Small animal vet rant

Lots of emotion on this thread, a few reasonable responses and a few reasonable gripes…

The vets are all defensive and it’s not a surprise as they are being called liars, blackmailers and money grubbers, so no surprise. There are some very reasonable responses, i.e. JSwan et al, who have made some well thought out posts. And the inflammatory posts of folks like Trakehner… “Sorry, but way too many small animal vets are rip off artists”.

I’ll start with Trakehner… Of course there are articles on how to maximize your profits, just as in any other business. And yes, it is a business, it is not a charity. A long time ago in a place far away… Or should I say once upon a time a vet could make a good living by providing a service and charging a “reasonable” mark-up on consumables for routine services. Today, that doesn’t happen…why, because the playing field has changed. Now many people buy vaccines, wormers and even prescriptiom medications off the net and vaccination protocols have changed to less frequent, the main source of income has disappeared. That means what business is left at the vet HAS to cost more or shift to other sources of income to maintain the same bottom line. The vets have to find alternative ways to make money.

hessy35: As far as vets making you feel guilty for not doing surgery, maybe that really IS what Dr Slick would do with their dog. Some people are like that. Should they impose thier beliefs on you? No, I don’t think so, but I wouldn’t attribute it money grubbing, it’s likely exactly how the vet really feels. And more vets these days have that attitude about animals, whatever it takes is exactly what they would do for their animal.

And for anyone who complain about feeling guilty, if you really believe in what you are doing, there should be no guilt. And everyone has a different price point or tolerance of illness. For me, I have no problem euthanizing a sick animal with poor quality of life, but I know many folks (vet and non vet)who think all avenues should be explored first…even got a lecture on karma the other day… I also think it’s an individual choice for how much money you want to spend. But having euthanized animals that were easily fixed by a simple surgery, I can see where in daily practice this could become very difficult. I still am haunted by a beautiful Belgian stallion that was euthanized when I was an intern. THe owners did not want to pay 2K to save him becasue he needed to be gelded and he wasn’t worth it then…He was the sweetest thing with a great chance for recovery. This kind of thng happens on a regular basis, so it’s no surprise when a vets emotions slip into their recommendations… It’s really not all about money grubbing and the bottom line.

gray arab pony: I have compared cost breakdowns on my surgeries to what I would pay a vet, and the vets are still giving the better deal… 20.00 per 1/2 liter bag of saline on my last one… BUt I know that 20.00 is not just to pay for the saline, but other non-recovered costs on my surgery…

Pancakes: You are going to need a thicker hide. No matter how good you are, about 3-5% of your clients are going to complain no matter what you do. Eventually you have to just tune them out, becasue you can’t make them happy…

JSwan: yes, the world of vet med is changing…has to, vets can’t survive with the old ways of practice (unless they are an old established practice with low overhead). The kind of vet graduating today is different, they are more likely to be the sort that wants to save them all and these days we have more tools to do it and we are obligated by law to use those tools…malpractice and standard of care comes in. The rules of the game have changed, and the practices have to adapt or die. Another change is the current graduating classes have people who want to actually have a life as opposed to old time vets that used to work 80+ hours a week to make ends meet. Yeah, it might mean higher costs for the consumer, but I can’t say it’s unfair… And the pricey boutiques popping up are a result of a market. If you were a vet and could make twice as much doing better medicine and work less hours, why wouldn’t you?

Tidbit for all: Vets are held accountable for the level of practice. If something comes in with a broke leg and the standard of care in the area is to pin it, if they send it home in a splint and things go bad, they could be sued for malpractice. Nobody wants to be in this position. Same with things like doing surgery without the added expanse of an IV line…if something goes wrong, you can be sued. Veterinary practice has advanced and if the vets don’t follow suit, they ARE liable.

In the end, it’s all about the American way right… supply and demand. These pricey places wouldn’t be around if there was not a demand…So take your dollars to a practice you like, money talks…

Oh, and it’s likely to get worse as the demand for vets (especially large animal) is growing faster than the supply…

Are there bad vets? SUre, just like in any profession, the dentist that pushes unneeded procedures, the plumber that pushes for all new pipes when the old ones are fine, the car mechanic that charges for unused parts… Yes, people take adavantage of you, but they are NOT the majority. If you have the bad luck to run into one, take your business elsewhere, it’s simple… Don’t blame it on the profession.

Well…I just got off the phone with my small vet office manager. We had a very nice conversation…but not very helpful :frowning: She said that they do price increases every year regardless…they have switched to digital, but she said that wouldn’t have made a price difference…it would be 100.00. I told her that I had shopped two other vets offices and that both were both cheaper…gave her both clinic names and prices. Her only response was “Does that include reading the xray, because ours does” Well, honestly I hadn’t asked that question. But I also told her that they were 10-15.00 on everything else.

Told her that I loved the vet very much but I could no longer afford their prices. :frowning: She was very nice and said she would bring this concern up in the next business meeting…but the prices were set.

[QUOTE=foggybok;4204753]

hessy35: As far as vets making you feel guilty for not doing surgery, maybe that really IS what Dr Slick would do with their dog. Some people are like that. Should they impose thier beliefs on you? No, I don’t think so, but I wouldn’t attribute it money grubbing, it’s likely exactly how the vet really feels. And more vets these days have that attitude about animals, whatever it takes is exactly what they would do for their animal.[/QUOTE]

foggybok - Slick was unprofessional. As a vet you keep your personal opinion to yourself and let the owner make that choice. You don’t roll your eyes at a distraught pet owner and look at them with disgust. If Slick strongly believes it is only right to do WHATEVER it takes to save an ailing pet then Slick can quit the practice and go work for the Humane Society and get paid through donations (or volunteer), and then she can try to save every poor creature that comes through her door, and even rightfully roll her eyes at their owners in court when they are charged with abuse. But there isn’t much money in that, is there?

It is unreasonable to think the average pet owner should (at any cost) try save their small pet. Yet, I’m sure Slick is still out there guilt tripping her clients into doing it.

[QUOTE=hessy35;4204872]
foggybok - Slick was unprofessional. As a vet you keep your personal opinion to yourself and let the owner make that choice. You don’t roll your eyes at a distraught pet owner and look at them with disgust. If Slick strongly believes it is only right to do WHATEVER it takes to save an ailing pet then Slick can quit the practice and go work for the Humane Society and get paid through donations (or volunteer), and then she can try to save every poor creature that comes through her door, and even rightfully roll her eyes at their owners in court when they are charged with abuse. But there isn’t much money in that, is there?

It is unreasonable to think the average pet owner should (at any cost) try save their small pet. Yet, I’m sure Slick is still out there guilt tripping her clients into doing it.[/QUOTE]

Should they impose their beliefs? No, that’s exactly what I said. I was just trying to make the point that it’s not always about the money, she might really have felt that it was the right thing to do. I’m sorry she made you feel bad, but perhaps it was something she could not contain. These are very emotional decisions. As vets, we are often asked to do things that conflict with our own ethical beliefs, and sometimes emotion slips through… It’s very hard to remain cold and professional when people want you to do something outside of your ethical comfort zone.

I’d have been with Tom for your dog and probably would have euthanized WO surgery, but I have had clients that were traumatized by that thought as well. Unfortunately everyone draws the line in a different place…

[QUOTE=hessy35;4204872]
foggybok - Slick was unprofessional. As a vet you keep your personal opinion to yourself and let the owner make that choice. You don’t roll your eyes at a distraught pet owner and look at them with disgust. If Slick strongly believes it is only right to do WHATEVER it takes to save an ailing pet then Slick can quit the practice and go work for the Humane Society and get paid through donations (or volunteer), and then she can try to save every poor creature that comes through her door, and even rightfully roll her eyes at their owners in court when they are charged with abuse. But there isn’t much money in that, is there?

It is unreasonable to think the average pet owner should (at any cost) try save their small pet. Yet, I’m sure Slick is still out there guilt tripping her clients into doing it.[/QUOTE]

PS, it’s not “wrong” to do whatever it takes to try and save an animal, it’s just a different ethical and moral choice, a very personal opinion.

And trust me, there are many folks who WANT their veterinarian to be that way, she doesn’t need to quit and work for a humane society. You don’t, so don’t go back.

And I am sorry for for heartbreak in this case. I would have done if differently, but I can not say she is wrong for believing what she does.

I believe that Kansas was offering tuition reimbursement if the student remained in Kansas and practiced food animal medicine for X years.
Dunno where things are at in the current economy, though…

I once examined an ancient pony that had a probable squamous cell carcinoma that had eaten through the side of his face, and was infested with maggots.

When I recommended euthanasia, the owner berated me for not wanting to do a biopsy first to determine what kind of a tumor it was.

Didn’t really matter what type it was in the end, as it eroded through the carotid several days later…

foggybok, did your insurance pay $20 for the bag of saline? or do you not have insurance?

Hessy your post made me tear up! In Feb my gelding Shorty got really sick. I rushed him to New Bolton and told them to do ANYTHING they could to save him. (He was fully insured - I really DO love my animals and want to take care of them!) The vets were AMAZING. Not only were they compassionate but they were honest with me. They told me horses that come in down usually don’t get back up but they would do everything they could. After a while they told me he wasn’t improving and they could open him up but there was only a 10% chance he’d live. The vet told me they would do whatever I wanted but they didn’t think they could help him. I decided to put him down and I’m so thankful the vets were as caring as professional as they were. The situation was horrible but would have been unbearable if I had felt pressured to do one thing or another.

Although I can’t predict the future I feel like my current small animal vet practice would not be the same way and that worries me.

why don’t people buy medical insurance for their pets? I have very affordable “trauma” medical insurance on all of my animals. I don’t want money to be part of the decision about what to do. I want to decide what to do on the basis of probable outcome- if the treatment will most likely be futile, then the comfort of a humane death; if the treatment will cure the animal for sure I don’t want the guilt of having killed the animal just because I don’t want to pay for it. How could you live with yourself after killing your best friend over a few thousand dollars?

Would that it were that black and white…

it is for me. My vet is my neighbor. I don’t begrudge him his very reasonable fees, and killing animals because you just don’t want to pay for medical care suggests to me you shouldn’t own animals.

[QUOTE=Ghazzu;4205050]

When I recommended euthanasia, the owner berated me for not wanting to do a biopsy first to determine what kind of a tumor it was.

Didn’t really matter what type it was in the end, as it eroded through the carotid several days later…[/QUOTE]

Yikes. Must be hard to deal with a client that isn’t able to grasp the situation. I really do understand that vets actually want to have a life. Other professionals complain of the same thing. Work life balance isn’t only an issue for vets - though not too many professions involve extracting a calf in the middle of a snowstorm with a lantern and the moon as lighting.

I get it. Really.

But all y’all gotta realize that there is a breaking point and when it’s reached - it’s not us or you that suffer. The animals do. They’re the ones that don’t get vet care, euthanized instead of treated, taken to shelters or auctions.

That’s not an attempt to guilt you into lowering prices. Not at all. Just saying that we’re not dealing with toasters, here. The cost of vet care does not appear (in my limited experience where I live) to be in line with other cost of living increases.

In the example I offered with spring shots for 3 horses - there was no actual business reason for the tremendous difference in price. Similar practice - and if you think about it the equine only vet didn’t even offer as many services as the real large animal vet. The large animal vet even had a greater exposure to liability and he needed to be up to date and informed on many more issues affecting his practice than the equine only vet.

And yet - hundreds of dollars lower in price.

Pets are a luxury in the best of times - and yet I would not deny the solace and companionship of a pet to the poorest among us. But like any luxury they are the first to be disposed or neglected when times get tough. I do not want pet ownership to be made more expensive - because I do not believe it is in the best interest of people OR animals.

I don’t know what the answer is - but I do know that if vets think they can continue on this path there are simply going to be more animals lacking care, more owners opting to treat their own animals, and those spa services you’re offering aren’t going to be purchased except by the wealthy few.

Maybe getting back to basics is something to consider. Not going back to the 50’s - just reconsidering some of the decisions you’re making that may be driving clients away. They may be driven away to a poorer quality vet - or they be driven away to treating their own pet with God knows what they buy off the Internet, or they may not treat their pet at all.

[QUOTE=wendy;4205102]
why don’t people buy medical insurance for their pets? I have very affordable “trauma” medical insurance on all of my animals. I don’t want money to be part of the decision about what to do. I want to decide what to do on the basis of probable outcome- if the treatment will most likely be futile, then the comfort of a humane death; if the treatment will cure the animal for sure I don’t want the guilt of having killed the animal just because I don’t want to pay for it. How could you live with yourself after killing your best friend over a few thousand dollars?[/QUOTE]

because if you have more than one pet, the insurance isn’t worth it in the end.

Veterinary medicine is not as advanced as human medicine; don’t even kid yourself that it is. And in veterinary medicine with rising prices often comes diminishing returns.

I spent thousands for my JRT to get back surgery and have rehab. Too bad it happened on a weekend, because the neurosurgeon doesn’t work on weekends. A human can get an MRI 24 hours a day. (Now, there’s lots of other factors that screw up human medical care too, no doubt about it. Hospitals make the most money in medicine, and they should spend it to hire and keep good people, instead of expanding and expanding…)

That said, even though she got the surgery, I would not put another animal through that. Her amazing health and vitality, even at 16, got her through that ordeal. The care was not prompt and really wasn’t that good. It was expensive though.

[QUOTE=wendy;4205122]
it is for me. My vet is my neighbor. I don’t begrudge him his very reasonable fees, and killing animals because you just don’t want to pay for medical care suggests to me you shouldn’t own animals.[/QUOTE]

You know - get back to me when you’ve been out of work for a year, the house is about to be foreclosed on, your bank account is empty and there is no money for food - and the dog is diagnosed with cancer.

Grow up.

[QUOTE=Ghazzu;4205113]
Would that it were that black and white…[/QUOTE]

Thank you Ghazzu. Wendy, that was a rude/insensititve statement. Insurance isn’t cheap either…and I guarantee you, the first time you use it on something, they are going to drop you like a hot potato.

[QUOTE=wendy;4205122]
it is for me. My vet is my neighbor. I don’t begrudge him his very reasonable fees, and killing animals because you just don’t want to pay for medical care suggests to me you shouldn’t own animals.[/QUOTE]

Well there you go…not everyone is that lucky.

[QUOTE=Ghazzu;4205028]
I believe that Kansas was offering tuition reimbursement if the student remained in Kansas and practiced food animal medicine for X years.
Dunno where things are at in the current economy, though…[/QUOTE]

Yeah - that’s a good point. I have not kept up with the committee/study/whatever it was in VA but since the state is almost bankrupt… :no:

because if you have more than one pet, the insurance isn’t worth it in the end.

Veterinary medicine is not as advanced as human medicine; don’t even kid yourself that it is. And in veterinary medicine with rising prices often comes diminishing returns

I own three large dogs. The insurance per year is less than 300 dollars. They have paid for ACl tears and cancer treatments, thousands of dollars, in the last three years, with no fuss or muss or “dropping” us. Vet medicine is actually more advanced than human medicine because they don’t have to fight the FDA.

You know - get back to me when you’ve been out of work for a year, the house is about to be foreclosed on, your bank account is empty and there is no money for food - and the dog is diagnosed with cancer.

bet you if your child had been diagnosed with cancer you’d not have him killed before trying some treatment. Because you had some kind of insurance. If you can’t afford to have dependents don’t have them. I made sure I had enough in savings to go for at least two years without income before acquiring dependents. Shame on you.

Wendy, you are a real piece of work. I don’t think anyone is going to see what ever point it is you are trying to make, if you keep throwing in the overly dramatic, finger pointing accusations that people are cold blooded animal killers. If you in fact, have a point, it’s become lost in all of that muck.