Tuesday, January 16, 2018

PETS' CONCIERGE WELLNESS PLANS




GENTLE VET ANIMAL HOSPITAL: CONCIERGE WELLNESS MEDICINE


A highly personalized health assessment and health management program with prompt and increased access to Dr. Ehud Sela. The program will emphasize preventive medicine and early diagnostic tests as a way to maximize quality of life and length of life. The pet owners have peace of mind knowing that they receive comprehensive, state-of-the-art medical care tailored to their pet’s individual needs.
Dr. Ehud Sela offers various levels of concierge service to tailor your pets’ healthcare needs.

Concierge Plan Puppy/Kitten:


Puppy/kitten vaccine series
Two comprehensive fecal tests sent to reference lab
Two comprehensive Urine Tests sent to reference lab
Two Dewormings
Free Exam with vaccination
Ten percent discount on preventive veterinary products
Price: $450.00. Plan duration 12 months
Includes oral Kennel cough vaccine & canine influenza series.

Concierge Plan adults:

Includes all the benefits of the puppy/kitten plan plus:

Unlimited exam/consultations

Ten percent discount on all veterinary services and products

Price: $850.00. Plan duration 12 months

Add:
One ultrasound & two x-rays views & one additional view same time
One comprehensive blood work: cbc/diff/ general health panel.
Fifteen percent discount on all veterinary services and products.
Price: $1595.00. Plan duration 12 months.

Plan can be used as a House Call plan for an additional $200.00 

Thursday, March 16, 2017

THE SHAMEFUL USE OF SCARE TACTICS AND GUILT TACTICS IN VETERINARY MEDICINE TO GENERATE REVENUE






I have been encountering over the last years more more the use of words that tend to convey to the pet owner a sense of guilt and fear.

The following statement with some variations is used: You have declined diagnostics and treatment at this time, as well as humane euthanasia. It is very likely that your pet will continue to decline without treatment and may die at home.

Wow! What a statement; how frightening.

So, are there cases when a pet is so critical that the above is true? Of course there are. But I have encountered cases—and too often—in which the statement is used to scare and create a feeling of guilt.

A true assessment needs to be done, and if true financial hardships are present, then a less costly venue can and should be pursued. In my practice I explain in detail the possible differentials of the illness, being frank and open. Often, with the understanding and acceptance of the owner, a course of treatment will be ensued, and if feasible, and most time it is, I send the patient home, where they are more comfortable. Usually a follow up visit is set for the next day. I explain that this approach has significant limitations, as at this point we do not have a diagnosis, but we can try and see how we are doing with treatment that addresses the symptoms. Of course some medications cannot be started without diagnosis—as they can do harm in certain situations—but at least we are trying to help the pet and the family.

If the patient improves, then, gradually and judiciously we’ll do tests to further define the illness, continue or modify the treatment, and try and get a prognosis.

The bottom line has to be compassionate veterinary care with good communication with the owner, and a relationship of mutual trust.

Dr. Ehud Sela

The Gentle Vet

Margate, Florida.

954-972-5900

www.thegentlevet.com


© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Saturday, January 7, 2017

Renal Disease, Pyelonephritis, In Cats.




Chronic Renal disease is a common problem in cats. Blood work can detect it, but once the blood work shows abnormalities changes already were established in the kidneys and often, at that point, the treatment is for control of the disease rather than prevention.

One of the diseases that cats can have is an infection of the kidneys called pyelonephritis. It is often an insidious disease and does not become manifest until late in the disease process.

I am a strong believer in early detection and prevention. In my geriatrics cat patients, I often advise routine urine analysis. It's a simple test and the owner can easily collect the sample at home.

I also routinely perform abdominal ultrasounds and have found pyelonephritis in cats before the kidneys suffer irreversible damage.

These geriatric cats might have nonspecific mild syndromes with slight weight loss, and just seem to the owner that they are not doing right, in a mild nonspecific way early in the disease process.


These cats usually respond nicely to antibiotics and the owner notices an improvement in their general wellbeing.

Dr. Ehud Seal

Gentle Vet Animal Hospital

Margate, Florida.

954-972-5900

www.thegentlevet.com

Saturday, September 3, 2016

Cryosurgery of a lesion on the tail of a cat




A 16 yrs old cat was presented for a tail lesion that kept oozing and crusting over and bothering the cat. Fine Needle Biopsy, done as an outpatient revealed benign a sebaceous lesion. 
Due to the age of the cat a non surgical approach was elected. Using Cryosurgery, liquid nitrogen was applied to the lesion. A 6 mm Cryo-chamber was used and 3 cycles of quick freeze, slow thaw were applied to the lesion, reaching at each freeze cycle Cryo-adhesion. The cat was not bothered at all by the procedure and calmly lay on the exam room table--table that is softly padded for the patients' comfort--while the owner was petting him. The entire procedure took about 25 minutes and the cat went home with his owner.
The lesion is expected to slowly regress within the coming weeks. 
Cryosurgery is an excellent technique for many skin lesions and, or, tumors, that is not invasive and with hardly any discomfort to most patients.
Dr. Ehud Sela-The Gentle Vet
Gentle Vet Animal Hospital
Margate, Florida.
Phone: 954-972-5900

Thursday, July 21, 2016

HEARTWORM DISEASE TREATMENT OPTIONS UPDATE.




My Philosophy in medicine is of a measured and conservative approach, and to try and look for less invasive, safer, and less costly treatment options.
In this regard I have been using the so called "European protocol" for treatment of Heartworm disease. It is so called because a research paper first published in Milan, Italy described the protocol. The protocol has been used in the States also by various veterinarians that are familiar with it. It involves the use of Doxycycline and Ivermectin based Heartworm preventive. It's a slow kill of worms approach, and that is why I like it, as I find it safer--as compared to fast worm kill--and less costly. Of course each patient is an individual and a veterinarian needs to asses him and discuss with the pet owner the options.
My bottom line is always: if it safer and appropriate for the patient it should be the first choice.
Dr. Ehud Sela
Gentle Vet Animal Hospital
954-972-5900
© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.

Tuesday, July 19, 2016

THE ART OF MEDICINE




Medicine is an art, good medicine that is, both in Veterinary medicine and human medicine.

In Veterinary medicine this art is more difficult as the patients can't tell the doctor what is bothering them.

Therefore, a complete physical exam, and a detailed history is imperative in order to achieve a diagnosis.

Of course, an experienced eye with many years in practice is an essential element.

Unfortunately medicine has become in some instances not an art, but a blanket approach in which based upon algorithms--and not critical thinking--a myriad of tests are done, and these tests can be costly.

I believe in diagnostic tests; they are essential, but I also believe in a logical approach and fine tuning the tests to the case in front of me.

I regard in many cases the art of medicine to be like a detective work in which a methodical and logical approach is applied.

Yet, always remembering that the first rule of medicine is do no harm.

And, always remembering that in front of me is a pet that feels and is a member of the family.

The Art of Medicine is not just a cliche but something to strive for and always practice.

And like any form of art, there are good artists, not so good artist, and exceptional artists. 

In medicine the exceptional doctor has that additional spark of compassion and wisdom that sets him apart.

Dr. Ehud Sela

Gentle Vet Animal Hospital

Margate, Florida

954-972-5900.


© Dr. Ehud Sela. No work herein may be reproduced in any way without expressed permission from the author.