Vetcetera Do you understand when your vet talks in Vetspeak?

April 14th, 2007  

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What a great post! I think there'd be less lawsuits if more of the medical profession( and everyone else,for that matter) would just admit that they aren't God, and sometimes they have no clue. Instead, people become spoiled in their expectations of doctors. They watch wayyy too much tv and expect instant cures. And it's not just limited to docs... I curse the people who produce the TV show CSI. Every person who has ever watched it expects cops to instantly solve crimes, within the usual 60 minute timeframe of the show. Folks-it don't work that way.

On the subject of asking your vet questions- IMHO, it's the owner's responsibilty to be informed. I love my vet, but I don't follow her advice blindly. I do my research, make comparisons, and choose what is best for my pet. She can talk to me in semi-vetspeak, because being the nerd I am, I read alot, and am familiar with words and terms that aren't in my everyday usage.

agadore's mom April 14th, 2007 11:09:00 PM

I'm so glad you liked the post. I was worried you'd be less than thrilled by the toothy pit bull mouth--but it's sooo cute, don't you think?

Dr. Patty Khuly April 15th, 2007 07:56:00 AM

Maybe I'm just one of the lucky ones, but my vet readily admits when he doesn't know something. As I've mentioned before, my cat has acromegaly. When I asked about testing for it, my vet readily agreed (Cushing's and true insulin resistance had already been ruled out). I gave him some information on testing done through Michigan State University, he called to find out the submission procedure, then we waited for the results. When he called me with them, we discovered that we even used the same resources to learn about this disease! He has told me that he's learned a lot from my research (and having a cat with a rare disease) and that he really appreciates it. Even the tight regulation protocol I use for Fletcher's diabetes is not one that my vet had heard of, yet I gave him the information, he read it, and was impressed with what I was willing to do to treat my cat.

It IS up to us as clients to ask questions--and to keep asking them until we understand. I also think it helps if we do some of our own research because that can really open up a great, informative dialogue between us and our vets. Our main goal is to care for our pets to the best of our abilities---that's the same goal of a vet. If you feel that your vet dismisses your concerns/questions, then you really need to decide if you want to stay with that person or find someone new. I know of many people that actually interview a vet before taking their animal in. We shop around for a doctor we feel comfortable with for ourselves, why wouldn't we do that for our furry family members, too?

Carolynn April 15th, 2007 09:01:00 AM

One of my former jobs was liaison between the design engineers and the call center agents who speak to actual customers. Fortunately, despite my training as an engineer, I am aware that not everyone else thinks in the same vocabulary. I also have the vocabularies necessary to go either way with those products. Sometimes telling the engineers what the customers were experiencing was the hard part -- R&D wanted details that the customer didn't see as important. Whaddaya mean it made a noise and stopped? What KIND of noise? Where was this part when the noise happened? How about that one? It gives me some patience when my vet or doctor speak in terms that I don't know, but I do worry that my ability to draw inferences may lead me to incorrect ones if I mishear a few words.

My biggest gripe on the communication front is that neither doctors nor vets seem to see any need to write things down for me in any detail. Yes, a prescription may say take X times daily with food, but that's about it. If I'm given several supplements and asked to manipulate this body part this way and that one another way, I need this stuff written down, esp. if I'm told symptom X is expected and insignificant but if I see behavior Y get back here right away. What if I mix those up because I was stunned by the diagnosis or distracted by something when the info was given? Could be bad news. To me, the seeming reluctance to give written instructions has always felt like a way to avoid liability by not leaving a paper trail.

The responsibility is shared when it comes to vetspeak. The vet should be able to switch to non-medical speak as needed, and the client should question when they need to.

kabbage April 15th, 2007 11:12:00 AM

My biggest peeve with vet speak are terms like cardio arrhythmia. Yes it suggests a heart problem but it's often used as a blanket statement much like bronchitis in human medicine.

I'm aware that a patient with a heart problem should be ultrasounded so that a accurate diagnoses can be given, but unless something is heard through the stethoscope that sounds like something can be be described ( i.e- galloping heart beat pattern or rhythm) everything is chaulked up to being a murmur or a arrhythmia.

Bronchitis is the same thing. Just because a person has junk in their chest doesn't always mean it's bronchitis nor should the possibilty of the junked up lungs in an asthmatic be ignored as it could lead to pnemonia.

When my vet says something that flies over my head at light speed I just ask her what she meant and she's more than happy to explain in simple terms.

Stacy April 15th, 2007 02:37:00 PM

Kabbage: Everyone appreciates written instructions and I have no formal way, at my place, of doing this. I often write on the back of a prescription pad, on the fax paper or on the back of a business card. You've given me yet another reason why a "paperless records system" with an automatic print-out of my recommendations beneath the invoice is the best way to go. Sure, some people won't read it but most will love it--and it's better medicine all around.

Dr. Patty Khuly April 15th, 2007 05:31:00 PM

Thanks! Even having a pad of paper in the exam room would help. Either the vet can write stuff down or the client. I recently took one of my dogs to the nearest teaching hospital (~2 hours away) to have her heart examined. It was a great experience, and not just because her heart is doing better than I expected. They had white boards in the exam rooms, so I got to watch the resident draw a cross-section of the heart and listen to him explain what they thought based on the preliminary physical exam and why they planned to do the tests they did. When her tests were complete, back to the exam room for an explanation of what they found and future recommendations and time for any questions I had. They provided me with a printout of what they found on the initial exam, what the tests were and the results found on them, and what they recommended. Only after we covered that did I get my dog back, because they wanted me to listen and question without being distracted by my 12yo whining about why had I left her there and vocalizing about everything that had happened to her (she's a mommy's girl). They also faxed the results to my regular vet.

Can't ask for more than that in the communication department!

kabbage April 16th, 2007 12:50:00 AM

Just a little defense of lawyers here, we are most definitely required to speak an arcane language just as vets are. In fact, the only reason we go to law school is to learn what lawyers mean when they talk about stuff originally invented in the 18th century. Law school really doesn't teach you anything about how to pass the bar, just how to speak and write like a lawyer. Certainly, we're know for being just as confusing (or possibly moreso) as doctors and politicians, but we do have our reasons for it. Just remember that when you want to get a preliminary injunction to prevent someone from asserting adverse possession over your fee tail estate.

Becky April 16th, 2007 10:36:00 AM

Point taken. That last line blew me away.

Dr. Patty Khuly April 17th, 2007 10:50:00 AM

I've asked my vet before about what she would do if it were her dog.

I think that's good advice. To tell people to ask that when they are faced with a situation where they don't really know what the outcome will be. A good vet will give you an honest answer, and while it's opinion only, it does give you another perspective which may help you decide when all hope is lost and you don't know what else to do (or if there are so many different things to try and you don't know which one to pick.) Sorry for the long run on sentence.

But I LOVE my vet and so I guess that might also make a difference. Surely if I didn't like my vet much, I wouldn't value her opinion much either.

Great Dane Addict April 17th, 2007 11:15:00 AM

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