Though I'm loath to admit it, the Pet Food Recall (in caps, now) has made a hero (for me, at least) of the one outfit vets love to hate: Banfield, The Pet Hospital. In case you live outside the US (or in a Banfield-free pet zone), let me first explain that this is a group of 600-plus hospitals once owned by PetSmart and now run independently.
I’ve always thought the single best thing about Banfield, apart from catering to those who can’t afford fancy-hospital vet medicine, is their database. Everything is covetously computerized with diagnosis and treatment codes so they know exactly what’s happening, epidemiologically-speaking, across their many hospitals.
And guess what they noticed over the past three months? A 30% rise in renal failure in cats. That’s unlikely to be the result of anything other than our notorious “on-the-list” or “so-far-not-yet-on the list” foods. According to their analysis, three out of 10,000 dogs and cats were diagnosed with renal disease. They saw one million pets during that period—an enviable sample size for any study.
It’s a damning statistic for those companies still clinging to their “it’s only a few cases” philosophy. Consider, also, that Banfield sees a higher percentage of lower-income and/or “shots-only” cases than the rest of us. In fact, I have several clients who go to their nearby Banfield for basics and drive out of their way to us when their pet gets sick. So, in my estimation, their 0.03% incidence may well represent a falsely depressed percentage.
Nonetheless, the FDA says these numbers are likely to remain our most reliable indicator of food-related illness. In spite of the probable underreporting in this population, it’s something. It’s measurable. It’s unbiased. It’s a reasonable sample size, even it’s a less that representative group of pets.
So Banfield gets my vote (despite my reservations about so many of their policies and practices). Although they make lots of ready cash off prescription diets, they took the [unexpected] step of presenting their private findings to the possible detriment of their consumer product powerhouse suppliers. But I still have reservations.
Maybe I’m cynical and find it possible that their low-ball estimates will prevail in the courtroom of public opinion (instead of the “real” numbers we’ll likely never prove now that we have their big sample size). Maybe it’s that I still love to hate them. (Their depersonalized medicine is anathema to my personal ethic, despite the fact that I believe they do more good than harm.)
Ultimately, though, my beef is with the people who can afford better care for their pets and choose not to seek it out, not so much with the company or those who have no safer, cost-effective alternative. At least Banfield’s considerably powerful Wal-Mart methods seem to have proven useful—in this case.
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You are so right about Banfield. My cat Angel currently goes there (only because we were already enrolled in their health care plan) and the quality of care has gone down since we first started going. At first, all the staff knew her by name and the vet would take the time to lengthily explain everything to us. Now I feel like it's more of an assembly line. Once her health plan expires we will definately find a new vet for her.
Nicole April 19th, 2007 10:56:00 AM
The true number of tragic losses will never be fully acknowledged because, in my area for example, there are no Banfield hospitals, and way too many people who either cannot (or chose not to) seek care for their pets when an illness arises. I have heard of way too many cases locally of rural residents losing their pet(s) and not even knowing WHY. Hard to believe there are still so many people who do not get online, and don't watch or listen to the news. Sad.
Margaret April 19th, 2007 01:17:00 PM
I wonder if I could make a request for you to write a post about your opinion of bloat? One of my Danes has a history of bloat in his family, in which his sister just died of it this week. He is only 4 (so was his sister of course!) His mother has bloated in the past too, but made it through and is still alive. And then one of his Mom's sisters (his 'Aunt') died two months ago of bloat. So I'm at a crossroads. Not sure if I should tack or not (I think there are pros and cons of both not tacking and tacking.) I also have another Dane who is a little older (6) and I know nothing of her family history, so wasn't as worried about her, mostly because I don't have that 'bloat genetic history' hanging over my head.
I have opinions myself (that it is mostly caused by stress and genetics, and not necessarily what they eat from, where, how much excercise etc.), but it's nice to get another opinion, particularly from a vet!
I will be going to see my vet again on the 30th for some follow up bloodwork on my female (which also has me nice and nervous since her ALT, Total Bilirubin and Cholesterol were all slightly elevated from bloodwork done on the 12th), so I will be asking her opinion as well. Maybe I'll even pull out that "What would YOU do if he was your dog? Tack or not?"
Anyway, thanks, I enjoy your blog whether you respond to my comments or not. :)
Great Dane Addict April 19th, 2007 02:00:00 PM
What is tacking in the context of bloat?
Georg April 19th, 2007 03:13:00 PM
Georg- tacking in this context means fastening the stomach to a nearby structure to prevent gastric torsion. The dog may still bloat, but gastric torsion is the actual killer (usually) in an episode of bloat, and the tacking will make it more likely the dog will survive/recover.
Margaret April 19th, 2007 04:05:00 PM
Bleh. I don't like this post, Dr. Khuly. :-P Mostly because I agree with statements that I'm probably expected not to!
With regards to the aforementioned practice's assembly-line, de-personalized ways...I can only say (hypothetically, of course...) that there are those within the system who really do care! And there are those that try their hardest to provide only the best, even though they may be ultimately squelched by production values, patient quotas, etc. It all comes down to the individuals working w/in an individual hospital...if you look hard, REALLY hard, there are exceptions. Hypothetically speaking, of course. :)
And yeah, I was shocked, too, that they provided this information...but I have a feeling that if, say, Royal Canin (Banfield's biggest pet food partner) was more widely implicated, the data may have stayed buried within those wonderful records.
anna April 19th, 2007 06:07:00 PM
I was rather surprised to hear the negative comments about Banfield. I started going to the local Banfield about 4 years ago and have had nothing but positive experiences there. I had been using another vet for several years but had become unhappy for a variety of reasons. I had put my new puppy in obedience classes at Petsmart and decided to give Banfield a try. I was immediately struck by how friendly and helpful everyone on staff was. Through the past few years they have been wonderful in treating my GR girl through a long and difficult blood disorder, aiding me in caring for an elderly GR boy I adopted from a rescue organization, seeing me through the decline of my 19+ year old kitty and now my newest rescue GR boy is treated there along with my now very healthy girl. I have never felt like a number, my pets and I have been treated with nothing but respect and caring and all of my calls and questions have been answered promptly. There are 3 vets on staff, and all of them are wonderful. I have recommended them to several others, who in turn have taken their pets there, and I have never heard anything negative from those families, either. Maybe I am just lucky, but if the quality of care I have received here exemplifies what I can expect from other Banfields I doubt that I would ever try another vet.
Mari Lynn April 19th, 2007 08:16:00 PM
I generally don't like big chains because they lack personalization. I've never been to a Banfield, but I used to go to a VCA, and the staff was always turning over. I like going to a clinic where they keep staff for years and years, and chains rarely seem to have that. However, I will say that I was very impressed with the Banfield admin when I met them at a vet conference. When they found out I was a vet tech student, they gave me tons of educational freebies (even some one-of-a-kind things from their display), and the vet in charge was encouraging me to continue my training to eventually be a veterinarian. I'm sure I look my 40+ years of age, so it was nice to be made to feel young gain. I was really enthused and encouraged when I left that booth. So, while the big chains may not always be the best thing for the client, they're doing a good job of attracting new blood to the industry.
Speaking of VCA, they still haven't released any pet death numbers that I'm aware of. I thought they were working on the numbers a couple of weeks ago.
Leigh-Ann April 20th, 2007 02:29:00 AM
I'm sure there are excellent Banfields everywhere. I know quite a few very fine docs that work there. but the ones I know tend to agree with me that while they may like working there (or not, depending on the case) they generally dislike being in a position where they're so heavily-protocoled in how they practice medicine. This includes over-vaccination (which is a big deal, in my opinion) and other examples of tow-the-line medicine.
In my area the Banfields are not so fabulous, from what I've seen and heard. They're more low-income oriented and have a lot of turnover in staff.
But there are always exceptions.
Furthermore, I don't like the concept of my clients' information being "for sale" to other companies. Inevitably, this is the result of some of their database practices. What can I say? I distruct large corporations when it comes to medicine.
Just in case it's not clear, I value all your opinions on the subject. (BTW, you are not expected to agree with me. It's far more interesting when you don't, as a matter of fact. So keep it coming.)
Dr. Patty Khuly April 20th, 2007 10:11:00 AM
On the bloat issue: I'm an advocate of tacking Danes and other giant, deep-chested breeds (like wolfhounds) when they're spayed. Males I wouldn't tend to do unless an owner specifically requests it. Georg: thanks for the asist.
Dr. Patty Khuly April 20th, 2007 11:48:00 AM
I'm glad there was a way to inform others with this website about problems my cats experienced. My "just turned" 18 yr old cat was taken to an animal hospital in mid-December w/symptoms of lethargy, lack of appetite and lack of "output" in the litterbox. He was diagnosed w/kidney failure & followed up w/vet, put on low protein moist cat food diet and is given fluids sub-q. His health is much improved now as of this past 1 1/2 months. But... our 11 yr old cat died unexpectedly 1/24/07. Originally, I thought "I guess it was 'his' time." In lieu of all the recalls, I wonder now if it was natural causes. The website, petconnection.com directed me to inform the FDA of my cat's health. I have informed them of this cat's demise and the health problems of the other. I hope others will report their losses as well so that the FDA will have a more accurate representation of the extensiveness of this pet health issue.
Missy April 20th, 2007 11:56:00 AM
I don't have personal experience with Banfield, I have heard that they generally use the same protocol on all patients. This includes the problem of overvaccinating, like you mentioned--I've heard that they have a set of vaccines that they give to all patients (including giardia and corona vaccines, which aren't even recommended at all by the AAHA), regardless of the individual risk that the animal will even be exposed to the diseases.
I've also heard from someone who signed up for the "Wellness Plan" that it doesn't really save you money in the long term.
Janine April 22nd, 2007 03:33:00 AM
This is really more of a nutrition/ingredient question: PLEASE, I'm at the end of my rope. I really miss giving my cats treats (almost all of them contain ingredients of the recall) and believe me, they miss them, too! I bought a great book of "CAT TREAT" recipes and one of the ingredients called for is "rice flour". I can't find it anywhere, so I happened to look in the baby food aisle and found a Gerber Rice cereal of which the first ingredient is "Rice flour", but it's the rest of the list of ingredients I'm not sure about. They are:soy oil-lecithin, tri- and dicalcium phosphate, mixed tocopherols (to preserve fresh-
ness),electrolytic iron, zinc sulfate, alpha tocopheryl acetate (Vit. E), niacinamide (A B vit.), riboflavin (vit. B2), pyridoxine hydrochloride (vit. B6), thiamine mononitrate (vit. B1), folic acid (A B vit.),
vit. B12 (cyanocobalamin). If you CAN'T help me, could you recommend someone who can?
Sincere thanks, LauraS.
l stevens April 25th, 2007 11:01:00 AM
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