Vet Blog

11/12/09

Are Vets Just in it for the Money?
Dr. Eric Barchas, DVM

800px-PenniesThe other day a client balked when I recommended he feed his cat a special diet.

The cat had been diagnosed with feline lower urinary tract disease, or FLUTD. The syndrome causes pain and inappropriate urination. In male cats it can lead to a serious complication called urinary obstruction. Cats with this syndrome are unable to urinate. If cats with urinary obstructions don’t receive prompt treatment they die in agonizing fashion.

The special diet I recommended is designed to reduce the symptoms of FLUTD and to decrease the risk of urinary obstruction.

The cat’s owner, however, thought I had ulterior motives for recommending the food. He accused me of wanting him to buy an expensive food for no reason, so that I would make more money.

The accusation would be risible if it weren’t so offensive. I was terribly bothered that the man thought I would put money above my patient’s well being. The man also evidently thought that I am stupid. That offended me too.

I were interested in nothing but money, and if I didn’t care about my patient’s well being, and if I were at peace with the idea of going to hell, then the intelligent thing would be to recommend against a special diet.

That way the cat would suffer with the syndrome until he developed urinary obstruction. Treating urinary obstruction is a big deal. After blood tests, IV fluids, anesthesia for urinary catheter placement, and intensive inpatient care for 2 – 5 days the cat probably would be ready to leave the hospital. The bill would be well over a thousand dollars–perhaps much more.

There is plenty of profit in urinary obstruction. Selling cat food is chump change. When I recommend a special diet for a patient with FLUTD, I am putting the cat’s well being above my own profits.

If I truly cared about money I would have become a consultant or a CEO. Because it is not possible to be money grubbing, intelligent, and a veterinarian at the same time.

Photo: Pennies, folks. Not twenties. Not hundreds. Pennies.

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09/28/09

Never Underestimate the Effects of Stress
Dr. Eric Barchas, DVM

photoStress is a bad thing. My poor pal Buster found this out the hard way two weeks ago. We moved.

Our new place is great. It even has off-street parking, which is a very big deal in San Francisco. But I hate moving. And apparently so does Buster.

Buster developed diarrhea two days before the move. It lasted until three days after, when I finally gave up on a mild protocol of easily digestible food and resorted to antidiarrheal medications.

During the move Buster also developed severe itching. He constantly scratched his abdomen. He engaged in excessive licking of areas that only dogs (and cats) can reach. At first I suspected that the itching was related to switching from Advantage to Frontline (which happened shortly before the move), or from an allergy to some chemical, contaminant, plant or mold in the new house. But now that we’re settled in, Buster is no longer itchy.

I suspect that both of these problems were caused by stress. Although Buster didn’t show any obvious outward signs of stress during the move, rehousing is famously and predictably stressful in dogs, cats, and humans.

Stress is a well known cause of diarrhea in all three species mentioned above. Stress is also known for causing skin issues in cats and humans. I now believe that it contributes to skin problems in dogs as well.

Stress also weakens the immune system, predisposing animals of all species to disease. In humans it has been linked to heart disease, diabetes, and cancer. In cats there is a well documented link between stress and severe gum disease as well as certain potentially life-threatening urinary conditions.

Moving, unfortunately, is a fact of life. But if you have to move, try to settle in quickly. And once you’re in your new home, take time to pet the cat and walk the dog.

Photo: Buster settles in to his new digs.

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