The Vetpodcast - Talking About Animal Health

The Vetpodcast
The Vetpodcast - Talking About Animal Health

The Vetpodcast. Current animal health issues discussed by veterinary professionals from around the world. From pet nutrition to looking after zoo animals to blood testing spiders to the mental toll being endured by members of the veterinary profession  there is sure to be something of interest for those in the veterinary industry and pet owners alike. Find out more about us at https://beacons.ai/vetpodcast

  1. 26/06/2024

    What was the client thinking? That was not really what I meant!

    Welcome back to another episode of Better Work Stories by The Vet Podcast. I'm veterinarian, Dr. Bryan Gregor. Now, relaying bad blood results to clients can sometimes be difficult and stressful for veterinarians. But this [00:01:00] discussion with a client just takes the cake. Can you imagine, or more likely not imagine, What was going on inside this poor old guy's head?This is, this is one of these situations where you really have to wonder what the client was thinking. It was a busy afternoon and I got a phone call from my receptionist, got a call from my receptionist and she said that Mr. Smith's on the phone and he would like to talk to you about his. Yep, that's fine.Flick through my files and found a file there for a cat belonging to Mr. Smith. Now these cat results, blood results, didn't look particularly good. They indicated end stage kidney failure. The cat was stuffed, not too much to do so. Picked up the phone and, uh, Mr. Smith, how are you got through the normal pleasantries?He says, right, tell me about the blood results. So I said, look and went through them. The kidneys aren't that flash and went through all of the parameters and anemia and all this sort of thing. And he was okay. So what do we do about that? I put on my best bedside manner and said, um, look, I think. Probably the best thing that we can consider would have to be euthanasia.I think it's just the kindest. It's going to stop any suffering, which is if not happening already, will be happening soon. There was a stunned silence on the phone. Nothing. It was just dead. About 10 seconds, 15 seconds later, he came back to me and he said, Can you do that? And I said, do what Mr. Smith? And he said, Euthanasia.And I said, yeah, of course, euthanasia is not a problem at all. Um, we can do it whenever you want, actually. And my advice would be sooner rather than later. Again, a stunned silence. And I said, Oh, do you want to book that in? Or do you just need to have a think about it or have a talk to the family? And he says, Oh, look, I would actually really, really like to talk to my family about this.This is a huge step. I did two things. One, I didn't know you could do that. And two, I wasn't expecting these results from the blood tests. All I did was called into the doctor for my regular six monthly blood tests. And I said to him, hang on a minute, what do you mean called into the doctor for your six month blood tests?And he says that, well, I called into the Highfield Medical Center to get My blood test taken. Then the penny [00:04:00] dropped. We are the Highfield Veterinary Center and just by coincidence we had run some blood screens on a cat belonging to a Mr Smith and this poor old bugger thought that I was suggesting that he be euthanized.Better work stories everybody.If you are a veterinary professional and you have your own better work story, why don't you email me at vetpodcast@gmail.com or search your socials for vetpodcast. If you can, why not tell the world? Better work stories, eh?

    5 min
  2. 07/05/2023

    How much did you say it was? You are kidding me! A look at the cost of veterinary care.

    Having spent my working life in veterinary practice, a lot of it as a practice owner, I am well used to comments about how much veterinary services cost, some in jest, some in shock and occasionally some in anger. Is this fare criticism though? Let’s take a closer look.Often the comments are in jest. I have been introduced a few times as “this is Bryan Gregor, my vet, the richest man in Timaru”.  I don’t think so. There is this perception that veterinarians have a license to print money. Another comment I sometimes hear is “it costs me less to see my doctor”. I will put this comment to bed straight away. At least in New Zealand, human medical expenses receive a government subsidy. The doctors fee, blood tests, xrays and medicines all have a large proportion of the expense covered by the government. Although this may not occur in every country, I am led to believe that it is common enough, so as the saying goes, you are not comparing apples with apples when you put the cost of veterinary treatment beside human treatment, and to reinforce this further, an ovariohysterectomy or spey of a female dog may put you back something like $350 dollars in New Zealand. Compare that with the human hysterectomy surgery which is pretty much the same surgery. I have seen a cost of $13 000 -$15 000 mentioned. So, lets pare back the veterinary fee and see where it goes. The kind of figures bandied around are approximately as follows. In New Zealand 15% of the fee is GST which is the equivalent of the VAT in England. About 20% pays the veterinary nurses, receptionists, and other support staff. About 20% pays for drugs and other items used in treatments, 20%ish pays for clinic overheads like the lease, insurance and management leaving about 20% as the vets income. To follow this through, if the vet didn’t actually charge for their time, the veterinary fee would only decrease by 20% so a $500 charge would only drop to $400. I do agree that sometimes vet bills may appear more expensive than they used to so lets look at what may have happened. When I qualified as a veterinarian, and bear in mind that this is almost 40 years ago, veterinary medicine was relatively rudimentary. Our companion animal pharmacy only really consisted of a few antibiotics, cortisone, eye and ear drops and an old anti-inflammatory called phenylbutazone. I am probably oversimplifying this but you get the point. Although blood tests were available from the commercial lab, it would take up to a week to get the results by the time the samples were put on the bus that only left the small town I first worked in twice a week. The tests were run at the lab and the results mailed out so it took upward of a week. The animal would be better or dead by the time we got the results so normally we didn’t bother. Anaesthetics were fairly crude, often just using intravenous barbiturates. Qualified veterinary nurses or techs were not a thing, and anesthetic monitoring was the exception rather than the rule.You get the picture.So these days the scope of what is available as far as veterinary treatment goes has advanced by light years. Drugs are unrecognizably advanced, but unfortunately, they come at a cost. The drug companies are always going to want to recoup their R & D spend.It has now become the expectation that clinics will have their own in house blood analysers, ultrasound machines, x-ray – both general and dental and more practices are now investing in CT scanners. These devices have gone from being a nice to have to a must have. I probably don’t need to say but a lot of them are quite expensive with clinics often having hundreds of thousand of dollars of gear. Unfortunately, they have to be paid for.Added to the client expectation, government and professional expectation is that practices utilize these ancillary tests. A simple example of this could be an unfortunate aneasthetic death. If a complaint is made and investigated by the regulatory aut(continued)

    14 min

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About

The Vetpodcast. Current animal health issues discussed by veterinary professionals from around the world. From pet nutrition to looking after zoo animals to blood testing spiders to the mental toll being endured by members of the veterinary profession  there is sure to be something of interest for those in the veterinary industry and pet owners alike. Find out more about us at https://beacons.ai/vetpodcast

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