322. Why Your Otitis Cases Aren’t Healing (And How to Fix Them Fast)

Send me a derm question or story through text or voicemail! When an otitis case just won’t clear, there are often simple changes we can make to be more successful. In this episode, we break down the most common (and fixable) reasons ear infections fail to respond in clinical practice. From real-world struggles with client compliance and patient tolerance, to the often-overlooked importance of proper ear flushing, we unpack where cases go off track—and how to get them back on course. We’ll also dive into the consequences of choosing the wrong topical therapy, and why matching treatment to cytology is non-negotiable for success. Whether you’re dealing with repeat offenders or frustrating first-time failures, this episode offers practical, clinic-ready insights to help you troubleshoot smarter, treat more effectively, and set both your patients and clients up for long-term success. Timestamps 00:00 Intro 00:24 Itch Inquiry 03:47 Why that Ear Infection isn't Responding 05:18 Lack of Inflammation Control 06:55 The Wrong Medication 08:32 Not Using Appropriate Flushing Methods 11:19 It's Not Getting In There 13:16 We Don't Know Why It's Happening 15:34 Review 17:54 Outro

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322. Why Your Otitis Cases Aren’t Healing (And How to Fix Them Fast) is an episode from The Derm Vet Podcast by Ashley Bourgeois, DVM, Dip ACVD.

This episode is 18:35 long.

This episode was published on Apr 30, 2026.

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