As a vet you get propositioned a lot. And, no, it’s not what you’re thinking. In Miami I get phone calls or letters every month or so asking if I’d like another job. Believe it or not, it’s difficult to find a reasonably good, bilingual vet around here. In fact, I get propositioned so often you’d think it was hard to find any vet around here—any vet that’s a potential free agent, that is.
It seems that Miami has too many chiefs and not enough injuns. Everyone here in Miami’s vetville is either an upstart immigrant managing without even an X-ray machine or an old-timer looking to cash out for way more than his practice is really worth.
In between are the “claimed,” intelligent practices of those who know how to share (precious few) and we, the lowly yet much-desired, would-be-free-agent associates.
Should the much sought-after free agent respond cheerfully to any one of the offers on the table, he would quickly see beyond the smoke and mirrors: $300 a day for a ten-hour day for six days a week of hellish clients in cramped quarters with surly, underpaid techs—not my idea of fun. I’d rather swim with leeches in a jacuzzi.
How do I know? As a young thing fresh from school with visions of Philadelphia-practice standards of care in my head, I, too, responded to these overtures. I played the field. I learned that taking on what we call “relief” days while other vets went to conferences or visited faraway countries was an exercise in delusional behavior.
What’s the definition of insanity? Doing the same thing over and over again expecting different results each time. That was me. It was like going on a series of bad blind dates expecting to meet Prince Charming every time out.
I tried out days at those pretty practices with cookie-cutter vaccine schedules and disease treatment flow sheets (so much for my education—a trained monkey could practice medicine better in this environment).
I did my time in dank, forty-year old places with mold creeping up walls, no surgery lights and often no payment forthcoming for weeks (I remember once calling up a vet’s wife at home and explaining her husband’s failure to pay for my services—the embarrassed woman sent me a personal check).
Another place wouldn’t even let me practice—the head tech Nazi did everything. The vet served as mere Florida-licensed decoration.
Then there were times I’d walk into a hospital so filthy and disgusting I wouldn’t even introduce myself. I’d walk out just as fast—without explanation.
After living like this (kissing a lot of frogs for far less money than anyone merits for practicing amphibiophilia), I settled down in one place for less income than I thought I deserved. At least my lips didn’t have to approximate anything—except for my steady check at the end of the week.
Still, I wondered how other vets managed chronic free agency as a lifestyle—the life of the “relief veterinarian.” So it was that I recently asked someone who does “relief work” for a living.
Someone should have introduced me to this kind of person at the get-go. Maybe then I wouldn’t have had to deal with the stinking hospitals, the occasional non-payment or the cookie cutter nightmares, among other horrors.
Her approach? Money up-front. Research the facility through your vet friends. And charge more than enough to discourage the freaky places (and to make any potential nightmare worthwhile). This method is slow going at first. But after a year or two of this (if you’re good) you’ve probably lined up a list of acceptable clients who are perfectly happy to pay your premium.
The life of a free agent vet seems more than tolerable to me now that I’ve been enlightened. It even sounds good enough to give it a go again. At the very least, taking these guys up on their propositions could make for excellent blog fodder.
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When I saw the title of your latest post, my mind went in all sorts of directions: Is she going to write about those letters I get every week or so offering to buy Advantage and Frontline for the nebulously legal purpose of diverting said product to gray markets? Is she going to write about offers from Miami drug kingpins needing a "reliable" vet to sew up their pet Dogo Argentino who's been wounded in a shootout with DEA agents?
Somehow, the relief vet angle never occurred to me. Do practice owners in Miami really solicit vets employed at other clinics for relief work? Is that a tradition honored nationwide? Here in my state I've been making do with the list of relief vets our state VMA publishes each month. No wonder I've never been able to find a reliable locum!
Actually, it sounds like Miami is no different from us in having a shortage of competent, reliable relief vets. The list of available relief vets in my area contains maybe ten names. Ten vets to cover a metropolitan area of 1.5 million people and hundreds of practices. Until we hired an associate last year, my wife and I simply had to close the practice when she attended CE. Forget about vacations.
By the way, when can we expect the post filled with sweetness and light you promised on Tuesday? :)
catmanager March 9th, 2007 11:19:00 AM
What? This one ended positively, right? And yesterday's was funny (in a sick kind of way). I'll work on it. Any suggestions from one guy in the biz to another?
Dr. Patty Khuly March 9th, 2007 03:01:00 PM
LOL. Just giving you a hard time.
But since you asked . . .
One of the things I find most touching about working in the veterinary industry is the thank you cards we so often receive. Even when we feel we've failed or all we've done is provide a humane exit for a horribly ill cat, people still write to thank us for all we've done.
Kitten season is almost here. Surely that inspires sweetness and light? (Let's put aside the reality that many kittens are born because irresponsible pet owners neglect to have their parents spayed or neutered.)
What does your daughter think of your work (assuming she's old enough to be aware of what you do)?
What improvements (new drugs, new therapies, new technology) have you seen in vet med since you started practicing? I'm most excited about the increasing attention to feline health needs: the new appreciation of feline heartworm disease, increasing attention to analgesia in feline medicine (although we still hear all too often of vets telling clients that no pain medicines are available for cats), a general wider appreciation that cats aren't small dogs.
Whatever you choose to write about, though, I look forward to reading it.
catmanager March 9th, 2007 04:29:00 PM
Do associates ever moonlight as relief vets?
Thing One March 10th, 2007 09:35:00 AM
catmanager: See today's sweetness and light. I'll keep the otherrs on the back burner for my next sweetness and light interlude.
Thing One: Yep. That's why associated get peppered with offers. Practice managers know we need the extra cash. A common scenario is moonlighting as an emergency vet. I'm considering working on my day off doing spays and neuters and other routine surgeries for another practice. But that means working six full days a week--not too sure about that. I don't want to burn ou, either.
Dr. Patty Khuly March 10th, 2007 11:30:00 AM
I know relief work adds up to a decent living over time, but that sounds like a strategy to embrace burnout.
Have you thought about doing medical writing, if you're looking for some way to get more money flowing? The pay's good once you break in, you've got some clips already, your business degree might help you break in a little faster than most people can, and your veterinary degree would make you pretty different from the competition. And unlike relief work, you can do a lot of it at home in your bunny slippers.
Thing One March 11th, 2007 12:42:00 AM
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