(Contributed by Dr. Jessica Levy)
Double-digit unemployment. Gotta love it!
The number of people calling for free vet advice is increasing along with the unemployment figures. My staff regularly tries to explain to people why it's just not a good idea for us to give free advice about sick pets over the phone. It's like calling the pediatrician's office, refusing to bring your sick child in (you can't afford it, he doesn't travel well, or you just live too far away), but demanding to speak to one of the doctors because you only have a couple of questions about your child's condition.
I don't think it's appropriate for me to give you a whole lot of information about how I would treat your sick pet without even being able to see it, examine it, and review its previous medical records. So many people helpfully say at this juncture, "I can send you the records, and then you can just tell me what you think!"
No. Here's what I think. Pick a veterinarian. Pay them for their services, including a good, thorough physical exam, and follow their recommendations. If things don't work out, let them know, ask them for different solutions, whatever.
Your veterinarian truly cares about your pet. Okay, that's a wild generalization, but most of us do. We care if our treatments work, we care about whether our patients are getting better or not, we lie awake at night wondering if we did the right thing, or if we did all we could have.
When you call just to get some quick advice about your critically ill pet that you feel you cannot afford to have seen, you are putting your vet out of business. Then who ya gonna call?
Showing posts with label physical exams. Show all posts
Showing posts with label physical exams. Show all posts
Wednesday, December 16, 2009
Thursday, December 10, 2009
Vaccine Crazy
(Contributed by Dr. Jessica Levy)
As I go along in practice, I am becoming more and more anti-vaccine. It amazes me how often I see animals that have been diagnosed with some dread condition - cancer, lupus, Cushing's disease, diabetes, chronic renal failure - who are then vaccinated, because they are "due." As if all is well. As if the immunity provoked by vaccines magically wears off by the assigned "expiration date." As if, when sick with a chronic or immune mediated condition (allergies, urinary tract infections, hypothyroidism, epilepsy), the immune system is not already busy/messed up/dysfunctional, and therefore may not respond at all or may respond unpredictably to the vaccines.
Then there are the "shot clinics" where unsuspecting pet owners can get their pets vaccinated for cheap. Why? Because there's no physical exam, people! That's right; your pet is getting vaccines without anybody looking at it first to make sure it is healthy enough to tolerate vaccination! What a bargain!
This is the whole point of the twice-yearly exams that we do at our hospital - to evaluate the health of your pet, to determine if any adjustments in care are necessary, and to truly act preventatively, rather than giving a bunch of vaccines and then lying to pet owners and telling them "these will keep your pet healthy!" No, they won't. Because that's not what vaccines are for. Vaccines are meant to provoke the immune system into developing immunity - sometimes very limited immunity - to very specific disease organisms. Some vaccines are better at this task than others, and that's a whole different topic.
Why do most veterinarians persist in this regrettable practice? Because of a lack of perceived harm. In other words, vaccines might prevent disease and don't cause any damage, so why not? Plus it gets the pet in the door every year for that all important physical exam. My approach is that my clients are not stupid. They easily understand the value of the physical exam and the potential harm of vaccination, and are quite capable of making the right choice.
As I go along in practice, I am becoming more and more anti-vaccine. It amazes me how often I see animals that have been diagnosed with some dread condition - cancer, lupus, Cushing's disease, diabetes, chronic renal failure - who are then vaccinated, because they are "due." As if all is well. As if the immunity provoked by vaccines magically wears off by the assigned "expiration date." As if, when sick with a chronic or immune mediated condition (allergies, urinary tract infections, hypothyroidism, epilepsy), the immune system is not already busy/messed up/dysfunctional, and therefore may not respond at all or may respond unpredictably to the vaccines.
Then there are the "shot clinics" where unsuspecting pet owners can get their pets vaccinated for cheap. Why? Because there's no physical exam, people! That's right; your pet is getting vaccines without anybody looking at it first to make sure it is healthy enough to tolerate vaccination! What a bargain!
This is the whole point of the twice-yearly exams that we do at our hospital - to evaluate the health of your pet, to determine if any adjustments in care are necessary, and to truly act preventatively, rather than giving a bunch of vaccines and then lying to pet owners and telling them "these will keep your pet healthy!" No, they won't. Because that's not what vaccines are for. Vaccines are meant to provoke the immune system into developing immunity - sometimes very limited immunity - to very specific disease organisms. Some vaccines are better at this task than others, and that's a whole different topic.
Why do most veterinarians persist in this regrettable practice? Because of a lack of perceived harm. In other words, vaccines might prevent disease and don't cause any damage, so why not? Plus it gets the pet in the door every year for that all important physical exam. My approach is that my clients are not stupid. They easily understand the value of the physical exam and the potential harm of vaccination, and are quite capable of making the right choice.
Subscribe to:
Posts (Atom)
