1 00:00:02,240 --> 00:00:22,839 Speaker 1: This is pet Life Radio. Let's talk pets man. 2 00:00:23,239 --> 00:00:26,120 Speaker 2: We are live here both on Instagram and on cat 3 00:00:26,199 --> 00:00:28,559 Life Radio. Here for the next thirty minutes with a 4 00:00:28,640 --> 00:00:31,000 doctor Jeff for We're your host here on pet Life 5 00:00:31,079 --> 00:00:33,240 Radio's as Sid's a doctor Jeff here for you, here 6 00:00:33,280 --> 00:00:34,200 for your pets. 7 00:00:34,359 --> 00:00:37,280 Speaker 1: And just anything you want to talk about. We are 8 00:00:37,399 --> 00:00:41,719 here and ready to talk. So I'm just hello, Danielle. 9 00:00:41,759 --> 00:00:45,039 How are you? I'm waving waving so as you know, 10 00:00:45,479 --> 00:00:48,159 anything you want to talk about, we have some things, hello, Steph. 11 00:00:48,560 --> 00:00:50,920 And if you can hear my voice, maybe a little 12 00:00:50,920 --> 00:00:53,960 bit groggy, a little froggy. You know. I never get sick, 13 00:00:54,280 --> 00:00:56,960 and whatever was going around, I think I got it. 14 00:00:57,479 --> 00:01:00,320 And it's been like about a week almost first I 15 00:01:00,359 --> 00:01:03,840 thought it was just basic larynxitis, and no it's been 16 00:01:04,079 --> 00:01:06,400 lingering on. I feel totally fine, never have a fever, 17 00:01:06,920 --> 00:01:11,439 never stop working, eating, Everything's normal except except the chest. 18 00:01:11,560 --> 00:01:15,120 So anyway, I'm doing fine, doing much much better. Hope 19 00:01:15,159 --> 00:01:17,680 all you were well. It is a gorgeous day here 20 00:01:17,799 --> 00:01:22,319 in socol And ooh, let's see hearing new vaccines will 21 00:01:22,400 --> 00:01:25,359 be Mr Na can you comment if you can talk 22 00:01:25,400 --> 00:01:28,000 about the Yes, A couple things I wanted to talk about. 23 00:01:28,079 --> 00:01:31,480 One is I saw something a post on one of 24 00:01:31,519 --> 00:01:35,000 the news sites that I get that beware of scammers. 25 00:01:35,400 --> 00:01:36,840 So a lot of times if you find a pet, 26 00:01:36,920 --> 00:01:38,359 what do you do? You post you found a pet, 27 00:01:38,760 --> 00:01:43,560 so then you're getting calls from either supposedly a shelter 28 00:01:44,120 --> 00:01:47,280 or vet clinic saying, oh, we know that pet and 29 00:01:47,359 --> 00:01:50,200 he needs to be on medication. If you can send 30 00:01:50,319 --> 00:01:53,599 us some money, we can get to the medication until 31 00:01:53,640 --> 00:01:55,680 you can find the owner. Will help you find the owner. 32 00:01:55,959 --> 00:01:58,519 It's bs. Don't fall for it. They'll give you a 33 00:01:58,640 --> 00:02:02,920 Venmo paypye get paid by Venmo. Don't do it. They're scammers. 34 00:02:03,000 --> 00:02:06,599 They are combing these sites and anytime they see you know, 35 00:02:06,799 --> 00:02:10,360 look who posts about a pet like this, right, it's 36 00:02:10,439 --> 00:02:13,919 usually going to be a pet lover who really cares. 37 00:02:14,400 --> 00:02:16,360 If you lost a pet, you post a pet and 38 00:02:16,360 --> 00:02:17,960 then you're going to give them shelter. We have your 39 00:02:18,000 --> 00:02:20,919 pet and it's sick or something. We found a pet 40 00:02:21,000 --> 00:02:23,280 and it's sick. We know who belongs to, but it 41 00:02:23,360 --> 00:02:26,919 needs some medication. So either way, don't fall for it. 42 00:02:27,199 --> 00:02:29,599 If someone says we have your pet, then let me 43 00:02:29,680 --> 00:02:32,560 see the pet and send me pictures. Let's do a video. 44 00:02:32,919 --> 00:02:34,960 Let me see your clinic, let me see the pet there, 45 00:02:35,000 --> 00:02:36,759 and now I'll tell you if it's my pet. Don't 46 00:02:36,840 --> 00:02:39,039 just say oh, we got the ID tag it sounds 47 00:02:39,080 --> 00:02:41,759 like it's yours. Don't fall for it. How is everybody's week? 48 00:02:41,759 --> 00:02:44,120 I hope it was a good week. Mine was busy 49 00:02:44,479 --> 00:02:48,439 as always, which is good. And Savili I wanted to 50 00:02:48,479 --> 00:02:50,599 talk about and we get scart the how to treat 51 00:02:50,639 --> 00:02:54,039 direna in a nursing cat. Well, first of all, diarrhea 52 00:02:54,120 --> 00:02:57,000 can happen for many reasons, and one of them is stress. 53 00:02:57,759 --> 00:03:00,719 So you know nursing cats, who's you're eating more? They 54 00:03:00,759 --> 00:03:04,080 should be anyway, A pregnant animal use each should to 55 00:03:04,120 --> 00:03:06,879 eat about one and a half times they're normal. A 56 00:03:07,400 --> 00:03:12,479 nursing mom should eat twice as much, like literally double 57 00:03:12,639 --> 00:03:15,919 the caloric load. So that and of itself used to 58 00:03:15,960 --> 00:03:18,879 eating more that could also cause diarrheic. Just the stress 59 00:03:19,400 --> 00:03:22,360 half of the kittens that can also cause the diarrhea. 60 00:03:22,479 --> 00:03:24,479 So I wouldn't want to use drugs at this point 61 00:03:24,520 --> 00:03:26,719 because you don't want to get that stuff into the kittens. 62 00:03:27,159 --> 00:03:29,520 But just add a little fiber to the diet is 63 00:03:29,639 --> 00:03:32,439 pretty much all you need to do a little sillier powder, 64 00:03:32,639 --> 00:03:35,879 a little cooked oatmeal, a little brand just add a 65 00:03:35,919 --> 00:03:39,159 little bit of fiber. It will approve as the stress 66 00:03:39,240 --> 00:03:42,400 level comes down, or even just the excitement of having kittens. 67 00:03:42,800 --> 00:03:45,400 But I'd be really careful you don't want to use 68 00:03:45,439 --> 00:03:48,439 any kind of medication because of course that's going to 69 00:03:48,479 --> 00:03:50,879 get into the milk and that's not a good thing. Okay. 70 00:03:51,000 --> 00:03:54,199 So what I wanted to mention is that having done 71 00:03:54,400 --> 00:03:57,759 my telemedicine for a number of years now and really 72 00:03:57,840 --> 00:04:00,520 seeing a lot a lot of cases back of the day, 73 00:04:00,680 --> 00:04:02,639 if you even it's his industry. If you to ask 74 00:04:02,680 --> 00:04:05,680 an emergency room vet who works in an emergency clinic, 75 00:04:05,919 --> 00:04:10,000 what percent of emergencies are actually emergencies, even they would 76 00:04:10,039 --> 00:04:13,560 tell you, which I found fascinating, about twenty percent. That's 77 00:04:13,599 --> 00:04:18,000 coming from an emergency room doc. So twenty percent of 78 00:04:18,360 --> 00:04:23,879 the cases they see as an emergency are actually an emergency. Now, 79 00:04:24,399 --> 00:04:27,279 having done telemedicine through air veat for a long time, 80 00:04:27,759 --> 00:04:31,360 it's not sasars. I talk to other telemedicine doctors and 81 00:04:31,600 --> 00:04:35,000 basically we're getting the same thing I've done, probably close 82 00:04:35,040 --> 00:04:38,519 to four thousand tell themedicine visits, and some of them 83 00:04:38,519 --> 00:04:40,680 are obviously we're not meant to be an emergency. But 84 00:04:41,079 --> 00:04:44,759 I would say of the one set where someone contacted 85 00:04:44,879 --> 00:04:48,639 us for an emergency, I'd say that number is actually 86 00:04:48,879 --> 00:04:54,160 more like five percent. That means most of these emergencies aren't. 87 00:04:54,639 --> 00:04:57,319 And unfortunately what happens is as any of you know, 88 00:04:57,399 --> 00:05:00,480 and I'd love to hear that when you've had a case, 89 00:05:00,879 --> 00:05:02,959 and of course you're veterinariing at two in the morning, 90 00:05:03,079 --> 00:05:06,240 wasn't available or on Sunday or whatever. So they have 91 00:05:06,319 --> 00:05:09,680 an emergency, you have a message automatic message at the 92 00:05:10,000 --> 00:05:13,720 office say hi, thanks for calling, but we're closed. If 93 00:05:13,759 --> 00:05:16,800 you have an emergency, you recommend you either call or 94 00:05:16,839 --> 00:05:19,800 go to this clinic or call this clinic. So what 95 00:05:19,920 --> 00:05:23,360 are most normal people gonna do? They are going, of course, 96 00:05:23,839 --> 00:05:27,480 to go. So they're gonna go to the emergency room. 97 00:05:27,519 --> 00:05:30,199 Now emergency rooms, you know, I gotta tell you. Can 98 00:05:30,279 --> 00:05:32,839 you talk about this temper Foster a dog who had 99 00:05:32,920 --> 00:05:35,279 kennel cough and vomiting now asked Ray, Oh my god, 100 00:05:35,399 --> 00:05:38,480 vet ted he's checking for distemper. He says, nasal discharge. 101 00:05:38,759 --> 00:05:41,079 What's the like to it? Well, I mean, look, distemper 102 00:05:41,319 --> 00:05:44,519 is a fairly common problem that we're gonna see, especially 103 00:05:44,879 --> 00:05:48,399 in shelter animals or you know, anytimes that animals are 104 00:05:48,439 --> 00:05:52,000 coming from a rescue or foster. Often you know foster's 105 00:05:52,000 --> 00:05:55,120 you know fosters do. They do wonderful work. They often 106 00:05:55,199 --> 00:05:57,399 go to these shelters, They look at these dogs and 107 00:05:57,439 --> 00:05:59,879 they say to themselves, look, we know many of these, 108 00:06:00,000 --> 00:06:01,839 Oh can we put to sleep? Who can we save? 109 00:06:01,920 --> 00:06:04,000 How many can we save? And which ones are the 110 00:06:04,079 --> 00:06:07,480 most likely to be saved or be able to be 111 00:06:07,600 --> 00:06:11,600 adopted once we get to pull up. So sometimes you know, 112 00:06:11,720 --> 00:06:13,920 dogs with kennel cough, it's very common, you see them 113 00:06:13,959 --> 00:06:16,920 all the time. So what we need to do is 114 00:06:17,399 --> 00:06:21,279 what they'll often do is they will find dogs that 115 00:06:21,639 --> 00:06:25,319 seem to be the most adoptable and that's who they pull. Now, 116 00:06:25,720 --> 00:06:28,079 could a dog with a simple kennel cough end up 117 00:06:28,439 --> 00:06:33,240 with a much more aggressive respiratory infection? Are maybe dead 118 00:06:33,319 --> 00:06:39,040 vomits and then maybe it aspirates, So yes, these are possibilities. 119 00:06:39,120 --> 00:06:42,399 Does it mean it's a temper not necessarily, but is 120 00:06:42,439 --> 00:06:45,160 to be tested for distemper and there are some tests 121 00:06:45,199 --> 00:06:48,319 that can be done. But meanwhile, treatment is the key. 122 00:06:48,399 --> 00:06:50,879 And this temper is very interesting because distemper is an 123 00:06:50,920 --> 00:06:56,639 epitheliotrophic disease. That means it attacks all epithelial surfaces. So 124 00:06:57,040 --> 00:06:59,160 what are some of the symptoms as well? The eyes 125 00:06:59,600 --> 00:07:04,959 are our epithilial tissue, the respiratory tree. Okay, the respiratory 126 00:07:05,040 --> 00:07:09,000 tract is covered lined with epithelium. How about the intestinal trap? Oh, 127 00:07:09,079 --> 00:07:11,720 my god, line with that pithilion. So you have these 128 00:07:12,040 --> 00:07:17,680 multi systemic diseases all because of one virus that attacks 129 00:07:17,759 --> 00:07:22,600 epithelial tissue. So that's the problem. Now what else is 130 00:07:22,720 --> 00:07:27,120 line with that pathilion? The brain, neural tissue. So there 131 00:07:27,160 --> 00:07:31,160 are different phases of de Steparate virus. The most common, 132 00:07:31,560 --> 00:07:34,959 the one that's usually comes first is the respiratory. Then 133 00:07:35,000 --> 00:07:38,439 it can go to the DII, gastro intestinal and ultimately 134 00:07:38,560 --> 00:07:41,720 the prey. Now it is it's a tough one. It 135 00:07:41,879 --> 00:07:44,639 is treatable. There are some things we can do, but 136 00:07:44,800 --> 00:07:47,560 remember it's a virus, so all we can do is 137 00:07:47,639 --> 00:07:52,079 support the body as best we can to let the 138 00:07:52,160 --> 00:07:55,600 body that take care of its own virus. So now 139 00:07:56,240 --> 00:07:59,360 use it. My feeling is if it's just respiratory, one 140 00:07:59,439 --> 00:08:02,079 hundred percent treat as you were to any respiratory infection 141 00:08:02,319 --> 00:08:04,920 and keep them more, keep them well fed, Let keep 142 00:08:04,959 --> 00:08:07,000 the body as strong as possible. If you go to 143 00:08:07,040 --> 00:08:10,680 the gi trap save thing. My feeling is that just 144 00:08:11,160 --> 00:08:16,079 hit from historically, if it hits the brain, the neuro track, 145 00:08:17,120 --> 00:08:19,680 then it's gonna be a more of a challenge. Even 146 00:08:19,759 --> 00:08:22,480 dogs that recover, and there are many they can, they 147 00:08:22,560 --> 00:08:27,040 may get something called ode old dog encephalitis down the road, 148 00:08:27,160 --> 00:08:29,759 could be a year, it could be several years. They 149 00:08:29,839 --> 00:08:35,120 can start getting like disorders, neurologic disorders, which is probably 150 00:08:35,840 --> 00:08:40,120 related to that distemper virus they had. Also, if you 151 00:08:40,200 --> 00:08:43,480 look at dog's teeth, one way you can really tell 152 00:08:43,519 --> 00:08:47,039 if the dog was subjected or is exposed to distemper 153 00:08:47,120 --> 00:08:51,039 as a little puppy is they will have a problem 154 00:08:51,080 --> 00:08:55,639 with their enamel, enamel hypoplasia, and their teeth will come 155 00:08:55,720 --> 00:08:59,240 in their adult teeth. But the adult teeth have a 156 00:08:59,320 --> 00:09:04,440 lot of like cracked enamel. They'll have dibbits, it'll be browner. 157 00:09:04,879 --> 00:09:07,759 The teeth don't look pre Now, the denton, the next layer, 158 00:09:08,080 --> 00:09:11,159 deeper layer, which is a straight flayer, that's gonna be fine, 159 00:09:11,440 --> 00:09:14,519 but just the teeth are not pre Now. What I 160 00:09:15,159 --> 00:09:18,440 recommend not taking a dog that is doing fine and 161 00:09:18,559 --> 00:09:21,000 has the stemper teeth. I'm saying, no, go for it. 162 00:09:21,200 --> 00:09:24,679 It's aesthetics. They beat it, and this is just it's 163 00:09:24,720 --> 00:09:27,559 a sign that says, yes, when I was a puppy, 164 00:09:28,000 --> 00:09:31,120 I was subjected to this stemper virus. But I'm good now. 165 00:09:31,559 --> 00:09:35,000 Don't let that stop you. But anyway, so at this 166 00:09:35,159 --> 00:09:39,000 point with aspiration ammonia, I'm concerned. I would a one 167 00:09:39,080 --> 00:09:41,960 hundred percent treat. I would not put this dog to sleep, 168 00:09:42,320 --> 00:09:44,360 all right. I would definitely want to treat it and 169 00:09:44,399 --> 00:09:48,360 see what's going on. But that is my recommendation, all right, 170 00:09:48,759 --> 00:09:51,840 So I would not treat. I did definitely treat, just 171 00:09:52,000 --> 00:09:55,840 know that because of the possibility of it being a 172 00:09:56,000 --> 00:10:00,320 more aggressive disease, and because the aspiration emonia is sometimes 173 00:10:00,320 --> 00:10:02,120 it wouldn't be the distepport about. Yet it would worries 174 00:10:02,159 --> 00:10:05,039 me as much as the aspiration ammonia. So how's the 175 00:10:05,080 --> 00:10:07,559 dog doing? All right? We have to know that. So 176 00:10:07,879 --> 00:10:10,720 estimate for fourths would be say you should okay, I 177 00:10:10,799 --> 00:10:13,519 got an estimate for fourth al well, hey, y you 178 00:10:13,559 --> 00:10:16,600 know this. This is what I'm getting at with these 179 00:10:16,879 --> 00:10:21,360 emergencies or not emergencies. And first of all, a lot 180 00:10:21,399 --> 00:10:23,720 of these corporate practices. I don't know what to tell you. 181 00:10:24,000 --> 00:10:26,159 They try to make this nice. I can't make it nice. 182 00:10:26,480 --> 00:10:30,679 They are business. They are funded by venture capital groups, 183 00:10:31,159 --> 00:10:35,000 by equity, private equity. They really, I can't say they 184 00:10:35,039 --> 00:10:37,600 don't care about the animal, but they care about making money. 185 00:10:37,919 --> 00:10:40,679 And because they make big investments. Is these practices, and 186 00:10:40,919 --> 00:10:43,759 anyone who has gone to one of these corporate practices, 187 00:10:44,120 --> 00:10:47,639 who also goes or has gone to a non corporate practice, 188 00:10:47,840 --> 00:10:50,679 you know exactly what I'm talking about. Could I sugarcoate this? 189 00:10:50,799 --> 00:10:53,600 I cannot sugarcoat it. It is what it is. I 190 00:10:53,720 --> 00:10:56,000 look at some of these invoices coming in and I'm 191 00:10:56,039 --> 00:10:58,679 saying to myself, why do they do that? They didn't 192 00:10:58,720 --> 00:11:01,000 need to do that test. That's not getting take care 193 00:11:01,000 --> 00:11:03,720 of this problem. So what's happening is back in the day, 194 00:11:04,120 --> 00:11:08,080 emergency clinics basically were triage. They said this is what 195 00:11:08,200 --> 00:11:10,759 we need to do to get you through the night 196 00:11:11,320 --> 00:11:14,240 so you can go back to your regular veterinarian in 197 00:11:14,320 --> 00:11:17,679 the morning. It's not like that anymore. These are clinics 198 00:11:18,200 --> 00:11:22,320 that literally will take over a case, often managed at 199 00:11:22,440 --> 00:11:26,720 night by younger and experienced veterinarians, and they are so 200 00:11:26,919 --> 00:11:30,039 afraid to miss something because they don't know, they don't 201 00:11:30,080 --> 00:11:34,240 have the wisdom. Wisdom comes from experience, so they want 202 00:11:34,279 --> 00:11:37,039 to test for everything that they could possibly test for 203 00:11:37,559 --> 00:11:40,120 to rule things out. And before you know, you spend 204 00:11:40,360 --> 00:11:45,720 thousands of dollars and because they do every test in 205 00:11:45,759 --> 00:11:48,960 the book. And here's the case I'm seeing here from 206 00:11:49,039 --> 00:11:52,039 cat snippers and guess what, the cat was fine within 207 00:11:52,080 --> 00:11:55,200 a few days. It is frustrating to me, it's frustrating 208 00:11:55,240 --> 00:11:59,120 to my clients. And that was my point about the 209 00:11:59,279 --> 00:12:03,080 number of she said are truly emergencies is much less. 210 00:12:03,679 --> 00:12:06,720 And if there was anyone where you can log on 211 00:12:07,320 --> 00:12:10,679 find out of any kind of telemedicine platform, you know, 212 00:12:10,759 --> 00:12:13,840 they use it human medicine all the time. And now interestingly, 213 00:12:13,919 --> 00:12:17,360 in many states, including California, you can establish what's called 214 00:12:17,360 --> 00:12:23,720 a VCPR veterinary client patient relationship online through virtual visit 215 00:12:24,519 --> 00:12:28,080 and then that doctor, if their license in that state, 216 00:12:28,480 --> 00:12:34,799 can actually prescribe medications directly without seeing the patient. Now 217 00:12:34,919 --> 00:12:38,600 I mean seeing it. You are seeing it video? Now 218 00:12:38,720 --> 00:12:42,960 are you touching it? No, But any experienced doctor can 219 00:12:43,000 --> 00:12:47,919 tell a lot by a thorough history and a visual 220 00:12:48,440 --> 00:12:51,919 and asking the owner online on the virtual visit. Lift 221 00:12:52,000 --> 00:12:53,799 up the lips. I want to see what the gums 222 00:12:53,840 --> 00:12:56,799 look like. How's the activity does the cat or dog 223 00:12:56,879 --> 00:12:58,919 look find? Does it acting? Did it eat? Did it 224 00:12:59,000 --> 00:13:01,960 not eat? Is it did not? Bobby? You can get 225 00:13:02,039 --> 00:13:06,000 a lot and sometimes just by knowing how that pet 226 00:13:06,159 --> 00:13:11,879 is doing, literally how animated, how active, that speaks, volumes? Now, 227 00:13:12,240 --> 00:13:15,000 is it going to solve a problem necessarily? Not necessarily? 228 00:13:15,639 --> 00:13:18,000 But might it get you through the night where you 229 00:13:18,000 --> 00:13:21,120 could see a regular vet the next day, I'll probably 230 00:13:21,159 --> 00:13:23,840 a vet that you much more comfortable seeing than some 231 00:13:24,000 --> 00:13:27,200 strange young veterinarian. So this is where I have my issues, 232 00:13:27,519 --> 00:13:29,960 and I get this all the time, and I'm getting 233 00:13:30,080 --> 00:13:34,919 so many frustrated clients from these places, and I see, 234 00:13:34,960 --> 00:13:37,159 I feel your frustration because when I look at what 235 00:13:37,240 --> 00:13:39,039 they did and what tests they ran, and why they 236 00:13:39,080 --> 00:13:42,519 did it, and that wasn't part of the emergency. Might 237 00:13:42,600 --> 00:13:44,480 it be down the road a test that needs to 238 00:13:44,519 --> 00:13:46,919 be done, Yes, it might be, But did it have 239 00:13:47,000 --> 00:13:50,240 to be done last night? No? No, There's so many 240 00:13:50,279 --> 00:13:53,080 other things you could have done first to stabilize the animal. 241 00:13:53,440 --> 00:13:56,279 And this is the concern I have. Well, okay, get 242 00:13:56,320 --> 00:13:58,960 me off that soapbox. All right now, two year old 243 00:13:59,279 --> 00:14:02,679 eating on Cloudmock's patril and serenia. I hope it's not 244 00:14:02,759 --> 00:14:06,000 a temperate sounds awful, the no no. So look, if 245 00:14:06,039 --> 00:14:08,879 he's eating and he's already two and he's on two 246 00:14:09,000 --> 00:14:11,960 really good broadspeck to antibiotics, I love them both all 247 00:14:12,039 --> 00:14:15,399 right at certic vobiting, then just keep him strong. The 248 00:14:15,480 --> 00:14:17,919 fact that he's eating is a good sign. If he's 249 00:14:17,960 --> 00:14:19,759 going to the bath field, I don't know what as 250 00:14:19,840 --> 00:14:22,200 level of animation is. Is he active, is he alert? 251 00:14:22,399 --> 00:14:25,519 He If he's acting fine, that's a really good sign. 252 00:14:26,000 --> 00:14:28,320 And just keep doing what you're doing. You're covering your 253 00:14:28,360 --> 00:14:31,799 bases as far as any infection, bacterial infection. Of course, 254 00:14:32,360 --> 00:14:35,240 you have a serendia which is controlling the vomiting. So 255 00:14:35,559 --> 00:14:38,919 at this point, keep him well fed, well hydrated. Hydration 256 00:14:39,120 --> 00:14:43,720 is key. And Katy post it aerylin tested diagnosed. You say, Kim, wow, 257 00:14:44,120 --> 00:14:47,240 that's the problem, and look, I get it. It's nuts. 258 00:14:47,519 --> 00:14:50,120 But I'll tell you this. We were taught differently. I 259 00:14:50,200 --> 00:14:54,120 can't even explain it. When we were in school, we're 260 00:14:54,120 --> 00:14:56,840 gonna have all these fancy things at our disposal, So 261 00:14:57,080 --> 00:15:01,039 we were taught to do a thorough physical and furrough history. 262 00:15:01,480 --> 00:15:05,320 You make your diagnosis, or at least you rule outs 263 00:15:05,799 --> 00:15:08,919 based on those two things, history and a thorough physical. 264 00:15:09,519 --> 00:15:13,080 Then when you have thought all the things out, looked 265 00:15:13,120 --> 00:15:16,120 at all the other possibilities, you can rule out a 266 00:15:16,159 --> 00:15:19,399 lot of the differentials just based on every one of 267 00:15:19,440 --> 00:15:24,159 these diseases have multiple, multiple right symptoms. So all of 268 00:15:24,200 --> 00:15:26,200 a sudden, you're thinking of one of the diseases you 269 00:15:26,279 --> 00:15:28,639 put on your list. But the only symptom that this 270 00:15:28,759 --> 00:15:31,480 particularly thea was I say, demomiting. I wouldn't say it's 271 00:15:31,559 --> 00:15:35,480 some weird disease yet, because those dogs that have that 272 00:15:35,639 --> 00:15:38,879 disease are also not eating. They're also this the stool 273 00:15:38,960 --> 00:15:41,720 is yet this color. We're not happing any of that. 274 00:15:42,120 --> 00:15:44,320 So I'm not saying you cross it off your list. 275 00:15:44,600 --> 00:15:46,600 That's not tonight. You don't have to worry about that now. 276 00:15:47,519 --> 00:15:49,960 And then once you do that, you're when you do 277 00:15:50,080 --> 00:15:55,399 a test, you're not testing to determine your differentials. You're 278 00:15:55,440 --> 00:16:00,840 testing to confirm what you already have hunters about. And 279 00:16:01,000 --> 00:16:03,679 that's when you do a test they're trying to come 280 00:16:03,799 --> 00:16:07,919 up with through diagnosing. Only through testing. You should already 281 00:16:08,200 --> 00:16:11,720 have a pretty good idea of a good diagnostician of 282 00:16:11,840 --> 00:16:15,879 what the diagnoses are could be. And that's where the 283 00:16:15,960 --> 00:16:19,360 test comes in to confirm it or knock it off 284 00:16:19,399 --> 00:16:23,519 your list. But you don't test for everything right away 285 00:16:23,960 --> 00:16:26,840 because I use this expression a lot, and I know 286 00:16:26,960 --> 00:16:29,720 you've heard it by ambothergizing I'm gonna I'm gonna share 287 00:16:29,759 --> 00:16:32,360 it again. And that is if you're running along the 288 00:16:32,399 --> 00:16:36,559 beach in Alibu, California, and you hear hook beats chasing 289 00:16:36,639 --> 00:16:39,639 you from behind, what are you thinking? Horses or zevers? 290 00:16:40,639 --> 00:16:43,559 You don't think of zebra but that young ducker that 291 00:16:43,879 --> 00:16:46,240 test you just ran. You're looking for a disease that 292 00:16:46,279 --> 00:16:49,879 you gotta see maybe twice in your entire career. Why 293 00:16:49,879 --> 00:16:53,879 are you testing for now? But again, trust me, veterinarians, 294 00:16:54,200 --> 00:16:56,840 we are dealing with this all the time. It's disheartening 295 00:16:56,919 --> 00:16:59,679 for us, there really is. And whose fault is it? 296 00:17:00,120 --> 00:17:03,039 Most fault it is is the corporate America who are 297 00:17:03,080 --> 00:17:06,119 buying up all these practice. I think the latest statistic 298 00:17:06,319 --> 00:17:09,240 was like forty percent of small and OMAL practices are 299 00:17:09,319 --> 00:17:12,160 corporate owned. I hope I'm wrong, but I know it's 300 00:17:12,200 --> 00:17:14,799 getting up there. And so it's a lot more difficult 301 00:17:14,880 --> 00:17:19,079 to find those smaller practices that are still privately run. 302 00:17:19,640 --> 00:17:23,680 That the practice philosophy. The first thing with that list 303 00:17:24,160 --> 00:17:26,359 is the pet care and then the other things follow. 304 00:17:26,680 --> 00:17:29,039 But of course I vote practice. I have practice for 305 00:17:29,160 --> 00:17:32,200 many many years. I notice light you have to pay everybody, 306 00:17:32,400 --> 00:17:34,720 You have to pay your suppliers. You want to make 307 00:17:34,720 --> 00:17:38,079 a nice profit, but at what expense? I mean you 308 00:17:38,200 --> 00:17:40,440 can't have clients pay for all of that. And what 309 00:17:40,559 --> 00:17:42,279 if these doctors want to do They want to have 310 00:17:42,359 --> 00:17:44,319 their work like DALX, so they want to work a 311 00:17:44,359 --> 00:17:47,279 little less. Oh, but they want to make the same 312 00:17:47,279 --> 00:17:50,640 amount of money. Oh so how does that work? If 313 00:17:50,720 --> 00:17:53,839 you want to work less but make the same amount 314 00:17:53,880 --> 00:17:56,119 of money. There's only one way to do that, right 315 00:17:56,440 --> 00:17:59,799 What does that either increase your fees, which is probably 316 00:17:59,839 --> 00:18:03,279 with you're doing, or decrease the actual quality of care 317 00:18:03,680 --> 00:18:06,640 by not having some of the best medications and the 318 00:18:06,680 --> 00:18:10,839 best equipment. So they buy cheaper stuff and that way 319 00:18:10,839 --> 00:18:13,319 they're making more money. Is that the answer? I don't 320 00:18:13,359 --> 00:18:16,880 think so it wasn't for me. But this is the reality. 321 00:18:17,680 --> 00:18:20,880 And that's why there is so much stuff out there 322 00:18:21,440 --> 00:18:23,920 that really is ragging a veteran medicine and it is 323 00:18:23,960 --> 00:18:26,559 still In my opinion, it's the best profession on the planet. 324 00:18:27,359 --> 00:18:30,720 I wouldn't do anything differently, I honestly feel it sounds corning. 325 00:18:31,000 --> 00:18:33,119 I was put on this earth to do what I'm doing, 326 00:18:33,559 --> 00:18:35,759 and that's what makes it so much fun. So let's 327 00:18:35,799 --> 00:18:38,480 go back to the you know what is in emergency? 328 00:18:38,559 --> 00:18:40,359 How do you know? And a lot of times you're 329 00:18:40,400 --> 00:18:43,799 not going to know, So you should ask your veterinarian. 330 00:18:44,240 --> 00:18:48,559 Are there online sources that you could trust? Not Google, 331 00:18:48,640 --> 00:18:52,920 doctor Google, because for doctor Google, everything's in emergency. Their 332 00:18:53,000 --> 00:18:56,440 answer for everything, Oh my dog broke his toe, nail 333 00:18:56,480 --> 00:18:58,559 easy bleeding, Oh my god, Oh my god, go to 334 00:18:58,599 --> 00:19:00,960 the emergency. No, there are a lot of things that 335 00:19:01,000 --> 00:19:03,000 you could do if you are able to talk to 336 00:19:03,119 --> 00:19:07,799 somebody virtually on camera who can see you, see the pet, 337 00:19:07,960 --> 00:19:10,720 see what it looks like, and walk you through some 338 00:19:11,000 --> 00:19:14,640 very simple solutions to get you to tomorrow and then 339 00:19:14,680 --> 00:19:17,160 tomorrow you get to see a regular veterinarian. And also, 340 00:19:18,119 --> 00:19:21,039 I've had some stories recently, one that concerned me a lot, 341 00:19:21,960 --> 00:19:25,920 and I think that veterinarians, of many of them, because 342 00:19:26,000 --> 00:19:29,559 of the changes in the dynamic of the veteran practice, 343 00:19:29,920 --> 00:19:32,720 are I guess maybe a little bit overworked, or they're 344 00:19:32,759 --> 00:19:35,279 not scheduling the same. I don't know the answer, I 345 00:19:35,400 --> 00:19:37,880 really don't. But one of my clients, it's a new 346 00:19:37,920 --> 00:19:40,119 client for me, and now it's going to be a 347 00:19:40,200 --> 00:19:43,319 permanent client. She'd be going to a doctor. And in fact, 348 00:19:43,359 --> 00:19:46,559 about a month earlier, she spent about three thousand dollars. 349 00:19:46,599 --> 00:19:48,599 It wasn't plaining about it. It was apparently a dog 350 00:19:48,759 --> 00:19:51,440 is pretty sick and three thousand dollars bill and she 351 00:19:51,559 --> 00:19:54,200 paid it no problem. A month later, she calls her 352 00:19:54,279 --> 00:19:57,480 dogs at the dog park and gets bitten by another dog. 353 00:19:57,920 --> 00:19:59,519 So what does she do? Of course, he calls her 354 00:19:59,559 --> 00:20:02,480 vet says, my dog was just attacking the park. He's bleeding. 355 00:20:02,519 --> 00:20:05,279 He's got a big gash and I need to come in. 356 00:20:05,680 --> 00:20:08,079 Receptionist puts it on a hold and comes back and says, well, 357 00:20:08,119 --> 00:20:11,440 we could see you next Wednesday. Next Wednesday. I just said, 358 00:20:11,480 --> 00:20:14,440 my dog is biting, bleeding. I'm sorry, I might give 359 00:20:14,559 --> 00:20:17,960 just squeeze you on a Monday. Is that not crazy? 360 00:20:18,359 --> 00:20:21,119 That to me? I was shocked. She calls me, I 361 00:20:21,240 --> 00:20:23,319 just know me. She got my name for somebody called 362 00:20:23,319 --> 00:20:24,640 told me. If this guy said no, come on in, 363 00:20:25,000 --> 00:20:27,160 we'll get you in. We'll squeeze you in somewhere. I 364 00:20:27,279 --> 00:20:30,160 have technicians that can dress the wound and look at it. 365 00:20:30,640 --> 00:20:33,279 It just doesn't make sense to me. Where are these 366 00:20:33,680 --> 00:20:39,200 veninarians being taught what is ruling right the priorities out 367 00:20:39,240 --> 00:20:42,400 of pet hospital? And some people say, well, then I 368 00:20:42,480 --> 00:20:45,720 taking emergencies because the people that are waiting, And I say, yeah, 369 00:20:45,720 --> 00:20:48,200 but wait a second. If it was an emergency, that's 370 00:20:48,240 --> 00:20:50,640 what we're here for. The people that were waiting and 371 00:20:50,720 --> 00:20:53,079 see an emergency come in, see this dog being carried in, 372 00:20:53,599 --> 00:20:56,920 struggling to breathe or bleeding at whenever? Right, What does 373 00:20:56,960 --> 00:21:00,200 it show them that I have the correct priority and 374 00:21:00,319 --> 00:21:03,680 that they know that who was ever them bringing in 375 00:21:03,839 --> 00:21:07,039 their animal and an emergency? I would drop everything to 376 00:21:07,079 --> 00:21:10,839 see in their animal. And I think most pet parents 377 00:21:11,319 --> 00:21:15,799 appreciate the fact that they see that if something needs 378 00:21:15,839 --> 00:21:19,839 to be seen, that's more important than them and their 379 00:21:20,000 --> 00:21:22,880 case or their time. And I always offer to someone 380 00:21:22,960 --> 00:21:25,960 who's really pressed on time. And I get it. Most 381 00:21:26,000 --> 00:21:28,359 of my clients are working people. I said, tell you what, 382 00:21:28,480 --> 00:21:31,599 missus Smith leapouser here with us. I don't charge for 383 00:21:31,640 --> 00:21:34,720 the day, and you go to work and we'll take 384 00:21:34,759 --> 00:21:36,400 care of things and you could pick up after work, 385 00:21:36,680 --> 00:21:38,440 I would you make it happen. And if it was 386 00:21:38,519 --> 00:21:42,480 not an emergency, and lata very very very fair clients, 387 00:21:42,759 --> 00:21:44,440 and if there wasn't they were coming in for something 388 00:21:44,480 --> 00:21:47,640 more routine, They'll say no, no, no, profit do I'll reschedule, 389 00:21:47,720 --> 00:21:50,559 and they reschedule. So these are the things that when 390 00:21:50,599 --> 00:21:52,880 it's an emergency. It was really good to know that 391 00:21:53,000 --> 00:21:55,400 it's an emergency. And if you can talk to somebody 392 00:21:55,640 --> 00:21:57,599 that might well, first of all, it's going to save 393 00:21:57,640 --> 00:22:00,920 you a bundle because once you take that animal, regardless 394 00:22:00,960 --> 00:22:03,960 of what the cause is, to an emergency clinic, they 395 00:22:04,359 --> 00:22:08,079 will treat it as an emergency. And then I'll give 396 00:22:08,119 --> 00:22:11,519 you another one that this is another reason why if 397 00:22:11,559 --> 00:22:15,079 it's really not an emergency, don't go in. And I'll 398 00:22:15,119 --> 00:22:18,880 tell you why, because I had another case where this 399 00:22:19,440 --> 00:22:22,519 client did have an emergency. She took it in. The 400 00:22:22,680 --> 00:22:25,079 dog at one hundred and five point one fever, could 401 00:22:25,119 --> 00:22:28,559 barely breathe and sat in that emergency waiting room for 402 00:22:28,960 --> 00:22:33,960 three hours before they even got to her. And other 403 00:22:34,079 --> 00:22:36,240 cases that were like dog was sitting there with a 404 00:22:36,279 --> 00:22:40,000 little cut were being taken before because the old science 405 00:22:40,079 --> 00:22:43,079 a triage and I look, I taken my kids to 406 00:22:43,160 --> 00:22:46,720 emergency room before, and someone comes in with a greater emergency, 407 00:22:46,759 --> 00:22:48,720 even though I've been waiting there for an hour, they 408 00:22:48,799 --> 00:22:51,839 go first. And guess what they should go first when 409 00:22:51,880 --> 00:22:54,680 it comes to emergency. The amount of time you're waiting, 410 00:22:54,920 --> 00:22:57,799 that shouldn't play into it. Unless you're up two cases 411 00:22:57,960 --> 00:23:00,720 that are about the same level of emergency, then yes, 412 00:23:00,799 --> 00:23:03,000 the one that's been there logger should go first. But 413 00:23:03,079 --> 00:23:05,839 if somebody comes in that is dire, of course they 414 00:23:05,920 --> 00:23:08,799 have to go right. Yeah, So these are the things 415 00:23:09,160 --> 00:23:13,319 that are affecting the care of your pet. So if 416 00:23:13,359 --> 00:23:15,920 you have a pet that is really not that terrible, 417 00:23:16,119 --> 00:23:18,160 but you're gonna takes from these places and they're going 418 00:23:18,279 --> 00:23:20,759 to treat them. Your pet that didn't have such a 419 00:23:20,799 --> 00:23:23,640 bad thing in the first place before another animal that 420 00:23:23,759 --> 00:23:26,519 needs to me see, like right away. So I mean 421 00:23:26,599 --> 00:23:28,400 that does that set you a little bit that you 422 00:23:28,519 --> 00:23:31,440 had time you could have waited. Animals bleing out? That 423 00:23:31,599 --> 00:23:35,319 animal can breathe, so ps. That dog I just told 424 00:23:35,319 --> 00:23:38,240 you about it died. Now, could I say for sure 425 00:23:38,880 --> 00:23:40,640 they had they gotten to it right away, that it 426 00:23:40,640 --> 00:23:43,079 would have lived. No, I can't, but I can tell 427 00:23:43,079 --> 00:23:46,519 you it probably would have had a better chance. So anyway, 428 00:23:46,839 --> 00:23:49,039 I hate to add not such a bad note, but 429 00:23:49,720 --> 00:23:52,920 these are things that I'm hoping that will help you 430 00:23:52,960 --> 00:23:56,039 a little bit. Look for some sort of telemedicine, something 431 00:23:56,079 --> 00:23:58,640 that would get you through, even if it saves half 432 00:23:58,720 --> 00:24:02,039 of you, forget the night, even at fifty to fifty 433 00:24:02,400 --> 00:24:04,079 half of you that would not have to go to 434 00:24:04,240 --> 00:24:06,079 Verden City and could wait to see your doc. And 435 00:24:06,160 --> 00:24:07,960 all it took was a little bit of a phone 436 00:24:08,000 --> 00:24:10,519 call with the veteran airan. Then that was worth it. 437 00:24:10,599 --> 00:24:13,240 It was worth everybody, all right. So I am not 438 00:24:13,440 --> 00:24:15,880 going to be online for the next two weeks, So 439 00:24:16,640 --> 00:24:19,039 next Sunday and the Sunday after that. I'll be back 440 00:24:19,359 --> 00:24:22,480 after that for sure. So and I'll find the way 441 00:24:22,559 --> 00:24:26,000 those of you who celebrate Happy Passover coming up Saturday 442 00:24:26,039 --> 00:24:29,319 night and I will be back, as I said, in 443 00:24:29,839 --> 00:24:33,599 three weeks. I'm missing the next Sunday and the following Sunday, 444 00:24:33,799 --> 00:24:37,319 and then back online as usual the following so you 445 00:24:37,400 --> 00:24:40,319 will get the alert, So stay tuned now. Of course 446 00:24:40,839 --> 00:24:43,200 I'm gonna be in the office all week, and if 447 00:24:43,240 --> 00:24:44,480 you need to get a hold of me, if you 448 00:24:44,559 --> 00:24:47,440 get hold of me here on Instagram. I can get 449 00:24:47,480 --> 00:24:49,359 hold of me here on pet Life for Radio, and 450 00:24:49,480 --> 00:24:53,039 I'd be happy to help you, but I would as 451 00:24:53,079 --> 00:24:55,400 I said, I'm sorry, i'll be missing you. I can't 452 00:24:55,440 --> 00:24:57,920 remember having missed two weeks in a row a long 453 00:24:58,359 --> 00:25:01,079 long time, so I feel te but it is what 454 00:25:01,240 --> 00:25:04,039 it is, So we'll see you in three weeks. But 455 00:25:04,359 --> 00:25:05,880 you know I've always availble to during the week, So 456 00:25:06,039 --> 00:25:08,000 reach out to me if you can, or I get 457 00:25:08,079 --> 00:25:11,799 into and we'll see you in three weeks. Let's talk 458 00:25:11,920 --> 00:25:17,079 Pats every week on demand only on Petlife Radio dot com.