218: Itchy and Bitchy ClinicCrawl - Give the medicine, Respect the worms; Vomiting LungWorms
Itchy and Bitchy Podcast
KS Miller-Hnilica
4.9 • 1.7K Ratings
🗓️ 1 June 2026
⏱️ 8 minutes
🧾️ Download transcript
Summary
(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.”
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Itchy & Bitchy is back! ... and the medical system is officially on notice.
Transcript
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| 0:00.0 | This is the Itchy and Bitchie podcast, exploring people in pets health. |
| 0:10.4 | I'm Doc Itchy, Dr. Keith Nilica, a veterinary allergist. |
| 0:13.9 | And I'm Dr. Stephen Miller, a doctor of nursing practice and acute care nurse practitioner. |
| 0:19.2 | We're here to discuss the most current medical treatments and health trends and what is both right |
| 0:24.6 | and wrong. |
| 0:25.5 | Because being itchy is bitchy and the system sucks. |
| 0:29.7 | What we discuss here is content only. |
| 0:32.1 | We love you, but we're not your doctors. |
| 0:34.3 | Please consult someone who actually knows your medical history. |
| 0:39.9 | This is the Itchy and Bitchie podcast, and this segment is the clinic crawl. So craziest, wackiest, most interesting, happiest, |
| 0:46.8 | saddest things that happened to us this week. Are you ready, Doc Miller? Yeah. All right. So |
| 0:52.8 | at my clinics, I'm a veterinary allergist, dermatologist, and one of the big things |
| 0:58.1 | that we do is we have a system for allergic dogs and cats that come in, and we start |
| 1:02.5 | with Tier 1, Tier 2, Tier 3, and overall the system's about 95% successful, right? |
| 1:08.3 | Yeah. |
| 1:08.5 | Okay. |
| 1:09.2 | So cats are not dogs. |
| 1:10.9 | Totally different system can be much easier, can be much harder. |
| 1:17.2 | So we're talking about kitty cat that came in. |
| 1:20.2 | And so our tier one level therapy for allergic cats, they come in, they have hair loss, |
| 1:25.3 | they're itchy, scratchy, they have swollen, these escentaphyilic plaques, ear infections, all of these allergic symptoms. And so we make sure |
| 1:32.3 | they don't have herpes, virus infections, lupus, all of that kind of stuff. So we know the cat's allergic. |
... |
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