I always assumed my experience as a veterinarian would serve me at some point when I needed to navigate the human healthcare system. The similarities between veterinary training and medical training, after all, lend themselves to a good number of similarities: how to read scientific articles critically. How to read an MRI. When to call the office and say, this prescription doesn't seem quite right, is this what you wanted? The similarities are all well and good, but I never understood, in the ... Read more »
Picks of the Litter
Jerky Problems AGAIN: an infographic
Are you kidding me? After years of pressure, people finally get pet stores to agree to stop carrying treats from China only to have a new crop of cases of illness emerge in pets who ate jerky with a "Made in the USA" label. Is it sourcing? Is it weird contamination from aliens? Who cares! Just don't buy it. It's not worth the risk. Feed your pet an apple, or some of their regular food, or follow the link to where I show you how to make it yourself. Or watch the video: Any ... Read more »
How to be happy in 4 simple steps
This month's JAVMA features confirmation of what those of us in the profession for more than a year or two already suspected: veterinarians are a sad bunch, compared to the general population. Consider these stats from the CDC's first-ever survey of the veterinary population: 1 in 6 have considered suicide; 25% of men and 37% of women in the profession report depressive episodes; 1.1% of men and 1.4% of women have attempted suicide; That last stat is the only one where vets figure in ... Read more »
The SHOCKING TRUTH about cancer they don’t want you to know
Cancer. It's scary stuff. Every day, I hear another story of an elderly dog and cat diagnosed with neoplasia, and my heart hurts for those dealing with it. Without a doubt, cancer sucks, and every new breakthrough is a gift. There's lots of theories and evidence pointing to different causes of cancer. Food, say some. Chemicals, say others. Vets peddling food and chemical-laden vaccines, say many. And I'm here to tell you this: They're right. What? Say it ain't so! It's true. I've been ... Read more »
The Truth About Pet Food Research
About one year after I graduated vet school, I took routine screening chest radiographs of my senior Golden, Mulan. I looked them over, frowning at a small, mottled spot near her sternum. "She has cancer," I thought. It's not an unreasonable conclusion to come to with Golden Retrievers. Before I panicked, I asked my colleague to look at the x-ray, and she agreed it looked suspicious. I was devastated. I took Mulan to the local specialty hospital, where an intern I knew from vet school ... Read more »
What Your Natural Health Magazine Doesn’t Want You To Know
After the fifth time someone forwarded me "The Shocking Truth Your Vet Is Hiding" type articles in the past week, I had to take a stop from my scheduled 12 Days of Clinics to address it. I debated on a few clickbait titles for this post: alt: "Why Magazines are Getting Away With Murder" alt: "The Shocking Truth These Publishers Are Hiding" It doesn't really matter what the title is or if it related to the content anyway, but I imagine you already know that. But let's step back a moment, ... Read more »
A Veterinarian’s Holiday Wish
It's the holidays, and that means lots of things: peace on Earth, goodwill to men! Just kidding, it means cranky people fighting in the parking lot, someone getting shanked over the last PlayStation, and passive aggressive fruitcake gifts. I wasn't always this cynical. I, too, was once a merry-eyed elf with stars in my eyes and garland round my neck, until I worked long enough in veterinary medicine. Then I began to dread the month of December. It is a month of ill portents: Too ... Read more »
The midwife at the end of life
Like many of you, I’ve been mesmerized by the bravery of Brittany Maynard, a 29 year old woman who is dying of Stage IV brain cancer. After hearing the course of the disease progression from her doctors and considering what the end of her days were likely to be like, she made the incredibly difficult decision to move to Oregon, one of a handful of states in which assisted suicide is legal, and choose the day and manner in which she will die. While her story is compelling and ... Read more »
Knuckle cracking real-time talk here.
This is not about Sophia Yin. I feel the need to say that before launching into a discussion about suicide and depression in the animal community, because the horrible news that she took her own life and the ripples it is causing in the veterinary world is the reason I'm talking about it today. But it's not about her or her situation, which none of us will ever really know; Dr. Yin's legacy is the work she did during her life, and it should remain that way. This is not about one ... Read more »
Cures what ails ya
In the olden days, people used to turn to carnival medicine men or the back pages of Look Magazine for the latest way to solve all of their problems. People don't change, just the technology. Now we have the internet to turn to. If the web is to be believed, and it always is for some reason, there is a new cure for all the world's ills. That cure is coconut oil. It's good for your hair, your skin, your GI tract, your dog, your mental health, and your aura. It's anti-inflammation and ... Read more »
Do we need pet care advocates?
In the depth of my despair when Apollo was dying, the medical resident at the specialty hospital made a comment I will never forget. He was dying of a blood clot, a sequelae of hyperthyroidism and heart disease. I was in shambles, having come home from the gym to find him immobile on the couch, and rushed in straightaway, sweaty and spandex-y. I scribbled his medical history as quickly as I could, which the resident pored over with her intern as I sat in the room planning to say goodbye. I ... Read more »
“No Obamacare for dogs”: 5 things you should know about the vet ER
Another week, another veterinary ER under fire. This time, it's the Southwest Michigan Animal Emergency Hospital, now receiving angry calls and even death threats after declining to perform emergency exploratory surgery on a young German Shepherd who developed complications after a spay at a different clinic earlier in the day. The issue was the owner's inability to provide upfront payment. It almost always is. There is no doubt that this is a terrible and sad outcome for the owners of the ... Read more »
Lean On, Over, and Around
March is Women's History Month, if you didn't know. I work in a strange profession, one that has changed quite solidly in demographics from its original incarnation to its current status, graduating classes of row after row of- well, men, mostly- now replaced, to an 80% extent, by women. I spend a lot of time talking about veterinary medicine, and I would say about 80% of the time I am talking about it with women (who'd have guessed?) Does the changing demographic matter? Yes and no. I may be ... Read more »
A place of passing
"I'm never going back," I have heard more than one pet owner say. They are talking about the office of their veterinarian, a person with whom they have built a relationship for years, someone they like and trust. But their pet died there, and the painful memories are too strong. So strong for some people that they go and find a new vet, even if they liked their old one just fine. It's one of the reasons I like having the option that I offer, of performing in-home euthanasia and pet hospice ... Read more »
What to Say to Someone in Mourning
This morning, I had the pleasure of sitting down with Joanne McGonagle over at The Tiniest Tiger for a Google Hangout on the topic of pet loss. I had this whole long post about how easy it is to get wrong and how hard it is to get right, but rather than go through the long sordid tales of all the times I've said the exact wrong thing I thought I would instead sum up what we, along with all the wonderful participants, concluded during the course of the talk. Some of the statements are specific ... Read more »
Some Veterinarians Sell Unnecessary Online Memberships By Throwing Colleagues Under the Bus
Some Veterinarians Sell Unnecessary Shots, Tests to Make Extra Money, Says Former Vet Did you see this bit on 20/20 this weekend? Ah, media. Titled "Veterinary Confessions," the piece follows a couple of dogs through a series of veterinary visits where different vets offer different services based on their clinical experience, interspersed with the contrite admonitions of a former veterinarian who says that he was, before he relinquished his license (more on that later), the medical ... Read more »
Poke, pay, push off
I used to work in a clinic that offered twice a week vaccine clinics. During those times, we would waive our customary exam fee (at the time it was $45), as long as the client was coming in solely for vaccines and had no health questions. We did this to provide a service to those clients who would go to the weekend vaccine clinic at the pet store instead of coming to us. I know how those weekend clinics work. They are much like the flu clinic I took my kids to last week. You go, you get your ... Read more »
my sweaty self, my gym bag, my cat
One of the things they always tell you in vet school is "don't go on gut instinct alone." And this is a good point, because you can't really practice sound medicine based solely on intuition. You get a hunch, then you follow through with science to prove or disprove your hypothesis. Most of the time, though, you're right, even if you don't want to be. Like the time I was patting Nuke on his side and felt a mass pushing back on my hand. "Splenic hemangiosarcoma," my mind spit out, and an ... Read more »
