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#11
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Metacam WARNING
"Dale Atkin" wrote in message news:_BZwj.40699$FO1.34965@edtnps82... I know at least in my case, even with full knowledge of the possibilities, I'm willing to go ahead. .......that's the difference Dale. Knowing the possiblities. No NSAID should be prescribed without first running a chem panel. buglady take out the dog before replying |
#12
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Metacam WARNING
......that's the difference Dale. Knowing the possiblities. No NSAID
should be prescribed without first running a chem panel. And here's what gets me: Vets should run a baseline panel for the right reasons. But even if he/she is more business oriented (blah) getting that panel generates revenue. So vets who don't get that extremely important panel and regular follow-ups are either lazy, stupid or poor enough in communication that they're afraid of adding on fees and pissing off clients. (Yep. A lot of vets out there who give away their services and products because they're intimidated by the clients who balk at having to pay). |
#13
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Metacam WARNING
"Sharon Too" wrote in message ... (Yep. A lot of vets out there who give away their services and products because they're intimidated by the clients who balk at having to pay). .........Even considering the current economic situation, I know there's a lot of people who are stuck in the mindset that you don't spend money on pets, period. Ergo, if a vet would stick to his/her guns and not prescribe that NSAID w/o a chem panel, perhaps the clients would give it a think and realize it's important. I really think it's up to the vet to put their feet down. I don't know of any vets who hand out Heartgard w/o BW. Perhaps these clients would go find someone to prescribe w/o any BW, but it's these same people who could end up screaming and hollering if their pet went into either liver or kidney failure and threaten to sue. So one might be better off w/o them. buglady take out the dog before replying |
#14
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Metacam WARNING
"Sharon Too" wrote in message ... ......that's the difference Dale. Knowing the possiblities. No NSAID should be prescribed without first running a chem panel. And here's what gets me: Vets should run a baseline panel for the right reasons. But even if he/she is more business oriented (blah) getting that panel generates revenue. So vets who don't get that extremely important panel and regular follow-ups are either lazy, stupid or poor enough in communication that they're afraid of adding on fees and pissing off clients. (Yep. A lot of vets out there who give away their services and products because they're intimidated by the clients who balk at having to pay). There are an awful lot of people out there who think all vets are "in it for the money". I can't tell you the number of people I've had tell me that my vet is just milking me when I tell them the tests we've run on Erwin. They do some pretty quick back peddling when I tell them that most of this has been done at or below their cost. I think in a lot of cases, its about balance. Obviously the more information you're going in to a problem with, the better, but each test costs money, and like it or not, money is not unlimited. If you recommend doing a full chem panel on a young, healthy dog, with no reason to suspect anything wrong, who is going on an NSAID for a short period, and the results come back clean, you've probably lost some credibility with most owners. My own approach would be to brief them on the potential side effects, give them signs to watch for, give the option of blood work, and recommend blood work for any longer term NSAID. (the preceeding is subject to change as I learn more, but at the moment that is where I sit). Dale |
#15
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Metacam WARNING
........Even considering the current economic situation, I know there's a
lot of people who are stuck in the mindset that you don't spend money on pets, period. Ergo, if a vet would stick to his/her guns and not prescribe that NSAID w/o a chem panel, perhaps the clients would give it a think and realize it's important. We don't, but some of the old school vets out there do. I really think it's up to the vet to put their feet down. I don't know of any vets who hand out Heartgard w/o BW. Perhaps these clients would go find someone to prescribe w/o any BW, but it's these same people who could end up screaming and hollering if their pet went into either liver or kidney failure and threaten to sue. So one might be better off w/o them. We require HWT before prescribing HW preventive, but you'd be surprised how many internet pharmacies will go out of their way to tell clients that the vets only reason for requiring it is $$, therefore fight him on it. And, you know, the internet always knows best... -Sharon |
#16
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Metacam WARNING
I think in a lot of cases, its about balance. Obviously the more
information you're going in to a problem with, the better, but each test costs money, and like it or not, money is not unlimited. If you recommend doing a full chem panel on a young, healthy dog, with no reason to suspect anything wrong, who is going on an NSAID for a short period, and the results come back clean, you've probably lost some credibility with most owners. My own approach would be to brief them on the potential side effects, give them signs to watch for, give the option of blood work, and recommend blood work for any longer term NSAID. (the preceeding is subject to change as I learn more, but at the moment that is where I sit). Education and informed consent is key. Some things we don't do without doing labs first, for good reason. But sometimes the doctors will just have clients waive a certain test and sign the waiver in the chart. But there's going to come a time that even doing that won't stop legal action if something happens. Some clients don't realize that a vet has a state issued license that can be yanked if regulations aren't followed. Last week our receptionist had a phone call from someone who wanted a prescription for an antibiotic filled by us even though we had never seen his dog. She explained that the doctor would not be able to do so without examining the patient first and he went off on her telling her that the original clinic said they'd refill it! Yep. She advised him that he should go back to that clinic. I eventually took the call and he went off on me telling me that we're only in it for the money and I told him that if we prescribed without ever seeing a patient the state would take the vet's license away from him and 12 people would be out of a job. He hung up on me. Sometimes the day is just not short enough. |
#17
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Metacam WARNING
Last week our receptionist had a phone call from someone who wanted a
prescription for an antibiotic filled by us even though we had never seen his dog. She explained that the doctor would not be able to do so without examining the patient first and he went off on her telling her that the original clinic said they'd refill it! Yep. She advised him that he should go back to that clinic. I eventually took the call and he went off on me telling me that we're only in it for the money and I told him that if we prescribed without ever seeing a patient the state would take the vet's license away from him and 12 people would be out of a job. He hung up on me. Sometimes the day is just not short enough. Are you not allowed to have that clinic send over a prescription? Up here (Alberta), its fairly common (and I believe allowed) for a clinic to fax a prescription over to another clinic and have the other clinic fill it. We do it all the time at the clinic I'm at. (in part because we're just outside Calgary, but have many clients who make the drive from Calgary (~30km). If there a prescription that can't be filled when they are in for their appointment (either the results aren't back, or we don't have it in, or what ever), frequently we'll get a clinic in town to fill it. Dale |
#18
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Metacam WARNING
Are you not allowed to have that clinic send over a prescription? Up here
(Alberta), its fairly common (and I believe allowed) for a clinic to fax a prescription over to another clinic and have the other clinic fill it. We do it all the time at the clinic I'm at. (in part because we're just outside Calgary, but have many clients who make the drive from Calgary (~30km). If there a prescription that can't be filled when they are in for their appointment (either the results aren't back, or we don't have it in, or what ever), frequently we'll get a clinic in town to fill it. Yes, but it's at our discretion. We certainly would have done it for something like insulin or other maintenance meds. But this guy wanted antibiotics and, knowing the other clinic and doctor well, we were 99% sure he was lying about them saying they would refill it with no problems. It would have been just as far for him to drive there as it would have to get to us. Antibiotics are a one time affair. If it hasn't worked the first round, another exam needs to take place to test or look for other causes of the problem and/or another form of antibiotic is needed. |
#19
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Metacam WARNING
"Sharon Too" wrote in message ... Yes, but it's at our discretion. We certainly would have done it for something like insulin or other maintenance meds. But this guy wanted antibiotics and, knowing the other clinic and doctor well, we were 99% sure he was lying about them saying they would refill it with no problems. It would have been just as far for him to drive there as it would have to get to us. Antibiotics are a one time affair. If it hasn't worked the first round, another exam needs to take place to test or look for other causes of the problem and/or another form of antibiotic is needed. Good to know. Makes sense that it would be at your discretion, and that you'd need some kind of proof from the other clinic that the drug (of any kind) had actually been prescribed there. From your initial post though you had me thinking there were some different laws south of the border. Dale |
#20
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Metacam WARNING
My cocker spaniel was 9yrs and 10 months she was given metavmcam to take for arthritis pain and told to give her every day for the rest of her life 2 months later she had to be put to sleep with kidney failure
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