{"id":33886,"date":"2024-04-05T18:09:09","date_gmt":"2024-04-05T18:09:09","guid":{"rendered":"https:\/\/todaysveterinarypractice.com\/?p=33886"},"modified":"2025-05-27T18:14:56","modified_gmt":"2025-05-27T18:14:56","slug":"you-may-never-know-how-things-turn-out","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarypractice.com\/personal-professional-development\/you-may-never-know-how-things-turn-out\/","title":{"rendered":"You May Never Know How Things Turn Out"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">My amygdala flooded my brain with the neurotransmitters that told me I should be freaking out\u2014running from a flood, dodging a predator, or, more realistically in our modern world, preparing for a potential lawsuit, a threat to my veterinary license, or the stereotypical \u201conly in it for the money\u201d accusation that we\u2019ve all heard. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">The stress-inducing patient responsible? The one we have all seen: a young pitbull-type puppy with vomiting and diarrhea, whose owners had limited financial resources. Despite the negative parvovirus test and the owners&#8217; attention to my warnings and recommendations, I left that exam room thinking that was another patient \u201clost to follow-up\u201d with the feeling of dread that I had failed this puppy, his owners, and the profession. I had not been able to provide the gold standard of care that we put in such high esteem during our academic careers: unable to hospitalize, review x-rays, analyze bloodwork, and refer to the criticalist or internist.<span class=\"Apple-converted-space\">\u00a0 <\/span>In fact, I didn\u2019t know anything about how this case was going to turn out or if my treatment plans were successful! But why did that mean I failed?<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">My amygdala was ruling my practice of medicine. In trying to protect me, it had overridden my frontal lobe, which logically knew the parvo test was still more likely to be a true negative than a false negative. It had dominated my hippocampus, which remembered the myriad other causes of gastrointestinal distress in young dogs that were far less serious. It had even overridden my anterior insular cortex, which would have empathy for the owners, who were caring and devoted to a puppy they had only adopted a few days before. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">A few weeks later, during a rare social outing, a woman came up to me. While I initially couldn\u2019t place her, she continued to smile at me cheerfully. I realized that she was the owner of the puppy, and she wasn\u2019t mad. She thanked me for the symptomatic care I provided that day and was thrilled with how her puppy responded. She followed up with her family veterinarian and began regular preventive medicine. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">My amygdala had tricked me! In this case, and in many others we never get to hear about, the less-than-ideal care we often have to provide is a cure\u2014not just in a pet owner\u2019s view but in reality. To this day, I still have to tell my amygdala to relax and make sure I am using all parts of my very expensively educated brain to make balanced decisions. When that anxiety rises, and I get convinced that something horrible has befallen a patient that I didn\u2019t get to see again, I think of that puppy and know that sometimes the care that I provided and the reason there was no follow-up was because the owners and the animal are thriving. <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Here&#8217;s a secret &#8230;<\/p>\n","protected":false},"author":236,"featured_media":33887,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":35,"footnotes":""},"categories":[544],"tags":[556],"class_list":["post-33886","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-may-june-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 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