{"id":24341,"date":"2023-08-01T00:00:04","date_gmt":"2023-08-01T00:00:04","guid":{"rendered":"https:\/\/todaysveterinarybusiness.com\/?p=24341"},"modified":"2023-07-27T21:58:49","modified_gmt":"2023-07-27T21:58:49","slug":"client-life-in-the-trenches-0823","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/client-life-in-the-trenches-0823\/","title":{"rendered":"Humble Pie"},"content":{"rendered":"<p style=\"font-weight: 400;\">Clients often work hard to diagnose and fix their ailing pets by surfing the internet or contacting a friend whose sister used to work as a kennel attendant at a veterinary clinic. Sometimes a pet store clerk advises a client that equine ivermectin paste will work just as well in a dog. Just a tablespoon or two of the preventive and they can outsmart the pricey veterinarian.<\/p>\n<p style=\"font-weight: 400;\">First, I will entertain and amuse you with smug \u201cI can\u2019t believe anyone would do this\u201d episodes from my client encounters. Then I am going to eat a big slice of humble pie.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>The Remedy Was a Bust<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Setting her Shih Tzu on the exam table, a client told me the dog had stopped eating and was lethargic. Another veterinarian had diagnosed her with a <a href=\"https:\/\/todaysveterinarypractice.com\/urology-renal-medicine\/urinary-tract-infections-in-dogs\/\">bladder stone<\/a>, and the client decided to dissolve it with therapeutic dog food. Unfortunately, the only food labeled to do it was out of stock, so my resourceful client went online and ordered a supplement dubbed \u201cUrolith Buster.\u201d When it didn\u2019t work, she brought her dog to us rather than return to the original veterinarian for surgery.<\/p>\n<p style=\"font-weight: 400;\">I cringed as I palpated the egg-sized hard mass in my patient\u2019s bladder. I didn\u2019t need a radiograph to tell me:<\/p>\n<ul>\n<li>The dog needed surgery ASAP.<\/li>\n<li>Whittling down that rock would take maybe five years and countless cans of therapeutic dog food.<\/li>\n<li>I\u2019d better convince the client that her dog was suffering greatly. I did.<\/li>\n<\/ul>\n<h3 style=\"font-weight: 400;\"><strong>The Wrong Answer<\/strong><\/h3>\n<p style=\"font-weight: 400;\">A cat with very inflamed ears was brought to me by a man who said he had been treating the feline every eight hours with a Walmart product. I asked what he was using, and he replied that it was the one in the little white bottle.<\/p>\n<p style=\"font-weight: 400;\">\u201cWell, it\u2019s not working,\u201d I said flatly, explaining that the cat had an <a href=\"https:\/\/todaysveterinarybusiness.com\/otitis-pets\/\">ear infection<\/a> and that I was prescribing topical medication with antibiotic and anti-inflammatory properties. I left the room to gather what I needed, returned and was putting the finishing touches on the computer when the client asked, \u201cWhere do those come from, anyway?\u201d<\/p>\n<p style=\"font-weight: 400;\">I asked what he meant, and he said he was referring to ear mites. Only then did it dawn on me that he was using a miticide in the cat\u2019s ears three times daily when such products are usually labeled for use about twice weekly.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Dr. McNuggets<\/strong><\/h3>\n<p style=\"font-weight: 400;\">A sweet elderly lady and her young caretaker brought in Bella the Chihuahua, who was acting standoffish, probably because she was in pain. To make her dog feel better, the client tried crushing up one children\u2019s Motrin tablet daily and putting it into chicken McNuggets with gravy. The dog liked it but still didn\u2019t want to be held. I was appalled.<\/p>\n<p style=\"font-weight: 400;\">The dog\u2019s bloodwork was miraculously normal. We switched to veterinary medications.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Birdbrained<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Some clients whose puppies have parvovirus cannot afford hospitalization, so we offer outpatient treatment once daily, and we do our best to educate the owners on the importance of a bland diet when their dogs can handle food again. One client reported that his puppy wouldn\u2019t eat, so he fed him raw chicken.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Fishing for an Answer<\/strong><\/h3>\n<p style=\"font-weight: 400;\">Defeated when his dog\u2019s laceration wouldn\u2019t heal, a man brought in his 75-pound dog, whose wound was now infected. \u201cI was giving him antibiotics,\u201d he said defensively.<\/p>\n<p style=\"font-weight: 400;\">The antibiotics were low-dose ampicillin tablets marketed for fish tanks and had been sold to him by a \u201cknowledgeable\u201d employee at a pet store.<\/p>\n<h3 style=\"font-weight: 400;\"><strong>Immune to the Facts<\/strong><\/h3>\n<p style=\"font-weight: 400;\">The big, white pit bulldog lying morosely on my treatment table had seemed \u201coff\u201d for about two to eight months, his owner recounted. The patient, whose rectal temperature was 95 degrees Fahrenheit, was recumbent, his eyes darting back and forth in horizontal nystagmus, and his mouth caked with dried and fluid saliva.<\/p>\n<p style=\"font-weight: 400;\">The client said the dog stopped eating the previous day. Her sister, who worked for a veterinarian \u201cfor a long time,\u201d told the client, \u201cWhen their mouth looks like that, it could be lupus.\u201d<\/p>\n<h3 style=\"font-weight: 400;\"><strong>A Mea Culpa<\/strong><\/h3>\n<p style=\"font-weight: 400;\">One by one, the batteries on my favorite wristwatches were dying. I live in a rural area, and when I am not working in Tulsa, Oklahoma, I trek to the city only when I have no choice, such as for a mammogram, cataract surgery or my French bulldog\u2019s compounded piroxicam prescription.<\/p>\n<p style=\"font-weight: 400;\">I took one of my watches to Walmart to get a new battery. The clerk asked if I had bought the watch there. I said no, and she folded her arms and said she could not help me. \u201cIt is what it is. Thank you,\u201d I said sarcastically.<\/p>\n<p style=\"font-weight: 400;\">I drove down the street to a small jewelry store. Yes, the owner said, he could replace the battery, but it would take about a week because he had several watches to do. I thanked him and decided to look further.<\/p>\n<p style=\"font-weight: 400;\">\u201cMaybe I can replace my watch batteries,\u201d I thought.<\/p>\n<p style=\"font-weight: 400;\">Is there nothing you can\u2019t find online? Yes, you can buy watch repair kits, but I wasn\u2019t convinced. Then I remembered the pawn shop on Highway 20, so I took my bulldog watch and antique Native American turquoise watch there.<\/p>\n<p style=\"font-weight: 400;\">\u201cWell, I guess I can replace the battery in the bulldog watch, but I really don\u2019t want to touch the other one,\u201d the owner said. What a wimp.<\/p>\n<p style=\"font-weight: 400;\">\u201cHow hard can it be?\u201d I thought, so I bullied him into doing the bulldog watch. He told me a watchmaker downtown could handle the turquoise watch.<\/p>\n<p style=\"font-weight: 400;\">On my next day off, I made my way to the second floor of an office building in downtown Claremore, where a husband and wife team harmoniously care for and nurture watches. They have a watch graveyard where they harvest transplant parts to rejuvenate other timepieces.<\/p>\n<p style=\"font-weight: 400;\">I offered up my turquoise watch, he replaced the battery, and I happily went on my way, but not before asking him to help me find an old-fashioned windup watch so I could avoid bending the fragile silver attachments that had to be disturbed every time we changed batteries.<\/p>\n<p style=\"font-weight: 400;\">About a week later, I donned my turquoise timepiece only to find it had stopped. I couldn\u2019t believe it. It was about three weeks before I got back to the watchmaker, who replaced the battery and regarded it closely. The cheap watch I had bought for the turquoise bracelet was rapidly draining the battery.<\/p>\n<p style=\"font-weight: 400;\">\u201cI might have a watch we could put in this bracelet,\u201d he said, rummaging through the graveyard. He came up with the perfect one.<\/p>\n<p style=\"font-weight: 400;\">As I lamented striving to get people to replace my watch batteries, he patiently explained that unknowledgeable people who try to work on watches easily damage the tiny, fragile components. He said he had repaired a lot of watches brought to him by people who had the batteries replaced in department stores.<\/p>\n<p style=\"font-weight: 400;\">The price of my rejuvenated watch was about what I paid for the new, cheap one. And it works reliably, day after day.<\/p>\n<p style=\"font-weight: 400;\">There\u2019s no substitute for education.<\/p>\n<hr \/>\n<h3 style=\"font-weight: 400;\"><span style=\"color: #008000;\"><strong>HISTORY LESSON<\/strong><\/span><\/h3>\n<p style=\"font-weight: 400;\">According to Cult of Mac, the first Apple watches, released in 1995, are nice collector\u2019s pieces. \u201cExpect to pay a few hundred dollars for one on eBay (although some folks will try to reap up to four figures),\u201d the website advises.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clients often work hard to diagnose and fix their ailing pets by surfing the internet or contacting a friend whose sister used to work as a kennel attendant at a veterinary clinic.<\/p>\n","protected":false},"author":251,"featured_media":24342,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[407],"tags":[],"class_list":["post-24341","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-august-september-2023","column-life-in-the-trenches","clinical_topics-patient-care","clinical_topics-personal-professional-development"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v24.7 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Humble Pie | Today&#039;s Veterinary Business<\/title>\n<meta name=\"description\" content=\"I will amuse you with \u201cI can\u2019t believe anyone would do this\u201d episodes from my client encounters and then eat a big slice of 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