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MAY 16th, 2008

Speed demon surgeons may not sound like your pets’ best friend, but let’s not be too hasty now…sometimes it really is the best medicine.

In some surgical residency programs they teach the mantra, “time is...
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Comments
I feel you miss the tone and focus of those responses. Being quick is not what rubs the wrong way, but aspiring to be quick for its own sake and actively inviting pressure to be as quick as possible. Even if very incorrectly, this suggests to the casual reader a willingness to be quicker than is necessarily optimal for the animal. I personal do not think operation 'racing' should be encouraged, for several reasons including that the best speed of operating for the animal is an optimum not a minimum (or a maximum). In any case, it just isn't going to play in Peoria.
# Posted By emily | 5/16/08 1:35 PM
The problem isn't a good vet trying to keep up on his/her emergency skills. The problem is places like Banfield where the vets are mediocre at best and have "time allotments" that each surgery spays and neuters alike are to take....
Then there is the generalized ego fest that can occur when bragging rites take over higher brain functioning....
My vet neutered 6 of my kittens on tuesday. I don't care if it took him 20 minutes or 3 hours. I care if he did the best job he could. That's what I pay for. It would be more critical that that spleen comes out in 10 minutes but then the next day so do the animals intestines through sloppy suturing than it take a little longer and done correctly. Twice under anesthesia is worse than once twice as long.
It's a practice that shouldn't be encouraged or glorified.
# Posted By LorriM | 5/16/08 3:10 PM
I'm not a big Banfield fan, but every vet has time allotments for surgeries. You've got to be able to schedule things somehow. The practice I work in during school holidays bases them on weight/procedure. Large dog spays take longer than small dog spays. I'm willing to bet than BF vets don't get to the end of the time allotment, say "Oh shucks, I'm not done" and close the dog without finishing...they just run into lunch/stay late that day.
# Posted By Alli | 5/16/08 3:55 PM
Emily, re:

"best speed of operating for the animal is an optimum not a minimum . . . "

You said it better than I could have. Thanks. The issue with those surgeries is the idea of making speed a competition -- anyway, rather than elaborate, I will reiterate that you said it all.
# Posted By Stefani | 5/16/08 5:48 PM
One needs to trust that the vets who earn your presence on the doorstep of their clinic have the good judgement and good sense to know what's appropriate for each situation. That or vote with your feet. IOW, I'm not offended in the least and give a thumbs up to Dr. K. for another interesting post. I like these peeks inside vet medicine.
# Posted By Deanna | 5/16/08 6:40 PM
Re: Pearl's spinal surgery (case in virtual hospital). Between the MRI & surgery, she was "out" for a very long time, as long as my 'significant other' was out for his spinal surgery. I was very concerned of detrimental effects of long anesthesia, but am happy to say there has never been any change (of personality, mental dullness, etc. ) . I can't bring myself to say the same for my 'other', though. (perhaps long-term effects of pain medication, too)

I say swiftness appropriate to skill AND surgical procedure!
# Posted By Barbara A. Albright/New Hampshire | 5/16/08 6:59 PM
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