{"id":33664,"date":"2024-02-12T18:13:35","date_gmt":"2024-02-12T18:13:35","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=33664"},"modified":"2025-05-27T18:15:06","modified_gmt":"2025-05-27T18:15:06","slug":"clients-lie-but-not-really","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/personal-professional-development\/clients-lie-but-not-really\/","title":{"rendered":"Clients Lie \u2026 But Not Really"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">At a point in my career, I was not the wry, light-hearted veterinary columnist I am today. I was grumpy, tired, and burnt out. I would have welcomed a mid-clinic, Oscar the Grouch\u2013inspired trash can into which I could intermittently retreat. During this time, on a particularly busy ER shift, a recent graduate approached me, and as I impatiently waited for her to complete her case presentation, I interrupted her, \u201cWhat is the first rule of emergency medicine?\u201d With a slightly panicked look, she stuttered out, \u201cGive fluids?\u201d (Not a bad answer, to be honest!) I snapped back, \u201cNo, the client is lying. The dog ate something and needs radiographs.\u201d A nearby colleague scoffed, \u201cOK, Dr. House!\u201d citing the then-famous, distrusting, cynical television doctor. As it happened, I wasn\u2019t wrong. The client was \u201clying,\u201d and the dog\u2019s radiographs revealed it had ingested a foreign body. At the same time, I was sort of wrong because the client sort of wasn\u2019t \u201clying.\u201d <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The owner of that dog had expressed that they were confident that their young, lab-mix puppy had absolutely not eaten anything unusual and nothing was missing or destroyed. Well, nothing they could remember. After the radiographs, they miraculously recalled that there was an incident in which they recovered a sock from the dog, and now that we mentioned it &#8230; the second sock &#8230; where was that? (Spoiler alert: We found the missing sock!)<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Now, in my much more reflective and introspective years, that interaction still stands out to me. First, it was the earliest strong sign I had a bad case of burnout. Second, I realized what I was trying to convey was the importance of a good investigative case history\u2014both what the owner can say and what they can\u2019t or won\u2019t. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Truthfully, I don\u2019t think the client intentionally lied to us. Maybe by the strictest definition, it was a \u201clie,\u201d but it certainly wasn\u2019t as nefarious as I made it out to be. They just didn\u2019t mention what they had dismissed as an inconsequential event.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Once again, veterinary medicine and psychology have an overlapping Venn diagram. We wade through what the owner tells us, listening carefully, taking notes, reading between the lines, and asking pointed questions. We do this to get owners to recall timelines, admit things that may be embarrassing, or even remember events their brain and emotions buried deep. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">So, what is the <i>real<\/i> first rule of ER medicine\u2014or any medicine for that matter? Dr.\u00a0House actually got this one right. The most important rule is that the end is often just the start, or in medicine, the diagnosis is often in the history.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here&#8217;s a secret &#8230;<\/p>\n","protected":false},"author":236,"featured_media":33665,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":35,"footnotes":""},"categories":[432],"tags":[556],"class_list":["post-33664","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-march-april-2024","tag-commentary","column-secret-life-of-vets","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>Clients Lie \u2026 But Not Really | 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