Wednesday, September 25, 2013

Ventana Animal Hospital - a snapshot

The great thing about our computer system (now a year old) is that it affords us the opportunity to really examine what we do on a daily basis. With a few clicks of a button I could tell you how many pills to treat valley fever we sold last week (985), or how many bags of prescription cat food we currently have in the building (21).

I may have had ugly battles with math in college, but when it comes to these kind of details I'm hopelessly enamored.

What we have not set up in our system is a diagnosis protocol that will tell me what the doctors said your pet has - this is often different than what you say your pet has. A coughing pet, for example is not diagnosed with a cough (which is a symptom) but with valley fever, or cardiac disease or collapsing trachea or something more obscure.

However, in the meantime, I have an even more interesting - at least as far as you may be concerned - database to mine: Presenting Complaints. Now, presenting complaints are not entirely scientific and can be wildly misleading as far as telling us about what is really going on in the population is concerned. A perfect example of this would be routine well care visits. The purpose of a routine well care visit is to look for things that may be wrong and address them - we know that - but the computer simply states: Exam.

However, presenting complaints tells us what you see as wrong with your pets. The chart below is a snapshot of presenting complaints over the past few weeks.


 



It shows us that most of our pets are healthy (YAY!). Well Care includes puppy and kitten care, vaccines and other exams. Now, just because someone says that they're here for an exam, that doesn't mean that we didn't diagnose ear, skin, or dental disease (the most common). Again, diagnosis is a whole different animal from presenting complaint.

Second, and not surprisingly are ears, eyes and skin, with the lion's share falling evenly between ears and skin. Skin can include anything from allergic dermatitis to lumps and bumps. Skin issues seemed to fall largely 60-30 in favor of allergy type issues over lumps and bumps.

GI issues come in right behind ears, eyes and skin. Pets get into things and then often have cause to regret it. Most GI issues are straight forward, and several were puppies with known parasite infestations.

Sick (general) is largely a grab bag called loosely defined in-hospital as ADR. ADR is veterinary-speak for 'Ain't Doing Right'. How many of these ended up being valley fever I have no idea, but it would be a fair estimation that at least a quarter were.

Blood work includes cases of routine follow up blood work for valley fever, diabetes, hypo and hyperthyroidism and the like, as well as diagnostic testing where the next thing on the list was blood work, and therefore the client asked for it by name.

Lameness falls into several categories: cuts and scrapes on the feet, and soft tissue injuries and fractures. Some of these may have ended up being diagnosed as valley fever too.

Dental care includes both preventive dentistry ("It's time for Fluffy to have her teeth cleaned again") and diseased dentistry (diseased gums, loose teeth and fractured teeth).

Last is surgery, I included spays and neuters - which was the bulk of our surgery over the past few weeks - as well as other surgeries triggered by disease and injury.

Again, this is hardly scientific, but it is a fairly representative snapshot of why we see pets on a regular basis. Of course some weeks are different than others. The snapshot I showed you would have included three drop-offs for hospitalization on the same day - something far outside the norm, and may be a bit shy of skin issues.

Regardless of the limitations of this little exercise, I hope that you found it as interesting as I did.

Thanks, and have a great day,
Liane

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