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Doesn’t Have An Eye For This Job

, , , | Healthy | May 8, 2019

My friends found a kitten when stuck in traffic a few years ago. He had a very badly infected eye, and after adopting him we opted to have it removed; the lid was stitched shut over the socket, and apart from some minor depth perception issues it never bothered him in the slightest in the three years he lived afterward. He was famous among friends, family, and neighbours for being the one-eyed tabby cat, so it was pretty obviously gone.

We always saw the same vet for every appointment and surgery, until his last yearly checkup and vaccinations. The vet we saw was either newly-trained or inexperienced, but fairly competent at what she did because that cat was never as quiet during a check-up!

Everything was going fine; weight was optimal, good overall condition, no unusual lumps or bumps, clean ears and teeth, right eye perfect… and then she tried to open his sewn-shut eyelid.

She was very apologetic to humans and cat alike upon realising her mistake. He was used to kids poking at him, but it still makes me giggle to think of her not noticing his one distinguishing feature.

Insults Are Free!

, , , , , , | Healthy | May 8, 2019

I am a relatively new veterinarian. Often, we will get a case come in as ADR — Ain’t Doing Right — which is to say they are acting a bit off, but not always obvious what is wrong. I have an ADR older golden retriever come in with Mom and Son. They give the history: the dog has been losing weight, not eating well, lethargic, and having dark stools for a few weeks. This dog also has a history of ear problems. The last time we saw the dog was over two years ago. They have limited funds, so I try to work on a step-by-step diagnostic to try to get the most information before determining if more diagnostics are needed.

Starting with the physical exam: the dog is severely muscle wasted, lethargic — as they said — and dehydrated, and he has a new heart murmur. After discussing with Mom, we decide to start with bloodwork. It comes up with some very mild liver changes, but nothing too noteworthy. We are at the upper point of their budget, so I discuss my next recommendation of chest x-rays and what we would do depending on what we found, quoting them the costs for everything before anything is performed. They agree to the x-rays, and unfortunately, the x-rays show possible heart enlargement, but again nothing too exciting. So, they agree to try a heart medication, subcutaneous fluids, and an anti-emetic and see how the dog responds. It’s worth noting there were additional tests I would have liked to do, but I didn’t want to stretch their budget too much further.

A few days later, the dog isn’t improving on the heart meds, so I recommend an abdominal ultrasound — at a different vet — to better evaluate the gastrointestinal tract and surrounding organs. Unfortunately, the ultrasound looks like liver cancer, which I am very surprised by given how mild the blood work was.

I receive a request to contact the Father when I return to work the day after the ultrasound. I give him a call back, assuming he wants to discuss further treatment and prognosis. Boy, was I wrong.

Turns out he just wants to spend ten minutes telling me I am a crook, only in it for the money, and don’t care about animals. He continues to tell me that I took advantage of his wife and his upset son, and had them spend more money than they were willing. He rails that the dog was coming in for an ear infection, and I had them do a bunch of unnecessary tests. Any time I try to interject, either to explain my findings and recommendations as he wasn’t there, or to confirm what he thinks happened at the appointment, he simply talks over me, stating he doesn’t care what justifications I have and that “[he] is onto [my] game.” It continues until I am crying against the wall and finally have permission from the practice owner to hang up on him.

The fun part: he calls right back to have my receptionist tell me I am an a**hole. I still have to talk to his (much nicer) wife to answer her questions, and I almost can’t bring myself to do it. As of now, I refuse to discuss anything further with the Father.

His Advice Is Neutral At Best

, , , , , , | Healthy | May 6, 2019

(We have had our cat, Fritz, since he was a tiny kitten, and he’s always seen the same vet. One day, when Fritz is around eight years old, he starts spraying urine against furniture instead of going in his box. Knowing that this could be a symptom of something serious – besides being annoying and gross – I promptly make an appointment for him to see his vet.)

Vet: “Well, we’ve examined his urine for crystals, and he doesn’t have any. That can mean only one thing.” *stares at me accusingly*

Me: *after an expectant pause* “Yes?”

Vet: “You need to get him neutered. Honestly, I don’t know why you haven’t done so yet. He’s eight years old; he should have been neutered years ago.”

Me: “But–”

Vet: “No, I’m serious. This sort of spraying activity is very common in an unneutered male, and–”

Me: “But he is neutered.”

Vet: “What?”

Me: “In fact, you’re the one who did it. We had it done right after we got him from the Humane Society. It should be in his file.”

Vet: *looks at the start of the file* “Oh.”

Me: “So, something else must be causing this behaviour, right?”

Vet: *still processing the fact that he was wrong about Fritz not being fixed* “Well… are there any new cats in the neighbourhood?”

Me: “Come to think of it, yes. Our neighbour across the back lane just got a new cat. Fritz sometimes sees him through the window and hisses at him.”

Vet: “Well, there you go.” *looks at me triumphantly*

Me: “Um, what do you mean?”

Vet: “Fritz is antagonized by that new cat. He’s spraying to assert his dominance in his own home.”

Me: “Okay, so… What do I do?”

Vet: “Do? There’s nothing you can do. Apart from moving, that is!” *laughs*

(Very helpful. I started looking for a new vet after that.)

Sick As A Dog

, , , , , | Healthy | April 30, 2019

(My roommate works outside of the city, about an hour’s drive away. She decides that she wants to get a dog, and the other two roommates and I agree to help take care of it during the day when she’s away. On Monday, the dog is having some stomach trouble. We watch her closely but determine that she needs to go to the vet on Wednesday. My roommate contacts the vet to let them know that I will be bringing the dog by. I drop the dog off, and then return a few hours later when called to pick her up.)

Me: “Hello, I’m here to pick up [Dog] on behalf of [Roommate].”

Front Desk: “Great! She’ll need to take these pills for nausea.” *hands me the pills, and brings the dog out on a leash*

Me: “Has she had the pill for today? Is there anything I can or cannot feed it to her with?”

Front Desk: “I didn’t handle her case; let me get the vet.” *goes to the back, then returns a few minutes later* “I’m sorry, but the vet is with another patient right now. I’ll pull up her file, instead.” *pulls up the file on the computer* “It says that you need to keep an eye on her.”

Me: “What do you mean by ‘keep an eye on her’? What do I need to watch for? And does it say anything about the pill or the foods she shouldn’t have?”

Front Desk: “I can’t tell you that for privacy reasons. The vet has contacted your roommate; you’ll need to talk to her.”

Me: “My roommate is at work right now and might not be able to respond to calls or texts for a few hours. Could you at least let me know what I need to watch for over the next four hours until she’s home?”

Front Desk: “I can’t tell you about anything else on her file for privacy reasons.”

(Frustrated, I take the dog and start walking to my car. I realize that I have no way of knowing if she’ll be able to handle the ride home without an accident, as the vet hasn’t given me any information about what’s wrong or what they’ve given the dog. I turn around, go back into the clinic, and hand the leash back to the woman at the front desk.)

Me: “Here’s [Dog] back. Without knowing any more than I did when I brought her here, I don’t feel comfortable taking her home. I don’t know what she’s had, how to care for her, or what will happen when we get home. Frankly, I don’t know why you’re even releasing her to me if you don’t feel that I have the right to that information. You’ll need to contact [Roommate] to come and get her, if you can get a hold of her at work.”

(I texted my roommate to give her a heads up about the situation, including the name of the woman that I had dealt with at the front desk. Thankfully, she felt I’d made the right move leaving the dog at the clinic and was able to pick her up after work. She also contacted the clinic to express her anger about how they had handled everything, and had my name along with our other roommates’ added to the account.)

The Worst Possible Flea-ting Moment

, , , | Healthy | April 29, 2019

(I have a cocker spaniel with a lot of allergies and a skin condition that makes her very itchy. Her regular vet prescribes allergy shots for her. A few times we don’t get to see him but a newly-graduated vet who is working there temporarily. All she does every appointment is to try to refer us to specialists. She does this so much that we are starting to think she is getting kickbacks from them. One time, we get her when we are there for my dog’s allergy shot.)

Vet: “She’s just itchy because she has fleas.”

Mom & Me: “No, she doesn’t.”

Me: “I just checked her this morning. No fleas. And she’s had a bath.”

Vet: *rolling her eyes* “It’s just fleas. She doesn’t need an allergy shot.”

Mom: “Dr. [Regular Vet] prescribed them. We want her allergy shot.”

(We watch as a flea crawling on the vet herself jumps from her to my dog. The vet only sees the flea now.)

Vet: “I told you she had fleas!”

Mom: “We saw that flea crawling on you! Now, we want her allergy shot.”

(The vet continued to argue and tried once again to send us to a specialist, but we finally got the shot, only after a lot of huffing. Mom complained to the regular vet as soon as he was free and told him how this one was always trying to send us to specialists. He seemed rather angry with her when he heard this. We never saw her there again.)