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Re: SPOON! The Tick [Re: Schnickle Fritz] #210576
02/05/12 02:08 AM
02/05/12 02:08 AM
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
DancingCavy Offline OP

Carpal Tunnel
DancingCavy  Offline OP

Carpal Tunnel
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
Ha, no. Not in Napa. Even with the un-winter-like weather we've had. wink

I used to work there so I know that everyone initials what they write in the file so that it can be traced. Besides, I use the same vet all the time anyway. I'm simply wondering if I should be pointing fingers or leaving it to them to figure it out.

Last edited by DancingCavy; 02/05/12 02:09 AM.

~Jamie~
Veteran MF-GrCH Dancing Cavy's Pain in the Butte W-FDM/MF MF-M Vet InS/E R-FE/N PCD BN RAE RL1 (AoE) RNX TKP CA CGC WCX3 Risa
Wylde Kitsunegari of Aesir CGC WCM Kyu
It Just Keeps Getting Better: Risa's Blog
Pet Portraits
Re: SPOON! The Tick [Re: DancingCavy] #210581
02/05/12 02:19 AM
02/05/12 02:19 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

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MaxaLisa  Offline

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Joined: Jan 2010
Posts: 19,487
Northern CA
As a first thought, it's not just the care that you are disappointed in, but the record keeping and communication, and knowledge level wrt the Snap. That might work in the conclusion somewhere, but not sure how you might write it without sounding the wrong way.


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: SPOON! The Tick [Re: MaxaLisa] #210660
02/05/12 01:08 PM
02/05/12 01:08 PM
Joined: Feb 2010
Posts: 2,814
Belfast, NY
Good_Karma Offline
Carpal Tunnel
Good_Karma  Offline
Carpal Tunnel
Joined: Feb 2010
Posts: 2,814
Belfast, NY
I think the letter is very well written. You clearly point out all the small but significant ways in which the vet office failed Risa. And I don't think it takes a genius to know that a vast majority of pet owners would not have gone to the lengths you did to research the test and advocate for your dog. If it were not for your persistence, Risa would be a Lyme positive dog receiving no treatment. Beyond stating your disappointment and concern for other pet owners who may experience a similar lack in care, I'm not sure where else you can go with your letter. I don't know if vet offices use an SOP (standard operating procedure) but I would assume since they are a lab, that they do. Perhaps you can suggest to them a revision in the SOP which states that in the future, any test which has an inconclusive result must be resubmitted and retested. I think the receptionists also need to do a better job, although it does seem like it is hard to staff a vet office with competent receptionists, at least based on my experience. frown


Leah
Re: SPOON! The Tick [Re: Good_Karma] #210666
02/05/12 01:31 PM
02/05/12 01:31 PM
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
DancingCavy Offline OP

Carpal Tunnel
DancingCavy  Offline OP

Carpal Tunnel
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
Originally Posted By: Good_Karma
I think the receptionists also need to do a better job, although it does seem like it is hard to staff a vet office with competent receptionists, at least based on my experience. frown


Hey! I was a receptionist when I worked there! teary wink You're right, though, it is not an easy position. I made my share of mistakes too. But that's why they set up a system where things like this aren't supposed to be missed. Everyone who touches the file should be looking at it and double-checking things. I am very surprised some of this stuff was missed. It makes me seriously consider finding a new vet to use as Risa's primary. This isn't the first time I've been disappointed with the level of care. Just the most serious time. frown

I rewrote the final few paragraphs with your suggestions and some of what I came up with overnight. Sometimes it's good to sleep on it.

Quote:
This experience has left me very disappointed in the quality of care we received, the lack of proper record keeping, and how the Snap test is read. I am left wondering, if the first Snap test had been Risa's annual one, if we would have been informed of the slight dye indication at all. After all, I know it's hospital policy that only positive results get phone calls. So it's entirely possible that this issue could have gone completely undiagnosed. I hate to think of what may have happened had I not insisted on a retest. Lyme disease can lead to serious medical complications and can even be fatal when left untreated.

I wrote this letter to inform you of my displeasure and in the hopes that you might all learn from this. Since I used to work alongside many of you, I know you are a dedicated group of people who truly care about the patients you see. I am certain that, with this new found knowledge, you will make adjustments to how things are run and that no other patient will have to go through this.

Thank you.


~Jamie~
Veteran MF-GrCH Dancing Cavy's Pain in the Butte W-FDM/MF MF-M Vet InS/E R-FE/N PCD BN RAE RL1 (AoE) RNX TKP CA CGC WCX3 Risa
Wylde Kitsunegari of Aesir CGC WCM Kyu
It Just Keeps Getting Better: Risa's Blog
Pet Portraits
Re: SPOON! The Tick [Re: DancingCavy] #210680
02/05/12 02:54 PM
02/05/12 02:54 PM
Joined: Jun 2010
Posts: 3,129
Fairfield, Ca.
Schnickle Fritz Offline
Carpal Tunnel
Schnickle Fritz  Offline
Carpal Tunnel
Joined: Jun 2010
Posts: 3,129
Fairfield, Ca.
excellent


Have a great day!!!
NLS

* * * * * * * * * * * * * * * * * * *
Fritz vom Banach TR1 TT RN RA BN NW1 BH 10/10/09
Cuvee' d' la Maze ORT-BCA BH 01/14/11
* * * * * * * * * * * * * * * * * * *
Re: SPOON! The Tick [Re: Schnickle Fritz] #210719
02/05/12 08:24 PM
02/05/12 08:24 PM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

Global Moderator
MaxaLisa  Offline

Global Moderator
Joined: Jan 2010
Posts: 19,487
Northern CA
thumbup


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: SPOON! The Tick [Re: MaxaLisa] #210723
02/05/12 09:01 PM
02/05/12 09:01 PM
Joined: Feb 2010
Posts: 1,083
Rhode Island
LJsMom Offline
Old Hand
LJsMom  Offline
Old Hand
Joined: Feb 2010
Posts: 1,083
Rhode Island
Good job Jamie!


Joanne

Kryska's Ironwill Steel Train SD (Siberian Husky) 8-6-99
Miss Mila Monster (GSD) 4-14-02

Waiting at the bridge:
Lady Jane Cobb (GSD - age 15)
Sasha (Siberian Husky - age 13)
Niko (Siberian Husky - age 14)
Wooly Bear (Siberian Husky - age 13)
Re: SPOON! The Tick [Re: LJsMom] #210752
02/06/12 12:38 AM
02/06/12 12:38 AM
Joined: Jan 2010
Posts: 4,618
JeanKBBMMMAAN Offline
Rescues Rule Admin
JeanKBBMMMAAN  Offline
Rescues Rule Admin
Joined: Jan 2010
Posts: 4,618
Jamie, I think it's great, but would maybe hit the whole "what if this was another dog without an owner-advocate" angle harder, maybe even from the POV of the person who would never be able to understand all this through no fault of their own. Are you going to take it in and talk it out with them or mail it?

I now know to ask about the small bit of dye. Thank you.

Last edited by JeanKBBMMMAAN; 02/06/12 12:38 AM.
Re: SPOON! The Tick [Re: JeanKBBMMMAAN] #210786
02/06/12 03:19 AM
02/06/12 03:19 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

Global Moderator
MaxaLisa  Offline

Global Moderator
Joined: Jan 2010
Posts: 19,487
Northern CA
Originally Posted By: JeanKBBMMMAAN
...I now know to ask about the small bit of dye. Thank you.


Makes a person wonder how many of these get misread. We often hear on the tick list, a "low" or "light" positive, and there is no such thing. Risa's C6 of 60, with a *smudge* of dye is the perfect example of this.

Makes me sad.


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: SPOON! The Tick [Re: MaxaLisa] #210890
02/06/12 03:18 PM
02/06/12 03:18 PM
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
DancingCavy Offline OP

Carpal Tunnel
DancingCavy  Offline OP

Carpal Tunnel
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
Jean, I'm probably going to mail it. I'm so non-confrontational. This is easier for me. wink

I like the idea of addressing the idea of owners that might not have a clue about what could be going on, but I'm unsure how to bring it up.

I, too, have been wondering how many tests are getting misread. I hate to come off like I'm "anti-vets" or constantly questioning their practices. But I also seem to find myself in situations where that is the ONLY thing I can do. I'm not one of those people that just accepts things as fact. I like to do my own research as well. Which, I know, can find me in conflict with veterinarians. I'm not trying to be a know-it-all. I simply want to know what I'm dealing with and do the best I can for my dog. And if that alienates me. . .well then I will simply find another vet more open to working with me.

Last edited by DancingCavy; 02/06/12 03:18 PM.

~Jamie~
Veteran MF-GrCH Dancing Cavy's Pain in the Butte W-FDM/MF MF-M Vet InS/E R-FE/N PCD BN RAE RL1 (AoE) RNX TKP CA CGC WCX3 Risa
Wylde Kitsunegari of Aesir CGC WCM Kyu
It Just Keeps Getting Better: Risa's Blog
Pet Portraits
Re: SPOON! The Tick [Re: DancingCavy] #210976
02/06/12 11:31 PM
02/06/12 11:31 PM
Joined: Feb 2010
Posts: 2,814
Belfast, NY
Good_Karma Offline
Carpal Tunnel
Good_Karma  Offline
Carpal Tunnel
Joined: Feb 2010
Posts: 2,814
Belfast, NY
Jamie, do lab techs in vet clinics have to do proficiency testing? When I did bacteria testing, I had to pass a twice yearly set of proficiency samples in each of the bacterial analyses my company was certified for. Most of the test results were mid-range, but for drinking water samples we were expected to detect coliforms at a low level. It seems like a vet lab would have to adhere to the same level of quality with state testing to ensure that they are giving accurate test results. If I had failed a proficiency test, my boss would have had to submit a corrective action stating what we had determined caused the incorrect answer and how we would prevent it from happening in the future. It seems to me that your vet needs to do this as well.


Leah
Re: SPOON! The Tick [Re: Good_Karma] #210990
02/06/12 11:59 PM
02/06/12 11:59 PM
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
DancingCavy Offline OP

Carpal Tunnel
DancingCavy  Offline OP

Carpal Tunnel
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
I'm not sure, Leah. It's a good question, though. I just hope that they take this to heart and do something to remedy it. I know, when I worked there, there were times when things came up and we changed the way we did things to eliminate having those issues again.


~Jamie~
Veteran MF-GrCH Dancing Cavy's Pain in the Butte W-FDM/MF MF-M Vet InS/E R-FE/N PCD BN RAE RL1 (AoE) RNX TKP CA CGC WCX3 Risa
Wylde Kitsunegari of Aesir CGC WCM Kyu
It Just Keeps Getting Better: Risa's Blog
Pet Portraits
Re: SPOON! The Tick [Re: DancingCavy] #212111
02/12/12 01:17 AM
02/12/12 01:17 AM
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
DancingCavy Offline OP

Carpal Tunnel
DancingCavy  Offline OP

Carpal Tunnel
Joined: Feb 2010
Posts: 4,067
Syracuse, NY
Update:

Risa is doing fine on the doxy. I mailed the letter to the vet on Tuesday. Haven't heard anything from them but I don't actually expect to.

I will probably be calling the vet this week to request an additional month of doxycycline to put my mind at ease. Also, Risa has been having yucky poos for almost 2 weeks and I worry that it might put her immune system at a disadvantage so I definitely want to continue with the doxy. I am so angry her gut is off again (loose, very mucusy stools). We weren't able to get the food she usually eats because the distributor was out. I got something else instead which should have been fine but something in it is bothering her (and I have no idea what). ARGH! Fortunately, I should be able to get the Answers again on Monday and get her gut back on track.

I also ordered some Cosequin for her joints to help her from having long-term issues. Plus, due to her active lifestyle, it's long overdue. I just hope it doesn't bother her either.


~Jamie~
Veteran MF-GrCH Dancing Cavy's Pain in the Butte W-FDM/MF MF-M Vet InS/E R-FE/N PCD BN RAE RL1 (AoE) RNX TKP CA CGC WCX3 Risa
Wylde Kitsunegari of Aesir CGC WCM Kyu
It Just Keeps Getting Better: Risa's Blog
Pet Portraits
Re: SPOON! The Tick [Re: DancingCavy] #212116
02/12/12 02:06 AM
02/12/12 02:06 AM
Joined: Jan 2010
Posts: 19,487
Northern CA
MaxaLisa Offline

Global Moderator
MaxaLisa  Offline

Global Moderator
Joined: Jan 2010
Posts: 19,487
Northern CA
I am glad that she is doing well, and also about the joint supplements. Hopefully once you get the food straightened out, her "mushy issues" will be okay too.


MaxaL (aka LisaT)

Jazmine, mini-mix, 10/18/2011
Max-n-Indy
Max, 5/2001-2/2012, RIP my partner, my Regal Boy
Indy, 5/1997-10/2010, RIP my friend, my teacher

Health Index
K9 TBD info and Tick List Links
http://www.rabieschallengefund.org/
Re: SPOON! The Tick [Re: MaxaLisa] #212188
02/12/12 12:58 PM
02/12/12 12:58 PM
Joined: Feb 2010
Posts: 2,814
Belfast, NY
Good_Karma Offline
Carpal Tunnel
Good_Karma  Offline
Carpal Tunnel
Joined: Feb 2010
Posts: 2,814
Belfast, NY
Hope that you can find Risa a healthy equilibrium soon. hugging

Last edited by Good_Karma; 02/12/12 12:59 PM.

Leah
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