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

Have we seen your cat lately?

Cats account for over 50% of the pet population, however, nationwide they account for fewer than 30% of vet visits. Why is that?

Actually, The answer is complex, but two recent events will help explain both the reasons why cats rarely see the vet (especially in Tucson where all of our cats are indoors) and why they really should be seen more often.

I have been in the veterinary industry for over a decade, and so, I would hope that at least some of my constant carping about poor pet care would have rubbed off on my family.

Alas, my own sister who just acquired a kitten called to ask if her kitten, now that she has had all her shots will ever need to see the vet again. 'Really?!' I thought, "you've got to be kidding me!? Have not heard one word I've been saying?' Then because I assumed my sister couldn't hear the ranting in my head, I decided to share it with her. She was impressed with my passion if not my actual words, which in the end amounted to a, "Yes!!"

Then my own mother, whose evil cat finally succumbed at age 21 after years of hyperthyroidism and slowly escalating kidney numbers, explained to me how her year and half old cat didn't need a rabies shot because it was indoors. This time I didn't rant, I sighed, after all if the people closest to the veterinary profession don't understand that their own beloved cats should receive regular veterinary care maybe it wasn't their fault but mine - or in the case of the profession - ours.

After all, we are the messengers and if the message isn't getting out it certainly rests on our shoulders to investigate why.

Of course, in the case of my own family I was able to explain that cats are prone to painful dental disease and that only regular visits will uncover this, and that I personally know of two cases where indoor animals were exposed to rabies and subsequently euthanized because of overdue vaccinations (one was a case of a bunch of indoor cats exposed to a rabid bat that got into the house, the other was a Labrador chased through the doggie door by a rabid skunk).

And so, maybe one on one conversations are the way to go. So, that is where we will have to start, with each pet owner, on the phone or in person, with the simple question, "have we seen your cat lately?" We hope that this will trigger a discussion that will ultimately lead to better cat care by the very people who care most for them, their owners.

We at Ventana Animal Hospital are making a concerted effort to speak better to cat owners, to address their concerns and treat their cats. We have a skilled cat guru in the person of Alaina Rhodes a Certified Veterinary Technician, she, working in concert with cat specialists and our doctors, will be driving some of the changes that cat owners will be seeing in how their cats are handled in our practice, our renewed focus on cat owner concerns and a better feel for cat needs.

Alaina, who wrote several of the blog posts you will see in the coming weeks has dedicated her professional career to feline care. She has worked with the Heritage Shelter as an interim director and knows first hand what happens when we, the veterinarians entrusted with their care fail to speak out for cats. Cats are often relinquished because of easily solvable urinary issues and avoidable behavioral misunderstandings.

We take feline care seriously and are striving to express that with renewed enthusiasm to our clients. We our launching our initiative with a cat-focus month. We will have two cat adoptions during the month of April, we are partnering with Boeringer-Ingelheim to provide staff education, and we will be having cat focused contests both within the hospital and out in our community. Our neighbor, Risky Business and the vaccine manufacturer Boerhinger-Ingelheim have both generously donated towards our raffle with the proceeds benefiting Tucson Two Tails Feline Rescue. I hope you will join us in our renewed efforts to provide proper veterinary care to the cats within our community.

The first contest starts right here. As you may have noticed, this post contains no photos. This is because I personally have no cats, so, if you would like to have your cat's photo included in our upcoming blog posts, please post them on Facebook, and the photos with the most likes win. It's that simple!