Tuesday 9 February 2010

Vets - a dogs friend? Not so much anymore

When the call came in late one evening that a dog we had rehomed was laying on the floor shaking with a very bloated abdomen, my advice was of course "get to the vet now". Bloat can become gastric torsion very quickly and I think that most people are now aware that once that occurs your window for treatment is very slim. As seems to be the case with most vet surgeries these days, an out of hours "emergency" service had to be used and the dog was immediately rushed in for treatment. The vet on call subsequently told the owners that it was not (thankfully) a gastric torsion but that the dog had a large amount of undigested food trapped which had expanded and caused the abdomen to swell. They said they would keep him over night, give liquid paraffin and try and encourage the dog to pass the food. The following morning the dog was still a bit swollen and the owners were told that in order to prevent the gastric torsion from reoccurring they would need to undertake a £2,000 operation!!! Hang on a minute ... didn't they say it wasn't a gastric torsion? so where did the £2,000 operation come from???? Of course these people don't have a spare 2 grand just laying around ready to give to someone who thinks it would be a good idea to perform surgery for a condition that hadn't occurred? If they can't afford it does the dog get sent back poorly or do they decide to put the dog to sleep because they simply don't have the money to make him well?
These kind of stories are not uncommon sadly, a dog rehomed with dry eye was duly taken to the vet for a check up as we ask them to do, only to be told that his eyes would cost them over £100 per treatment. Where on earth did that figure come from? Dry eye simply needs the eyes keeping clean and artificial tears applying daily (you can pick that cream up in the chemist for £6 a tube), in the worse cases where ulceration of the eye has occurred the treatment will be slightly more expensive but £100 a go? Again, this kind of attitude simply cause people to send their dog back to us because they just can't afford the treatment. Thankfully in this case we were able to reassure the new owners, and I worry that some of these vets try and make as much out of these situations as they can - very unfair to the dog who could find himself back listed for adoption when he had a perfectly good home first time around who was scared stupid by the vet.
Not so long ago we had to help a couple out who's vet would only allow them to take 2 antibiotics a day paid for on collection because they couldn't afford to pay the vet bill in one go. I know of vets who have refused treatment because the owners didn't have the money to pay for it? When did the veterinary profession stop caring for animals and start putting money first? If it's an offence to withhold veterinary treatment as a pet owner, where does the law stand if it's the vet that's withholding treatment based on the fact that they might not get paid.
I'd love to hear your experiences on this subject!

9 comments:

  1. I think that you have posed a very interesting Philosophical question here. What if any legal obligation is a Registered Vet under when a sick animal is presented for treatment.?

    There must be a legal position of some sort, either they refuse treatment.
    Or as they hold specialist knowledge (having gone to Vet College) they follow some course of action. Otherwise as Vets they hold specialist knowledge but unlike doctors they are under no obligation..

    A specialist college that is very hard to get into, but has no obligation to its “patients”. an interesting concept. Someone out there must know the answer.
    I know that Vets run a business and I have no problem with them making money. I don’t expect a Builder or a Plumber to work for free and my Doctor is paid by the state.

    What I am interested in what is the legal position when presented with a sick animal?

    This must be in Vet studies first year first tutorial. A Bulldogger who is a Vet or a Solicitor must be able to supply an answer to this one. Or else we raise more funds to take on a specialist animal solicitor to answer these deep questions.

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  2. I have made my web enquiries and I have discovered that, as far as I can see a Vet
    has to relieve pain when asked. That is it, the rest of the treatment is not an obligation but a voluntary agreement.
    This leads to much rich speculation, if you turn up at the Emergency Vet and demand pain relief they have to give it, but they do not HAVE to give anything else. Now that is not saying the pain relief is free, but pain relief HAS to be administered.
    Otherwise I presume you complain to the Veterinary College and get them disciplined.
    What if you have a Vet Technician? what if it is a Veterinary Nurse? to that I do not know the answer.
    Now as we all know pain relief is not an operation or any other treatment but rest assured (as I see it) that the animal can be removed from pain. Then you can argue about what to do next.

    http://www.rcvs.org.uk/Templates/Internal.asp?NodeID=89720&int1stParentNodeID=89642&int2ndParentNodeID=89717

    The above Link (if it works) is at Royal College of Veterinary Surgeons (in the UK),
    Guide to Professional Conduct part 1C. Well worth a look, there is some interesting stuff there.
    I rather hope that this is tested on an unsuspecting chain of outrageous Vets when there is a bus load of enraged Bulldoggers outside accompanying the poor sick animal.
    Why am I Anonymous, because I can never get the URL thing to work when I put comments up
    Ruth in Telford

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  3. the link to rcvs does work and I agree it does make some interesting reading.
    We have changed our vets numerous times mostly because we didn't think they had enough expertise when it came to our bullies although we did change from one particular vet years ago because it seemed they were only interested in the size of your bank balance. we have now found 2 vets that are BBCA members and we are comfortable using them, but fortunately we can generally afford their bills, but just in case its something horrendous we have all ours insured.
    One of our bullies, our late beautiful Bella, was abandoned in a vets because they couldn't afford the treatment before Bella went to Tania's and then onto us.
    If you can't look after your animals why get them in the first place

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  4. Reading Tania's blog and the comments makes me feel so relieved that my partner and I are very lucky to have an excellent vet who not only understands the Bulldog breed, but has never (so far!) tried to convince us to have/charge us for any unnecessary treatment. Although this situation is not specific to Bulldogs, it is a shame that some vets are often contradictory in their advice. Even more concerning is that some do not understand the Bulldog breed, many having the preconception that (all) Bulldogs have many health ailments; both reasons were behind our decision to change vets 5yrs ago.
    Like Ruth, I am also unable to get the URL thing to work either!
    Emma, Kent

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  5. Hi Tania.
    I am having an ongoing argument with my vet at the moment because Lulu they say has a deep set mite problem that only Aludex will do and at least 10 aludex baths is a must as well as a long course of antibiotics because she seems to have a weak immune system. The antibiotics are £49 per 2 weeks and she is presently on her third month of them. The aludex is £25 per bottle and only giving you 2 baths out of that bottle and the vet insist on giving her the bath as they 'do it properly' and are charging me £20 a time for that aswell. As you can imagine, the bill is mounting and when i complained about the cost of it all my vet said that If i was unable to pay the bill then I should re-home my beloved lulu!! How dare they

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  6. If I were you I would find out who the head of the practice is & and make an official complaint, if he is in charge then I would strongly advise making an official complaint to the Royal College of veterinary surgeons & suggest changing vets. What area of the country are you in?
    Peter

    complaint

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  7. Hi Peter,

    I am in St Albans, Hertfordshire. I am anon for the same reason, I cant get the URL thing to work. It wasnt the vet in charge who made the comment and if you think its worth making an official complaint then I think maybe I will. At the beginning of this treatment another one of the vets from the practice told me to put the aludex on lulu NEAT. Never having done it before I did as i was told and lulu was so ill I thought she was going to die. On reading the instructions on the bottle, calling Tania and then complaining bitterly to the vet I was informed that it should NEVER be used neat. Needless to say I am looking for a new vet who i can trust and who is in the know re bulldogs.

    Tracey
    Herts

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  8. More Vet stuff

    First find a tried and tested Vet recommended by Bulldog owners by going to the following.
    Home page, then Breed Info, then top left corner Bulldog Vets.
    Do remember that these Vets have been recommended by users, and not enough of you recommend good vets, just e mail Tania (and then make sure she has put your Vet up on the list). It is obvious that there are some areas with no recommendations at all.
    So what do you do it you live in one of those areas?

    You search engine “The Royal College of Veterinary Surgeons” or rcvs.org.
    They have a page called “Find a Vet” , just put your post code in and see what turns up. Check on the link to the named Vets, no point in turning up at a practice that only deals with horses. The link tells you who the vet(s) are and the type of practice they run.

    At the moment the RCVS have a competition up to see how much a Vet knows about there own obligations, I scored 18 and I am not even a Vet!!

    Good luck with it, and do ask if you can get to see a named Vet, I find it a lot easier (except in emergencies) to always see the same Vet, if it was a Doctor it would be called ”continuity of care”. The Vet has the previous treatment of the animal on the computer and knows where he or she is heading with the treatment, saves a lot of messing around I find. But I am prepared to wait a couple of days to get the same Vet, again in an Emergency my other Vet is tip top just a case of keeping it all simple and knowing what is going on.
    Good luck with it and I hope this has been of some help.
    Ruth in Telford

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  9. I think it's a disgrace that such high prices are charged. I have no problem with anybody making money and indeed a profit to their business, but such extortionate amounts? A friend of mine had a dg who had got cataracts, and was told it would be £1000.00 per eye, yes PER eye. As a result she couldn't have the operation to relive her of this and became completely blind. It makes you wonder whether the vets are trying to scam us or the insurance companies that we use to protect our beloved dogs

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