Vet School 101 A question on cheating and ethics in vet school

An earlier post this week on what I wish they’d taught me in vet school prompted a comment on ethics from a vet student. Though I seldom address comments so directly in a follow-up post, I thought this one merited a reprint for fuller discussion.

Here’s the question (and my answer). Feel free to follow up with your own solution to the dilemma:

Q. Speaking of ethics--I'm a second year vet...

October 31st, 2008 12 Comments

Vet P.O.V. "Misty"-eyed musings on animal welfare and the Chincoteague pony swim

Off the Virginia and Maryland coast within the Chincoteague National Wildlife Refuge there’s a barrier island called Assateague that teems with feral horses.

Every year the Chincoteague Fire Department holds an annual fundraiser. It rounds up a bunch of so-called “Chincoteague ponies” and swims them across the waters between the Assateague and Chincoteague islands so the weanlings can be sold...

October 30th, 2008 18 Comments

Pet Economics 101 Is veterinary medicine recession-proof? How do you vote?

I’ve heard tell that the only items that are recession-proof are lipstick and porn. While I wouldn’t know about the latter, the first is one I’ll fess up to. I can always dig up $7 for a new lip gloss when I need a “can’t-afford-nuthin’-else” pick-me-up.

The same, however, can’t be said for veterinary medicine.

The last month has been interesting, to say the least. Never have I witnessed such...

October 29th, 2008 29 Comments

Vet P.O.V. Top ten things I wish they’d taught us in vet school

Recent comments from pet owners, vets and vets students on Dolittler have got me thinking about vet school and all I’ve had to learn since...on my own. While the science of veterinary medicine was covered well in school, there are some basics most of us missed out on in our years in school. Here’s my top ten:


#1


Keeping Up 101: If only someone had explained how to properly digest veterinary...

October 28th, 2008 33 Comments

Vet School 101 Hip dysplasia in dogs (part 2): The real cost of diagnosis

Now that we’ve discussed some of the politics of hip dysplasia in dogs (in last week’s post on the same subject) it’s time to count the nuts and bolts involved in its diagnosis.

Every dog is potentially at risk of suffering hip dysplasia—no matter his or her breed. This post is intended to help those of you who take on new dogs (whether it’s a purebred pup or older mix) learn more of the ins...

October 27th, 2008 32 Comments

Vetcetera The cynical vet gabs on gender, suspicions and being called, "That Woman"

“That cynicism you refer to I acquired the day I discovered I was different from little boys.”

This brilliant line, scathingly delivered by Celeste Holme in the classic film, “All About Eve,” is exemplary of sharp-witted 1940’s cinema. It’s also to the point when you consider how female vets might feel when they suspect clients of rejecting their services on the basis of their gender.

Though you...

October 26th, 2008 34 Comments

Vet Stress Spaying pets: How this vet handles the “heat”

If you guessed this post would tackle the topic of spaying pets while they’re in heat…you’d be right on target.

In case you’ve missed my other rants on this topic let me first explain: Cats in heat are easily altered. Dogs in heat—especially older, large breed and/or fat ones—can prove a nightmare for any vet (even the most experienced among us).

Granted, I never set out to spay a dog in heat....

October 25th, 2008 23 Comments

Pet Patients Homer the “eyeless wonder-cat” hits home again…this time in a book

Homer was a couple of weeks old when I found him…maybe 21 days at the most. A young couple brought him in after finding him—I can’t remember where.

His eyes were swollen shut. I recall the presence of maggots. Though the couple requested he be euthanized on account of his certain blindness and disgusting appearance...I couldn’t do it.

How can I describe my feelings at the time?...

I was a...

October 24th, 2008 42 Comments

Vet Stress Tag detail: Managing pet license policy—NOT what I went to vet school for

Does your mechanic issue car tags, registrations or drivers’ licenses? Then why is your vet expected to take on tag detail in some municipalities?

Sorry for the automotive analogy (trust me, I know pets are nothing like cars) but it’s been bugging me for years now that my staff and I are effectively obliged to handle the licensing of pets on our county’s behalf.

Apart from telling clients they...

October 23rd, 2008 31 Comments

Vet Stress When pets die...who pays?

Let’s say you’re a conscientious, careful vet. You undertake a routine procedure with the best intentions and excellent medical protocols. Despite your best efforts the patient dies. Though you know your feelings can’t possibly compare to the grief your client faces, you’re incredibly saddened and shocked, nonetheless.

As a vet you took an oath to heal and protect the animals in your care. Yet...

October 22nd, 2008 78 Comments

Vet Stress To euthanize an FIV or FeLV positive feral colony cat…or not

Here’s an ethical dilemma for you: Does a veterinarian doing cat colony work advocate euthanasia for all FIV (feline AIDS) and FeLV (feline leukemia) positive kitties…yea or nay?

In my personal feral feline colony—the one I manage myself with no other individual stakeholders to satisfy—the answer is a resounding “yea.” I euthanize them.

Granted, the vast majority of these cats is not merely...

October 21st, 2008 29 Comments

Vetcetera Veterinary office hours: How do they affect YOU?

Have you ever had cause to marvel at the limited hours your vet keeps? Did you wonder if she was taking a nice nap at lunchtime? Taking in a round of golf?

Why can’t he stay open just one hour longer? You gotta wonder what’s up with a 4:30 drop-dead closing time.

Does it bug you that she closes at five sharp so she can get home to her kids? After all, doing so means she cares less about your...

October 20th, 2008 46 Comments

Vet School 101 Hip dysplasia in dogs: Thoughts on incidence, treatment and prevention

This past month I’ve seen more hip dysplasia cases than I can recall having seen all summer. Maybe it’s the ever-so-slight change in the Miami weather that’s messing with my patients’ joints. Or perhaps it’s just a rash of bad luck.

Whatever the case, the influx of hip patients has again driven me to the keyboard to explain the disease…and to ponder why hip dysplasia is still so prevalent—and...

October 19th, 2008 25 Comments

Vetcetera The Daily Kibble…do you subscribe? (and five of their praiseworthy pet products)

The Daily Kibble comes to me...daily. It reports to me on interesting and newsworthy pet products and services available—usually nationwide—but aimed specifically (it seems) at sophisticated and well-heeled New York metro dog owners.

Though I’m not in the target market so-described, it makes me feel like I’m up-to-date on the frequent goings-on of the high-end pet trade, always a bellwether...

October 18th, 2008 6 Comments

Vetcetera Can raw, meaty bones deliver better teeth AND better behavior? (One vet and two dogs have their say)

Some of you may know that I’ve undergone something of a conversion on the subject of raw in recent years. It’s not that I feed the BARF-style diet you may have heard about (ad nauseum in some cases). I still feed mostly home-cooked with some high-quality commercial supplementation. But I no longer fear the raw—nor the raw meaty bones the BARF diet and others employ.

Since opening my mind a bit...

October 17th, 2008 31 Comments

Pet Economics 101 The cost of veterinary care (and why Dolittler dwells on the dollars)

This is an interesting topic raised by a recent commenter who expressed some annoyance at my preoccupation with issues surrounding the money side of vet medicine. It’s not a charge that hasn’t been leveled against me before—nor have previous comments always been as diplomatic as this last one.

However it’s delivered, it’s clear that many of you are concerned with why Dolittler dwells on the...

October 16th, 2008 26 Comments

Vet P.O.V. Do you want a vet with a great “bedside” manner…or do you want a great vet?

Some vets are charming soft-talkers who recruit your involvement in your pet’s care with their winning, whitened smile and a penchant for flattering, incandescent lighting. 

Others might well be better vets (or not)…but their delivery leaves much to be desired.

We vets can’t always be all be all things to all people. But some clients demand the whole package—on every visit. And that’s not...

October 15th, 2008 27 Comments

Vet Stress Invoking God’s will in veterinary medicine (on religion and tolerance in practice)

It’s true that I’ve never considered myself a deeply religious person. Yet I also fancy myself unusually tolerant of others’ beliefs. This past week’s case of a dying puppy, however, put this latter claim to the test. Here’s the story:

A litter of three foundling puppies arrived at the hospital six months ago. Two robust boys with one scrawny girl rounding out the bunch. Sickly though they all...

October 14th, 2008 31 Comments

Vet School 101 Is an “anesthesia-free” dentistry for your pet?

Fear and loathe veterinary anesthesia though you might (and I wouldn’t necessarily blame you), the answer to the above question is a no-brainer for me: the so-called “anesthesia-free” dental cleaning is NOT an appropriate approach to managing our pets’ dental health.

A variety of companies are now offering this service in a bunch of states. California seems especially targeted (according to...

October 13th, 2008 28 Comments

Vet Stress On Shih-Corgis, their “breeders” and the politics of vet lobby dog fights

"Shih-Corgis." Ever heard of ‘em? They’re a cross between a Shih-tzu and a Corgi. As in, all that blowout fuzz and big-dog personality in a smaller package—with less shedding.

Now, don’t laugh. After all, a Shih-Corgi ("Shorgi"?) makes about as much sense as a Puggle—with a less catchy name. (But then, mixing any breed’s name with “Shih-tzu” is bound to be fraught with some difficulties.)

I...

October 12th, 2008 47 Comments

Vet News DIY pet euthanasia: The shotgun edition

A few months back I penned a post on this topic and received a clutch of angry emails suggesting that by writing about do-it-yourself euthanasias, even disparagingly, I was encouraging others to try it out. Here’s another post on the topic that illustrates, yet again (hopefully more forcefully), exactly why you should never try this at home.

A woman in Colorado was arrested by the police last...

October 11th, 2008 36 Comments

Vetcetera PediPaws: It's the nail trimmer of the future!...but is it worth it?

You know, I’ve got no problem with someone trying to make a buck. I also don’t mind receiving an email about a new product for pets (and I get zillions). But I definitely draw the line when someone tries to sell me a product over and over again. It’s just not cool anymore—it’s spam.

You know the emails I mean…the ones about penile implants (as if I could accommodate one) or about Viagra...

October 10th, 2008 26 Comments

Vetcetera A fifth-grader’s invention to save our cats’ ears…and maybe their lives

My fifth-grader has an idea. He’s appalled at the practice of ear-tipping feral cats when it comes time to spaying, neutering and vaccinating them. He thinks it’s barbaric and he wants to put an end to it.

That’s what compelled him to come up with a science project-worthy idea to use ear tags to identify cats as owned, vaccinated and altered.

Granted, I’m OK with the ear-tipping thing. Sure, I...

October 9th, 2008 23 Comments

Vet Stress Fault lines: When “accidents happen” to your pets…and you’re to blame

The scenario’s not uncommon: You left an industrial-sized bar of baking chocolate out on the counter. You fed her the leftovers of that spicy oxtail stew. You were careless with an open bottle of Aleve. Or worse…you ran her over in the driveway.

Yeah, sometimes the guilt can be unbearable. It makes you want to do anything to save the pet you’re at fault for having crippled or poisoned—even if...

October 8th, 2008 23 Comments

Vet News Kicking cats is wrong...now will someone just tell the jury?

Even those occasional people we meet who claim to dislike cats intensely would agree: kicking them is wrong.

It’s pretty clear-cut. Most humans understand that hurting cats, even if you consider them “vermin” as many do, is a foul and unnecessary deed. So too, inflicting pain on rats, seagulls, pigeons and other creatures you happen to prefer not hang out with you in and around your home....

October 7th, 2008 29 Comments

Vet School 101 Ten easy steps to a FULL physical examination for your pet

If you read Dolittler regularly you’ll know that I have a thing about physical examinations—as in, no test, no matter how sophisticated, is quite so crucial to your pet’s health as a FULL physical exam. 

Recently, that prompted some of you to ask (in not so many words), Well, what’s in that almighty physical exam?

And so, today, I offer you an abbreviated answer—or, at least, my version, since...

October 6th, 2008 18 Comments

Vetcetera Healing pets of the homeless…one bite at a time

You know that elephant quip, the one about how a pachyderm is best consumed? Well, I have the scar to prove it’s true…this time, as it applies to the Sisyphean task of treating the pets of inner-city Miami’s homeless population. Here’s the story:

Last Sunday three vets and three assistants ventured out to Camillus House, the most well-attended and centrally located homeless shelter in the Miami...

October 5th, 2008 14 Comments

Vetcetera Top five things I learned at the Florida Veterinary Medical Association's Conference

Please excuse my extremely late Saturday evening post. I was attending the Florida Veterinary Medical Association (FVMA) Conference in Orlando…just a stone’s throw away from the Mouse King’s lair.

Somehow I was able to exit the city in less than 24 hours without paying Disney dues—or the $500 conference fee, for that matter (press credentials are golden), but I did manage to spend $100 on gas,...

October 5th, 2008 8 Comments

Pet Economics 101 Ten tips for big savings at the vet hospital (Part 2: For the experienced veterinary client)

To celebrate this week's bailout fiasco I'm offering these additional points on how to save money on your vet care. Unlike Part 1 of this post (referenced below) this one addresses the needs of slightly more sophisticated owners. Enjoy!

I know some are persnickety points some vets will roll their eyes at but here’s my list anyway:

1-Ask for scripts on antibiotics: When many big-box stores will...

October 3rd, 2008 27 Comments

Vet School 101 Titers versus vaccines for pets: On vaccine safety and what titers really mean

Titers are antibody level measurements we often use to determine our pet’s level of immunity against diseases they’ve already been vaccinated against. Drawing blood to check these titers in lieu of vaccination has become increasingly popular over the past decade in veterinary hospitals across the US. The idea is to lower a pet’s risk of exposure to too many vaccines…but is it really an...

October 2nd, 2008 24 Comments

Vet School 101 Kitty acne and other unsightlies: Eosinophilic ulcers and plaques in cats

One of our technicians brought in her unhappy kitty named Gizmo last week. Gizzie had been pawing and scratching his chin raw. Beyond the common chin acne some cats can get, this feline patient sported an abundance of bleeding pustules beyond the pallor of the standard blackheads and pimples we often see secondary to ingrown hairs (all that chin rubbing sometimes takes its toll).

Though not...

October 1st, 2008 13 Comments