RANT HERE thread

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Ok, so forgive me if I am a butthole for posting this, but it is the story I always think of whenever there is a question about what a client or doctor says. This is an extreme case but has served as my reminder for why records of even itty-bitty stuff is important. Please see the funny. Realize it was in 2006 during my first year as a tech so I likely don't have all my facts straight either.

There were at least 3 people, 2-3 lawyers and 2+ clinics involved, some of which was very fuzzy even at the time.

A client we haven't seen in 2 years or more calls and asks for a record transfer to their new vet for Fluffy and the deceased dog, so they have a history of care (pretty sure it was the wife). She then calls back and gives us a different fax number saying the first records were sent to the wrong place. We didn't think anything of it at the time, but fast forward a week...

Husband and girlfriend come in to get all of Fluffy's vaccines and ANYTHING ELSE WE CAN POSSIBLY DO done while they are there. We update vaccines and try to figure out what they really want and somehow the other clinic and at least one other are brought up. The hubby also wants his wife's name pulled from the record and wants us to mark all treatment done in the last 3 years as paid for by his girlfriend. We called the vet clinic that we had transferred records to just to see what is up since something is not right here.

They declined to comment on their client but felt it wise to warn us that THEY had updated Fluffy 2 weeks prior, and possibly a third clinic had done it a month before that and that the owners were in a nasty divorce and trying to use veterinary records as part of the suite.

We declined to change any records and sent client fire letters to all parties involved at the advice of a lawyer/accountant but that second fax number was apparently the wife's lawyer and they issued a spina for our vets to testify on behalf of the wife that she was the primary caretaker. Our records really did have just the husband's name on them with the wife mentioned occasionally. No real record as to which spouse was in for which care and most of the file was over 5 years old. The appt 2 years before had been a Bordetella vax. Even saying that was a problem though as apparently the dog was given the update to board while the husband was supposed to have been home taking care of it. Instead he had gone on a cruise with his girlfriend.

So we, the poor confused clinic staff are having 5 different people calling and trying to grill us about this dog's treatment and care history and about who cared for it and this is the first time we have ever had to say "no comment." I don't know if it was the lawyers like the office manager suspected, but somebody tried to call pretending to be the police with an animal neglect accusation and then as an emergency clinic saying they had Fluffy and Fluffy had been hit by a car and it was vitally important that they knew if the girlfriend had been at the Bordetella vax appt 2 years prior. We were also threatened with a law suite by the husband for releasing records to his ex-wife (not that we knew) and by the wife for endangering her dog with extra vaccines. We were afraid to tell anyone anything about any animal for over a year after that. The office manager started asking people for 2 forms of ID and a signed statement that this was their animal for awhile before we would even talk about the pet and we had to verify in at least 2 ways that a number belonged to another vet clinic and that the actual owner was requesting a record transfer.

It's all a bit funny now, but back then the other clinic was threatening to take us down with it if they lost money in the suit and everbody, from JAVMA to the national media was speculating how high the value of a pet could go and this couple wanted to find out by including vet clinics as witnesses or by suing the clinics if they lost the dog.

I think a judge ended up reprimand in the lawyers and the couple and got them to drop that whole part of the divorce case. Turns out neither of them liked the dog anyway and it went to some young neighbor who watched the poor thing anyway.
 
client with an overweight dog doesn't care to listen to me when I tell her that her dog will have all these health issues if she doesn't cut back. "But she's so cute fat." Do you think arthritis is cute? How about a CCL rupture? Anyway, discharging her from her dental recently the client asks if she can have her daily sweet tea today. She goes to McDonald's every day and buys her dog sweet tea. :lame:

She didn't want to listen to info about caffeine toxicity or empty calories. Her dog really loves that sweet tea!

People :smack:
 
I swear, every time I have a dog that comes in for pancreatitis secondary to dietary indiscretion, I have two groups of people. The smart group who realizes that they should never ever ever give fatty people food to their dog again. And the not so smart group of people who just says, "well it's never caused any problems before, so that giant ham bone couldn't have been it. You're full of ****."

Same thing with the acutely ill tick borne illness dogs. Smart people start religiously applying flea/tick prevention. The not so smart people keep saying, I've had dogs my whole life and they've been fine without having that stuff"

Same with flea/food allergy... Ugh...

(I had a non client who came in to euthanize their dog for a pyo, and he lectures me about how I ought to be encouraging people to spay their dogs because this would never have happened if he'd only known and spayed the dog when she was young. Um... yeah... Thanks for the tip. I'm pretty sure that either this dog just hadn't been to the vet'a office to get that advice or he must have declined it at some point. In my area I can't think of a single clinic that would not advise people to spay their pets).
 
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I worked with a vet whose goal was to make people cry when they committed "weight abuse." Part of me applauded her. Part of me felt bad for some of the really dumb clients who really didn't know better and thought orange cats should look like Garfield.
 
Or the clients that demand Apoquel for itchy Fluffy but won't r/o flea allergy dermatitis, do a food trial, or do allergy testing. Umm pretty sure you'll be more successful in managing Fluffy's itch in the future if you can identify and treat the cause if there is one.
 
Or the clients that demand Apoquel for itchy Fluffy but won't r/o flea allergy dermatitis, do a food trial, or do allergy testing. Umm pretty sure you'll be more successful in managing Fluffy's itch in the future if you can identify and treat the cause if there is one.

True, but Apoquel will help for both food and atopy related allergies. I can understand not doing either the food trial or the IDAT testing if you can't end up affording the maintenance care. Certain prescription/novel proteins are expensive, especially for larger dogs. And if you can't commit to allergy shots, the serum or BID subliguinal application, it might not be worth it to spend the money on the testing. And food trials can be extremely difficult if you have young kids in the house. Heck, even ruling out FAD for a large dog is expensive since you are using twice the product. I always recommend it, but I can understand why people can't and might just want to medically manage during the bad months. Heck, I still reach for Apoquel for a month or two for my guy and he has confirmed atopy and receives weekly injections. But I also get how frustrating it is when people can't. Now that I'm closer to being a vet officially, I feel like I'm getting better at not judging people for things and just helping them do what they can for their pet.
 
Yeah, allergy testing is absolutely pointless unless you are going to try the hyposensitization injections. And if you have a client interested in this, have them get intra dermal allergy testing, the serum testing isn't anywhere near as accurate.
 
Yeah, allergy testing is absolutely pointless unless you are going to try the hyposensitization injections. And if you have a client interested in this, have them get intra dermal allergy testing, the serum testing isn't anywhere near as accurate.

And warn them the animal might be miserable for a couple weeks since you have to go off Pred/antihistamines for like two weeks. I was bad and tested my guy only after being off Cetirizine for like 5 days. =/
 
The doctor suspects my bf has prostate cancer. We are waiting for biopsy results. I am a wreck. I lost my last bf to a suicide bomber in Afghanistan. I can't handle a loss like that again. 🙁
 
Or the clients that demand Apoquel for itchy Fluffy but won't r/o flea allergy dermatitis, do a food trial, or do allergy testing. Umm pretty sure you'll be more successful in managing Fluffy's itch in the future if you can identify and treat the cause if there is one.
My dog has what I think are environmental allergies but I'm not going to do a food trial or any allergy testing... I'd love to get her on Apoquel but it's either unavailable in my area or marked up a ridiculous amount because of the lack of availability. So, instead, she's living with my boyfriend in Florida because she is apparently only allergic to something in California! Totally not wrong to give Apoquel to a client for food or environmental allergies 🙂 I have actually heard of people prescribing it for very severe FAD as well.
 
My rant for today? Someone hit my car in the parking lot while I was scrubbed in on a cystotomy 😡
 
My dog has what I think are environmental allergies but I'm not going to do a food trial or any allergy testing... I'd love to get her on Apoquel but it's either unavailable in my area or marked up a ridiculous amount because of the lack of availability. So, instead, she's living with my boyfriend in Florida because she is apparently only allergic to something in California! Totally not wrong to give Apoquel to a client for food or environmental allergies 🙂 I have actually heard of people prescribing it for very severe FAD as well.
have you tried zyrtec or hydroxyzine?
 
have you tried zyrtec or hydroxyzine?
I have not and that's also why I haven't pushed for Atopica or Apoquel yet; I simply haven't exhausted all of my other options. Plus, she goes back and forth between Florida often enough that the allergies aren't too bad of a problem, at least not for more than a couple weeks at a time. She'll only be in California for about 8 weeks at the end of the year and then probably never back here, so hopefully we just won't run into this problem again. She's not in Florida because she couldn't handle her allergies here -- it's because I'm in clinics and 12 hour days plus an hour commute each way does not a happy dog make.
What's your opinion of chlorpheniramine?

[edit] I lied. We have tried Zyrtec. We've tried Zyrtec, diph, and we've done prednisone but obviously the prednisone is not a fantastic long-term therapy.
 
I have not and that's also why I haven't pushed for Atopica or Apoquel yet; I simply haven't exhausted all of my other options. Plus, she goes back and forth between Florida often enough that the allergies aren't too bad of a problem, at least not for more than a couple weeks at a time. She'll only be in California for about 8 weeks at the end of the year and then probably never back here, so hopefully we just won't run into this problem again. She's not in Florida because she couldn't handle her allergies here -- it's because I'm in clinics and 12 hour days plus an hour commute each way does not a happy dog make.
What's your opinion of chlorpheniramine?

[edit] I lied. We have tried Zyrtec. We've tried Zyrtec, diph, and we've done prednisone but obviously the prednisone is not a fantastic long-term therapy.
Someone I worked for pushed chlor, I haven't personally done it for this dog because q12h is already nearly impossible let alone more frequent. Zyrtec worked great when we we're in grenada, but hasn't been very helpful in Florida (though the itch level was itchy but not chewing self to pieces like it was when he was off all meds). Hydroxyzine is what our derm likes here, and I bit the bullet and Did a steroid taper (that's a funny story...) as I tried it out and he definitely does better. Not 100% itch free, but I'd say hes 85-90%. Unless he's naughty and drops a dose haha.

I'd be extremely hesitant to put him on atopica unless I absolutely had to (I'd try immunotherapy first if I could) because if the current literature that suggests these guys long term may be more at risk of cancer, and then the liver side effects. I know very little about apoquel, other than its been on back order for years and now it's back but very hard to get a hold of. Our supply is very limited, and owners only get it if they are derm clients who have done some sort of work up (food trial, antihistamines, etc)
 
Someone I worked for pushed chlor, I haven't personally done it for this dog because q12h is already nearly impossible let alone more frequent. Zyrtec worked great when we we're in grenada, but hasn't been very helpful in Florida (though the itch level was itchy but not chewing self to pieces like it was when he was off all meds). Hydroxyzine is what our derm likes here, and I bit the bullet and Did a steroid taper (that's a funny story...) as I tried it out and he definitely does better. Not 100% itch free, but I'd say hes 85-90%. Unless he's naughty and drops a dose haha.

I'd be extremely hesitant to put him on atopica unless I absolutely had to (I'd try immunotherapy first if I could) because if the current literature that suggests these guys long term may be more at risk of cancer, and then the liver side effects. I know very little about apoquel, other than its been on back order for years and now it's back but very hard to get a hold of. Our supply is very limited, and owners only get it if they are derm clients who have done some sort of work up (food trial, antihistamines, etc)
That's what's so funny about my own dog. We all know Florida is an awful state for allergies, and yet she has no reaction to anything in Florida. She's lived probably equal parts of her life in California and Florida so it's not like it's a lack of exposure. I might have to try hydroxyzine when she comes back here if the allergies get bad. I was setting up to try it when I discovered she needed to move to Florida for a couple months, and then it just didn't matter.
I know a hospital around me that has bottles and bottles and bottles of Apoquel. I was pretty shocked when I saw just how stocked their pharmacy was.
 
That's what's so funny about my own dog. We all know Florida is an awful state for allergies, and yet she has no reaction to anything in Florida. She's lived probably equal parts of her life in California and Florida so it's not like it's a lack of exposure. I might have to try hydroxyzine when she comes back here if the allergies get bad. I was setting up to try it when I discovered she needed to move to Florida for a couple months, and then it just didn't matter.
I know a hospital around me that has bottles and bottles and bottles of Apoquel. I was pretty shocked when I saw just how stocked their pharmacy was.
I also have a ton of it. and hydroxyzine. If you are in need and in FL at some point...
 
I also have a ton of it. and hydroxyzine. If you are in need and in FL at some point...
Tampa area, right? I will be in Florida and actually hoping to visit some places for VIRMP in Tampa the week of Thanksgiving, if you're around!
 
Tampa area, right? I will be in Florida and actually hoping to visit some places for VIRMP in Tampa the week of Thanksgiving, if you're around!
yup. I will be around. End of the week my brother and his kids will be in town, but beginning I will be free.
 
I might have to try hydroxyzine when she comes back here if the allergies get bad.

For the past month I haven't been able to sleep. I have no idea what's going on as I've always been an extremely heavy sleeper. I can fall asleep, but I wake up every 2 hours which is super irritating and I'm starting to look like a zombie. Perfect in time for Halloween.

I'm getting in at a sleep lab soon, but I was given some Hydroxyzine. I took a really low dose and that **** made me so incredibly out of it for 36 hours; felt like a really nasty hangover.
 
The last two days have been such clusters...sobbed on my way home. I feel hyper-aware of patient confidentiality but essentially the whole situation has me feeling as though my professional opinion, validated by everyone else in the practice, is worth less to my boss than keeping a client who has proven to be nasty as well as negligent in the care of her animals. I feel so upset and heartbroken by it all; all I can think is that life truly isn't fair sometimes 🙁
 
The last two days have been such clusters...sobbed on my way home. I feel hyper-aware of patient confidentiality but essentially the whole situation has me feeling as though my professional opinion, validated by everyone else in the practice, is worth less to my boss than keeping a client who has proven to be nasty as well as negligent in the care of her animals. I feel so upset and heartbroken by it all; all I can think is that life truly isn't fair sometimes 🙁
Sorry. *** sigh *** Sorry.
 
The last two days have been such clusters...sobbed on my way home. I feel hyper-aware of patient confidentiality but essentially the whole situation has me feeling as though my professional opinion, validated by everyone else in the practice, is worth less to my boss than keeping a client who has proven to be nasty as well as negligent in the care of her animals. I feel so upset and heartbroken by it all; all I can think is that life truly isn't fair sometimes 🙁
I'm so sorry trh 🙁

My rant: Two other girls and I were hired to be vet assistants at a new hospital location. We've been training at another location for about 2 months. They are both full time, I'm part time. We open in two weeks but we are going to be doing a lot of stuff at the new hospital so we won't really be training anymore except maybe a day or two here and there. And yet somehow one of them (we'll call her Alice) hadn't even been doing rooms on her own until this week. She has only been there for surgery/morning drop-offs once. And then yesterday, we tag teamed a 3 pet room, and the doctor (one who we haven't worked with before and did things very differently from the other doctors) was talking to one of the other VA's afterwards and said it seemed like we didn't know what we were doing in the room. Alice then proceeded to tell the doctor that it was me that didn't know what I was doing. Bull ****ing ****. I was barely even in the room. I drew up the vaccines and got all the other stuff ready, and then was running back and forth setting up blood work and fecals. But of course I had to have a meeting with my shift lead about it today (thankfully she listened to my side and my work speaks for itself). So, Alice was already on everyone else's **** list for being basically incompetent, but now she's found herself on mine too. Which is a really difficult thing to do.

Then we have the other VA, we'll call her Becky. Usually she does pretty well but she was doing surgery monitoring and dentals and all that herself this morning (I wasn't there so this is second hand). She left around 3pm, which is normal for the surgery tech, presumably having entered all of her lab work and done all of her notes and everything. 5pm rolls around and one of the other VAs goes to check to make sure everything was done and...nope. She had to go behind her and do all her notes - for 6 surgeries. And then we find that she put the dental under the wrong doctor (one who wasn't even there today) so that was a whole cluster**** situation. And those of us who weren't even there until the afternoon had to deal with an understandably pissed off doctor for the rest of the evening.

Basically I'm not looking forward to the first few weeks after we open. Training wheels will be off and I'm not sure everyone is ready to ride yet.
 
The last two days have been such clusters...sobbed on my way home. I feel hyper-aware of patient confidentiality but essentially the whole situation has me feeling as though my professional opinion, validated by everyone else in the practice, is worth less to my boss than keeping a client who has proven to be nasty as well as negligent in the care of her animals. I feel so upset and heartbroken by it all; all I can think is that life truly isn't fair sometimes 🙁

Let me know if you need a friendly ear. I'm good at secret keeping if needed 🙂
 
I'm sorry, TRH. That must be so demoralizing. 🙁

Basically I'm not looking forward to the first few weeks after we open. Training wheels will be off and I'm not sure everyone is ready to ride yet.

Something similar has been happening at my workplace. We're not a new hospital, but we have a batch of newer people that still kind of need some training wheels, but we don't have the staff or time to do more hand-holding. The worst offender is a very sweet person but is careless and makes mistakes constantly. She's gotten a little better recently, but when the rest of us work with her, we have to double-check most things she does. I've caught multiple errors that could've immediately harmed a patient and I'm not the only one who has caught stuff like that which this person has been responsible for. I know that management have repeatedly talked to her, but it's damaging morale among everyone else to have her and the other two who aren't picking up on things fast enough around. It's hard enough to get your own work done some days, but to have to clean up other people's messes as well...
 
Something similar has been happening at my workplace. We're not a new hospital, but we have a batch of newer people that still kind of need some training wheels, but we don't have the staff or time to do more hand-holding. The worst offender is a very sweet person but is careless and makes mistakes constantly. She's gotten a little better recently, but when the rest of us work with her, we have to double-check most things she does. I've caught multiple errors that could've immediately harmed a patient and I'm not the only one who has caught stuff like that which this person has been responsible for. I know that management have repeatedly talked to her, but it's damaging morale among everyone else to have her and the other two who aren't picking up on things fast enough around. It's hard enough to get your own work done some days, but to have to clean up other people's messes as well...
Yeah the VAs at the place we've been training are pretty much pulling their hair out. I feel really bad for them because instead of benefitting from the extra hands (especially since we've now been training there for a little over 2 months) they're having to double check everything. It wasn't as bad earlier on when there was always someone looking over their shoulders but now that we're in the end stages of training and doing things more independently it had just been multiple days of **** hitting the fan at the end of the day.
 



I really think this is just another one of those money making schemes people like to do while blaming vet visits as unnecessary and overpriced. But regardless of the actual merits/issues with this service, wtf is up with this stupid commercial?

First of all, why would a bag of PUPPY food be expired? And seriously? A lab puppy is not eating, and your question as a vet is, "is the food expired?" This is like the dumbest example I could have ever come up with. Seriously, I would have at least nodded along if it was like a dog reverse sneezing, or a nipple confused as a mass, my dog just ate 3 marshmallows, or something like that, where this service legitimately might be worth it for the owner.

I can almost guarantee the little money you would make as a vet for this fairly cheap service is NOT worth the babbling of idiotic things owners will keep going on and on about. Especially with the crowd who are too cheap to go to the vet's office and only interested in home remedies, I can't imagine how annoying those conversations must be.
 



I really think this is just another one of those money making schemes people like to do while blaming vet visits as unnecessary and overpriced. But regardless of the actual merits/issues with this service, wtf is up with this stupid commercial?

First of all, why would a bag of PUPPY food be expired? And seriously? A lab puppy is not eating, and your question as a vet is, "is the food expired?" This is like the dumbest example I could have ever come up with. Seriously, I would have at least nodded along if it was like a dog reverse sneezing, or a nipple confused as a mass, my dog just ate 3 marshmallows, or something like that, where this service legitimately might be worth it for the owner.

I can almost guarantee the little money you would make as a vet for this fairly cheap service is NOT worth the babbling of idiotic things owners will keep going on and on about. Especially with the crowd who are too cheap to go to the vet's office and only interested in home remedies, I can't imagine how annoying those conversations must be.


:laugh:

I don't think the lab puppy would give 2 craps if the food was "expired". He's a lab. Lol. Nope would not sign up to be part of that service.
 



I really think this is just another one of those money making schemes people like to do while blaming vet visits as unnecessary and overpriced. But regardless of the actual merits/issues with this service, wtf is up with this stupid commercial?

First of all, why would a bag of PUPPY food be expired? And seriously? A lab puppy is not eating, and your question as a vet is, "is the food expired?" This is like the dumbest example I could have ever come up with. Seriously, I would have at least nodded along if it was like a dog reverse sneezing, or a nipple confused as a mass, my dog just ate 3 marshmallows, or something like that, where this service legitimately might be worth it for the owner.

I can almost guarantee the little money you would make as a vet for this fairly cheap service is NOT worth the babbling of idiotic things owners will keep going on and on about. Especially with the crowd who are too cheap to go to the vet's office and only interested in home remedies, I can't imagine how annoying those conversations must be.

They should have added this:
Disclaimer: No actual veterinarians were involved in the making of this commercial.
 
Cut my finger with a bread knife yesterday. Hurts like a mother. I will never be a surgeon.
 



I really think this is just another one of those money making schemes people like to do while blaming vet visits as unnecessary and overpriced. But regardless of the actual merits/issues with this service, wtf is up with this stupid commercial?

First of all, why would a bag of PUPPY food be expired? And seriously? A lab puppy is not eating, and your question as a vet is, "is the food expired?" This is like the dumbest example I could have ever come up with. Seriously, I would have at least nodded along if it was like a dog reverse sneezing, or a nipple confused as a mass, my dog just ate 3 marshmallows, or something like that, where this service legitimately might be worth it for the owner.

I can almost guarantee the little money you would make as a vet for this fairly cheap service is NOT worth the babbling of idiotic things owners will keep going on and on about. Especially with the crowd who are too cheap to go to the vet's office and only interested in home remedies, I can't imagine how annoying those conversations must be.

I'm curious about the legality of something like this... How do you establish and maintain a VCPR? In the case of that lab puppy that's not eating, we all kind of agree it shouldn't be the expired food that's putting it off food... Would you just say "You should go to an in-person vet for bloodwork and rads"?
 



I really think this is just another one of those money making schemes people like to do while blaming vet visits as unnecessary and overpriced. But regardless of the actual merits/issues with this service, wtf is up with this stupid commercial?

First of all, why would a bag of PUPPY food be expired? And seriously? A lab puppy is not eating, and your question as a vet is, "is the food expired?" This is like the dumbest example I could have ever come up with. Seriously, I would have at least nodded along if it was like a dog reverse sneezing, or a nipple confused as a mass, my dog just ate 3 marshmallows, or something like that, where this service legitimately might be worth it for the owner.

I can almost guarantee the little money you would make as a vet for this fairly cheap service is NOT worth the babbling of idiotic things owners will keep going on and on about. Especially with the crowd who are too cheap to go to the vet's office and only interested in home remedies, I can't imagine how annoying those conversations must be.


I think there is also a MD version of this. I forget where I heard about it though.
 
I'm curious about the legality of something like this... How do you establish and maintain a VCPR? In the case of that lab puppy that's not eating, we all kind of agree it shouldn't be the expired food that's putting it off food... Would you just say "You should go to an in-person vet for bloodwork and rads"?

I am also curious about the VCPR aspect of this as well. Considering there was a recent case of a vet in Texas giving veterinary advice via email and telephone that was reprimanded for doing that, I can't imagine this is much different and will go against many state laws about establishing a VCPR.
 
I think there is also a MD version of this. I forget where I heard about it though.
There are a lot of MD versions of this, as well as nurse hotlines that people are encouraged to call prior to swamping their doctor's offices. The difference is, people can answer more or less accurately what they're experiencing. I'm sure there are some issues with it involved as well, but telemedicine is a pretty big thing on the human side.
 
I'm curious about the legality of something like this... How do you establish and maintain a VCPR? In the case of that lab puppy that's not eating, we all kind of agree it shouldn't be the expired food that's putting it off food... Would you just say "You should go to an in-person vet for bloodwork and rads"?
You DON'T have a valid VPCR with this model.

As long as you don't give a specific diagnosis or do anything that requires a veterinarian to do like prescribe meds, then you probably can't get in trouble.

So if a dog vomits once but is doing perfectly find otherwise, you probably won't get your license yanked for saying "try withholding food for a few hours and give a small amount of bland diet. If vomiting continues or you notice diarrhea, lethargy, or inappetance, you should go take her in." As long as you explain that vomiting could indicate serious issues that may need intervention.

But there are a lot of things that could be toeing that line for sure. I absolutely would not want anything to do with the cluster that this could mean for my license. Like I personally would not feel comfortable telling people to try OTC things for any reason without having seen the pet. I will sometimes over the phone for clients I have a VPCR with, but not otherwise.
 
There are a lot of MD versions of this, as well as nurse hotlines that people are encouraged to call prior to swamping their doctor's offices. The difference is, people can answer more or less accurately what they're experiencing. I'm sure there are some issues with it involved as well, but telemedicine is a pretty big thing on the human side.
Yeah, i know for Tricare there's a nurse hotline that they typically ask you to call before you go the doctor, and then they'll set you up with the appointment people.

Of course they tried to tell me to wait and make a appointment with my regular doctor after I had already been there two days earlier and had a headache for over a week. So I eventually got them to tell me it was ok to go to the ER 😛
 
You DON'T have a valid VPCR with this model.

As long as you don't give a specific diagnosis or do anything that requires a veterinarian to do like prescribe meds, then you probably can't get in trouble.

So if a dog vomits once but is doing perfectly find otherwise, you probably won't get your license yanked for saying "try withholding food for a few hours and give a small amount of bland diet. If vomiting continues or you notice diarrhea, lethargy, or inappetance, you should go take her in." As long as you explain that vomiting could indicate serious issues that may need intervention.

But there are a lot of things that could be toeing that line for sure. I absolutely would not want anything to do with the cluster that this could mean for my license. Like I personally would not feel comfortable telling people to try OTC things for any reason without having seen the pet. I will sometimes over the phone for clients I have a VPCR with, but not otherwise.
I feel like most people will feel similarly as you as far as putting your license on the line and putting yourself in a weird situation. I wonder if this is going to be more targeted at attracting new vets who just graduated and are trying to make a little extra dough for loan payments.
 
Yup. No personal desire to get into telemedicine.

That said, I wouldn't be surprised if there's a demand. First, there's a demand in human medicine. Second, I've had a surprising number of people suggest it to me as something I should do. (That obviously doesn't inherently mean it's a good idea or that there's a good business case or ANYTHING - just saying I wouldn't be surprised if there's a desire for it from people.)

If I were gonna do telemedicine, I'd go the route of antech and others - specialists who only talk to other doctors. Clients are crazy enough in person. I'd have to have a static image of me to do teleconferencing via the net - otherwise clients would see me rolling my eyes too frequently.
 
I feel like most people will feel similarly as you as far as putting your license on the line and putting yourself in a weird situation. I wonder if this is going to be more targeted at attracting new vets who just graduated and are trying to make a little extra dough for loan payments.

Apparently that's how they're pitching it to vets.

Honestly though, I can earn $300-500 a day just taking on an extra 8 hr shift. I can't imagine how many of those stupid calls I would have to take to make the same amount.
 
Apparently that's how they're pitching it to vets.

Honestly though, I can earn $300-500 a day just taking on an extra 8 hr shift. I can't imagine how many of those stupid calls I would have to take to make the same amount.

"Here listen to Fluffy. Doesn't his breathing sound funny?"

"You should take him in to the vet"

"Oh, why can't you just tell me what is wrong with him?"

I can imagine at least one of those each day with that service.
 
I feel like lowering the barrier to entry (telemedicine) would just lower the barrier to stupidity.

At least right now if people want to talk to me they at least have to pay $118 just for me to chat with them - and my staff warn each and every client that diagnostics and therapy are more ..... so it kinda weeds out at least SOME of the crazy. With telemedicine, it would be nothing BUT crazy.


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