Today I received two interesting phone calls: one was a prospective client recommended to me for an ear crop, the other, one for artificial insemination. Both services are easily within my reach. In fact, I dare say I perform these far better than most vets, having worked for a regional provider of both these services (and having had little choice but to undertake many of both services early in my career if I wanted a much-needed, newly-single-mothered paycheck).
We all do things we’re not so proud of at some point. The ear crops are where most my regrets lie. The reproductive work—not so much.
At least the repro work makes me far more adept at treating pathologies in this area, like the vaginitis, pyometra and prostate cases as well as the “omigod-she’s-pregnant-by-accident-and-I-don’t-know-what-to-do!” situations. I also get the rare, responsible breeder-exhibitor who comes in with glorious show-dogs for surgical inseminations and the like.
Still, it seems useless to me that I know how to do things that I no longer want to do. The ear crops have an easy answer: “no.” I don’t care if that means someone less adept will perform them. I just won’t do them.
But the repro? Sure, why not…unless you [even remotely] strike me as a backyard breeder or a puppy mill. But these people don’t generally seek vet help, now, do they? At least these owners are seeking professional assistance—an obvious step in the right direction.
Beyond these two scenarios are many others I’d prefer not to get mixed up in. Like the exploratory surgeries a boarded surgeon should be doing, but that I can generally handle by myself, if absolutely necessary. Or the complicated internal medicine cases I’d prefer an internist handle but which fall in my lap for financial reasons.
Even a ginormous lipoma (fatty tumor) finds me begging a client to scrape up the resources, or to (please!) just plain leave it alone—if possible. Large-scale amputations and so-called “simple” bone pinnings are other points of contention—but I’ll do them. Why? Because I can do them for less than half the price of a specialist and not everyone has ready access to the kind of cash their rarefied ranks require.
Somehow, though, it’s all this would-be useless knowledge that makes me wonder: am I getting stupider because I don’t or won’t handle these cases routinely? Inevitably.
Yet sometimes I have cause to glory in the niche I’ve carved out for myself: that of the competent generalist. Today, for example, I detected a suspicious mass in a dog’s abdomen during a dentistry (one I would never have felt had this patient been awake). She’ll see the surgeon tomorrow for an ultrasound and exploratory.
It’s times like these that give me great pleasure just to be a lowly general practitioner with too much useless knowledge. We still have our role to play. Limited though it may be, I’m still required to be good at it.
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Three cheers for the GP! I figure it's what I'll end up doing, if I ever make it there. I know the docs I work for get tired of the same old intestinal parasite, soft tissue injury, nasty teeth, otitis, etc., cases that they see on a daily basis, but I don't think there's anything lowly about being a GP. Sure, the board-certified sugeons and internists get the glory for the cool, complicated, sometimes life-saving stuff, but...I think it's the GP that gives the biggest boost to quality of life, via preventive care, to the most animals - day in, day out. Barring horrific disease or traumatic injury, most animals need only a solid GP and compliant, caring owners to live a good life. :)
anna April 20th, 2007 03:12:00 PM
So why no to the ear cropping? Inquiring minds want to know.
When I worked for a vet we had one of the sweetest dobies come in. She had an a** for an owner. (for example - he had named her Nazi) She also had the most god awful ear crops I had ever seen. I asked a few round the way questions because I was curious about her ears and he said "well I couldn't find a vet that would do them around here so a friend of mine helped me do them instead" I was horrified and just about ran into the back room to get away from him so I wouldn't end up in jail for assault. I will NEVER forget that poor dog.
I have to admit I love the cropped look but would never want to have to do the aftercare myself.
Marie April 20th, 2007 08:58:00 PM
I gotta agree with a previous post- the GP's are the base of the animal health care pyramid. A good GP has to be a fantastic diagnostician, a detective, and still have the ego to be able to say sometimes--I dunno, you need to see so-and-so. The GP may think she is lowly, but lemme tell ya, my guys are NUTZ about our doc. There's a lot to be said for the comfort and trust we place in our GP. Surgeons may cure a disease or condition, but the local vets keep our pets healthy on a day to day basis.
Agadore's momma April 20th, 2007 10:56:00 PM
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