Sabtu, 11 Desember 2010

A Word On Second Opinions

With Jasmine's health being a constant challenge, veterinary topics are a daily subject of our conversations.

If there is a single take-home point of my blog, it is this:

Your dog's health is ultimately in your hands. Making the right decisions for your dog is your responsibility and you cannot pass it onto somebody else and not regret it.

Yes, it sucks. It's a lot of pressure and it involves a lot of homework.

Do I have to go to vet school just because I want to have a dog?!?!

Of course not. But there are things you better learn about.

Choosing the right veterinarian and knowing when to seek a second opinion can be the difference between sickness and health, and sometimes even life and death of your dog!

Not all vets were created equal and even the best vet can make a mistake. So now what?

How often do we put our dogs at the mercy of an incompetent vet and question nothing? Or we do question things but do nothing about it?

Swimming pools, Kitchens, Council flats and KarmaFor your dog's sake, don't let it be you!

During one of our conversations hubby came up with a great idea to illustrate the importance of questioning things and seeking second opinion.

I decided to turn it into an article and it is now published on VetLive blog—Leak under the Kitchen Sink.

If the situation you find yourself in feels wrong, you have the right to a second opinion! 


And you owe it to your dog and to your own peace of mind.

Of course when we say we want a second opinion—whether we don't like the diagnosis or the proposed treatment—what we really want is a different opinion.

Well, you're in luck.

With few exceptions, the chances that a different vet will come to the same conclusions—the ones you didn't like in the first place—are really quite low.

When after she recovered from her ACL surgeries Jasmine started limping on her hind leg again, we first took her to the main vet. He concluded that she had hurt her muscle.

When her TCVM vet examined her, he figured that it was likely a tendon injury.

When we took her to a chiropractor/physical therapist for treatment, she decided that Jasmine had a problem with her knee after all.

Three vets—three opinions. This happened last fall, and wouldn't you know it, it happened recently again!

In case you're wondering who turned out to be right, it was her main vet.

“Ten different doctors will come up with ten different diagnoses based on the same data”
—Gregory House

How is it possible that you might get as many different opinions as many vets you consult? 

I am starting to question whether there is such a thing as an objective opinion in the first place. The more I think about it, the more I am convinced that there isn't. The meaning of the word opinion itself is inherently subjective.

Any conclusion is an interpretation of the available facts based on previous experience (or lack of thereof). 

Though it's really the kind rather than the amount of experience that matters. That will determine where and how the vet will choose to look and how they interpret what they see.

There's truth in the adage: "Choose your specialist - choose your disease." Doesn't work this way with specialists only!

Elephant

It was six men of Indostan
To learning much inclined,
Who went to see the Elephant
(Though all of them were blind),
That each by observation
Might satisfy his mind

The First approached the Elephant,
And happening to fall
Against his broad and sturdy side,
At once began to bawl:
"God bless me! but the Elephant
Is very like a wall!"

The Second, feeling of the tusk,
Cried, "Ho! what have we here
So very round and smooth and sharp?
To me 'tis mighty clear
This wonder of an Elephant
Is very like a spear!"

The Third approached the animal,
And happening to take
The squirming trunk within his hands,
Thus boldly up and spake:
"I see," quoth he, "the Elephant
Is very like a snake!"

The Fourth reached out an eager hand,
And felt about the knee.
"What most this wondrous beast is like
Is mighty plain," quoth he;
" 'Tis clear enough the Elephant
Is very like a tree!"

I'm not going to quote the whole thing, if you want to read all of it check it out here.

Bottom line is that if you desire a second (or even third, fourth, fifth) opinion, the chances that you will get them are good.

Here comes the catch though.

Now that you have all these opinions, you still have to choose one!

So how do you do that?

After all this trouble you're back to where you started – homework. 

There is no way around it. Whether it involves finding a vet so awesome that you simply take their word for it, or researching all the possibilities that had been laid out for you, you still do have to do your homework.

You can go with your gut, that often works, but you still need to root it in some information.

Of course you can always toss a coin. Eeny, meeny, miny, moe …

However you decide to arrive to your decision, make sure you will be able to live with it afterward.

It's your dog's health!
Jana

Related articles:
Finding Dr. Wonderful And Your Mutt's Mayo Clinic: Getting Started
Making Tough Medical Decisions For Your Dog
It's Your Dog's Health
Does Your Vet Listen To You?
Help! My Dog Is Purple!
Veterinary Drive-Thru: Coming Soon To A Veterinary Hospital Near You!

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