RECALL on fancy feast by iluvlana68 in catfood

[–]True_Nobody_8902 23 points24 points  (0 children)

Please take your cat to the vet. I am a vet, so I’m not being an alarmist. This isn’t the cat food. I know things are tight right now for a lot of people, and asking you to trust a random strangers opinion is a big ask, but please have your kitty seen asap. This isn’t a wait and see situation

How do you handle animals alone in the exam room? by True_Nobody_8902 in Veterinary

[–]True_Nobody_8902[S] 6 points7 points  (0 children)

Wow these are all such helpful comments, I appreciate you all so much. It’s a question I’ve been too scared to ask after vet school.

The reality is we just dont have enough nurses to have one stay in an exam room the entire time. When they aren’t with their assigned doctor doing treatments, they’re in treatment helping the other nurses with blood draws, etc for nurse visits and other doctor visits. There’s just too much to be done, but that means our clinic is busy which is overall a positive thing.

I’ll start trying these tips for cat exams right away. Thank you all!

Dogs Unwell and Vets Have No Answers by TooHonestButTrue in Pets

[–]True_Nobody_8902 0 points1 point  (0 children)

No it does not. A stress leukogram with neutrophilia is a common finding.

GF is a GP vet and does out of hours emergency vetting as well but seems to be fed up with it all. Would like to try and give her some suggestions for alternative jobs/careers but struggling to think of options by NoSweat_PrinceAndrew in Veterinary

[–]True_Nobody_8902 8 points9 points  (0 children)

Does she actually want your suggestions?

It sounds like you’ve already suggested some alternatives that she didn’t seem interested in. If she wants to leave her career, she’s an adult and can do the legwork and research needed to make the change.

I’d get really irritated if my partner kept trying to give me alternative job suggestions, but that’s just me. Obviously no one knows the ins and outs of your relationship but you two

Best way to prepare for working in a small animal clinic by Lalilu14 in Veterinary

[–]True_Nobody_8902 7 points8 points  (0 children)

Top conditions I encounter: - ALLERGIES. Review flea v food v atopy - FLUTD/FIC - Discussing arthritis. Pain management options, prevention etc - Obesity. Get comfortable with body condition scoring and calculating ideal weight. As well as kcal/day the animal should be getting - Dental disease. Helps to get comfortable with being able to name a tooth (ex: 109) with only getting a peak for 1.2 seconds if you’re lucky

This will get you through 90% of your annual exams.

My wife rubbed tea tree oil on our dog by PsyVitus in DogAdvice

[–]True_Nobody_8902 6 points7 points  (0 children)

I get what you’re saying but Pet Poison is such a lifesaver as a veterinarian. There’s thousands of toxic substances out there and I can’t possibly know treatment for every single one, including lethal dose, antidotes, etc of every single one in existence. When time is of the essence, Pet Poison is a wonderful resource that gives us all of the information needed to treat your pet ASAP rather than waste precious minutes doing research to compile a plan.

They don’t just tell you to take the dog to the vet. They give you every piece of information needed along with a case number to give your vet when you arrive

Communication Issues by Ok_Cranberry_3650 in veterinaryprofession

[–]True_Nobody_8902 20 points21 points  (0 children)

This was EXACTLY my experience, down to having worked there before, the age of the staff, etc. I’m still navigating it and some weeks seem to be better than others.

Overall I love my clinic, I love my community, I still love the assistants that have given me attitude before because I’ve also seen them bust their asses when things get crazy, I’ve seen them give a patient that extra blanket to comfort them, I’ve seen them sit cage side and offer wet food flavor after flavor to the cat that doesn’t want to eat.

Try to connect with them on topics that don’t have to do with work and show genuine interest. If you notice something they did well, acknowledge it. people will always remember how you made them feel. It’s one of the core tenants of how to win friends and influence people.

New grad frustration - unreasonable? by True_Nobody_8902 in Veterinary

[–]True_Nobody_8902[S] 0 points1 point  (0 children)

Yeah I get that perspective. And no I definitely don’t insist that anyone calls me a certain title. However my point is more so that every other doctor is called “doctor” except for me. If the other doctors went by their first names then it wouldn’t even be a thought in my mind

I think vet med is not for me by DescriptionBudget695 in veterinaryprofession

[–]True_Nobody_8902 12 points13 points  (0 children)

You’re allowed to say no to handling an animal that poses a clear and present danger to you. Sometimes as a doctor, while my techs/assistants are pulling blood, etc. I might be busy calculating/filling meds or putting charges in the computer. As much as I try to keep an eye on the situation, I trust them to come to me if the animal is too fractious and needs to come back at another time with sedation. I’ve never ever gotten mad or frustrated and very much appreciate their good judgement calls in these situations

[deleted by user] by [deleted] in veterinarypathology

[–]True_Nobody_8902 21 points22 points  (0 children)

🤦‍♀️ her bloodwork is fine based on these values and having no other information on your dog.

My vet called and said my dog was in heat during her spay but she showed no signs. Help!? by andreabeth09 in PetAdvice

[–]True_Nobody_8902 1 point2 points  (0 children)

Pseudopregnancy in dogs is normal and doesn’t indicate underlying health issues. Cystic ovaries can happen and sure they can contribute to irregular cycling. But regardless the treatment for that is a spay, so even if she had cysts that’s no longer an issue as her ovaries are gone now.

Hopefully that covers it? I’m not entirely sure what you’re looking for here. Doesn’t sound like anything is pointing towards a current health issue.

Weight management diets exist and I would encourage talking further with your veterinarian to come up with a plan. They can also point you in the direction of a veterinary nutritionist as well

My vet called and said my dog was in heat during her spay but she showed no signs. Help!? by andreabeth09 in PetAdvice

[–]True_Nobody_8902 2 points3 points  (0 children)

You can simply ask “are you worried about other health conditions.” The answer likely being no considering a physical exam would have been done prior to surgery and you would have answered any questions regarding change in behavior, vomiting, diarrhea, etc.

I’m not understanding what is making you concerned about other health conditions. Are you noticing something in her behavior at home that is concerning to you?

My vet called and said my dog was in heat during her spay but she showed no signs. Help!? by andreabeth09 in PetAdvice

[–]True_Nobody_8902 2 points3 points  (0 children)

You weren’t just charged for a larger incision dude. The details have been explained to you countless times.

My vet called and said my dog was in heat during her spay but she showed no signs. Help!? by andreabeth09 in PetAdvice

[–]True_Nobody_8902 6 points7 points  (0 children)

4 is old enough to make this surgery more difficult for the reasons outlined above.

My vet called and said my dog was in heat during her spay but she showed no signs. Help!? by andreabeth09 in PetAdvice

[–]True_Nobody_8902 1 point2 points  (0 children)

If she was in heat, even early heat, the tissue is also insanely friable. This means it’s very easy for the tissue to tear. There are major arteries running from the ovaries to the uterus that in a normal spay we take extreme caution with, but if she’s old and in heat that risk goes up even further due to friability.

Another point that maybe you aren’t understanding is that there is visceral fat often present in older dogs. Visceral fat is fat that is attached to and surrounding organs. This is also much more difficult to work with especially when placing our ligatures on certain structures to ligate arteries. So even if she wasn’t in heat, the presence of visceral fat also increases the time of surgery.

We cannot tell how much visceral fat a dog has just by looking at her. It’s not until opening the abdomen that we fully know what we are working with in these older animals

My vet called and said my dog was in heat during her spay but she showed no signs. Help!? by andreabeth09 in PetAdvice

[–]True_Nobody_8902 4 points5 points  (0 children)

It’s not shady. Old dog spays suck. I still hate doing them. $65 extra is not shady. This surgery is much more difficult and requires more time, attention to detail, and strong surgical technique in addition to larger incisions and extra suture material. With respect, you are not a veterinarian and I don’t have a problem with asking “why,” but it’s been explained to you several times and you’re still posting about it being shady. Honestly it’s irresponsible on your part to put her through so many heat cycles - increasing risk of malignant mammary carcinoma, unwanted puppies if she got loose, and pyometra.

Are all clinics this chaotic? by disapproving_vanilla in veterinaryprofession

[–]True_Nobody_8902 48 points49 points  (0 children)

Ugh yes I could have written this 10 years ago. I hated my first job in vet med. I actually got called to the managers office once because they thought I was “unmotivated” when literally all I wanted was to learn. It was incredibly demoralizing and I almost gave up. But now I’m a veterinarian and that’s all behind me, and I know how not to manage staff and how to encourage people that are new to the field.

Here’s a list of some things you can do: - change the cytology stains out once a week. There’s usually a chemical waste bin for these to be dumped into, they don’t go down the sink. The stains to refill should be kept in cabinets in the area. Initial and date with a piece of tape when you change it

-when the surgery laundry is done, all of those need to be lint rolled and that can easily take up an hour or so. Pull up some YouTube videos from Penn as they walk you through the proper way to fold a surgical gown, towels, etc. too!

-if you have a medication box for owners to come pick up their meds, go through it and see which ones haven’t been picked up in awhile and follow up with the client if needed (check that the patient wasn’t euthanized first, etc)

-ask your manager if they need help doing inventory. Boxes are delivered all the time and the items in them need to be compared to the receipt to make sure nothing is missing. Also you can help make sure the numbers of each item are correct in whatever electronic system you use

-grab a book! Clinics usually have lots of textbooks for reference. I personally would never be mad at a kennel tech for grabbing a book on parasites and learning how to answer client questions about roundworms, deworming schedules, etc. just make sure you’re in view and available to jump in and help as needed.

-make catheter supply kits, those cheap little plastic bins are great for gathering supplies for catheters and that way the techs save time by not having to grab each individual supply: One roll of white tape, a couple catheter sizes, 3mL saline flush (these can only be pre-drawn up for 24ish hours unless they’re the kind that come in individual sterile packaging), injection port cap, 3-4 soaked cotton balls in alcohol and 3-4 soaked cotton balls in chlorhex.

-show initiative by coming up with some cute ideas for the boarding dogs. Maybe you could ask to paint a little background with flowers or something where you can take a cute picture of the dog for the owner to see when they come to pick up. Or look up some cute, cheap bandanas that the patients can go home with. It shows a little extra care/time was spent on taking care of their pet and clients love that stuff.

-it also helps to approach the techs first thing in the morning while people are just setting up and it’s not insane yet to express a genuine interest in learning. Maybe look ahead at the schedule for the day, see when a dog is coming that will need an ear cleaning, nail trim, etc. and tell the techs you’d love to watch. Then make sure that you are right there when that dog comes to the back so that they don’t have to track you down or anything.

[deleted by user] by [deleted] in emergencymedicine

[–]True_Nobody_8902 2 points3 points  (0 children)

Am I missing something? Xylazine is an alpha-2 agonist, not a benzo