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Metacam WARNING



 
 
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  #11  
Old February 26th 08, 10:23 PM posted to rec.pets.dogs.health
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Posts: 863
Default Metacam WARNING


"Dale Atkin" wrote in message
news:[email protected]
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  
Old February 29th 08, 01:58 AM posted to rec.pets.dogs.health
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Posts: 664
Default 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  
Old March 1st 08, 12:12 AM posted to rec.pets.dogs.health
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Posts: 863
Default 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  
Old March 2nd 08, 11:52 PM posted to rec.pets.dogs.health
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Posts: 324
Default 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  
Old March 3rd 08, 12:37 AM posted to rec.pets.dogs.health
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Posts: 664
Default 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  
Old March 3rd 08, 12:44 AM posted to rec.pets.dogs.health
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Posts: 664
Default 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  
Old March 3rd 08, 02:56 AM posted to rec.pets.dogs.health
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Posts: 324
Default 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  
Old March 3rd 08, 02:31 PM posted to rec.pets.dogs.health
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Posts: 664
Default 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  
Old March 3rd 08, 10:18 PM posted to rec.pets.dogs.health
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Posts: 324
Default 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  
Old July 15th 18, 03:39 PM posted to rec.pets.dogs.health
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Posts: 1
Default 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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