hormone therapy products and the long shadow of the Women’s Health Initiative study.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Family nurse practitioner Karen Nickell introduces future Itchy and Bitchy host Dr. Keith Hnilica, a veterinary dermatologist, for a lively conversation about pet food and what animals can teach us about wellness. They dig into GLP-1 drugs for pet obesity, the links between processed kibble, gut inflammation, and skin issues, why fresh or Mediterranean-style diets may be better for dogs.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen kicks off a new chapter for Itchy and Bitchy by introducing future host Stephen Miller, a cardiology nurse practitioner, for a conversation on Takotsubo cardiomyopathy, or “broken heart syndrome.” Together they explain what this stress-triggered heart condition is, why it so often affects postmenopausal women, and what recovery can look like.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen answers a listener's question about vaginal biofilms. What are they and why do they make recurrent BV and yeast infections so hard to treat? She explains how these bacterial or fungal communities form protective layers that resist standard treatment, reviews options that may help break the cycle and looks at at-home microbiome testing.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen shares a collection of grounding techniques to help listeners manage stress, anxiety, and negative emotions. From holding ice, savoring food, and taking mindful walks to laughter, music, anchoring exercises, the 5-4-3-2-1 method, and even the calming power of pets, Karen offers tools to help listeners return to the present moment, ease stress, and reconnect with a sense of safety and calm.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen explains how AI is already being used in healthcare, from helping find polyps during colonoscopies to speeding documentation. She also covers the biggest concerns, including the possibility of errors, bias, privacy risks, and over-reliance.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.

Karen unpacks the fast-growing world of digital health, from Apple Watch and smartphone apps to telehealth and new hospital tech that can improve care and streamline recovery at home. She also addresses the downsides, raising concerns around the security of these technologies.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.Become a supporter of this podcast: https://www.spreaker.com/podcast/itchy-and-bitchy-podcast--4303608/support.Itchy & Bitchy is back! ... and the medical system is officially on notice.