Vet School 101 Fear aggressive at the vet’s? Join the club…and check out my five tips

August 20th, 2008  

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I have one kitty who hates the carrier but doesn't seem to mind the vet (lots of pencils to push off the counter keep her entertained).

The other one cowers in the corner. He hisses once in a while at the vet, but he is so terrified (and he otherwise a highly, highly people social cat) that I give him 1/2 a tranquilizer. He doesn't get woozy but it takes the edge off. Its less stressful for him, the Doc and me.

And my vet is a very softspoken gentle person so its not his bedside manner. I think my cat just doesn't like to be in a position where he's not in control (who does).

2CatMom August 20th, 2008 12:23:00 PM

This is something I do with my ferrets that might help cat owners--I leave the pet carrier out all the time with some comfy blankets in it. It's not unusual to find the ferrets sleeping in there of their own free will. So when it's time to go to the vet, the carrier is not something traumatic, and they have a little refuge at the vet's that feels like home.

(added benefit of leaving the carrier out, related to your last post--it's right there in an emergency!)

regina August 20th, 2008 12:24:00 PM

Kathy Sdao, MA, CAAB has two great articles on her website, "Husbandry How-Tos" and "Husbandry-Training Classes for Dog Owners." http://www.kathysdao.com/articles.html

Patricia McConnell, PhD has a booklet "The Cautious Canine" which lays out nicely on how to use counterconditioning to help your dog.

Halle August 20th, 2008 12:24:00 PM

It's funny- my 3 animals show more or less the full range :)

Julie (a boxer dog)- She loves the vet. We pass by the clinic a lot on our walks, and she is known to pull on the leash asking me to take her in so she can get petted, get a treat, or just enjoy a few minutes of air conditioning on a hot summer day (or night).

Zora (my CRF kitty)- she isn't a huge fan of vets, but she will more or less co-operate for non-invasive procedures (general check up, listening to her heart etc). For taking blood, she needs to be a "kitty burrito", and can his an attempt to scratch.

Marta (my other cat)- hates each and every vet (we went though 3 until we settled on the current vet). The moment her carrier is put on the table, she will start hauling at the top of her lungs, ears back, pupils wide. She will lash out at anyone who gets near her, and has once bent *around* the carrier to get at the tech. Yes, she is the one with the warning "will bite" on her file :(

Xslf August 20th, 2008 12:39:00 PM

My cat Tim is just as you describe. By the age of 2 or 3, he became unmanageable at the vet. He is a sweetheart and not the alpha cat at our house; he just hates being away from home.

We have the kindest, gentlest vet, and she tried to use the towel over his head, aka The Cave. Then we tried to give him a tranquilizer before his visit -- didn't phase him a bit. At first I was actually worried they'd take him away from me because he seemed vicious, hissing and spitting with his tail all puffed out. But she told me it was normal, that some cats just don't do well outside their own home.

Now Timmy is 10, and to her credit, she still tries to start his exam without putting him under anesthesia, but inevitably, she has to use it if she needs to see him in the office. I don't mind the extra fee because it is for her safety as well as his. I'd hate to think we didn't find any health issues early on, because she could barely hold him to do a proper exam. He's a big red cat, and incredibly strong when he wants to be.

Debby August 20th, 2008 01:17:00 PM

I haven't thought before about the social maturity/sterilization link before. That's very interesting! I had a kitty who - while outgoing, friendly and social with one and all at home - was a terror at the vet's office. She was fine as a kitten, but after being spayed developed severe fear aggression. I was a tech back then, and was with her the whole time before, during and after her surgery so I KNOW nothing went wrong nor was she handled harshly... but it sure freaked her out.
Just another reason why laws for mandatory spay/neuter are such a bad idea - the decision when to do this surgery MUST remain between the owner and the vet.

Barb August 20th, 2008 01:47:00 PM

My border collie Lilly is SO fearful she shuts down and is actually quite cooperative, other than trying to flee at times, but my big boy (lab-greyhound mix) is a different story. If we're there to hold him during an exam, he isn't happy, but he hangs in there. BUT, if they are going to draw blood or do anything more, then I bring his muzzle. I muzzle him at home to clip his toenails, so he's used to it for short periods.

He had his teeth done last week, so we brought him in muzzled and put him in the cage ourselves. They kept it on until they got him konked out enough, then took it off. He stayed with them all day in the cage, muzzle free. But, I asked to get him out of the cage myself when I came to pick him up.

I don't ever want to put him in a bad situation, and I don't want the docs and staff to worry, so I'd rather be safe.

He went through 2 massive knee surgeries and all the pre- and post-op care without a muzzle when he was 3-4, but in his old-ish age (he just turned 8), he's getting crankier.

Roxanne August 20th, 2008 01:59:00 PM

Our pup needs to be muzzled. One of the vets always gave her an anal gland expression, and Pup HATED that. She would cry out, although the vet told us it didn't hurt her. So Pup really didn't like that vet, and has generalized it to all vets. We did try the non-exam visits, since the office is a few blocks from our house. But the times I could take her, the vet was never available. Pup was always uneasy, although she did get cookies, and I eventually stopped doing the visits. She still gets regular appointments -- with her muzzle.

lin August 20th, 2008 02:36:00 PM

I agree with your points about no-visit visits, getting a new vet if staff are too rough, and most especially, getting a home visit vet.

Re: smart owners "gently pointing out that the use of force is proving counter-productive"

Frankly, if I saw such a thing with my animal, I wouldn't "gently" remind anyone of anything -- I'd abruptly leave with my animal.

As for sedation, that concerns me.

Example:

Reading the recent Vet Board decisions in Virginia, there is a vet who decided, since the cat had apparently previously bitten or tried to bite someone there, to "sedate" the animal for a grooming.

According to the document, staff put the "sedated" animal back in the carrier, didn't monitor her, and she died.

She had only been brought in for a grooming.

Vets can be heavy handed with the sedation, too. Sometimes I wonder whether "sedate" is the word that gets used when what really happens is "anesthetize." The drug wasn't specified, and death is an extreme outcome. But then, she was stuffed back in her carrier and no one monitored her, so maybe she suffocated.

Stefani August 20th, 2008 02:40:00 PM

Stefani: Yeah, sedate and anesthetize...too often a fine line there. Here's the obvious distinction:

Sedation=consciousness,
Anesthesia=lack thereof.

Often the line between the two is dose-dependent so how the animal's body responds to the drugs is the issue. that's why I like to use oral drugs given at home in very small doses at first...then work up to a level that works.

Dr. Patty Khuly August 20th, 2008 04:52:00 PM

Regina - if I had the space I would do it. But I have a very small apartment and leaving the carriers out all the time isn't practical. I do take them out a week ahead of time and they generally ignore them.

Both my cats were neutered prior to them being adopted so I can't speak to the neuter/aggressive behavior link. I have noticed that over time my male kept getting worse at the vet. At first he wasn't too bad, but since getting his teeth cleaned a year ago, he's been a nervious wreck when we go. Don't know if had something to do with the anesthesia or whether it had to do with pain (he did have 2 teeth extracted) but why stress him out.

And I'm with Dr. K on sedation - if its for a regular exam - you don't need your pet to be anesthasized. All you need is for him to be calm enough that the vet can give him a thorough exam without the risk of losing a couple of fingers. A whole tranq. makes my cat too sleepy for my liking; a half is just enough to stop him from cowering or trying to bite or scratch. He does give a half-hearted hiss once in a while just to show the vet who's boss.

My vet claims that the friendliest cats at home are the scaredy cats at the vet.

2CatMom August 20th, 2008 05:15:00 PM

From my experience working in a vet hospital, I noticed that when people talked to their pet during an exam they unknowingly used a tone of voice that sounded worried which then would make the dog worry thinking if mom or dad is upset than something bad must be coming. I'd suggest they change what they were saying, which was usually "It's okay; it's going to be alright" to something like "that's good; whatta boy (or girl) which sounds more upbeat. The dogs would usually settle down to the owner's amazement.

Dawn August 20th, 2008 06:28:00 PM

I agree that excessive force benefits no one - most fearful pets react better to the "less is more" philosophy of restraint, and no one likes to be hog-tied and sat on. However, I don't believe that a soft muzzle falls under the unacceptable category - pets become afraid of muzzles because of the way the owner perceives them with that "oh no!" tone of voice, when in reality there is nothing evil or cruel about a piece of fabric around the nose. I am never, ever hesitant to muzzle a fearful or aggressive animal, and I counsel owners that everything will go much easier if they reflect a positive, no-big-deal attitude to their pet. To not use a muzzle for fear of offending the owner or making the animal more nervous is to put your staff and yourself at risk.

beth August 20th, 2008 06:55:00 PM

My boston terrier is fear aggressive and used to have to be muzzled at the vet. Then I started using Rescue Remedy before going to there. You could tell he was still nervous, but no more need for the muzzle! My vet and I have also found that he reacts less if I hold him still for shots, blood draw, etc, rather than a strange tech that he doesn't know. THankfully my vet lets me do this, since I know that not all are comfortable with the owner holding the dog.

Tara August 20th, 2008 07:13:00 PM

I do have a couple of practical tips for vets & techs:
#1 when drawing blood make sure the site is DRY, consider the vacutainer system with the smallest needle with pedi tubes, needle bore UP
#2 if a muzzle is needed, ask the OWNER to put it on
#3 ask the client if the patient is MORE comfortable or relaxed w/ the owner present and doing the restraint
#4 do not DRAG the pet into the back on a leash
#5 drugs: be careful on this one, I have seen first-hand that sedation can lower the bite threshhold ---the opposite of what it is intended!

My pet's are fine & happy,visiting the Vet's, until pain has been inflicted too many times to forget. Fortunately, none of mine would think of biting in my presence---except for my tough old deceased gal (and in her 15 1/2 years--never bit anyone--just threatened!) And you are right, Dr. Khuly, patience and relaxed atmosphere, treats offered by the staff, would go a long way with keeping things pleasant for both the pet and the owner.

I have made it a point to try and avoid any painful procedures at the end of my pet's life (yes with the one HORRIBLE Pocket exception)---and I finally had the where-with-all to bring my own cotton ball for Dottie's euthanasia. Jeepers, what on earth do you need a burning alcohol rub at that point in time?

Barbara A. Albright/New Hampshire August 20th, 2008 07:31:00 PM

One more quick one---if you are an aging fill-in Vet with back issues, ask the owner to remove the elderly 14 yr. old pet from the table instead of swooshing her off and dropping 2 feet above the floor.

Barbara A. Albright/New Hampshire August 20th, 2008 08:32:00 PM

I have a question about the sedatives. Our dog gets extremely nervous in the car -- she shakes and trembles and pants uncontrollably. Is there any chance we could give her a sedative but only on an "as needed" basis?? As far as vet visits and other things, she's perfectly happy to see her vet and meet new people, it's just the car.

ashleigh August 20th, 2008 09:07:00 PM

Ashleigh, if the car is only used to take your dog to the vet, she is making that association. Have you tried taking her someplace pleasant, going for a walk, giving her treats, and then heading home every so often?

I have seen the results of cats attacking vets, and their owners, and requests for dressings from the vet nurse, for the humans. I taught my previous two cats not to bite or scratch. While they struggled when held, they didnt ever attack a vet. Many of them commented on their good behaviour. More difficult to train an adult, but its worth a try.

Robin August 21st, 2008 12:32:00 AM

Sounds like a blog post written in self-defense to me. Did someone get bit yesterday? =)

Jonathan August 21st, 2008 11:05:00 AM

My 2 cats have never had any fear issues at the vet's... We brought them in to the city's clinic to get them spayed, which prevented them from associating the vet's office with any thing bad. They do howl when we drive past the city spay/neuter place though!
There's a thought...get them fixed at a different place than where they go for routine check-ups?

Mitsu August 21st, 2008 02:46:00 PM

Yeah...a tech got bit. Just a nasty bruise on her pinkie nail but it still hurt like hell, I'm sure. Actually, I wrote this mostly for Shep's mom who wrote into the Virtual Vet Hospital.

Dr. Patty Khuly August 21st, 2008 03:21:00 PM

I'm not sure about this, as I've received this tip second hand, but a friend of mine puts a T-shirt on her dog (a Chihuahua) as well as her cat before Vet visits. It started with the dog and then she tried it on the cat). She also does this during storms when the animals are terrified. Her animals are not fear aggressive at the Vet, just fearful, but you never know when that could turn. Anyway, she said it really, really calms them without use of sedatives. Something about the fitted shirt helps relax them. Have you ever heard of this Dr. Patty? This 'friend' likened it to swaddling a baby, which didn't sound too legit (infantilization?).
I know if I put anything on my small breed dog (t-shirt, sweater in the cold, harness....) she drops to the ground and won't move. I would not call it "calm" though......

As for my dog, she is growing more and more afraid of the Vet (perhaps due to more frequent anal gland visits?). She trembles in the waiting room. I think I've failed to notice this sooner and I really like the idea of the non-visit visit. I'm going to try to correct this before it gets any worse. Thanks for the tip!

Creature of Habit August 22nd, 2008 05:00:00 PM

Sophie Sue trembled at her first couple of radiation visits, too. She's scared to death of catheters! After she realized that she was going to be masked down instead of catheterized (and get a heaping bowl of yummies afterwards) she began to happily trot to the entrance each time. It's not exactly a no-visit-visit but happy experiences work wonders.

As for the wrapping, swaddling some pets chill out well. For thunderstorms, that's partly why I recommend the Storm Defender cape. It deflects electromagnetic radiation, but I think it makes them feel secure, too. Always depends on the pet, though. Some hate wearing anything.

Dr. Patty Khuly August 23rd, 2008 07:58:00 AM

All my dogs are trained to think that muzzle = treats. I swear my pibble thinks it's a feed bag. I started this with my cocker who hates to be held tightly - with a muzzle most procedures can be done safely for everyone with minimal holding. The muzzle functions as a marker for good things (and their muzzles smell like home and treats not the vet office.) When you have a dog who can be muzzled and starts looking for treats, it takes the tension down a notch for everyone and things tend to go much more smoothly. Of course, we have to practice with the muzzle a lot to recharge it with good experiences after any vet visit where painful stuff might have happened, but that's easy.

Juli August 23rd, 2008 07:18:00 PM

Juli, That is really good advice. Training early on to accept a soft muzzle at home with treats & bring it to the clinic. Unfortunately, a lot of pet-owners are horrified at the sight of one. I found it has actually defused stressful situations (like toenail trims)---into "ok, I can't do anything about this, so I'll just wait it out to reward time" (and boy, don't forget the treat).

Still, if an owner handles their dog often, groomming, training, I think it is far better for both client/patient to hold/restrain than a stranger, unless the pet is defensive of the owner.

Barbara A. Albright/New Hampshire August 23rd, 2008 08:35:00 PM

awe today I went back to pick up my 6 month Boston terrier sugar to find out she bit the vet tech after her spay. Didn't break the skin but did leave red mArks. I feel bad. I told the vet tech I was so sorry And that this was a first and a shock and he went on to tell me it was ok and that it was his fault. She doesn't like being away from me. Have only had her 2 weeks.I belive it was only out of fear. She pooped in her kennel afterwards ,the tech used the lovely towel over the head and picked her up a way he doesn't usually and she managed to reach around and bite him on his arm. Maybe Also because she was all doped up still? Poor sugar. Not sure if I should look into training? Suggestions welcome!

Lindsay August 26th, 2008 12:39:00 AM

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