Friday, October 30, 2015

GREED IN ALL ASPECTS OF LIFE IS BAD WITH NO EXCEPTIONS





Here is an example of what I see too often: A pussycat that comes for diarrhea and a fecal test is done at that hospital by inserting a fecal loop to collect the sample. The problems with the procedure are multiple: Not a big enough sample is produced. It’s so uncomfortable and potentially dangerous for the patient, in this case the cat developed a small rectal tear. Then treating the patient for bacterial overgrowth based on the above test. First, bacteria are normal in the gut, second, if a true bacterial overgrowth is a consideration, then get an appropriate size sample—have the owner bring it from the litter box—and send to a microbiology laboratory.

Reason for the above approach: GREED. Generate income, generate it fast and treat. I asked for the records of the cat and found out that the cat had a heart rate over 180 and respiratory rate of 45, that’s heavy panting. The poor cat, the victim in this case, was in major stress and unneeded stress for such a minor ailment.

Unfortunately, often, the patient is taken to the “back” so the owner doesn’t see the stress produced.
In my office the owner brought a sample from the litter box, it was sent to the laboratory and came completely normal. We hope that the tear the cat suffered will resolve.
This in an example of unnecessary testing, rough testing, not common sense testing with GREED a strong underlying current.

Good medicine is not done by algorithms but with common sense and patient well-being as first and utmost, with GREED banned as a factor.

Disclaimer: all events in these descriptions are not fictional and sadly happened and any resemblance to real events is fully intentional.

Dr. Ehud Sela
The Gentle Vet
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.

Saturday, October 17, 2015

Dr. Ehud Sela: THE JOY OF HELPING A PET FEEL BETTER


Helping a pet feel better is the greatest joy in veterinary medicine for a true pet lover.

Seeing the silent and deep felt look of gratitude in my patients' eyes is the greatest joy I can achieve and the reason I became a veterinarian.

Like the Doberman Baby Girl that couldn't  walk well due to neurological disease, and now is able to walk and be self sufficient; a delight to her and her owners. Yesterday she came for a follow-up exam and rested her head on my lap in gratitude, and my heart, it melted with joy.

Like the cat Dusty that due to severe inflammatory bowel disease couldn't keep any food down, was losing weight and withdrawing. Now the vomiting has stopped and weight is gained and Dusty is purring again.

These are the true reasons, and only reasons to become a veterinarian, and one should always remember that and cherish that and strive for that.

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.

Tuesday, October 6, 2015

Dr. EHUD SELA: CASE REVIEW: TRANSITORY DIABETES IN AN OBESE CAT WITH SEVERE URINARY TRACT INFECTION



A male obese cat--weighing 21 Lbs--become suddenly ill with anorexia, low grade fever, and changes in his behavior, becoming less social and hiding a lot. In the past the cat had slightly elevated liver enzymes and on ultrasound examination his liver had the appearance of early Lipidosis--Fatty Liver. The cat was asymptomatic at the time and prescription liver supplements returned his liver enzymes to normal.

Tests revealed that the cat had a severe urinary tract infection, but also due to the stress of his Illness developed early Diabetes. The cause of the Diabetes was due most likely to his obesity and early liver Lipidosis diagnosed during the screening ultrasound.

The good news are that Mr. Pussycat has returned to normal, feeling great, eating well, with antibiotic injections and supportive fluid care. I treated the cat as an outpatient with exams every 24 hours. An outpatient approach is my preferred approach whenever feasible as I find it to be much less stressful to the pet.
In addition the cat's Diabetes was transitory and all parameters have returned to normal.

This case illustrates the inherent risks of obesity in our patients as causing secondary complications in case of Illness.

Mr. Pussycat was informed by me that he won’t have to start on Insulin, and that he'll have to become more active and eat less.

Mr. Pussycat gave me a "High-Five-Paw" with a nice purring promising that he will follow my advice.

Dr. Ehud Sela

Gentle Vet Animal Hospital

www.thegentlevet.com

Margate, Florida.

Phone: 954-972-5900

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

Sunday, October 4, 2015

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.
Plans can be either at home or in office or a combination of home and office.

Concierge Plan Adult Pets:

Adult yearly vaccination
One comprehensive fecal test
One comprehensive Urine Test
One Heart Worm Test
One blood work test: chemistry/cbc/diff
 Free Exam with vaccination
 Dedicated appointment line with first priority
 Ten percent discount on all veterinary services

Price: in office $ 570.00*. Plan duration: 12 months.
Price: in home $ 650.00*. Plan Duration: 12 months
       
      *Value of tests alone is $520.00

Concierge Plan Puppy/Kitten

Puppy/kitten vaccine series
Two comprehensive fecal tests
Two comprehensive Urine Tests
One Heart Worm Test
Two Dewormings
One blood work test: chemistry/cbc/diff.
Free Exam with vaccination
Convenient personalized appointment scheduling
Ten percent discount on all veterinary services 

Price: in office: $ 790.00*. Plan duration 12 months
Price: at home: $ 950.00*. Plan duration 12 months

*Value of tests alone is $ 690.00

Additional concierge plans available at home or office to tailor your personal preferences.
These plans include additional diagnostic tests, free exam/consultations at office, at home, via email, via text and video conferencing such as Skype.

For Further details call: 954-972-5900
Email: info@gentlevetanimalhospital.com 

Tuesday, September 29, 2015

A HOUSE CALL FOR GRIZZLY: SWEET AND LOVING AMERICAN PIT BULL TERRIER




Just returned from a house call for Grizzly: an American Pit Bull Terrier. Grizzly is sweet & loving & has severe back pain that makes it difficult for him to lift his head.

Grizzly waits for me at the door for his twice a week injection and it helps him greatly.

After my customary greeting and chatting with Grizzly—and of course with his owner too—I examine Grizzly, and when he notices that I’m ready to give him his injection he comes and lays by me; I can see in his eyes that he knows it helps him.

It gives me such joy to see that my visits make his quality of life better and that I can help him.

I like doing house calls as I can see the patient at their home environment and in Grizzly’s case the car ride will be difficult for him as it might aggravate his pain.

The house call visit is concluded with Grizzly’s favorite treat—it’s actually a vitamin—but we don’t tell him that and he chews it with delight.

Dr. Ehud Sela

The Gentle Vet

Phone: 954-972-5900

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



Wednesday, September 23, 2015

Dr. Ehud Sela: When Adopting A New Pet




Adopting a new pet is a wonderful act of love.

Often, and sadly, these pets come from difficult circumstances and need an adjustment period.

I often see new adopted pets that are shy at the beginning and at times do not have the greatest appetite or interact slowly with their new family.

If the physical exam is normal I often advise patience rather than performing multiple tests that can be stressful to the new pet and at times unnecessary.

Plenty of love and reassurance and perhaps offering a very palatable pet food can improve appetite.

I always advise a followup within a week, and of course if any signs of illness develop to return immediately.

Often: "The tincture of time" and being patient is very important.

Tests should be done wisely and correctly, only if needed.

It is a wonderful act of kindness and love to bring a new pet to the household, and like every new relationship it takes time to develop.

Dr. Ehud Sela

The Gentle Vet

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.

Wednesday, July 22, 2015

THE BETRAYAL OF PET ABANDONMENT

Abandoning your pet is an act of Betrayal.

Pets are like children, totally dependent on us and their Abandonment is an act of Cruelty.

Yes, at times, life’s events forces us to make hard decisions, but in today’s world, with social media and Internet one can plan ahead.

Inform everybody that with great pain—and one hopes sincere—you have to find a home for your pet. Talk to people online and not online: in the supermarket, in your building, in your neighborhood, and let them know the pain of the harsh decision you have to make.

Post your pet’s photos anywhere you can.

Invite people that you trust to meet your pet in advance.

There are organizations out there that will help and put you in touch with people that perhaps just lost a pet. Or elderly people that will love the companionship and love exchanged with a pet.

A couple weeks ago, in the early morning hours when we just opened, a woman Abandoned her beautiful cat in a dusty and dirty carrier. When my head nurse went out to see what was going on she swerved around her with her car—car that she removed the license plate; showing premeditation.

This is Betrayal and Abandonment and there is no other way to name it. The thought that you left your pet in animal hospital, therefore it's OK to Abandon, is nothing but a selfish pathetic fig leaf.

The poor cat was terrified, upset and justifiably angry; she showed aggression—but it’s understandable given what has just happened to her.

Many places will call animal control and that will be the end of that, and sadly also the end of the road for the pet.

I was able to get her in our feline condos and we worked on gaining her trust over a two weeks period.

One of my wonderful clients adopted her and a happy ending is the outcome here.

But, sadly, happy endings are not always the outcome.

I cherish life and always strive for happy endings, yet the final word has to be: Abandoning your pet is like Abandoning your child: it’s an act of Cruelty and Betrayal.


Dr. Ehud Sela

The Gentle Vet

Margate, Florida

954-972-5900

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

Monday, February 2, 2015

The over use of worst- case- scenarios when communicating with pet owners about their pets’ health

Too often I encounter from owners that come to see me with their pets, a history of gloom and doom as it refers to their pets’ health unless hospitalization for a few days is accepted and multiple tests and treatments are accepted as well.

I deeply believe that frank, truthful and open communication with the owner is a must.

I find, sadly, that too often words like—if you take your pet home and not leave him with us he might die—are being used.

True, it is, at certain times a true scenario, but at times it is used to generate fear and guilt with the owner so the pet is hospitalized and higher revenues created.

I believe that if a true danger to life is possible it should be communicated immediately. I also believe that if treatment as an outpatient care is possible that should be communicated immediately too.

The only guideline should be the patients’ wellbeing and comfort, and if a positive outcome is possible as an outpatient, then it should be advised and used. The hospital environment can be very stressful to our pets and their emotional wellbeing should also be part of the equation.

In conclusion: open, truthful and frank communication with pets’ owners is a must and a guideline that I always follow in my over twenty five years of experience in Veterinary Medicine.

The pets’ well being, both physical and emotional, should be the only factor used in determining the best veterinary healthcare.

Dr. Ehud Sela

The Gentle Vet

Gentle Vet Animal Hospital

Margate, Florida

Phone: 954-972-5900


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