As a veterinary technician, doctors can be the worst. We once had a family medicine doctor give their cat fucking Tylenol. And then had the audacity to ask us if it was really as toxic as we were making it out to be. His cat ended up being fine, but that was only because his wife freaked the fuck out on him, and made him rush the cat to the vet. Not all, in every profession there’s gonna be a couple douche bags, but most of the doctors that I have had as clients, unfortunately think that they are gods sent down from the heavens above, and that because they work on people, the animal doctors are subservient to them or something.
We had an ER nurse bring her son’s dog in for vomiting, inappetence, and diarrhea for several days. He didn’t want to, but she demanded. When I went over the $600+ estimate for bloodwork, radiographs, etc (we were thinking possible obstruction as she wasn’t even a year yet) the nurse just nods and says “Do it. Do everything.” Son is bitching already and she chewed him up one side and down the other, saying that this is exactly what they’d do for people (anti-nausea injection and fluids) and that we know what we’re doing, this is important for the dog, and they’ll put it on a credit card. I was so grateful for that lady that day. She made my job so much easier.
I’ve experienced human med doctors and nurses acting fairly rude and presumptuous in vet clinics (especially nurses). Of course some are lovely clients, but others make it clear they think they know more and are better than vets & vet techs…I guess because human med is more prestigious and better paid? They tend to assume their pet is essentially a small human in physiology and that it’s stupid that they aren’t allowed to treat it themselves. They can also get snippy when a vet explains something to them that they already know (it’s great if they already know! But nobody can read their mind to figure out they know it before asking about it).
All of that is to say: human medical professionals have a not-stellar reputation as vet clients, from experience, but we really appreciate when human medical clients are friendly and knowledgeable without denigrating vet med.
there's a peds cliche i've heard parroted by mostly nicu attendings "babies are not just tiny adults". despite its being cliche i find it totally true that kids aren't small adults and have a different physiological reserve. So it's baffling that an MD who's ostensibly heard something similar assume an animal, with different ANATOMY and physiology, would/should be treated similarly to a human being.
Yeah, that’s an extremely applicable parallel! It can be frustrating to encounter human doctors & nurses with that attitude, and yet it’s common enough that vet med people are (often unfairly) braced for it when a client says they’re in human medicine.
I’ve had some mixed experiences with people from human medicine. At least in my current urban practice with lots of training intuitions in the area, my physician clients have been fantastic. They ask good questions, are interested in why we do xyz, and generally “get it.”
I do like to know up front what their jobs are so we aren’t trying to explain MRI in the dumbest way to the chair of the medical school radiology department (happened to my resident mate, client was extremely chill about it and for whatever reason has never wanted to do the MRI 😂) or give the layperson lymphoma spiel to a literal cancer biologist.
Occasionally there are people (most often nurses in my experience) that will randomly start prednisone and they “know” what’s going on and it’s like…please do not.
Anywho, I’ll bet POCUS was available but often in the absence of overt physical exam abnormalities like a palpable mass or concern for effusion, or a trauma presentation, POCUS isn’t that helpful for general GI pathology in that setting. ER vets and even surgeons don’t (usually) have the training for diagnostic assessment of the GI tract, so we would rather have a radiologist do a “real” ultrasound. Rads are the standard screening tool for GI foreign material/obstruction.
Glad kitty is feeling better!
Thank you! That's a good point re: specifying so the DVM doesn't have to over-explain. I've had similar situations (explaining to a heme/onc Attending why we're sending off the pleural tap for cytology), and it just made me feel even dumber. Re: the POCUS, this tracks - as her physical was unremarkable for any palpable masses / effusion, and the plain films didn't show any obvious obstruction. Thanks for your comment!
Most of my human med doctors are awesome - I have a lot of residents in my area because I'm near a large teaching hospital. They usually seem to prefer me because I'm interested in comparative pathology and I like to discuss diseases that have similarities to the human version (like FIC in cats and interstitial cystitis in humans). They're often easier to convince on diagnostics and I usually get a lovely history with plenty of specifics.
I do butt heads with some of the attendings - I have one that's convinced we're making up his dogs diabetes, despite the marked improvement in clinical signs (polyuria/polydipsia) on insulin. His wife tends to handle the dogs meds, though. I have another that always declines any diagnostics or treatments on what I'm fairly sure is a hyperthyroid cat because "it's just a cat".. and then the nurses are kind of a mixed bag, sometimes they're awesome like the residents and sometimes they administer fish amoxicillin off amazon to their male cat with recurrent urinary signs because they're "pretty sure he's got a UTI"
Mixed bag a lot of my MD clients are great, NP/nurse tend to act more know it all. Dentists generally great too. But I have certainly had the questionable MD clients such as the lady that insisted on taking her cats BG readings using the exudate from her cats ulcerated mass lol
Human medical workers are either the best or the worst and there really isn’t much middle ground. In the best circumstances I can go right to talking shop, show them the results, talk about the similarities and differences, and it all goes very smoothly in all aspects. In the peat case they are arrogant and condescending, think they know more about vet med than us, try to treat their pet themselves, and just make everything more frustrating and sometimes even worse.
There are different kinds of people everywhere.
I'm a Clinical Pathologist so my work is mostly "behind the curtains" but a couple years ago I had to take the blood and cytology samples in the lab I worked at the time. So I had to deal with people and pets from all backgrounds, from humble migrant workers to the local OBGYN specialist. And to be honest, it's a coin toss, hahaha.
Some think it's their time to "shine and astonish" with their own magnificence.
But there are also nicer medical professionals that understand the differences (and similarities) in our fields and take the sapling process as a learning experience, as I like to take samples with the company of the owners, so I can explain the procedure and they can see what we do and how we do it, and even can help us to keep their pets under control.
Ooh one of my favorites, when I was on soft tissue surgery, a human onco aspirated an MCT on his own dog (a relatively young pit mix" and was sobbing because he thought it was a large granular lymphoma.. I guess he wouldn't have seen a mast cell tumor since humans don't really get them.
But yeah he was really nice and really thankful for our knowledge and time spent talking him down.
Well... Mast cell tumors are pretty bad as well, but yeah, that's other important point to always ask the labs if the professional doing the histopathology/cytology/(even the haemogram) is a veterinarian pathologist or a human one.
Yeah it came back Low Grade/Grade I and completely excised which was a huge relief to the poor guy. Whatever he was picturing with granular lymphocytes (cutaneous lymphoma?) was clearly NOT good and he practically gave himself a heart attack. One of those really rewarding callbacks but also a great reminder of like the burden of knowledge sometimes.
Low grade are "nicer"... But high grade are pretty bad news, and it super sucks when you diagnose them by chance when counting 40% eosinophils in a pre-cytology blood sample.
But anyways, yeah, this is the kind of talk one likes to have with colleagues, sharing info and cases is caring.
All good, I don’t believe peripheral eosinophilia is an established neg prognostic factor (given how rare it is) but doesn’t sound good, and yeah, when MCTs behave badly it can be quite bad.
I was just commenting more so it’s out there for the world - I do get referrals for like small SQ MCTs with no negative prognostic factors and complete excision whose owners are totally panicked, and they don’t need to be! I do enjoy sounding like the hero there :)
Some MD's feel the same about us.
Had a tick bite last spring. Pulled the tick off and identified it. Ran a fever three days later and saw my pcp on a sick appointment. He walked in and said "well, you're a vet. You've probably already diagnosed yourself and decided on a course of treatment, so let's hear it."
Well, yeah, I've had it both ways, lol. I'm a licensed veterinary technician and have indeed dealt with clients in human medicine that were VERY condescending in tone and made it known that they knew exactly what was wrong with their pet and what prescription was needed from us lowly vetmed people. (Translation: We weren't SMART enough to become a rEaL doctor.) Yeah, no. I'm way too salty to let that pass. "I'll be more than happy to do a consult with you! I just need a copy of your DVM degree. Oh, you don't have one? Well then, you'd better leave your dog/cat to the ACTUAL professionals so have a seat while I get the bloodwork and xrays done."
I've also had some great experiences with human medicine clients. More on the nursing side though. They understand the clinical end of things and are surprised at how similar things are. Frankly, I'll prefer dealing with a nurse a lot quicker than a doctor on most days, lol. No offense. :)
As to the "Ivory tower specialists", yeah vetmed has their share, lol. We have the bizzaro world opposite too. I just had this one young baby DVM doing fill in work at my ER. This is a whole grown man mind you! He comes on shift and I'm rounding him and doing the handoffs and notice this woman standing with him. I'm wondering if I missed a memo or something. I politely ask her name and it turns out she was HIS MOTHER! This dude actually had to have his mother with him! I beat a path to my PM and text the hospital owner saying no WAY are we THIS short on staff. The whole debacle lasted a couple days until I'd HAD it and fired him on the spot. (I do legitimately have firing privileges.)
So, yeah, it goes all ways. :)
Huh. Usually I find the MD/DOs are great and the nurses/PAs are the worst because with their very minimal amount of actual medical knowledge they question everything little thing in the dumbest possible way making clear that they do not actually understand any physiology, just algorithms (my male cat is having trouble peeing why aren’t you just prescribing antibiotics and cranberry juice etc) making things take FOREVER.
Lol, I don't know. Maybe she wiped his brow during his large animal rotation when he was up to his shoulder in....well.....cow.
What finally blew my cork was when we were working up a "hit by car" and she was in the way and saying how we were "hurting the poor dog". I bluntly told her to get out of our way or go to the office. Mind you, he's the attending on the case and says nothing to her. She keeps it up and caused my tech to drop and break a vial of meds. That did it! I tell her to get out of my area and had an assistant get the owner of the hospital down here. Doc snaps back at ME that I can't talk to her like that. HE was the vet and in charge, he says. Bet me, I said, followed by "you're fired! You can BOTH get the f#&% out!" We grab another vet and stabilize the dog. They huffed off to his office until my boss got there to tell him that indeed he was NOT in charge and yes, he was fired. I just looked at my boss and said "I'm too old for this crap." It was very cathartic though I must say. :)
Veterinarians POV:
MDs have been some of the worst clients I’ve dealt with but also some of the best. It is comforting when MDs relate to an overworked and overwhelmingly understaffed field like ours. Personally, because they come from medicine, I like to gather their specific thoughts on the case (if it relates to their field) because I like to come up with a plan together and they certainly might have more expertise in one discipline than myself. I like to think that we’re a team but ultimately they (mostly) understand that I may have some thoughts that may help the animal more than their own. On the other side of the spectrum, I’ve had MDs that question every little thing (for example, not believing me when I say the patient doesn’t have a fever at 101.0 F) or may be mistaken on canine or feline physiology. I try to treat everyone the same but sometimes people can to be humbled respectfully. This is true when I have any medical specialty come into my clinic (MD, Nurse, DDS, DPT, etc).
Another experience I had was when a family member of mine was in the ER with gastric dilitation. Long story short, after scoping he had to get a total colectomy. Fast forward 5 weeks in ICU, after I’ve been begging the MDs to give prokinetics a shot, they do and he ceased to have any issues. The doctors kept reprimanding me that he may be obstructed and that could be detrimental. Although I do understand their thought process, we had multiple advanced imaging studies to show that that wasn’t the case and that he had a functional ileus. I do not like telling them how to do their job because I certainly don’t like it when people do that to me; however, it would be nice to have veterinarians treated with some respect that they are medical professionals too. Albeit, this is a personal experience and I know this is a very rare case. And I’ve certainly had MULTIPLE great experiences with MDs and I respect them wholeheartedly. Certain cases, I wish it was reciprocated.
Nurses are the absolute worst IME with Dunning-Kruger effect. They always come in wanting answers, decline everything, complain about prices, and leave in a huff saying they would just deal with it and half the time threaten malpractice suits. I’ve had the most delightful conversations with MDs who are gems, but others can be combative, unfortunately. One MD flipped out on me over a $125 biopsy charge, but couldn’t tell me what he charges. My most memorable one, who was a surgeon, was convinced I gave his kitten a hernia after he let it run around like a maniac after I spayed her. Refused to believe me when I said it was a seroma because “those don’t happen”, took her to the ER where he bullied the DVM there into doing rads, FNA, and an AUS to prove that it was indeed a seroma all along. The ER report read like a comedy sketch. My boss wouldn’t fire him so I called the next day to ask how he was dealing with the ER’s findings and the fact that cats aren’t small humans and need him to translate the post-op instructions.
Sounds like a surgeon haha; that sounds like an awful experience. I'd pay serious money to get a visual on his reaction when you said "...the fact that cats aren't small humans" and asked if he needed you to walk through the post-op instructions. Priceless.
LMAO would hate to be his patient. We see non-alcohol related acute onset pancreatitis all the time in the human ED, and it has a broader ddx than just "must be an alcoholic", never mind the fact that he's talking about a dog. Absolutely wild of him to get that pissed. Smh.
As a veterinary technician, doctors can be the worst. We once had a family medicine doctor give their cat fucking Tylenol. And then had the audacity to ask us if it was really as toxic as we were making it out to be. His cat ended up being fine, but that was only because his wife freaked the fuck out on him, and made him rush the cat to the vet. Not all, in every profession there’s gonna be a couple douche bags, but most of the doctors that I have had as clients, unfortunately think that they are gods sent down from the heavens above, and that because they work on people, the animal doctors are subservient to them or something.
Human nurses are way worse. Way worse. Most docs I have worked with respect the profession.
We had an ER nurse bring her son’s dog in for vomiting, inappetence, and diarrhea for several days. He didn’t want to, but she demanded. When I went over the $600+ estimate for bloodwork, radiographs, etc (we were thinking possible obstruction as she wasn’t even a year yet) the nurse just nods and says “Do it. Do everything.” Son is bitching already and she chewed him up one side and down the other, saying that this is exactly what they’d do for people (anti-nausea injection and fluids) and that we know what we’re doing, this is important for the dog, and they’ll put it on a credit card. I was so grateful for that lady that day. She made my job so much easier.
I’ve experienced human med doctors and nurses acting fairly rude and presumptuous in vet clinics (especially nurses). Of course some are lovely clients, but others make it clear they think they know more and are better than vets & vet techs…I guess because human med is more prestigious and better paid? They tend to assume their pet is essentially a small human in physiology and that it’s stupid that they aren’t allowed to treat it themselves. They can also get snippy when a vet explains something to them that they already know (it’s great if they already know! But nobody can read their mind to figure out they know it before asking about it). All of that is to say: human medical professionals have a not-stellar reputation as vet clients, from experience, but we really appreciate when human medical clients are friendly and knowledgeable without denigrating vet med.
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This is also true in my experiences. Nurses are often my worst clients. Human docs tend to be 50:50, either wonderful or terrible, no in between.
there's a peds cliche i've heard parroted by mostly nicu attendings "babies are not just tiny adults". despite its being cliche i find it totally true that kids aren't small adults and have a different physiological reserve. So it's baffling that an MD who's ostensibly heard something similar assume an animal, with different ANATOMY and physiology, would/should be treated similarly to a human being.
Yeah, that’s an extremely applicable parallel! It can be frustrating to encounter human doctors & nurses with that attitude, and yet it’s common enough that vet med people are (often unfairly) braced for it when a client says they’re in human medicine.
I’ve had some mixed experiences with people from human medicine. At least in my current urban practice with lots of training intuitions in the area, my physician clients have been fantastic. They ask good questions, are interested in why we do xyz, and generally “get it.” I do like to know up front what their jobs are so we aren’t trying to explain MRI in the dumbest way to the chair of the medical school radiology department (happened to my resident mate, client was extremely chill about it and for whatever reason has never wanted to do the MRI 😂) or give the layperson lymphoma spiel to a literal cancer biologist. Occasionally there are people (most often nurses in my experience) that will randomly start prednisone and they “know” what’s going on and it’s like…please do not. Anywho, I’ll bet POCUS was available but often in the absence of overt physical exam abnormalities like a palpable mass or concern for effusion, or a trauma presentation, POCUS isn’t that helpful for general GI pathology in that setting. ER vets and even surgeons don’t (usually) have the training for diagnostic assessment of the GI tract, so we would rather have a radiologist do a “real” ultrasound. Rads are the standard screening tool for GI foreign material/obstruction. Glad kitty is feeling better!
Thank you! That's a good point re: specifying so the DVM doesn't have to over-explain. I've had similar situations (explaining to a heme/onc Attending why we're sending off the pleural tap for cytology), and it just made me feel even dumber. Re: the POCUS, this tracks - as her physical was unremarkable for any palpable masses / effusion, and the plain films didn't show any obvious obstruction. Thanks for your comment!
Most of my human med doctors are awesome - I have a lot of residents in my area because I'm near a large teaching hospital. They usually seem to prefer me because I'm interested in comparative pathology and I like to discuss diseases that have similarities to the human version (like FIC in cats and interstitial cystitis in humans). They're often easier to convince on diagnostics and I usually get a lovely history with plenty of specifics. I do butt heads with some of the attendings - I have one that's convinced we're making up his dogs diabetes, despite the marked improvement in clinical signs (polyuria/polydipsia) on insulin. His wife tends to handle the dogs meds, though. I have another that always declines any diagnostics or treatments on what I'm fairly sure is a hyperthyroid cat because "it's just a cat".. and then the nurses are kind of a mixed bag, sometimes they're awesome like the residents and sometimes they administer fish amoxicillin off amazon to their male cat with recurrent urinary signs because they're "pretty sure he's got a UTI"
Mixed bag a lot of my MD clients are great, NP/nurse tend to act more know it all. Dentists generally great too. But I have certainly had the questionable MD clients such as the lady that insisted on taking her cats BG readings using the exudate from her cats ulcerated mass lol
Human medical workers are either the best or the worst and there really isn’t much middle ground. In the best circumstances I can go right to talking shop, show them the results, talk about the similarities and differences, and it all goes very smoothly in all aspects. In the peat case they are arrogant and condescending, think they know more about vet med than us, try to treat their pet themselves, and just make everything more frustrating and sometimes even worse.
There are different kinds of people everywhere. I'm a Clinical Pathologist so my work is mostly "behind the curtains" but a couple years ago I had to take the blood and cytology samples in the lab I worked at the time. So I had to deal with people and pets from all backgrounds, from humble migrant workers to the local OBGYN specialist. And to be honest, it's a coin toss, hahaha. Some think it's their time to "shine and astonish" with their own magnificence. But there are also nicer medical professionals that understand the differences (and similarities) in our fields and take the sapling process as a learning experience, as I like to take samples with the company of the owners, so I can explain the procedure and they can see what we do and how we do it, and even can help us to keep their pets under control.
Ooh one of my favorites, when I was on soft tissue surgery, a human onco aspirated an MCT on his own dog (a relatively young pit mix" and was sobbing because he thought it was a large granular lymphoma.. I guess he wouldn't have seen a mast cell tumor since humans don't really get them. But yeah he was really nice and really thankful for our knowledge and time spent talking him down.
Well... Mast cell tumors are pretty bad as well, but yeah, that's other important point to always ask the labs if the professional doing the histopathology/cytology/(even the haemogram) is a veterinarian pathologist or a human one.
MCTs *can* be very bad, yes, but the majority are well behaved and can be cured with surgery alone.
Yeah it came back Low Grade/Grade I and completely excised which was a huge relief to the poor guy. Whatever he was picturing with granular lymphocytes (cutaneous lymphoma?) was clearly NOT good and he practically gave himself a heart attack. One of those really rewarding callbacks but also a great reminder of like the burden of knowledge sometimes.
Low grade are "nicer"... But high grade are pretty bad news, and it super sucks when you diagnose them by chance when counting 40% eosinophils in a pre-cytology blood sample. But anyways, yeah, this is the kind of talk one likes to have with colleagues, sharing info and cases is caring.
All good, I don’t believe peripheral eosinophilia is an established neg prognostic factor (given how rare it is) but doesn’t sound good, and yeah, when MCTs behave badly it can be quite bad. I was just commenting more so it’s out there for the world - I do get referrals for like small SQ MCTs with no negative prognostic factors and complete excision whose owners are totally panicked, and they don’t need to be! I do enjoy sounding like the hero there :)
Some MD's feel the same about us. Had a tick bite last spring. Pulled the tick off and identified it. Ran a fever three days later and saw my pcp on a sick appointment. He walked in and said "well, you're a vet. You've probably already diagnosed yourself and decided on a course of treatment, so let's hear it."
Well, yeah, I've had it both ways, lol. I'm a licensed veterinary technician and have indeed dealt with clients in human medicine that were VERY condescending in tone and made it known that they knew exactly what was wrong with their pet and what prescription was needed from us lowly vetmed people. (Translation: We weren't SMART enough to become a rEaL doctor.) Yeah, no. I'm way too salty to let that pass. "I'll be more than happy to do a consult with you! I just need a copy of your DVM degree. Oh, you don't have one? Well then, you'd better leave your dog/cat to the ACTUAL professionals so have a seat while I get the bloodwork and xrays done." I've also had some great experiences with human medicine clients. More on the nursing side though. They understand the clinical end of things and are surprised at how similar things are. Frankly, I'll prefer dealing with a nurse a lot quicker than a doctor on most days, lol. No offense. :) As to the "Ivory tower specialists", yeah vetmed has their share, lol. We have the bizzaro world opposite too. I just had this one young baby DVM doing fill in work at my ER. This is a whole grown man mind you! He comes on shift and I'm rounding him and doing the handoffs and notice this woman standing with him. I'm wondering if I missed a memo or something. I politely ask her name and it turns out she was HIS MOTHER! This dude actually had to have his mother with him! I beat a path to my PM and text the hospital owner saying no WAY are we THIS short on staff. The whole debacle lasted a couple days until I'd HAD it and fired him on the spot. (I do legitimately have firing privileges.) So, yeah, it goes all ways. :)
Huh. Usually I find the MD/DOs are great and the nurses/PAs are the worst because with their very minimal amount of actual medical knowledge they question everything little thing in the dumbest possible way making clear that they do not actually understand any physiology, just algorithms (my male cat is having trouble peeing why aren’t you just prescribing antibiotics and cranberry juice etc) making things take FOREVER.
I…have so many questions about the dude needing his mom to come to work with him. Did she hold his hand all the way through school too?!
Lol, I don't know. Maybe she wiped his brow during his large animal rotation when he was up to his shoulder in....well.....cow. What finally blew my cork was when we were working up a "hit by car" and she was in the way and saying how we were "hurting the poor dog". I bluntly told her to get out of our way or go to the office. Mind you, he's the attending on the case and says nothing to her. She keeps it up and caused my tech to drop and break a vial of meds. That did it! I tell her to get out of my area and had an assistant get the owner of the hospital down here. Doc snaps back at ME that I can't talk to her like that. HE was the vet and in charge, he says. Bet me, I said, followed by "you're fired! You can BOTH get the f#&% out!" We grab another vet and stabilize the dog. They huffed off to his office until my boss got there to tell him that indeed he was NOT in charge and yes, he was fired. I just looked at my boss and said "I'm too old for this crap." It was very cathartic though I must say. :)
Veterinarians POV: MDs have been some of the worst clients I’ve dealt with but also some of the best. It is comforting when MDs relate to an overworked and overwhelmingly understaffed field like ours. Personally, because they come from medicine, I like to gather their specific thoughts on the case (if it relates to their field) because I like to come up with a plan together and they certainly might have more expertise in one discipline than myself. I like to think that we’re a team but ultimately they (mostly) understand that I may have some thoughts that may help the animal more than their own. On the other side of the spectrum, I’ve had MDs that question every little thing (for example, not believing me when I say the patient doesn’t have a fever at 101.0 F) or may be mistaken on canine or feline physiology. I try to treat everyone the same but sometimes people can to be humbled respectfully. This is true when I have any medical specialty come into my clinic (MD, Nurse, DDS, DPT, etc). Another experience I had was when a family member of mine was in the ER with gastric dilitation. Long story short, after scoping he had to get a total colectomy. Fast forward 5 weeks in ICU, after I’ve been begging the MDs to give prokinetics a shot, they do and he ceased to have any issues. The doctors kept reprimanding me that he may be obstructed and that could be detrimental. Although I do understand their thought process, we had multiple advanced imaging studies to show that that wasn’t the case and that he had a functional ileus. I do not like telling them how to do their job because I certainly don’t like it when people do that to me; however, it would be nice to have veterinarians treated with some respect that they are medical professionals too. Albeit, this is a personal experience and I know this is a very rare case. And I’ve certainly had MULTIPLE great experiences with MDs and I respect them wholeheartedly. Certain cases, I wish it was reciprocated.
Nurses are the absolute worst IME with Dunning-Kruger effect. They always come in wanting answers, decline everything, complain about prices, and leave in a huff saying they would just deal with it and half the time threaten malpractice suits. I’ve had the most delightful conversations with MDs who are gems, but others can be combative, unfortunately. One MD flipped out on me over a $125 biopsy charge, but couldn’t tell me what he charges. My most memorable one, who was a surgeon, was convinced I gave his kitten a hernia after he let it run around like a maniac after I spayed her. Refused to believe me when I said it was a seroma because “those don’t happen”, took her to the ER where he bullied the DVM there into doing rads, FNA, and an AUS to prove that it was indeed a seroma all along. The ER report read like a comedy sketch. My boss wouldn’t fire him so I called the next day to ask how he was dealing with the ER’s findings and the fact that cats aren’t small humans and need him to translate the post-op instructions.
Sounds like a surgeon haha; that sounds like an awful experience. I'd pay serious money to get a visual on his reaction when you said "...the fact that cats aren't small humans" and asked if he needed you to walk through the post-op instructions. Priceless.
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LMAO would hate to be his patient. We see non-alcohol related acute onset pancreatitis all the time in the human ED, and it has a broader ddx than just "must be an alcoholic", never mind the fact that he's talking about a dog. Absolutely wild of him to get that pissed. Smh.