Rounds is a weekly read on what veterinarians actually asked OpenVet. Not what we think matters. What came through the exam room door.
Every week, veterinarians from thousands of animal hospitals and practices across the USA bring OpenVet their clinical questions. Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer of OpenVet, reads the patterns and writes up what matters to practicing vets. This page carries every public edition, newest first, and a new issue is added at the top each week. Nothing is removed.
Whatever walks in, and whatever hour it walks in, a colleague has a clinical partner. What you see here is the short edition. OpenVet membership is free for veterinarians, and members get the full report, with much more data, in their email every week. Sign up free and get the full Rounds report every week.
No. 11. Week of Sep 27 to Oct 3, 2026
Published Oct 6, 2026
Lepto is back, and it has an address.
Leptospirosis questions rose 50%, from clinicians licensed in Iowa, Colorado, Tennessee and Michigan. Parvovirus rose 44% on a different map, mostly Sun Belt. Heartworm and tick-borne questions both fell.
| +50% leptospirosis questions this week | IA CO TN MI where those questions came from | +44% parvovirus, on a different map entirely |
Two infectious topics rose this week, and they rose on different maps. Leptospirosis questions rose by half, from clinicians licensed in Iowa, Colorado, Tennessee, and Michigan. Parvovirus rose too, from a different set of states, mostly Florida, Texas, Arizona, and Georgia. Now look at what fell. Heartworm dropped by a third, and tick-borne questions came down with it. That is the shape of autumn. The vector season is closing in the south, while standing water and harvest-season rodents open lepto season up north. What are you seeing in your neck of the woods?
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
The biggest movers. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Leptospirosis | Infectious | up 50% |
| Trauma | Emergency | up 46% |
| Lameness | Ortho | down 32% |
| Seizures | Neuro | down 26% |
This is the short edition. The full report adds the full condition board, every row, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, the CVO's read on where the questions came from. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 10. Week of Sep 20 to Sep 26, 2026
Published Sep 29, 2026
The board went chronic.
Cough and pneumonia fell as the four-week respiratory wave burned out, and dexamethasone fell with them. What arrived behind it was maintenance medicine: lameness with carprofen, seizures with phenobarbital, anxiety with fluoxetine.
| 5 of 14 of last week's risers reversed | 2nd week anxiety climbing, the one that held | 4 pairs a condition and its drug rose together |
Here's what I think happened. The respiratory wave burned out, which is what those waves do, and cough and pneumonia came down together. Dexamethasone came down with them, which tells you the steroid demand was tied to airways. Behind it, lameness and inflammation both jumped, and carprofen jumped with them. Seizures rose, and so did phenobarbital. Anxiety rose again, with fluoxetine more than tripling behind it. Every one of those is a chronic problem with a maintenance drug. The acute caseload cleared and the managed caseload arrived, which is what late September looks like once the weather turns. One tell says it all: dexamethasone down, carprofen up, same job, different patient.
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
Rising in exam rooms. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Giardia | Parasite | up 51% |
| Inflammation | General | up 43% |
| Lameness | Ortho | up 41% |
| Ectoparasites | Parasite | up 26% |
This is the short edition. The full report adds the full condition board, every row, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, the CVO's practice advice on fluoxetine. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 09. Week of Sep 13 to Sep 19, 2026
Published Sep 22, 2026
Cough is the busiest thing in the exam room.
Question volume rose 17%, and cough still outgrew it, up 25% on 97 questions from 68 different vets. Pneumonia rose 49% behind it, and furosemide moved most of all at 203%.
| +17% question volume vs. the prior seven days | 50% of the conditions we track rose | 50% of the drugs we track rose |
Cough is still the biggest clinical sign on our rounds board, 97 questions from 68 vets, and it's outrunning a base that grew 17%. Pneumonia's up 49% behind it. The drug board shows what everybody's reaching for: enrofloxacin jumped 67%, amoxicillin 34%, and doxycycline is at its highest volume yet. Looks like respiratory disease is still rearing its head. But furosemide stopped me, up 203%. Somebody's looking at a coughing patient and asking that question, “Is it cardiac or respiratory?” (in an older small-breed dog, exactly the right question). Which are you seeing more of, airway or heart? And are these patients getting workups or empirical therapy?
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
Rising in exam rooms. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Wound | Soft Tissue | up 54% |
| Pneumonia | Respiratory | up 49% |
| Anxiety | Behavior | up 45% |
| Cough | Respiratory | up 25% |
This is the short edition. The full report adds the full condition board, all fourteen, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, the CVO's read on what the calculator saw. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 08. Week of Sep 6 to Sep 12, 2026
Published Sep 22, 2026
Thyroid rose in both directions.
Hypothyroidism led at 56% and hyperthyroidism followed at 50%, with methimazole up 39% and hypertension up 38% behind them. Trazodone fell hardest at 31%.
| 50% of the conditions we track rose | 21% of the drugs we track rose |
This week's top topics were interesting and unusual. Both ends of the thyroid showed increases: hypothyroidism by 56% and hyperthyroidism by 50%, with methimazole involved at 39%. I thought, 'Fine, it’s thyroid week.' Then I noticed hypertension rising 38%, and I stopped skimming because it’s the same case a few months later, with a retina issue that you'll need to explain to the owner. So, honestly, something I've overlooked myself on busy days: are you cuffing your hyperthyroid cats?
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
Rising in exam rooms. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Hypothyroidism | Endocrine | up 56% |
| Hyperthyroidism | Endocrine | up 50% |
| Hypertension | Cardiovascular | up 38% |
| Gingivitis | Dental | up 32% |
This is the short edition. The full report adds the full condition board, all fourteen, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, the CVO's read on where the cough went. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 07. Week of Aug 30 to Sep 5, 2026
Published Sep 8, 2026
Pneumonia and cough carried the week.
Question volume rose 8%, and only two of the fourteen conditions we track rose with it, both respiratory. Pneumonia gained 56% in share and cough gained 22%. Amoxicillin questions doubled on the drug board, with clindamycin and dexamethasone up 43% and 53%. Neoplasia fell hardest at 37%, one week after sitting second on the board.
| +8% question volume vs. the prior seven days | 14% of the conditions we track rose | 21% of the drugs we track rose |
Two conditions rose this week and they could easily belong to the same patient. Pneumonia climbed 56% in share, and cough climbed 22% right behind it. The drug board says it louder. Amoxicillin questions doubled. Clindamycin was up 43% and dexamethasone up 53%. That is an airway, and the antibiotics and the steroid you would reach for. This is not a typical respiratory disease season (usually peaks in spring), but I'm curious to dig into infectious disease testing for these patients. When a whole category moves together, I stop calling it noise and start calling it a signal. Are you seeing an increase in respiratory disease cases in YOUR practice?
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
The biggest movers. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Pneumonia | Respiratory | up 56% |
| Cough | Respiratory | up 22% |
| Neoplasia | Oncology | down 37% |
| Anxiety | Behavior | down 24% |
This is the short edition. The full report adds the full condition board, all fourteen, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, the CVO's read on how vets actually work a case. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 06. Week of Aug 23 to Aug 29, 2026
Published Sep 2, 2026
Eight conditions rose. Volume barely moved.
Eight of the fourteen conditions we track gained share this week, led by wounds at 46%, neoplasia at 38% and diabetes at 37%. Only two fell. Question volume rose 4%, so the gains are a wider spread of problems rather than a busier week. On the drug side furosemide climbed 94%, the largest single move anywhere on either board.
| +4% question volume vs. the prior seven days | 57% of the conditions we track rose | 36% of the drugs we track rose |
Every riser this week is a condition somebody is already treating. Neoplasia, diabetes, proteinuria, anemia, seizures. Long cases, with owners who have heard the diagnosis before. Cough went the other way, down 28%, and cough is usually how a new problem introduces itself. The drug board tells it louder. Furosemide rose 94%, twice any other move on either board. Nobody reaches for furosemide while they are still wondering about the heart (you reach for it after you have decided). So most of this week happened after the diagnosis was already made.
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
Rising in exam rooms. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Wound | up 46% | |
| Neoplasia | up 38% | |
| Diabetes | up 37% | |
| Gingivitis | up 28% |
This is the short edition. The full report adds the full condition board, all fourteen, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, her read on the overnight cases. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 05. Week of Aug 16 to Aug 22, 2026
Published Aug 25, 2026
The diseases held still. The treatments moved.
One of the fourteen conditions on the board rose this week, allergies at 44%. Seven of the fourteen drugs rose, led by amoxicillin at 56%, clindamycin at 54% and prednisone at 47%. Question volume was up 14%, so everything here is share-normalized against that. Rounds is watching.
| +14% question volume vs. the prior seven days | 7% of the conditions on the board rose | 50% of the drugs on the board rose |
Here is the thing I noticed this week. Vets asked fewer questions about diseases, and more about drugs. Cough and inflammation, usually our two busiest topics, both fell by about a quarter. Prednisone questions rose 47%, asked by 69 different vets. That flip matters. When you ask about a drug, you have usually already made the diagnosis. The question has become what to do next.
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
The biggest movers. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Allergies | up 44% | |
| Anxiety | down 37% | |
| Seizures | down 36% | |
| Pneumonia | down 26% |
This is the short edition. The full report adds the full condition board, all fourteen, the drug board and every mover on it, feline share by clinical theme, the toxin leaderboard, what rose on the search bar, and what fell. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
No. 04. Week of Aug 9 to Aug 15, 2026
Published Aug 19, 2026 · first public issue
Four of the week's fastest risers were urinary.
Urolithiasis rose 567% share-normalized and bladder stones 376%, while urinary obstruction and renal failure appeared for the first time, absent from the prior week entirely. Nine clinicians raised bladder stones, six raised each of the new two. Rounds is watching.
| +5% question volume vs. the prior week | 16% of questions came while gp practices were closed | 110 thyroid questions, the week's largest sub-theme |
Four of this week's fastest risers all sit in the urinary tract, and two of them were absent from the prior week entirely. Nine different clinicians raised bladder stones, so this is not one person's caseload showing up as a trend. What I want to know is whether the obstruction questions are arriving before the patient blocks or after. That is the difference between a busy week and a teaching opportunity.
Dr. Natalie Marks, DVM, CVJ, Chief Veterinary Officer
Rising in exam rooms. Share-normalized, versus the prior week.
| Condition | Area | Move |
|---|---|---|
| Urinary obstruction | New this week | |
| Renal failure | New this week | |
| SARDS | New this week | |
| Urolithiasis | up 567% |
This is the short edition. The full report adds every riser, not just the top few, the full feline dose uncertainty index, regional movement on heartworm, tick-borne and lepto, the overnight band, topic by topic, what changes when GP practices close. OpenVet membership is free for veterinarians, and the full report, with much more data, lands in your email every week.
Sign up free and get the full Rounds report every week
Figures are share-normalized movements in questions asked on OpenVet. Keyword matching over question text, so themes overlap by design. Demand signal, not disease surveillance. Not medical advice. Something you want to see in Rounds? Write to info@openvet.ai.