Vet Stress Help! Too-nervous pet owners strum this vet’s last raw nerve

September 17th, 2007  

Add Comment24 Comments

Charge her for follow up visits. That way you get compensated for your time and if she wants to spend the money, its up to her.

2CatMom September 17th, 2007 11:08:00 AM

I have a strict policy about never charging for follow-ups after surgery so that clients never skimp on their pets' potential post-surgical complications. But this is one client who certainly deserves a "tough client tax" on every subsequent visit.

Dr. Patty Khuly September 17th, 2007 11:24:00 AM

Wow - is this her first dog? I know I dragged my poor Mox into the vet more often than most probably would in the first year he was mine. (I inherited him, and I've never had a dog that was completely my responsibility before.) However, I did pay for each visit. ;)

It's like the old saying goes - 20% of your clients take up 80% of your time...

CDC September 17th, 2007 11:48:00 AM

Pick you least favorite vet colleague in the area, then build him/her up to this neurotic lady, then give her the argument you stated. 2 targets with one stone?

Diana September 17th, 2007 12:05:00 PM

Eeek! I hope this doesn't describe someone like me.... I don't think it does, but one never knows for sure. From the other side, if a person has a clue that they might be more demanding than the typical client, they should try to be more thankful (I am) and never, ever quibble over a bill (I don't).

I'm pretty sure this does describe someone like one of my friends. I think she has unrealistic ideas of what proper and usual vet care is and how much that should cost. Consequently, she's never happy with her vet -- whoever it is this month.

If your demanding patient sticks and doesn't go shopping elsewhere, look at it this way -- her friends and associates probably realize that if you can keep her happy, it's a ringing endorsement of the fine job you're doing. :-)

Deanna September 17th, 2007 12:11:00 PM

Send her to someone else for a second opinion. If they say everything's fine, then maybe she'll finally believe it. Also, she might decide to go there in the future. If so, maybe the new vet will be mad at you 8^)

Sherri September 17th, 2007 12:17:00 PM

Didn't you just say a few posts back that some of us were neurotic? LOL

Anyway, I like the letter idea personally. If she's going to act like that, and she's driving you crazy, maybe it would be best to send her to somebody that can see past her neurotic tendencies.

Stacy September 17th, 2007 02:07:00 PM

I always worry that putting something in a letter will somehow come back to bite you in the butt (metaphorically speaking). I applaud you not charging for follow-up visits, but I think it would be perfectly appropriate to say, "Now, the clinic hasn't charged you for the follow-up visit, but since Fluffy is progressing satisfactorily, any future visit or phone call regarding this matter will be billed." Of course it's possible that this kind of client will find some other way to weasel a visit out of you, but at least you let her know you can't be bullied.

Mr. Scruffy September 17th, 2007 03:39:00 PM

How about using one of our, admittedly blunt, local vet's approach:

Does [insert problem here] bother you more than the dog?

It seemed to work with many people...

ramin September 18th, 2007 07:43:00 AM

I agree with the letter idea however, I would have at least 1 other person read it before you send it. Plus I would send it certified mail, return receipt so that you know she got it. I think the best way to start the letter would be to express your concern about the progress of her pet and the amount of follow up visits after such a routine procedure. Then I would state that there would be an office visit fee for any return visits or a recommendation to another vet for a second opinion. Having been in this situation before I wish you the best of luck!

Anne September 18th, 2007 08:29:00 AM

What can you do? She sounds mentally ill. It happens.

Anna September 18th, 2007 09:38:00 AM

I know I recently got my first dog (or at least I should know :) ) and I was so nervous I took her to the vet within two days of picking her up from the humane society. Lucky for her actually as she had an ear infection, but it was all I could do to refrain from calling the vet every other day to see what I could and couldn't do with an ear infection (eg. a bath?...btw can she have a bath with an ear infection?) I managed to get through it with lots of deep breathing and my mothers laughs at my worries over my first 'baby' without bugging the vet though...of course Libby was already spayed so there was no healing wounds to worry about...

Chanin Sullivan September 18th, 2007 10:50:00 AM

Wow. This is sticky.

I agree with Deanna - I am demanding and neurotic but I always tell them to bill me (my Vet has a "short visit fee" that is more-than reasonable - and in my mind, it's worth it for the peace of mind. Sometimes I just want my Vet to look at something, and as long as he says "it's ok" I'm fine with that. But I'm always "finding" new things! Lol.....I don't back repeatedly for the same thing. That's different.

I would take a breather *sigh* and give her one last chance. Tiny dogs are susceptible to so many things and we small-dogs owners are a tightly wound bunch. If she comes back again for the same thing, ask the receptionist to let her know that you will call her. When you speak to her, give her two options: respect your professional opinion or seek a second opinion. A or B. And then gently push her towards B. Unload her. Cuz I can't imagine if something major were to happen, that would be your worst nightmare - or - god forbid, a vaccine reaction. *yikes!*

Amy in Somerville September 18th, 2007 01:26:00 PM

Well, it's probably too late now, but you should charge her for the follow-up visits. One follow-up visit post-op can be included, but if all is well, the pet is "discharged" from that event and all subsequent visits are back to well-pet visits. She's nuts.

I'm a human doctor and feel I have more than my fair share of hypochondriacs and just plain nut cases who believe they have something desperately wrong with them despite a lengthy negative workup. I get phone calls from a select few all the time, and after a couple freebie phone calls they have to come in to the office or no dice on the perpetual free "hand holding." I'll "hand hold" my hypochondriacs till the end of time (after all, it's a form of treatment too) but I'm gonna get the $25 their insurance will cover at least! ;)

kate7047 September 18th, 2007 01:30:00 PM

I agree, I think this client is mentally ill. A heart - to - heart (or a letter) might make her realize she's been behaving unreasonably and help her get a handle on her behavior BUT I wouldn't hold my breath.

And Chenin - don't apologize for taking a new pet in for an exam!! ANYTIME you get a new pet, whether from a shelter, a breeder, a friend, find it on the street, or even (gasp) a pet store - you SHOULD take it in for an exam ASAP.

Barb September 18th, 2007 02:21:00 PM

Just out on Digg: Top 10 Ways to Fire the Client From Hell
http://www.insidecrm.com/features/client-from-hell...

Sherri September 18th, 2007 03:40:00 PM

"I'm a human doctor and feel I have more than my fair share of hypochondriacs and just plain nut cases who believe they have something desperately wrong with them despite a lengthy negative workup. I get phone calls from a select few all the time, and after a couple freebie phone calls they have to come in to the office or no dice on the perpetual free "hand holding." I'll "hand hold" my hypochondriacs till the end of time (after all, it's a form of treatment too) but I'm gonna get the $25 their insurance will cover at least! ;)"

This is why I'm against universal health care

How is hand holding treatment? Doesn't that just lead to being co-dependant? A problem in and of itself...

Stacy September 18th, 2007 05:59:00 PM

kate7047: Hand-holding is something I charge for all the time. I believe it's a valuable service. Thanks for letting me know I'm not alone.

Dr. Patty Khuly September 18th, 2007 07:51:00 PM

Stacy- Little did I know when I went to do a residency in Internal Medicine and later subspecialty training just how much of my time would be taken up by psychiatry. I have lots of patients with lots of problems, only some of which are medical, but the entire patient including all their background issues, cultural issues, anxieties, abuse histories and even things that have a DSM4 category have to be dealt with. Frequently I will have done a pretty involved workup for say, stomach pain, and EVERYTHING is normal. The real thing they need to do is suck it up and learn to live with it. But if I tell them this directly they won't believe me and I will have alienated them and likely driven them away. Good for me, probably, but not good for them. Sometimes with some verbal "hand holding" I can help them come to the realization that other issues are at work in their discomfort. I don't think it is being an enabler, but working with them over time so they can hopefully come to deal with it in a more productive way. I can also push things like diet, excercise etc. which they are ignoring but are seriously important. I can maybe even get them to take SOME responsibility for the crappy lifestyle (again with the diet and excercise!) causing much of their pain. Maybe I can convince them to see a real psychiatrist to start worrking on certain issues or get on meds. I hope in the long run this will be more productive than simply dismissing them to head off to the next doc down the road who will start the entire diagnostic process all over again, thus allowing them to continue to believe there really is something medically wrong when there's not. (And I'll still get the $25 copay...)

kate7047 September 18th, 2007 09:23:00 PM

kate7047 - Thanks for explaining.

I guess I live in a different world. I don't expect my vet or my human doctors to hold my hand for anything. If I have something to grumble about, I just tell them what it is and let the dust land wherever. It doesn't happen very often and when it does, it's usually with my son's allergist. We get along, however I don't agree with his drug policies and how they are used, so it's a bone of contention.

I will give you credit for speaking to your patience about diet and exercise though. There are far too many physicians that like to skip that part as it may offend somebody. They'll talk to them about have a gastric bypass, but telling a patient to get off their butt and move is a problem.

Stacy September 19th, 2007 08:04:00 AM

Hmmm, this post, as well as some of the comments, really struck a cord with me. I had a Doberman for nearly 14 yrs (yes nearly14!) and needless to say the last couple of years were a gradual slide down hill. I learned to be very attentive to subtle changes and small problems, because at that advanced age, everything really was/could become a big deal. And after she was gone I got my first Cardigan. It had been a looooong time since I had a young, healthy, robust dog and I know I drove my new vet (I had moved) a little crazy because I was used to worrying about every little thing. It took a while to adjust and relearn how to blow off normal doggy stuff like a puke or the runs every once in a while. Now I'm not saying I was there every week for stupid stuff, or calling several times a week, but I know I over reacted several times and rushed to the vet when I didn't need to; I'm glad my vet was patient with me. I also worked as a vet tech when I was much younger, and there were some sweet little old ladies where the only thing they had left in life was their little doggy or kitty. They worried about the health of the their pets more than their own health and yes, it was annoying, but in their place I suppose I would feel the same. For one lady who really was all alone, I think she came to see the vet because she didn't have any other way but the vet or her doctor to have human contact. On the other hand, someone who is really mentally ill is a different thing altogether. Long winded, but the jist is - charge anyone that is coming in repeatedly with nothing really wrong, but give them the benefit of the doubt too.

Cardimom September 19th, 2007 09:56:00 AM

Cardimom: What you're describing is normal responsible client behavior--even if it sometimes drives us a little nuts when we're otherwise stressed (we're human after all). But you're allowed this degree of nervousness--and more. Don't let it change how you handle your Cardie's problems. Having said that, though, perhaps you should invest in health insurance.

Dr. Patty Khuly September 19th, 2007 10:05:00 AM

Sometimes it is difficult to know when to take an animal to the vet, or when to leave it and wait and see. But I agree some people go too far. On the other hand, there are pets out there that get almost no vet attention, no matter what illness or injury they have. Sometimes its good to be thankful that at least this pet is getting attention and care.

I have an older dog and he inhales grass quite often. He grazes on it, and it ends up in a nostril. I always wonder, when it happens, whether to put him thru anaesthetic with its risk, or let him sneeze it out himself, which can take four days or more. Meanwhile he becomes exercise intolerant, and the other complication is collapsing trachea. He does not do well with anaesthetic.

Like I said, decisions decisions. Not sure there is an easy answer to any of this.

Robin Banks September 19th, 2007 08:55:00 PM

I like Diana's suggestion! It's actually how the Bill Murray character found the Richard Dreyfuss character in the fantastic movie, "What About Bob?"!!!!

Mary September 20th, 2007 03:03:00 PM

Add Commment

Your Name:

CAPTCHA Verification