Your pet throws up a couple of times first thing in the morning (something she never does) and you want to know whether you should bring her in to the vet’s office. You’re willing to take all the time you need to do so but you want to wait until your vet calls you back to decide whether you should take the morning off work for this possible emergency. Good luck with that.
Depending on my schedule I might have time to call you back as soon as I walk in the door at 8:30….or you might be sitting tight ‘till lunchtime while I slog through the in-hospital emergencies crowding my schedule and return other phone calls that might have come in before yours—all while trying serve those with existing appointments in a timely fashion.
So you know, I probably won’t have been informed of the details of your call unless you very specifically informed the receptionist that your call was an emergency. So by noontime—assuming I’d had other more obviously pressing matters on my plate—you may have decided you hate my guts. And I wouldn’t necessarily blame you—I don’t expect you to know how things work around the office when things get going on any given morning.
But how hard is it to return a simple phone call? (you may well wonder). If you’re a reasonable person and you respect the time limits of a no-nonsense phone call it’s not hard at all. Problem is, even reasonable clients sometimes ignore these limits when they’re worried about their babies.
That’s why there’s no telling if a phone call will take twenty seconds or twenty minutes (I’ll seldom allow the latter but that’s not to say my clients don’t try it…constantly). So making time for phone calls can be tricky business.
It’s no surprise then that many vets’ number one practice pet peeve is the phone call thing. And it’s true that it stresses me out to no end. Playing phone tag. Having to write down when you called on the record so that no one accuses you of failing in your communication duties. Answering calls by speaker phone while you’re spaying a cat (so you can get out for lunch—eventually).
So how does any vet find the time to make all the phone calls clients desire? Many of them outsource all their calls to their receptionists or technicians. As old-school as my own physician is (she takes no insurance and does all her own pelvic exams and blood draws) even she doesn’t get on the phone unless you’re seriously afflicted after hours. During work hours she lets her nurses do the dirty phone work.
I asked her once how she manages this and she replied (in her typically cut-and-dry mode): “There’s no way I can spend the time I need in the room with each patient if I have to worry about holding their hand over the phone after the fact. Priorities, Dr. Khuly. Remember that.”
Makes sense. But I still don’t think my clients would let me get away with this. At some point perhaps I’ll learn to strike some sort of telephonic balance. For the moment though, consider me challenged in that department. So next time Fluffy looks peaky in the morning and you’re not sure which route to go, just show up. Telephone consultations are no substitute for a physical exam, anyway.
PS: For the record, I’d like to know how your vet handles the dreaded telephone challenge. Time for you to give up the goods again. Thanks in advance.
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My vet's office is a pretty thriving practice with quite a few vet techs on staff (I think that's what they are called). When I've called with a question like the one you described, the receptionist generally checks with them on whether or not I need to bring one of my pooches in, i.e. "I think my dog may have just nabbed a stray ibuprofen that I might have dropped; should I bring her in? The internet says I should." I don't expect the vet techs to be able to diagnose or fix what is ailing my dog over the phone, but I trust their judgment on what I need to be looking out for. And the good thing is, I've never known them to tell me to bring my dogs in unless they really thought something might be a problem.
So to me, it's not necessary that the vet herself take my call, but that somebody at the vet's office can direct me when I'm worried.
Shasta September 25th, 2007 09:16:00 AM
My experience is like Shasta's, I would never expect a vet to spend time on the phone with me for anything other than follow-up from a visit (i.e. lab results, surgery report, med changes or reactions). I know that if I have a question that can't be ansered by the techs, then it's off we go to the office. Additionally, I realize that it is not possible for a vet to diagnose on the phone. Perhaps you could establish a protocol where your techs triage calls for the vets in your practice?
B.A. Ray September 25th, 2007 10:02:00 AM
DH and I seem to have a good handle on what is an emergency and what isn't, knock on wood, so no help for you there. The way my vet handles phone calls is fine with me. If I have a question, I leave the message with the receptionist, knowing full well not to expect a return call that day -- but I usually get one anyway, in the evening. (At which point I wonder if it is typical of the hours she works and if it is, how does she do it?) Sometimes the call back is in a day or two. If I'm not available, the vet leaves a detailed message on my VM or answering machine. Again fine with me. If I still have unanswered questions, time to make an appointment. Sometimes the call says "please bring your dog in, we want to examine him" and I do. Overall, I'm thrilled with my vet clinic. I think they have been appropriately responsive and supportive of me and my dogs. (I also don't quibble about the bill.)
Deanna September 25th, 2007 10:03:00 AM
At the hospital I go to, the receptionist will tell you first off that if you're not sure, then bring the pet in. As far as call backs go, the vets have specific times set aside for phone calls, after morning appointments and after the afternoon rounds (more often the latter), so you have a rough idea of when you'll hear back if you do need to talk to the vet. If it was a serious emergency, you'd probably get to speak to a vet sooner than the usual call back time, but you'd also be told to bring the pet in. The example case of unusual vomiting would definitely warrant bringing in your pet. (I might be somewhat skewed there though as a ferret owner, since vomiting is highly unusual for them if there isn't a real problem present.)
Regina September 25th, 2007 10:16:00 AM
There's that hand holding thing again. LOL
If it's a dire emergency, it's call first and bring the animal in. The only reason for the phone call is so that my vet and her staff have time to prepare. However, if there isn't time for a phone call, it's bring the animal in. You must be a client..see below.
I don't know about you, but my vet has had to create a policy about people calling and asking questions. The reason this rule was created was because non-clients were taking up too much valuable time on the phone. These people wanted information { insert any topic here} but when they were asked if they were planning on becoming a client, these said people would carry on about how much they love their own vet, but since nobody would return their phone call , they decided to call around to get the answers they were looking for.
My vet has a certain look about her. I call it the "No BS look" and there's for a reason. She's a great person and I love her dearly, but there is one thing she won't put up with and this type of calling around fishing for information is just one of them. Along with the phone consult rule, she also had to make rules regarding emergencies as once again, people were just showing up at her clinic wanting their pets to be seen. She didn't know these people or their pets, but they wanted to be first in line over clients that she's had for many years. So now the policy is that if you're not a client, you will be referred to another local emergency clinic.
When I call, who I talk to depends on what I'm calling about. Sometimes the receptionists can handle it, other times I can deal with whatever it is through one of her techs. If none of them are really sure of what to tell me, they give her the message and unless she's bogged down with emergencies, I usually get a phone call back from somebody within a hour. If she's up to her armpits in emergencies, she give somebody atleast part of the information I need to hold me over until she has a few minutes to breathe, then she'll call me back herself. Most of the time, I can get through whatever it is with the receptionists or techs. It's rare that I need to speak with her personally, but occasionally somebody will crash or something and I need her input.
In the case of Oreo, I called the clinic before they were open and left a message that hubby was dropping him off for burial since he died in his sleep. I didn't want hubby just to show up with a dead cat unannounced. My vet appreciated that, but what she didn't like is that her staff never bothered to check the machine so when hubby walked in ( they were open by the time he got there) there was the element of surprise with lots of unanswered questions.
Within a couple of hours, my vet called me while she was on lunch break. We talked about what happened and what Oreo was doing the day before. She explained to me what she thought may have happened, then her and I agreed that should this type of situtation happen again, I'm to page her instead of just calling and leaving a message on the clinic's machine so that she can either call me back before she leaves the house, or she'll atleast have some idea of what's going on and what happened before she arrives at the hospital.
All of this may sound harsh, but her clients come first. If somebody is just being a pain because their vet ( or their staff) doesn't like to return phone calls, it's time for these people to find a new vet.
My vet isn't a fan of hand holding either. She's aware that some of her clients are cool with being told how to do things over the phone while others are not, but she does have clients ( most of them are dog breeders) that feel as though they can call her at any given time of day or night just to chat about the new litter that hasn't been delivered yet. It pisses her off and it's rude! I'm not a fan of having to go in after a day/ night like these because I know she's going to be in a sour mood, even though I have nothing to do with it. She doesn't take it out on me, but she will say something about it. Such conversations usually start with "I got paged this morning at 3:30 am because so in so wanted to discuss having their pet ultrasounded!" or something along those lines. She then rolls her eyes and tells me how she told the person to call back during business hours and NEVER page her again with such a minute issue. Most of them have gotten this message loud and clear, but there are still a few that like to see how far they can push their boundries.
Stacy September 25th, 2007 10:43:00 AM
I don't think I've ever tried to get a consult over the phone w/my critters - I just tell the receptionist I'm feeling paranoid and need to bring one of them in for whatever the problem is and they get me in as soon as they can.
But, my vets are very good about followup phone calls - they always check up within a couple days to make sure everyone is properly on the mend.
My cat ate something that left him feeling very blecky and we couldn't figure out the root cause of the bleckiness (technical terms, LOL) - over the weekend I discovered the culprit and left a message with the answering service to just pass on to the vet that I'd figured it out - NOT an emergency, as the cat was already feeling better and doing fine, but I wanted to close the loop.
Well, he called me back not too long after that - I felt terrible cause I think the service paged him anyway and interrupted his dinner, but he was happy to know what had caused the problem and agreed with me that it was the very likely cause.
I just try really hard to remember that they have other patients, and families and lives and such.
CDC September 25th, 2007 11:29:00 AM
My vet is the head of a large practice. Most questions are handled by very capable vet techs. If the tech doesn't know the answer they will just touch base with the vet and call me back. Questions that I leave for the vet are generally returned in the evening - which is fine with me.
And the tech also handle the triage duties - if you call and describe a potentially serious problem they will encourage you to come in and squeeze you into the schedule. It may not be with your regular vet, but they'll get you in that day, usually within a couple of hours. And i'm Ok with that as well. Most problems are pretty straightforward and its better to see someone quickly than to have to wait and wait to see a vet.
I find the idea of going to a small practice attractive, but you can't beat a big practice for emergency accomodation.
2CatMom September 25th, 2007 12:13:00 PM
At the hospital I use, vet techs will triage ifyou think you need to speak to a vet immediately; otherwise, the receptionist will give a realistic estimate of when you can expect a callback from a vet.
For the nervous owner of a new pet, especially, the vet techs can often provide as much information and explanation as is really needed. With each individual pet, as I've gotten to know the new family member better, I've developed a much surer sense of when I need to ask for the vet, and when I only need to bother the vet tech, or, alternatively, whoever's free next. Sometimes, if the regular vet for the pet I'm calling about is free relatively soon after my initial call, that's who will call back, regardless of whether that was strictly "necessary." I think that's a nice touch, when they have time for it.
Lis September 25th, 2007 01:24:00 PM
My experience is pretty similar to the others here -- if I have a question, the techs will usually answer, and that suits me fine. I think they have enough experience and good judgment for most anything we have come across. If they don't know, they leave our doctor a message and she calls back when she can.
My cat has IBD/lymphoma which is a chronic disease. Every day is different. Also our vet is an hour away now, but she's so good that I refuse to take my cat anywhere else at this stage. So, for example, when he started to drink too much water last Thursday/Friday, I called and asked if it could wait until Monday at his regular appt., or if he needed to be seen. They said for peace of mind I could try to get a urine sample and take him down if I wanted to, and they would accommodate us, but if I couldn't, Monday would be fine. It ended up to be the latter. The thing is, I think if you respect the hospital's schedule, and are sensitive to their way of operating, they're much more likely to accommodate you when you need them. I would imagine you are less likely to help pushy demanding patients if a non-emergency, than you are those who don't bother you unless they need you. I try to save my questions for when we are actually at his appointments.
Debby September 25th, 2007 02:12:00 PM
Wow - a very timely post. I have three cats. All but one has had emergencies....I have one IBD / pancreatitis cat with a flare up in March and second major/will he live type flare up in June. I don't think the phone was an issue there - it was Friday, he isn't eating for two days - no question about making a visit for fluids and meds.
Another cat is not formally diagnosed with pancreatitis but it has been suggested as a result of dental work at the start of the year. He has had a few issues this year - the last one in August was major. We called the vet every day that week - either to make an appointment or to see what type of follow up was needed. The issue became major on Thursday. After receiving fluids/meds on Monday & Tuesday at the vets, he was a little better on Wednesday but stopped eating again on Thursday. Fearing hepatic lipidosis and an overweight / on a diet cat, I called the clinic on Thursday. As he didn't get really bad until near the end of the day, we didn't make our call till late when I came home from work early to check on him. We were also trying to give him 3 pills , 2 x per day and he would either vomit or froth with each pill. We finally got a call back from the vet tech at closing time. This was one of the worst call backs ever. All the detail that had been previously communicated when I called in earlier was obviously lost. I finally lost my patience and asked if I could talk to the vet as the conversation was not going anyplace. To the vets credit, she could not call me back right away as she had to leave for a meeting, but called me at 9 p..m. that night. I was very appreciative as she provided a good course of action for the vet that would be filling in for her the next day (she was on vacation the next day). First, we needed to learn to give injections (that itself I think was a life saver). Second, he needed fluids and another exam. He ate when he got home again, but then stopped again. On Saturday we gave him fluids ourselves as we didnt want to go to the emergancy clinic with him - we had them on hand for our IBD cat although we had never been able to administer them. The fluids finally got him on the road to recovery. But this example, showed both a tech assistant that wasn't very experienced and a vet that stepped up and did a good customer a favor. I appreciated her going the 'extra mile'.
But there have been other times when they have emailed me things. After asking them to call me if my third cat had anything bad in his blood profile - I instead received an email saying that his creatinine was slight high (2.4) and we should change his food to k/d. This was followed up by some goofed up communications regarding my asking for additional testing and a revised dental quote ( increase of $150 with no explanation). This resulted in some venting to the vet - but getting back on track again. I got the additoinal testing/baseline I requested, the dental quote got revised, and the k/d instructions reversed.
What is the point of sharing all this? I think a couple. If you are a vet, make sure you don't use email as a crutch in communcations. Second, if you are a pet parent, develop a good relationship with a vet. Some of the things (not mentioned) they have done for us, have been a result of our being repeat customers to their clinic. They have done their best to schedule openings for us when they didn't really have any, they have been willing to provide good recourse when I became annoyed, etc....
Jenny September 25th, 2007 02:53:00 PM
Usually, I can judge if it's an emergency or not. If I'm worried enough to call the vet, I have probably already decided I am going to want to take the animal in. I usually do call first thing in the morning, identify myself (although they usually recognize my voice), state which pet and the problem as clearly as I can. Irregular vomit and blood usually mean to me they have to be seen. Soon. Loose teeth, within a day or three. General odd behavior that "just doesn't look right"- a day or three. And they usually fit me in.
When Sassy's anal sacs blew through the sidewall (like an explosion of an abscess only stinkier), we called immediately. We acknowledged it was closing time, but there was this ... Ick. Since it happened when I picked her up, all over me, I went to clean up and let my sweetie cope with it. He agreed with the vet that since she stopped bleeding almost immediately and still seemed to have the energy to run like hell if either of us approached her, she would definitely survive until morning and therefore an emergent visit was not likely to be needed. He apparently did manage to speak with a vet and not just the receptionist (there are several at this practice, half have seen this cat and know her history). We were given the emergency contact phone number in case it was needed, and if she "got worse", and an appointment for the following morning.
The only other times I have asked to speak to the Vet on the phone, it was in reference to treatment, and I always stated the priority of the need, and usually they call me back within what I consider to be reasonable. Most of the time I state what I need to happen (What's the insulin dose? Can you phone in a new prescription for dog's pain medications?) and it happens very well. But then, I think I'm a bit more educated in what I expect the vet tech to do vs. what I insist the vet do.
Georg September 25th, 2007 04:11:00 PM
Regular clients should have no problems being triaged through an experienced tech -- the tech would be able to handle all the minor calls, while passing on the more pressing calls. If it's a never seen client, they should be seen before expecting phone triage.
A long time ago (before cells), I had my car keys in my pocket, but didn't have my purse, when my dog wiggled under a hole in the fence and ran into the street and was struck by a truck. I picked her up and ran to the car, not even stopping to get my purse (and checkbook).
I rushed her into the vet's waiting room, the receptionist stood up (guessing my panicked look) and was almost to the separating door as I told her my dog was struck. She hollered out the vet's name, he came right away. They both escorted me to the back as I explained what happened.
My dog wasn't in that bad of shape thankfully, but he wanted to keep her a few hours to rule out internal injuries. That's when I remembered I didn't have my checkbook. He said don't worry, I know you've brought her her before, just bring it when you pick her up -- leave your number with the receptionist.
In all that time with that vet, I never spoke to him over the phone, because the techs/receptionists handled things quite well. But I believe that if I had a more serious issue over the phone, they probably would have patched me through, or called him with my number for him to call me back.
Sherri September 25th, 2007 05:21:00 PM
Jenny: I find that email can be very useful with Drs (for humans or animals). Sometimes if something is complicated its easier to send the Dr. an email than to rely on a staff person to relay all the details. Not so much for emergencies, but for followups, etc.
I can get the Dr. focused on what's important before I go in (for myself or my pets) and that way we don't waste time on unimportant stuff and can spend our time on what is.
I suppose, like anything else, it all comes down with the Dr's ability communicate effectively through which medium he/she chooses.
2CatMom September 25th, 2007 05:27:00 PM
I work for two vets. One is good about returning phone calls in a timely manner. The other one... not so much. Generally our doctors call with stuff like abnormal bloodwork results, biopsy results, and will take/return calls about complicated or serious ongoing issues. Otherwise, either receptionists or techs are doing the calling or the answering. It's a commonplace thing to take a message, consult with the appropriate vet, and then call the owner back.
I admit, I was a little surprised last week when I called down to the referral practice where I got my dog's knee repaired. I was having an anxious owner moment and just wanted a little assurance from *somebody*. I left a message with a receptionist, and the surgeon called me back within a half hour. I don't know if i just timed it right or what.
katie September 25th, 2007 08:15:00 PM
Our office pretty much uses this strategy: 1) regular clients - if the issues is complicated or it's ongoing tx, they get to speak w/the doctor, usually right then unless the doc is w/another client, in which case they are called back asap; if it's simple, they get a tech. 2) non-clients (which we get a LOT of, since we're the McDonald's of vet clinics!) - get a VERY brief answer, followed by, "would you like to schedule an appointment for your pet?" (obviously if it's an emergency, we tell them to be on their way)...if yes, then we book an appointment...if no, then we pretty much say, "I'm sorry, I can't really tell you much over the phone w/out seeing your pet". Not only are there legal issues w/giving giving specific recommendations over the phone, but I refuse to waste my time on somebody who really just wants me to tell them a $30 office visit fee isn't necessary.
anna September 25th, 2007 11:18:00 PM
I get a receptionist at the other end of the phone, and the answer is always the same - bring them in for a consultation.
Robin September 26th, 2007 12:55:00 AM
Am I crazy? If I think my dog has an emergency, I take her to the EMERGENCY CLINIC. What's so complicated about that? Seriously?
Up here, we have a handful of large pet hospitals with ER services. They are all in touch with the local practices. When I took Lottie to the ER (for eye issues, and one time for Hemorhhagic Gastroenteristis (sp?) the ER Hospital forwarded the record to my Vet- they all work together nicely. I got an unsolicited call the next day from my Vet to make sure she was OK (love him!). My doctor sets aside 10:30 to 11:30 each day for phone calls. And he only handles stuff over the phone once you are a regualr patient and he "knows"/understands who he is speaking with. Otherwise, make an appointment. He needs to understand how seriously you take your pet's health.
My dog has ongoing severe allergy issues/reactions that my Vet and I are trying to sort out. It takes a long time and diigent record keeping. So, what I've started doing (rather than call him all the time) is send a fax (=paper record) explaining what I see/what's happening and then ask him to call whenever he has a chance - IF HE THINKS I NEED A CALL BACK. It's worked out well because then I don't stress about him knowing all the minute details of this allergy trouble shooting, but he has a paper record he can read and stick in my file. Sometime we don't talk for months. Sometimes we talk twice a week. It's worked out great.
I also love the techs (I have a favorite), and they know me. Often times I just talk to them, they ask the Dr. and then get back to me. They are very good at saying "bring her in" or "I'll call you back"......Also, my Vet does not believe in email - No Way.
I say, if you get a client leaving you messages that they think their dog is having an emergency situation, refer them to an ER hospital. In fact, leave it on your after-hours recorded greeting: "If you think your pet is having an emergency, take it to the ER hospital blah blah blah" Lol......I think it's a sign of total disrespect that you should drop eveyrthing to answer their call. Of course, so goes our entire culture: "me me me".....ugh.
Hang in there Dr. Patty.
Amy in Somerville September 26th, 2007 08:34:00 AM
Amy wrote:
"Am I crazy? If I think my dog has an emergency, I take her to the EMERGENCY CLINIC. What's so complicated about that? Seriously?"
The last time I had an emergency, it (thank God) manifested very early on a Thursday morning so I was on the phone to my animal hospital the minute they opened. Murphy's Law said they would be booked solid and they were (all the vets, not just my fave) but when I told the receptionist that if I couldn't get in right away that I was headed to the emergency clinic, she found a way to squeeze us in. For which I thanked her profusely. And thanked the vet when I got to see him. And agreed wholeheartedly to his treatment recommendations. (I think it helped that the dog truly needed to be seen.)
I was desparate enough to risk the emergency clinic, but really preferred my usual vet clinic. Some of us (dare I say most of us?) are not blessed with access to what we would consider to be a good emergency clinic, especially when compared to our usual clinic. :-)
Deanna September 26th, 2007 10:22:00 AM
My fave vet splits up her day like this: 10am to 2pm for surgeries and lunch. 2-4pm for emergencies, x-rays, call backs, or break time. 4-8pm office hours for appointments, with a snack squeezed in there somewhere. Her hubby handles some reception (and he is *very* no nonsense, lol!) and general maintenance, then there are 2 tech/receptionists.
clover September 26th, 2007 12:45:00 PM
I call in and ask the vet tech whether the symptoms are worthy of a visit. I only ask to speak to the vet if it is a follow up, like something went wrong with a prescription e.g. Vet prescribed clindamycin and the dog is now vomiting and having diarrhea.
Kate September 26th, 2007 03:33:00 PM
Deanna, I guess I was assuming that in the greater Miami area there'd be plenty of Emergency animal hospitals for Dr. Patty to refer her patients to in off-hours ER situations (versus a more rural/remote situation). Boston is not a big city (as opposed to Chicago, Philly or NY for example), but it's small area (geographically-speaking) allows greater access to a broad range of facilities. Our ER is halfway to New Hampshire, but that only means it's 25 minutes away. :) My Vet's practice is teeny tiny (one exam room, totally old skool) and just not equipped for emergencies or high volumes.
I guess with my dog, I don't hesitate: Vomitting/pooping blood? ER clinic. Barfing up regular ol' barf? I'll keep an eye on it and call my vet the next day just to check in and make sure she's getting fluids. I have to fess up that I am a highly-neurotic dog owner that treats her dog like the center of the universe, but the one thing I have learned for sure is not to panic. The calmer I stay the more I am able to decide the best possible course of action.
Amy in Somerville September 26th, 2007 05:04:00 PM
"Am I crazy? If I think my dog has an emergency, I take her to the EMERGENCY CLINIC. What's so complicated about that? Seriously?"
I don't really understand that. I have a relationship with my vet and take all my cats there for care. They have detailed records and we have an established relationship. They can run labs, do blood work, diagnose, etc. I make appointments with them when my cats are in trouble. They know me by face when I walk in, and as the vet says now she even knows my laugh if she is in a different room. A relationship with a good vet is priceless. Now, of course, if it is a weekend or night and can't wait, I would take them to the emergency clinic. My vet also has an emergency clinic they are associated with, but there is still no replacement for an established relationship.
The other thing is that we have tended to be panicked this year because our cats have been so sick. So, when our third cat wasn't eating after his recent dental and was growling we of course panicked. Sometimes in this case, it is a hard decision. Do you stress the cat further by bringing him in, or wait it out. The vet assured us he would be better, and I did get him to eat baby food. Since he requires alprazalam prior to any visit because he gets so stressed, this turned out to be a good decision. Even for our other two cats with their repeated problems and repeated visits to the vet, there were discussions weighing their symptoms with the stress of bringing them to the vet that seemed to make at least one of them much worse.
2catmom - yeah there are times when email is OK. But not to share bad news or directions for change in care in relation to tests. I do use it for giving them updates when my cats have been sick for an extended time or to verify an appointment time. But otherwise, we have found emails to really not work well with such sick cats this year.
Jenny September 26th, 2007 07:35:00 PM
My regular vet usually returns phone calls on his way home from the office.... at 10:30 at night. He has always returned my calls, although it's always been to discuss bloodwork results, and not something stupid.
I once took a foster dog to a veterinary neurologist, and he was TERRIBLE about calling back. I had to make 3 phone calls (1 each day) and he didn't call back until the 3rd day. I was trying to make a decision about whether I needed to euthanize the foster dog (and he knew that). It was truly agonizing to look at the dog every day, thinking she had to be put to sleep, and I wanted his professional opinion before I made a decision. I don't know if he didn't think I was important because it was a foster dog, but guess what? If my own dogs ever need a neurologist, I am NOT going to him, even though he is thought to be one of the best.
Tara Bruno September 26th, 2007 07:59:00 PM
A few weeks ago, my bunny Pipkin came down with a really bad head tilt. At the same time, I needed to get a prescription refilled, and needed my doctor's approval for it. After I brought my rabbit to the vet and got him taken care of, I started calling my doctor asking about the refill.
Before my doctor called me back once, I had gotten *three* phone calls from Pipkin's vet's office asking about his status, whether the tilt was getting better, how his appetite was doing, etc.
:-/ I wish I could go to Pipkin's vet! What service.
Most of the time, the calls came from the techs or receptionists. When I needed to talk to Pipkin's vet to ask if we should continue his course of antibiotics, the receptionist asked me if I minded if she talked to the vet and then called me back when she had an answer. I would much rather talk to the techs/receptionists often than talk to the vet rarely!
Megan September 26th, 2007 09:32:00 PM
OK Amy, here's what I don't understand: if your regular vet clinic is open, why would you automatically go to the emergency clinic? Either your regular clinic can take you or they can't.
I have *easy* access to an emergency clinic (same amount of time it takes to get to my vet hospital), I just don't want to take my animals there. I always like to give my vet clinic first dibs a.) because I think they will get better care and b.) it'll be a big bill and I'd prefer to put money in my regular vet hospital's pockets than the emergency clinic. I get faster service at my regular hospital than I did at the emergency clinic, even after shoving my credit card at them. (Effectively saying, "please let me spend up to my credit limit on the care of this dog, and please take me seriously that this is a time sensitive emergency.")
I have a good friend who lives in Boston at least part of the year. He has his own emergency clinic horror stories that are eerily similar to mine. Count your blessings that you have none.
Deanna September 26th, 2007 11:09:00 PM
Geez, Deanna, of course I'm talking about off hours! Dr. Patty's post was that she walks into the office and has someone demanding a call-back after leaving OFF-HOURS messages first thing in the morning. So, my entire point was that in OFF HOURS, I don't wait around and leave messages for my Vet. I go to the ER clinic. I live 2 blocks from my Vet. If something happened during regular business hours, of course I would take her there first. I have an established relationship with my Vet that I am thankful for. So much so that I respect him enough to not expect that I am his only patient and that my dog should be given priority status first thing in the morning. I have unfortunately had my fair share of animal emergencies and trust the ER hospital we go to. We have 4 major ER clinics in the area (that I know of), 2 of which I would NEVER go to. 2 I would. So, I go to the one that is closer. Sorry to hear about your friend, but I don't appreciate your passive agressive "count your blessings" comment. You don't know me from a whole in the wall and you have no idea what kind of burden I carry.
"Now, of course, if it is a weekend or night and can't wait, I would take them to the emergency clinic. My vet also has an emergency clinic they are associated with, but there is still no replacement for an established relationship. " Jenny, that was ENTIRELY my point. Urgent care/concerned? I go to my Vet. EMERGENCY that is OFF HOURS? I go to the ER. I don't wait around expecting my Vet to call me back and tell me what to do.
My entire point to Dr. Patty's post was that if my Vet's office is not yet open, and I even *think* I have an emergency, I would not wait around all morning, expecting my Vet to give me direction and then blame them for not getting back to me in a timely fashion. If the situation was severe I go the ER, if it was concerning but not seemingly dangerous, I would GO to my Vet, not just call.
Amy in Somerville September 27th, 2007 08:51:00 AM
I meant hole in the wall, not whole.
I hate that we can't edit our comments for spelling errors......
Amy in Somerville September 27th, 2007 09:10:00 AM
Hi Amy - so I guess we just misunderstood your post. Sounds like we all are in agreement :)
Jenny September 27th, 2007 06:47:00 PM
I'd love to have my vet respond with some timeliness to my phone calls, since I rarely call with a question. My general rule is that if I'm worried enough to call, it's probably deserving of a visit.
I did have a recent experience that with phone consults that was frustrating and baffling, however. I had taken my dog in and had blood drawn for a thyroid panel, because he had some skin issues and we wanted to rule thyroid out. Three weeks later, when I called, the receptionist told me that they had received the results but that she couldn't consult on them, couldn't even tell me if they were normal or not. My vet would have to call me back. A week later... no word. So I called again. Same answer - you'll have to talk to your vet, and she'll call you when she can. I gave all 3 of my contact numbers that time, just to be sure. Finally, I received a copy of the results in the mail more than two weeks after my call, and 5 weeks after the original blood draw. I still haven't heard a word from the vet herself. The results were normal.
I think you're fully within your rights to call back at your convenience, and agree with most of the other commenters: if it might be an emergency, bring them in.
Erin September 27th, 2007 07:34:00 PM
Erin - I hope you find a new vet :) I can understand that the technician can't share results, but that the vet didn't call you back within a day or two of receiving the test results is not right, or at least after you made your first call. That you had to wait five weeks for the results is awful. I am assuming that in this case, no call and slow to mail meant that there was nothing wrong - but I still wouldn't put up with it.
Jenny September 27th, 2007 09:05:00 PM
Erin- That's terrible. Unless the lab had a problem ( they are not always the brightest crayloas in the box) there's no excuses for that.
Have you looked into finding a new vet? I know I would if mine did that to me.
Stacy September 28th, 2007 08:02:00 AM
Sometimes things happen--at the lab or in the office. One phone call from you should fix it, though.
Dr. Patty Khuly September 28th, 2007 08:30:00 AM
Erin,
Inform your vet you want hard copies of all bloodwork. After the first phone call I would have told the receptionist to have the copy available at the desk within 24 hours along with whatever charges they assessed for copying.
CathyA September 29th, 2007 07:37:00 AM
I took my cat in a week ago today due to abd breathing. Vet did x-ray, and bloodwork, and said he was afraid it may be FIP. Said x-ray showed excessive fluid around his lungs, and his lungs were barely working. Said to keep him quite, that any excitement could "kill him". Gave an antibiotic and said for me to call within an hour for lab results of CBC. I spent the entire evening trying to find out. Everytime I called they would tell me to call back. Finally I was told that it was normal, but they were "sending lab work off" and it should be back in a few days. It has been a week and I called this morning, and they put me on hold so long I had to call back. When I did, I was told they didn't know if the results were back, and they were so busy that I could bring him in if I needed to. Said the vet would call me as soon as he had time. I have waited all day, and nothing so far. IF my cat wasn't so sick, and this vet hadn't done the tests I am waiting for, I would take him somewhere else. It was so stressful for him , I am afraid this might make him worse, for he is now taking shorter breaths than before. Doing all I can and waiting. Humidifier, giving his anitbiotic, keeping him quite. Frustration is not the word for this situation.
Phil January 28th, 2008 02:46:00 PM
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