veterinary care – Green Acres Kennel Shop Blog

Why Is it Suddenly So Difficult to See the Veterinarian? What Can I Do If My Pet Has a Healthcare Emergency?

< A version of this article was published in the NOV2021 issue of Downeast Dog News>

< Updated 01NOV21 >

< A short link for this page – https://bit.ly/2021VetCrisis >

Some of my clients have commented on the long lead times to get appointments with their veterinarian for several months. In addition, new clients that have just moved to the area have indicated that many local veterinarians are not accepting new patients at this time. There were also rumors of the Eastern Maine Emergency Veterinary Clinic (EMEVC) not being open some nights and turning patients away because they did not have enough staff to see everyone. So, on Sept. 27, When EMEVC announced that they would be closed on Mondays and Tuesdays until further notice, I started to ask my friends in the veterinary community what was going on. What I learned was alarming.

After talking with colleagues throughout Maine and the USA, I discovered a nationwide shortage of veterinarians, technicians, and assistants. The American Veterinary Medical Association (AVMA) recently addressed this topic in an article in the JAVMA News entitled “Are we in a veterinary workforce crisis?” While some have speculated that this was due to a massive increase in pet adoptions due to the COVID-19 pandemic, the data reported in JAVMA does not support this conclusion; “The number of pets adopted from shelters in 2020 was the lowest in five years, based on data from over 4,000 shelters across the country.”

The data does indicate “…veterinarians saw fewer patients per hour and average productivity declined by almost 25% in 2020, compared with 2019.” The JAVMA News article suggests a significant drop in productivity directly resulting from necessary changes in how veterinary practices operated due to the COVID-19 pandemic. As with other professions, the pandemic has increased stress levels and a loss of staff due to illness, a need to care for family members, or burnout.

The article in JAMA News suggests several things the veterinary profession can do to change this situation, but none will happen quickly. Additionally, society is still feeling the effects of COVID-19. With cases increasing again, it is quite possible things will worsen before they get better.

Those who share our lives with pets care deeply about their health, as does the entire veterinary and professional pet care community. I believe the best thing we can do as a like-minded community is to commit to working together to resolve this crisis. Too many people have used COVID to divide us as a society; it’s time for pet guardians to set an example for the rest of the world. Let’s show the world how to work together as a compassionate, caring team that is as concerned about the wellbeing of others as much as themselves. This is how we can start:

Be kind, patient, and helpful to others.
If you have not already done so, establish a relationship with a local veterinarian. Ask them what level of care they can provide if area emergency clinics are unavailable BEFORE you have an emergency.
Ensure you have contact information for all area emergency clinics readily available if the closest is closed.
Take a pet first aid class to better prepare to care for your pet in a crisis. An excellent course is offered online by the Pet Professional Guild. [ FMI – https://www.petprofessionalguild.com/Learnpetfirstaid ]
Keep all of your pet’s veterinary records so that they are readily available if you need to see another veterinarian. Take those records with you if you travel with your pet.
Every time you see your veterinarian, they probably send you home with a report indicating when your pets will be due for their next vaccinations and exams. Don’t wait until the last minute to schedule those appointments. Also, keep that information readily available so that you can provide it to your daycare, boarding facility, dog trainer, and groomer without having to call your very busy veterinarian for another copy.
Keep your pets healthy. Make sure that they have adequate and appropriate physical exercise and mental enrichment. Feed them healthy food and do not let them become obese. Provide them with medications as prescribed and order prescription refills well in advance. Please, do not use aversive training tools [ shock, prong & choke collars] that can cause physical or emotional injury.
Before embarking on a non-regular activity with your pet, assess their health and age and review the risk of that activity. Is your pet up to it, and are you ready to do what’s necessary if your pet has a healthcare emergency?
Be kind, patient, and helpful to others.

References

Are we in a veterinary workforce crisis?, JAVMAnews, Sept. 15, 2021 – https://www.avma.org/javma-news/2021-09-15/are-we-veterinary-workforce-crisis

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Don Hanson is the co-owner of the Green Acres Kennel Shop ( greenacreskennel.com ) in Bangor, Maine, where he has been helping people with their pets since 1995. He is also the founder of ForceFreePets.com, an online educational resource for people with dogs and cats. Don is a Bach Foundation Registered Animal Practitioner (BFRAP), Certified Dog Behavior Consultant (CDBC), Associate Certified Cat Behavior Consultant (ACCBC), and a Certified Professional Dog Trainer (CPDT-KA). He is a member of the Pet Professional Guild (PPG), where he serves on the Board of Directors and Steering Committee and chairs the Advocacy Committee and The Shock-Free Coalition ( shockfree.org ). Don produces and co-hosts a weekly radio show and podcast, The Woof Meow Show, that airs on Z62 Retro Radio WZON (AM620) and WKIT 103.3-HD3 and is streamed at http://bit.ly/AM620-WZON every Saturday at 9 AM. Podcasts of the show are available at http://bit.ly/WfMwPodcasts/, the Apple Podcast app, and Don’s blog: www.words-woofs-meows.com. The opinions in this post are those of Don Hanson.

Podcast – The Importance of Annual Wellness and Preventative Veterinary Care with Dr. Katie Carter from River Road Veterinary Hospital

< Click to Listen to Podcast >

In this episode of The Woof Meow Show from September 8^th, 2018, Don talks with Dr. Katie Carter of the River Road Veterinary Hospital in Orrington about the importance of annual wellness veterinary care for pets. We discuss what Katie looks for in an annual exam of a cat and dog as well as why some pets may need to be seen more than annually. We also talk about how to know when to seek preventative care outside of an annual visit and the benefits of having a regular relationship with your pet’s veterinarian.

You can hear The Woof Meow Show on Z62 Retro Radio, AM620, and WKIT HD3 at 9 AM on Saturday. If you are not near a radio, listen on your computer at http://www.wzonthepulse.com or your smartphone or tablet with the free WZON 620 AM app. A podcast of the show is typically posted immediately after the show and can be downloaded at www.woofmeowshow.com and the Apple iTunes store.

< Click to Listen to Podcast >

Contact Info

Dr. Katie Carter
River Road Veterinary Hospital
210 River Road, Orrington, ME 04416

(207) 825-2105

http://riverroadvet.com/

https://www.facebook.com/riverroadvet/

Recommended Resources

Podcasts from The Woof Meow Show ( http://www.woofmeowshow.com )

The Importance of Wellness and Preventative Care with Dr. Dave Cloutier of the Veazie Veterinary Clinic – http://traffic.libsyn.com/woofmeowshow/WoofMeowShow-2014-02-15-The_Importance_of_Wellness-Preventative_Care_with_Dr_Dave_Cloutier.mp3

The Importance of Annual Exams with Dr. Mark Hanks of Kindred Spirits Veterinary Clinic – http://traffic.libsyn.com/woofmeowshow/WoofMeowShow-2011-02-05-Why_Annual_Exams_are_so_Important_w-Dr_Mark_Hanks.mp3

Selecting A Pet Care Provider – Yes! A Trend Towards Kinder and Gentler Professional Pet Care – A Veterinary Perspective – Part 3

This article first appeared in the July 2015 edition of the Downeast Dog News.

When this series started back in April, the intent was to alert pet owners that not all pet care services are pet-friendly and to emphasize the importance of making sure a pet has the most positive experience possible when it is boarding, day-caring, being groomed, training or while at the veterinarian. All of these animal care services can be done with a pet friendly approach; our pets deserve that. In this column I’ll be focusing on visits to the veterinarian and how many in the veterinary community are working to make those visits fear-free.

Few people look forward to visiting the doctor or the dentist so we should not be surprised when our pets get anxious at the veterinarian. A healthcare usage study by Bayer Veterinary indicated that 37% of dog owners and 58% of cat owners said their pets hate going to the vet¹. Going to the vet can be a frightening experience and fear is a powerful emotion. According to Dr. Marty Becker, “Fear is the worst thing a social species can experience and it causes permanent damage to the brain.” As a Certified Dog Behavior Consultant, I work with many dog owners and their dogs, often on fear related issues. It is a basic survival mechanism that allows fear to be locked into a memory in an instant and that trauma can be remembered for a lifetime. While these fears may be overcome, it can often take weeks, months, and even years of work to do so.

Unfortunately, if we as pet owners and the pet care professionals handling our animals don’t recognize the signs and detrimental effects of stress and fear in our dogs and cats we cannot help them. In her blog The Science Dog, Linda P. Case recently wrote about fear and two research studies² that examined how well owners and pet care professionals recognized and responded to signs of stress and fear in dogs. The first study indicated that over 90% of the people that participated could tell when a dog was happy; however, only 70% of dog professionals and 60% of dog owners could identify the fearful dogs. [bold emphasis mine]. That means a significant number of pet professionals and dog owners cannot tell when their dog is stressed or afraid. Clearly there needs to be more education in this arena.

The late Dr. Sophia Yin, a veterinarian and animal behaviorist, made it her mission to educate other veterinarians, pet professionals and pet owners on how people can better understand and interact with pets so as to reduce stress for all concerned. Her seminars, DVDs, and book on low stress handling of pets have helped pet professionals make their practices “pet-friendly.” When professionals can identify fear and stress, and know how to respond accordingly, they can make efforts to minimize or eliminate it so that pets actually enjoy visiting and being handled. At the same time, the skills learned help staff become more competent in animal handling, resulting in improved safety for all parties and reduced costs. Pet professionals, pet owners and pets are all benefiting tremendously from these practices³.

Many other veterinarians are also addressing this issue. Dr. Marty Becker is a veterinarian who is actively educating his colleagues on the importance of fear-free veterinary visits. In January, Dr. Becker presented on this topic at the North American Veterinary Community conference¹, one of the largest continuing education events for veterinarians in the world. He talked about the Hippocratic Oath taken by veterinarians which emphasizes “First do no harm” and to “Cure sometimes. Treat often. Comfort always” [bold emphasis mine]. He discussed how the intense focus on medicine has caused veterinarians to sometimes neglect the parts about doing no harm. Dr. Becker continually underscores the value of making sure a patient is comfortable.

The trend toward fear-free veterinary visits is rapidly growing. A Google search of the words “fear free veterinary visits” yields about 819,000 results. The website DVM360, a website for the veterinary community, lists 19 articles on the fear-free philosophy from April 1^st through June 5^th alone.

With this trend, the move towards “Fear-Free” veterinary care is alive and well in Maine. Kate and I recently invited Dr. David Cloutier, from the Veazie Veterinary Clinic⁴, to join us on The Woof Meow Show to discuss his clinic’s approach to fear-free veterinary care. Dr. Cloutier is clearly very passionate about this topic. He explained how it’s not only the best approach for the vet, the vet’s staff, the pet owner and the pet, but is also personally very rewarding.

On our show with Dr. Cloutier we talked about dogs and cats and the fact that creating a fear-free visit for a cat is every bit as important as a fear-free exam for a dog however, because of a cats highly developed flight or fight instincts, doing so takes even more effort. Dr. Cloutier worries that if a cat owner has a bad experience taking their cat to the veterinarian that they may never go back to any veterinarian. This can result in very negative consequence for that cat’s health which is why making every visit a good one is so essential.

Some of the things that Dr. Cloutier and his team at Veazie Veterinary are doing to make a pet’s visit fear-free include staff training on behavior, stress, and canine and feline body language, having separate waiting areas for dogs and cats, being patient and allowing pets time to settle, minimizing restraint as well as the number of people in the room with the animal during an exam and treatment, using high-value treats to reward calm behavior and to desensitize a pet to any perceived threats, using pheromones like Feliway with cats to help calm them, and teaching clients what they can do at home to help prepare their pets for a visit to the vet.

It is essential for all pet care professionals to be following a pet friendly, fear-free philosophy if we are going to do well by your pets. If one of us causes a pet to have a fearful experience, due to the way the brain processes and remembers fear, that animal may now fear all of us.

Lastly, we talked with Dr. Cloutier about the role of the pet owner in reducing stress. That role starts with learning about your pet and signs of stress and discomfort. Next it requires you to be an advocate for your pet and all of the people that participate in your pet’s care. You not only need to make sure that pet professionals that care for your pet follow a pet friendly philosophy, but you also want to make sure that family members and friends that care for your pet also follow your philosophy. Your pet cannot speak for themselves so please ask questions and speak on their behalf. They’ll be glad you did.

Next month’s article will be focused on specific things you can do at home to help prepare your pet for a visit to your veterinarian, a boarding kennel, the groomer, or a training class.

References

¹ Creating Fear Free® Veterinary Visits Puts Pets Back Into Practices -DrMartyBecker.com, Presentation at NAVC – http://www.drmartybecker.com/wp-content/uploads/2015/01/Creating-Fear-Free-Veteirnary-Visits-NAVC-15-FINAL.pdf

² Fear Itself, The Science Dog, June 9, 2015, by Linda P. Case – https://thesciencedog.wordpress.com/2015/06/09/fear-itself/

³ http://drsophiayin.com/

⁴ http://www.veazievet.com/

Other Links of Interest

Signs of anxiety and fear in dogs from Dr. Marty Becker – http://dvm360.com/sites/default/files/images/pdfs-for-alfresco-articles/Signs_of_anxiety_fear.pdf

Links to the first two part of this series can be found below.

Selecting A Pet Care Provider – Yes! A Trend Towards Kinder and Gentler Professional Pet Care – Green Acres Kennel Shop’s “Pet Friendly” Philosophy – Part 1 – <Click Here>

Selecting A Pet Care Provider – Yes! A Trend Towards Kinder and Gentler Professional Pet Care – The PPG – Part 2 – <Click Here>

______________________________________________________________________________
Don Hanson is the co-owner of the Green Acres Kennel Shop (greenacreskennel.com) in Bangor. He is a Bach Foundation Registered Animal Practitioner (BFRAP), Certified Dog Behavior Consultant (CDBC), Associate Certified Cat Behavior Consultant (ACCBC) and a Certified Professional Dog Trainer (CPDT-KA). He produces and co- hosts a weekly radio show and podcast, The Woof Meow Show heard on The Pulse AM620 WZON and streamed at http://www.wzonradio.com/ every Saturday at 9 AM. A list of upcoming shows and podcasts of past shows can be found at www.woofmeowshow.com. Don also writes about pets at his blog: www.words-woofs-meows.com.