Last Wednesday night I met with a group of pet people to give a talk on holistic veterinary care. Now, I’m no expert, but I’m definitely a proponent of holistic medicine. And so the topic of discussion wasn’t so much the intricacies of holistic vet care (which I’m not qualified to discuss). Rather, it was about informing my audience about how to source the kind of care you want and need for your pet with the help of your typical, one-kinda-care-minded practitioner.
Sure, like most traditionally trained vets, I have my concerns about potentially unsafe or essentially unproven therapies (especially when researched online and implemented without a vet’s weigh-in), but I like to look at this kind of medicine in a broad sense. So here’s my philosophy:
For me, holistic vet medicine is “wholistic.” That means that a vet is willing to take the time to understand a pet’s home environment, his nutrition, her exercise regimen, his parents’ bank account, his stressers and his physical state in a way that involves mental, physical and—yes—spiritual well being.
OK, so the latter claim may sound hokey to some of you. After all, most major religious cannons don’t exactly consider animals capable of spiritual perception. But if you believe animals have some intrinsic value then you might well be able to widen your perspective on this.
Truth is, though, I’m a standard vet school educated kind of a vet. I’m big on evidence-based medicine but I’m also into the art of healthcare—which all vets implement to varying degrees. Few of us, however, have the disposition and drive that might lead us to complete extra training in these areas.
And that’s why I have aces up my sleeve. I know I can always refer my patients to someone who knows much more than I do about these kinds of care options. Whether it’s a behaviorist, rehabber, acupuncturist, herbalist or homeopath, I can always find someone to implement the alternative therapies my patients might benefit from. The hard part, as with anything in this world, is finding a good one.
But I don’t always refer. In fact, vet medicine, like human healthcare, is getting to the point where even the most conservative providers are willing to try their hand at the most conventional non-traditional approaches: basic herbal medicine for stress, behavior modification, nutritional and vitamin therapy for chronic diseases, even acupuncture in limited situations (I use it for respiratory distress, otherwise I refer to a certified practitioner).
Mostly, though, I think about holistic medicine in its broadest sense as everything that can be used to help achieve optimal conditions for a pet’s happiness. And usually that means that I’m looking to the owner to give me cues that let me know how involved they want to be in this process.
So here’s where you and your big mouth come in. Sometimes, if you don’t say: “Can you think of anything else that will help Fluffy out in this department that doesn’t necessarily include drugs and/or that I might do at home?” or “Do you believe in acupuncture?” then your vet will have no clue that you are looking for alternatives or complements to traditional care.
As with human medicine, sometimes a vet will look at you with eyes full of wonder and derision and say: “Now why the hell would you want to do that?” In that case, you’ll know you and your pet’s healthcare provider are perhaps not such a good fit. However, if she actually has a good answer for you, with or without a referral attached, then you’re probably in the right place (unless all non-traditional medicine is anathema to your basic life philosophy—in which case you won’t have read this far anyway). But you won’t know until you open that mouth of yours.
That was essentially the point of my talk. Sure, you didn’t get the greasy ribs and the potato skins with it but consider yourself a few pounds lighter for the omission. I’m no expert on holistic vet care but this much I do know: You won’t get the best from any doc if you don’t use your God-given assets. Ask and you shall receive, right?
NB: If you ever want to find holistic-minded vet in your area, this is a great site with a seemingly complete listing.
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I am a big believer in holistic vet care combined with traditional vet care. When I opened my mouth to my traditional vet that I didn't want to vaccinate my dogs anymore, he then told me that he had taken a few courses in holistic care, and we could go that route in caring for my dogs. Which was great!
I was turned on to holistic care by reading "The Nature of Animal Healing" by Dr. Martin Goldstein. He has a practice in Westchester NY, and has treated Martha Stewart's and Oprah's pets. There are 2 chapters in his book which are EXTREMELY eye-opening: the chapter on vaccines, and the chapter on diets. The majority of commercial pet foods out there barely contain any meat or nutrition, and it's no wonder that so many of our pets die of cancer. My own boston terrier has kidney disease (started at age 2) which the holistic vet believes is a result of over-vaccination. After all the vaccine reactions I have seen and heard about through rescueing so many animals, it amazes me that vaccines are still seen as harmless. One quick google search of "vaccine reactions" will bring up more info than you can read in your lifetime!
There always has to be a balance in everything... something like giardia is best treated with medicines, not supportive methods. But we have to be our pet's best advocate in finding the right care for him/her.
Tara Bruno September 28th, 2007 08:38:00 AM
I like the term "integrative" rather than "holistic" or "complementary and alternative" to describe medicine that combines Western techniques with acupuncture, chiropractic, etc. Technically all good vets should practice "holistically", with an awareness of their whole patient rather than just a disease process, an injury, or an organ system. There are many vets that practice holistically that only utilize Western medicine, and I've heard of CAM practitioners that miss huge clinical problems because they were so focused on using only their chosen modality (i.e. a vet that tried to use acupuncture to treat 'GI problems'.... the dog died a couple of days later because he had been suffering from GDV).
I view integrative medicine as a good way to add new tools to your diagnostic and treatment toolbox, but would never opt to use things like acupuncture in lieu of all the stuff I'm working my butt off to learn in vet school.
I'm heading to the AHVMA convention in Tulsa on the 6th... should be a good time!
Megan September 28th, 2007 01:56:00 PM
Having worked with a vet that practices traditional medicine and acupuncture, I think they blend rather nicely. It gives owners that don't want to jump on the pill bandwagon another option to try to get a handle on pesky arthritis issues along with all those other aches and pains that pets deal with. His clients swore by it and odds are will avoid using pain meds whenever possible.
The problem with acupuncture is that not all vets spend many years in school to learn how to do it properly. The the vet that I worked with believes in continuing education and gets to seminars and such as often as his schedule will allow. He spent many years in school for it before he became licensed for it.
In human terms, I compare this to yoga instructors. There are those that have actually studied and continue to study for it, then are those that take fly by night courses and claim to be professional yogis. It's definately a buyer beware type of situation, but if a owner can find a vet that has the schooling and uses his or applied knowledge, it can be a very good thing.
What I tell people is get references ( do not used the phone book! Yeah, it could be considered a reference, but it's a weak one in this case) and check them twice. Before making a appointment, make an appointment to talk to the vet practices acupunture and ask for credentials. No license, no appointment.
Stacy September 30th, 2007 07:57:00 AM
Stacy: I agree. Certification (and there is a certifying body with decent standards) is key.
Dr. Patty Khuly October 1st, 2007 08:08:00 AM
Medicene must IMO be a combination of alliopathic;homeopathic and holistic.. And we as patients have to ask.
Fortunately for me and my pets, the Vet I use has been practicing this way for over 30 years. Example: a male cat had severe constipation from hairballs. The solution? metamucil. He then was blocked (urinary tract) twice. I was anticipating surgery. The Dr suggesting changing food BEFORE we took such a drastic step.Result was no surgery and my cat lived till 18 , all parts intact.This was 20 years ago.
BUT when another cat developed thyroid disease, medication was prescribed.
This same Vet is not fond of the fact that I feed raw, and choose not to vaccinate after the first set of shots,BUT respects my right as an owner.
Bottom line, there is no ONE way.And if we do not ask (as you indicated) then we willnot recieve the best possible care.
anonymous October 4th, 2007 07:08:00 AM
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