Small animal vet rant

[Long_Spot]

[QUOTE=dr j;4215760]
Calling you on the carpet on this one. I have not insulted any of you personally yet have taken a barage of personal judgement. Start citing examples of exactly this from anything in this thread please.[/QUOTE]

I haven’t posted to this thread, though I’ve read it all. I’d like to help JSwan out here, though she certainly does not need any. Just wanted to point out to you how someone with no dog in this match could come to the conclusion she has about your attitude. While you haven’t tossed any name calling insults out, you sure have handed out plenty of judgement and insinuations that we, the board readers are not vets, are emotional, and should take the shoddy care some of us may be recieving. That we just don’t get it.

In no particular order, and only from the last few pages

My apologies. I didn’t realize you were a veterinarian. And since you are questioning my pricing, wanna trade pricelists (sic)???

What I find most interesting about this whole thread is how emotional so many of you are

Many, many people do expect the same level of care they themselves are receiving ( and they expect it delivered more quickly too!)

I am excited so many of you are interested in veterinary medicine!(insert smart ass grin which my copy/paste function seems to dislike)

Wow. All I have to say is the person with experience will never be at the mercy of the person with a theory

I sure have had fun dealing with this

Coming from someone who takes excellent care of their animals, but has been taken to the cleaners on them on multiple occasions, I find these little quips offensive. Because I strive for their best care, and unfortunately had to move away from the best SA vet I’ve met years ago. Given that, I have been searching ever since for a vet that deserves them AND my trust and money, as many of the posters on this thread are doing as well (call us “emotional”).

Hopefully by the time my 13 year old JRT is ready to go, I will have found the right vet, who when the time is right, will euth with compassion, humanity, heart AND for a reasonable price. And hopefully that person wont pressure me with options that hold little hope; or worse, will prolong a painful existance.

I want to point out that maybe part of vets 45% (flat statistic or not) are people like me, who have a vet visit or two with a given vet, and then move on because they aren’t getting what they paid for, are being pressured, or even being misdiagnosed (decided animal has a tooth abscess (surgery done right away) when the dog actually has a ruptured ear drum found on a follow up visit, yet charged for both!). Perhaps some of those 45% even actually know more than they let on about animal care, best practices, protocol and (here is the scary part) billing and prices. Or maybe the vet just rubs them the wrong way in the bedside manner or personality department.

If none of the above apply to you, you have nothing to worry about or defend. But you sure have spent a bunch of time in this thread doing both. When you say in the last quote copied, you sure have had fun dealing with this, it makes pet owners who have valid complaints feel like something that had to be “taken care of”. Not in a good way. Sort of like our worries need to be swept under the rug or excused.

Sometimes that person bringing a SA/LA vet one dog is actually vetting the vet, and may have two more dogs at home, a passle of barn cats and twenty horses in the barn. If treated right, billed fairly, and not pressured into the bottom line, that whole account could be become that vets. When made to feel silly for not wanting to pay for the newest special food, the nail trimming, or doesn’t have the time or desire to really listen to our needs and passes us off to the front desk for pricing info without even talking to the desk about our quetions, that account is going to go elsewhere. To the person who treats us like a 5 figure per year account before they actually know that is what we are.

Something to chew on.

Can you really read what Phoenix had to say about being forced to recieve and charged for vaccs other than rabies on dogs that have months left to live just to get the required rabies vacc and not see some vets are doing things wrong? Some of us are struggling with less than upstanding vet services. Denying that it’s possible makes us, the pet owners feel pretty crumby. It’s out there. If it wasn’t, this thread would have been 2 pages long.

[AiryFairy]

[QUOTE=Marshfield;4216721]
I’m in the group who will happily write a prescription upon request. I think $4 Wal-Mart generics rock. I figure that pet care dollars saved by getting the meds at Wal-mart means more pet care dollars available for the things Wal-mart can’t provide, like emergency surgery. [/QUOTE]

Not to mention the goodwill you’re building by being honest with your clients and giving them options and the opportunity to get drugs at a lower price. My own vet did her best to work with me and find a cheaper source of Baytril when I needed it long term, but there isn’t any such thing as ‘cheaper Baytril’, she said herself when she needed it she had to buy it a week at a time because of the price (don’t get me started on whether the drug is massively overpriced for a start…). At other times she would write me a script for a $4 generic or price match. I have no qualms about saying “this is tight, can we cut costs anywhere”, because I know that if there is a way, like home care or cheaper drugs, she’ll work with me. And when I needed acute care for my dog’s pneumonia, I had no problem taking her there and leaving her there for a few days because while I knew a hospital stay would be pricey, I also knew I wouldn’t get gouged. Good care really is 90% about the personal relationship between vet and owner, you need to have a good one.

[Trakehner]

[QUOTE=Long Spot;4218040]
I haven’t posted to this thread, though I’ve read it all. I’d like to help JSwan out here, though she certainly does not need any. Just wanted to point out to you how someone with no dog in this match could come to the conclusion she has about your attitude. While you haven’t tossed any name calling insults out, you sure have handed out plenty of judgement and insinuations that we, the board readers are not vets, are emotional, and should take the shoddy care some of us may be recieving. That we just don’t get it…Can you really read what Phoenix had to say about being forced to recieve and charged for vaccs other than rabies on dogs that have months left to live just to get the required rabies vacc and not see some vets are doing things wrong? Some of us are struggling with less than upstanding vet services. Denying that it’s possible makes us, the pet owners feel pretty crumby. It’s out there. If it wasn’t, this thread would have been 2 pages long.[/QUOTE]

JSwan and Long Spot…my new heroes!

[dr_j]

Long spot.

Go ahead and take my words out of context. I did think ESG was perhaps a vet, didn’t know that was “smart-ass smilie” and I think the last “quote” you used, the one about “dealing with it” is just plan NOT my quote ( think I wrote something like “I have had a great deal of fun with this”).

And there is a ton of emotion…obviously. And I am not defending any particular vets practice etc etc. I just used statistics - and DID NOT INFER anything on anyone. They are facts. I have said numerous times that most likely any one who bothers to post on an internet horse forum is not in the 45% of their vet’s practice. Any animal owner that does any kind of preventive care is not. Why are statistics that apply to every practice from the discount spay and neuter place to the specialty clinic offensive to anyone?

And even if you find it offensive and think I am biotch from hell, personal attacks are a little bit over the top. I could go ahead and give it right back but really I haven’t a beef with any of you. I enjoy practice management. I enjoy providing services for my clients and I really enjoy practicing good medicine. What I don’t enjoy- is because I pay attention to my practice p’s and q’s to keep the boat afloat it’s insinuated I have an “attitude”. I live in a tough area of the country economically, it’s survival of the fittest so we work hard to make sure our practice is fit. DO you really think that means “gouging” people or pushing services they don’t want? NO it means we give value for all of our clients at all levels.

Although many of you in this thread of stated you don’t begrudge your vets making a good living, it comes across that way. ALthough I am sure there are some “bill padders” out there, the large majority of practitioners are just trying to do it “right” in a time of incredible costs. They want to offer their employees health care, paid vacations etc not to mention a decent wage. They want to have a clean, modern facility. They want to have a decent home, be able to afford a few luxuries and hopefully pay for their children’s education. Considering the hours and the risks, sounds reasonable to me. They also don’t want to burn out, I have BTDT. It’s wonderful to be a veterinarian 40 hours a week. It’s Ok to be one 60 hours a week. It’s survivable to be one 80 hours a week and it’s career suicide to be one 120 hours a week. Ask me how I know. I was compensated well at 120 hours just based on the shear volume but a month of zero days off and every meal in my truck for a whole week didn’t make a better vet. It made me worse at everything. ANd if you are at that point, you are in an under-served area ( probably) and/or your prices are too low. While I can see this setting off another firestorm - it’s at that point you have to make a decision. Either walk away or raise the bar. Because something is going to give. I am rambling… because I was up all night ( I know, I know I knew that was what the job entailed when I went to vet school etc. That still doesn’t make 36 hours awake any less tiring.

I am really done because I realize no matter what I say, you have formed your personal opinions of me. I am really not a “regular” around here and maybe that was/is the issue. Really, our price-gouging practice is so busy right now and I have spent enough of my emotional energy (and time) on something that is not productive for me. And I have stalls to clean and hopefully a nap !!!:winkgrin: ( Is that the smartass smilie???)

By the way, my husband read through this thread and he didn’t think I was a smart ass at all LOL - and he thinks I am one most of the time ( except to clients, he often says he wishes he was treated like a client!)

So carry on without me. You’ll have to find some other unsuspecting vet to kick around! LOL ( and I really did laugh).

[CatOnLap]

So, are you really done with this thread now Dr. J.? I think you said that back on page 16 and yet, somehow, you just.can’t.back.away.from.the.keyboard.

Too bad actually, you are one of the more entertaining posters around here, in a trainwreck sort of way.

[Ambrey]

@Pancakes;4217867

But how do vets know who is who? Thus, offering to all and having some refuse seems the best choice, rather than not offering, or (even worse) assuming who wants what. And what if the owner/client does not know the current range of treatments, and may have changed their mind upon hearing them?

That’s not the point. The point is that they should be offering only what is truly therapeutic and best for the animal, and NOT doing extra medical procedures just because the doggy mommy thinks throwing money at a problem will make it go away.

I can’t see any ethical justification for ever doing unnecessary medical procedures on an animal, no matter how much the owner wants it done.

[Brooks212]

[QUOTE=Ambrey;4218669]
That’s not the point. The point is that they should be offering only what is truly therapeutic and best for the animal, and NOT doing extra medical procedures just because the doggy mommy thinks throwing money at a problem will make it go away.

I can’t see any ethical justification for ever doing unnecessary medical procedures on an animal, no matter how much the owner wants it done.[/QUOTE]

But isn’t that ‘doggy mommy’s’ choice to make? Perhaps I have misread your post, but are you really saying vets should hold back treatment information and not offer doggy mommy all of her options? How can doggy mommy make an informed decision if she is not made aware of all treatment options? That doesn’t mean doggy mommy has to choose anything but the therapeutic option, but at least she now has the choice. I would change vets in a heartbeat if I found out I was not being informed of all treatment options. I can think for myself. Bottom line: my money, my pet, my choice. I do not care if someone else sees it as throwing money at a problem. You wouldn’t make the same choice as me - fine. But don’t tell me I should be denied the right to know or choose something beyond that which is simply therapeutic.

If I were vet I would be damned sure to lay out all the options. All of them. Why? Because doggy mommy may turn out to be one of those people who cannot or will not take responsibility for their own decisions and needs someone to blame should something go wrong. I do not want doggy mommy suing me because she was not made aware of all her options - no matter how frivolous some of you make think those options are. Would I be ‘covering my tracks’ as some of you have accused the vets on this board of doing (as if that’s a bad thing)? Absolutely. Like it or not, some people in our society lack a sense of personal responsibility and are sue-happy. Anyone who doesn’t cover their tracks is naive.

I agree that eventually there may be a point in an animal’s life where additional medical procedures are pointless - and maybe even injurious. However, just as I have made it a policy never to butt in or judge how other people raise their children (I’m not talking about an abusive situation) neither do I make judgements about what other people do with their animals. While throwing money at a problem may not make sense to me, it may make sense to doggy mommy. Doggy mommy is an adult, one I assume who is able to make the best decision for her animal without my input or judgement. I do not see how doggy mommy can make the best decision for her animal if she has not been made aware of and informed of all her options.

I’ve had to make some really tough, heartbreaking decisions where my own pets have been concerned. I’m thankful that my vet laid all the options out on the table for me - from the least invasive and least expensive to the most invasive and expensive. We also talked about the probability of success of each treatment. Had she only given me the option that was therapeutic, I would not have been able to make a truly informed decision. I don’t want or need anyone else telling me I should only have the therapeutic option presented to me. I find it insulting that someone would think treatment information should be withheld from me just because they would not consider it for their animal.

I’ve have actually kept up with this entire thread. I know I’m going against the general consensus here, but I do not see where any of the vets here have been insulting or had an ‘attitude’. None have them have said price-gouging is right. Many of them were even apologetic for their colleagues actions and wished you a better experience. I do not understand the personal animosity directed at them. I’ve read these boards for years - even before I joined - it’s disappointing to see so many threads break down to personal attacks.

[Pancakes]

[QUOTE=Ambrey;4218669]
That’s not the point. The point is that they should be offering only what is truly therapeutic and best for the animal, and NOT doing extra medical procedures just because the doggy mommy thinks throwing money at a problem will make it go away.

I can’t see any ethical justification for ever doing unnecessary medical procedures on an animal, no matter how much the owner wants it done.[/QUOTE]

But what YOU view as unnecessary and what the vet views as unnecessary may differ…

What are you considering “unnecessary,” I guess is the big question.
I didn’t see any part of this thread about vets forcing owners to do things that are unethical. I only heard complaints about being offered a range of options, and when clients didn’t want to pay for certain procedures or thought they were beyond what they wanted to do, feeling guilty they didn’t do them.

For example, just today… I brought my family’s cat to our local vet with my mom. Amber is 8, and therefore “geriatric” in cat years. She also has odontoclastic resorptive lesions on her teeth. She needs 2 teeth removed, a dental, and the vet recommended thus, also “baseline” geriatric bloodwork. Ok, so the dental is $500-600 with extractions and extras like oravet treatments, and the bloodwork is $190. Do you think the vet was pushing unnecessary treatments? Do you think any of that was unethical? She was also due for rabies/FeLeuk/FVRCP and an annual exam.

We chose to do the bloodwork, as we know very well she has never really had any done and as she is getting older she may develop issues and we would like a baseline for her, and to screen for anything she may have developed over her 8 years. We did not choose to do the teeth NOT because we felt it was unnecessary, but because we could not afford it at the time. We will save up and have it done later (unfortunately we can’t wait until I graduate and can do it on my own!). Both of those things were necessary – many others may not see it that way, but from a quality medicine point of view, they are.

I guess I just don’t really understand what you are referring to…“unnecessary” and “unethical” procedures that doggy mommies “throw money at” and hope their problems go away. What specifically are you thinking of? I saw no mention of that in this long thread (albeit very long so I haven’t gone over it with a fine-tooth comb).

The only things that come to mind are when dog owners get really, really upset about something minor yet terribly irritating, like skin allergies. Instead of going for the labor-intensive and time-consuming process of elimination diets and skin testing and then allergy shots, many owners just want antibiotics and steroids for their pets. That’s throwing money at a problem to make it go away – except it doesn’t. Now, you may see allergy testing and all those things as “unnecessary” (since the steroids and antibiotics help…right?), but really, from the medical point of view, they are not getting to the solution. I don’t see how it would be unethical to recommend a procedure like allergy testing when it’s more unethical to let the dog suffer continuously and throw steroids/abx at it…

You want to talk about unnecessary procedures? This may be for another thread, but how about ear-cropping, tail-docking, show cut nails? And yet these people that request this will balk at the thought of bloodwork done for their sick dog. (yes he’s really sick but make sure you cut his nails…I’ve had clients like these)

Veterinary medicine isn’t an “a la carte” service. It’s a profession where you pay for medical knowledge and expertise weighed into the decisions made about what is and isn’t done to your pet.

[wendy]

Both of those things were necessary – many others may not see it that way, but from a quality medicine point of view, they are.

I guess I just don’t really understand what you are referring to…“unnecessary” and “unethical” procedures that doggy mommies “throw money at” and hope their problems go away.

I suspect this rarely happens. Most pet owners are the opposite- they want pets, but no way are they willing to pay to keep them healthy. Feed em cheap crap food, skimp on the health care, don’t want to pay for anything. Vets get frustrated- they can do so much these days but nope no one wants to pay for it.
Pet insurance anyone? my pet insurance paid for a $4000 dog life-saving procedure in february.

[Pancakes]

So I’ve given it a bit more thought…

I guess what it boils down to is the vet-client relationship. If you feel like you can’t ask why certain procedures are necessary, or that you don’t trust your vet enough to make recommendations, or question the validity of the recommendations, then you don’t have a good relationship with your vet and you should find another one. Your vet should be able to explain things to you in a way that makes sense to you, and you should be able to feel comfortable enough to ask if there is something that doesn’t.
I will admit there are vets out there that practice good medicine and are brilliant, but utterly suck at relating to clients and forming a good bond with them. I am not in the top 10% of my class at school, but I have gotten more gestures of appreciation than the “smart” kids in my class not because I am the most brilliant, but because I really care about everyone and their pets. If your vet isn’t cutting it, then go find one that does a better job relating to you and is a better fit to you – they are out there.

I would like to turn away from this thread, but honestly, I am so compelled by it…
I know I will probably never have any of you for clients, but I’m sure your sentiments are shared by the people that may be my clients in the future. I believe that education is the key. That is why I come on here partly, to educate and clear up misconceptions. It’s not that any of you are stupid or anything – it’s that I just sat through 8-5 lectures 5 days a week for 3 years learning this stuff and though I still have far, far more to learn, we should be able to learn from each other and from experts. I sincerely wish each and every one of you will find a vet in your lifetime that you trust your animals to 100%.

I will continue to watch this thread with interest and weigh in when I feel I can offer some insight, but I am truly sorry for those that haven’t had the benefit of a vet that “fits” them, or else this thread wouldn’t exist.

[Pony_Fixer]

[QUOTE=grayarabpony;4217922]
Hallelujah for that. :lol:[/QUOTE]

Don’t gloat or I’ll change my mind!:lol:

[Pancakes]

@Brooks212;4218888

But isn’t that ‘doggy mommy’s’ choice to make? Perhaps I have misread your post, but are you really saying vets should hold back treatment information and not offer doggy mommy all of her options? How can doggy mommy make an informed decision if she is not made aware of all treatment options? That doesn’t mean doggy mommy has to choose anything but the therapeutic option, but at least she now has the choice. I would change vets in a heartbeat if I found out I was not being informed of all treatment options. I can think for myself. Bottom line: my money, my pet, my choice. I do not care if someone else sees it as throwing money at a problem. You wouldn’t make the same choice as me - fine. But don’t tell me I should be denied the right to know or choose something beyond that which is simply therapeutic.

If I were vet I would be damned sure to lay out all the options. All of them. Why? Because doggy mommy may turn out to be one of those people who cannot or will not take responsibility for their own decisions and needs someone to blame should something go wrong. I do not want doggy mommy suing me because she was not made aware of all her options - no matter how frivolous some of you make think those options are. Would I be ‘covering my tracks’ as some of you have accused the vets on this board of doing (as if that’s a bad thing)? Absolutely. Like it or not, some people in our society lack a sense of personal responsibility and are sue-happy. Anyone who doesn’t cover their tracks is naive.

Bravo, Brooks. Excellent post. I couldn’t have said it better myself (and I even tried to earlier…I guess I am not as articulate as you). This is precisely what I was talking about.

I also want everyone to consider this: if I didn’t offer all the options and just assumed you wanted the bare-bones and you didn’t, how offensive would that be? I have seen so many clients come in looking like they can barely afford a comb, let alone a dental procedure, yet they are able and willing to spend a fortune on any and everything their dog may need. If I had made that judgement, then I would have lost that client and insulted them greatly. What if you came in and proclaimed you really only wanted a spay and vaccines, no bloodwork, or just anti-nausea meds for your vomiting dog…and I got the idea you only wanted the bare minimum. What if then you had a change of heart, read more on the condition, had some extra money, etc. lying around and the next time you came to see me your feelings were different? If I just kept offering the minimum, you would be furious!

Anyone who only wants what is (what you view as ) “necessary” should consider this…what would you expect of your health care provider if they only recommended the cheapest, barest-bones treatments for your children, yourself, or your loved ones? Or the same applying to any other professional service you employ? I guess it just comes down to where your priorities lay…
It’s negligence to NOT offer the full range of options. It’s your choice to take them or not.

[grayarabpony]

I don’t have a problem with blood tests (although to tell the truth, I’m not going to have it done every 6 months either), and quite frankly I don’t need to be educated on basic medicine. What I have seen is vets (and not very young ones either!) who don’t seem to realize that many ailments are not going to have textbook presentations. Work on developing a clinical sense, and do listen to what the owner has to say, as the owner knows the pet better than you do.

There are a lot of pet owners who do treat their pets like throwaway items. I hate comments such as “You could have bought 10 more cats for what you paid at the vets!” Such an idiotic comment, since 99.9% of cats are FREE. My three cats were all abandoned strays. However, those kind of people are most likely not the ones posting here.

I for one DO want to hear all of the treatment options. However, I don’t want anyone pressuring me or trying to guilt-trip me. It’s annoying. My primary concern is the health and comfort of my dog or cat.

[grayarabpony]

[QUOTE=Pony Fixer;4218985]
Don’t gloat or I’ll change my mind!:lol:[/QUOTE]

Oooo, scary. Shall I first help you remove your keyboard from your mouth from our last exchanges?

What’s really funny is that I will probably run into you at local shows. My guess is you won’t come across any better in person than you have here!

[Ambrey]

That was exactly the argument made for the increased c-section rate. See, dead babies are a malpractice NIGHTMARE. Apparently, higher levels of intervention reduce malpractice. The only problem was, they do not reduce, and at that time research was showing they might even increase, dead babies or health problems for mom.

Of course it is all in the relationship. The question is- do you feel confident that your vet is making recommendations based solely on what’s best for your pet? Or are there financial motivations? Liability motivations? If my vet is just dumping options in front of me, from maintenance care to expensive treatments, without giving me any idea of what the benefits and drawbacks of those treatments are for the animal in question, he’s not doing his job. That is not veterinary care, it’s a medical shopping mall.

Note that NONE of us are saying all small animal vets are like this. Only that we’ve experienced some that are, maybe a rising number, and it’s alarming. That the costs associated with that type of vet care might discourage people from getting routine maintenance for their pets, and in general the entire business model that encourages expensive treatments is at the expense of the wellbeing of the animals.

[Fairview_Horse_Cente]

Late to this thread, but what I objected to last week, was being charged $55.50 for a Comprehensive sick patient exam, :mad: when I took my old cat in to be put to sleep + the Euthanasia charge. I told them up front no exam was needed. They did take her weight, and listened to her lungs, when I again reminded them that she was not there for an exam, but to be put to sleep.

Boy did they blow it.

This was a vet that I had taken my 17 year old dog to last fall when she had a seizure and was comotose. My regular vet had no one available, so I called and found this one that said they would stay open for me to get there. I was impressed. The vet come out to my truck to put her to sleep. I was extra impressed. They charged me $80 - just the Euthanasia charge, and I was not even a client.

I was very thankful, and left there with plans to use them again in the future. especially as they are much closer. A few months ago, when a different cat had a urinary infection, I went to the new vet and was pleased.

I am not now. So they charge a non-client $80 to put a 50 lb dog down in an emergency, but $135 to put down a less than 5 lb cat for a client during regular hours?

That $55.50 is going to cost them a lot of future income, and already has. Since then I have taken both my dog and one of my cats into the vets and it was not there.

[wendy]

Late to this thread, but what I objected to last week, was being charged $55.50 for a Comprehensive sick patient exam, when I took my old cat in to be put to sleep + the Euthanasia charge. I told them up front no exam was needed. They did take her weight, and listened to her lungs, when I again reminded them that she was not there for an exam, but to be put to sleep.

they have to have some knowledge of the animal’s state (like weight and degree of frailness) in order to calculate the proper euthanasia dose.

[Fairview_Horse_Cente]

[QUOTE=wendy;4219699]
they have to have some knowledge of the animal’s state (like weight and degree of frailness) in order to calculate the proper euthanasia dose.[/QUOTE]

Yes, but that does not = a “comprehensive sick patient exam”, and she did not get one. Again, they put my DOG down without that fee.

[Horsegal984]

[QUOTE=wendy;4219699]
they have to have some knowledge of the animal’s state (like weight and degree of frailness) in order to calculate the proper euthanasia dose.[/QUOTE]

Ummm… not really. It’s called an OD for a reason, cuz we give a crapload of it! Basically it’s 1cc per 10lbs of Euthasol(or FatalPlus, don’t get me started the oxymoron of that name!). Then you increase from there. Most cats get 2-3ccs, and on average a 50lb dog will get at least 8. Many of the animals pass before we’re even done pushing the euthasol, but we give it all to be safe. Besides when your intent is to overdose and cause cardic arrest you really can’t give to much.

So basically what i’m getting at is that no exam is needed to actually perform the procedure, but many vets have gone to doing one on animals they don’t have a regular relationship with. For example on an animal you’ve never seen before it’s appropiate to do the exam to establish why this is the correct thing to do for the animal. However many clinics do not charge for this, it’s just documented to CYA so to speak, in case the owner comes back the next day saying “it was too early and the wrong thing to do and we should have know better!”

However IMHO, I don’t agree with charging a regular client who comes in knowing what they want, esp one that we’ve been treating her terminal illness for months. I also firmly believe that a euthanasia takes precidence over everything else in the hospital, critical emergencies aside. Making that decision is hard enough, you shouldn’t have to sit there and wait and hour for it to happen.

Katherine
Vet Tech

[Marshfield]

I certainly can’t explain why Fairview experienced a change in policy, but many hospitals do perform and charge for an exam if it’s not a pet they have prior knowledge of or haven’t seen within the last year.